| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,103.04 |
$1,378.80 |
1.2× |
| Abdomen Surgery Procedure (22999) |
$2,169.40 |
$2,711.75 |
8.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,154.60 |
$3,943.25 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$5,459.80 |
$6,824.75 |
1.7× |
| Amputation thigh through femur any level (27590) |
$7,298.40 |
$9,123 |
2.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,541.60 |
$3,177 |
0.8× |
| Anoscopy diagnostic (46600) |
$298.80 |
$373.50 |
2.2× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,204 |
$2,755 |
0.8× |
| Appendectomy (44950) |
$5,940 |
$7,425 |
0.9× |
| Application cast elbow finger short arm (29075) |
$557.76 |
$697.20 |
2.0× |
| Application finger splint static (29130) |
$88.40 |
$110.50 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$309.74 |
$387.17 |
1.9× |
| Application Long Leg Splint (29505) |
$390.77 |
$488.46 |
2.4× |
| Application of long leg cast (29345) |
$501.20 |
$626.50 |
1.8× |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$176.40–$291.84 |
$220.50–$364.80 |
varies |
| Application short leg splint calf foot (29515) |
$402.56 |
$503.20 |
2.5× |
| Apply long arm cast (29065) |
$451.20 |
$564 |
1.6× |
| Apply Multlay Comprs Lwr Leg (29581) |
$421.44 |
$526.80 |
2.6× |
| Apply Short Leg Cast (29405) |
$451.20 |
$564 |
1.6× |
| Apply short leg cast (29425) |
$501.20 |
$626.50 |
1.8× |
| Arterial puncture (36600) |
$179.52 |
$224.40 |
1.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$245.20–$375.40 |
$306.50–$469.25 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$289.42–$1,946.88 |
$361.78–$2,433.60 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$654.72 |
$818.40 |
2.1× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,715.40 |
$4,644.25 |
1.1× |
| Aspirate Pleura W/O Imaging (32554) |
$1,188.42 |
$1,485.52 |
1.9× |
| Aspiration Bladder Needle (51100) |
$1,114.40 |
$1,393 |
4.4× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$176.40–$253.80 |
$220.50–$317.25 |
varies |
| Biopsy of breast; open, incisional (19101) |
$3,194.24 |
$3,992.80 |
0.8× |
| Biopsy of rectum (45100) |
$2,204 |
$2,755 |
0.8× |
| Bladder Scan (51798) |
$145.38 |
$181.72 |
2.5× |
Blood Transfusion Service (36430) range across 5 matching MRF lines |
$1,662.40–$2,703.40 |
$2,078–$3,379.25 |
varies |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,272.80 |
$1,591 |
0.8× |
| Bx/exc lymph node open deep axillary node (38525) |
$2,981.60 |
$3,727 |
0.8× |
| Bx/exc lymph node open superficial (38500) |
$2,992.80 |
$3,741 |
0.8× |
| Carpal Tunnel Surgery (64721) |
$5,273.20 |
$6,591.50 |
2.7× |
| Catheter aspiration nasotracheal spx (31720) |
$322.76 |
$403.45 |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$1,515.80 |
$1,894.75 |
6.0× |
| Chest tube placement (32551) |
$1,229.14 |
$1,536.43 |
0.8× |
| Circumcision 28 days or older (54161) |
$1,856.80 |
$2,321 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,856.80 |
$2,321 |
0.9× |
| Clear outer ear canal (69200) |
$157.60 |
$197 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,375.20 |
$1,719 |
5.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$623.40 |
$779.25 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$571.36 |
$714.20 |
2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,906.40 |
$3,633 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$623.40 |
$779.25 |
2.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$623.40 |
$779.25 |
2.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,809 |
$2,261.25 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$477.20 |
$596.50 |
1.9× |
| Closure Gastrostomy Surg (43870) |
$4,505.20 |
$5,631.50 |
1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$472.20 |
$590.25 |
1.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$505.20 |
$631.50 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$472.20 |
$590.25 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,858.56 |
$2,323.20 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$488.34 |
$610.42 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$472.20 |
$590.25 |
1.9× |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$515.34–$677.12 |
$644.18–$846.40 |
varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$646.40 |
$808 |
0.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$339.84 |
$424.80 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$623.40 |
$779.25 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,455.36 |
$1,819.20 |
5.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$472.20 |
$590.25 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$623.40 |
$779.25 |
2.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$505.20 |
$631.50 |
2.0× |
| Collection of venous blood by venipuncture (36415) |
$24 |
$30 |
2.6× |
| Colonoscopy thru stoma (44388) |
$2,190.60 |
$2,738.25 |
2.3× |
| Colonoscopy w/ablation (45388) |
$3,202.40 |
$4,003 |
2.7× |
| Colpocentesis (57020) |
$3,904.80 |
$4,881 |
0.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,684.60 |
$3,355.75 |
2.2× |
| Complex drainage wound (10180) |
