| Abd paracentesis w/imaging (49083) |
$817.20 |
$1,362 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,473.60 |
$2,456 |
1.7× |
| Acne surgery (10040) |
$396 |
$660 |
2.1× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,714 |
$6,190 |
1.9× |
| Anoscopy diagnostic (46600) |
$233.40 |
$389 |
1.9× |
| Application cast elbow finger short arm (29075) |
$574.20 |
$957 |
2.2× |
| Application finger splint static (29130) |
$332.40 |
$554 |
2.7× |
| Application Halo Cranial Including Removal (20661) |
$1,047 |
$1,745 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$540 |
$900 |
3.5× |
| Application Long Leg Splint (29505) |
$325.80 |
$543 |
2.1× |
| Application of long leg cast (29345) |
$574.20 |
$957 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$306 |
$510 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$250.20 |
$417 |
2.0× |
| Application short leg splint calf foot (29515) |
$304.20 |
$507 |
2.0× |
| Apply hand/wrist cast (29085) |
$271.80 |
$453 |
1.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$345 |
$575 |
2.3× |
| Apply Short Leg Cast (29405) |
$574.20 |
$957 |
2.2× |
| Arterial puncture (36600) |
$201.60 |
$336 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$685.80 |
$1,143 |
2.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,105.20 |
$1,842 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$719.40 |
$1,199 |
2.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$652.80 |
$1,088 |
2.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,724 |
$4,540 |
1.8× |
| Aspirate Pleura W/O Imaging (32554) |
$1,063.80 |
$1,773 |
1.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$516.60 |
$861 |
1.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,226.20 |
$5,377 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$263.40 |
$439 |
1.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$556.20 |
$927 |
0.9× |
| Bladder Irrigation (51700) |
$260.40 |
$434 |
1.1× |
| Bladder Scan (51798) |
$133.20 |
$222 |
2.4× |
| Blood Transfusion Service (36430) |
$565.20 |
$942 |
1.4× |
| Bone Marrow Biopsy (38221) |
$1,063.80 |
$1,773 |
0.7× |
| Bone Marrow; Aspiration Only (38220) |
$1,056.60 |
$1,761 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$2,179.80 |
$3,633 |
1.4× |
| Catheter aspiration nasotracheal spx (31720) |
$154.80 |
$258 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$260.40 |
$434 |
1.1× |
| Change of Windpipe Airway (31502) |
$1,075.20 |
$1,792 |
4.8× |
| Chest tube placement (32551) |
$1,365.60 |
$2,276 |
0.9× |
| Circumcision 28 days or older (54161) |
$3,939.60 |
$6,566 |
2.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,166.80 |
$5,278 |
2.1× |
| Clear outer ear canal (69200) |
$390.60 |
$651 |
3.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,515.60 |
$2,526 |
6.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,667 |
$4,445 |
1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$519.60 |
$866 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,237.20 |
$2,062 |
5.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,320.60 |
$2,201 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$519.60 |
$866 |
2.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,166.80 |
$5,278 |
2.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$5,419.20 |
$9,032 |
3.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$519.60 |
$866 |
2.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,166.80 |
$5,278 |
2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$519.60 |
$866 |
2.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,166.80 |
$5,278 |
2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,701.80 |
$4,503 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$519.60 |
$866 |
2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,166.80 |
$5,278 |
2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$394.20 |
$657 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,166.80 |
$5,278 |
2.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,166.80 |
$5,278 |
2.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$519.60 |
$866 |
2.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,772 |
$4,620 |
1.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$476.40 |
$794 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$519.60 |
$866 |
2.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,166.80 |
$5,278 |
2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$394.20 |
$657 |
1.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$3,166.80 |
$5,278 |
2.1× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$865.80 |
$1,443 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,166.80 |
$5,278 |
2.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$904.80 |
$1,508 |
3.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$519.60 |
$866 |
2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$519.60 |
$866 |
2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$519.60 |
$866 |
2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$519.60 |
$866 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$519.60 |
$866 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$394.20 |
$657 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$394.20 |
$657 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$3,136.20 |
$5,227 |
2.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$519.60 |
$866 |
