| Application short arm splint forearm-hand static (29125) |
$131.50 |
$263 |
1.0× |
| Application short leg splint calf foot (29515) |
$157 |
$314 |
1.0× |
| Arterial puncture (36600) |
$85 |
$170 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$331.50–$663 |
$663–$1,326 |
varies |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
$1,268–$1,627.50 |
$2,536–$3,255 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$445.50 |
$891 |
1.4× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$325–$650.50 |
$650–$1,301 |
varies |
| Aspirate pleura w/ imaging (32555) |
$3,082 |
$6,164 |
4.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$282.50 |
$565 |
1.4× |
| Blood Transfusion Service (36430) |
$1,275 |
$2,550 |
2.9× |
| Clear outer ear canal (69200) |
$131.50 |
$263 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,565.50 |
$3,131 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$239 |
$478 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,467 |
$2,934 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,614.50 |
$3,229 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$229.50 |
$459 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$229.50 |
$459 |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$8.50 |
$17 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$131.50 |
$263 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$2,377 |
$4,754 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,377 |
$4,754 |
1.2× |
| Drainage of finger abscess simple (26010) |
$208 |
$416 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,329 |
$2,658 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,113.50 |
$2,227 |
1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$877.50 |
$1,755 |
1.2× |
| Egd endo mucosal resection (43254) |
$1,853.50 |
$3,707 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$1,853.50 |
$3,707 |
1.0× |
| Egd W/Transmural Drain Cyst (43240) |
$5,551.50 |
$11,103 |
0.9× |
| Epidural Blood Patch (62273) |
$891 |
$1,782 |
1.3× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$5,551.50 |
$11,103 |
0.9× |
| Ercp duct stent placement (43274) |
$5,551.50 |
$11,103 |
0.9× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,730 |
$7,460 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,730 |
$7,460 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,730 |
$7,460 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,730 |
$7,460 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,730 |
$7,460 |
1.0× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$5,703.50 |
$11,407 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$1,830.50 |
$3,661 |
2.6× |
| I&d abscess simple (10060) |
$208 |
$416 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$587.50 |
$1,175 |
0.8× |
| Implant neuroelectrodes (63650) |
$7,146.50 |
$14,293 |
1.1× |
| Implant Spine Infusion Pump (62362) |
$17,370 |
$34,740 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$583.50 |
$1,167 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$685.50 |
$1,371 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$230 |
$460 |
1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,113.50 |
$2,227 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,113.50 |
$2,227 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$445.50 |
$891 |
1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,113.50 |
$2,227 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$702.50 |
$1,405 |
2.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$702.50 |
$1,405 |
2.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,107.50 |
$2,215 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$190.50 |
$381 |
1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,959.50 |
$21,919 |
1.3× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$245–$325 |
$490–$650 |
varies |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,043 |
$6,086 |
0.9× |
| Manipulation Elbow Under Anesthesia (24300) |
$1,467 |
$2,934 |
0.9× |
| Manipulation hip joint general anesthesia (27275) |
$1,467 |
$2,934 |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$1,467 |
$2,934 |
0.9× |
| Manipulation wrist under anesthesia (25259) |
$1,467 |
$2,934 |
0.9× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,467 |
$2,934 |
0.9× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,467 |
$2,934 |
0.9× |
| Myelography Lumbar Injection (62305) |
$2,197.50 |
$4,395 |
2.8× |
| Myelography Lumbar Injection (62304) |
$1,810.50 |
$3,621 |
2.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,905 |
$3,810 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,858 |
$3,716 |
2.4× |
| N block inj intercost sng (64420) |
$1,107.50 |
$2,215 |
1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$287.50 |
$575 |
0.6× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$458 |
$916 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40.91 |
$81.82 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$40.91 |
$81.82 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,113.50 |
$2,227 |
1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$702.50 |
$1,405 |
2.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,113.50 |
$2,227 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,107.50 |
$2,215 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,107.50 |
$2,215 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,107.50 |
$2,215 |
1.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$480 |
$960 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,902.50 |
$5,805 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$131.50 |
$263 |
2.2× |
| Remove Nasal Foreign Body (30300) |
$131.50 |
$263 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$561.50 |
$1,123 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$561.50 |
$1,123 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$460 |
$920 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$460 |
$920 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$460 |
$920 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$460 |
$920 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$460 |
$920 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$460 |
$920 |
1.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,140 |
$2,280 |
0.9× |
| Sigmoidoscopy & Polypectomy (45333) |
$881.50 |
$1,763 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$208 |
$416 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$208 |
$416 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$208 |
$416 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$208 |
$416 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$208 |
$416 |
1.0× |
| Thyroid biopsy (60100) |
$545.50 |
$1,091 |
0.8× |
| Transoral lower esophageal myotomy (43497) |
$5,551.50 |
$11,103 |
0.9× |