| Abd paracentesis w/imaging (49083) |
$221.45 |
$442.90 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$325 |
$650 |
0.4× |
| Acne surgery (10040) |
$80 |
$160 |
0.5× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$1,592.81 |
$3,185.61 |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$691.90 |
$1,383.79 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$65.23 |
$130.45 |
1.3× |
| Application finger splint static (29130) |
$37.28 |
$74.55 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$65.23 |
$130.45 |
0.5× |
| Application Long Leg Splint (29505) |
$93.18 |
$186.36 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$74.55 |
$149.09 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$55.91 |
$111.82 |
0.5× |
| Application short leg splint calf foot (29515) |
$60.57 |
$121.13 |
0.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$115 |
$230 |
0.8× |
| Arterial puncture (36600) |
$93.70 |
$187.39 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$87.55 |
$175.10 |
0.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$77.25–$222.25 |
$154.50–$444.50 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$82.50 |
$165 |
0.3× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$1,324.15 |
$2,648.29 |
0.5× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$477.04 |
$954.07 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$484 |
$968 |
0.9× |
| Aspirate Pleura W/O Imaging (32554) |
$266.88 |
$533.76 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$368.05 |
$736.10 |
0.2× |
| Aspiration Bladder Needle (51100) |
$138.37 |
$276.73 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$88.07 |
$176.13 |
0.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$371.83 |
$743.66 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$169 |
$338 |
0.3× |
| Blepharotomy drainage abscess eyelid (67700) |
$138.02 |
$276.04 |
0.5× |
Blood Transfusion Service (36430)
range across 7 matching MRF lines |
$53.56–$243.17 |
$107.12–$486.33 |
varies |
| Bx breast 1st lesion us imag (19083) |
$162.50 |
$325 |
0.1× |
| Carpal Tunnel Surgery (64721) |
$835.12 |
$1,670.24 |
0.5× |
| Catheter aspiration nasotracheal spx (31720) |
$45.50 |
$91 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$137.50 |
$275 |
0.6× |
| Change of Windpipe Airway (31502) |
$156.24 |
$312.47 |
0.8× |
| Chemical Cautery Tissue (17250) |
$115 |
$230 |
0.7× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$170.50–$182.64 |
$341–$365.28 |
varies |
| Clear outer ear canal (69200) |
$108.09 |
$216.17 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$137.15 |
$274.30 |
0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$360.50 |
$721 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$272.95 |
$545.90 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$150 |
$300 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$282.95 |
$565.90 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$200.85 |
$401.70 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$394 |
$788 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$283.25 |
$566.50 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$114.35 |
$228.70 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$175 |
$350 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$154.50 |
$309 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$348.20 |
$696.40 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$168.25 |
$336.50 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$250 |
$500 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$247.20 |
$494.40 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$375 |
$750 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$177.68 |
$355.35 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$275 |
$550 |
1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$110 |
$220 |
0.5× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$8.57–$12.50 |
$17.14–$25 |
varies |
| Complex drainage wound (10180) |
$257.50 |
$515 |
0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$68.56 |
$137.12 |
0.6× |
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873)
range across 2 matching MRF lines |
$7,500–$14,059.50 |
$15,000–$28,119 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$262.34 |
$524.67 |
2.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$350.46 |
$700.91 |
0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$321.25 |
$642.50 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,100.50 |
$2,201 |
0.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,431.32 |
$2,862.63 |
0.8× |
| Cystourethroscopy (52000) |
$214.17 |
$428.34 |
0.4× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,175 |
$2,350 |
0.6× |
| Cystourethroscopy with biopsy (52204) |
$370.54 |
$741.08 |
0.2× |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines |
$46.45–$150 |
$92.89–$300 |
varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$497.15 |
$994.29 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$434 |
$868 |
0.7× |
| Debride nail 1-5 (11720) |
$825 |
$1,650 |
16.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$825 |
$1,650 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$335.50 |
$671 |
0.9× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$117.58–$765 |
$235.15–$1,530 |
varies |
| Draw Blood Off Venous Device (36591) |
$40 |
$80 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$141 |
$282 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$127.50 |
$255 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$117.50 |
$235 |
0.7× |
| Endoscopic injection/implant (51715) |
$981.48 |
$1,962.95 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$31.56 |
$63.12 |
0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$110.69 |
$221.37 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$250 |
$500 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$110.69 |
$221.37 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$454.88 |
$909.76 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$294.21 |
$588.41 |
0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$532.42 |
$1,064.83 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$930 |
$1,860 |
0.9× |
Excision/Transposition Pterygium W/Grafg (65426)
range across 2 matching MRF lines |
$676.13–$724.27 |
$1,352.25–$1,448.54 |
varies |
Excision/Transposition Pterygium W/O Graft (65420)
range across 2 matching MRF lines |
$495.83–$531.13 |
$991.65–$1,062.26 |
varies |
| Exploration penetrating wound spx extremity (20103) |
$210 |
$420 |
0.1× |
| Fna bx w/us gdn 1st les (10005) |
$500 |
$1,000 |
0.8× |
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170)
range across 2 matching MRF lines |
$1,432–$1,533.96 |
$2,864–$3,067.92 |
varies |
I&d abscess simple (10060)
range across 3 matching MRF lines |
$82.60–$157.50 |
