| Abd paracentesis w/imaging (49083) |
$93.20 |
$466 |
0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$269.40 |
$1,347 |
0.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,274.20 |
$6,371 |
0.4× |
| Anal/Urinary Muscle Study (51784) |
$163.60 |
$818 |
1.3× |
| Application cast elbow finger short arm (29075) |
$104.80 |
$524 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$109.20 |
$546 |
1.9× |
| Application finger splint static (29130) |
$109.20 |
$546 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$106.60 |
$533 |
0.7× |
| Application Long Leg Splint (29505) |
$121.40 |
$607 |
0.8× |
| Application of long leg cast (29345) |
$130 |
$650 |
0.5× |
| Application of rigid total contact leg cast (29445) |
$152.40 |
$762 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$78.20 |
$391 |
0.6× |
| Application short leg splint calf foot (29515) |
$93.20 |
$466 |
0.6× |
| Apply hand/wrist cast (29085) |
$103.40 |
$517 |
0.6× |
| Arterial puncture (36600) |
$32 |
$160 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$134.80 |
$674 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$168 |
$840 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$308.40 |
$1,542 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$123.20 |
$616 |
0.4× |
| Aspirate Pleura W/O Imaging (32554) |
$209.60 |
$1,048 |
0.3× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$39.80–$100.40 |
$199–$502 |
varies |
| Biopsy of floor of mouth (41108) |
$763.20 |
$3,816 |
0.5× |
| Biopsy of lip (40490) |
$298.40 |
$1,492 |
1.3× |
| Biopsy of palate, uvula (42100) |
$678.40 |
$3,392 |
0.4× |
| Biopsy of penis (54100) |
$172.80 |
$864 |
0.1× |
| Biopsy Oropharynx (42800) |
$678.40 |
$3,392 |
0.4× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$358 |
$1,790 |
0.7× |
| Biopsy Tongue Posterior One-Third (41105) |
$1,123.60 |
$5,618 |
0.3× |
| Biopsy, vestibule of mouth (40808) |
$358 |
$1,790 |
0.7× |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$63.80–$245.20 |
$319–$1,226 |
varies |
Bladder Scan (51798)
range across 2 matching MRF lines |
$91.20–$91.40 |
$456–$457 |
varies |
Blood Transfusion Service (36430)
range across 32 matching MRF lines |
$145–$609.60 |
$725–$3,048 |
varies |
| Bx breast needle core w/o imaging guidance spx (19100) |
$394.40 |
$1,972 |
0.2× |
| Car-t admn autologous (38228) |
$153.40 |
$767 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$63.80 |
$319 |
0.3× |
| Chest tube placement (32551) |
$296.80 |
$1,484 |
0.2× |
| Cl Tx Scapular Fx; W Manip (23575) |
$347.80 |
$1,739 |
0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$347.80 |
$1,739 |
0.2× |
| Clear outer ear canal (69200) |
$62.60 |
$313 |
0.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$347.80 |
$1,739 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$347.80 |
$1,739 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$347.80 |
$1,739 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$120.40 |
$602 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$347.80 |
$1,739 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$120.40 |
$602 |
0.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$347.80 |
$1,739 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$120.40 |
$602 |
0.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$347.80 |
$1,739 |
0.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$347.80 |
$1,739 |
0.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$347.80 |
$1,739 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$347.80 |
$1,739 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$120.40 |
$602 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$347.80 |
$1,739 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$120.40 |
$602 |
0.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$347.80 |
$1,739 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$120.40 |
$602 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$371.20 |
$1,856 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$347.80 |
$1,739 |
1.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$347.80 |
$1,739 |
0.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$347.80 |
$1,739 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$347.80 |
$1,739 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$347.80 |
$1,739 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$120.40 |
$602 |
0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$316.40 |
$1,582 |
0.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$347.80 |
$1,739 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$347.80 |
$1,739 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$347.80 |
$1,739 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$347.80 |
$1,739 |
0.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$347.80 |
$1,739 |
0.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$347.80 |
$1,739 |
1.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$347.80 |
$1,739 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$120.40 |
$602 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$120.40 |
$602 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$347.80 |
$1,739 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$120.40 |
$602 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$120.40 |
$602 |
0.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$347.80 |
$1,739 |
1.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$347.80 |
$1,739 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$120.40 |
$602 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$347.80 |
$1,739 |
0.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$347.80 |
$1,739 |
0.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$347.80 |
$1,739 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$347.80 |
$1,739 |
0.2× |
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines |
$55–$111.60 |
$275–$558 |
varies |
| Collection of venous blood by venipuncture (36415) |
$10 |
$50 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$134.40 |
