| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,545.09 |
$1,931.36 |
0.7× |
| Application cast elbow finger short arm (29075) |
— |
$191.20 |
— |
Application finger splint static (29130) range across 3 matching MRF lines |
$103.70 |
$91.75–$129.63 |
0.8× |
Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$171.15 |
$193.45–$213.94 |
1.0× |
Application Long Leg Splint (29505) range across 3 matching MRF lines |
$211.99 |
$185.60–$264.99 |
1.3× |
| Application of long leg cast (29345) |
— |
$301.65 |
— |
Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$190.66 |
$141.55–$238.33 |
1.4× |
Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$207.93 |
$157.35–$259.91 |
1.3× |
| Apply hand/wrist cast (29085) |
— |
$210.25 |
— |
| Apply long arm cast (29065) |
— |
$212.20 |
— |
| Apply Short Leg Cast (29405) |
— |
$178.85 |
— |
| Apply short leg cast (29425) |
— |
$171.20 |
— |
| Arterial puncture (36600) |
$60.57 |
$75.71 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$110.80 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$133.50 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$105.15 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$132.05 |
— |
Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$164–$177.08 |
$204.65–$227.50 |
varies |
| Biopsy external ear (69100) |
— |
$218.50 |
— |
| Biopsy of lip (40490) |
— |
$281.55 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$368.90 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$197.75 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$179.80 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$405.20 |
— |
Bladder Irrigation (51700) range across 2 matching MRF lines |
$128.50–$192.57 |
$160.62–$240.71 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$576.10 |
— |
| Blood Transfusion Service (36430) |
$456 |
$570 |
1.0× |
| Chemical Cautery Tissue (17250) |
$162.10 |
$202.63 |
0.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$344.30 |
— |
Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$1,405.47 |
$1,198.10–$1,756.84 |
0.9× |
Clear outer ear canal (69200) range across 3 matching MRF lines |
$167 |
$177.90–$208.75 |
1.2× |
| Closed Treat Vert Body Fract (22310) |
— |
$698.10 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,214.86 |
$1,518.57 |
4.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,285.16 |
$1,606.45 |
0.8× |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$812.28 |
$737.05–$1,015.35 |
3.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$548.65 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$673.70 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,143.90 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$481.95 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$623.26 |
$779.07 |
2.5× |
Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,215.63–$1,285.16 |
$1,519.54–$1,606.45 |
varies |
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$596.91 |
$603.45–$746.14 |
2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,298.87 |
$1,623.59 |
0.8× |
Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$593.71 |
$613.35–$742.14 |
2.4× |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$518.30 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$642.50 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$579.25 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$483.45 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,285.16 |
$1,606.45 |
0.8× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$777.20 |
$695.40–$971.50 |
3.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$508.30 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$676.35 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,019.17 |
$1,273.96 |
4.0× |
Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$736.22 |
$695.45–$920.28 |
2.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$710.44 |
$888.05 |
2.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$404.70 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$640.78 |
$723.70–$800.98 |
2.5× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,341.40–$1,581.40 |
$1,676.75–$1,976.75 |
varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$429.14 |
$536.42 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$320 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$298.05 |
$271.50–$372.56 |
1.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$595.90 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$866.55 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$303.67 |
$379.59 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$867.58 |
$1,084.47 |
3.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$642.65 |
$803.31 |
2.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,233.98 |
$1,542.47 |
0.8× |
| Cltx Medial Ankle Fx (27760) |
— |
$735.05 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$792.34 |
$990.42 |
3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$647.30 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$739.42 |
$924.28 |
2.9× |
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$376.22 |
$434.90–$470.28 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$629.45 |
$786.81 |
2.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$676.90 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$308.99 |
$386.24 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$335.81 |
$419.76 |
1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$843.40 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$668.70 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$768 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$710.05 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
$119.03 |
$148.79 |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$24.68 |
$30.85 |
2.6× |
| Colonoscopy W/Band Ligation (45398) |
$1,920 |
$2,400 |
1.6× |
| Colonoscopy w/fb removal (45379) |
$1,920 |
$2,400 |
1.6× |
| Colonoscopy w/submucosal inj (45381) |
$1,920 |
$2,400 |
1.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,920 |
$2,400 |
1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,920 |
$2,400 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$452.65 |
— |
Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$255.43 |
$295.20–$319.29 |
1.9× |
Create Eardrum Opening (69433) range across 2 matching MRF lines |
$1,033.01 |
$385–$1,291.26 |
1.9× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$115.70 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$118.30 |
— |
| Debride nail 1-5 (11720) |
— |
$70.80 |
— |
| Debride nail 6 or more (11721) |
— |
$97.80 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$254.65 |
— |
| Declot vascular device (36593) |
$494.03 |
$617.54 |
1.5× |
| Destruct B9 Lesion 1-14 (17110) |
