| Application long arm splint shoulder hand (29105) |
$121 |
$121 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$270 |
$270 |
2.0× |
| Arterial puncture (36600) |
$108 |
$108 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$144 |
$144 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$170 |
$170 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$185 |
$185 |
0.9× |
| Bladder instillation anticarcinogenic agent (51720) |
$700 |
$700 |
1.0× |
| Bladder Irrigation (51700) |
$500 |
$500 |
1.9× |
| Bladder Scan (51798) |
$300 |
$300 |
4.9× |
| Blood Transfusion Service (36430) |
$950 |
$950 |
2.1× |
| Change Cystostomy Tube Simple (51705) |
$500 |
$500 |
1.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$270 |
$270 |
2.0× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$15.77–$45 |
$15.77–$45 |
varies |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$240.50 |
$240.50 |
1.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,105 |
$2,105 |
1.0× |
| Cystourethroscopy (52000) |
$1,400 |
$1,400 |
1.9× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$250.23–$1,154.98 |
$250.23–$1,154.98 |
varies |
| Destruction premalignant lesion 1st (17000) |
$159 |
$159 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$300 |
$300 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$164 |
$164 |
0.8× |
| Egd guide wire insertion (43248) |
$2,300 |
$2,300 |
2.4× |
| Egd remove lesion snare (43251) |
$5,135 |
$5,135 |
2.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$406 |
$406 |
0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$251 |
$251 |
0.6× |
| I&d abscess simple (10060) |
$253 |
$253 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$511 |
$511 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$213.33 |
$213.33 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$85 |
$85 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$205 |
$205 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$218.75 |
$218.75 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$80 |
$80 |
2.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$80 |
$80 |
2.7× |
| Punch biopsy skin single lesion (11104) |
$215.33 |
$215.33 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$106.41 |
$106.41 |
1.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$165 |
$165 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,185 |
$2,185 |
3.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$174.27 |
$174.27 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$177 |
$177 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$181 |
$181 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$240 |
$240 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$220 |
$220 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$207 |
$207 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$177 |
$177 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$210 |
$210 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$450 |
$450 |
2.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$474 |
$474 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$293.71 |
$293.71 |
1.4× |
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines |
$295–$5,500 |
$295–$5,500 |
varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$414.33 |
$414.33 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$449 |
$449 |
1.1× |
| Trimming Nondystrophic Nails Any Number (11719) |
$50 |
$50 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$450 |
$450 |
1.1× |
| Wedge excision skin nail fold (11765) |
$322 |
$322 |
0.8× |