| Abd paracentesis w/imaging (49083) |
$705.60 |
$1,008 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$342.30 |
$489 |
0.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,975 |
$4,250 |
1.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,487.80 |
$3,554 |
0.8× |
| Anoscopy diagnostic (46600) |
$82.60 |
$118 |
0.7× |
| Application cast elbow finger short arm (29075) |
$266.70 |
$381 |
1.1× |
| Application finger splint static (29130) |
$133.70 |
$191 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$160.30 |
$229 |
1.1× |
| Application Long Leg Splint (29505) |
$158.90 |
$227 |
1.1× |
| Application of long leg cast (29345) |
$266.70 |
$381 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$133.70 |
$191 |
1.1× |
| Application short leg splint calf foot (29515) |
$133.70 |
$191 |
0.9× |
| Apply long arm cast (29065) |
$266.70 |
$381 |
1.1× |
| Apply Short Leg Cast (29405) |
$266.70 |
$381 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$306.60 |
$438 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$306.60 |
$438 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$306.60 |
$438 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$757.40 |
$1,082 |
1.3× |
| Aspirate Pleura W/O Imaging (32554) |
$757.40 |
$1,082 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$115.50 |
$165 |
0.6× |
Biopsy Muscle Superficial (20200)
range across 2 matching MRF lines |
$1,653.40–$1,934.10 |
$2,362–$2,763 |
varies |
| Bladder Irrigation (51700) |
$238 |
$340 |
1.1× |
| Bladder Scan (51798) |
$165.90 |
$237 |
3.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$367.50 |
$525 |
1.3× |
| Blood Transfusion Service (36430) |
$423.50 |
$605 |
1.1× |
| Bone Marrow Biopsy (38221) |
$353.50 |
$505 |
0.2× |
| Bone Marrow; Aspiration Only (38220) |
$353.50 |
$505 |
0.2× |
| Catheter aspiration nasotracheal spx (31720) |
$234.50 |
$335 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$322 |
$460 |
1.4× |
| Chemical Cautery Tissue (17250) |
$176.40 |
$252 |
1.0× |
| Chest tube placement (32551) |
$630.70 |
$901 |
0.4× |
| Circumcision Neonate (54160) |
$2,302.30 |
$3,289 |
3.6× |
| Clear outer ear canal (69200) |
$75.60 |
$108 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$200.90 |
$287 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$551.60 |
$788 |
2.5× |
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines |
$200.90–$706.30 |
$287–$1,009 |
varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,827 |
$2,610 |
1.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$544.60 |
$778 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,730.40 |
$2,472 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$184.10 |
$263 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$187.60 |
$268 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$187.60 |
$268 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$544.60 |
$778 |
0.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$200.90 |
$287 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$184.10 |
$263 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$200.90 |
$287 |
0.9× |
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines |
$11.90–$30.80 |
$17–$44 |
varies |
| Colporrhaphy (57200) |
$2,729.30 |
$3,899 |
0.9× |
| Complex drainage wound (10180) |
$2,195.20 |
$3,136 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$220.50 |
$315 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$203 |
$290 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$210 |
$300 |
1.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$924 |
$1,320 |
0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$342.30 |
$489 |
0.5× |
| Debride nail 1-5 (11720) |
$104.30 |
$149 |
2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$984.20 |
$1,406 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$324.80 |
$464 |
0.9× |
| Deep Muscle Biopsy (20205) |
$440.30 |
$629 |
0.2× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$959 |
$1,370 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$231 |
$330 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$231 |
$330 |
1.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$317.10 |
$453 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$100.80 |
$144 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$786.10 |
$1,123 |
0.9× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,081.50 |
$1,545 |
1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$2,729.30 |
$3,899 |
2.5× |
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines |
$595–$1,610 |
$850–$2,300 |
varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$319.90 |
$457 |
0.5× |
| Drainage of finger abscess simple (26010) |
$252.70 |
$361 |
1.4× |
| Drainage of gum lesion (41800) |
$169.40 |
$242 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,427.30 |
$2,039 |
1.0× |
| Drainage of mouth lesion (41017) |
$4,368 |
$6,240 |
1.5× |
| Drainage of scrotal wall abscess (55100) |
$1,212.40 |
$1,732 |
0.8× |
| Drainage of scrotum (54700) |
$504.70 |
$721 |
0.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$233.80 |
$334 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$180.60 |
$258 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$176.40 |
$252 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$176.40 |
$252 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,718.10 |
$3,883 |
1.1× |
| Endometrial Biopsy (58100) |
$223.30 |
$319 |
1.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$536.90 |
$767 |
0.3× |
| Epidural Blood Patch (62273) |
$429.10 |
$613 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$68.60 |
$98 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$965.30 |
$1,379 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$519.40 |
