| Abd paracentesis w/imaging (49083) |
$1,957 |
$1,957 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$758 |
$758 |
0.8× |
| Abdomen Surgery Procedure (22999) |
$2,059 |
$2,059 |
8.0× |
Acne surgery (10040)
range across 2 matching MRF lines |
$204–$302 |
$204–$302 |
varies |
| Acromiopl/Acromionect Partial (23130) |
$1,425 |
$1,425 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,637 |
$1,637 |
0.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,252 |
$2,252 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,034 |
$3,034 |
0.8× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$2,716 |
$2,716 |
1.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,987 |
$1,987 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,960 |
$1,960 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,460 |
$2,460 |
1.1× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,259 |
$2,259 |
1.1× |
| Amniocentesis diagnostic (59000) |
$605 |
$605 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,723 |
$1,723 |
0.5× |
| Amputation foot transmetarsal (28805) |
$1,954 |
$1,954 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$1,089 |
$1,089 |
0.3× |
| Amputation thigh through femur any level (27590) |
$2,240 |
$2,240 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$1,370 |
$1,370 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,508 |
$1,508 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,288 |
$2,288 |
0.3× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$540 |
$540 |
1.7× |
| Anal/Urinary Muscle Study (51784) |
$566 |
$566 |
4.2× |
| Anoscopy diagnostic (46600) |
$239 |
$239 |
1.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$466 |
$466 |
0.4× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$283 |
$283 |
0.1× |
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure |
$2,144 |
$2,144 |
0.3× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,990 |
$1,990 |
0.3× |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
$341–$386 |
$341–$386 |
varies |
Application finger splint static (29130)
range across 2 matching MRF lines |
$161–$167 |
$161–$167 |
varies |
| Application long arm splint shoulder hand (29105) |
$328 |
$328 |
1.9× |
| Application Long Leg Splint (29505) |
$219 |
$219 |
1.3× |
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure |
$3,169 |
$3,169 |
0.2× |
| Application of rigid total contact leg cast (29445) |
$649 |
$649 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$185 |
$185 |
1.3× |
| Application short leg splint calf foot (29515) |
$251 |
$251 |
1.5× |
Apply hand/wrist cast (29085)
range across 2 matching MRF lines |
$321–$403 |
$321–$403 |
varies |
Apply long arm cast (29065)
range across 2 matching MRF lines |
$408–$440 |
$408–$440 |
varies |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$505–$760 |
$505–$760 |
varies |
Apply Short Leg Cast (29405)
range across 2 matching MRF lines |
$278–$696 |
$278–$696 |
varies |
| Apply short leg cast (29425) |
$275 |
$275 |
0.9× |
| Arterial puncture (36600) |
$113 |
$113 |
0.8× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 8 matching MRF lines |
$189–$630 |
$189–$630 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines |
$223–$588 |
$223–$588 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 8 matching MRF lines |
$181–$600 |
$181–$600 |
varies |
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,952 |
$1,952 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$4,108 |
$4,108 |
0.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$2,158 |
$2,158 |
0.6× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$1,324 |
$1,324 |
0.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$1,320 |
$1,320 |
0.4× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$1,714 |
$1,714 |
0.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,293 |
$1,293 |
0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,612 |
$1,612 |
0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,754 |
$1,754 |
0.5× |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,984 |
$2,984 |
0.4× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$1,511 |
$1,511 |
0.4× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,400 |
$1,400 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,827 |
$1,827 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,626 |
$1,626 |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,489 |
$1,489 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,649 |
$2,649 |
0.4× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,918 |
$1,918 |
0.6× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure |
$3,542 |
$3,542 |
0.3× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure |
$2,576 |
$2,576 |
0.3× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$2,508 |
$2,508 |
0.7× |
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 3 matching MRF lines |
$1,751–$3,499 |
$1,751–$3,499 |
varies |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 5 matching MRF lines |
$1,468–$2,201 |
$1,468–$2,201 |
varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$920 |
$920 |
0.6× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$821 |
$821 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$665 |
$665 |
1.0× |
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines |
$379–$1,033 |
$379–$1,033 |
varies |
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines |
$181–$240 |
$181–$240 |
varies |
| Aspiration bladder insert suprapubic catheter (51102) |
$719 |
$719 |
0.3× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$188–$232 |
$188–$232 |
varies |
| Biopsy bone trocar/needle deep (20225) |
$2,711 |
$2,711 |
1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,371 |
$2,371 |
1.4× |
| Biopsy external ear (69100) |
$980 |
$980 |
4.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,654 |
$1,654 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$923 |
$923 |
0.2× |
| Biopsy of lip (40490) |
$195 |
$195 |
0.8× |
| Biopsy of palate, uvula (42100) |
$379 |
$379 |
0.2× |
| Biopsy of rectum (45100) |
$739 |
$739 |
0.3× |
| Biopsy Oropharynx (42800) |
$424 |
$424 |
0.3× |
| Biopsy Salivary Gland Incisional (42405) |
$797 |
$797 |
0.5× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$2,588 |
$2,588 |
1.5× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$1,013 |
$1,013 |
0.3× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$992 |
$992 |
1.8× |
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines |
$237–$757 |
$237–$757 |
varies |
| Bladder instillation anticarcinogenic agent (51720) |
$454 |
$454 |
0.6× |
