| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,037.25 |
$2,305 |
1.3× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$12,468.82 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$11,172.48 |
— |
| Anoscopy diagnostic (46600) |
$191.25 |
$425 |
1.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,465.65 |
$3,257 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$144.45 |
$321 |
2.7× |
| Application finger splint static (29130) |
$144.45 |
$321 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$144.45 |
$321 |
1.0× |
| Application Long Leg Splint (29505) |
$199.80 |
$444 |
1.4× |
| Application of rigid total contact leg cast (29445) |
$495.90 |
$1,102 |
2.0× |
| Application Short Arm Splint Dynamic (29126) |
$144.45 |
$321 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$144.45 |
$321 |
1.2× |
| Application short leg splint calf foot (29515) |
$199.80 |
$444 |
1.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$197.10 |
$438 |
1.3× |
| Arterial puncture (36600) |
$6.30 |
$14 |
0.1× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$83.25–$279.68 |
$185–$621.50 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$60.30–$120.60 |
$134–$268 |
varies |
| Aspirate pleura w/ imaging (32555) |
$1,109.70 |
$2,466 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$212.85 |
$473 |
1.2× |
| Biopsy bone open superficial (20240) |
$3,878.55 |
$8,619 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$595.35 |
$1,323 |
0.4× |
| Biopsy of rectum (45100) |
$5,629.50 |
$12,510 |
2.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$341.55 |
$759 |
0.5× |
| Bladder Irrigation (51700) |
$179.55 |
$399 |
0.8× |
| Bladder Scan (51798) |
$93.60 |
$208 |
1.8× |
| Blood Transfusion Service (36430) |
$482.85 |
$1,073 |
1.2× |
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines |
$1,778.40–$3,556.80 |
$3,952–$7,904 |
varies |
| Bx Cervix (57500) |
$792.90 |
$1,762 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$115.65 |
$257 |
0.6× |
| Chemical Cautery Tissue (17250) |
$211.95 |
$471 |
1.2× |
| Chest tube placement (32551) |
$472.50 |
$1,050 |
0.3× |
| Circumcision Neonate (54160) |
$1,103.85 |
$2,453 |
1.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,103.85 |
$2,453 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$70.20 |
$156 |
0.0× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$83.70–$141.75 |
$186–$315 |
varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$242.10 |
$538 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$226.35 |
$503 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$484.20 |
$1,076 |
0.3× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,019.60 |
$4,488 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$531.90 |
$1,182 |
2.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,019.60 |
$4,488 |
9.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$175.05 |
$389 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$484.20 |
$1,076 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$484.20 |
$1,076 |
0.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$175.05 |
$389 |
0.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$550.80 |
$1,224 |
2.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$242.10 |
$538 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$61.65 |
$137 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$484.20 |
$1,076 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,191.95 |
$4,871 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$432.45 |
$961 |
1.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$484.20 |
$1,076 |
0.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$484.20 |
$1,076 |
0.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$471.15 |
$1,047 |
2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$70.20 |
$156 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$175.05 |
$389 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$75.60 |
$168 |
0.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,760.40 |
$3,912 |
1.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,760.40 |
$3,912 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$242.10 |
$538 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$242.10 |
$538 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$484.20 |
$1,076 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$531.90 |
$1,182 |
2.4× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$897.30 |
$1,994 |
0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,296.35 |
$5,103 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$484.20 |
$1,076 |
2.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$484.20 |
$1,076 |
0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$242.10 |
$538 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$131.85 |
$293 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$471.15 |
$1,047 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$242.10 |
$538 |
0.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$74.25 |
$165 |
0.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,296.35 |
$5,103 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$131.85 |
$293 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$484.20 |
$1,076 |
2.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$242.10 |
$538 |
0.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$242.10 |
$538 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$531.90 |
$1,182 |
2.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$537.75 |
$1,195 |
0.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$766.80 |
$1,704 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,760.40 |
$3,912 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$242.10 |
$538 |
0.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$61.20 |
$136 |
0.5× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$3.60–$7.65 |
$8–$17 |
varies |
| Colonoscopy thru stoma (44388) |
$541.80 |
$1,204 |
0.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$541.80 |
$1,204 |
0.5× |
| Colonoscopy w/ablation (45388) |
$1,290.15 |
$2,867 |
1.2× |
| Colonoscopy W/Band Ligation (45398) |
$2,125.35 |