— |
$240.60 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$285.60 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$288.15 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$389.80 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$446.25 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$535.95 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$313.95 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$382.45 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$417.35 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$448.50 |
— |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$506.85 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$308.05 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$329.75 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$356.75 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$407.70 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$208.80 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$314.40 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$143.50 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$248.80 |
— |
| Diagnostic sigmoidoscopy (45330) |
$1,920 |
$2,400 |
2.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$893.58 |
$1,116.97 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$581.21 |
$726.51 |
0.8× |
Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$591.85 |
$574.25–$739.81 |
2.9× |
| Draw Blood Off Venous Device (36591) |
$119.29 |
$149.11 |
0.9× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$339.80 |
$413.40–$424.75 |
0.8× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$283.42 |
$325.90–$354.28 |
1.4× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$118.84–$162.10 |
$148.55–$202.63 |
varies |
| Dstrj Lesion Anus Simple Chemical (46900) |
— |
$529.30 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$504.30 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$292.70 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$312.50 |
— |
| Egd cautery tumor polyp (43250) |
$1,560 |
$1,950 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$1,920 |
$2,400 |
2.1× |
| Egd remove lesion snare (43251) |
$1,560 |
$1,950 |
0.8× |
Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$102.48–$103.87 |
$120.05–$129.84 |
varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$272.20 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$441.70 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$519.05 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$594.15 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$869.90 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$293.80 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$367.15 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$411.85 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$491.15 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$619.65 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$265.80 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$342.40 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$386.85 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$423.40 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$515.05 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$745.40 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$701.15 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$661.55 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$997.70 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$326.30 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$364.65 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$480.95 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$450.70 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$610.25 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$623.55 |
— |
| Excision Chalazion Single (67800) |
— |
$275.30 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$462.75 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$421.60 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$499.50 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$541.75 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$692.20 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$437.65 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$702.85 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$1,138.10 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$425.05 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$502.20 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$561 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$747.30 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$606.80 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$612.80 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$265.95 |
— |
| I&d abscess peritonsillar (42700) |
— |
$631.15 |
— |
I&d abscess simple (10060) range across 3 matching MRF lines |
$238–$257.16 |
$257.35–$321.45 |
varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,313.24 |
$2,891.55 |
0.8× |
| I&d perianal abscess superficial (46050) |
— |
$444.20 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$389.05 |
— |
| Incise external hemorrhoid (46083) |
— |
$391.85 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$449.95 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$332.15 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$266.40 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$239.35 |
— |
| Incision of eardrum (69421) |
— |
$728.90 |
— |
| Incision of eardrum (69420) |
— |
$350 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$299 |
— |
Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$162.10 |
$150.85–$202.63 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$116.45 |
— |
Injection of sclerosing solution, hemorrhoids (46500) range across 2 matching MRF lines |
$790.47 |
$358–$988.09 |
0.8× |
| Injection single tendon origin/insertion (20551) |
— |
$132.40 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$120 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$138.30 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$171.80 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$154.55 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$122.20 |
— |
| Insert Temp Bladder Cath (51702) |
$185.34 |
$231.68 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$152.90 |
$191.12 |
1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$742.11 |
$927.64 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$739.73 |
$924.66 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$689.15 |
$861.44 |
2.8× |
| Laryngoscopy diagnostic (31505) |
$160.30 |
$200.37 |
0.8× |
| Laryngoscopy flexible diagnostic (31575) |
— |
$243.95 |
— |
| Laryngoscopy W/Biopsy (31535) |
