| Abd paracentesis w/imaging (49083) |
$446.40 |
$2,232 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$446.40 |
$2,232 |
0.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$3,967 |
$19,835.02 |
3.7× |
| Application cast elbow finger short arm (29075) |
$71.20 |
$356 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$63 |
$315 |
1.2× |
| Application finger splint static (29130) |
$84.40 |
$422 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$84.40 |
$422 |
0.6× |
| Application Long Leg Splint (29505) |
$132.80 |
$664 |
0.9× |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
$275.20–$550.40 |
$1,376–$2,752 |
varies |
| Application Short Arm Splint Dynamic (29126) |
$101 |
$505 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$50.80 |
$254 |
0.4× |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$84.40–$157.80 |
$422–$789 |
varies |
| Apply hand/wrist cast (29085) |
$40.80 |
$204 |
0.3× |
| Apply Short Leg Cast (29405) |
$71.20 |
$356 |
0.3× |
| Arterial puncture (36600) |
$44.80 |
$224 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$631.20 |
$3,156 |
2.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$65.60–$131.20 |
$328–$656 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines |
$631.20–$1,262.40 |
$3,156–$6,312 |
varies |
| Arthrodesis great toe interphalangeal joint (28755) |
$4,799.10 |
$23,995.51 |
0.7× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$13,690.49 |
$68,452.44 |
2.1× |
| Aspirate pleura w/ imaging (32555) |
$545.80 |
$2,729 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$750 |
$3,750 |
1.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$187.60 |
$938 |
0.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$319.20 |
$1,596 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,780 |
$8,900 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$87.80 |
$439 |
0.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$430.20 |
$2,151 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$838.80 |
$4,194 |
0.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$357.80 |
$1,789 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$356.80 |
$1,784 |
0.4× |
| Bladder Irrigation (51700) |
$99.80 |
$499 |
0.4× |
| Bladder Scan (51798) |
$52.80 |
$264 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$631.20 |
$3,156 |
2.2× |
| Blood Transfusion Service (36430) |
$380.40 |
$1,902 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$777.60 |
$3,888 |
0.5× |
| Bronchoscopy W/Biopsy(S) (31625) |
$777.60 |
$3,888 |
0.5× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$777.60 |
$3,888 |
0.2× |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
$362–$724 |
$1,810–$3,620 |
varies |
| Bx breast needle core w/o imaging guidance spx (19100) |
$296.40 |
$1,482 |
0.2× |
| Bx Cervix (57500) |
$357.80 |
$1,789 |
0.4× |
| Bx/exc lymph node open deep axillary node (38525) |
$8,997.62 |
$44,988.08 |
2.5× |
| Canthotomy Separate Procedure (67715) |
$1,343.20 |
$6,716 |
0.6× |
| Cataract surgery complex (66982) |
$4,662.62 |
$23,313.12 |
2.2× |
| Catheter aspiration nasotracheal spx (31720) |
$66.60 |
$333 |
0.3× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$631.20 |
$3,156 |
2.3× |
| Change Cystostomy Tube Simple (51705) |
$192.40 |
$962 |
0.9× |
| Chemical Cautery Tissue (17250) |
$87.80 |
$439 |
0.5× |
| Chest tube placement (32551) |
$460.40 |
$2,302 |
0.3× |
| Circumcision Neonate (54160) |
$330.40 |
$1,652 |
0.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$330.40 |
$1,652 |
0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,467.60 |
$7,338 |
1.0× |
| Clear outer ear canal (69200) |
$115.80 |
$579 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$142.40 |
$712 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$750 |
$3,750 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$142.40 |
$712 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$142.40 |
$712 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$284.60 |
$1,423 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$416.80 |
$2,084 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$750 |
$3,750 |
0.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$284.60 |
$1,423 |
0.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$142.40 |
$712 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$142.40 |
$712 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,467.60 |
$7,338 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$540.80 |
$2,704 |
2.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$284.60 |
$1,423 |
0.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,157.60 |
$5,788 |
5.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$284.60 |
$1,423 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$142.40 |
$712 |
0.6× |
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines |
$90.20–$1,157.60 |
$451–$5,788 |
varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$209.40 |
$1,047 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$284.60 |
$1,423 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$284.60 |
$1,423 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$631.20 |
$3,156 |
2.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$645.60 |
$3,228 |
2.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$298.80 |
$1,494 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$140.60 |
