| Abd paracentesis w/imaging (49083) |
$1,627.23 |
$2,169.64 |
1.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$7,999.90 |
$10,666.54 |
2.3× |
| Application finger splint static (29130) |
$152.14 |
$202.86 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$133.96 |
$178.61 |
0.8× |
| Application Long Leg Splint (29505) |
$133.96 |
$178.61 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$270.69 |
$360.92 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$228.22 |
$304.29 |
1.6× |
| Application short leg splint calf foot (29515) |
$133.96 |
$178.61 |
0.8× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$351.42–$597.83 |
$468.56–$797.11 |
varies |
| Arterial puncture (36600) |
$32.25 |
$43 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$371.20 |
$494.94 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$433.28 |
$577.71 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,490.03 |
$1,986.71 |
4.5× |
| Aspirate pleura w/ imaging (32555) |
$1,507.40 |
$2,009.86 |
2.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$76.07 |
$101.43 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$2,289.32 |
$3,052.43 |
1.3× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,517.14 |
$3,356.19 |
1.4× |
| Bladder Scan (51798) |
$64.83 |
$86.44 |
1.0× |
Blood Transfusion Service (36430)
range across 4 matching MRF lines |
$577.16–$1,222.95 |
$769.55–$1,630.60 |
varies |
| Bone Marrow Biopsy (38221) |
$2,446.76 |
$3,262.35 |
1.4× |
| Bone Marrow; Aspiration Only (38220) |
$1,934.67 |
$2,579.56 |
1.1× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$4,952.49 |
$6,603.32 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$3,844.37 |
$5,125.83 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$3,205 |
$4,273.34 |
1.8× |
| Catheter aspiration nasotracheal spx (31720) |
$173.65 |
$231.53 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$53.32 |
$71.09 |
0.2× |
| Change of Windpipe Airway (31502) |
$47.90 |
$63.86 |
0.2× |
| Chest tube placement (32551) |
$2,325.40 |
$3,100.53 |
1.4× |
| Clear outer ear canal (69200) |
$323.31 |
$431.08 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$195.14 |
$260.19 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$216.71 |
$288.95 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$790.89 |
$1,054.52 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$148.84 |
$198.45 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$357.28 |
$476.37 |
0.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$191.01 |
$254.68 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$262.12 |
$349.49 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$83.98 |
$111.98 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$573.79 |
$765.05 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$164.16 |
$218.88 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$328.77 |
$438.36 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,542.12 |
$2,056.16 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$168.68 |
$224.91 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$290.24 |
$386.98 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$243.93 |
$325.24 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$85.12 |
$113.50 |
0.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$444.12 |
$592.16 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$147.26 |
$196.34 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$263.01 |
$350.68 |
0.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$573.86 |
$765.14 |
2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$482.50 |
$643.33 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$208.37 |
$277.83 |
1.5× |
| Collection of venous blood by venipuncture (36415) |
$41.67 |
$55.56 |
4.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$659.69 |
$879.59 |
4.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$475.46 |
$633.94 |
3.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$169.50 |
$226 |
1.2× |
| Declot vascular device (36593) |
$296.85 |
$395.80 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$102.53 |
$136.71 |
0.1× |
| Drainage Mouth Roof Lesion (42000) |
$587.08 |
$782.78 |
2.3× |
| Drainage of finger abscess simple (26010) |
$132.30 |
$176.40 |
0.6× |
| Drainage of gum lesion (41800) |
$259.19 |
$345.59 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$670.60 |
$894.13 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$1,351.94 |
$1,802.59 |
0.8× |
| Draw Blood Off Venous Device (36591) |
$103.36 |
$137.81 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$86.82 |
$115.76 |
0.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,240.90 |
$1,654.53 |
1.3× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,425.22 |
$3,233.63 |
0.8× |
| Dx Bronchoscope/Lavage (31624) |
$2,722.12 |
$3,629.49 |
1.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$7,143.05 |
$9,524.07 |
2.1× |
| Endoven ther chem adhes 1st (36482) |
$12,314.89 |
$16,419.85 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$90.76 |
$121.02 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,438.45 |
$3,251.27 |
3.2× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$3,898.75 |
$5,198.33 |
5.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$2,015.09 |
$2,686.79 |
2.7× |
| Fna bx w/us gdn 1st les (10005) |
$1,591.73 |
$2,122.31 |
2.1× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$484.39 |
$645.85 |
13.2× |
| I&d abscess peritonsillar (42700) |
$194.32 |
$259.09 |
0.8× |
| I&d abscess simple (10060) |
$213.34 |
$284.45 |
1.0× |
| I&d perianal abscess superficial (46050) |
$129.82 |
$173.09 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$81.50 |
$108.66 |
0.1× |
| Incise external hemorrhoid (46083) |
$117.69 |
$156.92 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$234.68 |
$312.90 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$366.31 |
