| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,170.40 |
$1,463 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,443.20 |
$1,804 |
1.5× |
| Apheresis Platelets (36513) |
$3,225.60 |
$4,032 |
7.2× |
| Application cast elbow finger short arm (29075) |
$259.20 |
$324 |
0.9× |
| Application finger splint static (29130) |
$204.80 |
$256 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$242.40 |
$303 |
1.5× |
| Application Long Leg Splint (29505) |
$286.40 |
$358 |
1.7× |
| Application of long leg cast (29345) |
$432.80 |
$541 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$260 |
$325 |
1.9× |
| Application short leg splint calf foot (29515) |
$264.80 |
$331 |
1.6× |
| Apply long arm cast (29065) |
$310.40 |
$388 |
1.1× |
| Apply Short Leg Cast (29405) |
$280.80 |
$351 |
1.0× |
| Arterial puncture (36600) |
$151.20 |
$189 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$477.60 |
$597 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$745.60 |
$932 |
2.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$446.40 |
$558 |
1.4× |
| Aspirate pleura w/ imaging (32555) |
$1,624 |
$2,030 |
2.5× |
| Aspirate Pleura W/O Imaging (32554) |
$749.60 |
$937 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$305.60 |
$382 |
1.5× |
| Bladder Irrigation (51700) |
$395.20 |
$494 |
1.5× |
Bladder Scan (51798) range across 2 matching MRF lines |
$144–$164 |
$180–$205 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
$494.40 |
$618 |
1.5× |
| Blood Transfusion Service (36430) |
$824.80 |
$1,031 |
1.8× |
| Bone Marrow Biopsy (38221) |
$1,321.60 |
$1,652 |
0.8× |
| Catheter aspiration nasotracheal spx (31720) |
$260.80 |
$326 |
1.2× |
| Chest tube placement (32551) |
$1,042.40 |
$1,303 |
0.6× |
| Clear outer ear canal (69200) |
$196 |
$245 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,259.20 |
$1,574 |
5.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$352 |
$440 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$612.80 |
$766 |
2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$526.40 |
$658 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,666.40 |
$2,083 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$423.20 |
$529 |
1.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$380.80 |
$476 |
1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$427.20 |
$534 |
1.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$381.60 |
$477 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$349.60 |
$437 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$479.20 |
$599 |
1.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$392.80 |
$491 |
1.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$352.80 |
$441 |
1.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$324 |
$405 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$427.20 |
$534 |
1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,237.60 |
$1,547 |
0.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$392.80 |
$491 |
1.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$361.60 |
$452 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$460.80 |
$576 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$412 |
$515 |
1.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$452 |
$565 |
1.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,468.80 |
$1,836 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$358.40 |
$448 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,892 |
$2,365 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$516.80 |
$646 |
2.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,502.40 |
$1,878 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$989.60 |
$1,237 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$409.60 |
$512 |
1.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$373.60 |
$467 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$391.20 |
$489 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$421.60 |
$527 |
1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$494.40 |
$618 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$360.80 |
$451 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$428.80 |
$536 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,484.80 |
$1,856 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$457.60 |
$572 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$330.40 |
$413 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$448.80 |
$561 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$322.40 |
$403 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$412 |
$515 |
1.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$359.20 |
$449 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$420.80 |
$526 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$466.40 |
$583 |
1.9× |
| Cltx Medial Ankle Fx (27760) |
$425.60 |
$532 |
1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$627.20 |
$784 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$378.40 |
$473 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$488 |
$610 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$389.60 |
$487 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$378.40 |
$473 |
1.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$977.60 |
$1,222 |
3.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$375.20 |
$469 |
1.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$376.80 |
$471 |
1.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$433.60 |
$542 |
1.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$421.60 |
$527 |
1.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$440.80 |
$551 |
1.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$133.60 |
$167 |
1.0× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$17.60–$27.20 |
$22–$34 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$323.20 |
$404 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$288.80 |
$361 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$340 |
$425 |
2.5× |
| Declot vascular device (36593) |
$368 |
$460 |
1.1× |
| Delivery of placenta (59414) |
$2,192.80 |
$2,741 |
0.7× |
| Drainage external auditory canal abscess (69020) |
$796.80 |
$996 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$812.80 |
$1,016 |
1.1× |
| Drainage of finger abscess simple (26010) |
$450.40 |
$563 |
2.2× |
| Drainage of gum lesion (41800) |
$365.60 |
$457 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$2,383.20 |
$2,979 |
1.4× |
| Draw Blood Off Venous Device (36591) |
$134.40 |
$168 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$540.80 |
$676 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$374.40 |
$468 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$322.40 |