$2,884.84 |
$3,606.05 |
0.8× |
| Nasal Endoscopy Dx (31231) |
— |
$519 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$91.45 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$480.90 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$75.20 |
$94 |
2.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$61.60 |
$77 |
2.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,666.10 |
$3,332.63 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$338.54 |
$423.18 |
0.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$744.22 |
$930.28 |
0.8× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$2,300.70 |
$2,875.87 |
0.8× |
| Punch biopsy skin single lesion (11104) |
— |
$207.05 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$243.05 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,027.15 |
— |
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$594.53 |
$563.75–$743.16 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$27.45 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$119.66 |
$81.10–$149.58 |
2.0× |
| Removal implantable contraceptive capsules (11976) |
— |
$314.65 |
— |
| Removal of adenoids (42830) |
— |
$584.45 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$440.35 |
— |
Removal of nail bed (11750) range across 3 matching MRF lines |
$294.58–$334.04 |
$330.50–$417.55 |
varies |
| Removal of tonsils (42826) |
— |
$707.10 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$194.70 |
— |
Remove foreign body from eye (65205) range across 3 matching MRF lines |
$99.21 |
$122.35–$124.01 |
0.7× |
| Remove Intrauterine Device (58301) |
— |
$207.75 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$379.75 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$835.17 |
$1,043.96 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,143.60 |
$1,429.50 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$668.99 |
$836.24 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,016.23 |
$1,270.29 |
2.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,332.36 |
$1,665.45 |
3.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$686.78 |
$858.47 |
0.9× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$433.68 |
$542.10–$563.55 |
1.0× |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$464.79 |
$580.99–$643.85 |
1.1× |
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$521.68 |
$652.10–$754.75 |
1.3× |
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$570.35 |
$712.94–$787.85 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$622.96 |
$778.70 |
0.8× |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$360 |
$450–$517.35 |
0.9× |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$462.36 |
$577.95–$631.75 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$531.76 |
$664.70 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$834.25 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$328.63 |
$410.79–$518.10 |
0.8× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$420.35 |
$525.44–$657.40 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$733.84 |
$917.30 |
1.0× |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$488.45 |
$610.56–$685.60 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,545.74 |
$1,932.17 |
0.7× |
| Repair of nail bed (11760) |
$621.92 |
$777.40 |
0.8× |
| Repair tongue laceration (41250) |
— |
$586.80 |
— |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$338.54 |
$129.40–$423.18 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$145.85 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
$969.90 |
$1,212.37 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$159.51 |
$199.39 |
0.2× |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,054.25 |
— |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$499.05 |
$358.35–$623.81 |
2.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$766.55 |
$958.19 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$1,726.35 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$211.15 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$246.75 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$406.45 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$212.90 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$263.85 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$314.05 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$326.95 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$243.45 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$349.35 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$259.85 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$339.25 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$306.60 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,920 |
$2,400 |
2.0× |
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$614.74 |
$452.95–$768.42 |
1.5× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$247.51 |
$241.45–$309.39 |
1.2× |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$331.58 |
$254.05–$414.47 |
1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$753.53 |
$941.91 |
1.8× |
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$394.31 |
$297.25–$492.89 |
1.9× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$297.01 |
$197.70–$371.26 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$668.99 |
$836.24 |
3.3× |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$366.66 |
$282.45–$458.33 |
1.8× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$311.63 |
$241.20–$389.54 |
1.5× |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$457.04 |
$356.85–$571.30 |
1.1× |
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$611.02 |
$424.80–$763.78 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$576.75 |
$720.94 |
0.8× |
| Strapping shoulder (29240) |
— |
$64.85 |
— |
| Strapping Unna Boot (29580) |
— |
$133.40 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$228.20 |
— |
| Treat humerus fracture (24500) |
— |
$793.30 |
— |
| Treat humerus fracture (23600) |
$740.50 |
$925.63 |
2.9× |
| Treat Knuckle Dislocation (26700) |
$743.41 |
$929.26 |
2.9× |
| Treat Tail Bone Fracture (27200) |
— |
$404.75 |
— |
| Treat Thumb Dislocation (26641) |
$984.34 |
$1,230.42 |
3.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,285.16 |
$1,606.45 |
0.8× |
Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$1,037.26 |
$809.45–$1,296.57 |
4.1× |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$30.95 |
— |
| Tx Gastro Intub W/Asp (43753) |
$353.12 |
$441.40 |
1.6× |
Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$2,198.33 |
$449.85–$2,747.91 |
1.4× |
| Vaginal delivery only (59409) |
$2,531.77 |
$3,164.71 |
0.8× |
| Wedge excision skin nail fold (11765) |
— |
$358.80 |
— |
| Windowing of cast (29730) |
— |
$139.70 |
— |