| Abd paracentesis w/imaging (49083) |
$1,480 |
$1,850 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,280 |
$1,600 |
1.3× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$12,000 |
$15,000 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,310.40 |
$2,888 |
1.0× |
| Amniocentesis diagnostic (59000) |
$615.20 |
$769 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,941.60 |
$4,927 |
1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,941.60 |
$4,927 |
1.1× |
| Anoscopy diagnostic (46600) |
$295.20 |
$369 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,360 |
$1,700 |
1.3× |
| Apheresis Platelets (36513) |
$1,200 |
$1,500 |
2.4× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,596 |
$1,995 |
0.9× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$800 |
$1,000 |
2.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$286.40 |
$358 |
1.6× |
| Application cast elbow finger short arm (29075) |
$483.20 |
$604 |
1.6× |
| Application finger splint static (29130) |
$265.60 |
$332 |
1.8× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$265.60–$271.20 |
$332–$339 |
varies |
| Application Long Leg Splint (29505) |
$265.60 |
$332 |
1.5× |
| Application of rigid total contact leg cast (29445) |
$542.40 |
$678 |
1.7× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$265.60–$271.20 |
$332–$339 |
varies |
| Application short leg splint calf foot (29515) |
$265.60 |
$332 |
1.5× |
| Apply long arm cast (29065) |
$483.20 |
$604 |
1.6× |
| Apply Multlay Comprs Lwr Leg (29581) |
$286.40 |
$358 |
1.6× |
| Apply short leg cast (29425) |
$265.60 |
$332 |
0.9× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$1,626.40 |
$2,033 |
0.5× |
| Arterial puncture (36600) |
$268 |
$335 |
1.8× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$360–$480 |
$450–$600 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$479.20–$480 |
$599–$600 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$516.80 |
$646 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$329.60 |
$412 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$1,277.60 |
$1,597 |
1.8× |
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines |
$964–$980 |
$1,205–$1,225 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$495.20 |
$619 |
1.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,791.20 |
$2,239 |
2.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,200 |
$4,000 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$336 |
$420 |
1.5× |
| Biopsy Abdominal Mass (49180) |
$1,920 |
$2,400 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,040 |
$2,550 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,300 |
$2,875 |
1.2× |
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines |
$1,512–$2,040 |
$1,890–$2,550 |
varies |
| Biopsy of liver, needle; percutaneous (47000) |
$1,816.80 |
$2,271 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,483.20 |
$3,104 |
1.3× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$1,770.40 |
$2,213 |
0.5× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$1,770.40 |
$2,213 |
0.5× |
| Biopsy Salivary Gland Needle (42400) |
$1,186.40 |
$1,483 |
1.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$2,143.20 |
$2,679 |
1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,428.80 |
$3,036 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$3,188.80 |
$3,986 |
1.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,920 |
$2,400 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$3,116.80 |
$3,896 |
1.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$600 |
$750 |
0.8× |
| Bladder Irrigation (51700) |
$383.20 |
$479 |
1.4× |
Bladder Scan (51798)
range across 2 matching MRF lines |
$130.40–$131.20 |
$163–$164 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
$472 |
$590 |
1.3× |
| Blood Transfusion Service (36430) |
$800.80 |
$1,001 |
1.6× |
| Bone Marrow Biopsy (38221) |
$1,598.40 |
$1,998 |
0.9× |
| Bone Marrow; Aspiration Only (38220) |
$2,436.80 |
$3,046 |
1.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,380.80 |
$2,976 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$2,000 |
$2,500 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$2,144.80 |
$2,681 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$2,000 |
$2,500 |
1.1× |
Bx prostate in-bore CT/MRI trgt les only 1st (55714)
likely a partial charge, not the full procedure |
$1,770.40 |
$2,213 |
0.3× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$1,770.40 |
$2,213 |
0.5× |
| Bx prostate transperineal ultrasound-guided (55709) |
$1,770.40 |
$2,213 |
0.5× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$1,770.40 |
$2,213 |
0.5× |
Bx prst8 in-bore CT/MRI bx 1 (55713)
likely a partial charge, not the full procedure |
$800 |
$1,000 |
0.1× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$1,770.40 |
$2,213 |
0.5× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$1,770.40 |
$2,213 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$401.60 |
$502 |
1.4× |
| Change of Windpipe Airway (31502) |
$362.40 |
$453 |
1.4× |
| Chemical Cautery Tissue (17250) |
$321.60 |
$402 |
1.4× |
| Chest tube placement (32551) |
$1,920 |
$2,400 |
1.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,576 |
$4,470 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$279.20 |
$349 |
0.1× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,596 |
$1,995 |
0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,596 |
$1,995 |
0.9× |
| Clear outer ear canal (69200) |
$206.40 |
$258 |
1.4× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$387.20 |
$484 |
1.4× |
| Closed Treat Vert Body Fract (22310) |
$369.60 |
$462 |
1.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$387.20 |
$484 |
1.4× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,596 |
$1,995 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$387.20 |
$484 |
1.4× |
| Closed Treatment Sternum Fracture (21820) |
$369.60 |
$462 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,920 |
$2,400 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$369.60 |
$462 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,920 |
