| Abd paracentesis w/imaging (49083) |
$1,187.50 |
$2,375 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$823.50 |
$1,647 |
0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,291.50 |
$2,583 |
0.4× |
| Application cast elbow finger short arm (29075) |
$290 |
$580 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$90.50 |
$181 |
1.6× |
| Application finger splint static (29130) |
$216.50 |
$433 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$189 |
$378 |
1.2× |
| Application Long Leg Splint (29505) |
$166.50 |
$333 |
1.1× |
| Application of long leg cast (29345) |
$216 |
$432 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$125 |
$250 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$216.50 |
$433 |
1.7× |
| Application short leg splint calf foot (29515) |
$156.50 |
$313 |
1.0× |
| Apply hand/wrist cast (29085) |
$150 |
$300 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$185 |
$370 |
1.2× |
| Apply Short Leg Cast (29405) |
$281 |
$562 |
1.0× |
| Arterial puncture (36600) |
$107 |
$214 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$318.50 |
$637 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$411.50 |
$823 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$556 |
$1,112 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$556 |
$1,112 |
1.9× |
| Aspirate pleura w/ imaging (32555) |
$970 |
$1,940 |
1.6× |
| Aspirate Pleura W/O Imaging (32554) |
$734 |
$1,468 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$205 |
$410 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$542.50 |
$1,085 |
0.3× |
| Biopsy of liver, needle; percutaneous (47000) |
$824 |
$1,648 |
0.5× |
| Bladder Scan (51798) |
$65.50 |
$131 |
1.1× |
Blood Transfusion Service (36430)
range across 6 matching MRF lines |
$468–$2,807.50 |
$936–$5,615 |
varies |
| Bx breast 1st lesion us imag (19083) |
$1,248.50 |
$2,497 |
0.8× |
| Catheter aspiration nasotracheal spx (31720) |
$230 |
$460 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$516 |
$1,032 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$199 |
$398 |
0.8× |
| Chemical Cautery Tissue (17250) |
$226.50 |
$453 |
1.2× |
| Chest tube placement (32551) |
$1,073 |
$2,146 |
0.7× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,242 |
$2,484 |
0.8× |
| Clear outer ear canal (69200) |
$144.50 |
$289 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$352.50 |
$705 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$916 |
$1,832 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$248.50 |
$497 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$219 |
$438 |
0.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$118.50 |
$237 |
0.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$118.50 |
$237 |
0.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$916 |
$1,832 |
0.6× |
| Closed tx septal&nose fx (21337) |
$2,180 |
$4,360 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$160 |
$320 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,010 |
$4,020 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$248.50 |
$497 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$992.50 |
$1,985 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$264 |
$528 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$401.50 |
$803 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$248.50 |
$497 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$518 |
$1,036 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,798 |
$3,596 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$911.50 |
$1,823 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$248.50 |
$497 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$316.50 |
$633 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$246.50 |
$493 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$248.50 |
$497 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$248.50 |
$497 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$902.50 |
$1,805 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$248.50 |
$497 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$193 |
$386 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$325.50 |
$651 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$902.50 |
$1,805 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$248.50 |
$497 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,018 |
$2,036 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$916 |
$1,832 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$69 |
$138 |
0.5× |
| Collection of venous blood by venipuncture (36415) |
$10 |
$20 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$165 |
$330 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$196.50 |
$393 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$171 |
$342 |
1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$952 |
$1,904 |
0.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$492 |
$984 |
0.7× |
| Debride nail 6 or more (11721) |
$151.50 |
$303 |
2.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$320.50 |
$641 |
0.8× |
| Declot vascular device (36593) |
$394 |
$788 |
1.2× |