$703 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$284.60 |
$1,423 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$142.40 |
$712 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$340.80 |
$1,704 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$483.20 |
$2,416 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$142.40 |
$712 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$284.60 |
$1,423 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$284.60 |
$1,423 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$142.40 |
$712 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$957 |
$4,785 |
0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$339 |
$1,695 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$284.60 |
$1,423 |
0.2× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$142.40 |
$712 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$261.40 |
$1,307 |
0.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$53 |
$265 |
0.4× |
| Collection of venous blood by venipuncture (36415) |
$3 |
$15 |
0.3× |
| Colonoscopy thru stoma (44388) |
$575.60 |
$2,878 |
0.7× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$746.60 |
$3,733 |
0.7× |
| Colonoscopy w/fb removal (45379) |
$1,040 |
$5,200 |
1.0× |
| Colonoscopy W/Resection (45390) |
$1,125.20 |
$5,626 |
0.4× |
| Colonoscopy w/submucosal inj (45381) |
$1,040 |
$5,200 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$204.80 |
$1,024 |
0.7× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$204.80 |
$1,024 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$204.80 |
$1,024 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$204.80 |
$1,024 |
0.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$631.20 |
$3,156 |
2.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$750 |
$3,750 |
0.9× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,040 |
$5,200 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,040 |
$5,200 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,883.25 |
$24,416.27 |
1.7× |
| Conization of cervix (57520) |
$4,419.08 |
$22,095.41 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$101.40 |
$507 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$101.40 |
$507 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,467.60 |
$7,338 |
1.0× |
| Correction hammertoe (28285) |
$9,097.97 |
$45,489.84 |
3.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$12,112.48 |
$60,562.40 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$71.20 |
$356 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$403.60 |
$2,018 |
0.2× |
| Cystourethroscopy (52000) |
$750 |
$3,750 |
1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$646 |
$3,230 |
1.0× |
| Debride nail 1-5 (11720) |
$31.60 |
$158 |
0.6× |
| Debride nail 6 or more (11721) |
$31.60 |
$158 |
0.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,246.40 |
$6,232 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$5,810.19 |
$29,050.94 |
15.8× |
| Destroy cerv/thor facet jnt (64633) |
$25.20 |
$126 |
0.0× |
| Destruction Lesions Vulva Extensive (56515) |
$1,450.20 |
$7,251 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$49 |
$245 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$405 |
$2,025 |
0.5× |
| Dilate Esophagus 1/Mult Pass (43450) |
$379.60 |
$1,898 |
0.5× |
| Drain Cerebro Spinal Fluid (62272) |
$170.40 |
$852 |
0.3× |
| Drainage external auditory canal abscess (69020) |
$125 |
$625 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$125 |
$625 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$965 |
$4,825 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$178.80 |
$894 |
0.8× |
| Drainage of finger abscess simple (26010) |
$186.60 |
$933 |
1.0× |
| Drainage of gum lesion (41800) |
$186.60 |
$933 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$1,246.40 |
$6,232 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$186.60 |
$933 |
0.1× |
| Drainage of scrotum (54700) |
$1,933.20 |
$9,666 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$34 |
$170 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$100.60 |
$503 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$50.80 |
$254 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$128.40 |
$642 |
0.7× |
| Dstrj Lesion Anus Extensive (46924) |
$3,582.21 |
$17,911.05 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$6,223.94 |
$31,119.70 |
2.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,340.60 |
$6,703 |
0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,020 |
$5,100 |
0.6× |
| Egd cautery tumor polyp (43250) |
$1,020 |
$5,100 |
0.6× |
| Egd control bleeding any (43255) |
$1,020 |
$5,100 |
0.6× |
| Egd dilation gastric/duodenal stricture (43245) |
$578 |
$2,890 |
0.3× |
| Egd Flexible Foreign Body Removal (43247) |
$1,020 |
$5,100 |
1.2× |
| Egd guide wire insertion (43248) |
$1,020 |
$5,100 |
1.2× |
| Egd place gastrostomy tube (43246) |
$1,020 |
$5,100 |
0.6× |
| Egd remove lesion snare (43251) |
$1,020 |
$5,100 |
0.6× |
| Endocervical curettage (57505) |
$204.80 |
$1,024 |
0.2× |
| Endometrial Biopsy (58100) |
$631.20 |
$3,156 |
3.4× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,020 |
$5,100 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$142.20 |
$711 |
1.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$343 |
