| Abd paracentesis w/imaging (49083) |
$1,840 |
$2,300 |
2.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,499.20 |
$1,874 |
1.6× |
| Application cast elbow finger short arm (29075) |
$366.40 |
$458 |
1.3× |
| Application finger splint static (29130) |
$285.60 |
$357 |
2.1× |
| Application long arm splint shoulder hand (29105) |
$268.80 |
$336 |
1.6× |
| Application Long Leg Splint (29505) |
$363.20 |
$454 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$355.20 |
$444 |
2.6× |
| Application short leg splint calf foot (29515) |
$363.20 |
$454 |
2.2× |
| Apply hand/wrist cast (29085) |
$259.20 |
$324 |
1.6× |
| Apply Short Leg Cast (29405) |
$304 |
$380 |
1.1× |
| Arterial puncture (36600) |
$163.20 |
$204 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$528.80 |
$661 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$778.40 |
$973 |
2.5× |
| Aspirate pleura w/ imaging (32555) |
$1,932.80 |
$2,416 |
3.0× |
| Aspirate Pleura W/O Imaging (32554) |
$948 |
$1,185 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,744.80 |
$4,681 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$351.20 |
$439 |
1.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,708.80 |
$2,136 |
1.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$806.40 |
$1,008 |
1.1× |
| Bladder Irrigation (51700) |
$400 |
$500 |
1.6× |
| Blood Transfusion Service (36430) |
$1,028.80 |
$1,286 |
2.3× |
| Change Cystostomy Tube Simple (51705) |
$424.80 |
$531 |
1.7× |
| Chest tube placement (32551) |
$1,320.80 |
$1,651 |
0.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,227.20 |
$2,784 |
1.4× |
| Clear outer ear canal (69200) |
$292.80 |
$366 |
2.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,580 |
$3,225 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,512 |
$1,890 |
6.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$537.60 |
$672 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$856 |
$1,070 |
0.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$532 |
$665 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,804.80 |
$2,256 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,049.60 |
$1,312 |
0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$610.40 |
$763 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,678.40 |
$2,098 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$575.20 |
$719 |
2.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,254.40 |
$1,568 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$655.20 |
$819 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$838.40 |
$1,048 |
0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,880 |
$2,350 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,329.60 |
$2,912 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$470.40 |
$588 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$472 |
$590 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,929.60 |
$3,662 |
1.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,192.80 |
$2,741 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$537.60 |
$672 |
2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$441.60 |
$552 |
1.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,061.60 |
$1,327 |
3.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$621.60 |
$777 |
2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,155.20 |
$1,444 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$724 |
$905 |
2.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$659.20 |
$824 |
2.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,022.40 |
$3,778 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$530.40 |
$663 |
2.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,825.60 |
$3,532 |
1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,274.40 |
$2,843 |
1.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$681.60 |
$852 |
2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$324 |
$405 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,817.60 |
$2,272 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$25.60 |
$32 |
2.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$419.20 |
$524 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$388 |
$485 |
2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$473.60 |
$592 |
3.5× |
| Cystourethroscopy (52000) |
$2,540.80 |
$3,176 |
3.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$787.20 |
$984 |
1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,008 |
$1,260 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$885.60 |
$1,107 |
2.1× |
| Declot vascular device (36593) |
$595.20 |
$744 |
1.8× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,684 |
$3,355 |
2.9× |
| Dilation Esophagus Guide Wire (43453) |
$2,903.20 |
$3,629 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$499.20 |
$624 |
0.7× |
| Drainage of finger abscess simple (26010) |
$546.40 |
$683 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$3,548 |
$4,435 |
2.1× |
| Draw Blood Off Venous Device (36591) |
$192.80 |
$241 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$632 |
$790 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$563.20 |
$704 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$196.80 |
$246 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$220 |
$275 |
1.1× |
| Egd Flexible Foreign Body Removal (43247) |
$2,748.80 |
$3,436 |
3.0× |
| Evacuation of subungual hematoma (11740) |