| Bladder Irrigation (51700) |
$268 |
$268 |
1.0× |
| Bladder Scan (51798) |
$304 |
$304 |
5.0× |
| Blepharoplasty upper eyelid (15822) |
$1,169 |
$1,169 |
0.5× |
| Blood Transfusion Service (36430) |
$958 |
$958 |
2.1× |
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines |
$2,051–$3,747 |
$2,051–$3,747 |
varies |
| Bx breast 1st lesion us imag (19083) |
$1,894 |
$1,894 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,063 |
$1,063 |
0.6× |
| Bx Cervix (57500) |
$390 |
$390 |
0.4× |
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines |
$1,130–$1,694 |
$1,130–$1,694 |
varies |
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines |
$858–$1,286 |
$858–$1,286 |
varies |
Carpal Tunnel Surgery (64721)
range across 4 matching MRF lines |
$1,115–$1,673 |
$1,115–$1,673 |
varies |
| Catheter aspiration nasotracheal spx (31720) |
$375 |
$375 |
1.6× |
| Change Cystostomy Tube Complicated (51710) |
$416 |
$416 |
0.6× |
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines |
$213–$275 |
$213–$275 |
varies |
| Chemical Cautery Tissue (17250) |
$241 |
$241 |
1.2× |
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines |
$332–$769 |
$332–$769 |
varies |
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines |
$314–$980 |
$314–$980 |
varies |
| Chemodenerv trunk musc 1-5 (64646) |
$850 |
$850 |
1.2× |
| Chemodenerv trunk musc 6/> (64647) |
$1,030 |
$1,030 |
1.4× |
| Chemodenervation of internal anal sphincter (46505) |
$746 |
$746 |
0.6× |
| Chest tube placement (32551) |
$453 |
$453 |
0.3× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$228 |
$228 |
0.1× |
| Circumcision 28 days or older (54161) |
$786 |
$786 |
0.4× |
| Circumcision Neonate (54160) |
$671 |
$671 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$617 |
$617 |
0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,375 |
$1,375 |
0.8× |
| Claviculectomy partial (23120) |
$1,319 |
$1,319 |
0.4× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$264–$314 |
$264–$314 |
varies |
| Closed Rx Metacarpal Fx,Percut (26608) |
$1,078 |
$1,078 |
0.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$649 |
$649 |
2.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$722 |
$722 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$919 |
$919 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,310 |
$1,310 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$869 |
$869 |
3.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$971 |
$971 |
3.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$743 |
$743 |
2.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$723 |
$723 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,220 |
$1,220 |
4.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$943 |
$943 |
3.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$763 |
$763 |
3.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,382 |
$1,382 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$872 |
$872 |
3.4× |
| Closed tx talus fracture w/o manipulation (28430) |
$928 |
$928 |
3.6× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$809 |
$809 |
3.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$530 |
$530 |
2.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,166 |
$1,166 |
4.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$747 |
$747 |
2.9× |
| Closure Gastrostomy Surg (43870) |
$1,667 |
$1,667 |
0.4× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$1,247 |
$1,247 |
0.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$585 |
$585 |
2.3× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,199 |
$1,199 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$630 |
$630 |
2.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,260 |
$1,260 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$853 |
$853 |
3.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,293 |
$1,293 |
0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$903 |
$903 |
3.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$709 |
$709 |
2.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$593 |
$593 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$921 |
$921 |
3.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,686 |
$1,686 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$400 |
$400 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$512 |
$512 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$403 |
$403 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,017 |
$1,017 |
4.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$491 |
$491 |
1.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$860 |
$860 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$745 |
$745 |
2.9× |
| Cltx Medial Ankle Fx (27760) |
$886 |
$886 |
3.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$787 |
$787 |
3.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$725 |
$725 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$593 |
$593 |
2.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,439 |
$1,439 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,127 |
$1,127 |
4.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$750 |
$750 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$415 |
$415 |
1.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,994 |
$1,994 |
1.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$1,215 |
$1,215 |
4.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,074 |
$1,074 |
4.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$1,370 |
$1,370 |
5.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,276 |
$1,276 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$218 |
$218 |
1.6× |
| Collection of venous blood by venipuncture (36415) |
$46 |
$46 |
4.9× |
| Colonoscopy Flexible With Decompression (45393) |
$740 |
$740 |
0.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$990 |
$990 |
0.8× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,068 |
$1,068 |
0.9× |
| Colonoscopy thru stoma (44388) |
$814 |
$814 |
0.8× |
| Colonoscopy w/ablation (45388) |
$3,003 |
$3,003 |
2.4× |
| Colonoscopy w/fb removal (45379) |
$1,153 |
$1,153 |
0.9× |
| Colonoscopy W/Resection (45390) |
$976 |
$976 |
0.3× |
| Colonoscopy w/submucosal inj (45381) |
$1,092 |
$1,092 |
0.9× |
| Colporrhaphy (57200) |
$817 |
$817 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$460 |
$460 |
1.5× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$358 |
$358 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$199 |
$199 |
0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$405 |
$405 |
1.3× |
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines |
$263–$575 |
$263–$575 |
varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$357 |
$357 |
0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,265 |
$1,265 |
1.0× |
| Complex drainage wound (10180) |
$7,182 |
$7,182 |
2.4× |
Contour cranial bone lesion (21181)
likely a partial charge, not the full procedure |
$1,764 |
$1,764 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$590 |
$590 |
4.3× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 6 matching MRF lines |
$267–$302 |
$267–$302 |
varies |
| Correction hammertoe (28285) |
$1,553 |
$1,553 |
0.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,304 |
$2,304 |
0.7× |
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure |
$2,060 |
$2,060 |
0.3× |
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure |
$2,898 |
$2,898 |
0.4× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$152 |
$152 |
2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$687 |
$687 |
5.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$915 |
$915 |
3.7× |
| Curettage postpartum (59160) |
$518 |
$518 |
0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$887 |
$887 |
0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$830 |
$830 |
0.4× |
| Cysto w/insert ureteral stent (52332) |
$3,497 |
$3,497 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$1,022 |
$1,022 |
0.3× |
| Cysto w/removal of lesions small (52224) |
$1,886 |
$1,886 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$9,218 |
$9,218 |
2.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$664 |
$664 |
0.3× |
| Cystometrogram W/Up (51727) |
$882 |
$882 |
1.2× |
| Cystometrogram W/Vp&Up (51729) |
$959 |
$959 |
1.3× |
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure |
$1,794 |
$1,794 |
0.2× |
| Cystourethroscopy (52000) |
$580 |
$580 |
0.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$853 |
$853 |
0.4× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$827 |
$827 |
0.2× |
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure |
$1,578 |
$1,578 |
0.3× |
| Cystourethroscopy with biopsy (52204) |
$1,495 |
$1,495 |
0.7× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$775 |
$775 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$160 |
$160 |
0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,337 |
$1,337 |
1.7× |
| Debride nail 1-5 (11720) |
$85 |
$85 |
1.4× |
| Debride nail 6 or more (11721) |
$94 |
$94 |
1.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,332 |
$2,332 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$704 |
$704 |
1.7× |
| Declot vascular device (36593) |
$522 |
$522 |
1.5× |
| Deep Muscle Biopsy (20205) |
$762 |
$762 |
0.3× |
| Delivery of placenta (59414) |
$234 |
$234 |
0.1× |
| Destr penis lesion(s) (54065) |
$575 |
$575 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,729 |
$2,729 |
1.3× |
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines |
$181–$215 |
$181–$215 |
varies |
| Destruction Benign Lesions 15/> (17111) |
$1,031 |
$1,031 |
4.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,250 |
$1,250 |
1.4× |
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 2 matching MRF lines |
$178–$335 |
$178–$335 |
varies |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$211 |
$211 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$476 |
$476 |
2.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$322 |
$322 |
1.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$405 |
$405 |
1.0× |
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines |
$175–$204 |
$175–$204 |
varies |
| Diagnostic sigmoidoscopy (45330) |
$337 |
$337 |
0.3× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$226 |
$226 |
1.7× |
| Dilate Esophagus 1/Mult Pass (43450) |
$444 |
$444 |
0.5× |
| Dilate Urethra Stricture (53600) |
$270 |
$270 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,131 |
$1,131 |
0.3× |
| Dilation Cervical Canal (57800) |
$172 |
$172 |
0.1× |
| Disarticulation At Knee (27598) |
$1,858 |
$1,858 |
0.5× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,055 |
$1,055 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,092 |
$1,092 |
0.6× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$410–$2,554 |
$410–$2,554 |
varies |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,508 |
$1,508 |
0.4× |
| Draw Blood Off Venous Device (36591) |
$218 |
$218 |
1.6× |
| Dressing Change Under Anesthesia (15852) |
$126 |
$126 |
0.2× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$686 |
$686 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$471 |
$471 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$425 |
$425 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$369 |
$369 |
1.8× |
| Dstrj lesion anus simple surg excision (46922) |
$694 |
$694 |
0.2× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$667 |
$667 |
0.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,436 |
$1,436 |
0.7× |
| Egd cautery tumor polyp (43250) |
$1,116 |
$1,116 |
0.6× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,552 |
$1,552 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$990 |
$990 |
1.1× |
| Egd place gastrostomy tube (43246) |
$585 |
$585 |
0.3× |
| Egd remove lesion snare (43251) |
$1,242 |
$1,242 |
0.6× |
| Egd Tube/Cath Insertion (43241) |
$418 |
$418 |
0.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$508 |
$508 |
1.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$650 |
$650 |
2.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$509 |
$509 |
1.6× |
| Electro-Uroflowmetry First (51741) |
$73 |
$73 |
0.3× |
Endometrial Biopsy (58100)
range across 2 matching MRF lines |
$361–$550 |
$361–$550 |
varies |
| Epidural Blood Patch (62273) |
$494 |
$494 |
0.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$928 |
$928 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$3,007 |
$3,007 |
1.5× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$514 |
$514 |
0.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$758 |
$758 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,012 |
$1,012 |
0.5× |
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines |
$109–$128 |
$109–$128 |
varies |
| Exc abdl tum deep 5 cm/> (22901) |
$1,924 |
$1,924 |
0.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,105 |
$1,105 |
0.6× |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines |
$263–$682 |
$263–$682 |
varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$618 |
$618 |
0.4× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,315 |
$1,315 |
0.8× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,160 |
$2,160 |
0.7× |
| Exc back tum deep < 5 cm (21932) |
