| Abd paracentesis w/imaging (49083) |
$1,073 |
$1,073 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$172 |
$172 |
1.1× |
| Application Long Leg Splint (29505) |
$219 |
$219 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$168 |
$168 |
1.3× |
| Application short leg splint calf foot (29515) |
$208 |
$208 |
1.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$535 |
$535 |
3.4× |
| Arterial puncture (36600) |
$91 |
$91 |
0.7× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$513–$1,026 |
$513–$1,026 |
varies |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$855–$1,710 |
$855–$1,710 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$378 |
$378 |
1.3× |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$855–$1,710 |
$855–$1,710 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$513–$1,026 |
$513–$1,026 |
varies |
| Aspirate pleura w/ imaging (32555) |
$1,357 |
$1,357 |
2.3× |
| Aspirate Pleura W/O Imaging (32554) |
$748 |
$748 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$231 |
$231 |
1.2× |
Bladder Irrigation (51700) range across 2 matching MRF lines |
$125–$347 |
$125–$347 |
varies |
Bladder Scan (51798) range across 2 matching MRF lines |
$57–$80 |
$57–$80 |
varies |
Blood Transfusion Service (36430) range across 2 matching MRF lines |
$394–$412 |
$394–$412 |
varies |
| Change Cystostomy Tube Simple (51705) |
$217 |
$217 |
0.9× |
| Chemical Cautery Tissue (17250) |
$809 |
$809 |
4.2× |
| Chest tube placement (32551) |
$634 |
$634 |
0.4× |
| Clear outer ear canal (69200) |
$198 |
$198 |
1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,314 |
$1,314 |
5.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,643 |
$1,643 |
6.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,816 |
$1,816 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,314 |
$1,314 |
5.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$1,003 |
$1,003 |
4.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$897 |
$897 |
3.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,457 |
$1,457 |
6.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,080 |
$1,080 |
4.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,961 |
$1,961 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$1,118 |
$1,118 |
4.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$257 |
$257 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,067 |
$1,067 |
4.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,001 |
$1,001 |
4.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,287 |
$1,287 |
5.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,234 |
$1,234 |
5.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$824 |
$824 |
3.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,397 |
$1,397 |
5.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,166 |
$2,166 |
1.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$2,048 |
$2,048 |
8.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$545 |
$545 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$530 |
$530 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,308 |
$1,308 |
5.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$1,137 |
$1,137 |
4.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$1,347 |
$1,347 |
5.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,131 |
$1,131 |
4.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,258 |
$1,258 |
5.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$818 |
$818 |
3.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,434 |
$2,434 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,763 |
$1,763 |
7.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$343 |
$343 |
1.4× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$1,264 |
$1,264 |
5.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,818 |
$1,818 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,285 |
$1,285 |
5.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$219 |
$219 |
1.7× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$56–$75 |
$56–$75 |
varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$6,185 |
$6,185 |
2.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$546 |
$546 |
1.9× |
| Complex drainage wound (10180) |
$732 |
$732 |
0.3× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$1,621 |
$1,621 |
0.5× |
Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$319–$637 |
$319–$637 |
varies |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$235 |
$235 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$436 |
$436 |
3.4× |
| Curettage postpartum (59160) |
$1,290 |
$1,290 |
0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,231 |
$2,231 |
3.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,421 |
$1,421 |
3.6× |
| Delivery of placenta (59414) |
$368 |
$368 |
0.1× |
Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$2,394–$4,788 |
$2,394–$4,788 |
varies |
Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$2,394–$2,736 |
$2,394–$2,736 |
varies |
Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$2,736–$5,472 |
$2,736–$5,472 |
varies |
Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$855–$1,710 |
$855–$1,710 |
varies |
| Draw Blood Off Venous Device (36591) |
$61 |
$61 |
0.5× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$233–$809 |
$233–$809 |
varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$855 |
$855 |
1.0× |
| Epidural Blood Patch (62273) |
$485 |
$485 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$137 |
$137 |
1.1× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,506 |
$1,506 |
0.9× |
| External cephalic version (59412) |
$3,622 |
$3,622 |
1.2× |
| Fetal non-stress test (59025) |
$800 |
$800 |
4.1× |
| Hysteroscopy Biopsy (58558) |
$5,996 |
$5,996 |
1.9× |
| Hysteroscopy Endometrial Ablation (58563) |
$9,563 |
$9,563 |
2.0× |
| I&d abscess simple (10060) |
$450 |
$450 |
2.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$773 |
$773 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$445 |
$445 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$189 |
$189 |
1.0× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$2,052–$4,104 |
$2,052–$4,104 |
varies |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$513–$1,026 |
$513–$1,026 |
varies |
Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$1,710–$3,420 |
$1,710–$3,420 |
varies |
Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$855–$1,710 |
$855–$1,710 |
varies |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$513 |
$513 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$513 |
$513 |
1.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$776 |
$776 |
0.9× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$267–$776 |
$267–$776 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$176–$776 |
$176–$776 |
varies |
| Insert cath pleura w/o image (32556) |
$519 |
$519 |
0.3× |
| Insert pessary/other device (57160) |
$304 |
$304 |
1.6× |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$107–$219 |
$107–$219 |
varies |
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$107–$111 |
$107–$111 |
varies |
| Intubation endotracheal emergency procedure (31500) |
$583 |
$583 |
2.6× |
| N Block Lumbar/Thoracic (64520) |
$1,368 |
$1,368 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$438 |
$438 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$209 |
$209 |
0.7× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$1,710–$3,420 |
$1,710–$3,420 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,497 |
$1,497 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,881 |
$1,881 |
2.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,710 |
$1,710 |
2.5× |
Occipital Nerve Block (64405) range across 3 matching MRF lines |
$855–$1,710 |
$855–$1,710 |
varies |
| Pelvic examination under anesthesia (other than local) (57410) |
$449 |
$449 |
0.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,505 |
$8,505 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$680 |
$680 |
1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,394 |
$2,394 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$562 |
$562 |
0.8× |
| Remove Intrauterine Device (58301) |
$448 |
$448 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$515 |
$515 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$707 |
$707 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$833 |
$833 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$898 |
$898 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$607 |
$607 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$633 |
$633 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$796 |
$796 |
2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$173 |
$173 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$213 |
$213 |
1.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$521 |
$521 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$228 |
$228 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$238 |
$238 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$185 |
$185 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$302 |
$302 |
1.6× |
| Skin sub graft trnk/arm/leg (15271) |
$7,157 |
$7,157 |
10.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$242 |
$242 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$388 |
$388 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$475 |
$475 |
1.2× |
| Strapping Unna Boot (29580) |
$111 |
$111 |
0.7× |
| Thrombolytic Therapy Stroke (37195) |
$722 |
$722 |
2.3× |
| Treat humerus fracture (24500) |
$1,460 |
$1,460 |
6.2× |
| Treat humerus fracture (23600) |
$1,381 |
$1,381 |
5.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,458 |
$1,458 |
6.1× |
| Trim skin lesion (11055) |
$809 |
$809 |
4.2× |
| Unlisted procedure nervous system (64999) |
$1,300 |
$1,300 |
4.4× |