| Abd paracentesis w/imaging (49083) |
$1,156.06 |
$1,360.07 |
1.2× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,276.28 |
$1,501.50 |
0.8× |
| Adding Walker Previously Applied Cast (29440) |
$284.75 |
$335 |
1.7× |
| Anoscopy Control Bleeding (46614) |
$1,587.80 |
$1,868 |
1.3× |
| Anoscopy diagnostic (46600) |
$270.30 |
$318 |
1.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,116.05 |
$1,313 |
1.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$316.97 |
$372.90 |
1.8× |
| Application cast elbow finger short arm (29075) |
$584.68 |
$687.86 |
2.0× |
| Application Finger Splint Dynamic (29131) |
$386.75 |
$455 |
6.2× |
| Application finger splint static (29130) |
$279.57 |
$328.90 |
2.0× |
| Application Hip Spica Cast 1 Leg (29305) |
$882.30 |
$1,038 |
3.0× |
| Application long arm splint shoulder hand (29105) |
$398.06 |
$468.30 |
2.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$504.05 |
$593 |
1.7× |
| Application Long Leg Splint (29505) |
$455.60 |
$536 |
2.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$411.40 |
$484 |
1.4× |
| Application of long leg cast (29345) |
$823.65 |
$969 |
2.8× |
| Application Short Arm Splint Dynamic (29126) |
$493 |
$580 |
3.5× |
| Application short arm splint forearm-hand static (29125) |
$297.94 |
$350.52 |
2.1× |
| Application short leg splint calf foot (29515) |
$384.67 |
$452.55 |
2.2× |
| Apply hand/wrist cast (29085) |
$478.55 |
$563 |
2.8× |
| Apply long arm cast (29065) |
$657.05 |
$773 |
2.2× |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
$288.15–$432.65 |
$339–$509 |
varies |
| Apply Short Leg Cast (29405) |
$705.85 |
$830.41 |
2.4× |
| Apply short leg cast (29425) |
$695.30 |
$818 |
2.3× |
| Arterial puncture (36600) |
$183.41 |
$215.78 |
1.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$600.31–$1,200.63 |
$706.25–$1,412.50 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$600.31–$1,200.63 |
$706.25–$1,412.50 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$600.31–$1,200.63 |
$706.25–$1,412.50 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$600.31–$1,200.63 |
$706.25–$1,412.50 |
varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,241.20 |
$2,636.70 |
1.3× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$2,700.45 |
$3,177 |
0.8× |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
$1,988.75–$2,181.52 |
$2,339.70–$2,566.49 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$600.31 |
$706.25 |
1.8× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$1,030.20 |
$1,212 |
1.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$733.55 |
$863 |
0.3× |
| Aspiration Bladder Needle (51100) |
$606.05 |
$713 |
2.3× |
| Aspiration bladder trocar/intracatheter (51101) |
$872.10 |
$1,026 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$515 |
$605.88 |
2.4× |
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines |
$1,221.44–$1,437.89 |
$1,436.99–$1,691.63 |
varies |
| Biopsy bone trocar/needle deep (20225) |
$1,221.44 |
$1,436.99 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,437.89 |
$1,691.63 |
0.8× |
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines |
$1,352.35–$1,493.28 |
$1,591–$1,756.80 |
varies |
Biopsy Pleura Percutaneous Needle (32400)
range across 2 matching MRF lines |
$1,221.44–$1,352.35 |
$1,436.99–$1,591 |
varies |
| Biopsy Salivary Gland Needle (42400) |
$882.93 |
$1,038.74 |
1.2× |
| Bladder Irrigation (51700) |
$330.21 |
$388.48 |
1.2× |
| Bladder Scan (51798) |
$128.25 |
$150.88 |
2.1× |
| Blood Transfusion Service (36430) |
$362.10 |
$426 |
0.8× |
| Bone Marrow Biopsy (38221) |
$1,626.05 |
$1,913 |
0.9× |
| Bone Marrow; Aspiration Only (38220) |
$1,445 |
$1,700 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,817.22 |
$2,137.91 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$966.79 |
$1,137.40 |
3.7× |
| Change of Windpipe Airway (31502) |
$228.65 |
$269 |
0.9× |
| Chemical Cautery Tissue (17250) |
$393.82 |
$463.32 |
1.9× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,402.08 |
$1,649.51 |
1.9× |
| Chemodenerv Musc Migraine (64615) |
$600.30 |
$706.23 |
1.8× |
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines |
$600.30–$1,200.59 |
$706.23–$1,412.46 |
varies |
| Chemodenerv trunk musc 1-5 (64646) |
$1,402.08 |
$1,649.51 |
1.9× |
| Chest tube placement (32551) |
$1,861.06 |
$2,189.48 |
1.1× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,463.70 |
$1,722 |
0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,620.10 |
$1,906 |
1.0× |
| Clear outer ear canal (69200) |
$669.80 |
$788 |
4.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$3,011.55 |
$3,543 |
11.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$207.57 |
$244.20 |
0.8× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,547.85 |
$1,821 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,357.45 |
$1,597 |
5.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$928.20 |
$1,092 |
3.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$471.75 |
$555 |
1.8× |
| Closed Treatment Sternum Fracture (21820) |
$1,018.30 |
$1,198 |
3.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,707.65 |
$2,009 |
6.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,142.40 |
$1,344 |
