| Abd paracentesis w/imaging (49083) |
$2,079 |
$4,158 |
2.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,100 |
$2,200 |
1.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,348.50 |
$4,697 |
1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,709 |
$7,418 |
1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,709 |
$7,418 |
1.3× |
| Anoscopy diagnostic (46600) |
$153.50 |
$307 |
1.3× |
| Application cast elbow finger short arm (29075) |
$146.50 |
$293 |
0.6× |
| Application finger splint static (29130) |
$146.50 |
$293 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$144.50 |
$289 |
1.0× |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
$144.50–$146.50 |
$289–$293 |
varies |
| Application of rigid total contact leg cast (29445) |
$216.50 |
$433 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$200 |
$400 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$146.50 |
$293 |
1.2× |
| Application short leg splint calf foot (29515) |
$146.50 |
$293 |
1.0× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$4,722 |
$9,444 |
1.7× |
| Arterial puncture (36600) |
$78.50 |
$157 |
0.7× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$6,350 |
$12,700 |
1.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines |
$463.50–$1,130.50 |
$927–$2,261 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,130.50 |
$2,261 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,130.50 |
$2,261 |
4.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,130.50 |
$2,261 |
4.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,130.50 |
$2,261 |
4.1× |
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines |
$2,180.50–$2,279 |
$4,361–$4,558 |
varies |
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines |
$1,205.50–$2,279 |
$2,411–$4,558 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$404.50 |
$809 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,838.50 |
$7,677 |
2.0× |
| Aspiration Bladder Needle (51100) |
$816.50 |
$1,633 |
3.6× |
| Av fistula revision (36833) |
$6,350 |
$12,700 |
1.3× |
| Av Fistula Revision Open (36832) |
$6,350 |
$12,700 |
1.3× |
| Av fusion/forearm vein (36820) |
$6,350 |
$12,700 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$240.50 |
$481 |
1.3× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$4,354 |
$8,708 |
0.7× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$6,385.50 |
$12,771 |
0.7× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$4,354 |
$8,708 |
0.7× |
| Biopsy Abdominal Mass (49180) |
$1,130.50 |
$2,261 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$1,102.50 |
$2,205 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,552 |
$5,104 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,130.50 |
$2,261 |
0.8× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,880.50 |
$3,761 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$1,130.50 |
$2,261 |
0.8× |
| Bladder Irrigation (51700) |
$337.50 |
$675 |
1.5× |
| Bladder Scan (51798) |
$114.50 |
$229 |
2.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$454 |
$908 |
1.6× |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$401–$550 |
$802–$1,100 |
varies |
| Bone Marrow Biopsy (38221) |
$1,880.50 |
$3,761 |
1.3× |
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines |
$1,940–$2,050 |
$3,880–$4,100 |
varies |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,112.50 |
$4,225 |
1.3× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,960 |
$9,920 |
1.5× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$2,112.50 |
$4,225 |
1.3× |
Bronchoscopy Balloon Occlusion (31634)
unusually low: confirm this is the full procedure |
$2,730 |
$5,460 |
0.4× |
| Bronchoscopy Clear Airways (31645) |
$2,112.50 |
$4,225 |
1.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,112.50 |
$4,225 |
1.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,166 |
$4,332 |
1.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,112.50 |
$4,225 |
0.6× |
| Bronchoscopy/Needle Bx Each (31629) |
$2,112.50 |
$4,225 |
0.6× |
| Bx breast 1st lesion strtctc (19081) |
$1,170 |
$2,340 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,170 |
$2,340 |
0.8× |
| Catheter aspiration nasotracheal spx (31720) |
$276.50 |
$553 |
1.4× |
| Cessj Therapy Cath Removal (37214) |
$5,127 |
$10,254 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$415.50 |
$831 |
1.8× |
| Change of Windpipe Airway (31502) |
$399.50 |
$799 |
1.9× |
| Chemical Cautery Tissue (17250) |
$240.50 |
$481 |
1.3× |
| Chest tube placement (32551) |
$1,831.50 |
$3,663 |
1.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$6,075.50 |
$12,151 |
1.9× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,852.50 |
$3,705 |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,899 |
$3,798 |
1.3× |
| Clear outer ear canal (69200) |
$157.50 |
$315 |
1.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$375.50 |
$751 |
1.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$304.50 |
$609 |
1.4× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,899 |
$3,798 |
1.3× |
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines |
$327.50–$599 |
$655–$1,198 |
