| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,495 |
$1,495 |
0.7× |
| Amniocentesis therapeutic (59001) |
$420 |
$420 |
1.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$184 |
$184 |
0.1× |
| Application cast elbow finger short arm (29075) |
$108 |
$108 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$70 |
$70 |
0.5× |
| Apply Short Leg Cast (29405) |
$101 |
$101 |
0.3× |
| Arterial puncture (36600) |
$113 |
$113 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$63 |
$63 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$87 |
$87 |
0.1× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$50–$75 |
$50–$75 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$98 |
$98 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$61 |
$61 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$800 |
$800 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750) range across 2 matching MRF lines |
$457–$880 |
$457–$880 |
varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$1,059 |
$1,059 |
0.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$70 |
$70 |
0.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$60 |
$60 |
0.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$94–$389 |
$94–$389 |
varies |
Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$59–$147 |
$59–$147 |
varies |
Biopsy nail unit (11755) range across 2 matching MRF lines |
$58–$104 |
$58–$104 |
varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,460 |
$1,460 |
1.5× |
| Biopsy, vestibule of mouth (40808) |
$159 |
$159 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$856 |
$856 |
1.2× |
| Bladder Scan (51798) |
$256 |
$256 |
4.2× |
Blood Transfusion Service (36430) range across 3 matching MRF lines |
$700–$1,040 |
$700–$1,040 |
varies |
| Bx Cervix (57500) |
$309 |
$309 |
0.3× |
| Carpal Tunnel Surgery (64721) |
$2,442 |
$2,442 |
1.2× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$251 |
$251 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$101 |
$101 |
0.1× |
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$62–$609 |
$62–$609 |
varies |
| Circumcision 28 days or older (54161) |
$443 |
$443 |
0.2× |
| Clear outer ear canal (69200) |
$81 |
$81 |
0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$644 |
$644 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$465 |
$465 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$618 |
$618 |
2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$791 |
$791 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$948 |
$948 |
0.6× |
Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$296–$396 |
$296–$396 |
varies |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$312–$518 |
$312–$518 |
varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$703 |
$703 |
2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$652 |
$652 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$682 |
$682 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$445 |
$445 |
1.7× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$676 |
$676 |
2.6× |
| Colonoscopy thru stoma (44388) |
$2,828 |
$2,828 |
2.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$3,994 |
$3,994 |
3.2× |
| Colonoscopy w/submucosal inj (45381) |
$1,788 |
$1,788 |
1.4× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$179 |
$179 |
0.6× |
| Colposcopy Vulva W/Biopsy (56821) |
$1,814 |
$1,814 |
5.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$125 |
$125 |
0.9× |
Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$92–$97 |
$92–$97 |
varies |
Correction hammertoe (28285) range across 2 matching MRF lines |
$357–$638 |
$357–$638 |
varies |
Create Eardrum Opening (69433) range across 2 matching MRF lines |
$310–$414 |
$310–$414 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$173 |
$173 |
1.3× |
| Cysto w/insert ureteral stent (52332) |
$68 |
$68 |
0.0× |
Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$140–$1,866 |
$140–$1,866 |
varies |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$735–$919 |
$735–$919 |
varies |
Cystourethroscopy (52000) range across 2 matching MRF lines |
$75–$1,350 |
$75–$1,350 |
varies |
Cystourethroscopy inj chemodenervation bladder (52287) range across 2 matching MRF lines |
$156–$2,070 |
$156–$2,070 |
varies |
| Cystourethroscopy with biopsy (52204) |
$442 |
$442 |
0.2× |
Debride nail 1-5 (11720) range across 2 matching MRF lines |
$14–$25 |
$14–$25 |
varies |
Debride nail 6 or more (11721) range across 2 matching MRF lines |
$23–$41 |
$23–$41 |
varies |
Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$122–$158 |
$122–$158 |
varies |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$56–$198 |
$56–$198 |
varies |
| Declot vascular device (36593) |
$115 |
$115 |
0.3× |
| Destruct B9 Lesion 1-14 (17110) |
$124 |
$124 |
0.6× |
| Destruction Benign Lesions 15/> (17111) |
$149 |
$149 |
0.7× |
| Destruction Lesions Vulva Simple (56501) |
$424 |
$424 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,573 |
$1,573 |
1.6× |
Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$74–$3,024 |
$74–$3,024 |
varies |
| Drain/inj small joint/bursa w/us (20604) |
$78 |
$78 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$121 |
$121 |
0.1× |
| Egd remove lesion snare (43251) |
$2,730 |
$2,730 |
1.4× |
| Endometrial Biopsy (58100) |
$103 |
$103 |
0.5× |
Esophagogastroduodenoscopy Submucosal Injection (43236) range across 2 matching MRF lines |
$337–$423 |
$337–$423 |
varies |
| Evacuation of subungual hematoma (11740) |
$59 |
$59 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$567 |
$567 |
0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$281 |
$281 |
0.4× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$983 |
$983 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$254 |
$254 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$286 |
$286 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$395 |
$395 |
0.2× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$567 |
$567 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$258 |
$258 |
0.2× |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$261–$342 |
$261–$342 |
varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$255 |
$255 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$803 |
$803 |
0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$315 |
$315 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$380 |
$380 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$410 |
$410 |
0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$353 |