$2,231.20 |
$2,789 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$613.12 |
$766.40 |
4.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$157.60 |
$197 |
1.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$8,076.20 |
$10,095.25 |
2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$453.76 |
$567.20 |
3.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$92 |
$115 |
0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,169.40 |
$2,711.75 |
2.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,815.40 |
$3,519.25 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,004.80 |
$1,256 |
2.5× |
| Delivery of placenta (59414) |
$2,454.40 |
$3,068 |
0.8× |
| Destruct B9 Lesion 1-14 (17110) |
$141.80 |
$177.25 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$263.60 |
$329.50 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$771 |
$963.75 |
0.8× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,465.40 |
$1,831.75 |
1.6× |
| Drain Cerebro Spinal Fluid (62272) |
$1,015.20 |
$1,269 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$118.40 |
$148 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,803.60 |
$2,254.50 |
1.1× |
| Drainage of finger abscess simple (26010) |
$649.60 |
$812 |
3.2× |
| Drainage of gum lesion (41800) |
$206.40 |
$258 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$1,575.36 |
$1,969.20 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,441.80 |
$1,802.25 |
0.9× |
| Drainage of scrotum (54700) |
$1,599.20 |
$1,999 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$570.36 |
$712.95 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$560 |
$700 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$364.16 |
$455.20 |
1.8× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,284.60 |
$2,855.75 |
1.2× |
| Egd place gastrostomy tube (43246) |
$2,837.60 |
$3,547 |
1.5× |
| Egd remove lesion snare (43251) |
$2,375.80 |
$2,969.75 |
1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,442.80 |
$1,803.50 |
1.6× |
| Esophagoscopy Retro Balloon (43213) |
$1,966.80 |
$2,458.50 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,622.60 |
$2,028.25 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$480.64 |
$600.80 |
3.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,014.20 |
$2,517.75 |
1.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$610 |
$762.50 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,352 |
$1,690 |
0.8× |
| Exc Back Les Sc < 3 Cm (21930) |
$4,032 |
$5,040 |
2.4× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$4,598.40 |
$5,748 |
1.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,655.20 |
$2,069 |
2.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,921.20 |
$2,401.50 |
1.2× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$2,343.60 |
$2,929.50 |
1.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$808 |
$1,010 |
1.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$937.40 |
$1,171.75 |
1.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,420 |
$1,775 |
0.9× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$2,597.80 |
$3,247.25 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,272.80 |
$1,591 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$552 |
$690 |
0.8× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$608.80–$1,272.80 |
$761–$1,591 |
varies |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,281.40 |
$2,851.75 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$829.60 |
$1,037 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,236 |
$1,545 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,231.20 |
$2,789 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,772.60 |
$2,215.75 |
1.1× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,231.20 |
$2,789 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,231.20 |
$2,789 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,684.40 |
$2,105.50 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$787.08 |
$983.85 |
0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$581.40 |
$726.75 |
1.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$710.80 |
$888.50 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,272.80 |
$1,591 |
0.8× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,309.80 |
$4,137.25 |
1.1× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,724.20 |
$3,405.25 |
0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,379 |
$5,473.75 |
1.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,466.80 |
$4,333.50 |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,524.40 |
$3,155.50 |
1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,865.60 |
$2,332 |
1.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,221.40 |
$4,026.75 |
1.1× |
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$2,231.20–$2,358.20 |
$2,789–$2,947.75 |
varies |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,197.60 |
$1,497 |
0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$994.80 |
$1,243.50 |
1.4× |
| Excision lesion meniscus/capsule knee (27347) |
$3,200.60 |
$4,000.75 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$934.40 |
