Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,593.99–$1,673.69 |
$1,593.99–$1,673.69 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$173.94 |
$173.94 |
0.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,049 |
$2,049 |
0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,500.93 |
$3,500.93 |
1.0× |
| Anoscopy diagnostic (46600) |
$101.07 |
$101.07 |
0.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$293.39 |
$293.39 |
0.3× |
| Application cast elbow finger short arm (29075) |
$143.20 |
$143.20 |
0.5× |
| Application finger splint static (29130) |
$91.19 |
$91.19 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$187.83 |
$187.83 |
1.0× |
Application Long Leg Splint (29505) range across 2 matching MRF lines |
$157.50–$290.17 |
$157.50–$290.17 |
varies |
| Application of cylinder cast (thigh to ankle) (29365) |
$438.44 |
$438.44 |
1.4× |
| Application of long leg cast (29345) |
$303.19 |
$303.19 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$180.81 |
$180.81 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$179.07 |
$179.07 |
1.2× |
| Application short leg splint calf foot (29515) |
$157.50 |
$157.50 |
0.9× |
| Apply long arm cast (29065) |
$345.50 |
$345.50 |
1.1× |
| Apply Short Leg Cast (29405) |
$296.42 |
$296.42 |
1.0× |
| Apply short leg cast (29425) |
$270.76 |
$270.76 |
0.9× |
Arterial puncture (36600) range across 2 matching MRF lines |
$86.59–$90.92 |
$86.59–$90.92 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$138.95 |
$138.95 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$168.43 |
$168.43 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$125.88 |
$125.88 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$361.79 |
$361.79 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$699.54 |
$699.54 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$215.94 |
$215.94 |
0.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$193.59 |
$193.59 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$179.16 |
$179.16 |
0.8× |
| Bladder Irrigation (51700) |
$408.72 |
$408.72 |
1.5× |
| Blepharotomy drainage abscess eyelid (67700) |
$475 |
$475 |
1.3× |
Blood Transfusion Service (36430) range across 10 matching MRF lines |
$525–$2,100 |
$525–$2,100 |
varies |
| Change Cystostomy Tube Simple (51705) |
$124.66 |
$124.66 |
0.4× |
Chest tube placement (32551) range across 2 matching MRF lines |
$174.86–$592.21 |
$174.86–$592.21 |
varies |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,502.52 |
$1,502.52 |
0.8× |
| Clear outer ear canal (69200) |
$194.65 |
$194.65 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$883.27 |
$883.27 |
3.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,551.21 |
$1,551.21 |
5.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$932.81 |
$932.81 |
3.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,129.04 |
$1,129.04 |
4.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,409.22 |
$1,409.22 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,195.96 |
$1,195.96 |
4.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$893.12 |
$893.12 |
3.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$1,084.46 |
$1,084.46 |
3.9× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,517.04 |
$1,517.04 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,448.75 |
$1,448.75 |
5.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$2,222.24 |
$2,222.24 |
3.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$762.80 |
$762.80 |
2.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$897.44 |
$897.44 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,164.24 |
$1,164.24 |
4.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,082.12 |
$1,082.12 |
3.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$1,153.73 |
$1,153.73 |
4.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$932.85 |
$932.85 |
3.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$962.85 |
$962.85 |
3.5× |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$445.08–$1,357.07 |
$445.08–$1,357.07 |
varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$974.99 |
$974.99 |
3.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$820.83 |
$820.83 |
3.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$843.41 |
$843.41 |
3.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$103.92 |
$103.92 |
0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$932.81 |
$932.81 |
3.4× |
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$248.54–$519.77 |
$248.54–$519.77 |
varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$292.28 |
$292.28 |
0.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$685.78 |
$685.78 |
2.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$685.78 |
$685.78 |
2.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$799.21 |
$799.21 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$776.08 |
$776.08 |
2.8× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$1,656.33 |