$2,400 |
1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$387.20 |
$484 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$387.20 |
$484 |
1.4× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,848 |
$2,310 |
1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$815.20 |
$1,019 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,596 |
$1,995 |
0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,268 |
$2,835 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,800.80 |
$4,751 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$387.20 |
$484 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,596 |
$1,995 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,596 |
$1,995 |
0.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$387.20 |
$484 |
1.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,920 |
$2,400 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$387.20 |
$484 |
1.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$387.20 |
$484 |
1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$387.20 |
$484 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$369.60 |
$462 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,596 |
$1,995 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$387.20 |
$484 |
1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$387.20 |
$484 |
1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$387.20 |
$484 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$362.40 |
$453 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$387.20 |
$484 |
1.4× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$815.20 |
$1,019 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,596 |
$1,995 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$387.20 |
$484 |
1.4× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,596 |
$1,995 |
0.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,920 |
$2,400 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,920 |
$2,400 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$369.60 |
$462 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$387.20 |
$484 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$369.60 |
$462 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$387.20 |
$484 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,920 |
$2,400 |
1.1× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,720 |
$3,400 |
1.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,596 |
$1,995 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$387.20 |
$484 |
1.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$387.20 |
$484 |
1.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,596 |
$1,995 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$369.60 |
$462 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,920 |
$2,400 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$387.20 |
$484 |
1.4× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$387.20 |
$484 |
1.4× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,596 |
$1,995 |
0.9× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,596 |
$1,995 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$420 |
$525 |
1.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$387.20 |
$484 |
0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$387.20 |
$484 |
0.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,596 |
$1,995 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$420 |
$525 |
1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$960 |
$1,200 |
3.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$369.60 |
$462 |
1.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,596 |
$1,995 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$369.60 |
$462 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$369.60 |
$462 |
1.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,596 |
$1,995 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$387.20 |
$484 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$387.20 |
$484 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,596 |
$1,995 |
0.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$387.20 |
$484 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$387.20 |
$484 |
1.4× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,920 |
$2,400 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,073.60 |
$1,342 |
0.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,112.80 |
$2,641 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,596 |
$1,995 |
0.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$387.20 |
$484 |
1.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$387.20 |
$484 |
0.2× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$369.60 |
$462 |
1.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$387.20 |
$484 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,800 |
$3,500 |
1.6× |
| Collection of venous blood by venipuncture (36415) |
$15.20 |
$19 |
1.6× |
| Complex drainage wound (10180) |
$3,583.20 |
$4,479 |
1.1× |
| Composite Skin Graft (15760) |
$2,310.40 |
$2,888 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$193.60 |
$242 |
1.3× |
| Conversion ext bil drg cath (47535) |
$3,840 |
$4,800 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$4,057.60 |
$5,072 |
1.9× |
| Convert Nephrostomy Catheter (50434) |
$2,800 |
$3,500 |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,944.80 |
$2,431 |
1.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$376.80 |
$471 |
1.4× |
Curettage postpartum (59160)
range across 2 matching MRF lines |
$2,400–$2,448 |
$3,000–$3,060 |
varies |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,800 |
$3,500 |
1.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,478.40 |
$3,098 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$820 |
$1,025 |
1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,280 |
$4,100 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$987.20 |
$1,234 |
1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,008 |
$1,260 |
1.2× |
| Debride nail 1-5 (11720) |
$172 |
$215 |
2.6× |
| Debride nail 6 or more (11721) |
$247.20 |
$309 |