varies |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$313.50 |
$627 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,899 |
$3,798 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$375 |
$750 |
1.7× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,557.50 |
$5,115 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$303.50 |
$607 |
1.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,619.50 |
$3,239 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,494.50 |
$4,989 |
11.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$614 |
$1,228 |
2.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,899 |
$3,798 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,899 |
$3,798 |
1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$300 |
$600 |
1.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,899 |
$3,798 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$300 |
$600 |
1.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$304.50 |
$609 |
1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,852.50 |
$3,705 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$371.50 |
$743 |
1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,852.50 |
$3,705 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$304.50 |
$609 |
1.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$386 |
$772 |
1.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,466 |
$2,932 |
3.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$304.50 |
$609 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,557.50 |
$5,115 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$614 |
$1,228 |
2.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,326 |
$2,652 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,852.50 |
$3,705 |
1.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,899 |
$3,798 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$312 |
$624 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$599 |
$1,198 |
2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$312 |
$624 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$304.50 |
$609 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$614 |
$1,228 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,899 |
$3,798 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,852.50 |
$3,705 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$304.50 |
$609 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$304.50 |
$609 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$614 |
$1,228 |
2.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$287.50 |
$575 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,852.50 |
$3,705 |
1.3× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,200 |
$4,400 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$614 |
$1,228 |
2.7× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$304.50 |
$609 |
1.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,899 |
$3,798 |
1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,899 |
$3,798 |
1.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$2,557.50 |
$5,115 |
10.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$312 |
$624 |
1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,557.50 |
$5,115 |
10.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$312 |
$624 |
1.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,852.50 |
$3,705 |
1.3× |
| Cltx Medial Ankle Fx (27760) |
$327.50 |
$655 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$614 |
$1,228 |
2.7× |
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines |
$312–$375 |
$624–$750 |
varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,035 |
$4,070 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$312 |
$624 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$313.50 |
$627 |
1.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,975.50 |
$3,951 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$614 |
$1,228 |
2.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,899 |
$3,798 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,852.50 |
$3,705 |
1.3× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$312 |
$624 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$312 |
$624 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,852.50 |
$3,705 |
1.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,185 |
$4,370 |
1.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,852.50 |
$3,705 |
1.3× |
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines |
$300–$304.50 |
$600–$609 |
varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$312 |
$624 |
1.4× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$300 |
$600 |
1.3× |
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines |
$304.50–$375 |
$609–$750 |
varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,899 |
$3,798 |
1.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$90.50 |
$181 |
0.8× |
| Collection of venous blood by venipuncture (36415) |
$14 |
$28 |
1.5× |
| Complex drainage wound (10180) |
$3,350.50 |
$6,701 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$214.50 |
$429 |
1.8× |
| Control oropharyngeal hemorrhage simple (42960) |
$269.50 |