$742 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,995 |
$2,850 |
1.3× |
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines |
$1,121.40–$2,235.10 |
$1,602–$3,193 |
varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$519.40 |
$742 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$519.40 |
$742 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$2,018.80 |
$2,884 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$519.40 |
$742 |
0.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$519.40 |
$742 |
0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$973.70 |
$1,391 |
1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$973.70 |
$1,391 |
0.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,318.80 |
$1,884 |
0.9× |
| Exc Frenum Labial/Buccal (40819) |
$861.70 |
$1,231 |
0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$973.70 |
$1,391 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$973.70 |
$1,391 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$973.70 |
$1,391 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$973.70 |
$1,391 |
1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,503.90 |
$3,577 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,934.10 |
$2,763 |
1.3× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,553.60 |
$3,648 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,504.60 |
$3,578 |
1.0× |
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines |
$1,081.50–$2,555 |
$1,545–$3,650 |
varies |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,560.30 |
$2,229 |
0.6× |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines |
$212.80–$519.40 |
$304–$742 |
varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$519.40 |
$742 |
0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,653.40 |
$2,362 |
1.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$973.70 |
$1,391 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$973.70 |
$1,391 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$519.40 |
$742 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$519.40 |
$742 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,078 |
$1,540 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$519.40 |
$742 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$924 |
$1,320 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,630.60 |
$3,758 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$973.70 |
$1,391 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$519.40 |
$742 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$973.70 |
$1,391 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,649.50 |
$3,785 |
1.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$3,355.80 |
$4,794 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$2,195.20 |
$3,136 |
1.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,043 |
$1,490 |
0.7× |
| External cephalic version (59412) |
$2,584.40 |
$3,692 |
0.9× |
| Fetal non-stress test (59025) |
$172.90 |
$247 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$497 |
$710 |
1.4× |
| Foreskin manipulation (54450) |
$342.30 |
$489 |
1.5× |
| I&d abscess peritonsillar (42700) |
$438.20 |
$626 |
2.0× |
| I&d abscess simple (10060) |
$169.40 |
$242 |
0.9× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$1,439.20 |
$2,056 |
0.6× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,505.70 |
$2,151 |
0.5× |
| I&d perianal abscess superficial (46050) |
$1,396.50 |
$1,995 |
1.7× |
| I&d pilonidal cyst complicated (10081) |
$1,431.50 |
$2,045 |
2.2× |
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines |
$226.80–$432.60 |
$324–$618 |
varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$282.80 |
$404 |
0.1× |
| Incise external hemorrhoid (46083) |
$235.20 |
$336 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$216.30 |
$309 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,978.90 |
$2,827 |
1.3× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$317.10–$320.60 |
$453–$458 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$252.70 |
$361 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$360.50 |
$515 |
1.3× |
Incision of rectal abscess (46040)
range across 2 matching MRF lines |
$504.70–$826 |
$721–$1,180 |
varies |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$82.60 |
$118 |
0.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$288.40 |
$412 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$315 |
$450 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$288.40 |
$412 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$313.60 |
$448 |
1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$576.80 |
$824 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$537.60 |
$768 |
0.8× |
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines |
$556.50–$1,283.10 |
$795–$1,833 |
varies |
| Insert pessary/other device (57160) |
$245 |
$350 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$79.10 |
$113 |
0.7× |
| Insert tunneled cv cath (36561) |
$495.60 |
$708 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$81.20 |
$116 |
0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$883.40 |
$1,262 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$263.20 |
$376 |
1.2× |
| Laryngoscopy flexible diagnostic (31575) |
$241.50 |
$345 |
1.3× |
| Late closure of wound (13160) |
$2,573.90 |
$3,677 |
0.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,632 |
$3,760 |
1.4× |
| Mastectomy partial (19301) |
$1,463.70 |
$2,091 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$710.50 |
$1,015 |
1.1× |
| N block inj intercost sng (64420) |
$449.40 |
$642 |
0.7× |
| Nasal surgery procedure (30999) |
$144.20 |
$206 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$17.50 |
$25 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$35 |