3.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,596 |
$1,995 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$664 |
$830 |
1.5× |
| Declot vascular device (36593) |
$425.60 |
$532 |
1.2× |
| Delivery of placenta (59414) |
$3,200 |
$4,000 |
0.9× |
| Derma-fat-fascia graft (15770) |
$3,920 |
$4,900 |
1.0× |
| Destruction of skin lesions (17106) |
$632 |
$790 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$321.60 |
$402 |
1.4× |
| Dilate Urethra Stricture (53620) |
$1,062.40 |
$1,328 |
1.4× |
| Drain Cerebro Spinal Fluid (62272) |
$960 |
$1,200 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,920 |
$2,400 |
1.0× |
| Drainage of finger abscess simple (26010) |
$328 |
$410 |
1.5× |
| Drainage of gum lesion (41800) |
$206.40 |
$258 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,960 |
$2,450 |
1.1× |
| Drainage of hydrocele (55000) |
$1,080 |
$1,350 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$2,400 |
$3,000 |
1.3× |
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines |
$144–$200 |
$180–$250 |
varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,151.20 |
$1,439 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$632 |
$790 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$321.60 |
$402 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$321.60 |
$402 |
1.4× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,903.20 |
$3,629 |
0.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,120 |
$1,400 |
1.4× |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
$889.60–$1,088 |
$1,112–$1,360 |
varies |
| Episiotomy or vaginal repair (59300) |
$4,000 |
$5,000 |
1.1× |
| Escharotomy; initial incision (16035) |
$632 |
$790 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$206.40 |
$258 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,596 |
$1,995 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,596 |
$1,995 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,596 |
$1,995 |
2.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,596 |
$1,995 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,596 |
$1,995 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,838.40 |
$2,298 |
1.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$564.80 |
$706 |
1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,596 |
$1,995 |
0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,840 |
$4,800 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,800 |
$3,500 |
1.2× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,920 |
$2,400 |
0.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,310.40 |
$2,888 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$2,310.40 |
$2,888 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,955.20 |
$2,444 |
1.1× |
| Exploration Penetrating Wound Spx Neck (20100) |
$815.20 |
$1,019 |
1.4× |
| External cephalic version (59412) |
$1,721.60 |
$2,152 |
0.5× |
| Fetal Contraction Stress Test (59020) |
$648.80 |
$811 |
2.9× |
| Fetal non-stress test (59025) |
$464.80 |
$581 |
2.1× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$2,310.40 |
$2,888 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,060 |
$2,575 |
2.6× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$990.40 |
$1,238 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$602.40 |
$753 |
1.3× |
| Fluid Pressure Muscle (20950) |
$1,033.60 |
$1,292 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$300 |
$375 |
1.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,244.80 |
$1,556 |
1.6× |
| Fna bx w/us gdn 1st les (10005) |
$1,352.80 |
$1,691 |
1.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,200 |
$1,500 |
1.5× |
| I&d abscess peritonsillar (42700) |
$428 |
$535 |
1.6× |
| I&d abscess simple (10060) |
$387.20 |
$484 |
1.7× |
| I&d perianal abscess superficial (46050) |
$1,280 |
$1,600 |
1.2× |
| I&d pilonidal cyst complicated (10081) |
$1,028.80 |
$1,286 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$920 |
$1,150 |
1.2× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,386.40 |
$4,233 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,520 |
$3,150 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,816.80 |
$2,271 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,816.80 |
$2,271 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,718.40 |
$2,148 |
0.9× |
| Incise external hemorrhoid (46083) |
$395.20 |
$494 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,028.80 |
$1,286 |
2.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,960 |
$2,450 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$592.80 |
$741 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$317.60 |
$397 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$520.80 |
$651 |
1.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,786.40 |
$2,233 |
1.0× |
| Incision of rectal abscess (46040) |
$1,721.60 |
$2,152 |
1.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,596 |
$1,995 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$321.60 |
$402 |
1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,440 |
$1,800 |
1.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$340 |
$425 |
1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$484 |
$605 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,455.20 |
$1,819 |
1.9× |
| Injection for identification of sentinel node (38792) |
$1,488 |
$1,860 |
3.3× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$484–$496.80 |
$605–$621 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$484 |
$605 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$484 |
$605 |
1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,478.40 |
$1,848 |
1.5× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$1,077.60–$1,142.40 |
$1,347–$1,428 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,120 |
$1,400 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$6,439.20 |
$8,049 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$248 |
$310 |
1.7× |
| Insert cath pleura w/ image (32557) |
$1,920 |
$2,400 |
1.1× |
| Insert cervical dilator (59200) |
$468 |
$585 |
