| Abd paracentesis w/imaging (49083) |
$1,620 |
$2,160 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$392.73 |
$523.64 |
0.3× |
| Acne surgery (10040) |
$112.50 |
$150 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$183.75 |
$245 |
2.4× |
| Application finger splint static (29130) |
$155.02 |
$206.70 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$298.92 |
$398.56 |
1.4× |
| Application Long Leg Splint (29505) |
$246.45 |
$328.60 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$240.88 |
$321.18 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$179.25 |
$239 |
1.0× |
| Application short leg splint calf foot (29515) |
$251.22 |
$334.96 |
1.2× |
| Apply Short Leg Cast (29405) |
$293.36 |
$391.14 |
0.8× |
| Apply short leg cast (29425) |
$283.02 |
$377.36 |
0.8× |
| Arterial puncture (36600) |
$115.50 |
$154 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$202.72 |
$270.30 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$244.06 |
$325.42 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$194.78 |
$259.70 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$1,347.75 |
$1,797 |
1.7× |
| Aspirate Pleura W/O Imaging (32554) |
$1,347.75 |
$1,797 |
1.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$232.94 |
$310.58 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$795.80 |
$1,061.06 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$297.33 |
$396.44 |
1.2× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,738.50 |
$2,318 |
0.8× |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$381.60–$412.50 |
$508.80–$550 |
varies |
| Blood Transfusion Service (36430) |
$618.75 |
$825 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$2,896.50 |
$3,862 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$2,896.50 |
$3,862 |
1.4× |
| Catheter aspiration nasotracheal spx (31720) |
$64.50 |
$86 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$277.46 |
$369.94 |
0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,369.10 |
$3,158.80 |
1.1× |
| Clear outer ear canal (69200) |
$285.40 |
$380.54 |
1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$506.25 |
$675 |
1.6× |
| Closed Treat Vert Body Fract (22310) |
$712.50 |
$950 |
2.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$847.50 |
$1,130 |
2.7× |
| Closed Treatment Sternum Fracture (21820) |
$648.72 |
$864.96 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,785.57 |
$2,380.76 |
5.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,028.84 |
$2,705.12 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,732.30 |
$2,309.74 |
5.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$731.25 |
$975 |
2.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,722.75 |
$2,297 |
0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$615 |
$820 |
1.9× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,871 |
$3,828 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$506.25 |
$675 |
1.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,179.50 |
$2,906 |
1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$2,113.90 |
$2,818.54 |
3.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$930.94 |
$1,241.26 |
2.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$157.41 |
$209.88 |
0.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,267.50 |
$5,690 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,570.92 |
$2,094.56 |
5.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$1,337.19 |
$1,782.92 |
4.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,296.50 |
$3,062 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$506.25 |
$675 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,722.75 |
$2,297 |
0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$1,136.06 |
$1,514.74 |
3.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,234.74 |
$2,979.66 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$1,139.24 |
$1,518.98 |
3.6× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,069.28 |
$1,425.70 |
3.4× |
| Closed tx talus fracture w/o manipulation (28430) |
$506.25 |
$675 |
1.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$337.50 |
$450 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$175.70 |
$234.26 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,051.78 |
$1,402.38 |
3.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$349.50 |
$466 |
1.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,072.46 |
$1,429.94 |
1.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$506.25 |
$675 |
1.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$506.25 |
$675 |
1.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,722.75 |
$2,297 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$999.32 |
$1,332.42 |
3.1× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$701.98 |
$935.98 |
1.0× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$2,285.62 |
$3,047.50 |
7.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$941.40 |
$1,255.20 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,365.02 |
$1,820.02 |
4.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,296.50 |
$3,062 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,871 |
$3,828 |
1.4× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,722.75 |
$2,297 |
0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$742.50 |
$990 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,817.37 |
$2,423.16 |
5.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,308.57 |
$1,744.76 |
4.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$506.25 |
$675 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,361.04 |
$1,814.72 |
4.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,432.70 |
$3,243.60 |
1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$2,235.54 |
$2,980.72 |
7.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$699.60 |
$932.80 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$661.44 |
$881.92 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$542.98 |
$723.98 |
1.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,160.70 |
$1,547.60 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,035.88 |
$1,381.18 |
3.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,188.64 |
$2,918.18 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,125 |
$1,500 |
3.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,215.56 |
$1,620.74 |
3.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,296.50 |
$3,062 |
1.1× |
| Cltx Medial Ankle Fx (27760) |
$1,393.64 |
$1,858.18 |