$1,656.33 |
6.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$930.18 |
$930.18 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$855.95 |
$855.95 |
3.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$658.26 |
$658.26 |
2.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$1,087.77 |
$1,087.77 |
4.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$928.28 |
$928.28 |
3.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$950.44 |
$950.44 |
3.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,131.04 |
$1,131.04 |
4.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$445.08 |
$445.08 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$553.81 |
$553.81 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,143.83 |
$1,143.83 |
4.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,172.73 |
$1,172.73 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$641.29 |
$641.29 |
2.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$521.79 |
$521.79 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$448.13 |
$448.13 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$438.67 |
$438.67 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,626.30 |
$1,626.30 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,075.71 |
$1,075.71 |
3.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$445.08 |
$445.08 |
1.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$750.74 |
$750.74 |
0.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$276.97 |
$276.97 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$585.76 |
$585.76 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$824.95 |
$824.95 |
3.0× |
| Cltx Medial Ankle Fx (27760) |
$1,195.24 |
$1,195.24 |
4.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,148.30 |
$1,148.30 |
4.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,043.09 |
$1,043.09 |
3.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,204.30 |
$1,204.30 |
4.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$192.95 |
$192.95 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$748.60 |
$748.60 |
2.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,091.34 |
$1,091.34 |
4.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,505 |
$1,505 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$337.51 |
$337.51 |
1.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$1,351.97 |
$1,351.97 |
4.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$700 |
$700 |
2.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$914.41 |
$914.41 |
3.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,234.13 |
$1,234.13 |
4.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,080.03 |
$2,080.03 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,134 |
$1,134 |
4.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$98.86 |
$98.86 |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$53.20 |
$53.20 |
5.7× |
| Colporrhaphy (57200) |
$1,249.13 |
$1,249.13 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$276.27 |
$276.27 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$194.62 |
$194.62 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$350.93 |
$350.93 |
2.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$438.64 |
$438.64 |
1.7× |
| Curette/treat cornea (65435) |
$177.15 |
$177.15 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$144.94 |
$144.94 |
0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$100.66 |
$100.66 |
0.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$378.41 |
$378.41 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$160.79 |
$160.79 |
0.4× |
| Declot vascular device (36593) |
$113.05 |
$113.05 |
0.3× |
| Delivery of placenta (59414) |
$1,937.74 |
$1,937.74 |
0.5× |
| Destruct B9 Lesion 1-14 (17110) |
$282.99 |
$282.99 |
1.3× |
| Destruction Benign Lesions 15/> (17111) |
$345.66 |
$345.66 |
1.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$648.27 |
$648.27 |
1.4× |
Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$295.47–$310.24 |
$295.47–$310.24 |
varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$910 |
$910 |
1.2× |
| Drainage of finger abscess simple (26010) |
$342.26 |
$342.26 |
1.5× |
| Drainage of gum lesion (41800) |
$381.89 |
$381.89 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$395.21 |
$395.21 |
0.2× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$421.67–$442.75 |
$421.67–$442.75 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$389.10 |
$389.10 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$192.08 |
$192.08 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$275.63 |
$275.63 |
0.1× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$943.52 |
$943.52 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$107.16 |
$107.16 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$272.34 |
$272.34 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$1,047.38 |
