| Abd paracentesis w/imaging (49083) |
$1,487.50 |
$2,125 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,252.30 |
$1,789 |
1.2× |
| Anoscopy diagnostic (46600) |
$107.10 |
$153 |
0.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$130.90 |
$187 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$230.30 |
$329 |
3.3× |
| Application finger splint static (29130) |
$359.80 |
$514 |
2.3× |
| Application long arm splint shoulder hand (29105) |
$522.90 |
$747 |
2.7× |
| Application Long Leg Splint (29505) |
$561.40 |
$802 |
2.9× |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
$1,057–$1,110.20 |
$1,510–$1,586 |
varies |
| Application Short Arm Splint Dynamic (29126) |
$230.30 |
$329 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$378 |
$540 |
2.4× |
| Application short leg splint calf foot (29515) |
$561.40 |
$802 |
2.9× |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
$446.60–$982.80 |
$638–$1,404 |
varies |
| Arterial puncture (36600) |
$317.80 |
$454 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$715.40 |
$1,022 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$830.90 |
$1,187 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$740.60 |
$1,058 |
2.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$4,307.10 |
$6,153 |
2.3× |
| Aspirate Pleura W/O Imaging (32554) |
$1,950.90 |
$2,787 |
2.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,505.60 |
$5,008 |
1.4× |
| Aspiration Bladder Needle (51100) |
$1,171.10 |
$1,673 |
4.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$641.20 |
$916 |
2.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,446.90 |
$2,067 |
1.3× |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$1,561.70–$1,717.80 |
$2,231–$2,454 |
varies |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
$691.60–$760.90 |
$988–$1,087 |
varies |
| Chest tube placement (32551) |
$1,737.40 |
$2,482 |
0.9× |
| Circumcision Neonate (54160) |
$1,523.20 |
$2,176 |
1.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$3,586.80 |
$5,124 |
1.5× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,327.90 |
$1,897 |
0.7× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,468.90 |
$3,527 |
1.3× |
| Clear outer ear canal (69200) |
$320.60 |
$458 |
2.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$812.70 |
$1,161 |
2.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,155 |
$1,650 |
4.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$593.60 |
$848 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,050 |
$1,500 |
3.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,267.70 |
$1,811 |
4.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,327.90 |
$1,897 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$998.20 |
$1,426 |
3.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$2,500.40 |
$3,572 |
8.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$817.60 |
$1,168 |
2.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,594.20 |
$3,706 |
1.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$970.20 |
$1,386 |
3.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,696.80 |
$2,424 |
5.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,628.90 |
$2,327 |
5.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$4,442.20 |
$6,346 |
2.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$751.10 |
$1,073 |
2.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,805.90 |
$5,437 |
2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$4,442.20 |
$6,346 |
2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,229.20 |
$1,756 |
4.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$1,040.20 |
$1,486 |
3.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,594.20 |
$3,706 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$842.10 |
$1,203 |
2.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,126.20 |
$4,466 |
1.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$864.50 |
$1,235 |
3.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,594.20 |
$3,706 |
1.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$863.10 |
$1,233 |
3.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$840 |
$1,200 |
2.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,208.90 |
$1,727 |
4.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$751.10 |
$1,073 |
2.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,723.70 |
$3,891 |
1.4× |
| Closed tx talus fracture w/o manipulation (28430) |
$744.10 |
$1,063 |
2.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$687.40 |
$982 |
2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$452.90 |
$647 |
1.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$833 |
$1,190 |
2.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$785.40 |
$1,122 |
2.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,495.50 |
$3,565 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$777.70 |
$1,111 |
2.7× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$1,456 |
$2,080 |
5.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$902.30 |
$1,289 |
3.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$4,601.80 |
$6,574 |
2.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,867.60 |
$2,668 |
6.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,594.20 |
$3,706 |
1.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$761.60 |
$1,088 |
2.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,327.90 |
$1,897 |
0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$982.80 |
$1,404 |