| Destruct B9 Lesion 1-14 (17110) |
$230 |
$460 |
1.2× |
| Dilat Xst Trc New Access Rcs (50437) |
$5,662 |
$11,324 |
1.7× |
| Drain Cerebro Spinal Fluid (62272) |
$471 |
$942 |
0.7× |
| Drain/inj small joint/bursa w/us (20604) |
$191.50 |
$383 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$406.50 |
$813 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,902 |
$3,804 |
1.2× |
| Drainage Mouth Roof Lesion (42000) |
$736 |
$1,472 |
3.2× |
| Drainage of finger abscess simple (26010) |
$233.50 |
$467 |
1.2× |
| Drainage of gum lesion (41800) |
$301.50 |
$603 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$1,124 |
$2,248 |
0.7× |
| Drainage of nose lesion (30000) |
$225.50 |
$451 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,497.50 |
$2,995 |
0.9× |
| Drainage of scrotum (54700) |
$1,428 |
$2,856 |
0.7× |
| Draw Blood Off Venous Device (36591) |
$101 |
$202 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$110.50 |
$221 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$359.50 |
$719 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$298 |
$596 |
1.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$735.50 |
$1,471 |
1.1× |
| Epidural Blood Patch (62273) |
$583.50 |
$1,167 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$78 |
$156 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$931 |
$1,862 |
1.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,979.50 |
$3,959 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$2,527 |
$5,054 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$117.50 |
$235 |
0.3× |
| Fna bx w/us gdn 1st les (10005) |
$427.50 |
$855 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,082 |
$2,164 |
1.6× |
| I&d abscess peritonsillar (42700) |
$345.50 |
$691 |
1.5× |
| I&d abscess simple (10060) |
$245 |
$490 |
1.3× |
| I&d perianal abscess superficial (46050) |
$521.50 |
$1,043 |
0.6× |
| I&d pilonidal cyst complicated (10081) |
$1,622 |
$3,244 |
2.4× |
| I&d pilonidal cyst simple (10080) |
$406.50 |
$813 |
0.6× |
| Incise external hemorrhoid (46083) |
$261 |
$522 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$305 |
$610 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,979.50 |
$3,959 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,163.50 |
$2,327 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$297.50 |
$595 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$427.50 |
$855 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$247 |
$494 |
0.8× |
| Incision of rectal abscess (46040) |
$2,786 |
$5,572 |
2.4× |
| Inj W/Fluor Eval Cv Device (36598) |
$406 |
$812 |
2.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$648.50 |
$1,297 |
0.9× |
| Injection for identification of sentinel node (38792) |
$507.50 |
$1,015 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$420 |
$840 |
0.6× |
| Ins cath ren art 1st bilat (36252) |
$2,753.50 |
$5,507 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$5,562 |
$11,124 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,291.50 |
$2,583 |
0.8× |
| Insert cervical dilator (59200) |
$271 |
$542 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,101 |
$2,202 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,207.50 |
$2,415 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$7,394 |
$14,788 |
4.8× |
| Insert Temp Bladder Cath (51702) |
$114.50 |
$229 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$114.50 |
$229 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$527.50 |
$1,055 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$6,956.50 |
$13,913 |
4.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,846 |
$15,692 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,207.50 |
$2,415 |
0.4× |
| Insj Picc Rs&I <5 Yr (36572) |
$7,806 |
$15,612 |
12.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$12,747 |
$25,494 |
4.2× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$12,747 |
$25,494 |
4.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$8,057 |
$16,114 |
5.3× |
| Intubation endotracheal emergency procedure (31500) |
$625 |
$1,250 |
2.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$427.50 |
$855 |
1.8× |
| Laryngoscopy flexible diagnostic (31575) |
$184.50 |
$369 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$369.50 |
$739 |
1.0× |
| Myelography Lumbar Injection (62305) |
$650 |
$1,300 |
0.9× |
| Myelography Lumbar Injection (62304) |
$574 |
$1,148 |
0.8× |
| Myelography via lumbar injection rs&i cervical (62302) |
$574 |
$1,148 |
0.8× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$574 |
$1,148 |
0.8× |
| N Block Inj Plantar Digit (64455) |
$366 |
$732 |
1.2× |
| Needle Biopsy Lymph Nodes (38505) |
$959.50 |
$1,919 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$37 |
$74 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$37 |
$74 |
1.3× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$363 |
$726 |
0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$354.50 |
$709 |
1.2× |
| Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) |
$756 |
$1,512 |
5.9× |
| Occipital Nerve Block (64405) |
$443.50 |
$887 |
