| Application cast elbow finger short arm (29075) |
$177.90 |
$178 |
0.6× |
| Application finger splint static (29130) |
$148.90 |
$149 |
1.1× |
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines |
$143.90–$159.90 |
$144–$160 |
varies |
| Application Long Leg Splint (29505) |
$149.90 |
$150 |
0.9× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$134.90–$149.90 |
$135–$150 |
varies |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
$149.90–$166.90 |
$150–$167 |
varies |
| Apply long arm cast (29065) |
$182.90 |
$183 |
0.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$174.90 |
$175 |
1.1× |
| Apply Short Leg Cast (29405) |
$159.90 |
$160 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$143.90–$159.90 |
$144–$160 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$208.90–$231.90 |
$209–$232 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$199.90 |
$200 |
0.7× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$193.90–$215.90 |
$194–$216 |
varies |
| Biopsy Vaginal Mucosa Simple (57100) |
$259.90 |
$260 |
0.3× |
| Blood Transfusion Service (36430) |
$854.90 |
$855 |
2.0× |
| Chemical Cautery Tissue (17250) |
$181.90 |
$182 |
0.9× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$134.90–$149.90 |
$135–$150 |
varies |
| Closed tx knee dislocation w/o anesthesia (27550) |
$945.90 |
$946 |
3.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$624.90 |
$625 |
2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$508.90 |
$509 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$479.90 |
$480 |
2.0× |
| Collection of venous blood by venipuncture (36415) |
$24.90 |
$25 |
2.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$246.90 |
$247 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$215.90 |
$216 |
0.5× |
| Destruct B9 Lesion 1-14 (17110) |
$221.90 |
$222 |
1.1× |
| Destruction Benign Lesions 15/> (17111) |
$267.90 |
$268 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$164.90 |
$165 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$454.90 |
$455 |
0.3× |
| Endometrial Biopsy (58100) |
$309.90 |
$310 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$107.90 |
$108 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$294.90 |
$295 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$342.90 |
$343 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$569.90 |
$570 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$399.90 |
$400 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$609.90 |
$610 |
0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$342.90 |
$343 |
0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$359.90 |
$360 |
0.5× |
| Fetal non-stress test (59025) |
$235.90 |
$236 |
1.2× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$246.90–$273.90 |
$247–$274 |
varies |
| I&d pilonidal cyst simple (10080) |
$464.90 |
$465 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$439.90 |
$440 |
1.1× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$253.90–$281.90 |
$254–$282 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$349.90 |
$350 |
1.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$127.90 |
$128 |
0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$199.90 |
$200 |
0.7× |
| Injection single tendon origin/insertion (20551) |
$174.90 |
$175 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$169.90 |
$170 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$179.90 |
$180 |
0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$304.90 |
$305 |
0.4× |
| Insert Drug Implant Device (11981) |
$201.90 |
$202 |
1.5× |
| Insert pessary/other device (57160) |
$155.90 |
$156 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,746.90 |
$3,747 |
2.4× |
| Intubation endotracheal emergency procedure (31500) |
$522.90 |
$523 |
2.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$757.90 |
$758 |
1.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$218.90 |
$219 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$225.90 |
$226 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$273.90 |
$274 |
0.7× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$57.90–$63.90 |
$58–$64 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$94.90 |
$95 |
1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$193.90 |
$194 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$195.90 |
$196 |
0.7× |
| Remove drug implant device (11982) |
$233.90 |
$234 |
0.5× |
| Remove foreign body from eye (65205) |
$203.90 |
$204 |
1.6× |
| Remove Intrauterine Device (58301) |
$249.90 |
$250 |
0.8× |
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines |
$314.90–$349.90 |
$315–$350 |
varies |
| Remove/Insert Drug Implant (11983) |
$327.90 |
$328 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,257.90 |
$1,258 |
3.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$981.90 |
$982 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$524.90 |
$525 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$531.90 |
$532 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$474.90 |
$475 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$556.90 |
$557 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$634.90 |
$635 |
1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$206.90 |
$207 |
0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$597.90 |
$598 |
3.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$289.90 |
$290 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$217.90 |
$218 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$199.90 |
$200 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$264.90 |
$265 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$229.90 |
$230 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$259.90 |
$260 |
1.3× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$230.90–$256.90 |
$231–$257 |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines |
$233.90–$259.90 |
$234–$260 |
varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$417.90 |
$418 |
2.1× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$202.90–$224.90 |
$203–$225 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$524.90 |
$525 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$309.90 |
$310 |
1.6× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
$224.90–$249.90 |
$225–$250 |
varies |
| Treatment closed elbow dislocation w/o anes (24600) |
$724.90 |
$725 |
3.0× |
Trim skin lesion (11055)
range across 2 matching MRF lines |
$121.90–$134.90 |
$122–$135 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$154.90 |
$155 |
0.8× |
| Vaginal delivery only (59409) |
$1,759.90 |
$1,760 |
0.6× |
| Wedge excision skin nail fold (11765) |
$309.90 |
$310 |
0.8× |