| Abd paracentesis w/imaging (49083) |
$573 |
$955 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$545.40 |
$909 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$6,232.80 |
$10,388 |
1.9× |
| Application of rigid total contact leg cast (29445) |
$374.40 |
$624 |
1.3× |
| Application short leg splint calf foot (29515) |
$198 |
$330 |
1.2× |
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$206.40–$414 |
$344–$690 |
varies |
| Arterial puncture (36600) |
$103.80 |
$173 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$244.20 |
$407 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$219 |
$365 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$211.20 |
$352 |
0.7× |
| Aspirate pleura w/ imaging (32555) |
$562.80 |
$938 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$136.20 |
$227 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,553.40 |
$2,589 |
0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,038 |
$1,730 |
0.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$949.80 |
$1,583 |
1.4× |
| Bladder Irrigation (51700) |
$239.40 |
$399 |
1.0× |
| Bladder Scan (51798) |
$123.60 |
$206 |
2.1× |
| Blood Transfusion Service (36430) |
$396 |
$660 |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,105.80 |
$1,843 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$2,814 |
$4,690 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$1,444.80 |
$2,408 |
0.9× |
| Catheter aspiration nasotracheal spx (31720) |
$129 |
$215 |
0.6× |
| Chemical Cautery Tissue (17250) |
$152.40 |
$254 |
0.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,622.40 |
$2,704 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$81.60 |
$136 |
0.6× |
Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$11.40–$24 |
$19–$40 |
varies |
| Complex drainage wound (10180) |
$1,721.40 |
$2,869 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$189 |
$315 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$404.40 |
$674 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$404.40 |
$674 |
0.5× |
| Debride nail 1-5 (11720) |
$128.40 |
$214 |
2.2× |
| Debride nail 6 or more (11721) |
$128.40 |
$214 |
2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,213.20 |
$2,022 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$522 |
$870 |
1.3× |
Declot vascular device (36593) range across 3 matching MRF lines |
$283.20–$489 |
$472–$815 |
varies |
| Drain/inj small joint/bursa w/us (20604) |
$435 |
$725 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,035 |
$1,725 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$161.40 |
$269 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$250.80 |
$418 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$213 |
$355 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$152.40 |
$254 |
0.8× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,691.60 |
$4,486 |
1.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,691.60 |
$4,486 |
1.3× |
| Epidural Blood Patch (62273) |
$588.60 |
$981 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$84 |
$140 |
0.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,132.60 |
$5,221 |
1.5× |
| Fasciotomy, foot and/or toe (28008) |
$3,676.20 |
$6,127 |
1.1× |
| Fetal non-stress test (59025) |
$123 |
$205 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$469.80 |
$783 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$178.20 |
$297 |
0.7× |
| Fna bx w/us gdn 1st les (10005) |
$469.80 |
$783 |
0.7× |
| I&d abscess simple (10060) |
$267.60 |
$446 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$462 |
$770 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$516.60 |
$861 |
1.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,768.60 |
$6,281 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$271.80 |
$453 |
0.7× |
| Incision of Foot Tendon (28234) |
$3,095.40 |
$5,159 |
1.9× |
| Incision&drainage bursa foot (28001) |
$2,339.40 |
$3,899 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$238.80 |
$398 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$139.80 |
$233 |
0.7× |
| Inj W/Fluor Eval Cv Device (36598) |
$156 |
$260 |
0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$324 |
$540 |
1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$522 |
$870 |
0.7× |
| Insert cervical dilator (59200) |
$477 |
$795 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$811.80 |
$1,353 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$119.40 |
$199 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$71.40 |
$119 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,291.40 |
$3,819 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,336.40 |
$3,894 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$351.60 |
$586 |
1.5× |
| Late closure of wound (13160) |
$2,947.80 |
$4,913 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,171.20 |
$1,952 |
1.5× |
| Myelography Lumbar Injection (62304) |
$1,171.20 |
$1,952 |
1.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,171.20 |
$1,952 |
1.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,171.20 |
$1,952 |
1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$253.20 |
$422 |
0.6× |
| Needle Biopsy Lymph Nodes (38505) |
$1,036.20 |
$1,727 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$45 |
$75 |
1.6× |
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 3 matching MRF lines |
$259.80–$650.40 |
$433–$1,084 |
varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$277.20 |
$462 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$555 |
$925 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$555 |
$925 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$642.60 |
$1,071 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$440.40 |
$734 |
0.6× |
| Perq device breast 1st imag (19281) |
$469.80 |
$783 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,040.40 |
$1,734 |
1.5× |
| Phalangectomy toe each toe (28150) |
$4,770 |
$7,950 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$265.80 |
$443 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$164.40 |
$274 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$340.20 |
$567 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$1,044 |
$1,740 |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,089 |
$1,815 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$199.80 |
$333 |
3.4× |
| Removal of nail bed (11750) |
$302.40 |
$504 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$359.40 |
$599 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$358.20 |
$597 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$358.20 |
$597 |
0.9× |
| Rplc Gtube No Revj Trc (43762) |
$390.60 |
$651 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$136.20 |
$227 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$1,378.80 |
$2,298 |
1.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,378.80 |
$2,298 |
1.9× |
| Skin sub grft t/arm/lg child (15273) |
$4,643.40 |
$7,739 |
2.3× |
| Skn sub grft f/n/hf/g child (15277) |
$2,692.80 |
$4,488 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$136.20 |
$227 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$598.80 |
$998 |
0.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$5,074.80 |
$8,458 |
1.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,691.60 |
$4,486 |
1.3× |
| Strapping Unna Boot (29580) |
$119.40 |
$199 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$150 |
$250 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,237.40 |
$3,729 |
1.4× |
| Thrombolytic Therapy Stroke (37195) |
$589.20 |
$982 |
1.8× |
| Trim skin lesion (11055) |
$281.40 |
$469 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$281.40 |
$469 |
1.4× |
| Trim skin lesions over 4 (11057) |
$281.40 |
$469 |
1.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$52.80 |
$88 |
0.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,935.80 |
$4,893 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$561.60 |
$936 |
0.8× |
| Wound Prep F/N/Hf/G (15004) |
$906 |
$1,510 |
2.2× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,691.60 |
$4,486 |
3.7× |