| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,275 |
$1,700 |
1.4× |
Acne surgery (10040) range across 2 matching MRF lines |
$150–$270 |
$200–$360 |
varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$4,500 |
$6,000 |
1.4× |
Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$206–$375 |
$275–$500 |
varies |
| Application Finger Splint Dynamic (29131) |
$113 |
$150 |
1.9× |
Application finger splint static (29130) range across 3 matching MRF lines |
$56–$225 |
$75–$300 |
varies |
| Application long arm splint shoulder hand (29105) |
$225 |
$300 |
1.4× |
| Application Long Leg Splint (29505) |
$300 |
$400 |
1.8× |
| Application of long leg cast (29345) |
$375 |
$500 |
1.3× |
| Application of rigid total contact leg cast (29445) |
$113 |
$150 |
0.4× |
Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$94–$225 |
$125–$300 |
varies |
| Application short arm splint forearm-hand static (29125) |
$225 |
$300 |
1.7× |
Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$62–$300 |
$83–$400 |
varies |
| Apply long arm cast (29065) |
$375 |
$500 |
1.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$450 |
$600 |
2.8× |
| Apply Short Leg Cast (29405) |
$375 |
$500 |
1.3× |
| Arterial puncture (36600) |
$169 |
$225 |
1.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$75–$600 |
$100–$800 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$86–$750 |
$115–$1,000 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$56–$450 |
$75–$600 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$825 |
$1,100 |
1.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,700 |
$3,600 |
1.3× |
Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$270–$375 |
$360–$500 |
varies |
| Bladder Irrigation (51700) |
$450 |
$600 |
1.8× |
| Bladder Scan (51798) |
$94 |
$125 |
1.6× |
Blood Transfusion Service (36430) range across 5 matching MRF lines |
$300–$1,050 |
$400–$1,400 |
varies |
| Bone Marrow Biopsy (38221) |
$2,250 |
$3,000 |
1.4× |
| Bone Marrow; Aspiration Only (38220) |
$2,250 |
$3,000 |
1.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$302 |
$403 |
0.2× |
| Chemical Cautery Tissue (17250) |
$375 |
$500 |
1.9× |
| Clear outer ear canal (69200) |
$188 |
$250 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$525 |
$700 |
2.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,250 |
$3,000 |
1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$375 |
$500 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,250 |
$3,000 |
1.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$375 |
$500 |
1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,250 |
$3,000 |
1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$975 |
$1,300 |
3.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$600 |
$800 |
2.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,100 |
$2,800 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$375 |
$500 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,250 |
$3,000 |
1.4× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$413–$900 |
$550–$1,200 |
varies |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$375 |
$500 |
1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$375 |
$500 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$525 |
$700 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$375 |
$500 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$375 |
$500 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,250 |
$3,000 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$255 |
$340 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$525 |
$700 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$375 |
$500 |
1.5× |
| Cltx Medial Ankle Fx (27760) |
$375 |
$500 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$375 |
$500 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$375 |
$500 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,500 |
$2,000 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$375 |
$500 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$375 |
$500 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$450 |
$600 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,250 |
$3,000 |
1.4× |
Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$23–$188 |
$30–$250 |
varies |
| Collection of venous blood by venipuncture (36415) |
$11 |
$15 |
1.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$27 |
$36 |
0.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,625 |
$3,500 |
2.2× |
| Complex drainage wound (10180) |
$3,750 |
$5,000 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$188 |
$250 |
1.4× |
Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$77–$188 |
$103–$250 |
varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$75 |
$100 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$188 |
$250 |
1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$375 |
$500 |
1.6× |
| Cystourethroscopy (52000) |
$435 |
$580 |
0.6× |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$413–$833 |
$550–$1,110 |
varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$833 |
$1,110 |
1.2× |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$413–$900 |
$550–$1,200 |
varies |
Debride nail 1-5 (11720) range across 2 matching MRF lines |
$70–$75 |
$93–$100 |
varies |
| Debride nail 6 or more (11721) |
$90 |
$120 |
1.5× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,088–$2,250 |
$1,450–$3,000 |
varies |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$244–$525 |
$325–$700 |
varies |
Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$94–$300 |
$125–$400 |
varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$525 |
$700 |
2.6× |
Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$75–$300 |
$100–$400 |
varies |
| Diagnostic sigmoidoscopy (45330) |
$1,725 |
$2,300 |
1.8× |
| Drainage Finger Abscess Complicated (26011) |
$2,250 |
$3,000 |
1.4× |
| Drainage of finger abscess simple (26010) |
$300 |
$400 |
1.5× |
| Drainage of gum lesion (41800) |
$188 |
$250 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$2,250 |
$3,000 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$3 |
$4 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$375 |
$500 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$300 |
$400 |
1.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,475 |
$3,300 |
1.3× |
| Egd place gastrostomy tube (43246) |
$2,475 |
$3,300 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$169 |
$225 |
1.3× |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$188–$1,125 |
$250–$1,500 |
varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$2,625 |
$3,500 |
3.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$2,625 |
$3,500 |
3.7× |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$131–$1,125 |
$175–$1,500 |
varies |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$225–$1,275 |
$300–$1,700 |
varies |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$338–$1,500 |
$450–$2,000 |
varies |
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$2,250–$2,400 |
$3,000–$3,200 |
varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$2,625 |
$3,500 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,250 |
$3,000 |
1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,125 |
$1,500 |
1.6× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$263–$2,250 |
$350–$3,000 |
varies |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$222–$1,125 |
$296–$1,500 |
varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,250 |
$3,000 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,250 |
$3,000 |
1.4× |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$91–$1,275 |
$121–$1,700 |
varies |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$244–$1,125 |
$325–$1,500 |
varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,250 |
$3,000 |
1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,778 |
$2,370 |
1.1× |
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) likely a partial charge, not the full procedure |
$5 |
$7 |
0.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$2,250 |
$3,000 |
3.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,125 |
$1,500 |
1.6× |
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$226–$1,500 |
$301–$2,000 |
varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,625 |
$3,500 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,625 |
$3,500 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$334 |
$445 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,625 |
$3,500 |
3.7× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,625 |
$3,500 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,915 |
$3,886 |
1.0× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
$9,750 |
$13,000 |
1.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,750 |
$5,000 |
1.3× |
| I&d abscess peritonsillar (42700) |
$375 |
$500 |
1.6× |
I&d abscess simple (10060) range across 4 matching MRF lines |
$150–$281 |
$200–$375 |
varies |
| I&d perianal abscess superficial (46050) |
$1,200 |
$1,600 |
1.3× |
| I&d pilonidal cyst complicated (10081) |
$1,200 |
$1,600 |
1.7× |
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$281–$938 |
$375–$1,250 |
varies |
Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$413–$563 |
$550–$750 |
varies |
Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$225–$485 |
$300–$647 |
varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,750 |
$5,000 |
1.3× |
Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,088–$2,250 |
$1,450–$3,000 |
varies |
Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$263–$525 |
$350–$700 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$263 |
$350 |
1.3× |
| Incision of rectal abscess (46040) |
$1,575 |
$2,100 |
1.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$300 |
$400 |
1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$450 |
$600 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,275 |
$1,700 |
1.4× |
| Injection single tendon origin/insertion (20551) |
$75 |
$100 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$750 |
$1,000 |
2.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$450 |
$600 |
1.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$975 |
$1,300 |
1.4× |
Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$225–$281 |
$300–$375 |
varies |
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,625–$4,350 |
$3,500–$5,800 |
varies |
| Insert Temp Bladder Cath (51702) |
$263 |
$350 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$188 |
$250 |
1.4× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$525–$2,250 |
$700–$3,000 |
varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$3,750 |
$5,000 |
1.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,875 |
$2,500 |
4.6× |
| Intubation endotracheal emergency procedure (31500) |
$375 |
$500 |
1.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$525 |
$700 |
1.3× |
| N block inj intercost sng (64420) |
$975 |
$1,300 |
1.4× |
Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$413–$581 |
$550–$775 |
varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$394 |
$525 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$413 |
$550 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,275 |
$1,700 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$206 |
$275 |
0.5× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$263–$525 |