$50 |
1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$296.10 |
$423 |
1.1× |
| Occipital Nerve Block (64405) |
$510.30 |
$729 |
1.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$616.70 |
$881 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$187.60 |
$268 |
0.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,830.10 |
$4,043 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$322 |
$460 |
0.9× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$165.90–$169.40 |
$237–$242 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$529.90 |
$757 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$78.40 |
$112 |
1.5× |
| Removal of foreign body from pharynx (42809) |
$90.30 |
$129 |
0.2× |
| Removal of nail bed (11750) |
$353.50 |
$505 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$144.20 |
$206 |
0.8× |
| Remove foreign body from eye (65205) |
$144.20 |
$206 |
1.2× |
| Remove Intrauterine Device (58301) |
$353.50 |
$505 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$190.40 |
$272 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$576.80 |
$824 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$360.50 |
$515 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$576.80 |
$824 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$360.50 |
$515 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$360.50 |
$515 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$576.80 |
$824 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$576.80 |
$824 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$378.70 |
$541 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$378.70 |
$541 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$382.20 |
$546 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$180.60 |
$258 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$216.30 |
$309 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$360.50 |
$515 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$360.50 |
$515 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$252.70 |
$361 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$378.70 |
$541 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$378.70 |
$541 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$367.50 |
$525 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$385.70 |
$551 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,856 |
$4,080 |
1.5× |
| Repair of nail bed (11760) |
$144.20 |
$206 |
0.2× |
| Repair tongue laceration (41252) |
$861.70 |
$1,231 |
4.0× |
| Repair tongue laceration (41250) |
$133.70 |
$191 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$462 |
$660 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$245 |
$350 |
2.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$672.91 |
$961.30 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$691.60 |
$988 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$522.90 |
$747 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$216.30 |
$309 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$133.70 |
$191 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$186.20 |
$266 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$133.70 |
$191 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$252.70 |
$361 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$133.70 |
$191 |
0.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,020.60 |
$1,458 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$223.30 |
$319 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$165.90 |
$237 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$180.60 |
$258 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$180.60 |
$258 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$144.20 |
$206 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$208.60 |
$298 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$180.60 |
$258 |
1.0× |
| Skin Tissue Procedure (17999) |
$170.80 |
$244 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$162.40 |
$232 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$180.60 |
$258 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$187.60 |
$268 |
0.5× |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
$288.40–$454.30 |
$412–$649 |
varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$2,523.50 |
$3,605 |
0.8× |
| Strapping ankle (29540) |
$162.40 |
$232 |
1.1× |
| Strapping elbow or wrist (29260) |
$160.30 |
$229 |
3.0× |
| Strapping hand/finger (29280) |
$160.30 |
$229 |
3.0× |
| Strapping shoulder (29240) |
$160.30 |
$229 |
1.3× |
| Strapping thorax (29200) |
$126 |
$180 |
0.9× |
| Strapping toes (29550) |
$122.50 |
$175 |
2.3× |
| Strapping Unna Boot (29580) |
$122.50 |
$175 |
0.8× |
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines |
$570.50–$2,163 |
$815–$3,090 |
varies |
| Tangential biopsy skin single lesion (11102) |
$371 |
$530 |
1.0× |
| Tooth extraction (41899) |
$702.80 |
$1,004 |
3.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$865.20 |
$1,236 |
4.0× |
| Treat Knuckle Dislocation (26700) |
$187.60 |
$268 |
0.8× |
| Treat toe dislocation (28630) |
$223.30 |
$319 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,005.50 |
$2,865 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$255.50 |
$365 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$176.40 |
$252 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$667.10 |
$953 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$599.90 |
$857 |
1.6× |
| Unlisted Procedure Casting/Strapping (29799) |
$115.50 |
$165 |
0.8× |
| Unlisted Procedure Male Genital System (55899) |
$126 |
$180 |
0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,795 |
$6,850 |
2.5× |
| Wedge excision skin nail fold (11765) |
$100.80 |
$144 |
0.3× |