| Abd paracentesis w/imaging (49083) |
$854.40 |
$4,272 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$352 |
$1,760 |
0.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$341.70 |
$1,708.50 |
0.4× |
| Application finger splint static (29130) |
$39.60 |
$198 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$72.60 |
$363 |
0.5× |
| Application Long Leg Splint (29505) |
$77 |
$385 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$60.50 |
$302.50 |
0.5× |
| Application short leg splint calf foot (29515) |
$77 |
$385 |
0.5× |
Arterial puncture (36600) range across 5 matching MRF lines |
$50.60–$120.20 |
$253–$601 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$149.60 |
$748 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$143 |
$715 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$143 |
$715 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$598.80 |
$2,994 |
1.1× |
| Aspirate Pleura W/O Imaging (32554) |
$281.60 |
$1,408 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$55 |
$275 |
0.3× |
| Bladder Irrigation (51700) |
$134.60 |
$673 |
0.6× |
Bladder Scan (51798) range across 4 matching MRF lines |
$33–$47.60 |
$165–$238 |
varies |
Blood Transfusion Service (36430) range across 9 matching MRF lines |
$287.70–$422 |
$1,438.50–$2,110 |
varies |
Catheter aspiration nasotracheal spx (31720) range across 4 matching MRF lines |
$101.20–$198.20 |
$506–$991 |
varies |
Change of Windpipe Airway (31502) range across 4 matching MRF lines |
$114.40–$215.10 |
$572–$1,075.50 |
varies |
| Chest tube placement (32551) |
$539 |
$2,695 |
0.4× |
| Clear outer ear canal (69200) |
$77 |
$385 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$156.20 |
$781 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$97.90 |
$489.50 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$110 |
$550 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$105.60 |
$528 |
0.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$149.60 |
$748 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$121.90 |
$609.50 |
0.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$616 |
$3,080 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$143 |
$715 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$156.20 |
$781 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$77 |
$385 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$97.90 |
$489.50 |
0.4× |
| Collection of venous blood by venipuncture (36415) |
$5.50 |
$27.50 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$66 |
$330 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$55 |
$275 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$99 |
$495 |
0.8× |
| Debride nail 1-5 (11720) |
$77 |
$385 |
1.4× |
| Drainage of finger abscess simple (26010) |
$115.50 |
$577.50 |
0.6× |
| Drainage of gum lesion (41800) |
$71.50 |
$357.50 |
0.6× |
Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
$50.60–$120.20 |
$253–$601 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$187 |
$935 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$76.90 |
$384.50 |
0.4× |
| Egd place gastrostomy tube (43246) |
$847 |
$4,235 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$44 |
$220 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$132 |
$660 |
0.6× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$77–$704 |
$385–$3,520 |
varies |
| I&d perianal abscess superficial (46050) |
$410.60 |
$2,053 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$344.70 |
$1,723.50 |
0.5× |
Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$308.90–$704 |
$1,544.50–$3,520 |
varies |
| Incision & removal foreign body subq tiss simple (10120) |
$176 |
$880 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$92.40 |
$462 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$179.30 |
$896.50 |
0.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$345.40 |
$1,727 |
0.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$345.40 |
$1,727 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$61.60 |
$308 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$704 |
$3,520 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$55 |
$275 |
0.5× |
| Insert tun ip cath perc (49418) |
$1,157.62 |
$5,788.10 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$55 |
$275 |
0.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,083.20 |
$15,416 |
1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$181.50 |
$907.50 |
0.5× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$181.50 |
$907.50 |
0.5× |
Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$89.10–$704 |
$445.50–$3,520 |
varies |
Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$748 |
$3,740 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$92.40 |
$462 |
0.5× |
| N block inj intercost sng (64420) |
$356.40 |
$1,782 |
0.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$149.60 |
$748 |
0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,665.80 |
$18,329 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$339.20 |
$1,696 |
0.5× |
Perq device breast 1st imag (19281) range across 5 matching MRF lines |
$451–$1,552 |
$2,255–$7,760 |
varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$143 |
$715 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$44 |
$220 |
0.8× |
| Removal of nail bed (11750) |
$176 |
$880 |
0.5× |
| Remove foreign body from eye (65205) |
$132 |
$660 |
1.1× |
| Remove Nasal Foreign Body (30300) |
$99 |
$495 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$209 |
$1,045 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$209 |
$1,045 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$181.50 |
$907.50 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$209 |
$1,045 |
0.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$209 |
$1,045 |
0.6× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 4 matching MRF lines |
$209–$704 |
$22–$3,520 |
varies |
| Repair complex trunk 1.1-2.5 cm (13100) |
$209 |
$1,045 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$209 |
$1,045 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$209 |
$1,045 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$143 |
$715 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$143 |
$715 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$143 |
$715 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$181.50 |
$907.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$209 |
$1,045 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$143 |
$715 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$143 |
$715 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$319 |
$1,595 |
0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$429 |
$2,145 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$181.50 |
$907.50 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$143 |
$715 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$143 |
$715 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$238.70 |
$1,193.50 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$143 |
$715 |
0.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$429 |
$2,145 |
0.2× |
| Repair tongue laceration (41250) |
$781 |
$3,905 |
1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$159.40 |
$797 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$61.60 |
$308 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$127.60 |
$638 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$99 |
$495 |
0.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$214.50 |
$1,072.50 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$181.50 |
$907.50 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$99 |
$495 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$99 |
$495 |
0.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$187 |
$935 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$99 |
$495 |
0.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$209 |
$1,045 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$99 |
$495 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$209 |
$1,045 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$99 |
$495 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$99 |
$495 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$143 |
$715 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$187 |
$935 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$293.60 |
$1,468 |
0.5× |
| Strapping ankle (29540) |
$77 |
$385 |
0.5× |
| Strapping elbow or wrist (29260) |
$33 |
$165 |
0.6× |
| Strapping knee (29530) |
$77 |
$385 |
0.6× |
| Strapping shoulder (29240) |
$77 |
$385 |
0.6× |
| Strapping thorax (29200) |
$77 |
$385 |
0.5× |
| Strapping toes (29550) |
$33 |
$165 |
0.6× |
| Strapping Unna Boot (29580) |
$77 |
$385 |
0.5× |
Tooth extraction (41899) range across 2 matching MRF lines |
$704 |
$22–$3,520 |
3.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$605 |
$3,025 |
0.4× |
| Treat Thumb Dislocation (26641) |
$97.90 |
$489.50 |
0.4× |
| Treat toe dislocation (28630) |
$66 |
$330 |
0.3× |
Treatment closed elbow dislocation w/o anes (24600) range across 4 matching MRF lines |
$134.60–$176 |
$673–$880 |
varies |
| Tx Gastro Intub W/Asp (43753) |
$134.60 |
$673 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$209 |
$1,045 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$181.50 |
$907.50 |
0.5× |
| Wedge excision skin nail fold (11765) |
$107.80 |
$539 |
0.3× |