$1,715 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,240.20 |
$6,201 |
0.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,171.15 |
$25,855.75 |
1.5× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$750 |
$3,750 |
0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$4,679.83 |
$23,399.13 |
7.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$574 |
$2,870 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$574 |
$2,870 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$574 |
$2,870 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$3,620.90 |
$18,104.51 |
2.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$574 |
$2,870 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,240.20 |
$6,201 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,618.20 |
$8,091 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,240.20 |
$6,201 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$5,940.12 |
$29,700.61 |
5.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$343 |
$1,715 |
0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$343 |
$1,715 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,240.20 |
$6,201 |
0.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,190.40 |
$10,952 |
0.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$838.80 |
$4,194 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,618.20 |
$8,091 |
1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,348.60 |
$6,743 |
0.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$2,606 |
$13,030 |
1.9× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$574 |
$2,870 |
0.9× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$5,798.72 |
$28,993.58 |
2.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$4,648.15 |
$23,240.77 |
1.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,499.38 |
$17,496.91 |
1.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$7,924 |
$39,619.98 |
3.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$6,803.61 |
$34,018.06 |
2.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,366.03 |
$21,830.15 |
2.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,452 |
$17,259.98 |
2.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,159.60 |
$10,798 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$4,609.81 |
$23,049.05 |
1.8× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$6,269.84 |
$31,349.18 |
2.9× |
| Explo/Drain Breast Abscess (19020) |
$2,537.71 |
$12,688.54 |
1.7× |
| Exploration penetrating wound spx extremity (20103) |
$6,240.06 |
$31,200.28 |
4.2× |
| External cephalic version (59412) |
$1,933.20 |
$9,666 |
0.7× |
| Fetal Contraction Stress Test (59020) |
$140.40 |
$702 |
0.8× |
| Fetal non-stress test (59025) |
$125.20 |
$626 |
0.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$750 |
$3,750 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$631.20 |
$3,156 |
1.7× |
| Fluoro exam of g/colon tube (49465) |
$106.20 |
$531 |
0.5× |
| Fna bx w/us gdn 1st les (10005) |
$801.40 |
$4,007 |
1.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$6,649.88 |
$33,249.40 |
2.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$6,853.17 |
$34,265.85 |
2.7× |
| Hysteroscopy Biopsy (58558) |
$3,964.68 |
$19,823.40 |
1.4× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,368.27 |
$26,841.37 |
1.2× |
| I&d abscess peritonsillar (42700) |
$186.60 |
$933 |
0.9× |
| I&d abscess simple (10060) |
$186.60 |
$933 |
1.0× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$1,933.20 |
$9,666 |
0.8× |
| I&d perianal abscess superficial (46050) |
$362 |
$1,810 |
0.4× |
| I&d pilonidal cyst complicated (10081) |
$315.20 |
$1,576 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$186.60 |
$933 |
0.3× |
| Incise external hemorrhoid (46083) |
$259.40 |
$1,297 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$186.60 |
$933 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$183.20 |
$916 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$204.80 |
$1,024 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$362 |
$1,810 |
1.3× |
| Incision of rectal abscess (46040) |
$1,555.40 |
$7,777 |
1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$50.80 |
$254 |
0.3× |
| Injection for identification of sentinel node (38792) |
$155.60 |
$778 |
0.4× |
| Injection single tendon origin/insertion (20551) |
$65.60 |
$328 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$65.60 |
$328 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$313 |
$1,565 |
0.5× |
| Insert cath pleura w/o image (32556) |
$1,467.60 |
$7,338 |
0.8× |
| Insert cervical dilator (59200) |
$204.80 |
$1,024 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$680.60 |
$3,403 |
0.2× |
| Insert pessary/other device (57160) |
$108.60 |
$543 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$99.40 |
$497 |
0.8× |
| Insert tunneled cv cath (36561) |
$4,782.38 |
$23,911.90 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$95.40 |
$477 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$601.60 |
$3,008 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$680.60 |
$3,403 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,756.80 |
$8,784 |
0.6× |
| Insrt heart pm atrial & vent (33208) |
$5,291.60 |
$26,458 |
0.6× |
| Interdental fixation (21110) |
$558.40 |
$2,792 |
0.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$348.80 |