$1,047.38 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,212.75 |
$1,212.75 |
0.7× |
| Explore/Treat Hand Joint (26070) |
$705.60 |
$705.60 |
0.4× |
| Fetal non-stress test (59025) |
$181.91 |
$181.91 |
0.8× |
| I&d abscess peritonsillar (42700) |
$315.32 |
$315.32 |
1.2× |
| I&d abscess simple (10060) |
$299.07 |
$299.07 |
1.3× |
| I&d perianal abscess superficial (46050) |
$327.92 |
$327.92 |
0.3× |
| I&d pilonidal cyst complicated (10081) |
$442.48 |
$442.48 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$332.83 |
$332.83 |
0.4× |
| Incise external hemorrhoid (46083) |
$641.66 |
$641.66 |
2.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$438.44 |
$438.44 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$618.96 |
$618.96 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$401.86 |
$401.86 |
0.9× |
Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$342.26–$443.70 |
$342.26–$443.70 |
varies |
| Incision and drainage of vulva or perineal abscess (56405) |
$351.42 |
$351.42 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$155.68 |
$155.68 |
0.7× |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$158.57–$287.85 |
$158.57–$287.85 |
varies |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$143.55 |
$143.55 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$164.39 |
$164.39 |
0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$359.48 |
$359.48 |
0.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$205.62 |
$205.62 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$643.06 |
$643.06 |
4.5× |
| Insert cath pleura w/o image (32556) |
$296.72 |
$296.72 |
0.1× |
| Insert Drug Implant Device (11981) |
$276.13 |
$276.13 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$512.14 |
$512.14 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$327.53 |
$327.53 |
2.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$271.28 |
$271.28 |
1.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$428.67 |
$428.67 |
0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$318.62 |
$318.62 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$628.95 |
$628.95 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$376.89 |
$376.89 |
1.4× |
| N block inj intercost sng (64420) |
$168.19 |
$168.19 |
0.2× |
| N Block Inj Plantar Digit (64455) |
$82.69 |
$82.69 |
0.2× |
| Nasal surgery procedure (30999) |
$176.40 |
$176.40 |
0.7× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$123.70 |
$123.70 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$78.69 |
$78.69 |
2.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$113.22 |
$113.22 |
3.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$164.97 |
$164.97 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,550.23 |
$1,550.23 |
0.4× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$732.50 |
$732.50 |
0.2× |
| Open tx interphalangeal joint dislocation (26785) |
$911.99 |
$911.99 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$159.86 |
$159.86 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$347.10 |
$347.10 |
0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$462.79 |
$462.79 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$229.15 |
$229.15 |
0.6× |
| Removal foreign body foot deep (28192) |
$485.10 |
$485.10 |
0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$312.89 |
$312.89 |
0.4× |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$354.24–$544.10 |
$354.24–$544.10 |
varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$640.33 |
$640.33 |
0.2× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$110.60–$170.13 |
$110.60–$170.13 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$110.60–$170.13 |
$110.60–$170.13 |
varies |
| Removal of foreign body from pharynx (42809) |
$500.96 |
$500.96 |
1.0× |
| Removal of nail bed (11750) |
$583.93 |
$583.93 |
1.3× |
| Removal or bivalving full arm or full leg cast (29705) |
$151.48 |
$151.48 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$239.45 |
$239.45 |
1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$151.48 |
$151.48 |
0.5× |
| Remove foreign body from eye (65205) |
$194.88 |
$194.88 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$421.98 |
$421.98 |
2.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,378.17 |
$1,378.17 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,386.04 |
$1,386.04 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,155.21 |
$1,155.21 |
2.6× |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,155.21–$1,530.28 |
$1,155.21–$1,530.28 |
varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$795.65 |
$795.65 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,062.51 |
$1,062.51 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$759.20 |
$759.20 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$925.44 |
$925.44 |
1.1× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$588.64–$588.67 |
$588.64–$588.67 |
varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$588.67 |
