| Abd paracentesis w/imaging (49083) |
— |
$2,250 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$800 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$1,882 |
— |
| Anoscopy diagnostic (46600) |
— |
$250 |
— |
| Application finger splint static (29130) |
— |
$81 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$124 |
— |
| Application Long Leg Splint (29505) |
— |
$100 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$238.23 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$125 |
— |
| Application short leg splint calf foot (29515) |
— |
$125 |
— |
| Apply long arm cast (29065) |
— |
$144 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$250 |
— |
| Arterial puncture (36600) |
— |
$327 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$65 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
— |
$205–$735 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$2,168 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,850 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,000 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines |
— |
$103–$113.60 |
— |
| Bladder Irrigation (51700) |
— |
$120 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$323.37 |
— |
| Blood Transfusion Service (36430) |
— |
$1,000 |
— |
Bone Marrow; Aspiration Only (38220)
range across 4 matching MRF lines |
— |
$285–$705 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$4,050 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$675 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$156 |
— |
| Chemical Cautery Tissue (17250) |
— |
$82.83 |
— |
| Chest tube placement (32551) |
— |
$389.68 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$9,400 |
— |
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines |
— |
$300–$432.81 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$570 |
— |
| Clear outer ear canal (69200) |
— |
$67 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$657 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$383 |
— |
Closed tx ankle dislocation w/o anesthesia (27840)
range across 4 matching MRF lines |
— |
$512–$574 |
— |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 4 matching MRF lines |
— |
$913–$957.62 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$676.02 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$766 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$300 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$450 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$352 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$320 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$825 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$696 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 4 matching MRF lines |
— |
$1,210–$1,275 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$443 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$99 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$370 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$545 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$383 |
— |
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 4 matching MRF lines |
— |
$309.05–$1,050 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$860 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$737 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$400 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$350 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$319 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 4 matching MRF lines |
— |
$554–$645 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,500 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$2,400 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$275 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$766 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$333 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$600 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$471.75 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$850 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$350 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$650 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$103 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$300 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$618 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$370 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$340 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$350 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$350 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$250 |
— |
Cltx post hip arthrp dislc w/o anes (27265)
range across 4 matching MRF lines |
— |
$645–$899.51 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$336 |
— |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines |
— |
$250–$270 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$456.67 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$978.14 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$9 |
— |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 4 matching MRF lines |
— |
$151–$1,000 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$154 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$510 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$299 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$179 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$8,000 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$352.59 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$526.92 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines |
— |
$139.62–$200 |
— |
Delivery of placenta (59414)
range across 4 matching MRF lines |
— |
$2,558.58–$8,040 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$77 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$300 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$300 |
— |
| Drainage of finger abscess simple (26010) |
— |
$383 |
— |
| Drainage of gum lesion (41800) |
— |
$412.14 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$130 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$256 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
— |
$282 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
— |
$242 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 4 matching MRF lines |
— |
$150–$298.95 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 4 matching MRF lines |
— |
$130–$253.20 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines |
— |
$91–$122.28 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$6,900 |
— |
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 4 matching MRF lines |
— |
$2,100–$4,700 |
— |
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 4 matching MRF lines |
— |
$2,100–$4,700 |
— |
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines |
— |
$65–$77 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$162 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$1,276 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$900 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$307 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$660 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$2,500 |
— |
| Fetal non-stress test (59025) |
— |
$340 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,800 |
— |
| I&d abscess peritonsillar (42700) |
— |
$908 |
— |
| I&d abscess simple (10060) |
— |
$290 |
— |
| I&d perianal abscess superficial (46050) |
— |
$221.66 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$300 |
— |
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines |
— |
$121–$275 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$494.05 |
— |
| Incise external hemorrhoid (46083) |
— |
$218 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$500 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$275 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$166 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$123 |
— |
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines |
— |
$256–$300 |
— |
| Incision of rectal abscess (46040) |
— |
$574 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$150 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$92 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$1,089 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$256 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines |
— |
$130.31–$330.31 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$5,964.60 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$400 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$450 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$300 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$300 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$928 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$700 |
— |
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines |
— |
$350–$450 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$500 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$150 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$300 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$4,050 |
— |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
— |
$1,260 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$160.92 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,025 |
— |
| Occipital Nerve Block (64405) |
— |
$300 |
— |
| Penile Injection (54235) |
— |
$210 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,725 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$5,964.60 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$134.09 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 6 matching MRF lines |
— |
$191–$300 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$3,000 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$194 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$22.12 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$55 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$346 |
— |
| Remove foreign body from eye (65205) |
— |
$275 |
— |
| Remove Intrauterine Device (58301) |
— |
$500 |
— |
| Remove lung catheter (32552) |
— |
$1,850 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$118 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$459 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$560 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$450 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$400 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$265 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$459 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$234 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$510 |
— |
| Repair Hand Tendon (26410) |
— |
$1,500 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$205 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$265 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$356 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$510 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$327 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$153 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$216 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$265 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$257 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$200 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 6 matching MRF lines |
— |
$250–$548.82 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$347 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$250 |
— |
| Repair of nail bed (11760) |
— |
$1,400 |
— |
| Repair tongue laceration (41252) |
— |
$635 |
— |
| Repair tongue laceration (41250) |
— |
$162 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$275 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$300 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$350 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$2,672 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$257 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$347 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$205 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$554 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$356 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$123 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$176 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$459 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$205 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$510 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$350 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$383 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$350 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$1,200 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$1,000 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$350 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$350 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$350 |
— |
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines |
— |
$223.50–$319 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$1,580.01 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$1,621.82 |
— |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
— |
$55–$120 |
— |
Tangential biopsy skin single lesion (11102)
range across 4 matching MRF lines |
— |
$300–$350 |
— |
| Tooth extraction (41899) |
— |
$265 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$450 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$672 |
— |
| Treat humerus fracture (24500) |
— |
$350 |
— |
| Treat Humerus Fracture (24505) |
— |
$671 |
— |
Treat knee fracture (27532)
range across 7 matching MRF lines |
— |
$1,500–$7,500 |
— |
Treat Knuckle Dislocation (26700)
range across 3 matching MRF lines |
— |
$300–$800 |
— |
Treat Metatarsal Fracture (28475)
range across 4 matching MRF lines |
— |
$515.10–$630 |
— |
| Treat Thumb Dislocation (26641) |
— |
$352 |
— |
Treat toe dislocation (28630)
range across 3 matching MRF lines |
— |
$300–$600 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$917.73 |
— |
| Trim skin lesion (11055) |
— |
$36.30 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$51.27 |
— |
| Trim skin lesions over 4 (11057) |
— |
$67.05 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$17.37 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$400 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$275 |
— |
| Unlisted procedure nervous system (64999) |
— |
$783 |
— |
Vaginal delivery only (59409)
range across 4 matching MRF lines |
— |
$850–$10,000 |
— |
Wedge excision skin nail fold (11765)
range across 4 matching MRF lines |
— |
$270–$315.40 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$616.06 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$515.10 |
— |