2.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$519.60 |
$866 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$519.60 |
$866 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$394.20 |
$657 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$519.60 |
$866 |
2.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,847.60 |
$4,746 |
1.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$519.60 |
$866 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$519.60 |
$866 |
2.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$519.60 |
$866 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$519.60 |
$866 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$519.60 |
$866 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$372 |
$620 |
1.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,520.60 |
$4,201 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$519.60 |
$866 |
2.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$394.20 |
$657 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$399.60 |
$666 |
1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$3,166.80 |
$5,278 |
2.1× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$394.20 |
$657 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,166.80 |
$5,278 |
2.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$142.80 |
$238 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$10.20 |
$17 |
1.1× |
| Colporrhaphy (57200) |
$5,425.80 |
$9,043 |
1.8× |
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 7 matching MRF lines |
$4,714.50–$5,546.66 |
$7,857.50–$9,244.43 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$260.40 |
$434 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$260.40 |
$434 |
2.1× |
| Control oropharyngeal hemorrhage simple (42960) |
$462 |
$770 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$260.40 |
$434 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$405.60 |
$676 |
1.8× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$5,655 |
$9,425 |
1.8× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,579.60 |
$5,966 |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,820.80 |
$6,368 |
1.9× |
| Cysto w/complex removal stone & stent (52315) |
$3,820.80 |
$6,368 |
1.9× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,820.80 |
$6,368 |
1.9× |
| Debride nail 1-5 (11720) |
$98.40 |
$164 |
1.8× |
| Debride nail 6 or more (11721) |
$98.40 |
$164 |
1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,218.40 |
$5,364 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$648 |
$1,080 |
1.7× |
| Destruct B9 Lesion 1-14 (17110) |
$286.80 |
$478 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$357.60 |
$596 |
1.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$843 |
$1,405 |
1.7× |
| Drainage external auditory canal abscess (69020) |
$1,402.80 |
$2,338 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,402.80 |
$2,338 |
2.1× |
| Drainage Finger Abscess Complicated (26011) |
$3,129 |
$5,215 |
2.0× |
| Drainage Mouth Roof Lesion (42000) |
$462 |
$770 |
2.1× |
| Drainage of finger abscess simple (26010) |
$399.60 |
$666 |
2.1× |
| Drainage of gum lesion (41800) |
$260.40 |
$434 |
2.1× |
| Drainage of hematoma/fluid (10140) |
$2,604 |
$4,340 |
1.7× |
| Drainage of rectal abscess (45005) |
$2,283.60 |
$3,806 |
2.0× |
| Drainage of scrotal wall abscess (55100) |
$3,218.40 |
$5,364 |
2.1× |
| Draw Blood Off Venous Device (36591) |
$142.80 |
$238 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,402.80 |
$2,338 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$761.40 |
$1,269 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$238.20 |
$397 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$226.20 |
$377 |
1.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,120.40 |
$3,534 |
0.8× |
| Epidural Blood Patch (62273) |
$1,320.60 |
$2,201 |
2.0× |
| Escharotomy; initial incision (16035) |
$663 |
$1,105 |
1.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$3,100.80 |
$5,168 |
1.7× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,024.60 |
$5,041 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$141.60 |
$236 |
1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,224.60 |
$2,041 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,126.20 |
$1,877 |
1.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,218.40 |
$5,364 |
2.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,604 |
$4,340 |
1.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,760.60 |
$4,601 |
1.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,346.40 |
$2,244 |
3.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$4,662 |
$7,770 |
1.7× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$3,826.20 |
$6,377 |
1.7× |
| Explo/Drain Breast Abscess (19020) |
$3,218.40 |
$5,364 |
2.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,402.80 |
$2,338 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$761.40 |
$1,269 |
2.0× |
| Fluid Pressure Muscle (20950) |
$1,402.80 |
$2,338 |
2.1× |
| Fna bx w/us gdn 1st les (10005) |
$782.40 |
$1,304 |
1.2× |
| Foreskin manipulation (54450) |
$489 |
$815 |
2.1× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$4,710 |
$7,850 |
1.5× |
| I&d abscess peritonsillar (42700) |
$462 |
$770 |
2.1× |
| I&d abscess simple (10060) |
$311.40 |
$519 |
1.7× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$802.20 |