$539 |
0.6× |
| Conversion ext bil drg cath (47535) |
$6,362.50 |
$12,725 |
2.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,030 |
$4,060 |
1.2× |
| Convert Nephrostomy Catheter (50434) |
$1,533.50 |
$3,067 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,130.50 |
$2,261 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$220 |
$440 |
1.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$276 |
$552 |
1.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,106.50 |
$6,213 |
1.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,086 |
$6,172 |
1.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$924.50 |
$1,849 |
2.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,268.50 |
$6,537 |
1.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$983.50 |
$1,967 |
1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$690.50 |
$1,381 |
1.0× |
| Debride nail 1-5 (11720) |
$135 |
$270 |
2.5× |
| Debride nail 6 or more (11721) |
$154.50 |
$309 |
2.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,880 |
$3,760 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$629 |
$1,258 |
1.7× |
| Declot vascular device (36593) |
$425.50 |
$851 |
1.4× |
| Destruct B9 Lesion 1-14 (17110) |
$234.50 |
$469 |
1.3× |
| Dilate Urethra Stricture (53620) |
$3,066.50 |
$6,133 |
4.9× |
| Drain/inj small joint/bursa w/us (20604) |
$1,130.50 |
$2,261 |
4.1× |
| Drainage external auditory canal abscess (69020) |
$841 |
$1,682 |
1.3× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,835 |
$5,670 |
1.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$820 |
$1,640 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,081.50 |
$4,163 |
1.4× |
| Drainage Mouth Roof Lesion (42000) |
$376.50 |
$753 |
1.8× |
| Drainage of finger abscess simple (26010) |
$270 |
$540 |
1.5× |
| Drainage of gum lesion (41800) |
$386 |
$772 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$2,823 |
$5,646 |
1.9× |
| Drainage of nose lesion (30000) |
$371.50 |
$743 |
1.7× |
| Drainage of scrotal wall abscess (55100) |
$3,022 |
$6,044 |
2.0× |
| Drainage of scrotum (54700) |
$4,329.50 |
$8,659 |
2.3× |
| Draw Blood Off Venous Device (36591) |
$122 |
$244 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$841 |
$1,682 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$458 |
$916 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$321 |
$642 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$321 |
$642 |
1.8× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,448.50 |
$2,897 |
0.6× |
| Dx Bronchoscope/Lavage (31624) |
$2,166 |
$4,332 |
1.3× |
| Dx Bronchoscope/Wash (31622) |
$2,166 |
$4,332 |
1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$575 |
$1,150 |
0.9× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$6,350 |
$12,700 |
1.3× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$6,350 |
$12,700 |
1.3× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$14,831.50 |
$29,663 |
1.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,529.50 |
$5,059 |
1.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,529.50 |
$5,059 |
1.4× |
| Epidural Blood Patch (62273) |
$771 |
$1,542 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$135 |
$270 |
1.1× |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines |
$840.50–$841 |
$1,681–$1,682 |
varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,880 |
$3,760 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$960 |
$1,920 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,925.50 |
$3,851 |
1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,334 |
$2,668 |
1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$960 |
$1,920 |
1.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,925.50 |
$3,851 |
1.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,362.50 |
$12,725 |
2.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,572 |
$3,144 |
0.8× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,030 |
$4,060 |
1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,372 |
$2,744 |
0.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,165 |
$6,330 |
1.7× |
| Explo/Drain Breast Abscess (19020) |
$2,835 |
$5,670 |
1.9× |
| Exploration penetrating wound spx chest (20101) |
$3,165 |
$6,330 |
1.7× |
| Exploration penetrating wound spx extremity (20103) |
$830.50 |
$1,661 |
0.6× |
| Exploration Penetrating Wound Spx Neck (20100) |
$830.50 |
$1,661 |
1.7× |
| Fetal non-stress test (59025) |
$151.50 |
$303 |
0.8× |
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines |
$556.50–$1,102.50 |
$1,113–$2,205 |
varies |
| Fluid Pressure Muscle (20950) |
$1,050 |
$2,100 |
1.6× |
| Fna bx w/us gdn 1st les (10005) |
$1,102.50 |
$2,205 |
1.7× |
Foreskin manipulation (54450)
range across 2 matching MRF lines |
$335–$473 |
$670–$946 |
varies |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$3,165 |
$6,330 |
1.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,130.50 |
$2,261 |
1.8× |
| I&d abscess peritonsillar (42700) |
$386 |
$772 |
1.8× |
| I&d abscess simple (10060) |
$635.50 |
$1,271 |
3.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,350.50 |
$6,701 |
1.3× |
| I&d perianal abscess superficial (46050) |