1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,320 |
$2,900 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$3,360 |
$4,200 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$217.60 |
$272 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$239.20 |
$299 |
1.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,466.40 |
$6,833 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,920 |
$2,400 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$14,400 |
$18,000 |
1.6× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
$2,388.80–$2,389.60 |
$2,986–$2,987 |
varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,800 |
$6,000 |
1.4× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,440 |
$1,800 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$652 |
$815 |
1.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$652 |
$815 |
1.4× |
| Intro Gastrointestinal Tube (44500) |
$1,028 |
$1,285 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$639.20 |
$799 |
2.4× |
| Laryngoscopy diagnostic (31505) |
$325.60 |
$407 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$359.20 |
$449 |
1.6× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$684.80 |
$856 |
1.6× |
| Late closure of wound (13160) |
$2,310.40 |
$2,888 |
0.6× |
| Myelography Lumbar Injection (62305) |
$2,008.80 |
$2,511 |
2.3× |
| Myelography Lumbar Injection (62304) |
$2,008.80 |
$2,511 |
2.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$2,008.80 |
$2,511 |
2.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$2,008.80 |
$2,511 |
2.3× |
| N Block Inj Celiac Pelus (64530) |
$1,478.40 |
$1,848 |
1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,264 |
$1,580 |
1.6× |
| N Block Inj Plantar Digit (64455) |
$483.20 |
$604 |
1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$540 |
$675 |
1.1× |
| Needle Biopsy Lymph Nodes (38505) |
$2,000 |
$2,500 |
1.1× |
| Needle Biopsy Pancreas (48102) |
$2,556.80 |
$3,196 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$76 |
$95 |
2.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$120 |
$150 |
3.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$483.20 |
$604 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,840 |
$4,800 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,840 |
$4,800 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,684 |
$2,105 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,124.80 |
$1,406 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,124.80 |
$1,406 |
1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,200 |
$1,500 |
1.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,040 |
$1,300 |
1.3× |
| Obstructive material removal from gi tube (49460) |
$1,095.20 |
$1,369 |
1.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$3,800.80 |
$4,751 |
1.0× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$3,800.80 |
$4,751 |
1.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$7,156 |
$8,945 |
0.9× |
| Open tx interphalangeal joint dislocation (26785) |
$3,941.60 |
$4,927 |
1.1× |
| Perc Cryo Ablate Renal Tum (50593) |
$12,000 |
$15,000 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,880 |
$2,350 |
1.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,377.60 |
$2,972 |
3.0× |
| Perq dev breast 1st mr guide (19287) |
$1,176.80 |
$1,471 |
1.5× |
| Perq dev breast 1st strtctc (19283) |
$960 |
$1,200 |
1.2× |
| Perq dev breast 1st us imag (19285) |
$1,176.80 |
$1,471 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,920 |
$2,400 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$405.60 |
$507 |
0.8× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$6,800 |
$8,500 |
0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,478.40 |
$6,848 |
0.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,797.60 |
$7,247 |
0.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$5,478.40 |
$6,848 |
0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,800 |
$3,500 |
1.2× |
| Plmt Nephroureteral Catheter (50433) |
$3,600 |
$4,500 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,600 |
$4,500 |
0.9× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,600 |
$4,500 |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,600 |
$4,500 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,028 |
$1,285 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,320 |
$1,650 |
1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,840 |
$4,800 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,840 |
$4,800 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$663.20 |
$829 |
1.5× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$368.80–$793.60 |
$461–$992 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$681.60 |
$852 |
0.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,440 |
$1,800 |
1.4× |
| Removal Embedded Foreign Body Eyelid (67938) |
$472 |
$590 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,583.20 |
$4,479 |
1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,033.60 |
$1,292 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,955.20 |
$2,444 |
1.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,003.20 |
$2,504 |
1.1× |
| Removal of foreign body from pharynx (42809) |
$408 |
$510 |
0.8× |
| Removal of nail bed (11750) |
$632 |
$790 |
1.4× |
| Removal or bivalving full arm or full leg cast (29705) |
$428 |
$535 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$304 |
$380 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,224.80 |
$1,531 |
1.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$464 |
$580 |
1.5× |
| Remove drug implant device (11982) |
$645.60 |
$807 |
1.3× |
| Remove foreign body from eye (65205) |
$206.40 |
$258 |
1.4× |
| Remove Intrauterine Device (58301) |
$317.60 |
$397 |
0.9× |
| Remove lung catheter (32552) |
$964 |
$1,205 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$172 |
$215 |
1.2× |
| Remove Shoulder Foreign Body (23330) |
$1,596 |
$1,995 |
0.9× |
| Remove ureter stent percut (50384) |
$2,986.40 |
$3,733 |
1.3× |
| Renal Biopsy Perq (50200) |
$1,920 |
$2,400 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,940 |