$1,975 |
$1,975 |
0.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$1,658 |
$1,658 |
0.4× |
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines |
$514–$1,066 |
$514–$1,066 |
varies |
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines |
$562–$2,004 |
$562–$2,004 |
varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,151 |
$1,151 |
0.7× |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines |
$310–$709 |
$310–$709 |
varies |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines |
$408–$647 |
$408–$647 |
varies |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines |
$545–$912 |
$545–$912 |
varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$681 |
$681 |
0.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,188 |
$1,188 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$263 |
$263 |
0.2× |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines |
$336–$943 |
$336–$943 |
varies |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
$422–$649 |
$422–$649 |
varies |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,391 |
$1,391 |
0.4× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,482 |
$1,482 |
0.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,229 |
$1,229 |
0.7× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$1,544 |
$1,544 |
0.4× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$1,735 |
$1,735 |
0.6× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$1,707 |
$1,707 |
0.6× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$1,713 |
$1,713 |
0.6× |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines |
$510–$857 |
$510–$857 |
varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$705 |
$705 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$845 |
$845 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$891 |
$891 |
0.5× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$1,244 |
$1,244 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$702 |
$702 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,454 |
$1,454 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$952 |
$952 |
0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,086 |
$1,086 |
0.4× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,218 |
$2,218 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$510 |
$510 |
0.4× |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines |
$310–$705 |
$310–$705 |
varies |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines |
$398–$682 |
$398–$682 |
varies |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines |
$668–$1,155 |
$668–$1,155 |
varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,251 |
$1,251 |
0.4× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,460 |
$1,460 |
0.9× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,146 |
$2,146 |
1.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$1,449 |
$1,449 |
0.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,039 |
$2,039 |
0.7× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,086 |
$1,086 |
0.4× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,652 |
$1,652 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,109 |
$1,109 |
0.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$866 |
$866 |
0.5× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$1,928 |
$1,928 |
0.6× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$1,460 |
$1,460 |
0.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,906 |
$1,906 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,465 |
$1,465 |
0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,485 |
$1,485 |
0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,036 |
$1,036 |
0.3× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,452 |
$1,452 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,114 |
$1,114 |
0.7× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$620 |
$620 |
0.2× |
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines |
$605–$917 |
$605–$917 |
varies |
| Excision External Ear Partial Simple Repair (69110) |
$1,201 |
$1,201 |
0.4× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$1,409 |
$1,409 |
0.5× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$806 |
$806 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$452 |
$452 |
0.6× |
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines |
$477–$742 |
$477–$742 |
varies |
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines |
$516–$745 |
$516–$745 |
varies |
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines |
$759–$1,985 |
$759–$1,985 |
varies |
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines |
$407–$734 |
$407–$734 |
varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,917 |
$2,917 |
1.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,517 |
$1,517 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$452 |
$452 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$492 |
$492 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$595 |
$595 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,018 |
$1,018 |
0.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$645 |
$645 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$731 |
$731 |
0.4× |
| Excision of hydrocele; bilateral (55041) |
$1,363 |
$1,363 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$861 |
$861 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$775 |
$775 |
0.3× |
| Excision olecranon bursa (24105) |
$912 |
$912 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,612 |
$1,612 |
0.5× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$1,903 |
$1,903 |
0.6× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$1,538 |
$1,538 |
0.5× |
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure |
$3,060 |
$3,060 |
0.4× |
| Excision spermatocele w/wo epididymectomy (54840) |
$990 |
$990 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,703 |
$1,703 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,173 |
$1,173 |
0.7× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,120 |
$1,120 |
0.7× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,449 |
$1,449 |
0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$1,110 |
$1,110 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$903 |
$903 |
0.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,153 |
$1,153 |
0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,215 |
$1,215 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,056 |
$1,056 |
0.6× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,244 |
$1,244 |
0.7× |
| Excision/destruction lesion pharynx any method (42808) |
$664 |
$664 |
