| Abd paracentesis w/imaging (49083) |
$2,092.80 |
$2,616 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,398.40 |
$1,748 |
1.5× |
| Anoscopy diagnostic (46600) |
$295.20 |
$369 |
2.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,742.40 |
$3,428 |
2.9× |
| Application cast elbow finger short arm (29075) |
$330.40 |
$413 |
1.1× |
| Application finger splint static (29130) |
$287.20 |
$359 |
2.1× |
| Application long arm splint shoulder hand (29105) |
$408 |
$510 |
2.4× |
| Application Long Leg Splint (29505) |
$375.20 |
$469 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$205.60 |
$257 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$352 |
$440 |
2.6× |
| Application short leg splint calf foot (29515) |
$369.60 |
$462 |
2.2× |
| Apply hand/wrist cast (29085) |
$282.40 |
$353 |
1.7× |
| Apply long arm cast (29065) |
$386.40 |
$483 |
1.3× |
| Apply Short Leg Cast (29405) |
$378.40 |
$473 |
1.3× |
| Apply short leg cast (29425) |
$394.40 |
$493 |
1.4× |
| Arterial puncture (36600) |
$114.40 |
$143 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$657.60 |
$822 |
2.1× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$276.80–$856 |
$346–$1,070 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$956 |
$1,195 |
3.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$666.40 |
$833 |
2.1× |
| Aspirate pleura w/ imaging (32555) |
$1,852 |
$2,315 |
2.9× |
| Aspirate Pleura W/O Imaging (32554) |
$1,394.40 |
$1,743 |
2.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$421.60 |
$527 |
2.0× |
| Bladder Irrigation (51700) |
$548 |
$685 |
2.1× |
| Bladder Scan (51798) |
$178.40 |
$223 |
2.9× |
| Blood Transfusion Service (36430) |
$936.80 |
$1,171 |
2.1× |
| Chest tube placement (32551) |
$1,410.40 |
$1,763 |
0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,980.80 |
$2,476 |
1.2× |
| Clear outer ear canal (69200) |
$260.80 |
$326 |
1.9× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$761.60 |
$952 |
3.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$745.60 |
$932 |
2.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,830.40 |
$2,288 |
7.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$681.60 |
$852 |
2.7× |
| Closed Treatment Sternum Fracture (21820) |
$576.80 |
$721 |
2.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$766.40 |
$958 |
3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$784.80 |
$981 |
3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,011.20 |
$1,264 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$484 |
$605 |
1.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$498.40 |
$623 |
2.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$538.40 |
$673 |
2.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,316.80 |
$2,896 |
1.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$500 |
$625 |
2.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$771.20 |
$964 |
3.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$790.40 |
$988 |
3.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,717.60 |
$3,397 |
1.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,384 |
$1,730 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$489.60 |
$612 |
1.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,395.20 |
$2,994 |
1.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,264.80 |
$4,081 |
2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,570.40 |
$5,713 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$524.80 |
$656 |
2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$496.80 |
$621 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,843.20 |
$2,304 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$527.20 |
$659 |
2.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,001.60 |
$1,252 |
0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$570.40 |
$713 |
2.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,255.20 |
$1,569 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$557.60 |
$697 |
2.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$492 |
$615 |
1.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$340.80 |
$426 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$705.60 |
$882 |
2.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,588.80 |
$1,986 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$494.40 |
$618 |
1.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$245.60 |
$307 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$607.20 |
$759 |
2.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$805.60 |
$1,007 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$556.80 |
$696 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$531.20 |
$664 |
2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$677.60 |
$847 |
2.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,660.80 |
$2,076 |
3.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$692.80 |
$866 |
2.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$583.20 |
$729 |
2.3× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,841.60 |
$2,302 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$488 |
$610 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$808 |
$1,010 |
3.2× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,450.40 |
$1,813 |
0.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$583.20 |
$729 |
2.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,205.60 |
$2,757 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$768.80 |
$961 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$475.20 |
$594 |
1.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,703.20 |
$2,129 |
1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$578.40 |
$723 |
2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$606.40 |
$758 |
2.4× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$296 |
$370 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$728 |
$910 |
2.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$580 |
$725 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$700 |
$875 |
2.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$457.60 |
$572 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$492.80 |
$616 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,526.40 |
$1,908 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$570.40 |
$713 |
2.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$648 |
$810 |
2.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$600.80 |
$751 |
2.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$415.20 |
$519 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$626.40 |
$783 |
2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$416 |
$520 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$497.60 |
$622 |
2.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$514.40 |