$165.20–$315 |
varies |
| I&d pilonidal cyst complicated (10081) |
$229.43 |
$458.86 |
0.4× |
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines |
$117.50–$162.50 |
$235–$325 |
varies |
Implant Neuroelectrodes (64561)
unusually low: confirm this is the full procedure |
$1,750 |
$3,500 |
0.3× |
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure |
$1,750 |
$3,500 |
0.1× |
| Incise external hemorrhoid (46083) |
$181.18 |
$362.35 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$223.14 |
$446.28 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$309.33 |
$618.66 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$94.97 |
$189.94 |
0.3× |
| Incision of sperm duct (55200) |
$542.67 |
$1,085.34 |
0.2× |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
$64.82–$80 |
$129.64–$160 |
varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$178.36 |
$356.71 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$575 |
$1,150 |
0.7× |
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines |
$175–$187.46 |
$350–$374.92 |
varies |
| Injection anesthetic agent suprascapular nerve (64418) |
$289.19 |
$578.37 |
0.5× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$75.63–$81.01 |
$151.25–$162.02 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines |
$75.63–$163.50 |
$151.25–$327 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
$227.19–$600 |
$454.37–$1,200 |
varies |
| Insert non-tunnel cv cath (36556) |
$210.84 |
$421.67 |
0.1× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$52.09–$54.17 |
$104.17–$108.34 |
varies |
| Insert tunneled cv cath (36561) |
$658.84 |
$1,317.68 |
0.2× |
| Insert tunneled cv cath (36563) |
$830.14 |
$1,660.28 |
0.2× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$50.57–$54.17 |
$101.13–$108.34 |
varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$658.84 |
$1,317.68 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,256.50 |
$2,513 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$200.90 |
$401.80 |
1.0× |
| Laser vaporization of prostate (52648) |
$1,084.59 |
$2,169.18 |
0.2× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,985.37 |
$9,970.73 |
1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$187.46 |
$374.92 |
0.3× |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
$175–$187.46 |
$350–$374.92 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$78.80 |
$157.59 |
0.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$305 |
$610 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$307.26 |
$614.52 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$396 |
$792 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$178.36 |
$356.71 |
0.2× |
| Occipital Nerve Block (64405) |
$270.48 |
$540.96 |
1.0× |
| Penile Injection (54235) |
$94.50 |
$189 |
0.4× |
| Perq device breast 1st imag (19281) |
$162.50 |
$325 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$150 |
$300 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$81.40 |
$162.80 |
0.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$290.02 |
$580.04 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$43.24 |
$86.47 |
0.8× |
| Removal of nail bed (11750) |
$180 |
$360 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$72.50 |
$145 |
0.4× |
| Remove foreign body from eye (65205) |
$67.93 |
$135.86 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$115.88 |
$231.75 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$431.43 |
$862.85 |
0.7× |
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines |
$346–$843.23 |
$692–$1,686.45 |
varies |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
$350–$666.74 |
$700–$1,333.47 |
varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$294.16 |
$588.31 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$451.03 |
$902.06 |
1.3× |
| Repair Ectropion Extensive (67917) |
$1,493.50 |
$2,987 |
0.7× |
| Repair Ectropion Suture (67914) |
$1,012.50 |
$2,025 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$262.86 |
$525.71 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$298.70 |
$597.39 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$112.50 |
$225 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$107.50 |
$215 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$225.02 |
$450.03 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$310.65 |
$621.29 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$150 |
$300 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$143.08 |
$286.16 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$184.62 |
$369.24 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$341.55 |
$683.09 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$301.55 |
$603.10 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$668.50 |
$1,337 |
0.4× |
| Repair of nail bed (11760) |
$187.50 |
$375 |
0.3× |
| Repair tongue laceration (41250) |
$103.65 |
$207.29 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$100 |
$200 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$197.66 |
$395.31 |
0.4× |
| Rplc Gtube No Revj Trc (43762) |
$180.25 |
$360.50 |
0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$242.17 |
$484.34 |
1.4× |
| Scrotal exploration (55110) |
$704.97 |
$1,409.94 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$121.62 |
$243.24 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$470.87 |
$941.74 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$159.61 |
$319.22 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$187.14 |
$374.27 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$231.75 |
$463.50 |
1.3× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$15.45–$100.39 |
$30.90–$200.78 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$362.50 |
$725 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$198.14 |
$396.28 |
1.1× |
| Slitting of prepuce (54001) |
$955.50 |
$1,911 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$121.31 |
$242.61 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$209.15 |
$418.30 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$348.60 |
$697.19 |
1.0× |
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines |
$100.70–$375 |
$201.39–$750 |
varies |
| Strapping Unna Boot (29580) |
$102.50 |
$205 |
0.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$619.55 |
$1,239.09 |
3.0× |
| Treat Knuckle Dislocation (26700) |
$334.75 |
$669.50 |
1.5× |
| Treat Thumb Dislocation (26641) |
$470.07 |
$940.14 |
2.2× |
| Treat toe dislocation (28630) |
$206.56 |
$413.12 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$412 |
$824 |
1.9× |
| Trim skin lesion (11055) |
$90 |
$180 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$203.65 |
$407.29 |
0.3× |
| Vaginal delivery only (59409) |
$1,222.50 |
$2,445 |
0.4× |
| Wedge excision skin nail fold (11765) |
$84.16 |
$168.31 |
0.2× |