$1,168 |
2.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,272.80 |
$1,591 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,231.20 |
$2,789 |
0.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,204 |
$2,755 |
0.8× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$3,427.40 |
$4,284.25 |
2.1× |
| Excision of hydrocele; unilateral (55040) |
$2,976.20 |
$3,720.25 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,231.20 |
$2,789 |
0.8× |
| Excision olecranon bursa (24105) |
$2,541.60 |
$3,177 |
0.8× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$4,295 |
$5,368.75 |
1.5× |
| Excision tendon finger flexor/extensor each (26180) |
$2,508.40 |
$3,135.50 |
1.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,382.80 |
$4,228.50 |
2.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,148 |
$3,935 |
1.9× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$3,205.40 |
$4,006.75 |
1.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,503.20 |
$3,129 |
0.9× |
Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$580.20–$581.40 |
$725.25–$726.75 |
varies |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$4,628.80 |
$5,786 |
2.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,178.80 |
$3,973.50 |
1.1× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,367.20 |
$2,959 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,018.40 |
$5,023 |
1.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$717.60 |
$897 |
0.8× |
| I&d abscess peritonsillar (42700) |
$564 |
$705 |
2.4× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$191.60–$716.80 |
$239.50–$896 |
varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,419.80 |
$3,024.75 |
1.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,037.60 |
$3,797 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,231.20 |
$2,789 |
0.8× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$2,204 |
$2,755 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$581.60 |
$727 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,231.20 |
$2,789 |
0.8× |
Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$256.20–$1,033.95 |
$320.25–$1,292.44 |
varies |
| Incision & removal foreign body subq tiss compl (10121) |
$1,858 |
$2,322.50 |
1.1× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$314.80–$418.56 |
$393.50–$523.20 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$745 |
$931.25 |
3.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$695.20 |
$869 |
2.3× |
| Incision of eardrum (69420) |
$926.80 |
$1,158.50 |
3.9× |
| Incision of rectal abscess (46040) |
$1,881.80 |
$2,352.25 |
1.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$265.60 |
$332 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$130.60 |
$163.25 |
0.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,184 |
$1,480 |
1.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,562.40 |
$1,953 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$279.36 |
$349.20 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$293.60 |
$367 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$947.20 |
$1,184 |
1.3× |
| Insert cath pleura w/o image (32556) |
$1,493.60 |
$1,867 |
0.8× |
| Insert Drug Implant Device (11981) |
$400.48 |
$500.60 |
3.0× |
Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$378.40–$2,502.40 |
$473–$3,128 |
varies |
| Insert Temp Bladder Cath (51702) |
$256.64 |
$320.80 |
1.9× |
| Insert tunneled cv cath (36561) |
$3,589 |
$4,486.25 |
1.1× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$179.20–$219.20 |
$224–$274 |
varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,649.60 |
$8,312 |
2.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,874.88 |
$2,343.60 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$433.20 |
$541.50 |
1.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$9,176.40 |
$11,470.50 |
1.5× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$10,335.60 |
$12,919.50 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,647.60 |
$2,059.50 |
1.0× |
| Mast mod rad (19307) |
$7,876.60 |
$9,845.75 |
1.2× |
| Nipple Exploration (19110) |
$2,992.80 |
$3,741 |
0.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$676 |
$845 |
2.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,257.60 |
$1,572 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$509.02 |
$636.27 |
1.1× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$926.40 |
$1,158 |
0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$592.48 |
$740.60 |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$902.20 |
$1,127.75 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,272.80 |
$1,591 |
0.8× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$188.16–$282.24 |
$235.20–$352.80 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$142.60 |
$178.25 |
2.4× |
| Removal of foreign body from pharynx (42809) |
$775 |
$968.75 |
1.7× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$189–$1,216.80 |
$236.25–$1,521 |
varies |
| Removal of sperm cord lesion (55520) |
$2,736.80 |
$3,421 |
0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$251 |