4.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,680.86 |
$1,977.48 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$196.35 |
$231 |
0.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,747.60 |
$2,056 |
6.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$1,163.65 |
$1,369 |
4.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,443.30 |
$1,698 |
0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$1,118.60 |
$1,316 |
4.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,520.65 |
$1,789 |
0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$196.35 |
$231 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,403.35 |
$1,651 |
5.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,428.85 |
$1,681 |
0.8× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,958.85 |
$3,481 |
1.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$3,157.75 |
$3,715 |
5.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$678.30 |
$798 |
2.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,748.90 |
$3,234 |
1.6× |
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines |
$741.20–$1,272.45 |
$872–$1,497 |
varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,686 |
$3,160 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$985.15 |
$1,159 |
3.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$290.70 |
$342 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,340.45 |
$1,577 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,063.35 |
$1,251 |
4.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,375.30 |
$1,618 |
0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$196.35 |
$231 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,558.76 |
$1,833.84 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$2,329 |
$2,740 |
8.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$783.70 |
$922 |
3.0× |
| Closed tx septal&nose fx (21337) |
$2,686 |
$3,160 |
0.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,102.45 |
$1,297 |
4.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$943.50 |
$1,110 |
3.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,491.37 |
$1,754.55 |
0.9× |
| Closed tx talus fracture w/o manipulation (28430) |
$1,130.50 |
$1,330 |
4.3× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$728.45 |
$857 |
2.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,798.60 |
$2,116 |
6.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,359.20 |
$3,952 |
2.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,606.50 |
$1,890 |
6.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$2,168.35 |
$2,551 |
8.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$654.50 |
$770 |
2.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,761.20 |
$2,072 |
3.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,118.60 |
$1,316 |
4.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$702.95 |
$827 |
2.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,340.45 |
$1,577 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,295.40 |
$1,524 |
5.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,515.55 |
$1,783 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,084.20 |
$2,452 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$958.80 |
$1,128 |
3.7× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,340.45 |
$1,577 |
0.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$4,285.70 |
$5,042 |
16.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,557.12 |
$1,831.90 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$861.05 |
$1,013 |
3.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,914.65 |
$3,429 |
1.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$1,096.50 |
$1,290 |
4.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$940.10 |
$1,106 |
3.6× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,860.65 |
$2,189 |
7.1× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,368.95 |
$2,787 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,222.30 |
$1,438 |
4.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,495.15 |
$1,759 |
5.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$944.62 |
$1,111.32 |
3.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$597.55 |
$703 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,280.10 |
$1,506 |
4.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,049.89 |
$2,411.64 |
1.2× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,440.75 |
$1,695 |
0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,071.45 |
$2,437 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,461.15 |
$1,719 |
5.6× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$2,816.05 |
$3,313 |
1.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,388.90 |
$1,634 |
5.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,353.65 |
$2,769 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$747.15 |
$879 |
2.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$595.85 |
$701 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$559.30 |
$658 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$570.35 |
$671 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,949.55 |
$5,823 |
2.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$374 |