0.2× |
Excision; trochanteric bursa or calcification (27062)
range across 3 matching MRF lines |
$1,187–$1,780 |
$1,187–$1,780 |
varies |
| Explo/Drain Breast Abscess (19020) |
$1,276 |
$1,276 |
0.7× |
| Exploration of knee joint (27310) |
$1,904 |
$1,904 |
0.6× |
| Explore/Treat Elbow Joint (24101) |
$9,683 |
$9,683 |
2.8× |
| External cephalic version (59412) |
$574 |
$574 |
0.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$1,376 |
$1,376 |
0.4× |
| Fasciotomy Iliotibial Open (27305) |
$1,351 |
$1,351 |
0.4× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$1,626 |
$1,626 |
0.5× |
Fasciotomy, hip or thigh, any type (27025)
range across 3 matching MRF lines |
$2,447–$3,671 |
$2,447–$3,671 |
varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,239 |
$2,239 |
0.7× |
| Fetal non-stress test (59025) |
$431 |
$431 |
2.1× |
| Fine needle aspiration without imaging guidance (10021) |
$974 |
$974 |
2.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,259 |
$2,259 |
1.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,350 |
$1,350 |
0.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,184 |
$1,184 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,182 |
$1,182 |
0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$1,479 |
$1,479 |
0.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,187 |
$1,187 |
0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$540 |
$540 |
0.6× |
| Hemorrhoidopexy by stapling (46947) |
$996 |
$996 |
0.3× |
| I&d abscess peritonsillar (42700) |
$453 |
$453 |
1.8× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$280–$329 |
$280–$329 |
varies |
| I&d perianal abscess superficial (46050) |
$569 |
$569 |
0.6× |
| I&d pilonidal cyst complicated (10081) |
$760 |
$760 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$357 |
$357 |
0.5× |
| Image Cath Fluid Peri/Retro (49406) |
$2,187 |
$2,187 |
1.3× |
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure |
$1,330 |
$1,330 |
0.2× |
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure |
$862 |
$862 |
0.0× |
| Incise external hemorrhoid (46083) |
$382 |
$382 |
1.5× |
| Incise finger tendon sheath (26055) |
$1,442 |
$1,442 |
0.9× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$556–$713 |
$556–$713 |
varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,381 |
$1,381 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$714 |
$714 |
0.4× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$355–$748 |
$355–$748 |
varies |
| Incision and drainage of vulva or perineal abscess (56405) |
$322 |
$322 |
1.0× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,597 |
$1,597 |
1.0× |
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines |
$875–$6,389 |
$875–$6,389 |
varies |
Incision of eardrum (69421)
range across 2 matching MRF lines |
$394–$590 |
$394–$590 |
varies |
| Incision of labial frenum (frenotomy) (40806) |
$419 |
$419 |
0.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$385 |
$385 |
0.2× |
| Incision of rectal abscess (46040) |
$1,307 |
$1,307 |
1.1× |
| Incision&drainage bursa foot (28001) |
$3,348 |
$3,348 |
2.0× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$2,178 |
$2,178 |
0.6× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$385 |
$385 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$482 |
$482 |
0.6× |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
$139–$154 |
$139–$154 |
varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,172 |
$1,172 |
1.3× |
Inject Intravitreal Pharmcologic (67028)
range across 4 matching MRF lines |
$509–$763 |
$509–$763 |
varies |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines |
$172–$360 |
$172–$360 |
varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$857 |
$857 |
1.2× |
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines |
$107–$884 |
$107–$884 |
varies |
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines |
$172–$240 |
$172–$240 |
varies |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$181–$240 |
$181–$240 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$205–$400 |
$205–$400 |
varies |
Injection therapeutic carpal tunnel (20526)
range across 5 matching MRF lines |
$236–$360 |
$236–$360 |
varies |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$315 |
$315 |
0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$688 |
$688 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,346 |
$1,346 |
1.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$206 |
$206 |
1.0× |
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines |
$160–$174 |
$160–$174 |
varies |
| Insert Bladder Cath Complex (51703) |
$371 |
$371 |
2.8× |
| Insert cath pleura w/o image (32556) |
$1,348 |
$1,348 |
0.7× |
| Insert cervical dilator (59200) |
$211 |
$211 |
0.7× |
Insert Drug Implant Device (11981)
range across 2 matching MRF lines |
$348–$485 |
$348–$485 |
varies |
| Insert non-tunnel cv cath (36556) |
$754 |
$754 |
0.2× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$206–$252 |
$206–$252 |
varies |
| Insert tun ip cath perc (49418) |
$3,841 |
$3,841 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,221 |
$2,221 |
0.7× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$153–$215 |
$153–$215 |
varies |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,942 |
$1,942 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$694 |
$694 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,794 |
$2,794 |
0.9× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
$712–$926 |
$712–$926 |
varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,926 |
$1,926 |
0.6× |
Insrt heart pm atrial & vent (33208)
likely a partial charge, not the full procedure |
$921 |
$921 |
0.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$540 |
$540 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$412 |
$412 |
1.7× |
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure |
$965 |
$965 |
0.2× |
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure |
$2,698 |
$2,698 |
0.4× |
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure |
$991 |
$991 |
0.2× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines |
$1,111–$1,666 |
$1,111–$1,666 |
varies |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,334 |
$2,334 |
0.2× |
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure |
$2,109 |
$2,109 |
0.3× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,842 |
$1,842 |
0.3× |
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure |
$1,557 |
$1,557 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$2,050 |
$2,050 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,540 |