$4,723 |
2.0× |
| Colonoscopy w/fb removal (45379) |
$897.30 |
$1,994 |
0.8× |
| Colonoscopy W/Resection (45390) |
$1,668.15 |
$3,707 |
0.7× |
| Colonoscopy w/submucosal inj (45381) |
$1,290.15 |
$2,867 |
1.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$541.80 |
$1,204 |
0.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,290.15 |
$2,867 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$153.90 |
$342 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$56.25 |
$125 |
0.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$621.90 |
$1,382 |
0.9× |
| Debride nail 1-5 (11720) |
$81 |
$180 |
1.5× |
| Debride nail 6 or more (11721) |
$83.70 |
$186 |
1.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,528.20 |
$3,396 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$518.85 |
$1,153 |
1.4× |
| Declot vascular device (36593) |
$370.80 |
$824 |
1.2× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$746.10 |
$1,658 |
0.9× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$1,331.55–$2,663.10 |
$2,959–$5,918 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$1,172.25–$2,344.50 |
$2,605–$5,210 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$294.30 |
$654 |
1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,417.85 |
$5,373 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$360 |
$800 |
0.4× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,648.80 |
$3,664 |
2.0× |
| Drain Cerebro Spinal Fluid (62272) |
$328.95 |
$731 |
0.5× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,609.10 |
$5,798 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$792.90 |
$1,762 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,868.85 |
$4,153 |
1.2× |
| Drainage of finger abscess simple (26010) |
$160.65 |
$357 |
0.9× |
| Drainage of gum lesion (41800) |
$531.90 |
$1,182 |
4.4× |
| Drainage of hematoma/fluid (10140) |
$341.55 |
$759 |
0.2× |
| Drainage of nose lesion (30000) |
$471.15 |
$1,047 |
2.2× |
| Drainage of scrotal wall abscess (55100) |
$2,713.50 |
$6,030 |
1.8× |
| Draw Blood Off Venous Device (36591) |
$13.50 |
$30 |
0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$143.55 |
$319 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$146.70 |
$326 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$146.70 |
$326 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$280.80 |
$624 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
— |
$12,370.82 |
— |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
$624.15–$1,248.30 |
$1,387–$2,774 |
varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,743.30 |
$3,874 |
1.0× |
| Egd cautery tumor polyp (43250) |
$890.10 |
$1,978 |
0.5× |
| Egd control bleeding any (43255) |
$1,743.30 |
$3,874 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,743.30 |
$3,874 |
1.0× |
| Egd Endoscopic Stent Place (43266) |
$5,008.50 |
$11,130 |
0.9× |
| Egd Flexible Foreign Body Removal (43247) |
$1,164.15 |
$2,587 |
1.4× |
| Egd guide wire insertion (43248) |
$1,164.15 |
$2,587 |
1.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,052.90 |
$4,562 |
1.2× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,052.90 |
$4,562 |
1.2× |
| Egd lesion ablation (43270) |
$890.10 |
$1,978 |
0.5× |
| Egd place gastrostomy tube (43246) |
$1,067.40 |
$2,372 |
0.6× |
| Egd remove lesion snare (43251) |
$2,052.90 |
$4,562 |
1.2× |
| Egd Tube/Cath Insertion (43241) |
$1,164.15 |
$2,587 |
0.7× |
| Egd us exam duodenum/jejunum (43259) |
$2,052.90 |
$4,562 |
1.2× |
| Egd Varices Ligation (43244) |
$1,743.30 |
$3,874 |
1.0× |
| Egd W/Thrml Txmnt Gerd (43257) |
$1,825.65 |
$4,057 |
0.5× |
| Endoscopy Upper Small Intestine (44360) |
$2,052.90 |
$4,562 |
1.2× |
| Epidural Blood Patch (62273) |
$679.50 |
$1,510 |
1.1× |
| Ercp duct stent placement (43274) |
$4,965.75 |
$11,035 |
0.9× |
| Ercp ea duct/ampulla dilate (43277) |
$1,737 |
$3,860 |
0.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,737.45 |
$3,861 |
0.5× |
| Ercp remove forgn body duct (43275) |
$4,025.25 |
$8,945 |
2.3× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,737.45 |
$3,861 |
0.5× |
| Ercp,Sphincterotomy (43262) |
$3,402 |
$7,560 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$488.70 |
$1,086 |
0.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,743.30 |
$3,874 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$1,743.30 |
$3,874 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$488.70 |
$1,086 |
0.6× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$890.19 |
$1,978.19 |
0.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,052.90 |
$4,562 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$94.50 |
$210 |
0.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$8,027.86 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$8,040.18 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$7,442.68 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$7,278.94 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$7,649.63 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$7,744.64 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$6,942.24 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$7,834.89 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$6,860.04 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$8,391.64 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$8,734.44 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$8,679.43 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$7,945.34 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$7,219.84 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$7,465.04 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$7,742.04 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$10,694.58 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$6,841.64 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$6,614.35 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$7,374.01 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$9,450.88 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$7,266.04 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$8,415.29 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$7,461.51 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$7,574.34 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$10,343.68 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$8,690.44 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$9,460.94 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$8,301.35 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$7,604.14 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$7,268.13 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$6,167.61 |