$440 |
1.4× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$1,157.70 |
$1,362 |
4.4× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$1,231.65 |
$1,449 |
4.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,340.45 |
$1,577 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,320.50 |
$2,730 |
8.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$977.50 |
$1,150 |
3.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,376.15 |
$1,619 |
0.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$4,045.15 |
$4,759 |
2.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$1,382.95 |
$1,627 |
5.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,398.25 |
$1,645 |
0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$695.84 |
$818.64 |
2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$862.75 |
$1,015 |
3.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,703.21 |
$4,356.72 |
2.2× |
| Cltx Medial Ankle Fx (27760) |
$196.35 |
$231 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,232.50 |
$1,450 |
4.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$691.05 |
$813 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,257.66 |
$1,479.60 |
4.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$687.65 |
$809 |
2.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,858.95 |
$2,187 |
7.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,340.45 |
$1,577 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,020.85 |
$1,201 |
3.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,438.17 |
$1,691.96 |
0.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$196.35 |
$231 |
0.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$1,436.50 |
$1,690 |
5.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$609.45 |
$717 |
2.3× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,764.60 |
$2,076 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,328.15 |
$2,739 |
1.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$5,509.70 |
$6,482 |
3.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$4,736.88 |
$5,572.80 |
2.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$1,715.30 |
$2,018 |
6.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,340.45 |
$1,577 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$196.35 |
$231 |
0.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$793.90 |
$934 |
3.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$1,198.50 |
$1,410 |
4.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$196.35 |
$231 |
0.8× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$1,648.15 |
$1,939 |
6.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,317.49 |
$2,726.46 |
1.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$196.35 |
$231 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$174.69 |
$205.52 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$29.50 |
$34.71 |
3.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$345.10 |
$406 |
1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$5,979.75 |
$7,035 |
4.7× |
| Complex drainage wound (10180) |
$3,133.41 |
$3,686.36 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$685.75 |
$806.76 |
4.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$180.75 |
$212.65 |
1.3× |
| Control oropharyngeal hemorrhage simple (42960) |
$672.35 |
$791 |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,007.45 |
$2,361.70 |
1.1× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$1,161.95 |
$1,367 |
4.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$984.10 |
$1,157.76 |
7.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$979.20 |
$1,152 |
3.9× |
| Curette/treat cornea (65435) |
$1,001.30 |
$1,178 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$523.60 |
$616 |
1.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,037.18 |
$4,749.62 |
1.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,789.70 |
$3,282 |
3.7× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$2,077.40 |
$2,444 |
2.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,862.07 |
$2,190.67 |
2.4× |
| Debride nail 1-5 (11720) |
$209.10 |
$246 |
3.4× |
| Debride nail 6 or more (11721) |
$183.87 |
$216.32 |
2.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,284.17 |
$2,687.26 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$807.84 |
$950.40 |
1.9× |
| Declot vascular device (36593) |
$586.36 |
$689.83 |
1.7× |
| Delivery of placenta (59414) |
$2,704.70 |
$3,182 |
0.8× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$3,913.19–$7,826.38 |
$4,603.75–$9,207.50 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$3,913.19–$7,826.38 |
$4,603.75–$9,207.50 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$312.29 |
$367.40 |
1.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,913.19 |
$4,603.75 |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,180.45 |
$1,388.77 |
1.2× |
| Dilate Urethra Stricture (53620) |
$267.75 |
$315 |
0.4× |
| Drain Cerebro Spinal Fluid (62272) |
$1,060.29 |
$1,247.40 |
1.4× |
| Drain Hand Tendon Sheath (26020) |
$2,700.45 |
$3,177 |
0.8× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$803.25 |
$945 |
1.4× |
| Drainage external auditory canal abscess (69020) |
$586.50 |
$690 |