$672 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$188.20 |
$941 |
1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,077.60 |
$5,388 |
0.7× |
| Create Eardrum Opening (69433) |
$323.80 |
$1,619 |
0.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$263 |
$1,315 |
1.1× |
| Declot vascular device (36593) |
$217.60 |
$1,088 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,075.40 |
$5,377 |
0.6× |
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975)
range across 2 matching MRF lines |
$38.60–$156.60 |
$193–$783 |
varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$308.40 |
$1,542 |
0.4× |
| Drainage of finger abscess simple (26010) |
$79 |
$395 |
0.4× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$74.40–$87.20 |
$372–$436 |
varies |
| Draw Blood Off Venous Device (36591) |
$46.80 |
$234 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$121.20 |
$606 |
0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$538.40 |
$2,692 |
0.8× |
| Electro-Uroflowmetry First (51741) |
$111.60 |
$558 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$90.20 |
$451 |
0.7× |
| Evaluation of outer surface protein A (OspA) of Borrelia burgdorferi (Lyme disease) in urine specimen (0316U) |
$220 |
$1,100 |
11.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$458 |
$2,290 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$468.60 |
$2,343 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$489.80 |
$2,449 |
0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$453.40 |
$2,267 |
0.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$489.80 |
$2,449 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$511 |
$2,555 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$458 |
$2,290 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$479.20 |
$2,396 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$500.40 |
$2,502 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$458 |
$2,290 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$468.60 |
$2,343 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$479.20 |
$2,396 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$500.40 |
$2,502 |
0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,046.60 |
$5,233 |
0.3× |
| Fasciotomy, foot and/or toe (28008) |
$1,046.60 |
$5,233 |
0.3× |
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines |
$134.20–$146.40 |
$671–$732 |
varies |
Fetal non-stress test (59025)
range across 3 matching MRF lines |
$81–$88.80 |
$405–$444 |
varies |
| Gene analysis for detection of infectious agent and drug resistance gene (0112U) |
$381.60 |
$1,908 |
1.1× |
| Hem gen pltlt do 43 genes (0274U) |
$684 |
$3,420 |
1.1× |
| Hem vw factor&clgn iii bndg (0279U) |
$53.20 |
$266 |
4.6× |
| Hem Vwd Propeptide Ag Lvl (0281U) |
$65 |
$325 |
3.8× |
| I&d abscess peritonsillar (42700) |
$183.80 |
$919 |
0.8× |
| Icd Pocket Revision (33223) |
$1,187 |
$5,935 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$83.40 |
$417 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$87.20 |
$436 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$87.20 |
$436 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$93.20 |
$466 |
0.5× |
| Incision of eardrum (69420) |
$159 |
$795 |
0.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$836.40 |
$4,182 |
0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$80.80 |
$404 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$806.60 |
$4,033 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$806.60 |
$4,033 |
1.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$802.80 |
$4,014 |
1.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$125.60 |
$628 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$100.20 |
$501 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$63.80 |
$319 |
0.5× |
| Insert cath pleura w/o image (32556) |
$262 |
$1,310 |
0.1× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$57.40–$63.80 |
$287–$319 |
varies |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$1,730 |
$8,650 |
0.3× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$860.20 |
$4,301 |
0.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$573.20 |
$2,866 |
0.2× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
unusually low: confirm this is the full procedure |
$12,189.60 |
$60,948 |
0.4× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$159 |
$795 |
0.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,942.20 |
$9,711 |
1.4× |
| Intro cath dialysis circuit (36901) |
$1,226 |
$6,130 |
0.8× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
unusually low: confirm this is the full procedure |
$5,599.40 |
$27,997 |
0.5× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$3,611.60 |
$18,058 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$338 |
$1,690 |
1.4× |
| Laryngoscopy flexible diagnostic (31575) |
$237.40 |
$1,187 |
1.2× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$1,029.60 |
$5,148 |
0.6× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$234.80 |
$1,174 |
0.1× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$1,029.60 |
$5,148 |
0.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$241.40 |
$1,207 |
0.6× |
| Ligation of a-v fistula (37607) |
$1,705.20 |
$8,526 |
0.5× |
Lithotripsy, extracorporeal shock wave (50590)
range across 4 matching MRF lines |
$2,859–$4,076.80 |
$14,295–$20,384 |
varies |
| Lysis of labial adhesions (56441) |
$128 |
$640 |
0.0× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) |
$6,784 |
$33,920 |
0.6× |
| Nasal Endoscopy Dx (31231) |
$356.20 |
$1,781 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,184 |
$5,920 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$25 |
$125 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$36.80 |
$184 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$187.60 |
$938 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$745.20 |
$3,726 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$411.20 |
$2,056 |
0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$745.20 |
$3,726 |
1.1× |