1.5× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$3,650 |
$7,300 |
1.3× |
| Perq device breast 1st imag (19281) |
$609.50 |
$1,219 |
0.4× |
| Perq Lumbosacral Injection (22511) |
$5,409.50 |
$10,819 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$246 |
$492 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$429.50 |
$859 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$371 |
$742 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,205.50 |
$2,411 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$907 |
$1,814 |
15.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$52.50 |
$105 |
0.9× |
| Removal of intranasal lesion (30118) |
$2,180 |
$4,360 |
0.7× |
| Removal of nail bed (11750) |
$329 |
$658 |
0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$226 |
$452 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,371.50 |
$2,743 |
2.0× |
| Remove foreign body from eye (65205) |
$88 |
$176 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$208 |
$416 |
1.6× |
| Remove renal tube w/fluoro (50389) |
$823 |
$1,646 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$601.50 |
$1,203 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$637 |
$1,274 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$455.50 |
$911 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$455.50 |
$911 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$400.50 |
$801 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$277 |
$554 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$301.50 |
$603 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$417 |
$834 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$523.50 |
$1,047 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$368 |
$736 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$277 |
$554 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$305 |
$610 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$339 |
$678 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$637.50 |
$1,275 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$277 |
$554 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$397.50 |
$795 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$389 |
$778 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$479 |
$958 |
1.2× |
| Repair of nail bed (11760) |
$421.50 |
$843 |
0.6× |
| Repair tongue laceration (41250) |
$97 |
$194 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$710.50 |
$1,421 |
0.8× |
| Replace g/c tube perc (49450) |
$507 |
$1,014 |
0.6× |
| Revise Abdomen-Venous Shunt (49426) |
$2,053 |
$4,106 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$232 |
$464 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$257.50 |
$515 |
2.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,141 |
$2,282 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$299.50 |
$599 |
1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$7,499.50 |
$14,999 |
4.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$262.50 |
$525 |
1.3× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$419.50 |
$839 |
0.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,310.50 |
$2,621 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$246 |
$492 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$251 |
$502 |
1.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$340 |
$680 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$254.50 |
$509 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$296.50 |
$593 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$444.50 |
$889 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$358.50 |
$717 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$326 |
$652 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$455.50 |
$911 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$482.50 |
$965 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$719 |
$1,438 |
1.0× |
| Strapping ankle (29540) |
$136.50 |
$273 |
0.9× |
| Strapping elbow or wrist (29260) |
$219.50 |
$439 |
3.8× |
| Strapping Hip (29520) |
$72.50 |
$145 |
0.6× |
| Strapping knee (29530) |
$72.50 |
$145 |
0.6× |
| Strapping thorax (29200) |
$81 |
$162 |
0.5× |
| Strapping toes (29550) |
$61 |
$122 |
1.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$735.50 |
$1,471 |
1.1× |
| Thrombolytic Therapy Stroke (37195) |
$176 |
$352 |
0.5× |
| Thyroid biopsy (60100) |
$764 |
$1,528 |
1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,121.50 |
$2,243 |
4.9× |
| Treat Metatarsal Fracture (28475) |
$401.50 |
$803 |
1.7× |
| Treat Thumb Dislocation (26641) |
$352.50 |
$705 |
1.5× |
| Treat toe dislocation (28630) |
$289 |
$578 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$248.50 |
$497 |
1.0× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$2,160 |
$4,320 |
5.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,700.50 |
$3,401 |
0.5× |
| Unlisted procedure nervous system (64999) |
$199.50 |
$399 |
0.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,762 |
$5,524 |
4.5× |
| Vaginal delivery only (59409) |
$1,420.50 |
$2,841 |
0.5× |
| Wedge excision skin nail fold (11765) |
$222.50 |
$445 |
0.6× |