$403 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$169.60 |
$212 |
1.2× |
| Fetal non-stress test (59025) |
$508.80 |
$636 |
2.5× |
| I&d abscess peritonsillar (42700) |
$489.60 |
$612 |
2.0× |
| I&d abscess simple (10060) |
$452.80 |
$566 |
2.2× |
| I&d perianal abscess superficial (46050) |
$1,528 |
$1,910 |
1.6× |
| Incise external hemorrhoid (46083) |
$584.80 |
$731 |
2.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$716.80 |
$896 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,262.40 |
$2,828 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$644 |
$805 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$480 |
$600 |
1.5× |
| Incision of rectal abscess (46040) |
$3,583.20 |
$4,479 |
2.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$288.80 |
$361 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$613.60 |
$767 |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,136 |
$1,420 |
1.6× |
| Insert Bladder Cath Complex (51703) |
$278.40 |
$348 |
2.1× |
| Insert Temp Bladder Cath (51702) |
$289.60 |
$362 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$173.60 |
$217 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$506.40 |
$633 |
2.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$228 |
$285 |
1.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$544 |
$680 |
1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,100 |
$1,375 |
2.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$420.80 |
$526 |
1.3× |
| Occipital Nerve Block (64405) |
$736.80 |
$921 |
2.3× |
| Placement of needle for intraosseous infusion (36680) |
$363.20 |
$454 |
0.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,402.40 |
$1,753 |
1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$497.60 |
$622 |
1.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$585.60 |
$732 |
1.8× |
| Removal foreign body foot deep (28192) |
$3,139.20 |
$3,924 |
1.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,277.60 |
$1,597 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$147.20 |
$184 |
2.4× |
| Removal of nail bed (11750) |
$816 |
$1,020 |
2.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$394.40 |
$493 |
1.9× |
| Remove foreign body from eye (65205) |
$204 |
$255 |
1.5× |
| Remove Intrauterine Device (58301) |
$496 |
$620 |
1.6× |
| Remove Nasal Foreign Body (30300) |
$272 |
$340 |
2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$996 |
$1,245 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$644 |
$805 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,153.60 |
$1,442 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$629.60 |
$787 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$638.40 |
$798 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$654.40 |
$818 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$972 |
$1,215 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$555.20 |
$694 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$660 |
$825 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$747.20 |
$934 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$874.40 |
$1,093 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$658.40 |
$823 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$672.80 |
$841 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,025.60 |
$1,282 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$672 |
$840 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,434.40 |
$3,043 |
1.2× |
| Repair of nail bed (11760) |
$808.80 |
$1,011 |
1.1× |
| Repair tongue laceration (41252) |
$811.20 |
$1,014 |
3.4× |
| Replantation digit complete (20822) |
$240 |
$300 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$379.20 |
$474 |
0.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$326.40 |
$408 |
0.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,218.40 |
$2,773 |
1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$452.80 |
$566 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$497.60 |
$622 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$365.60 |
$457 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$396.80 |
$496 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$421.60 |
$527 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$352 |
$440 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$563.20 |
$704 |
2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$389.60 |
$487 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$372 |
$465 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$499.20 |
$624 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$535.20 |
$669 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$932 |
$1,165 |
1.3× |
| Strapping ankle (29540) |
$161.60 |
$202 |
1.0× |
| Strapping elbow or wrist (29260) |
$188 |
$235 |
3.1× |
| Strapping hand/finger (29280) |
$163.20 |
$204 |
2.7× |
| Strapping Hip (29520) |
$189.60 |
$237 |
1.4× |
| Strapping knee (29530) |
$178.40 |
$223 |
1.3× |
| Strapping shoulder (29240) |
$188.80 |
$236 |
1.4× |
| Strapping thorax (29200) |
$168 |
$210 |
1.0× |
| Strapping toes (29550) |
$127.20 |
$159 |
2.1× |
| Strapping Unna Boot (29580) |
$247.20 |
$309 |
1.5× |
| Thrombolytic Therapy Stroke (37195) |
$704.80 |
$881 |
2.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,410.40 |
$3,013 |
1.5× |
| Treat humerus fracture (23600) |
$425.60 |
$532 |
1.7× |
| Treat Knuckle Dislocation (26700) |
$488.80 |
$611 |
1.9× |
| Treat Metatarsal Fracture (28475) |
$604 |
$755 |
2.4× |
| Treat Tail Bone Fracture (27200) |
$288 |
$360 |
1.1× |
| Treat Thumb Dislocation (26641) |
$426.40 |
$533 |
1.7× |
| Treat Thumb Fracture (26645) |
$1,092.80 |
$1,366 |
0.7× |
| Treat toe dislocation (28630) |
$423.20 |
$529 |
1.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$478.40 |
$598 |
1.9× |
| Tx Gastro Intub W/Asp (43753) |
$375.20 |
$469 |
1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,348.80 |
$4,186 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,164 |
$1,455 |
1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,632 |
$3,290 |
1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$387.20 |
$484 |
1.5× |
| Unlisted procedure femur or knee (27599) |
$3,812.80 |
$4,766 |
15.1× |
| Unlisted procedure foot or toes (28899) |
$2,301.60 |
$2,877 |
9.1× |
| Unlisted procedure forearm or wrist (25999) |
$3,521.60 |
$4,402 |
14.0× |
| Unlisted Procedure Hands/Fingers (26989) |
$336.80 |
$421 |
1.3× |
| Unlisted Procedure Leg/Ankle (27899) |
$381.60 |
$477 |
1.5× |
| Unlisted procedure pelvis/hip joint (27299) |
$4,119.20 |
$5,149 |
16.3× |
| Vaginal delivery only (59409) |
$3,371.20 |
$4,214 |
1.0× |
| Windowing of cast (29730) |
$204 |
$255 |
1.2× |