| Obstructive material removal from gi tube (49460) |
$452.20 |
$2,261 |
0.5× |
| Occipital Nerve Block (64405) |
$327.20 |
$1,636 |
1.1× |
| Onc pan cancer analysis mrd from plasma (0340U) |
$800 |
$4,000 |
0.2× |
Onc pan-tumor DNA&RNA next-generation sequencing (0211U)
likely a partial charge, not the full procedure |
$1,691 |
$8,455 |
0.2× |
Ped Whl Gen Mthyltn Alys 50+ (0318U)
range across 2 matching MRF lines |
$349.80–$408.20 |
$1,749–$2,041 |
varies |
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure |
$3,857.80 |
$19,289 |
0.4× |
| Pericardiocentesis W/Imaging (33016) |
$870.20 |
$4,351 |
0.6× |
Perq av fistula creation uxtr sep access sites (36837)
unusually low: confirm this is the full procedure |
$8,276.20 |
$41,381 |
0.5× |
Perq av fistula creation uxtr single access (36836)
unusually low: confirm this is the full procedure |
$6,582.20 |
$32,911 |
0.4× |
| Perq p-art revsc 1 nm nt uni (33900) |
$6,188.80 |
$30,944 |
0.5× |
Perq p-art revsc st 1st abnor connj unilateral (33902)
unusually low: confirm this is the full procedure |
$6,807.40 |
$34,037 |
0.4× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$8,168.80 |
$40,844 |
0.7× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$8,126 |
$40,630 |
0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$859.80 |
$4,299 |
1.2× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure |
$4,850.60 |
$24,253 |
0.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$3,570 |
$17,850 |
0.6× |
| Photopheresis extracorporeal (36522) |
$2,695.80 |
$13,479 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,110.60 |
$5,553 |
0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$123.40 |
$617 |
0.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$60.20 |
$301 |
0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$96.40 |
$482 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$43.20 |
$216 |
0.7× |
| Removal of nail bed (11750) |
$100.40 |
$502 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,074.60 |
$10,373 |
0.7× |
| Remove foreign body from eye (65205) |
$73.60 |
$368 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$78.20 |
$391 |
0.6× |
| Remove ureter stent percut (50384) |
$886.60 |
$4,433 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$287 |
$1,435 |
0.7× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines |
$201.40–$257.40 |
$1,007–$1,287 |
varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$201.40 |
$1,007 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$201.40 |
$1,007 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$201.40 |
$1,007 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$201.40 |
$1,007 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$201.40 |
$1,007 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$201.40 |
$1,007 |
0.5× |
| Repair of nail bed (11760) |
$100.40 |
$502 |
0.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$1,211.80 |
$6,059 |
0.3× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$1,533.40 |
$7,667 |
0.4× |
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines |
$161–$163.20 |
$805–$816 |
varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$112.40 |
$562 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$201.40 |
$1,007 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$102.20 |
$511 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$183.20 |
$916 |
0.9× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$102.20–$113.20 |
$511–$566 |
varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$112.40 |
$562 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$183.20 |
$916 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$201.40 |
$1,007 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$282.60 |
$1,413 |
0.4× |
| Strapping ankle (29540) |
$93.20 |
$466 |
0.6× |
| Strapping elbow or wrist (29260) |
$104.80 |
$524 |
1.8× |
| Strapping shoulder (29240) |
$116.80 |
$584 |
0.9× |
| Strapping Unna Boot (29580) |
$56.60 |
$283 |
0.4× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$610.80 |
$3,054 |
0.2× |
| Syphilis tst non-treponemal antibody ia quan rpr (0210U) |
$20 |
$100 |
1.1× |
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
unusually low: confirm this is the full procedure |
$11,559.40 |
$57,797 |
0.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,042 |
$5,210 |
0.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$567.80 |
$2,839 |
0.4× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,165.40 |
$5,827 |
0.8× |
Thrmbc/Nfs Dialysis Circuit (36906)
unusually low: confirm this is the full procedure |
$6,838.20 |
$34,191 |
0.4× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
$1,526.80 |
$7,634 |
0.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$428.80 |
$2,144 |
0.8× |
| Transfusion Intrauterine Fetal (36460) |
$666.80 |
$3,334 |
1.5× |
| Treat Knuckle Dislocation (26700) |
$347.80 |
$1,739 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$347.80 |
$1,739 |
1.4× |
| Treat toe dislocation (28630) |
$120.40 |
$602 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$120.40 |
$602 |
0.5× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$286.20 |
$1,431 |
0.7× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$286.20 |
$1,431 |
0.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,056.40 |
$5,282 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$410.80 |
$2,054 |
0.6× |
| Unlisted Procedure Intestine (44799) |
$161 |
$805 |
0.2× |
| Unlisted procedure larynx (31599) |
$360.40 |
$1,802 |
1.5× |
| Unlisted procedure liver (47399) |
$1,110.60 |
$5,553 |
1.6× |
| Unlisted Procedure Muscskeletal System General (20999) |
$1,110.60 |
$5,553 |
4.5× |
| Unlisted procedure stomach (43999) |
$109.40 |
$547 |
0.1× |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$1,265.60–$6,216.60 |
$6,328–$31,083 |
varies |
| Von willebrand factor type 2b plasma (0283U) |
$82.80 |
$414 |
4.5× |
| Vw factor type 2n eval plsm (0284U) |
$118.80 |
$594 |
6.9× |
| Wedge excision skin nail fold (11765) |
$100.40 |
$502 |
0.2× |