$588.67 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$697.95 |
$697.95 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$732.81 |
$732.81 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$668.23 |
$668.23 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$553.74 |
$553.74 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$644.13 |
$644.13 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$683 |
$683 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$363.83 |
$363.83 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$521.40 |
$521.40 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$631.24 |
$631.24 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,044.07 |
$1,044.07 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$656.54 |
$656.54 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$423.72 |
$423.72 |
0.2× |
Repair of nail bed (11760) range across 2 matching MRF lines |
$215.82–$346.24 |
$215.82–$346.24 |
varies |
| Repair tongue laceration (41252) |
$1,764 |
$1,764 |
6.7× |
| Repair tongue laceration (41250) |
$495.85 |
$495.85 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$413.44 |
$413.44 |
1.5× |
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$184.34–$193.67 |
$184.34–$193.67 |
varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$140.54 |
$140.54 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$268.04 |
$268.04 |
1.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$237.12 |
$237.12 |
0.5× |
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$541.49–$1,344.98 |
$541.49–$1,344.98 |
varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$335.94 |
$335.94 |
0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$343.73 |
$343.73 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$572.66 |
$572.66 |
1.3× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$425.29–$528.14 |
$425.29–$528.14 |
varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$313.16 |
$313.16 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$298.04 |
$298.04 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$293.26 |
$293.26 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$847.88 |
$847.88 |
3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$569.89 |
$569.89 |
2.5× |
| Skin sub graft face/nk/hf/g (15275) |
$447.60 |
$447.60 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$447.60 |
$447.60 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$527.66 |
$527.66 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$446.29 |
$446.29 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$732.45 |
$732.45 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$284.60 |
$284.60 |
0.4× |
| Strapping ankle (29540) |
$76.44 |
$76.44 |
0.4× |
| Strapping elbow or wrist (29260) |
$185.62 |
$185.62 |
2.8× |
| Strapping hand/finger (29280) |
$180.02 |
$180.02 |
2.7× |
| Strapping knee (29530) |
$119.60 |
$119.60 |
0.8× |
| Strapping shoulder (29240) |
$268.71 |
$268.71 |
1.8× |
| Strapping thorax (29200) |
$127.47 |
$127.47 |
0.7× |
| Strapping toes (29550) |
$112.26 |
$112.26 |
1.7× |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
$115.76–$231.53 |
$115.76–$231.53 |
varies |
| Subcutaneous Hormone Pellet Implantation (11980) |
$33.96 |
$33.96 |
0.1× |
| Tangential biopsy skin single lesion (11102) |
$347.10 |
$347.10 |
0.8× |
| Therapeutic pneumothorax (32960) |
$354.73 |
$354.73 |
0.5× |
| Thrombolytic Therapy Stroke (37195) |
$204.88 |
$204.88 |
0.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$628.99 |
$628.99 |
2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$732.08 |
$732.08 |
0.4× |
| Treat humerus fracture (24500) |
$1,268.80 |
$1,268.80 |
4.6× |
| Treat Humerus Fracture (24505) |
$2,268 |
$2,268 |
1.3× |
| Treat humerus fracture (23600) |
$1,155.07 |
$1,155.07 |
4.2× |
| Treat Knuckle Dislocation (26700) |
$916.51 |
$916.51 |
3.3× |
| Treat Tail Bone Fracture (27200) |
$634.90 |
$634.90 |
2.3× |
| Treat Thumb Dislocation (26641) |
$1,027.57 |
$1,027.57 |
3.7× |
| Treat toe dislocation (28630) |
$350.20 |
$350.20 |
1.3× |
| Treat Vaginal Bleeding (57180) |
$345.73 |
$345.73 |
1.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$903.50 |
$903.50 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,239.73 |
$1,239.73 |
4.5× |
| Tx Gastro Intub W/Asp (43753) |
$71.01 |
$71.01 |
0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$779.18 |
$779.18 |
2.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$192.94 |
$192.94 |
1.1× |
| Unlisted Procedure Hands/Fingers (26989) |
$258.32 |
$258.32 |
0.9× |
| Unlisted Procedure Male Genital System (55899) |
$237.04 |
$237.04 |
0.9× |
Vaginal delivery only (59409) range across 2 matching MRF lines |
$2,635.31–$2,845.02 |
$2,635.31–$2,845.02 |
varies |
Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$221.14–$228.88 |
$221.14–$228.88 |
varies |
| Windowing of cast (29730) |
$145.04 |
$145.04 |
0.8× |