$1,337 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,737 |
$2,895 |
2.0× |
| I&d pilonidal cyst complicated (10081) |
$1,402.80 |
$2,338 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$602.40 |
$1,004 |
0.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,537.80 |
$7,563 |
1.7× |
| Incise external hemorrhoid (46083) |
$563.40 |
$939 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$700.20 |
$1,167 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,980.20 |
$4,967 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$293.40 |
$489 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$397.80 |
$663 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$718.20 |
$1,197 |
2.5× |
| Incision of rectal abscess (46040) |
$1,537.20 |
$2,562 |
1.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,634.60 |
$4,391 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$1,008.60 |
$1,681 |
1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$399.60 |
$666 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$601.20 |
$1,002 |
2.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,583.60 |
$4,306 |
3.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,320.60 |
$2,201 |
2.0× |
| Insert and remove bone pin (20650) |
$6,344.40 |
$10,574 |
2.1× |
| Insert Bladder Cath Complex (51703) |
$255.60 |
$426 |
2.1× |
| Insert cath pleura w/o image (32556) |
$3,312 |
$5,520 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$5,172.60 |
$8,621 |
1.7× |
| Insert Temp Bladder Cath (51702) |
$122.40 |
$204 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$216 |
$360 |
1.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$5,172.60 |
$8,621 |
1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,156.40 |
$3,594 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,172.60 |
$8,621 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$14,173.80 |
$23,623 |
1.8× |
| Interdental fixation (21110) |
$2,701.80 |
$4,503 |
1.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$922.80 |
$1,538 |
2.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$922.80 |
$1,538 |
2.4× |
| Intraoral i&d tongue/floor lingual (41000) |
$865.80 |
$1,443 |
1.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,940.40 |
$8,234 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$844.20 |
$1,407 |
3.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$563.40 |
$939 |
2.4× |
| Laryngoscopy diagnostic (31505) |
$340.80 |
$568 |
1.8× |
| Laryngoscopy flexible diagnostic (31575) |
$340.80 |
$568 |
1.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,949 |
$4,915 |
1.8× |
| Ligation Internal/Common Carotid Artery (37605) |
$5,478.60 |
$9,131 |
1.8× |
| N block inj intercost sng (64420) |
$1,132.80 |
$1,888 |
1.7× |
| Nasal Endoscopy Dx (31231) |
$340.80 |
$568 |
1.8× |
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines |
$48–$50.40 |
$80–$84 |
varies |
| Needle insertion w/o injection 3 or more muscles (20561) |
$58.80 |
$98 |
2.2× |
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 4 matching MRF lines |
$492.60–$599.40 |
$821–$999 |
varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$601.20 |
$1,002 |
2.1× |
| Occipital Nerve Block (64405) |
$601.20 |
$1,002 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$334.80 |
$558 |
0.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$5,034.60 |
$8,391 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$648 |
$1,080 |
1.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$660.60 |
$1,101 |
1.7× |
| Reduction of rectal prolapse (45900) |
$1,572.60 |
$2,621 |
1.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$598.80 |
$998 |
2.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,402.80 |
$2,338 |
2.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,604 |
$4,340 |
1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$149.40 |
$249 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$149.40 |
$249 |
2.7× |
| Removal of foreign body from pharynx (42809) |
$685.80 |
$1,143 |
1.6× |
| Removal of nail bed (11750) |
$637.80 |
$1,063 |
1.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$232.20 |
$387 |
1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$574.20 |
$957 |
2.2× |
| Remove foreign body from eye (65235) |
$3,981 |
$6,635 |
1.8× |
| Remove foreign body from eye (65205) |
$233.40 |
$389 |
1.9× |
| Remove Intrauterine Device (58301) |
$718.20 |
$1,197 |
2.5× |
| Remove Nasal Foreign Body (30300) |
$260.40 |
$434 |
2.1× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$5,172.60 |
$8,621 |
1.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$5,482.80 |
$9,138 |
1.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,179 |
$1,965 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$758.40 |
$1,264 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$761.40 |
$1,269 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,019.40 |
$1,699 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,179 |
$1,965 |
3.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,179 |
$1,965 |
3.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,003.80 |
$1,673 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$927 |
$1,545 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$6,344.40 |
$10,574 |
4.2× |
| Repair Eyelid Wound (67935) |
$3,826.20 |
$6,377 |
1.7× |
| Repair Finger/Hand Tendon (26350) |
$5,419.20 |