$488.41 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$157.94 |
$210.58 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$156.28 |
$208.37 |
0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$37.78 |
$50.38 |
0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,723.21 |
$2,297.61 |
1.8× |
| Inj W/Fluor Eval Cv Device (36598) |
$217.82 |
$290.43 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$654.74 |
$872.99 |
2.0× |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$785.35–$869.61 |
$1,047.13–$1,159.48 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$61.19 |
$81.59 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$122.87 |
$163.83 |
0.9× |
| Insert cath pleura w/ image (32557) |
$1,975.37 |
$2,633.83 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$4,732.47 |
$6,309.96 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$112.46 |
$149.94 |
0.8× |
| Insert tunneled cv cath (36561) |
$6,949.46 |
$9,265.94 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$57.88 |
$77.18 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,896.31 |
$7,861.75 |
1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,425.22 |
$3,233.63 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,660.13 |
$6,213.51 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$843.75 |
$1,125 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$427.20 |
$569.60 |
1.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$112.99 |
$150.65 |
0.4× |
| Laryngoscopy flexible diagnostic (31575) |
$430.80 |
$574.40 |
2.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$68.52 |
$91.36 |
0.1× |
| Needle Biopsy Lymph Nodes (38505) |
$1,529.72 |
$2,039.63 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$103.36 |
$137.81 |
3.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$108.32 |
$144.43 |
3.5× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$405 |
$540 |
1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$151.88 |
$202.51 |
0.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,578.09 |
$11,437.45 |
1.1× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$69.46–$689.62 |
$92.61–$919.49 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$1,611.89 |
$2,149.19 |
2.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$106.50 |
$142 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$153.80 |
$205.07 |
2.4× |
| Removal of nail bed (11750) |
$219.95 |
$293.27 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$68.26 |
$91.01 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$38.95 |
$51.93 |
0.1× |
| Remove Nasal Foreign Body (30300) |
$77.73 |
$103.64 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$668.65 |
$891.53 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$614.37 |
$819.16 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$428.32 |
$571.10 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$318.75 |
$425 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$337.50 |
$450 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$393.75 |
$525 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$317.73 |
$423.64 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$349.51 |
$466.01 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$384.46 |
$512.61 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$410.50 |
$547.34 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$317.73 |
$423.64 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$349.51 |
$466.01 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$384.46 |
$512.61 |
0.9× |
| Repair of nail bed (11760) |
$323.20 |
$430.94 |
0.4× |
| Repair tongue laceration (41250) |
$134.28 |
$179.04 |
0.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$98,325.62 |
$131,100.83 |
5.0× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$98,325.62 |
$131,100.83 |
5.0× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$98,325.62 |
$131,100.83 |
5.0× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$98,325.62 |
$131,100.83 |
5.0× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$61,919.71 |
$82,559.61 |
5.0× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$61,919.71 |
$82,559.61 |
5.0× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$30,527.91 |
$40,703.88 |
5.0× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$30,527.91 |
$40,703.88 |
5.0× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$61,919.71 |
$82,559.61 |
5.0× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$61,919.71 |
$82,559.61 |
5.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$90.13 |
$120.17 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$243.93 |
$325.24 |
1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,625.50 |
$3,500.66 |
1.6× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
$1,559.76–$2,208.75 |
$2,079.68–$2,945 |
varies |
| Rplc Gtube No Revj Trc (43762) |
$700.13 |
$933.51 |
2.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$212.32 |
$283.10 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$159.52 |
$212.70 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$175.48 |
$233.97 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$193.02 |
$257.36 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$159.52 |
$212.70 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$193.02 |
$257.36 |
0.9× |
| Skin Tissue Procedure (17999) |
$417.27 |
$556.36 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$175.48 |
$233.97 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$212.32 |
$283.10 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,049.45 |
$1,399.27 |
1.4× |
| Thyroid biopsy (60100) |
$846.72 |
$1,128.96 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$262.12 |
$349.49 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$513.38 |
$684.50 |
0.6× |
| Unlisted Procedure Casting/Strapping (29799) |
$315.27 |
$420.36 |
1.8× |
| Unlisted procedure nervous system (64999) |
$526.57 |
$702.09 |
1.6× |