$1,042 |
$2,084 |
1.2× |
| I&d pilonidal cyst complicated (10081) |
$820 |
$1,640 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$841 |
$1,682 |
1.3× |
| Icd Pocket Revision (33223) |
$3,165 |
$6,330 |
1.7× |
| Image Cath Fluid Colxn Visc (49405) |
$3,575 |
$7,150 |
2.4× |
| Image Cath Fluid Peri/Retro (49406) |
$3,575 |
$7,150 |
2.4× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,215 |
$4,430 |
1.5× |
| Incise external hemorrhoid (46083) |
$650 |
$1,300 |
2.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$684 |
$1,368 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,927 |
$3,854 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$677.50 |
$1,355 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$443 |
$886 |
2.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$443 |
$886 |
1.6× |
| Incision of rectal abscess (46040) |
$3,354 |
$6,708 |
3.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,332.50 |
$2,665 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$240.50 |
$481 |
1.3× |
| Inj W/Fluor Eval Cv Device (36598) |
$1,130.50 |
$2,261 |
5.9× |
| Injection for identification of sentinel node (38792) |
$507.50 |
$1,015 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$360.50 |
$721 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$366 |
$732 |
1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$973 |
$1,946 |
1.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$790.50 |
$1,581 |
1.2× |
| Ins cath ren art 1st bilat (36252) |
$6,233.50 |
$12,467 |
2.2× |
| Ins cath ren art 1st unilat (36251) |
$6,233.50 |
$12,467 |
2.2× |
| Ins cath ren art 2nd+ bilat (36254) |
$6,081.50 |
$12,163 |
2.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,081.50 |
$12,163 |
1.2× |
| Ins endovas vena cava filtr (37191) |
$9,275.50 |
$18,551 |
1.8× |
| Ins/Rep Subq Defibrillator (33270) |
$90,058.50 |
$180,117 |
3.2× |
| Insert 1 Electrode Pm-Defib (33216) |
$10,609.50 |
$21,219 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$217 |
$434 |
1.9× |
| Insert cath pleura w/ image (32557) |
$1,130.50 |
$2,261 |
0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,030 |
$4,060 |
1.2× |
| Insert Heart Pm Atrial (33206) |
$14,315.50 |
$28,631 |
1.5× |
| Insert Heart Pm Ventricular (33207) |
$14,673.50 |
$29,347 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$3,023.50 |
$6,047 |
1.1× |
| Insert Pacing Lead & Connect (33224) |
$17,999.50 |
$35,999 |
1.9× |
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 3 matching MRF lines |
$1,100–$1,432 |
$2,200–$2,864 |
varies |
| Insert pulse gen dual leads (33213) |
$14,315.50 |
$28,631 |
1.5× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,609.50 |
$21,219 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$88 |
$176 |
0.7× |
| Insert tun ip cath perc (49418) |
$6,490 |
$12,980 |
2.0× |
| Insert tunneled cv cath (36561) |
$4,722 |
$9,444 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$88 |
$176 |
0.7× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$6,432 |
$12,864 |
2.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,875 |
$21,750 |
1.5× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$5,967.50 |
$11,935 |
1.2× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$10,609.50 |
$21,219 |
1.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,468 |
$2,936 |
0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,432 |
$2,864 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$4,722 |
$9,444 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,696 |
$7,392 |
1.3× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$47,583.50 |
$95,167 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,875 |
$21,750 |
1.5× |
| Insrt heart pm atrial & vent (33208) |
$14,908 |
$29,816 |
1.6× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$69,889.50 |
$139,779 |
3.5× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$69,889.50 |
$139,779 |
2.5× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$49,827.50 |
$99,655 |
2.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$735 |
$1,470 |
2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$735 |
$1,470 |
2.0× |
| Intro cath dialysis circuit (36901) |
$1,970.50 |
$3,941 |
1.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$14,831.50 |
$29,663 |
1.4× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$7,338 |
$14,676 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$439 |
$878 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$485 |
$970 |
2.1× |
| Laparo ablate liver tumor rf (47370) |
$11,519 |
$23,038 |
1.2× |
| Laryngoscopy diagnostic (31505) |
$223.50 |
$447 |
1.2× |
| Laryngoscopy flexible diagnostic (31575) |
$251.50 |
$503 |
1.4× |
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 2 matching MRF lines |
$445.50–$457 |
$891–$914 |
varies |
| Late closure of wound (13160) |
$4,413.50 |
$8,827 |
1.4× |
| Ligation of a-v fistula (37607) |
$4,611 |
$9,222 |
1.6× |
| Ligation or biopsy temporal artery (37609) |
$2,608.50 |
$5,217 |
1.7× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$4,827.50 |
$9,655 |
1.7× |
| Myelography Lumbar Injection (62305) |
$1,130.50 |
$2,261 |
1.6× |