$3,540 |
0.6× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
unusually low: confirm this is the full procedure |
$2,248 |
$2,248 |
0.4× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure |
$899 |
$899 |
0.1× |
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure |
$1,658 |
$1,658 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure |
$3,025 |
$3,025 |
0.5× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,693 |
$1,693 |
0.3× |
| Laryngoscopy flexible diagnostic (31575) |
$180 |
$180 |
0.9× |
| Late closure of wound (13160) |
$2,268 |
$2,268 |
0.6× |
| Lateral retinacular release open (27425) |
$1,161 |
$1,161 |
0.3× |
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure |
$1,856 |
$1,856 |
0.2× |
| Ligation of hemorrhoids (46946) |
$878 |
$878 |
0.3× |
| Ligation or biopsy temporal artery (37609) |
$687 |
$687 |
0.4× |
| Manipulation knee joint under general anesthesia (27570) |
$606 |
$606 |
0.4× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$525 |
$525 |
0.3× |
Mast mod rad (19307)
range across 3 matching MRF lines |
$3,267–$4,902 |
$3,267–$4,902 |
varies |
Mastectomy for gynecomastia (19300)
range across 3 matching MRF lines |
$1,957–$2,936 |
$1,957–$2,936 |
varies |
| Mastectomy partial (19301) |
$1,694 |
$1,694 |
0.4× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$3,762 |
$3,762 |
0.5× |
Mastectomy simple complete (19303)
range across 5 matching MRF lines |
$2,530–$3,900 |
$2,530–$3,900 |
varies |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
$3,647 |
$3,647 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,894 |
$3,894 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,099 |
$1,099 |
1.5× |
| N block inj intercost sng (64420) |
$298 |
$298 |
0.4× |
N Block Inj Plantar Digit (64455)
range across 4 matching MRF lines |
$142–$348 |
$142–$348 |
varies |
| N Block Lumbar/Thoracic (64520) |
$423 |
$423 |
0.5× |
| Nasal Endoscopy Dx (31231) |
$596 |
$596 |
2.9× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$765 |
$765 |
0.8× |
| Needle Biopsy Lymph Nodes (38505) |
$315 |
$315 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$49 |
$49 |
1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$60 |
$60 |
2.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,540 |
$1,540 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$436 |
$436 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$658 |
$658 |
2.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,348 |
$1,348 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,983 |
$1,983 |
2.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,134 |
$1,134 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,158 |
$1,158 |
1.6× |
Occipital Nerve Block (64405)
range across 4 matching MRF lines |
$142–$518 |
$142–$518 |
varies |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$1,508 |
$1,508 |
0.4× |
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure |
$2,309 |
$2,309 |
0.3× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,894 |
$1,894 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,562 |
$1,562 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,399 |
$1,399 |
0.2× |
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532)
likely a partial charge, not the full procedure |
$1,619 |
$1,619 |
0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$1,418 |
$1,418 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure |
$2,377 |
$2,377 |
0.3× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$1,348 |
$1,348 |
0.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,632 |
$1,632 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,278 |
$1,278 |
0.4× |
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure |
$3,573 |
$3,573 |
0.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,375 |
$1,375 |
0.4× |
Osteotomy radius distal third (25350)
unusually low: confirm this is the full procedure |
$2,814 |
$2,814 |
0.4× |
| Part remv talus or calcaneus (28120) |
$1,380 |
$1,380 |
0.4× |
| Partial Excision Bone Humerus (24140) |
$13,117 |
$13,117 |
3.9× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$567 |
$567 |
0.2× |
| Partial removal of fibula (27641) |
$1,348 |
$1,348 |
0.4× |
| Partial removal of toe (28160) |
$1,217 |
$1,217 |
0.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,284 |
$1,284 |
0.4× |
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure |
$1,741 |
$1,741 |
0.2× |
| Pelvic examination under anesthesia (other than local) (57410) |
$285 |
$285 |
0.1× |
| Penile Injection (54235) |
$259 |
$259 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$822 |
$822 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$1,344 |
$1,344 |
1.8× |
Perq device breast 1st imag (19281)
range across 4 matching MRF lines |
$481–$1,727 |
$481–$1,727 |
varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,512 |
$1,512 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$156 |
$156 |
0.3× |
| Placement of seton (46020) |
$722 |
$722 |
0.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$401 |
$401 |
0.3× |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines |
$1,652–$2,478 |
$1,652–$2,478 |
varies |
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines |
$268–$336 |
$268–$336 |
varies |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$285–$445 |
$285–$445 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$328 |
$328 |
0.4× |
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure |
$1,943 |
$1,943 |
0.3× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure |
$1,750 |
$1,750 |
0.2× |
| Reconstruction Tongue Fold (41520) |
$935 |
$935 |
0.3× |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
$650–$1,506 |
$650–$1,506 |
varies |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$73–$109 |
$73–$109 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines |
$127–$251 |
$127–$251 |
varies |
| Removal Implant Deep (20680) |
$1,612 |
$1,612 |
0.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,017 |
$1,017 |
0.6× |
| Removal implantable contraceptive capsules (11976) |
$349 |
$349 |
0.5× |
| Removal of adenoids (42831) |
$646 |
$646 |
0.2× |
| Removal of adenoids (42830) |
$646 |
$646 |
0.2× |
| Removal of anal fissure (46200) |
$920 |
$920 |
0.3× |
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure |
$1,708 |
$1,708 |
0.3× |
| Removal of heel spur (28119) |
$1,411 |
$1,411 |
0.4× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$419–$483 |
$419–$483 |
varies |
| Removal of sesamoid bone (28315) |
$1,334 |
$1,334 |
0.4× |
| Removal of testis (54520) |
$898 |
$898 |