3.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,044.40 |
$1,492 |
3.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,683.50 |
$2,405 |
5.8× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,440.20 |
$3,486 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,383.20 |
$1,976 |
4.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,014.30 |
$1,449 |
3.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$740.60 |
$1,058 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$938.70 |
$1,341 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,327.90 |
$1,897 |
0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,466.10 |
$3,523 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,752.10 |
$2,503 |
6.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$2,710.40 |
$3,872 |
1.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,670.20 |
$2,386 |
5.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,867.20 |
$4,096 |
1.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$546.70 |
$781 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$445.90 |
$637 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$824.60 |
$1,178 |
2.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$429.10 |
$613 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,477.90 |
$6,397 |
2.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,075.90 |
$1,537 |
3.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$1,257.90 |
$1,797 |
4.3× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$1,375.50 |
$1,965 |
4.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$4,601.80 |
$6,574 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,246.70 |
$1,781 |
4.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$3,984.40 |
$5,692 |
2.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$1,065.40 |
$1,522 |
3.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,327.90 |
$1,897 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$564.20 |
$806 |
1.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,395.70 |
$4,851 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$820.40 |
$1,172 |
2.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,438.80 |
$3,484 |
1.3× |
| Cltx Medial Ankle Fx (27760) |
$1,082.20 |
$1,546 |
3.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,038.10 |
$1,483 |
3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$959.70 |
$1,371 |
3.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,078 |
$1,540 |
3.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$641.20 |
$916 |
2.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$655.90 |
$937 |
2.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,594.20 |
$3,706 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$977.20 |
$1,396 |
3.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,050.60 |
$4,358 |
1.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,327.20 |
$1,896 |
4.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$938.70 |
$1,341 |
3.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,327.90 |
$1,897 |
0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,126.20 |
$4,466 |
1.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,594.20 |
$3,706 |
1.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,825.90 |
$4,037 |
1.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,775.20 |
$2,536 |
6.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$667.10 |
$953 |
2.3× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$1,317.40 |
$1,882 |
4.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$516.60 |
$738 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,327.90 |
$1,897 |
0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,008 |
$1,440 |
3.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$347.90 |
$497 |
2.2× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$18.20–$30.80 |
$26–$44 |
varies |
| Colonoscopy w/fb removal (45379) |
$978.60 |
$1,398 |
0.7× |
| Colonoscopy w/submucosal inj (45381) |
$978.60 |
$1,398 |
0.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$978.60 |
$1,398 |
0.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$978.60 |
$1,398 |
0.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$978.60 |
$1,398 |
0.7× |
| Complex drainage wound (10180) |
$4,779.60 |
$6,828 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$529.90 |
$757 |
3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$499.10 |
$713 |
3.2× |
| Correction hammertoe (28285) |
$8,393.70 |
$11,991 |
2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$361.20 |
$516 |
2.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$478.10 |
$683 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$991.90 |
$1,417 |
2.1× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$1,705.90–$1,910.30 |
$2,437–$2,729 |
varies |
| Debride nail 1-5 (11720) |
$191.10 |
$273 |
2.7× |
| Debride nail 6 or more (11721) |
$227.50 |
$325 |
3.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,154.20 |
$4,506 |
1.6× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$1,096.20–$1,206.10 |
$1,566–$1,723 |
varies |
| Declot vascular device (36593) |
$1,498 |
$2,140 |
3.8× |
| Drainage external auditory canal abscess (69020) |
$1,264.20 |
$1,806 |
1.5× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$3,344.60 |
$4,778 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,264.20 |
$1,806 |
1.5× |
| Drainage Finger Abscess Complicated (26011) |
$3,035.90 |
$4,337 |
1.6× |
| Drainage of finger abscess simple (26010) |
