| Anoscopy diagnostic (46600) |
$116.10 |
$129 |
0.9× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$597.60 |
$664 |
3.6× |
| Application cast elbow finger short arm (29075) |
$255.60 |
$284 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$164.70 |
$183 |
2.7× |
| Application finger splint static (29130) |
$224.10 |
$249 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$329.40 |
$366 |
2.0× |
| Application Long Leg Splint (29505) |
$313.20 |
$348 |
1.9× |
| Application of long leg cast (29345) |
$313.20 |
$348 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$297 |
$330 |
2.2× |
| Application short leg splint calf foot (29515) |
$306.90 |
$341 |
1.8× |
| Apply hand/wrist cast (29085) |
$255.60 |
$284 |
1.5× |
| Apply long arm cast (29065) |
$265.50 |
$295 |
0.9× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$440.10–$597.60 |
$489–$664 |
varies |
| Apply Short Leg Cast (29405) |
$265.50 |
$295 |
0.9× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$80.10–$169.20 |
$89–$188 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$604.80 |
$672 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$885.60 |
$984 |
2.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$937.80 |
$1,042 |
3.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$356.40 |
$396 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$270.90 |
$301 |
1.3× |
| Biopsy of lip (40490) |
$320.40 |
$356 |
1.3× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$583.20 |
$648 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$534.60 |
$594 |
0.6× |
| Bladder Irrigation (51700) |
$138.60 |
$154 |
0.5× |
Bladder Scan (51798)
range across 3 matching MRF lines |
$135.90–$198 |
$151–$220 |
varies |
| Blood Transfusion Service (36430) |
$601.20 |
$668 |
1.3× |
| Bx/exc lymph node open superficial (38500) |
$567 |
$630 |
0.1× |
| Catheter aspiration nasotracheal spx (31720) |
$178.20 |
$198 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$453.60 |
$504 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$522.90 |
$581 |
1.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$567.90 |
$631 |
1.8× |
| Chest tube placement (32551) |
$1,127.70 |
$1,253 |
0.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$315 |
$350 |
0.1× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$181.80–$228.60 |
$202–$254 |
varies |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$593.10 |
$659 |
2.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$584.10 |
$649 |
2.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$521.10 |
$579 |
2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$526.50 |
$585 |
2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$937.80 |
$1,042 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$330.30 |
$367 |
1.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$526.50 |
$585 |
2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$586.80 |
$652 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$649.80 |
$722 |
0.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$494.10 |
$549 |
2.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$695.70 |
$773 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,075.50 |
$1,195 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$537.30 |
$597 |
2.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$613.80 |
$682 |
2.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$453.60 |
$504 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$653.40 |
$726 |
2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$534.60 |
$594 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$586.80 |
$652 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$837 |
$930 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$391.50 |
$435 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$958.50 |
$1,065 |
3.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$651.60 |
$724 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$506.70 |
$563 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$514.80 |
$572 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$479.70 |
$533 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$480.60 |
$534 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$625.50 |
$695 |
2.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$396 |
$440 |
1.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$385.20 |
$428 |
1.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$782.10 |
$869 |
3.1× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$784.80 |
$872 |
3.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$111.60 |
$124 |
0.8× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$24.30–$27.90 |
$27–$31 |
varies |
| Colonoscopy w/ablation (45388) |
$2,367 |
$2,630 |
1.9× |
| Colonoscopy w/submucosal inj (45381) |
$2,666.70 |
$2,963 |
2.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,501.10 |
$2,779 |
2.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,594.70 |
$2,883 |
2.1× |
| Complex drainage wound (10180) |
$684.90 |
$761 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$440.10 |
$489 |
3.2× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$293.40–$295.20 |
$326–$328 |
varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$176.40 |
$196 |
2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$321.30 |
$357 |
2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$472.50 |
$525 |
1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$481.50 |
$535 |
0.6× |
| Debride nail 1-5 (11720) |
$163.80 |
$182 |
2.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$276.30 |
$307 |
0.7× |
| Declot vascular device (36593) |
$416.70 |
$463 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,097 |