| Myelography Lumbar Injection (62304) |
$1,130.50 |
$2,261 |
1.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,130.50 |
$2,261 |
1.6× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,130.50 |
$2,261 |
1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$392 |
$784 |
1.0× |
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines |
$1,130.50–$1,880.50 |
$2,261–$3,761 |
varies |
| Needle Biopsy Pancreas (48102) |
$1,102.50 |
$2,205 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$34.50 |
$69 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$34.50 |
$69 |
1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$351.50 |
$703 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,354 |
$8,708 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,362.50 |
$12,725 |
2.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,533.50 |
$3,067 |
2.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,533.50 |
$3,067 |
2.4× |
| Njx Sclrsnt Spider Veins (36468) |
$485 |
$970 |
1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,589.50 |
$13,179 |
2.2× |
| Open/Perq Place Stent 1St (37236) |
$27,316.50 |
$54,633 |
2.6× |
| Open/Perq Place Stent Same (37238) |
$27,316.50 |
$54,633 |
2.6× |
| Penile Injection (54235) |
$251 |
$502 |
1.1× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$14,831.50 |
$29,663 |
1.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,102.50 |
$2,205 |
1.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$6,425.50 |
$12,851 |
2.2× |
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines |
$2,050–$3,087.50 |
$4,100–$6,175 |
varies |
| Peritoneal Lavage (49084) |
$1,127.50 |
$2,255 |
1.4× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$19,895.50 |
$39,791 |
1.2× |
| Perq dev breast 1st us imag (19285) |
$820 |
$1,640 |
1.3× |
| Perq device breast 1st imag (19281) |
$1,132 |
$2,264 |
0.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$14,831.50 |
$29,663 |
1.4× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,338 |
$14,676 |
1.4× |
| Place Cath Subclavian Art (36225) |
$6,487.50 |
$12,975 |
2.3× |
| Place Cath Thoracic Aorta (36221) |
$6,487.50 |
$12,975 |
2.3× |
| Place Cath Vertebral Art (36226) |
$10,875 |
$21,750 |
2.2× |
| Place Rt Device/Marker Pros (55876) |
$1,622 |
$3,244 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$12,034.50 |
$24,069 |
2.2× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$4,513 |
$9,026 |
2.4× |
| Plmt Nephroureteral Catheter (50433) |
$4,403 |
$8,806 |
1.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$6,557 |
$13,114 |
2.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,557 |
$13,114 |
2.1× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$6,586.50 |
$13,173 |
0.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,362.50 |
$12,725 |
2.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$6,362.50 |
$12,725 |
2.0× |
| Pseudoaneurysm Injection Trt (36002) |
$1,130.50 |
$2,261 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$313.50 |
$627 |
0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,050 |
$2,100 |
2.9× |
| Puncture Aspiration Cyst Breast (19000) |
$1,141.50 |
$2,283 |
1.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$771 |
$1,542 |
1.2× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,172 |
$4,344 |
1.2× |
| Reduction of rectal prolapse (45900) |
$1,175 |
$2,350 |
1.4× |
| Relocation Pocket Pacemaker (33222) |
$3,165 |
$6,330 |
1.7× |
| Rem Endovas Vena Cava Filter (37193) |
$6,366 |
$12,732 |
2.2× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,411.50 |
$2,823 |
1.7× |
| Removal Embedded Foreign Body Eyelid (67938) |
$410 |
$820 |
1.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,000 |
$8,000 |
1.5× |
| Removal foreign body foot deep (28192) |
$2,674 |
$5,348 |
1.8× |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
$841–$1,050 |
$1,682–$2,100 |
varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,880 |
$3,760 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$168 |
$336 |
3.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$110.50 |
$221 |
2.1× |
| Removal implantable contraceptive capsules (11976) |
$627 |
$1,254 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$411.50 |
$823 |
1.0× |
| Removal of nail bed (11750) |
$740.50 |
$1,481 |
2.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$345 |
$690 |
1.4× |
| Removal Pacemaker Electrode (33235) |
$3,990.50 |
$7,981 |
1.2× |
| Removal ppm generator only (33233) |
$10,875 |
$21,750 |
1.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$240.50 |
$481 |
1.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,992.50 |
$3,985 |
3.1× |
| Remove Elctrd Transvenously (33244) |
$3,893 |
$7,786 |
1.2× |
| Remove foreign body from eye (65205) |
$222 |
$444 |
1.8× |
| Remove intrvas foreign body (37197) |
$6,674.50 |
$13,349 |
2.3× |
| Remove Nasal Foreign Body (30300) |
$157.50 |
$315 |
1.3× |
| Remove Pulse Generator (33241) |
$3,893 |
$7,786 |
1.2× |
| Remove renal tube w/fluoro (50389) |
$836 |
$1,672 |
1.3× |
| Remove ureter stent percut (50384) |
$3,361.50 |
$6,723 |
1.8× |
| Remove&replace pm gen singl (33227) |
$19,760.50 |