4.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,326.86 |
$1,769.14 |
4.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,228.28 |
$1,637.70 |
3.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,871 |
$3,828 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,413.51 |
$1,884.68 |
4.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$821.24 |
$1,094.98 |
2.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,987.50 |
$2,650 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,934.24 |
$2,578.98 |
6.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,296.50 |
$3,062 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,260.87 |
$1,681.16 |
4.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,997.04 |
$2,662.72 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$457.92 |
$610.56 |
1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,296.50 |
$3,062 |
1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$742.50 |
$990 |
2.3× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$1,244.97 |
$1,659.96 |
3.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$2,286.42 |
$3,048.56 |
7.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,296.50 |
$3,062 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$693.75 |
$925 |
2.2× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,469.50 |
$4,626 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$90.75 |
$121 |
0.5× |
| Collection of venous blood by venipuncture (36415) |
$33 |
$44 |
3.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$440.43 |
$587.24 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$314.02 |
$418.70 |
1.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,738.50 |
$2,318 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$560.48 |
$747.30 |
3.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$719.48 |
$959.30 |
2.4× |
| Curette/treat cornea (65435) |
$1,447.50 |
$1,930 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$76.04 |
$101.38 |
0.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$991.36 |
$1,321.82 |
1.0× |
| Debride nail 1-5 (11720) |
$86.66 |
$115.54 |
1.1× |
| Debride nail 6 or more (11721) |
$135 |
$180 |
1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,242.58 |
$1,656.78 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$321.98 |
$429.30 |
0.6× |
| Destruct B9 Lesion 1-14 (17110) |
$313.23 |
$417.64 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$578.76 |
$771.68 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$873.70 |
$1,164.94 |
0.4× |
| Drainage Mouth Roof Lesion (42000) |
$503.24 |
$670.98 |
1.7× |
| Drainage of finger abscess simple (26010) |
$645.54 |
$860.72 |
2.5× |
| Drainage of gum lesion (41800) |
$274.50 |
$366 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$884.20 |
$1,178.94 |
0.4× |
| Draw Blood Off Venous Device (36591) |
$90.75 |
$121 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$689.26 |
$919.02 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$573.20 |
$764.26 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$263.94 |
$351.92 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$3,399 |
$4,532 |
1.4× |
| Egd place gastrostomy tube (43246) |
$1,130.49 |
$1,507.32 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$154.23 |
$205.64 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,242.50 |
$2,990 |
1.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,768.88 |
$2,358.50 |
0.8× |
| External cephalic version (59412) |
$3,351 |
$4,468 |
0.8× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$345.03 |
$460.04 |
0.1× |
| Fetal Contraction Stress Test (59020) |
$285 |
$380 |
1.1× |
| Fetal non-stress test (59025) |
$194.25 |
$259 |
0.7× |
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines |
$143.10–$427.50 |
$190.80–$570 |
varies |
| Foreskin manipulation (54450) |
$119.25 |
$159 |
0.4× |
| I&d abscess peritonsillar (42700) |
$524.25 |
$699 |
1.7× |
| I&d abscess simple (10060) |
$464.28 |
$619.04 |
1.8× |
| I&d perianal abscess superficial (46050) |
$469.84 |
$626.46 |
0.4× |
| I&d pilonidal cyst complicated (10081) |
$1,909.50 |
$2,546 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$485.74 |
$647.66 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$880.06 |
$1,173.42 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,317.50 |
$3,090 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$488.13 |
$650.84 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$356.25 |
$475 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$537.42 |
$716.56 |
1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$255.20 |
$340.26 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$634.50 |
$846 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$634.50 |
$846 |
1.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$240.88 |
$321.18 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$440.43 |
$587.24 |
2.7× |
| Insert non-tunnel cv cath (36556) |
$809.61 |
$1,079.48 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,025 |
$2,700 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$159 |
$212 |
0.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$4,507.50 |
$6,010 |
0.6× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$150.26–$274.50 |
$200.34–$366 |
varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,289 |
$3,052 |
1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,287.50 |
$3,050 |
0.6× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,503.75 |
$2,005 |
1.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$809.61 |
$1,079.48 |
0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,900 |
$5,200 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,528.78 |
$2,038.38 |
2.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,879.38 |
$2,505.84 |
3.6× |
| Intubation endotracheal emergency procedure (31500) |
$632.82 |
$843.76 |
2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$230.55 |
$307.40 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$637.50 |
$850 |
1.6× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$2,001.02 |
$2,668.02 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,875 |
$2,500 |
2.1× |
| Perq dev breast 1st strtctc (19283) |
$543.75 |
$725 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$1,507.50 |
$2,010 |
1.7× |
| Perq device breast 1st imag (19281) |
$1,350 |
$1,800 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$334.70 |
$446.26 |
0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,911.50 |