$2,330 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$2,328.30 |
$2,587 |
1.2× |
| Destruct B9 Lesion 1-14 (17110) |
$163.80 |
$182 |
0.8× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$242.10 |
$269 |
0.8× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$1,585.80 |
$1,762 |
1.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$165.60 |
$184 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,283.10 |
$4,759 |
2.1× |
| Destruction Premalignant Lesion 15/> (17004) |
$322.20 |
$358 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$114.30 |
$127 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$2,214 |
$2,460 |
2.3× |
| Drain/inj small joint/bursa w/us (20604) |
$328.50 |
$365 |
1.0× |
| Drainage of finger abscess simple (26010) |
$253.80 |
$282 |
1.2× |
| Drainage of gum lesion (41800) |
$492.30 |
$547 |
3.6× |
| Drainage of hematoma/fluid (10140) |
$445.50 |
$495 |
0.3× |
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines |
$114.30–$120.60 |
$127–$134 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$472.50 |
$525 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$348.30 |
$387 |
1.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,478.70 |
$1,643 |
1.6× |
| Egd guide wire insertion (43248) |
$2,480.40 |
$2,756 |
2.7× |
| Egd place gastrostomy tube (43246) |
$2,249.10 |
$2,499 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$157.50 |
$175 |
1.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$368.10 |
$409 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$360.90 |
$401 |
0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$640.80 |
$712 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$527.40 |
$586 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$527.40 |
$586 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$422.10 |
$469 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$447.30 |
$497 |
0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$387.90 |
$431 |
0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$422.10 |
$469 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$494.10 |
$549 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$387.90 |
$431 |
0.5× |
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines |
$423–$505.80 |
$470–$562 |
varies |
| I&d abscess simple (10060) |
$396.90 |
$441 |
1.9× |
| I&d pilonidal cyst simple (10080) |
$337.50 |
$375 |
0.5× |
| Incise external hemorrhoid (46083) |
$364.50 |
$405 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$501.30 |
$557 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$455.40 |
$506 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$474.30 |
$527 |
1.1× |
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines |
$387.90–$396.90 |
$431–$441 |
varies |
| Incision of rectal abscess (46040) |
$937.80 |
$1,042 |
0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$621 |
$690 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$168.30 |
$187 |
0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$261 |
$290 |
1.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,429.20 |
$1,588 |
1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,558.80 |
$1,732 |
1.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$297.90 |
$331 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,591.20 |
$1,768 |
1.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$625.50 |
$695 |
0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,031.30 |
$2,257 |
2.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,271.70 |
$1,413 |
1.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,741.50 |
$1,935 |
2.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$585.90 |
$651 |
1.9× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,185.30 |
$1,317 |
1.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$763.20 |
$848 |
1.1× |
| Injection single tendon origin/insertion (20551) |
$388.80 |
$432 |
1.2× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$313.20–$419.40 |
$348–$466 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$391.50–$672.30 |
$435–$747 |
varies |
| Injection therapeutic carpal tunnel (20526) |
$234 |
$260 |
0.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$602.10 |
$669 |
0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,805.40 |
$2,006 |
2.5× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
$573.30–$1,329.30 |
$637–$1,477 |
varies |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$173.70 |
$193 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$163.80 |
$182 |
0.8× |
| Insert cath pleura w/o image (32556) |
$1,976.40 |
$2,196 |
1.0× |
| Insert Drug Implant Device (11981) |
$780.30 |
$867 |
5.7× |
| Insert non-tunnel cv cath (36556) |
$1,484.10 |
$1,649 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$197.10 |
$219 |
1.5× |
| Insert tunneled cv cath (36561) |
$4,603.50 |
$5,115 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$184.50 |
$205 |
1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,773 |
$1,970 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$576.90 |
$641 |
2.4× |
| N Block Inj Celiac Pelus (64530) |
$1,654.20 |
$1,838 |
1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$739.80 |
$822 |
1.0× |
| N block inj intercost sng (64420) |
$763.20 |
$848 |
1.1× |
| N Block Inj Plantar Digit (64455) |
$164.70 |
$183 |
0.5× |
| N Block Lumbar/Thoracic (64520) |
$1,532.70 |
$1,703 |
1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$551.70 |
$613 |
1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,242.90 |
$1,381 |
1.4× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$473.40–$733.50 |
$526–$815 |
varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,453.50 |
$1,615 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,179.80 |