$9,032 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$722.40 |
$1,204 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$822 |
$1,370 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$922.80 |
$1,538 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$922.80 |
$1,538 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,141.20 |
$1,902 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$453.60 |
$756 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$598.80 |
$998 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$861 |
$1,435 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$952.80 |
$1,588 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$663 |
$1,105 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$807 |
$1,345 |
2.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,179 |
$1,965 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$952.80 |
$1,588 |
2.5× |
| Repair of nail bed (11760) |
$1,179 |
$1,965 |
1.7× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$5,538 |
$9,230 |
1.8× |
| Repair tongue laceration (41252) |
$1,152 |
$1,920 |
5.2× |
| Repair tongue laceration (41250) |
$685.80 |
$1,143 |
1.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,821 |
$3,035 |
2.1× |
| Replace g/c tube perc (49450) |
$1,821 |
$3,035 |
2.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$536.40 |
$894 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$589.20 |
$982 |
4.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$612 |
$1,020 |
1.5× |
| Rplc Gtube No Revj Trc (43762) |
$493.20 |
$822 |
2.1× |
| Rpr blood vessel direct lower extremity (35226) |
$1,252.20 |
$2,087 |
1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$805.80 |
$1,343 |
4.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$931.80 |
$1,553 |
1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,152 |
$1,920 |
2.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$5,274.60 |
$8,791 |
1.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,371.60 |
$2,286 |
2.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$399.60 |
$666 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$910.80 |
$1,518 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$380.40 |
$634 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$493.20 |
$822 |
2.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,015.80 |
$1,693 |
2.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$598.80 |
$998 |
3.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$301.20 |
$502 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,170 |
$1,950 |
6.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$610.20 |
$1,017 |
3.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$400.20 |
$667 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$861 |
$1,435 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,066.80 |
$1,778 |
2.8× |
| Spinal puncture lumbar diagnostic (62270) |
$855.60 |
$1,426 |
1.3× |
| Strapping ankle (29540) |
$325.80 |
$543 |
2.1× |
| Strapping elbow or wrist (29260) |
$180 |
$300 |
3.3× |
| Strapping hand/finger (29280) |
$74.40 |
$124 |
1.3× |
| Strapping knee (29530) |
$141.60 |
$236 |
1.1× |
| Strapping shoulder (29240) |
$141.60 |
$236 |
1.1× |
| Strapping toes (29550) |
$106.20 |
$177 |
1.9× |
Strapping Unna Boot (29580)
range across 6 matching MRF lines |
$423–$466.20 |
$705–$777 |
varies |
| Tangential biopsy skin single lesion (11102) |
$250.80 |
$418 |
0.7× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,646.40 |
$2,744 |
1.1× |
| Therapeutic plasma exchange (36514) |
$4,435.20 |
$7,392 |
3.0× |
| Thrombolytic Therapy Stroke (37195) |
$649.80 |
$1,083 |
2.1× |
| Thrombolytic Venous Therapy (37212) |
$3,900.60 |
$6,501 |
1.3× |
| Thyroid biopsy (60100) |
$753.60 |
$1,256 |
1.1× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$5,425.80 |
$9,043 |
1.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,029.60 |
$1,716 |
2.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,701.80 |
$4,503 |
1.9× |
| Treat humerus fracture (24500) |
$394.20 |
$657 |
1.7× |
| Treat Humerus Fracture (24505) |
$3,166.80 |
$5,278 |
2.1× |
| Treat knee fracture (27532) |
$6,344.40 |
$10,574 |
2.1× |
| Treat Knuckle Dislocation (26700) |
$519.60 |
$866 |
2.2× |
| Treat Tail Bone Fracture (27200) |
$394.20 |
$657 |
1.7× |
| Treat Thumb Dislocation (26641) |
$519.60 |
$866 |
2.2× |
| Treat Thumb Fracture (26645) |
$2,772 |
$4,620 |
1.8× |
| Treat toe dislocation (28630) |
$519.60 |
$866 |
2.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$887.40 |
$1,479 |
3.8× |
| Trim skin lesion (11055) |
$399.60 |
$666 |
2.1× |
| Tx Gastro Intub W/Asp (43753) |
$606 |
$1,010 |
3.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$5,425.80 |
$9,043 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,179 |
$1,965 |
1.7× |
| Unlisted Cardiac Surgery (33999) |
$1,584 |
$2,640 |
2.7× |
| Unlisted Procedure Hands/Fingers (26989) |
$378 |
$630 |
1.6× |
| Unlisted procedure humerus/elbow (24999) |
$360 |
$600 |
1.6× |
| Unlisted Procedure Intestine (44799) |
$1,433.40 |
$2,389 |
1.7× |
| Unlisted procedure nervous system (64999) |
$550.20 |
$917 |
1.9× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$408.60 |
$681 |
1.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,004.40 |
$1,674 |
1.7× |
| Vaginal delivery only (59409) |
$4,984.80 |
$8,308 |
1.6× |
| Wedge excision skin nail fold (11765) |
$311.40 |
$519 |
0.8× |