$3,882 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$465.87 |
$621.16 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,615.44 |
$2,153.92 |
0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$685.29 |
$913.72 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$709.94 |
$946.58 |
0.3× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$45.75–$108.75 |
$61–$145 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$210 |
$280 |
2.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,351 |
$4,468 |
0.8× |
| Removal of foreign body from pharynx (42809) |
$855 |
$1,140 |
1.5× |
| Removal of nail bed (11750) |
$874.50 |
$1,166 |
1.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$243.27 |
$324.36 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$177.28 |
$236.38 |
0.5× |
| Remove Forearm Foreign Body (25248) |
$732.20 |
$976.26 |
0.4× |
| Remove foreign body from eye (65205) |
$234.52 |
$312.70 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$558.88 |
$745.18 |
3.3× |
| Renal Biopsy Perq (50200) |
$2,896.50 |
$3,862 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,345.50 |
$1,794 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$775.12 |
$1,033.50 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$628.41 |
$837.88 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$798.46 |
$1,064.61 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,159.90 |
$1,546.54 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,349.12 |
$1,798.82 |
2.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,029.52 |
$1,372.70 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,248.15 |
$1,664.20 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$839.52 |
$1,119.36 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,007.26 |
$1,343.02 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,089.15 |
$1,452.20 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,161.50 |
$1,548.66 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$855 |
$1,140 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,330.83 |
$1,774.44 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$763.20 |
$1,017.60 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$986.60 |
$1,315.46 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,082.79 |
$1,443.72 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,607 |
$3,476 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,205.22 |
$1,606.96 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$739.35 |
$985.80 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$938.90 |
$1,251.86 |
1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,260 |
$1,680 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,027.14 |
$1,369.52 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,607 |
$3,476 |
1.0× |
| Repair of nail bed (11760) |
$635.20 |
$846.94 |
0.7× |
| Repair tongue laceration (41250) |
$754.46 |
$1,005.94 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$224.19 |
$298.92 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$332.31 |
$443.08 |
1.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$712.50 |
$950 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,123.34 |
$1,497.78 |
0.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$4,060.50 |
$5,414 |
1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$552.52 |
$736.70 |
2.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$897 |
$1,196 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$281.17 |
$374.89 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$675 |
$900 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$306.87 |
$409.16 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$570.81 |
$761.08 |
2.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$570 |
$760 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$442.02 |
$589.36 |
1.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$615 |
$820 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$244.86 |
$326.48 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$429.75 |
$573 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$407.84 |
$543.78 |
1.6× |
| Slitting of prepuce (54001) |
$228.93 |
$305.24 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$325.95 |
$434.60 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$554.12 |
$738.82 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$570 |
$760 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$418.96 |
$558.62 |
0.5× |
Strapping ankle (29540)
range across 2 matching MRF lines |
$98.25–$132.76 |
$131–$177.02 |
varies |
| Strapping elbow or wrist (29260) |
$187.62 |
$250.16 |
2.5× |
| Strapping hand/finger (29280) |
$179.67 |
$239.56 |
2.4× |
Strapping knee (29530)
range across 2 matching MRF lines |
$141–$190 |
$188–$253.34 |
varies |
| Strapping shoulder (29240) |
$228.96 |
$305.28 |
1.3× |
| Strapping thorax (29200) |
$225 |
$300 |
1.1× |
| Strapping toes (29550) |
$94.60 |
$126.14 |
1.2× |
| Strapping Unna Boot (29580) |
$192 |
$256 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$255.20 |
$340.26 |
0.5× |
| Treat Big Toe Fracture (28505) |
$2,527.30 |
$3,369.74 |
0.6× |
| Treat Hip Socket Fracture (27222) |
$4,847.91 |
$6,463.88 |
15.3× |
| Treat humerus fracture (24500) |
$506.25 |
$675 |
1.6× |
| Treat Humerus Fracture (24505) |
$2,296.50 |
$3,062 |
1.1× |
| Treat humerus fracture (23600) |
$506.25 |
$675 |
1.6× |
| Treat Knuckle Dislocation (26700) |
$1,458.03 |
$1,944.04 |
4.6× |
| Treat metacarpal fracture (26607) |
$2,143.32 |
$2,857.76 |
0.5× |
| Treat Tail Bone Fracture (27200) |
$637.50 |
$850 |
2.0× |
| Treat Thumb Dislocation (26641) |
$1,606.70 |
$2,142.26 |
5.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,296.50 |
$3,062 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,614.64 |
$2,152.86 |
5.1× |
| Tx Gastro Intub W/Asp (43753) |
$122.43 |
$163.24 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,446.25 |
$4,595 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$942.87 |
$1,257.16 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$506.25 |
$675 |
1.6× |
| Unlisted Procedure Casting/Strapping (29799) |
$225.78 |
$301.04 |
1.1× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$186.03 |
$248.04 |
0.6× |
| Unlisted Procedure, Urinary System (53899) |
$195.57 |
$260.76 |
0.6× |
Vaginal delivery only (59409)
range across 3 matching MRF lines |
$1,473–$4,089 |
$1,964–$5,452 |
varies |
| Wedge excision skin nail fold (11765) |
$457.12 |
$609.50 |
0.9× |
| Windowing of cast (29730) |
$236.12 |
$314.82 |
1.1× |