$2,422 |
3.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,114.10 |
$2,349 |
2.9× |
| Occipital Nerve Block (64405) |
$602.10 |
$669 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$337.50 |
$375 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$187.20 |
$208 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$438.30 |
$487 |
1.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,666.80 |
$1,852 |
2.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,547.70 |
$5,053 |
2.3× |
| Reduction of rectal prolapse (45900) |
$776.70 |
$863 |
0.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$495 |
$550 |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$546.30 |
$607 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,662.30 |
$1,847 |
1.0× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$56.70–$99 |
$63–$110 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$114.30–$156.60 |
$127–$174 |
varies |
| Removal of nail bed (11750) |
$468 |
$520 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$202.50 |
$225 |
1.0× |
| Remove drug implant device (11982) |
$631.80 |
$702 |
1.4× |
| Remove foreign body from eye (65205) |
$211.50 |
$235 |
1.6× |
| Remove Intrauterine Device (58301) |
$211.50 |
$235 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$307.80 |
$342 |
2.3× |
| Remove/Insert Drug Implant (11983) |
$497.70 |
$553 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$594 |
$660 |
0.8× |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines |
$660.60–$1,402.20 |
$734–$1,558 |
varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$882.90 |
$981 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$642.60 |
$714 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$809.10 |
$899 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$698.40 |
$776 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$511.20 |
$568 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$544.50 |
$605 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$251.10 |
$279 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$594 |
$660 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$434.70 |
$483 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$477 |
$530 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$598.50 |
$665 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$724.50 |
$805 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$531 |
$590 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$584.10 |
$649 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$657.90 |
$731 |
1.6× |
| Repair Laceration Palate </2 Cm (42180) |
$492.30 |
$547 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$322.20 |
$358 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$360.90 |
$401 |
2.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,412.80 |
$3,792 |
1.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,173.60 |
$1,304 |
0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$459 |
$510 |
2.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$163.80 |
$182 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$197.10 |
$219 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$210.60 |
$234 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$195.30 |
$217 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$251.10 |
$279 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$222.30 |
$247 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$400.50 |
$445 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$381.60 |
$424 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$400.50 |
$445 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$313.20 |
$348 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$385.20 |
$428 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$338.40 |
$376 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$1,669.50 |
$1,855 |
2.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,576.80 |
$1,752 |
2.1× |
| Skin sub grft t/arm/lg child (15273) |
$1,722.60 |
$1,914 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,764 |
$1,960 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$322.20 |
$358 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$360 |
$400 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$380.70 |
$423 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,825.20 |
$2,028 |
2.5× |
| Strapping ankle (29540) |
$161.10 |
$179 |
1.0× |
| Strapping elbow or wrist (29260) |
$181.80 |
$202 |
3.0× |
| Strapping hand/finger (29280) |
$172.80 |
$192 |
2.9× |
| Strapping knee (29530) |
$198 |
$220 |
1.5× |
| Strapping shoulder (29240) |
$292.50 |
$325 |
2.2× |
| Strapping Unna Boot (29580) |
$257.40 |
$286 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$167.40 |
$186 |
0.4× |
| Treat Humerus Fracture (24505) |
$506.70 |
$563 |
0.3× |
| Treat Knuckle Dislocation (26700) |
$459 |
$510 |
1.8× |
| Treat Thumb Dislocation (26641) |
$447.30 |
$497 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$521.10 |
$579 |
2.1× |
| Trim skin lesion (11055) |
$158.40 |
$176 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$171.90 |
$191 |
0.8× |
| Trim skin lesions over 4 (11057) |
$198 |
$220 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$72 |
$80 |
1.2× |
| Tx Gastro Intub W/Asp (43753) |
$336.60 |
$374 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$555.30 |
$617 |
2.2× |
| Umbilical cord occlud w/us (59072) |
$275.40 |
$306 |
0.9× |
| Unlisted procedure anus (46999) |
$1,505.70 |
$1,673 |
1.6× |
| Unlisted procedure nervous system (64999) |
$1,429.20 |
$1,588 |
4.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,885.50 |
$2,095 |
0.9× |
| Wedge excision skin nail fold (11765) |
$272.70 |
$303 |
0.7× |