0.8× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,352.35 |
$1,591 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$675.55 |
$794.77 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$2,760.79 |
$3,247.99 |
1.6× |
| Drainage Mouth Roof Lesion (42000) |
$595 |
$700 |
2.4× |
| Drainage of eye (65800) |
$1,943.95 |
$2,287 |
0.8× |
| Drainage of finger abscess simple (26010) |
$979.51 |
$1,152.36 |
4.6× |
| Drainage of gum lesion (41800) |
$396.10 |
$466 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$1,732.82 |
$2,038.61 |
1.0× |
| Drainage of rectal abscess (45005) |
$984.30 |
$1,158 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$996.20 |
$1,172 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$174.69 |
$205.52 |
1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,656.65 |
$1,949 |
2.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$703.80 |
$828 |
0.9× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$426.70 |
$502 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$634.34 |
$746.28 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$522.34 |
$614.52 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$402.91 |
$474.01 |
1.9× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,370.65 |
$2,789 |
0.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,577.01 |
$3,031.78 |
1.4× |
| Egd Flexible Foreign Body Removal (43247) |
$4,016.25 |
$4,725 |
4.2× |
| Egd place gastrostomy tube (43246) |
$2,070.09 |
$2,435.40 |
1.0× |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
$1,328.08–$1,401.65 |
$1,562.45–$1,649 |
varies |
| Episiotomy or vaginal repair (59300) |
$731 |
$860 |
0.2× |
| Escharotomy; initial incision (16035) |
$2,792.85 |
$3,285.70 |
6.5× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$2,493.90 |
$2,934 |
2.6× |
| Evacuation of subungual hematoma (11740) |
$381.65 |
$449 |
2.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$909.83 |
$1,070.39 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,836.53 |
$3,337.09 |
1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,048.17 |
$1,233.14 |
1.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,177.43 |
$1,385.21 |
1.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,760.08 |
$2,070.68 |
2.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,705.44 |
$2,006.40 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,578.31 |
$1,856.84 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,324.67 |
$1,558.44 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,591.45 |
$1,872.29 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,780.27 |
$2,094.44 |
2.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,379.13 |
$1,622.50 |
1.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,019.90 |
$1,199.88 |
2.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,180.45 |
$1,388.77 |
1.6× |
| Excision Lesion Tongue W/O Closure (41110) |
$2,686 |
$3,160 |
0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,341.75 |
$2,755 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,518.86 |
$5,316.30 |
2.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,518.89 |
$2,963.40 |
0.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,370.65 |
$2,789 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,286.90 |
$1,514 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$332.35 |
$391 |
0.8× |
| Fluid Pressure Muscle (20950) |
$1,026.63 |
$1,207.80 |
1.4× |
| Fna bx w/us gdn 1st les (10005) |
$1,547.02 |
$1,820.02 |
2.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,010.81 |
$1,189.19 |
1.0× |
| I&d abscess peritonsillar (42700) |
$797.30 |
$938 |
3.2× |
| I&d abscess simple (10060) |
$792.04 |
$931.81 |
3.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,895.21 |
$4,582.60 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,370.65 |
$2,789 |
0.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,700.45 |
$3,177 |
0.8× |
| I&d perianal abscess superficial (46050) |
$1,105.73 |
$1,300.86 |
1.1× |
| I&d pilonidal cyst complicated (10081) |
$1,309 |
$1,540 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$586.50 |
$690 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$8,435.40 |
$9,924 |
2.7× |
Image Cath Fluid Colxn Visc (49405)
range across 3 matching MRF lines |
$857.65–$1,483.85 |
$1,009–$1,745.70 |
varies |
| Image Cath Fluid Peri/Retro (49406) |
$1,221.44 |
$1,436.99 |
0.7× |
| Implant neuroelectrodes (63650) |
$13,861.59 |
$16,307.75 |
2.1× |
| Implant Spine Infusion Pump (62362) |
$36,146.46 |
$42,525.25 |
1.9× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$13,501.40 |
$15,884 |
1.5× |
| Incise external hemorrhoid (46083) |
$703.80 |
$828 |
2.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,484.45 |
$1,746.41 |
3.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,598.77 |
$3,057.38 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$811.13 |
$954.27 |
1.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$426.70 |
$502 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$365.50 |
$430 |
1.1× |
| Incision Drainage Lacrimal Sac (68420) |
$1,949.05 |
$2,293 |
0.8× |
| Incision of eardrum (69420) |
$474.30 |
$558 |
1.9× |
| Incision of rectal abscess (46040) |
$2,102.41 |