— |
| Fetal non-stress test (59025) |
$195.75 |
$435 |
1.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$13,489.86 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$13,464.89 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,090.80 |
$2,424 |
1.3× |
| I&d abscess peritonsillar (42700) |
$531.90 |
$1,182 |
2.5× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$131.85–$276.30 |
$293–$614 |
varies |
| I&d perianal abscess superficial (46050) |
$220.05 |
$489 |
0.3× |
| I&d pilonidal cyst complicated (10081) |
$493.65 |
$1,097 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$161.10 |
$358 |
0.3× |
| Incise external hemorrhoid (46083) |
$513.45 |
$1,141 |
2.3× |
| Incise finger tendon sheath (26055) |
— |
$8,577.36 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
$550.80 |
$1,224 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$549.90 |
$1,222 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$67.05 |
$149 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$531.90 |
$1,182 |
2.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$224.10 |
$498 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,543.95 |
$3,431 |
1.1× |
| Incision of rectal abscess (46040) |
$3,011.85 |
$6,693 |
2.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,609.10 |
$5,798 |
1.7× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$679.50–$1,359 |
$1,510–$3,020 |
varies |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines |
$679.50–$1,359 |
$1,510–$3,020 |
varies |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,074.50 |
$4,610 |
3.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,320.30 |
$2,934 |
2.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$330.30 |
$734 |
1.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$481.50 |
$1,070 |
0.8× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$198–$279.68 |
$440–$621.50 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$802.35 |
$1,783 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$202.50 |
$450 |
1.7× |
| Insert cath pleura w/o image (32556) |
$870.75 |
$1,935 |
0.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$114.30 |
$254 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$1,079.55 |
$2,399 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$647.10 |
$1,438 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$138.60 |
$308 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$60.30 |
$134 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$805.05 |
$1,789 |
0.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,283.40 |
$2,852 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$647.10 |
$1,438 |
0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$67.05 |
$149 |
0.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$595.35 |
$1,323 |
1.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,676.60 |
$5,948 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$373.50 |
$830 |
1.7× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$16,346.34 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$20,959.27 |
— |
| Late closure of wound (13160) |
$3,955.95 |
$8,791 |
1.2× |
| N block inj intercost sng (64420) |
$802.35 |
$1,783 |
1.3× |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
$679.50–$1,359 |
$1,510–$3,020 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$137.70 |
$306 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$471.15 |
$1,047 |
18.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$471.15 |
$1,047 |
18.0× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$486 |
$1,080 |
0.7× |
| Nfct agt sti mult amp prb tq vag endocrv/male ur (0402U) |
$176.85 |
$393 |
1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$515.70 |
$1,146 |
1.2× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$4,605.30 |
$10,234 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$679.50 |
$1,510 |
0.8× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$122.40–$244.80 |
$272–$544 |
varies |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$679.50–$1,359 |
$1,510–$3,020 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,683.45 |
$3,741 |
2.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$679.50 |
$1,510 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$432.35 |
$960.78 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,683.45 |
$3,741 |
2.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,172.25 |
$2,605 |
1.5× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$330.30–$660.60 |
$734–$1,468 |
varies |
| Open treatment metacarpophalangeal dislocation (26715) |
$4,761.90 |
$10,582 |
1.6× |
| Pericardiocentesis W/Imaging (33016) |
$486.90 |
$1,082 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$143.10 |
$318 |
0.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$786.60 |
$1,748 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$589.05 |
$1,309 |
1.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$75.60 |
$168 |
0.2× |
| Release of big toe (28240) |
$2,209.05 |
$4,909 |
0.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,133.80 |
$6,964 |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$1,111.50 |
$2,470 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$792.90 |
$1,762 |
1.2× |
| Removal Foreign Body Scrotum (55120) |
$3,888.45 |
$8,641 |
2.1× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$22.50–$136.80 |
$50–$304 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$110.25–$157.50 |
$245–$350 |
varies |
| Removal of nail bed (11750) |
$823.05 |
$1,829 |
2.2× |
| Removal sweat gland lesion (11450) |
— |
$8,253.08 |
— |
| Remove foreign body from eye (65205) |