$350–$700 |
varies |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,600 |
$4,800 |
1.2× |
| Removal foreign body foot deep (28192) |
$2,175 |
$2,900 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$975 |
$1,300 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,250 |
$3,000 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$23 |
$30 |
0.4× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$38–$188 |
$50–$250 |
varies |
| Removal of foreign body from pharynx (42809) |
$413 |
$550 |
0.9× |
Removal of nail bed (11750) range across 4 matching MRF lines |
$206–$1,500 |
$275–$2,000 |
varies |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$113–$270 |
$150–$360 |
varies |
| Remove foreign body from eye (65205) |
$188 |
$250 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$188 |
$250 |
1.4× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,100 |
$2,800 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$825 |
$1,100 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,125 |
$1,500 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,125 |
$1,500 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,275 |
$1,700 |
3.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$825 |
$1,100 |
2.0× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$975–$1,125 |
$1,300–$1,500 |
varies |
| Repair complex trunk 1.1-2.5 cm (13100) |
$825 |
$1,100 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$975 |
$1,300 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,250 |
$3,000 |
1.4× |
| Repair Hand Tendon (26410) |
$2,250 |
$3,000 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,125 |
$1,500 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,200 |
$1,600 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,275 |
$1,700 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,500 |
$2,000 |
3.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,250 |
$3,000 |
5.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$975 |
$1,300 |
1.3× |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$375–$1,125 |
$500–$1,500 |
varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$600 |
$800 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$825 |
$1,100 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,625 |
$3,500 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,500 |
$2,000 |
3.7× |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$525–$750 |
$700–$1,000 |
varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$600 |
$800 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,500 |
$2,000 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$750 |
$1,000 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,625 |
$3,500 |
1.3× |
| Repair of nail bed (11760) |
$825 |
$1,100 |
1.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,275 |
$1,700 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$450 |
$600 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$188 |
$250 |
1.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$450 |
$600 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,600 |
$4,800 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,275 |
$1,700 |
2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$450 |
$600 |
2.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,125 |
$1,500 |
1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$188 |
$250 |
0.9× |
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$225–$375 |
$300–$500 |
varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,100 |
$2,800 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$563 |
$750 |
1.4× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$128–$375 |
$170–$500 |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$169–$450 |
$225–$600 |
varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$750 |
$1,000 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$450 |
$600 |
2.2× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$113–$300 |
$150–$400 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$300 |
$400 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$450 |
$600 |
2.2× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,625 |
$3,500 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$3,000 |
$4,000 |
4.0× |
| Skin sub graft trnk/arm/leg (15271) |
$3,000 |
$4,000 |
4.0× |
| Skin sub grft t/arm/lg child (15273) |
$6,000 |
$8,000 |
2.9× |
| Skn sub grft f/n/hf/g child (15277) |
$3,000 |
$4,000 |
1.4× |
| Slitting of prepuce (54001) |
$2 |
$2 |
0.0× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$135–$375 |
$180–$500 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$563 |
$750 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$750 |
$1,000 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$975 |
$1,300 |
1.4× |
| Strapping knee (29530) |
$188 |
$250 |
1.4× |
Strapping Unna Boot (29580) range across 3 matching MRF lines |
$113–$375 |
$150–$500 |
varies |
| Tendon shortening (26477) |
$83 |
$110 |
0.0× |
| Therapeutic pneumothorax (32960) |
$825 |
$1,100 |
1.3× |
| Treat humerus fracture (24500) |
$3 |
$4 |
0.0× |
| Treat Thumb Dislocation (26641) |
$375 |
$500 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$825 |
$1,100 |
3.3× |
| Trim skin lesion (11055) |
$75 |
$100 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$94 |
$125 |
0.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$38 |
$50 |
0.6× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$2,250 |
$3,000 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$825 |
$1,100 |
1.1× |
| Unlisted procedure nervous system (64999) |
$413 |
$550 |
1.3× |
| Vaginal delivery only (59409) |
$4,125 |
$5,500 |
1.3× |