$2,473.42 |
1.7× |
| Incision&drainage bursa foot (28001) |
$1,816.45 |
$2,137 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,706.26 |
$3,183.84 |
1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$312.38 |
$367.50 |
1.5× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
| Inj W/Fluor Eval Cv Device (36598) |
$786.99 |
$925.87 |
3.5× |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$600.31 |
$706.25 |
1.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,401.65 |
$1,649 |
1.9× |
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,401.65 |
$1,649 |
1.9× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines |
$1,401.65–$2,803.30 |
$1,649–$3,298 |
varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$600.31 |
$706.25 |
1.8× |
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines |
$1,401.65–$2,803.30 |
$1,649–$3,298 |
varies |
| Injection for identification of sentinel node (38792) |
$547.28 |
$643.86 |
1.3× |
| Injection single tendon origin/insertion (20551) |
$648.34 |
$762.75 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$600.31 |
$706.25 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$600.31 |
$706.25 |
1.8× |
| Injection therapeutic carpal tunnel (20526) |
$611.82 |
$719.79 |
1.9× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines |
$345.95–$2,803.30 |
$407–$3,298 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$1,401.65–$2,803.30 |
$1,649–$3,298 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$166.60 |
$196 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$130.05 |
$153 |
1.0× |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$686.80–$2,658.80 |
$808–$3,128 |
varies |
| Insert pessary/other device (57160) |
$165.75 |
$195 |
0.8× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$114.75–$218.12 |
$135–$256.61 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$106.25 |
$125 |
0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,658.80 |
$3,128 |
0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,677.50 |
$3,150 |
1.6× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,658.80 |
$3,128 |
0.8× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$62,936.34 |
$74,042.75 |
1.9× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines |
$1,903.15–$7,082.51 |
$2,239–$8,332.37 |
varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,559.20 |
$1,834.35 |
3.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,726.35 |
$2,031 |
4.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,782.45 |
$2,097 |
3.1× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$204 |
$240 |
0.8× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$331.83–$535.50 |
$390.39–$630 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$546.55 |
$643 |
2.1× |
| Laryngoscopy diagnostic (31505) |
$357.85 |
$421 |
1.7× |
| Laryngoscopy flexible diagnostic (31575) |
$1,022.89 |
$1,203.40 |
4.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$833 |
$980 |
2.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$1,012.35 |
$1,191 |
4.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,859.85 |
$4,541 |
2.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$2,091 |
$2,460 |
5.1× |
| Myelography Lumbar Injection (62304) |
$1,265.79 |
$1,489.16 |
1.5× |
| N Block Inj Celiac Pelus (64530) |
$1,847.48 |
$2,173.50 |
2.0× |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines |
$272–$2,803.30 |
$320–$3,298 |
varies |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
$1,401.65–$2,803.30 |
$1,649–$3,298 |
varies |
| N Block Inj Plantar Digit (64455) |
$551.65 |
$649 |
1.7× |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$833 |
$980 |
1.8× |
| Needle Biopsy Lymph Nodes (38505) |
$1,437.89 |
$1,691.63 |
0.8× |
| Needle Biopsy Pancreas (48102) |
$1,221.44 |
$1,436.99 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$139.99 |
$164.69 |
4.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$139.99 |
$164.69 |
4.6× |
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines |
$182.75–$1,200.63 |
$215–$1,412.50 |
varies |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$1,847.48–$3,694.95 |
$2,173.50–$4,347 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,847.48 |
$2,173.50 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,401.65 |
$1,649 |
1.9× |
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines |
$1,328.08–$1,401.65 |
$1,562.45–$1,649 |
varies |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines |
$1,725.42–$1,847.48 |
$2,029.90–$2,173.50 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,847.48 |
$2,173.50 |
2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,401.65 |
$1,649 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,847.48 |
$2,173.50 |
2.0× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$600.31–$1,200.63 |
$706.25–$1,412.50 |
varies |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
$4,711.55 |
$5,543 |
1.4× |
| Percut Drain/Inject Renal Cyst (50390) |
$721.65 |
$849 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,159.40 |
$1,364 |
0.7× |
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines |
$1,007.13–$1,047.85 |
$1,184.86–$1,232.77 |
varies |
Perq device breast 1st imag (19281)