$3,675 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,033.60 |
$1,292 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,033.60 |
$1,292 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$654.40 |
$818 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,033.60 |
$1,292 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,009.60 |
$1,262 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,009.60 |
$1,262 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,009.60 |
$1,262 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,009.60 |
$1,262 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,920 |
$2,400 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$652 |
$815 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,024.80 |
$1,281 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$652 |
$815 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$652 |
$815 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,024.80 |
$1,281 |
1.2× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,005.60 |
$2,507 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,024.80 |
$1,281 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,005.60 |
$2,507 |
0.9× |
| Repair of nail bed (11760) |
$960 |
$1,200 |
1.2× |
| Repair tongue laceration (41252) |
$428 |
$535 |
1.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,095.20 |
$1,369 |
1.1× |
| Replace G-J Tube Perc (49452) |
$1,095.20 |
$1,369 |
1.1× |
| Replace g/c tube perc (49450) |
$1,095.20 |
$1,369 |
1.1× |
| Reposition Gastrostomy Tube (43761) |
$901.60 |
$1,127 |
3.2× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$2,628 |
$3,285 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$400 |
$500 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$214.40 |
$268 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,680 |
$2,100 |
1.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,444 |
$4,305 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,647.20 |
$2,059 |
2.4× |
| Rplc Gtube No Revj Trc (43762) |
$445.60 |
$557 |
1.6× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$4,800 |
$6,000 |
1.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,800 |
$3,500 |
1.6× |
| Rpr blood vessel direct lower extremity (35226) |
$1,341.60 |
$1,677 |
1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$301.60 |
$377 |
1.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,024.80 |
$1,281 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$830.40 |
$1,038 |
1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$980 |
$1,225 |
1.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$564.80 |
$706 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$301.60 |
$377 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$301.60 |
$377 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$431.20 |
$539 |
1.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$301.60 |
$377 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$301.60 |
$377 |
1.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$301.60 |
$377 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$301.60 |
$377 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$301.60 |
$377 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$301.60 |
$377 |
1.3× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,310.40 |
$2,888 |
1.0× |
| Skin Pinch Graft (15050) |
$1,033.60 |
$1,292 |
1.3× |
| Skin Tissue Procedure (17999) |
$332.80 |
$416 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$301.60 |
$377 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$301.60 |
$377 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$301.60 |
$377 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,492 |
$1,865 |
1.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,920 |
$4,900 |
1.0× |
| Strapping ankle (29540) |
$265.60 |
$332 |
1.5× |
| Strapping elbow or wrist (29260) |
$167.20 |
$209 |
2.5× |
Strapping Hip (29520)
range across 2 matching MRF lines |
$164–$210.40 |
$205–$263 |
varies |
| Strapping knee (29530) |
$265.60 |
$332 |
1.8× |
| Strapping shoulder (29240) |
$167.20 |
$209 |
1.1× |
| Strapping toes (29550) |
$265.60 |
$332 |
4.0× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$269.60–$288.80 |
$337–$361 |
varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,120 |
$1,400 |
1.4× |
| Thrombolytic Therapy Stroke (37195) |
$1,120 |
$1,400 |
3.0× |
| Thyroid biopsy (60100) |
$476 |
$595 |
0.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,310.40 |
$2,888 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,848 |
$2,310 |
1.1× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$552.80 |
$691 |
1.6× |
| Treat Ankle Dislocation (27846) |
$7,920 |
$9,900 |
1.0× |
| Treat dental ridge fracture (21445) |
$6,400 |
$8,000 |
1.0× |
| Treat humerus fracture (24500) |
$387.20 |
$484 |
1.4× |
| Treat Humerus Fracture (24505) |
$1,596 |
$1,995 |
0.9× |
| Treat humerus fracture (23600) |
$387.20 |
$484 |
1.4× |
| Treat knee fracture (27532) |
$3,583.20 |
$4,479 |
1.0× |
| Treat Knee Fracture(S) (27538) |
$387.20 |
$484 |
1.4× |
| Treat Knuckle Dislocation (26700) |
$369.60 |
$462 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$369.60 |
$462 |
1.3× |
| Treat Tail Bone Fracture (27200) |
$387.20 |
$484 |
1.4× |
| Treat toe dislocation (28630) |
$369.60 |
$462 |
1.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,596 |
$1,995 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$387.20 |
$484 |
1.4× |
| Tx Gastro Intub W/Asp (43753) |
$504.80 |
$631 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,009.60 |
$1,262 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$883.20 |
$1,104 |
1.9× |
| Unlisted Procedure Endocrine System (60699) |
$8,000 |
$10,000 |
1.2× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$440 |
$550 |
1.7× |
| Unlisted procedure shoulder (23929) |
$362.40 |
$453 |
1.3× |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$276–$960 |
$345–$1,200 |
varies |
| Vaginal delivery only (59409) |
$4,000 |
$5,000 |
1.1× |
| Wedge excision skin nail fold (11765) |
$632 |
$790 |
1.4× |
| Windowing of cast (29730) |
$265.60 |
$332 |
1.5× |