$39,521 |
2.6× |
| Remv&replc cvd gen dual lead (33263) |
$71,636.50 |
$143,273 |
3.6× |
| Remv&replc cvd gen mult lead (33264) |
$71,636.50 |
$143,273 |
2.5× |
| Remv&replc cvd gen sing lead (33262) |
$71,636.50 |
$143,273 |
3.6× |
| Remv&replc pm gen dual lead (33228) |
$21,673 |
$43,346 |
2.3× |
| Remv&replc pm gen mult leads (33229) |
$25,497 |
$50,994 |
1.5× |
Renal Biopsy Perq (50200)
range across 5 matching MRF lines |
$1,102.50–$1,880.50 |
$2,205–$3,761 |
varies |
| Repair Blood Vessel Direct Hand Finger (35207) |
$6,350.50 |
$12,701 |
2.2× |
| Repair blood vessel direct neck (35201) |
$5,967.50 |
$11,935 |
1.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,055 |
$8,110 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,179.50 |
$2,359 |
1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,179.50 |
$2,359 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$753.50 |
$1,507 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,179.50 |
$2,359 |
3.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$753.50 |
$1,507 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$753.50 |
$1,507 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,179.50 |
$2,359 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,150.50 |
$2,301 |
1.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,709 |
$7,418 |
2.5× |
| Repair Finger/Hand Tendon (26350) |
$4,371.50 |
$8,743 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$458 |
$916 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$735 |
$1,470 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$735 |
$1,470 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$458 |
$916 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$753.50 |
$1,507 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,172 |
$4,344 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$753.50 |
$1,507 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$753.50 |
$1,507 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,810 |
$7,620 |
2.0× |
| Repair lead pace-defib dual (33220) |
$5,945.50 |
$11,891 |
1.8× |
| Repair Lead Pace-Defib One (33218) |
$5,945.50 |
$11,891 |
1.8× |
| Repair of nail bed (11760) |
$708 |
$1,416 |
1.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,940.50 |
$15,881 |
1.2× |
| Repair tongue laceration (41252) |
$1,503 |
$3,006 |
7.0× |
| Repair tongue laceration (41250) |
$401 |
$802 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,064.50 |
$2,129 |
1.3× |
| Replace G-J Tube Perc (49452) |
$1,064.50 |
$2,129 |
1.3× |
| Replace g/c tube perc (49450) |
$1,064.50 |
$2,129 |
1.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$9,041.50 |
$18,083 |
2.7× |
| Reposition L Ventric Lead (33226) |
$3,920.50 |
$7,841 |
1.4× |
| Reposition Pacing-Defib Lead (33215) |
$3,920.50 |
$7,841 |
1.4× |
| Reposition Venous Catheter (36597) |
$1,432 |
$2,864 |
1.0× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$7,730.50 |
$15,461 |
1.5× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$7,730.50 |
$15,461 |
1.5× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$7,730.50 |
$15,461 |
1.5× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$7,730.50 |
$15,461 |
1.5× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$15,680 |
$31,360 |
1.5× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$24,899 |
$49,798 |
1.5× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$24,899 |
$49,798 |
1.5× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,501.50 |
$5,003 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$401 |
$802 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$411.50 |
$823 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$222 |
$444 |
1.8× |
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines |
$401–$550 |
$802–$1,100 |
varies |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,334 |
$2,668 |
1.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,893 |
$7,786 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,432 |
$2,864 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,432 |
$2,864 |
2.5× |
| Rplc Gtube No Revj Trc (43762) |
$415.50 |
$831 |
1.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,696 |
$7,392 |
1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,432 |
$2,864 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,696 |
$7,392 |
1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$258.50 |
$517 |
1.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$735 |
$1,470 |
1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$376.50 |
$753 |
1.8× |
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines |
$770–$1,503 |
$1,540–$3,006 |
varies |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,503 |
$3,006 |
3.1× |
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines |
$1,619.50–$2,350 |
$3,239–$4,700 |
varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$4,268.50 |
$8,537 |
1.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$4,268.50 |
$8,537 |
1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,432 |
$2,864 |
2.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$170 |
$340 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$258.50 |