range across 2 matching MRF lines |
$1,352.35–$2,068.07 |
$1,591–$2,433.02 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$677.45 |
$797 |
1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$399.88 |
$470.45 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$1,290.71 |
$1,518.48 |
1.7× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$492.15 |
$579 |
1.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,913.19 |
$4,603.75 |
1.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$388.45 |
$457 |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$1,820.70 |
$2,142 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,578.31 |
$1,856.84 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,325.86 |
$1,559.84 |
1.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,434.83 |
$1,688.04 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$77.76 |
$91.48 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$100.30 |
$118 |
1.6× |
| Removal implantable contraceptive capsules (11976) |
$1,100.50 |
$1,294.70 |
1.5× |
| Removal of foreign body from pharynx (42809) |
$902.28 |
$1,061.50 |
1.9× |
| Removal of nail bed (11750) |
$1,719.47 |
$2,022.90 |
4.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$317.90 |
$374 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$391.77 |
$460.90 |
1.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$253.30 |
$298 |
0.9× |
| Remove Forearm Foreign Body (25248) |
$1,881.90 |
$2,214 |
1.1× |
| Remove foreign body from eye (65205) |
$348.50 |
$410 |
2.5× |
| Remove Intrauterine Device (58301) |
$497.42 |
$585.20 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$669.80 |
$788 |
4.8× |
| Remove Shoulder Foreign Body (23330) |
$1,352.35 |
$1,591 |
0.8× |
| Renal Biopsy Perq (50200) |
$1,221.44 |
$1,436.99 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,306.62 |
$1,537.20 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,191.91 |
$2,578.72 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,145.11 |
$1,347.19 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,056.77 |
$2,419.73 |
4.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$523.60 |
$616 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,394.77 |
$1,640.90 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,112.95 |
$1,309.35 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,714.49 |
$2,017.05 |
2.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,477.45 |
$5,267.59 |
2.6× |
| Repair Eyelid Wound (67935) |
$1,949.05 |
$2,293 |
0.8× |
| Repair Finger Tendon (26433) |
$3,402.47 |
$4,002.90 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$5,246.92 |
$6,172.85 |
1.5× |
| Repair gum (41872) |
$2,686 |
$3,160 |
0.8× |
| Repair Hand Tendon (26410) |
$3,360.90 |
$3,954 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$874.09 |
$1,028.34 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,010.23 |
$1,188.51 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,105 |
$1,300 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,421.75 |
$1,672.65 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,369.59 |
$2,787.75 |
5.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,216.48 |
$1,431.15 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$821.73 |
$966.74 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$953.28 |
$1,121.51 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,196.20 |
$1,407.29 |
1.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,561.21 |
$1,836.72 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,093.31 |
$1,286.25 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$753.87 |
$886.91 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,030.60 |
$1,212.47 |
2.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,303.94 |
$1,534.05 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,033.30 |
$1,215.65 |
2.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,953.68 |
$2,298.45 |
0.9× |
| Repair Laceration Palate </2 Cm (42180) |
$1,131.35 |
$1,331 |
2.0× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$4,884.95 |
$5,747 |
0.8× |
| Repair of nail bed (11760) |
$1,035.05 |
$1,217.70 |
1.3× |
| Repair Spica/Body/Jacket Cast (29720) |
$235.45 |
$277 |
1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,402.47 |
$4,002.90 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$5,522.45 |
$6,497 |
0.7× |
| Repair tongue laceration (41252) |
$1,942.25 |
$2,285 |
7.8× |
| Repair tongue laceration (41250) |
$772.04 |
$908.28 |
1.6× |
| Reposition Gastrostomy Tube (43761) |
$748.94 |
$881.10 |
2.8× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$13,861.59 |
$16,307.75 |
2.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$6,896.26 |
$8,113.25 |
1.9× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,693.65 |
$3,169 |
1.6× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$578 |
$680 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$756.50 |
$890 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$793.90 |
$934 |
1.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$1,184.05 |
$1,393 |
8.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$600.10 |
$706 |
1.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,235.10 |