$710.50 |
$1,015 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$2,977.10 |
$4,253 |
1.5× |
| Drainage of scrotal wall abscess (55100) |
$3,035.90 |
$4,337 |
1.6× |
| Draw Blood Off Venous Device (36591) |
$312.20 |
$446 |
2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$2,457.70 |
$3,511 |
3.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,149.40 |
$1,642 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$956.20 |
$1,366 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$801.50 |
$1,145 |
3.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$641.20 |
$916 |
2.7× |
| Dx gastr intub w/asp spec (43754) |
$258.30 |
$369 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,574.30 |
$2,249 |
0.7× |
| Endometrial Biopsy (58100) |
$594.30 |
$849 |
2.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$777.70 |
$1,111 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$200.90 |
$287 |
1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$5,769.40 |
$8,242 |
4.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,397.30 |
$9,139 |
1.9× |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$478.10–$501.90 |
$683–$717 |
varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,551.90 |
$2,217 |
1.4× |
| I&d abscess peritonsillar (42700) |
$1,086.40 |
$1,552 |
3.9× |
| I&d abscess simple (10060) |
$515.20 |
$736 |
2.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,735.80 |
$8,194 |
1.7× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$2,692.20 |
$3,846 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,939.70 |
$2,771 |
1.8× |
| I&d pilonidal cyst complicated (10081) |
$2,760.10 |
$3,943 |
3.3× |
| I&d pilonidal cyst simple (10080) |
$1,045.10 |
$1,493 |
1.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$5,735.80 |
$8,194 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$952.70 |
$1,361 |
2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,375.10 |
$3,393 |
0.7× |
| Incision & drainage leg/ankle infected bursa (27604) |
$2,692.20 |
$3,846 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,911.20 |
$7,016 |
2.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$872.20 |
$1,246 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$529.90 |
$757 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$991.90 |
$1,417 |
2.8× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,327.90 |
$1,897 |
0.7× |
| Incision of rectal abscess (46040) |
$5,769.40 |
$8,242 |
4.1× |
| Incision&drainage bursa foot (28001) |
$1,344.70 |
$1,921 |
0.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,344.70 |
$1,921 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$1,085.70 |
$1,551 |
1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$431.90 |
$617 |
1.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$2,357.60 |
$3,368 |
2.8× |
| Insert Bladder Cath Complex (51703) |
$693.70 |
$991 |
4.6× |
| Insert non-tunnel cv cath (36556) |
$2,611.70 |
$3,731 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$221.20 |
$316 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$221.90 |
$317 |
1.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,611.70 |
$3,731 |
0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,862.70 |
$2,661 |
3.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$2,193.80 |
$3,134 |
4.6× |
| Intubation endotracheal emergency procedure (31500) |
$1,003.10 |
$1,433 |
3.6× |
| Laryngoscopy diagnostic (31505) |
$345.80 |
$494 |
1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$620.90 |
$887 |
1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$307.30 |
$439 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$562.80 |
$804 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$994 |
$1,420 |
2.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$567.70 |
$811 |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$2,963.80 |
$4,234 |
1.5× |
| Removal foreign body foot deep (28192) |
$3,919.30 |
$5,599 |
2.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$3,271.10 |
$4,673 |
3.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$230.30 |
$329 |
3.3× |
| Removal of foreign body from pharynx (42809) |
$692.30 |
$989 |
1.3× |
| Removal of nail bed (11750) |
$1,302.70 |
$1,861 |
2.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$782.60 |
$1,118 |
2.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$470.40 |
$672 |
1.4× |
| Remove drug implant device (11982) |
$331.10 |
$473 |
0.6× |
| Remove foreign body from eye (65205) |
$295.40 |
$422 |
1.9× |
| Remove Intrauterine Device (58301) |
$872.20 |
$1,246 |
2.4× |
| Remove Nasal Foreign Body (30300) |
$470.40 |
$672 |
3.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,885.80 |
$2,694 |
2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,447.20 |
$3,496 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,511.30 |
$2,159 |
3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,577.40 |
$3,682 |
5.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$894.60 |
$1,278 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,885.80 |
$2,694 |
3.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,509.20 |
$2,156 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,760.50 |
$2,515 |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$5,196.10 |
$7,423 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$964.60 |
$1,378 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,187.20 |
$1,696 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,313.90 |