$643 |
2.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$740.80 |
$926 |
2.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,724 |
$3,405 |
1.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,723.20 |
$2,154 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$784 |
$980 |
3.1× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$579.20 |
$724 |
2.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,188.80 |
$1,486 |
0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$474.40 |
$593 |
0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$457.60 |
$572 |
1.8× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,650.40 |
$2,063 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$590.40 |
$738 |
2.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$941.60 |
$1,177 |
3.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$540.80 |
$676 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,316 |
$2,895 |
1.4× |
| Cltx Medial Ankle Fx (27760) |
$581.60 |
$727 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$756 |
$945 |
3.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$496 |
$620 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$636 |
$795 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$515.20 |
$644 |
2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$735.20 |
$919 |
2.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$552.80 |
$691 |
2.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$314.40 |
$393 |
1.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$678.40 |
$848 |
2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$673.60 |
$842 |
2.6× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$705.60 |
$882 |
0.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,216.80 |
$1,521 |
0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,495.20 |
$1,869 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,650.40 |
$2,063 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$634.40 |
$793 |
2.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$739.20 |
$924 |
2.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$510.40 |
$638 |
2.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$561.60 |
$702 |
2.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$608.80 |
$761 |
2.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,052 |
$1,315 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$567.20 |
$709 |
2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$440 |
$550 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$391.20 |
$489 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$468.80 |
$586 |
3.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$496 |
$620 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,019.20 |
$1,274 |
2.4× |
| Debride nail 1-5 (11720) |
$172.80 |
$216 |
2.8× |
| Debride nail 6 or more (11721) |
$189.60 |
$237 |
3.1× |
| Delivery of placenta (59414) |
$2,600 |
$3,250 |
0.8× |
| Drainage external auditory canal abscess (69020) |
$1,044.80 |
$1,306 |
1.4× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,900.80 |
$3,626 |
1.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$748.80 |
$936 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,972.80 |
$2,466 |
1.2× |
| Drainage of finger abscess simple (26010) |
$548.80 |
$686 |
2.7× |
| Drainage of gum lesion (41800) |
$437.60 |
$547 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$1,894.40 |
$2,368 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$60 |
$75 |
0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$794.40 |
$993 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$485.60 |
$607 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$428.80 |
$536 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$442.40 |
$553 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$193.60 |
$242 |
1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,763.20 |
$4,704 |
3.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,784.80 |
$3,481 |
1.3× |
| Exploration penetrating wound spx chest (20101) |
$1,876 |
$2,345 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$3,382.40 |
$4,228 |
2.0× |
| Foreskin manipulation (54450) |
$888.80 |
$1,111 |
3.4× |
| I&d abscess peritonsillar (42700) |
$593.60 |
$742 |
2.4× |
| I&d abscess simple (10060) |
$556 |
$695 |
2.7× |
| I&d perianal abscess superficial (46050) |
$1,720.80 |
$2,151 |
1.8× |
| I&d pilonidal cyst complicated (10081) |
$1,932.80 |
$2,416 |
2.6× |
| I&d pilonidal cyst simple (10080) |
$474.40 |
$593 |
0.6× |
| I&d shoulder deep abscess/hematoma (23030) |
$8,096.80 |
$10,121 |
2.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$767.20 |
$959 |
0.3× |
| Incise external hemorrhoid (46083) |
$561.60 |
$702 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$852 |
$1,065 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,380.80 |
$5,476 |
2.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$858.40 |
$1,073 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$490.40 |
$613 |
2.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$603.20 |
$754 |
1.9× |
| Incision of rectal abscess (46040) |
$3,581.60 |
$4,477 |
2.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$250.40 |
$313 |
1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$543.20 |
$679 |
1.7× |
| Injection single tendon origin/insertion (20551) |
$465.60 |
$582 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$706.40 |
$883 |
2.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,194.40 |
$1,493 |
1.6× |
| Insert Bladder Cath Complex (51703) |
$435.20 |
$544 |
3.3× |
| Insert cath pleura w/ image (32557) |
$2,742.40 |
$3,428 |
1.7× |
| Insert cath pleura w/o image (32556) |
$2,030.40 |
$2,538 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,311.20 |
$2,889 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$283.20 |
$354 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$220.80 |
$276 |
1.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,564 |
$3,205 |
0.8× |
| Interdental fixation (21110) |
$2,273.60 |
$2,842 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,156 |
$1,445 |
2.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$611.20 |
$764 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$798.40 |
$998 |
3.3× |
| Laryngoscopy diagnostic (31505) |
$350.40 |
$438 |
1.7× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$256 |
$320 |
1.2× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,033.60 |
$3,792 |
0.9× |
| N Block Lumbar/Thoracic (64520) |
$2,087.20 |
$2,609 |
2.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$631.20 |
$789 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$38.40 |
$48 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$67.20 |
$84 |
2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$676 |