$3,806 |
1.1× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,913.19 |
$4,603.75 |
1.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$3,913.19 |
$4,603.75 |
1.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$13,501.40 |
$15,884 |
3.7× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$559.30 |
$658 |
1.9× |
| Rplc Gtube No Revj Trc (43762) |
$808.85 |
$951.59 |
3.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,107.59 |
$1,303.05 |
5.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,328.04 |
$1,562.40 |
1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$923.10 |
$1,086 |
3.7× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,949.05 |
$2,293 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,186.20 |
$2,572 |
3.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,957.55 |
$2,303 |
3.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,606.10 |
$3,066 |
1.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$2,011.95 |
$2,367 |
3.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$325.55 |
$383 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$371.45 |
$437 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$350.20 |
$412 |
1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$452.20 |
$532 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,228.97 |
$1,445.85 |
2.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$730.54 |
$859.46 |
3.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$837.17 |
$984.90 |
3.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,340.54 |
$1,577.10 |
3.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$956.76 |
$1,125.60 |
4.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$1,452.10 |
$1,708.35 |
6.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$593.76 |
$698.54 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,453.26 |
$1,709.72 |
6.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$956.25 |
$1,125 |
4.5× |
| Skin Pinch Graft (15050) |
$523.60 |
$616 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$793.10 |
$933.06 |
3.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,230.14 |
$1,447.22 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,341.70 |
$1,578.47 |
3.1× |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
$512.55–$1,108.76 |
$603–$1,304.42 |
varies |
| Strapping ankle (29540) |
$374.85 |
$441 |
2.2× |
| Strapping elbow or wrist (29260) |
$246.94 |
$290.52 |
4.0× |
| Strapping hand/finger (29280) |
$135.58 |
$159.50 |
2.2× |
| Strapping Hip (29520) |
$260.95 |
$307 |
1.9× |
| Strapping knee (29530) |
$297.43 |
$349.92 |
2.1× |
| Strapping shoulder (29240) |
$227.80 |
$268 |
1.6× |
| Strapping thorax (29200) |
$148.75 |
$175 |
0.9× |
| Strapping toes (29550) |
$225.25 |
$265 |
3.6× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$342.55–$514.25 |
$403–$605 |
varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$1,949.05 |
$2,293 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$457.22 |
$537.90 |
1.1× |
| Thrombolytic Therapy Stroke (37195) |
$2,154.75 |
$2,535 |
6.2× |
| Tooth extraction (41899) |
$5,355 |
$6,300 |
21.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,309.85 |
$1,541 |
5.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,375.30 |
$1,618 |
0.8× |
| Treat Dental Ridge Fracture (21440) |
$2,686 |
$3,160 |
0.8× |
| Treat humerus fracture (24500) |
$1,570.80 |
$1,848 |
6.0× |
| Treat Humerus Fracture (24505) |
$1,376.15 |
$1,619 |
0.8× |
| Treat humerus fracture (23600) |
$1,606.50 |
$1,890 |
6.2× |
| Treat knee fracture (27532) |
$2,700.45 |
$3,177 |
0.8× |
| Treat Knee Fracture(S) (27538) |
$196.35 |
$231 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$1,870 |
$2,200 |
7.2× |
| Treat Metatarsal Fracture (28475) |
$1,320.08 |
$1,553.04 |
5.1× |
| Treat Tail Bone Fracture (27200) |
$625.60 |
$736 |
2.4× |
| Treat Thumb Dislocation (26641) |
$2,496.45 |
$2,937 |
9.6× |
| Treat Thumb Fracture (26645) |
$1,409.30 |
$1,658 |
0.8× |
| Treat toe dislocation (28630) |
$600.10 |
$706 |
2.3× |
| Treat Vaginal Bleeding (57180) |
$767.55 |
$903 |
3.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,148.42 |
$1,351.08 |
4.4× |
| Treatment mouth roof lesion (42160) |
$2,686 |
$3,160 |
0.8× |
| Trim skin lesion (11055) |
$287.79 |
$338.58 |
1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,607.80 |
$3,068 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,043.32 |
$1,227.44 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$861.15 |
$1,013.12 |
2.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,340.45 |
$1,577 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$980.05 |
$1,153 |
3.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$139.40 |
$164 |
0.8× |
Unlisted procedure nervous system (64999)
range across 5 matching MRF lines |
$560.18–$2,155.57 |
$659.03–$2,535.96 |
varies |
| Unlisted Procedure Rectum (45999) |
$782.85 |
$921 |
0.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$338.71 |
$398.48 |
1.6× |
| Vaginal delivery only (59409) |
$2,607.80 |
$3,068 |
0.8× |
| Wedge excision skin nail fold (11765) |
$537.20 |
$632 |
1.2× |
| Wedging of cast (29740) |
$290.70 |
$342 |
1.0× |
| Windowing of cast (29730) |
$250.75 |
$295 |
1.5× |