$1,877 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,447.60 |
$2,068 |
3.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,484.30 |
$3,549 |
5.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$861.70 |
$1,231 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$620.90 |
$887 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$723.80 |
$1,034 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$508.20 |
$726 |
0.6× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,694.30 |
$3,849 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,471.40 |
$2,102 |
3.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$879.20 |
$1,256 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,071.70 |
$1,531 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,320.90 |
$1,887 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,098.30 |
$1,569 |
2.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,694.30 |
$3,849 |
1.1× |
| Repair Spica/Body/Jacket Cast (29720) |
$130.90 |
$187 |
0.7× |
| Reposition Gastrostomy Tube (43761) |
$686.70 |
$981 |
2.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$6,824.30 |
$9,749 |
10.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,278.20 |
$1,826 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$331.10 |
$473 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$414.40 |
$592 |
2.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$331.10 |
$473 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,457.40 |
$2,082 |
2.0× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$782.60 |
$1,118 |
2.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$900.90 |
$1,287 |
3.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,020.60 |
$1,458 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,219.40 |
$1,742 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$496.30 |
$709 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$561.40 |
$802 |
2.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,446.90 |
$2,067 |
3.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$714.70 |
$1,021 |
3.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$1,642.20 |
$2,346 |
6.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$499.10 |
$713 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,352.40 |
$1,932 |
5.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$712.60 |
$1,018 |
3.0× |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
$1,492.40–$4,553.50 |
$2,132–$6,505 |
varies |
| Skin sub graft trnk/arm/leg (15271) |
$4,553.50 |
$6,505 |
5.2× |
| Skin sub grft t/arm/lg child (15273) |
$3,038 |
$4,340 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,517.60 |
$2,168 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$553.70 |
$791 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$918.40 |
$1,312 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,114.40 |
$1,592 |
2.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,355.20 |
$1,936 |
1.6× |
| Strapping ankle (29540) |
$448.70 |
$641 |
2.3× |
| Strapping elbow or wrist (29260) |
$305.90 |
$437 |
4.4× |
| Strapping hand/finger (29280) |
$305.90 |
$437 |
4.4× |
| Strapping Hip (29520) |
$220.50 |
$315 |
1.4× |
| Strapping knee (29530) |
$239.40 |
$342 |
1.5× |
| Strapping shoulder (29240) |
$275.10 |
$393 |
1.8× |
| Strapping thorax (29200) |
$239.40 |
$342 |
1.2× |
| Strapping toes (29550) |
$195.30 |
$279 |
2.8× |
| Strapping Unna Boot (29580) |
$642.60 |
$918 |
3.3× |
| Tangential biopsy skin single lesion (11102) |
$507.50 |
$725 |
1.1× |
| Thrombolytic Therapy Stroke (37195) |
$476.70 |
$681 |
1.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$776.30 |
$1,109 |
2.8× |
| Treat humerus fracture (24500) |
$1,138.90 |
$1,627 |
3.9× |
| Treat Humerus Fracture (24505) |
$2,594.20 |
$3,706 |
1.4× |
| Treat humerus fracture (23600) |
$1,069.60 |
$1,528 |
3.7× |
| Treat Knee Fracture(S) (27538) |
$1,688.40 |
$2,412 |
5.8× |
| Treat Knuckle Dislocation (26700) |
$1,030.40 |
$1,472 |
3.5× |
| Treat metacarpal fracture (26607) |
$2,692.20 |
$3,846 |
0.7× |
| Treat Metatarsal Fracture (28475) |
$835.80 |
$1,194 |
2.9× |
| Treat Tail Bone Fracture (27200) |
$655.90 |
$937 |
2.3× |
| Treat Thumb Dislocation (26641) |
$1,159.90 |
$1,657 |
4.0× |
| Treat Thumb Fracture (26645) |
$2,594.20 |
$3,706 |
1.4× |
| Treat toe dislocation (28630) |
$597.80 |
$854 |
2.1× |
| Treat Vaginal Bleeding (57180) |
$459.20 |
$656 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,152.20 |
$1,646 |
4.0× |
Trim skin lesion (11055)
range across 2 matching MRF lines |
$461.30–$507.50 |
$659–$725 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$507.50 |
$725 |
2.1× |
| Trim skin lesions over 4 (11057) |
$482.30 |
$689 |
2.0× |
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines |
$128.10–$609 |
$183–$870 |
varies |
| Tx Gastro Intub W/Asp (43753) |
$578.90 |
$827 |
2.3× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$7,387.80 |
$10,554 |
1.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,327.90 |
$1,897 |
0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$690.20 |
$986 |
2.4× |
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines |
$141.40–$154.70 |
$202–$221 |
varies |
| Unlisted procedure nervous system (64999) |
$592.90 |
$847 |
1.6× |
| Wedge excision skin nail fold (11765) |
$624.40 |
$892 |
1.3× |
| Wedging of cast (29740) |
$470.40 |
$672 |
1.4× |
| Wedging of clubfoot cast (29750) |
$220.50 |
$315 |
0.7× |
| Windowing of cast (29730) |
$448.70 |
$641 |
2.3× |