| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$810 |
$900 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$508.50 |
$565 |
0.2× |
| Anoscopy diagnostic (46600) |
$45 |
$50 |
0.4× |
| Application cast elbow finger short arm (29075) |
$247.50 |
$275 |
1.0× |
| Application finger splint static (29130) |
$171 |
$190 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$334.80 |
$372 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$252 |
$280 |
2.1× |
| Application short leg splint calf foot (29515) |
$153 |
$170 |
1.0× |
| Apply long arm cast (29065) |
$268.20 |
$298 |
1.0× |
| Apply Short Leg Cast (29405) |
$297 |
$330 |
1.2× |
| Arterial puncture (36600) |
$118.80 |
$132 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$63 |
$70 |
0.2× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$137.70–$490.50 |
$153–$545 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$114.30 |
$127 |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$63 |
$70 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$218.70 |
$243 |
1.2× |
| Biopsy external ear (69100) |
$184.50 |
$205 |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$76.50 |
$85 |
0.1× |
| Biopsy of breast; open, incisional (19101) |
$247.50 |
$275 |
0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$166.50 |
$185 |
0.1× |
| Bladder Scan (51798) |
$81 |
$90 |
1.5× |
| Blood Transfusion Service (36430) |
$900 |
$1,000 |
2.2× |
| Clear outer ear canal (69200) |
$160.20 |
$178 |
1.3× |
| Collection of venous blood by venipuncture (36415) |
$21.60 |
$24 |
2.3× |
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines |
$360–$1,561.50 |
$400–$1,735 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$373.50 |
$415 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$247.50 |
$275 |
2.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$594 |
$660 |
0.2× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$90.90 |
$101 |
0.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$72 |
$80 |
0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$540 |
$600 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$315 |
$350 |
0.8× |
| Destruct B9 Lesion 1-14 (17110) |
$166.50 |
$185 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$242.10 |
$269 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$369 |
$410 |
2.0× |
| Destruction premalignant lesion 1st (17000) |
$130.50 |
$145 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$76.50 |
$85 |
0.1× |
| Drainage of finger abscess simple (26010) |
$130.50 |
$145 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$202.50 |
$225 |
0.1× |
| Draw Blood Off Venous Device (36591) |
$31.50 |
$35 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$400.50 |
$445 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$333 |
$370 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$171 |
$190 |
0.9× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,480.50 |
$1,645 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$94.50 |
$105 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$220.50 |
$245 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$406.80 |
$452 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$526.50 |
$585 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$809.10 |
$899 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$270 |
$300 |
0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$335.70 |
$373 |
0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$368.10 |
$409 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$451.80 |
$502 |
0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$593.10 |
$659 |
0.4× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$2,349 |
$2,610 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$255.38 |
$283.75 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$307.80 |
$342 |
0.5× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
$346.50–$1,629 |
$385–$1,810 |
varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$382.50 |
$425 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,241 |
$2,490 |
1.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$720 |
$800 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$650.70 |
$723 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$837 |
$930 |
0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$288 |
$320 |
0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$319.50 |
$355 |
0.5× |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines |
$436.50–$1,503 |
$485–$1,670 |
varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$630 |
$700 |
0.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,962 |
$2,180 |
1.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$558.90 |
$621 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$436.50 |
$485 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$477 |
$530 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$623.70 |
$693 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$423 |
$470 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,066.50 |
$1,185 |
0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$279 |
$310 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$855 |
$950 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$333 |
$370 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,125 |
$1,250 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$99 |
$110 |
0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$184.50 |
$205 |
0.2× |
| I&d abscess simple (10060) |
$148.50 |
$165 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$900 |
$1,000 |
0.3× |
| Incise external hemorrhoid (46083) |
$117 |
$130 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$252 |
$280 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$400.50 |
$445 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$180 |
$200 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$276.30 |
$307 |
1.0× |
Incision of hip tendon (27001)
range across 2 matching MRF lines |
$21.60–$72.90 |
$24–$81 |
varies |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$153 |
$170 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$63 |
$70 |
0.2× |
| Injection single tendon origin/insertion (20551) |
$130.50 |
$145 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$121.50 |
$135 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$63 |
$70 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$157.50 |
$175 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$128.70 |
$143 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$55.80 |
$62 |
0.5× |
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines |
$409.50–$4,482 |
$455–$4,980 |
varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$153 |
$170 |
0.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$977.40 |
$1,086 |
2.6× |
| Intubation endotracheal emergency procedure (31500) |
$184.50 |
$205 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$868.50 |
$965 |
2.3× |
| Puncture Aspiration Cyst Breast (19000) |
$72 |
$80 |
0.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$463.50 |
$515 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$336.15 |
$373.50 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$49.50 |
$55 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$106.20 |
$118 |
2.0× |
| Removal of nail bed (11750) |
$193.50 |
$215 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$166.50 |
$185 |
0.9× |
| Removal sweat gland lesion (11450) |
$247.50 |
$275 |
0.1× |
| Remove Forearm Foreign Body (25248) |
$409.50 |
$455 |
0.3× |
| Remove foreign body from eye (65205) |
$54 |
$60 |
0.4× |
| Remove Intrauterine Device (58301) |
$211.50 |
$235 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$882 |
$980 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,057.50 |
$1,175 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,092.60 |
$1,214 |
2.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,336.50 |
$1,485 |
3.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$733.50 |
$815 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$867.60 |
$964 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$678.60 |
$754 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$727.20 |
$808 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$860.40 |
$956 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$688.50 |
$765 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,120.50 |
$1,245 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$837 |
$930 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$661.50 |
$735 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$841.50 |
$935 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$711 |
$790 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$774 |
$860 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$819 |
$910 |
2.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$811.80 |
$902 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$837 |
$930 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$891 |
$990 |
2.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$967.50 |
$1,075 |
0.5× |
| Respir iadna 18 viral&2 bact (0115U) |
$162 |
$180 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,084.50 |
$1,205 |
1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$661.50 |
$735 |
3.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$160.20 |
$178 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$180 |
$200 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$279.90 |
$311 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$231.30 |
$257 |
1.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$90 |
$100 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$432.90 |
$481 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$380.70 |
$423 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$562.50 |
$625 |
3.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$202.50 |
$225 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$401.40 |
$446 |
2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$247.50 |
$275 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$315.90 |
$351 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$477 |
$530 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$378 |
$420 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$409.50 |
$455 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$337.50 |
$375 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$403.20 |
$448 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$279 |
$310 |
0.4× |
| Strapping ankle (29540) |
$157.50 |
$175 |
1.1× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$16.20 |
$18 |
0.0× |
| Tenotomy, hip flexor(s), open (27005) |
$16.20 |
$18 |
0.0× |
| Thyroid biopsy (60100) |
$126 |
$140 |
0.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$877.50 |
$975 |
0.5× |
| Trim skin lesion (11055) |
$72 |
$80 |
0.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$18 |
$20 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$825.30 |
$917 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$382.50 |
$425 |
1.0× |
| Wedge excision skin nail fold (11765) |
$337.50 |
$375 |
0.9× |