| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$9,297.76 |
$18,595.52 |
10.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,760.50 |
$3,521 |
0.5× |
| Application cast elbow finger short arm (29075) |
$308 |
$616 |
1.1× |
| Application Long Leg Splint (29505) |
$180.50 |
$361 |
1.1× |
| Application of long leg cast (29345) |
$308 |
$616 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$391 |
$782 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$144 |
$288 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$144 |
$288 |
1.1× |
| Application short leg splint calf foot (29515) |
$180.50 |
$361 |
1.1× |
| Apply hand/wrist cast (29085) |
$180.50 |
$361 |
1.1× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$300.50–$451 |
$601–$902 |
varies |
| Apply Short Leg Cast (29405) |
$308 |
$616 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$2,000 |
$4,000 |
3.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,795 |
$5,590 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$324.50 |
$649 |
1.6× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$1,348 |
$2,696 |
0.8× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,348 |
$2,696 |
0.8× |
| Chemical Cautery Tissue (17250) |
$295 |
$590 |
1.5× |
Chemodenerv 1 extrem 5/> mus (64644)
range across 2 matching MRF lines |
$560–$632.50 |
$1,120–$1,265 |
varies |
| Chemodenerv 1 extremity 1-4 (64642) |
$422.50 |
$845 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$422.50 |
$845 |
1.4× |
| Chemodenerv musc neck dyston (64616) |
$422.50 |
$845 |
1.4× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$422.50 |
$845 |
1.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$422.50 |
$845 |
1.4× |
| Chest tube placement (32551) |
$2,110 |
$4,220 |
1.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$2,911 |
$5,822 |
0.8× |
| Complex drainage wound (10180) |
$1,394.50 |
$2,789 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,709 |
$3,418 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,347.50 |
$2,695 |
1.8× |
| Debride nail 1-5 (11720) |
$125.50 |
$251 |
2.1× |
| Debride nail 6 or more (11721) |
$125.50 |
$251 |
2.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,087.50 |
$4,175 |
1.3× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$725–$797.50 |
$1,450–$1,595 |
varies |
| Declot vascular device (36593) |
$357 |
$714 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$1,793 |
$3,586 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$222.50 |
$445 |
1.1× |
| Dx Bronchoscope/Lavage (31624) |
$1,631.50 |
$3,263 |
0.9× |
| Dx Bronchoscope/Wash (31622) |
$1,631.50 |
$3,263 |
0.9× |
| Egd place gastrostomy tube (43246) |
$1,258 |
$2,516 |
0.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$326 |
$652 |
1.1× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$218.50 |
$437 |
0.7× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,816.80 |
$5,633.60 |
1.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,695.50 |
$3,391 |
0.8× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,757.50 |
$5,515 |
1.4× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$3,153 |
$6,306 |
1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,936 |
$3,872 |
0.9× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$895 |
$1,790 |
0.4× |
| I&d abscess simple (10060) |
$320.50 |
$641 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,325 |
$4,650 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$567.50 |
$1,135 |
1.4× |
| Inj W/Fluor Eval Cv Device (36598) |
$1,058 |
$2,116 |
5.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,816.80 |
$5,633.60 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$1,769 |
$3,538 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$786 |
$1,572 |
0.5× |
| Insert tunneled cv cath (36561) |
$4,756 |
$9,512 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,854.66 |
$11,709.32 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$786 |
$1,572 |
0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,791 |
$3,582 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,983 |
$7,966 |
1.3× |
| Intro Gastrointestinal Tube (44500) |
$1,043.50 |
$2,087 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$267.50 |
$535 |
1.1× |
| Late closure of wound (13160) |
$895 |
$1,790 |
0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$746.50 |
$1,493 |
1.7× |
| Needle Biopsy Lymph Nodes (38505) |
$1,483 |
$2,966 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,911 |
$5,822 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,911 |
$5,822 |
0.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,107.50 |
$2,215 |
1.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,174.50 |
$4,349 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$2,598.76 |
$5,197.52 |
0.7× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,668.68 |
$7,337.36 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$1,564 |
$3,128 |
0.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,507.50 |
$7,015 |
1.1× |
| Renal Biopsy Perq (50200) |
$1,352.50 |
$2,705 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$480 |
$960 |
1.2× |
| Reposition Gastrostomy Tube (43761) |
$1,143.50 |
$2,287 |
4.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$775 |
$1,550 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,262.50 |
$2,525 |
2.0× |
| Rplc Gtube No Revj Trc (43762) |
$607.50 |
$1,215 |
2.4× |
| Rplc gtube revj gstrst trc (43763) |
$607.50 |
$1,215 |
2.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,491.50 |
$2,983 |
0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,608 |
$3,216 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,302 |
$6,604 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,207 |
$2,414 |
1.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,936 |
$3,872 |
0.9× |
| Skin Pinch Graft (15050) |
$488 |
$976 |
0.7× |
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines |
$858.73–$2,742.50 |
$1,717.46–$5,485 |
varies |
Skin sub graft trnk/arm/leg (15271)
range across 4 matching MRF lines |
$858.73–$2,742.50 |
$1,717.46–$5,485 |
varies |
Skin sub grft t/arm/lg child (15273)
range across 4 matching MRF lines |
$1,704–$2,816.04 |
$3,408–$5,632.08 |
varies |
Skn sub grft f/n/hf/g child (15277)
range across 3 matching MRF lines |
$858.73–$2,816.04 |
$1,717.46–$5,632.08 |
varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$200 |
$400 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$325 |
$650 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$954 |
$1,908 |
1.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,520.92 |
$9,041.84 |
1.3× |
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines |
$2,260.46–$4,520.92 |
$4,520.92–$9,041.84 |
varies |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$154.50–$232 |
$309–$464 |
varies |
| Tangential biopsy skin single lesion (11102) |
$206.50 |
$413 |
0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,512 |
$7,024 |
2.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$3,512 |
$7,024 |
2.2× |
| Tracheostomy planned (31600) |
$7,896.10 |
$15,792.20 |
2.4× |
| Trim skin lesion (11055) |
$125.50 |
$251 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$167.50 |
$335 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$399 |
$798 |
0.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,665 |
$7,330 |
4.0× |
| Wound Prep F/N/Hf/G (15004) |
$1,294 |
$2,588 |
3.2× |
| Wound Prep Trk/Arm/Leg (15002) |
$895 |
$1,790 |
1.2× |