$517 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$258.50 |
$517 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$258.50 |
$517 |
1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$446.50 |
$893 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$258.50 |
$517 |
1.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$735 |
$1,470 |
4.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$258.50 |
$517 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$258.50 |
$517 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$258.50 |
$517 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,535 |
$3,070 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,535 |
$3,070 |
2.3× |
| Skin sub grft t/arm/lg child (15273) |
$5,131 |
$10,262 |
2.7× |
| Skin Tissue Procedure (17999) |
$263 |
$526 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$1,727 |
$3,454 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,487.50 |
$12,975 |
1.3× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$12,736.50 |
$25,473 |
4.5× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,609.50 |
$21,219 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$258.50 |
$517 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$458 |
$916 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$458 |
$916 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,170 |
$2,340 |
1.8× |
| Strapping ankle (29540) |
$199 |
$398 |
1.4× |
| Strapping hand/finger (29280) |
$80 |
$160 |
1.5× |
Strapping knee (29530)
range across 2 matching MRF lines |
$162.50–$199 |
$325–$398 |
varies |
| Strapping shoulder (29240) |
$190 |
$380 |
1.6× |
| Strapping toes (29550) |
$78.50 |
$157 |
1.5× |
| Strapping Unna Boot (29580) |
$257 |
$514 |
1.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$20,989.50 |
$41,979 |
0.8× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$25,167.50 |
$50,335 |
1.4× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$9,969 |
$19,938 |
3.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$950 |
$1,900 |
0.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$950 |
$1,900 |
0.7× |
| Ther Apheresis,Red Blood Cells (36512) |
$637 |
$1,274 |
0.5× |
| Therapeutic plasma exchange (36514) |
$895.50 |
$1,791 |
0.6× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$6,350 |
$12,700 |
1.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$22,479 |
$44,958 |
1.4× |
| Thromblytic art/ven therapy (37213) |
$5,255.50 |
$10,511 |
1.8× |
| Thrombolytic Art Therapy (37211) |
$6,117 |
$12,234 |
1.2× |
| Thrombolytic Venous Therapy (37212) |
$3,680.50 |
$7,361 |
1.3× |
| Thyroid biopsy (60100) |
$1,132 |
$2,264 |
1.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$3,165 |
$6,330 |
1.7× |
| Tooth extraction (41899) |
$375.50 |
$751 |
1.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,410 |
$2,820 |
6.6× |
| Transcatheter biopsy (37200) |
$5,967.50 |
$11,935 |
1.2× |
| Treat humerus fracture (24500) |
$304.50 |
$609 |
1.4× |
| Treat Humerus Fracture (24505) |
$1,852.50 |
$3,705 |
1.3× |
| Treat knee fracture (27532) |
$3,709 |
$7,418 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$304.50 |
$609 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$599 |
$1,198 |
2.7× |
| Treat Thumb Dislocation (26641) |
$300 |
$600 |
1.3× |
| Treat Thumb Fracture (26645) |
$1,852.50 |
$3,705 |
1.3× |
| Treat toe dislocation (28630) |
$312 |
$624 |
1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,557.50 |
$5,115 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$614 |
$1,228 |
2.7× |
| Trim skin lesion (11055) |
$199 |
$398 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$175 |
$350 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$7,522 |
$15,044 |
1.5× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,522 |
$15,044 |
1.5× |
| Tx Gastro Intub W/Asp (43753) |
$353.50 |
$707 |
1.8× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,402 |
$4,804 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,179.50 |
$2,359 |
1.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$753.50 |
$1,507 |
2.0× |
| Unlisted Cardiac Surgery (33999) |
$3,104.50 |
$6,209 |
5.5× |
| Unlisted Procedure Intestine (44799) |
$1,639.50 |
$3,279 |
2.0× |
| Unlisted procedure nervous system (64999) |
$450 |
$900 |
1.6× |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$1,100–$2,145 |
$2,200–$4,290 |
varies |
| Unlisted Procedure, Urinary System (53899) |
$329.50 |
$659 |
1.5× |
| Upgrade of pacemaker system (33214) |
$14,544.50 |
$29,089 |
1.5× |
| Vaginal delivery only (59409) |
$3,736.50 |
$7,473 |
1.3× |
| Vasc embolize/occlude artery (37242) |
$14,831.50 |
$29,663 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$14,831.50 |
$29,663 |
1.4× |
| Vasc Embolize/Occlude Organ (37243) |
$14,831.50 |
$29,663 |
1.4× |
| Vasc embolize/occlude venous (37241) |
$14,831.50 |
$29,663 |
1.4× |
| Venous Mech Thrombectomy (37187) |
$6,586.50 |
$13,173 |
0.6× |
| Wedge excision skin nail fold (11765) |
$458 |
$916 |
1.2× |
| Wound Prep F/N/Hf/G (15004) |
$835.50 |
$1,671 |
2.3× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,496.50 |
$4,993 |
3.7× |