$1,744 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$185.40 |
$927 |
0.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$236.40 |
$1,182 |
1.0× |
| Lap paraesophag hern repair (43281) |
$18,086.97 |
$90,434.87 |
1.9× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$14,367.83 |
$71,839.14 |
1.5× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,043.46 |
$60,217.29 |
1.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$7,382.95 |
$36,914.76 |
1.3× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,181.30 |
$35,906.51 |
1.3× |
| Laparoscopy, surgical, appendectomy (44970) |
$10,023.38 |
$50,116.90 |
1.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$17,327.21 |
$86,636.07 |
1.8× |
| Laparoscopy, Tubal Block (58671) |
$5,893.97 |
$29,469.87 |
1.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,037.94 |
$30,189.68 |
1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$10,325.43 |
$51,627.14 |
1.9× |
| Marsupialization of bartholin's gland cyst (56440) |
$4,342.44 |
$21,712.20 |
1.5× |
| Mastectomy partial (19301) |
$6,449.81 |
$32,249.04 |
1.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$14,597.06 |
$72,985.28 |
2.4× |
| Mastectomy simple complete (19303) |
$16,553.49 |
$82,767.46 |
2.8× |
| Maternity Care Procedure (59899) |
$97.80 |
$489 |
0.5× |
| Myringoplasty (69620) |
$4,226.75 |
$21,133.75 |
1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$95.40 |
$477 |
0.2× |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
$1,467.60–$2,935.20 |
$7,338–$14,676 |
varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$15.80 |
$79 |
0.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$23.60 |
$118 |
0.9× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$102.40 |
$512 |
0.4× |
| Neuroeltrd Stim Post Tibial (64566) |
$631.20 |
$3,156 |
2.3× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$515.60 |
$2,578 |
0.7× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$1,511.80 |
$7,559 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$54.60 |
$273 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$203 |
$1,015 |
0.3× |
| Occipital Nerve Block (64405) |
$631.20 |
$3,156 |
2.3× |
| Open treatment metatarsal fracture each (28485) |
$10,366.92 |
$51,834.59 |
1.6× |
| Ostc prtl exostc/condylc metar head (28288) |
$4,173.30 |
$20,866.50 |
1.4× |
| Ostectomy calcaneus (28118) |
$8,783.75 |
$43,918.74 |
3.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$6,425.43 |
$32,127.16 |
2.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$4,035.50 |
$20,177.48 |
1.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,222.29 |
$21,111.45 |
1.4× |
| Part remv talus or calcaneus (28120) |
$8,282.38 |
$41,411.91 |
2.8× |
| Penile Injection (54235) |
$1,157.60 |
$5,788 |
5.1× |
| Perq dev breast 1st us imag (19285) |
$130.20 |
$651 |
0.2× |
| Perq device breast 1st imag (19281) |
$130.20 |
$651 |
0.1× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,933.20 |
$9,666 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$77.40 |
$387 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$750 |
$3,750 |
0.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$6,048.32 |
$30,241.62 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$244.20 |
$1,221 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$171 |
$855 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$147 |
$735 |
0.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,190.80 |
$5,954 |
0.7× |
| Removal Embedded Foreign Body Eyelid (67938) |
$631.20 |
$3,156 |
2.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$343 |
$1,715 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$343 |
$1,715 |
0.2× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$92–$184 |
$460–$920 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
$50.80–$101.60 |
$254–$508 |
varies |
| Removal Implant Deep (20680) |
$4,726.07 |
$23,630.34 |
1.8× |
| Removal of adenoids (42835) |
$4,152.79 |
$20,763.96 |
1.4× |
| Removal of foreign body from pharynx (42809) |
$631.20 |
$3,156 |
1.6× |
| Removal of nail bed (11750) |
$343 |
$1,715 |
0.9× |
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines |
$87.80–$631.20 |
$439–$3,156 |
varies |
| Removal sweat gland lesion (11450) |
$6,459.30 |
$32,296.51 |
2.5× |
| Remove armpit lymph nodes (38740) |
$9,008.63 |
$45,043.14 |
1.6× |
| Remove drug implant device (11982) |
$191.40 |
$957 |
0.5× |
| Remove foreign body from eye (65205) |
$102.40 |
$512 |
0.9× |
| Remove Intrauterine Device (58301) |
$3,411.05 |
$17,055.27 |
12.4× |
| Remove Nasal Foreign Body (30300) |
$186.80 |
$934 |
1.6× |
| Repair Achilles Tendon (27650) |
$9,390.35 |
$46,951.74 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$567.20 |
$2,836 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,622.20 |
$8,111 |
4.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$567.20 |
$2,836 |
1.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$8,130.79 |
$40,653.94 |
2.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$12,247.62 |
$61,238.12 |
3.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$210.20 |
$1,051 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$210.20 |
$1,051 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$298.60 |
$1,493 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$298.60 |
$1,493 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$957 |