$353 |
0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$385 |
$385 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$541 |
$541 |
0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$640 |
$640 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$540 |
$540 |
0.3× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$563 |
$563 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$525 |
$525 |
0.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$614 |
$614 |
0.2× |
Excis Mouth Mucosa/Sub,No Repair (40810) range across 2 matching MRF lines |
$160–$247 |
$160–$247 |
varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$300 |
$300 |
0.4× |
| Excision lesion mouth roof (42104) |
$193 |
$193 |
0.1× |
Excision Lesion Tongue W/O Closure (41110) range across 2 matching MRF lines |
$312–$406 |
$312–$406 |
varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$265 |
$265 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$317 |
$317 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$220 |
$220 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$334 |
$334 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$499 |
$499 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$210 |
$210 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$245 |
$245 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$272 |
$272 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$341 |
$341 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$264 |
$264 |
0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$964 |
$964 |
0.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$699 |
$699 |
0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$660 |
$660 |
0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$406 |
$406 |
0.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$488 |
$488 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,302 |
$1,302 |
0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$337 |
$337 |
0.3× |
| I&d abscess simple (10060) |
$359 |
$359 |
1.7× |
Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$283 |
$283 |
0.0× |
| Incise finger tendon sheath (26055) |
$608 |
$608 |
0.4× |
Incision of eardrum (69420) range across 2 matching MRF lines |
$156–$377 |
$156–$377 |
varies |
| Incisional biopsy skin single lesion (11106) |
$183 |
$183 |
0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,465 |
$1,465 |
1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,900 |
$1,900 |
2.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$66 |
$66 |
0.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,077 |
$1,077 |
1.5× |
| Injection single tendon origin/insertion (20551) |
$66 |
$66 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$63 |
$63 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$71 |
$71 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$95 |
$95 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$72 |
$72 |
0.5× |
| Insert Drug Implant Device (11981) |
$103 |
$103 |
0.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$4,300 |
$4,300 |
2.2× |
| Insert pessary/other device (57160) |
$75 |
$75 |
0.4× |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$84–$210 |
$84–$210 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$22 |
$22 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,020 |
$3,020 |
1.8× |
Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$117–$118 |
$117–$118 |
varies |
| Middle ear surgery proc unlisted (69799) |
$145 |
$145 |
0.6× |
| N Block Inj Plantar Digit (64455) |
$294 |
$294 |
0.9× |
| Nasal Endoscopy Dx (31231) |
$108 |
$108 |
0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$83 |
$83 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,595 |
$1,595 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$333 |
$333 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,297 |
$1,297 |
1.8× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$232 |
$232 |
0.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$271 |
$271 |
0.1× |
| Pelvic examination under anesthesia (other than local) (57410) |
$321 |
$321 |
0.1× |
Penis plastic surgery (54360) range across 2 matching MRF lines |
$1,748–$2,218 |
$1,748–$2,218 |
varies |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) likely a partial charge, not the full procedure |
$1,010 |
$1,010 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$80 |
$80 |
0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$169 |
$169 |
0.4× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$33–$80 |
$33–$80 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$31–$55 |
$31–$55 |
varies |
Removal of nail bed (11750) range across 2 matching MRF lines |
$96–$179 |
$96–$179 |
varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$260 |
$260 |
1.2× |
| Remove drug implant device (11982) |
$119 |
$119 |
0.3× |
| Remove Intrauterine Device (58301) |
$108 |
$108 |
0.3× |
| Remove/Insert Drug Implant (11983) |
$168 |
$168 |
0.4× |
| Reposition Venous Catheter (36597) |
$47 |
$47 |
0.0× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$247 |
$247 |
0.1× |
Rev/rmv prph sac/gstr npg/r (64595) range across 2 matching MRF lines |
$392–$441 |
$392–$441 |
varies |
Revj/rmvl peripheral neurostimulator electrode (64585) range across 2 matching MRF lines |
$345–$441 |
$345–$441 |
varies |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$2,469 |
$2,469 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$228 |
$228 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$111 |
$111 |
0.1× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,959 |
$1,959 |
2.0× |
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$72–$1,780 |
$72–$1,780 |
varies |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,523 |
$1,523 |
0.9× |
| Treat humerus fracture (23600) |
$726 |
$726 |
2.8× |
Trim skin lesion (11055) range across 2 matching MRF lines |
$15–$27 |
$15–$27 |
varies |
Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$22–$38 |
$22–$38 |
varies |
| Trim skin lesions over 4 (11057) |
$49 |
$49 |
0.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$13 |
$13 |
0.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$401 |
$401 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$296 |
$296 |
0.4× |
| Tympanostomy general anesthesia (69436) |
$146 |
$146 |
0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,261 |
$2,261 |
1.0× |
Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$86–$166 |
$86–$166 |
varies |