$845 |
2.1× |
| Occipital Nerve Block (64405) |
$871.20 |
$1,089 |
2.8× |
| Placement of needle for intraosseous infusion (36680) |
$408 |
$510 |
0.9× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$604.80–$620.80 |
$756–$776 |
varies |
| Removal Embedded Foreign Body Eyelid (67938) |
$733.60 |
$917 |
2.2× |
| Removal Foreign Body Foot Complicated (28193) |
$1,764 |
$2,205 |
1.0× |
| Removal foreign body foot deep (28192) |
$4,950.40 |
$6,188 |
2.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,662.40 |
$2,078 |
2.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,285.60 |
$4,107 |
1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$158.40 |
$198 |
2.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$192 |
$240 |
3.2× |
| Removal of foreign body from pharynx (42809) |
$608 |
$760 |
1.3× |
| Removal of nail bed (11750) |
$1,176.80 |
$1,471 |
2.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$407.20 |
$509 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,768 |
$3,460 |
3.8× |
| Remove foreign body from eye (65205) |
$358.40 |
$448 |
2.6× |
| Remove Intrauterine Device (58301) |
$434.40 |
$543 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$283.20 |
$354 |
2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,629.60 |
$2,037 |
2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,837.60 |
$2,297 |
2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$969.60 |
$1,212 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,262.40 |
$1,578 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,433.60 |
$1,792 |
3.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,124 |
$1,405 |
2.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$725.60 |
$907 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,720.80 |
$3,401 |
3.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$836 |
$1,045 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$806.40 |
$1,008 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$809.60 |
$1,012 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$718.40 |
$898 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$560 |
$700 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,476.80 |
$1,846 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$676 |
$845 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$788 |
$985 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$804 |
$1,005 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,020.80 |
$1,276 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$988.80 |
$1,236 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$884.80 |
$1,106 |
2.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$919.20 |
$1,149 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,688.80 |
$2,111 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$917.60 |
$1,147 |
2.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,258.40 |
$4,073 |
1.5× |
| Repair of nail bed (11760) |
$628.80 |
$786 |
0.8× |
| Repair tongue laceration (41252) |
$1,304 |
$1,630 |
5.3× |
| Repair tongue laceration (41250) |
$542.40 |
$678 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$457.60 |
$572 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$5,960.80 |
$7,451 |
2.0× |
| Rplc Gtube No Revj Trc (43762) |
$600 |
$750 |
2.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$588.80 |
$736 |
2.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$584.80 |
$731 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,308 |
$1,635 |
2.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$733.60 |
$917 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$489.60 |
$612 |
2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$509.60 |
$637 |
2.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$892.80 |
$1,116 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$565.60 |
$707 |
2.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$358.40 |
$448 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$469.60 |
$587 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$665.60 |
$832 |
3.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$539.20 |
$674 |
2.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$492.80 |
$616 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$553.60 |
$692 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$573.60 |
$717 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,302.40 |
$1,628 |
1.8× |
| Strapping ankle (29540) |
$191.20 |
$239 |
1.1× |
| Strapping elbow or wrist (29260) |
$114.40 |
$143 |
1.9× |
Strapping hand/finger (29280)
range across 2 matching MRF lines |
$114.40–$152 |
$143–$190 |
varies |
| Strapping Hip (29520) |
$199.20 |
$249 |
1.5× |
| Strapping knee (29530) |
$134.40 |
$168 |
1.0× |
| Strapping shoulder (29240) |
$203.20 |
$254 |
1.5× |
| Strapping thorax (29200) |
$182.40 |
$228 |
1.1× |
| Strapping toes (29550) |
$176 |
$220 |
2.9× |
| Strapping Unna Boot (29580) |
$203.20 |
$254 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$883.20 |
$1,104 |
2.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,300 |
$2,875 |
1.4× |
| Treat humerus fracture (24500) |
$558.40 |
$698 |
2.2× |
| Treat Humerus Fracture (24505) |
$1,402.40 |
$1,753 |
0.8× |
| Treat humerus fracture (23600) |
$588.80 |
$736 |
2.3× |
| Treat Knee Fracture(S) (27538) |
$669.60 |
$837 |
2.6× |
| Treat Knuckle Dislocation (26700) |
$652.80 |
$816 |
2.6× |
| Treat Metatarsal Fracture (28475) |
$1,000 |
$1,250 |
3.9× |
| Treat Tail Bone Fracture (27200) |
$405.60 |
$507 |
1.6× |
| Treat Thumb Dislocation (26641) |
$649.60 |
$812 |
2.6× |
| Treat Thumb Fracture (26645) |
$697.60 |
$872 |
0.4× |
| Treat toe dislocation (28630) |
$611.20 |
$764 |
2.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$718.40 |
$898 |
2.8× |
| Tx Gastro Intub W/Asp (43753) |
$419.20 |
$524 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,839.20 |
$2,299 |
2.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$980.80 |
$1,226 |
2.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$280.80 |
$351 |
0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$510.40 |
$638 |
2.0× |
| Unlisted procedure femur or knee (27599) |
$1,920 |
$2,400 |
7.5× |
| Unlisted procedure foot or toes (28899) |
$206.40 |
$258 |
0.8× |
| Unlisted procedure forearm or wrist (25999) |
$206.40 |
$258 |
0.8× |
| Unlisted Procedure Hands/Fingers (26989) |
$206.40 |
$258 |
0.8× |
| Unlisted Procedure Leg/Ankle (27899) |
$1,323.20 |
$1,654 |
5.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$206.40 |
$258 |
0.8× |
| Vaginal delivery only (59409) |
$3,480.80 |
$4,351 |
1.0× |
| Vein Access Cutdown < 1 Yr (36420) |
$289.60 |
$362 |
2.1× |
| Venous Cutdown >1 Y/O (36425) |
$415.20 |
$519 |
0.9× |
| Wedge excision skin nail fold (11765) |
$404 |
$505 |
1.0× |