$471.15 |
$1,047 |
3.9× |
| Remove Nasal Foreign Body (30300) |
$161.10 |
$358 |
1.3× |
| Remove Shoulder Foreign Body (23330) |
$1,111.50 |
$2,470 |
0.7× |
| Remove Tendon Sheath Lesion (26160) |
— |
$6,598.64 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$301.05 |
$669 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$301.05 |
$669 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$301.05 |
$669 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$301.05 |
$669 |
0.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$301.05 |
$669 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$301.05 |
$669 |
0.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$301.05 |
$669 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$301.05 |
$669 |
0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$12,475.54 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$195.75 |
$435 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$195.75 |
$435 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$195.75 |
$435 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$195.75 |
$435 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$595.35 |
$1,323 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$180.90 |
$402 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$195.75 |
$435 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$11.70 |
$26 |
0.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$766.80 |
$1,704 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$195.75 |
$435 |
0.5× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines |
$195.75–$270.45 |
$435–$601 |
varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$195.75 |
$435 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$531 |
$1,180 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$595.35 |
$1,323 |
0.3× |
| Repair of nail bed (11760) |
$471.15 |
$1,047 |
0.7× |
| Repair tongue laceration (41250) |
$766.80 |
$1,704 |
1.9× |
| Replace g/c tube perc (49450) |
$453.15 |
$1,007 |
0.6× |
| Rerepair ing hernia reduce (49520) |
— |
$15,875.10 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$211.95 |
$471 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$174.60 |
$388 |
1.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$185.40 |
$412 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$557.10 |
$1,238 |
0.5× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$2,020.50 |
$4,490 |
1.4× |
| Rplc Gtube No Revj Trc (43762) |
$490.95 |
$1,091 |
2.2× |
| Rplc gtube revj gstrst trc (43763) |
$603 |
$1,340 |
2.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$111.15 |
$247 |
0.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,318.05 |
$2,929 |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$13,966.54 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$9,712.63 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$13,880.40 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$14,916.51 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$471.15 |
$1,047 |
2.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$595.35 |
$1,323 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,059.30 |
$2,354 |
2.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,003.05 |
$2,229 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$897.30 |
$1,994 |
0.8× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$2,226.15 |
$4,947 |
2.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,003.05 |
$2,229 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$203.40 |
$452 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$195.75 |
$435 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$195.75 |
$435 |
1.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$203.40 |
$452 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$195.75 |
$435 |
1.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$595.35 |
$1,323 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$195.75 |
$435 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$203.40 |
$452 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$195.75 |
$435 |
1.1× |
| Small bowel endoscopy (44366) |
$1,111.05 |
$2,469 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$195.75 |
$435 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$766.80 |
$1,704 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$195.75 |
$435 |
0.5× |
| Strapping knee (29530) |
$90 |
$200 |
0.7× |
| Strapping shoulder (29240) |
$471.15 |
$1,047 |
3.9× |
| Strapping Unna Boot (29580) |
$261.90 |
$582 |
1.8× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$471.15 |
$1,047 |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,209.05 |
$4,909 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$9,318.02 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,066.95 |
$2,371 |
0.8× |
| Treat Hip Socket Fracture (27222) |
$804.15 |
$1,787 |
3.6× |
| Treat knee fracture (27532) |
$3,579.30 |
$7,954 |
1.2× |
| Treat Knuckle Dislocation (26700) |
$131.85 |
$293 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$550.80 |
$1,224 |
2.5× |
| Treat Thumb Dislocation (26641) |
$550.80 |
$1,224 |
2.5× |
| Treat Thumb Fracture (26645) |
$242.10 |
$538 |
0.2× |
| Treat toe dislocation (28630) |
$131.85 |
$293 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$491.85 |
$1,093 |
2.2× |
| Trim skin lesion (11055) |
$94.50 |
$210 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$126.90 |
$282 |
0.7× |
| Trimming Nondystrophic Nails Any Number (11719) |
$95.85 |
$213 |
1.8× |
| Tx Gastro Intub W/Asp (43753) |
$114.30 |
$254 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$959.40 |
$2,132 |
1.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$613.35 |
$1,363 |
1.7× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$6,221.48 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$5,627.40 |
— |
| Unlisted procedure anus (46999) |
— |
$10,833.10 |
— |
| Unlisted procedure nervous system (64999) |
$792.90 |
$1,762 |
2.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$6.30 |
$14 |
0.0× |
| Wound Prep F/N/Hf/G (15004) |
$1,025.10 |
$2,278 |
2.8× |
| Wound Prep Trk/Arm/Leg (15002) |
$999.45 |
$2,221 |
1.5× |