0.2× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$1,224 |
$1,224 |
0.2× |
| Removal of tonsils (42826) |
$1,224 |
$1,224 |
0.4× |
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines |
$208–$253 |
$208–$253 |
varies |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$513 |
$513 |
0.7× |
| Removal, under anesthesia, of external fixation system (20694) |
$967 |
$967 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$289 |
$289 |
1.0× |
Remove drug implant device (11982)
range across 2 matching MRF lines |
$386–$389 |
$386–$389 |
varies |
Remove femur lesion/graft (27356)
likely a partial charge, not the full procedure |
$2,066 |
$2,066 |
0.2× |
| Remove foreign body from eye (65205) |
$133 |
$133 |
1.0× |
| Remove hip pressure sore (15941) |
$2,338 |
$2,338 |
0.8× |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
$234–$368 |
$234–$368 |
varies |
| Remove Shoulder Foreign Body (23330) |
$623 |
$623 |
0.4× |
| Remove Tendon Sheath Lesion (26160) |
$1,362 |
$1,362 |
0.8× |
| Remove thigh pressure sore (15956) |
$2,997 |
$2,997 |
1.4× |
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines |
$557–$653 |
$557–$653 |
varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,097 |
$1,097 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,659 |
$1,659 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,001 |
$1,001 |
2.4× |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
$1,402–$1,417 |
$1,402–$1,417 |
varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$973 |
$973 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$907 |
$907 |
1.2× |
| Repair Hallux Rigidus (28289) |
$2,155 |
$2,155 |
0.6× |
| Repair Hand Joint (26540) |
$1,828 |
$1,828 |
0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,433 |
$1,433 |
0.4× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,168 |
$3,168 |
0.9× |
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 4 matching MRF lines |
$4,143–$6,213 |
$4,143–$6,213 |
varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$635 |
$635 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$731 |
$731 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$892 |
$892 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,052 |
$1,052 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$554 |
$554 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$817 |
$817 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$932 |
$932 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$923 |
$923 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$517 |
$517 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$661 |
$661 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,088 |
$1,088 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$792 |
$792 |
1.9× |
| Repair Leg Fascia Defect (27656) |
$1,611 |
$1,611 |
0.5× |
Repair lower leg tendons (27676)
likely a partial charge, not the full procedure |
$1,594 |
$1,594 |
0.2× |
Repair Nonunion/Malunion Tibia W/O Graft (27720)
unusually low: confirm this is the full procedure |
$2,461 |
$2,461 |
0.3× |
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure |
$2,712 |
$2,712 |
0.4× |
Repair of hydrocele (55060)
range across 2 matching MRF lines |
$1,256–$1,884 |
$1,256–$1,884 |
varies |
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure |
$2,182 |
$2,182 |
0.3× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,552 |
$2,552 |
0.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$4,475 |
$4,475 |
0.7× |
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure |
$2,290 |
$2,290 |
0.3× |
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure |
$2,794 |
$2,794 |
0.4× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,691 |
$1,691 |
0.2× |
| Repair tongue laceration (41250) |
$606 |
$606 |
1.3× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure |
$1,141 |
$1,141 |
0.2× |
Repair/Graft Wrist Bone (25440)
likely a partial charge, not the full procedure |
$1,882 |
$1,882 |
0.2× |
Repr Elbw Med Ligmnt W/Tiss (24345)
likely a partial charge, not the full procedure |
$1,597 |
$1,597 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$4,933 |
$4,933 |
1.3× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$3,243 |
$3,243 |
1.1× |
Resection/transplantation long tendon biceps (23440)
likely a partial charge, not the full procedure |
$1,815 |
$1,815 |
0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$694 |
$694 |
0.2× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$3,845 |
$3,845 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure |
$4,155 |
$4,155 |
0.3× |
| Revise ureter (50727) |
$1,355 |
$1,355 |
0.4× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$2,741 |
$2,741 |
0.7× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$3,326 |
$3,326 |
0.9× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
unusually low: confirm this is the full procedure |
$4,153 |
$4,153 |
0.3× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$1,627 |
$1,627 |
0.4× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure |
$4,716 |
$4,716 |
0.4× |
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure |
$3,969 |
$3,969 |
0.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$1,040 |
$1,040 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$697 |
$697 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$154 |
$154 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$822 |
$822 |
0.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,373 |
$1,373 |
0.7× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$863–$1,606 |
$863–$1,606 |
varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$590 |
$590 |
0.9× |
| Rplc Gtube No Revj Trc (43762) |
$897 |
$897 |
3.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,869 |
$2,869 |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,617 |
$3,617 |
0.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$1,475 |
$1,475 |
0.4× |
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure |
$2,427 |
$2,427 |
0.4× |
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure |
$2,200 |
$2,200 |
0.3× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$1,866 |
$1,866 |
0.3× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$882 |
$882 |
0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$488 |
$488 |
2.3× |
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure |
$965 |
$965 |
0.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$1,794 |
$1,794 |
0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$658 |
$658 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$722 |
$722 |
0.6× |
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines |
$198–$213 |
$198–$213 |
varies |
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines |
$243–$274 |
$243–$274 |
varies |
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines |
$213–$369 |
$213–$369 |
varies |
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines |
$256–$298 |
$256–$298 |
varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$190 |
$190 |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,559 |
$1,559 |
0.5× |
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines |
$285–$298 |
$285–$298 |
varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$332 |
$332 |
0.8× |
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines |
$160–$243 |
$160–$243 |
varies |
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines |
$280–$364 |
$280–$364 |
varies |
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines |
$174–$289 |
$174–$289 |
varies |
| Sigmoidoscopy & decompress (45337) |
$327 |
$327 |
0.3× |
| Sigmoidoscopy & Polypectomy (45333) |
$866 |
$866 |
0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$637 |
$637 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$503 |
$503 |
1.2× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$431–$461 |
$431–$461 |
varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$505 |
$505 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$536 |
$536 |
2.6× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$333–$358 |
$333–$358 |
varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$419 |
$419 |
2.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,732 |
$2,732 |
1.3× |
| Skin graft, harvest cultured tissue (15040) |
$711 |
$711 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$4,093 |
$4,093 |
5.3× |
| Skin sub graft trnk/arm/leg (15271) |
$2,175 |
$2,175 |
2.8× |
| Skin sub grft t/arm/lg child (15273) |
$6,785 |
$6,785 |
3.2× |
| Skn sub grft f/n/hf/g child (15277) |
$5,434 |
$5,434 |
2.5× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$2,179 |
$2,179 |
0.4× |
| Slitting of prepuce (54001) |
$532 |
$532 |
0.2× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
$372–$431 |
$372–$431 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$546 |
$546 |
1.3× |
| Sphincterotomy anal division sphincter spx (46080) |
$643 |
$643 |
0.2× |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
$517–$568 |
$517–$568 |
varies |
| Strapping ankle (29540) |
$73 |
$73 |
0.4× |
| Strapping elbow or wrist (29260) |
$77 |
$77 |
1.3× |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
$374–$794 |
$374–$794 |
varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$1,892 |
$1,892 |
0.5× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$1,224 |
$1,224 |
0.4× |
| Surg tx anal fistula subq (46270) |
$1,180 |
$1,180 |
0.4× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,544 |
$1,544 |
0.2× |
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure |
$1,611 |
$1,611 |
0.2× |
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines |
$268–$540 |
$268–$540 |
varies |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,944 |
$1,944 |
0.3× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$2,414 |
$2,414 |
0.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,007 |
$2,007 |
0.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,350 |
$1,350 |
0.4× |
Total Knee Arthroplasty (27447)
range across 5 matching MRF lines |
$3,541–$5,311 |
$3,541–$5,311 |
varies |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$808 |
$808 |
0.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$1,126 |
$1,126 |
3.6× |
| Transur electr resection of prostate (52601) |
$4,144 |
$4,144 |
0.7× |
| Treat Finger Fracture Each (26727) |
$1,255 |
$1,255 |
0.4× |
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure |
$1,912 |
$1,912 |
0.3× |
| Treat humerus fracture (24500) |
$1,236 |
$1,236 |
4.8× |
| Treat humerus fracture (23600) |
$961 |
$961 |
3.8× |
| Treat Thumb Fracture (26645) |
$1,459 |
$1,459 |
0.9× |
| Treat thumb fracture (26665) |
$1,479 |
$1,479 |
0.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,316 |
$1,316 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$541 |
$541 |
2.1× |
| Treatment of anal fissure (46940) |
$564 |
$564 |
0.2× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$4,726 |
$4,726 |
0.6× |
Trim skin lesion (11055)
range across 2 matching MRF lines |
$113–$126 |
$113–$126 |
varies |
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines |
$126–$165 |
$126–$165 |
varies |
| Trim skin lesions over 4 (11057) |
$179 |
$179 |
0.9× |
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines |
$57–$58 |
$57–$58 |
varies |
| Tubal ligation (58600) |
$1,250 |
$1,250 |
0.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,072 |
$1,072 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$816 |
$816 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$972 |
$972 |
0.3× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$2,104 |
$2,104 |
0.6× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,038 |
$1,038 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,125 |
$1,125 |
1.5× |
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 2 matching MRF lines |
$1,011–$1,516 |
$1,011–$1,516 |
varies |
| Tympanostomy general anesthesia (69436) |
$695 |
$695 |
0.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,477 |
$1,477 |
0.4× |
| Unlisted laparoscopic procedure liver (47379) |
$3,307 |
$3,307 |
0.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$3,762 |
$3,762 |
0.6× |
Unlisted laparoscopy procedure, spleen (38129)
likely a partial charge, not the full procedure |
$970 |
$970 |
0.2× |
| Unlisted procedure anus (46999) |
$1,055 |
$1,055 |
1.1× |
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines |
$486–$531 |
$486–$531 |
varies |
| Unlisted procedure femur or knee (27599) |
$1,401 |
$1,401 |
5.5× |
| Unlisted procedure foot or toes (28899) |
$1,190 |
$1,190 |
4.6× |
| Unlisted procedure neck or thorax (21899) |
$991 |
$991 |
4.0× |
| Unlisted procedure nervous system (64999) |
$423 |
$423 |
1.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,010 |
$2,010 |
7.8× |
| Unlisted Procedure, Urinary System (53899) |
$872 |
$872 |
3.4× |
| Vaginal delivery only (59409) |
$2,852 |
$2,852 |
0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,265 |
$1,265 |
0.6× |
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines |
$369–$551 |
$369–$551 |
varies |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
$1,335 |
$1,335 |
0.4× |
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines |
$331–$380 |
$331–$380 |
varies |