$4,785 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$198.20 |
$991 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$298.60 |
$1,493 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$957 |
$4,785 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$237.40 |
$1,187 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$198.20 |
$991 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$298.60 |
$1,493 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$298.60 |
$1,493 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$198.20 |
$991 |
0.5× |
| Repair tongue laceration (41250) |
$372.60 |
$1,863 |
0.9× |
| Replace g/c tube perc (49450) |
$248.40 |
$1,242 |
0.3× |
| Reposition Gastrostomy Tube (43761) |
$712.80 |
$3,564 |
3.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$148.60 |
$743 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$107.40 |
$537 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,467.60 |
$7,338 |
1.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,157.60 |
$5,788 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,352.13 |
$16,760.67 |
2.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$680.60 |
$3,403 |
1.2× |
| Rplc Gtube No Revj Trc (43762) |
$53.20 |
$266 |
0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$7,692.30 |
$38,461.48 |
2.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$15,100.49 |
$75,502.46 |
2.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$9,073 |
$45,365.01 |
2.8× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,962.38 |
$44,811.88 |
1.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,537.09 |
$32,685.44 |
1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$156 |
$780 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$696.80 |
$3,484 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$696.80 |
$3,484 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$599.80 |
$2,999 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$570.80 |
$2,854 |
0.5× |
| Sigmoidoscopy & Polypectomy (45333) |
$685 |
$3,425 |
0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$405 |
$2,025 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$957 |
$4,785 |
2.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$198.20 |
$991 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$156 |
$780 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$156 |
$780 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$198.20 |
$991 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$156 |
$780 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$405.80 |
$2,029 |
0.6× |
| Skin sub grft t/arm/lg child (15273) |
$13,111.03 |
$65,555.16 |
7.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,714.36 |
$48,571.82 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$198.20 |
$991 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$198.20 |
$991 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$156.40 |
$782 |
0.2× |
| Strapping ankle (29540) |
$53 |
$265 |
0.4× |
| Strapping elbow or wrist (29260) |
$54 |
$270 |
1.0× |
| Strapping knee (29530) |
$53 |
$265 |
0.4× |
| Strapping shoulder (29240) |
$58.40 |
$292 |
0.5× |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
$73.60–$147.20 |
$368–$736 |
varies |
| Subcutaneous Hormone Pellet Implantation (11980) |
$631.20 |
$3,156 |
1.6× |
| Surg tx anal fistula subq (46270) |
$1,689 |
$8,445 |
0.7× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$1,370.20 |
$6,851 |
0.5× |
| Thrombolytic Therapy Stroke (37195) |
$89.40 |
$447 |
0.3× |
| Thrombolytic Venous Therapy (37212) |
$2,736.20 |
$13,681 |
1.0× |
| Thyroid biopsy (60100) |
$147 |
$735 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$5,496.12 |
$27,480.62 |
1.8× |
| Tooth extraction (41899) |
$713.40 |
$3,567 |
3.3× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$631.20 |
$3,156 |
2.3× |
| Transfusion Intrauterine Fetal (36460) |
$631.20 |
$3,156 |
1.6× |
| Treat Knuckle Dislocation (26700) |
$142.40 |
$712 |
0.6× |
| Treat Metatarsal Fracture (28475) |
$631.20 |
$3,156 |
2.8× |
| Treat Thumb Fracture (26645) |
$712.80 |
$3,564 |
0.5× |
| Treat toe dislocation (28630) |
$631.20 |
$3,156 |
2.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$637.60 |
$3,188 |
2.9× |
| Trim skin lesions 2 to 4 (11056) |
$63 |
$315 |
0.3× |
| Trim skin lesions over 4 (11057) |
$75 |
$375 |
0.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$62.20 |
$311 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,420.12 |
$17,100.58 |
1.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,723.98 |
$13,619.89 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$93.40 |
$467 |
0.3× |
| Tympanostomy general anesthesia (69436) |
$2,282.07 |
$11,410.34 |
1.6× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$5,344.08 |
$26,720.39 |
1.6× |
| Unlisted procedure anus (46999) |
$6,132.23 |
$30,661.13 |
7.3× |
| Unlisted procedure nervous system (64999) |
$750 |
$3,750 |
2.7× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$116.40 |
$582 |
0.5× |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$44.80–$3,927.60 |
$224–$19,638 |
varies |
| Unlisted px female genital system nonobstetrical (58999) |
$2,603.96 |
$13,019.78 |
14.2× |
| Wedge excision skin nail fold (11765) |
$135.20 |
$676 |
0.4× |
| Wound Prep Trk/Arm/Leg (15002) |
$9,403.52 |
$47,017.59 |
14.1× |