$313.75 |
1.2× |
| Removal sweat gland lesion (11450) |
$2,231.20 |
$2,789 |
0.8× |
| Remove drug implant device (11982) |
$456.40 |
$570.50 |
1.0× |
| Remove Forearm Foreign Body (25248) |
$2,722.60 |
$3,403.25 |
1.7× |
| Remove foreign body from eye (65205) |
$547.20 |
$684 |
4.1× |
| Remove Nasal Foreign Body (30300) |
$477.20 |
$596.50 |
3.6× |
| Remove Tendon Sheath Lesion (26160) |
$2,902.20 |
$3,627.75 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,073.60 |
$1,342 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,443.20 |
$1,804 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,532.80 |
$1,916 |
3.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,253.60 |
$2,817 |
5.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,073.60 |
$1,342 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$887.04 |
$1,108.80 |
2.2× |
| Repair Hand Tendon (26410) |
$3,769.20 |
$4,711.50 |
2.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,259.60 |
$5,324.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,594.60 |
$1,993.25 |
3.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,291.80 |
$1,614.75 |
3.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,415.40 |
$1,769.25 |
3.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$588.80 |
$736 |
1.4× |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$337.40–$1,074.20 |
$421.75–$1,342.75 |
varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,203.60 |
$1,504.50 |
1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$364.60 |
$455.75 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$576.60 |
$720.75 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$829.60 |
$1,037 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,985.80 |
$2,482.25 |
2.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,157.80 |
$1,447.25 |
2.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,233.20 |
$2,791.50 |
1.1× |
| Repair of nail bed (11760) |
$860.80 |
$1,076 |
1.2× |
| Repair tongue laceration (41250) |
$475.40 |
$594.25 |
1.1× |
| Rerepair ing hernia reduce (49520) |
$4,563 |
$5,703.75 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$547.20 |
$684 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,892 |
$2,365 |
1.2× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$1,117.80–$1,194.94 |
$1,397.25–$1,493.67 |
varies |
| Rplc Gtube No Revj Trc (43762) |
$488.46 |
$610.57 |
1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$555.52 |
$694.40 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,910.40 |
$2,388 |
3.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,425.80 |
$1,782.25 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$474.20 |
$592.75 |
2.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$674.20 |
$842.75 |
1.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,086 |
$1,357.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$499.84 |
$624.80 |
2.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$499.84 |
$624.80 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$688 |
$860 |
3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$408.40 |
$510.50 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,349.80 |
$1,687.25 |
6.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$499.84 |
$624.80 |
2.5× |
| Skin sub graft face/nk/hf/g (15275) |
$3,247.20 |
$4,059 |
4.4× |
| Skin sub graft trnk/arm/leg (15271) |
$3,430.40 |
$4,288 |
4.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$499.84 |
$624.80 |
2.5× |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$761.60–$791.68 |
$952–$989.60 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,078.40 |
$1,348 |
2.6× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,204 |
$2,755 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$994.56 |
$1,243.20 |
1.4× |
| Strapping ankle (29540) |
$142.08 |
$177.60 |
0.9× |
| Strapping elbow or wrist (29260) |
$352.80 |
$441 |
6.0× |
| Strapping hand/finger (29280) |
$352.80 |
$441 |
6.0× |
| Strapping knee (29530) |
$189.42 |
$236.78 |
1.4× |
| Strapping shoulder (29240) |
$503.20 |
$629 |
3.8× |
| Strapping toes (29550) |
$185.80 |
$232.25 |
3.1× |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
$572–$915.20 |
$715–$1,144 |
varies |
| Surg tx anal fistula subq (46270) |
$2,204 |
$2,755 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$783.36 |
$979.20 |
2.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,324.80 |
$1,656 |
5.6× |
| Treat Humerus Fracture (24505) |
$2,064.80 |
$2,581 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$472.20 |
$590.25 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$157.60 |
$197 |
0.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$73.40 |
$91.75 |
1.2× |
| Tubal ligation (58600) |
$4,714.40 |
$5,893 |
1.4× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$4,326.40 |
$5,408 |
1.6× |
| Tx Gastro Intub W/Asp (43753) |
$383.58 |
$479.48 |
1.8× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$566.60 |
$708.25 |
2.4× |
| Vaginal delivery only (59409) |
$3,195.40 |
$3,994.25 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,184 |
$2,730 |
1.0× |