$178.40 |
$223 |
1.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$625.60 |
$782 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$2,150.40 |
$2,688 |
1.3× |
| Fetal non-stress test (59025) |
$529.60 |
$662 |
2.6× |
| Fine needle aspiration without imaging guidance (10021) |
$694.40 |
$868 |
1.7× |
| I&d abscess peritonsillar (42700) |
$440.80 |
$551 |
1.8× |
| I&d abscess simple (10060) |
$271.20 |
$339 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$418.40 |
$523 |
1.0× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$360–$880 |
$450–$1,100 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$400 |
$500 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$272 |
$340 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$400.80 |
$501 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$607.20 |
$759 |
1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$520.80 |
$651 |
0.7× |
| Insert cath pleura w/o image (32556) |
$1,418.40 |
$1,773 |
0.7× |
| Insert Drug Implant Device (11981) |
$595.20 |
$744 |
4.4× |
| Insert Temp Bladder Cath (51702) |
$276.80 |
$346 |
2.0× |
| Insert tunneled cv cath (36561) |
$6,675.20 |
$8,344 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$240 |
$300 |
1.8× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$5,373.60 |
$6,717 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,608 |
$2,010 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$721.60 |
$902 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$743.20 |
$929 |
3.1× |
| 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) |
$537.60 |
$672 |
1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$5,920 |
$7,400 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$515.20 |
$644 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$504 |
$630 |
1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$492.80 |
$616 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,182.40 |
$1,478 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$168 |
$210 |
2.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,283.20 |
$4,104 |
1.9× |
| Remove drug implant device (11982) |
$714.40 |
$893 |
1.6× |
| Remove foreign body from eye (65205) |
$496 |
$620 |
3.6× |
| Remove Nasal Foreign Body (30300) |
$373.60 |
$467 |
2.7× |
| Remove/Insert Drug Implant (11983) |
$538.40 |
$673 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,218.40 |
$1,523 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$751.20 |
$939 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$950.40 |
$1,188 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$904 |
$1,130 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$950.40 |
$1,188 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,214.40 |
$1,518 |
1.6× |
| Repair Finger/Hand Tendon (26350) |
$5,637.60 |
$7,047 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$610.40 |
$763 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$672 |
$840 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$658.40 |
$823 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$708.80 |
$886 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$885.60 |
$1,107 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$591.20 |
$739 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$652.80 |
$816 |
1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$876 |
$1,095 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$752.80 |
$941 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$692.80 |
$866 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,052 |
$1,315 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$663.20 |
$829 |
1.6× |
| Repair tongue laceration (41250) |
$420 |
$525 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$306.40 |
$383 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$376.80 |
$471 |
2.8× |
| Rplc Gtube No Revj Trc (43762) |
$536 |
$670 |
2.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$567.20 |
$709 |
2.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$617.60 |
$772 |
2.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,132.80 |
$1,416 |
2.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,824 |
$2,280 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$592.80 |
$741 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$488 |
$610 |
2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$501.60 |
$627 |
2.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$592.80 |
$741 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$444.80 |
$556 |
2.2× |
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines |
$529.60–$752 |
$662–$940 |
varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$529.60 |
$662 |
2.6× |
| Skin sub graft face/nk/hf/g (15275) |
$2,850.40 |
$3,563 |
3.8× |
| Skin sub graft trnk/arm/leg (15271) |
$2,955.20 |
$3,694 |
3.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$487.20 |
$609 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$592.80 |
$741 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$529.60 |
$662 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$940.80 |
$1,176 |
1.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$5,199.20 |
$6,499 |
1.6× |
| Strapping hand/finger (29280) |
$180 |
$225 |
3.0× |
| Strapping Unna Boot (29580) |
$348.80 |
$436 |
2.1× |
| Thrombolytic Therapy Stroke (37195) |
$758.40 |
$948 |
2.2× |
| Treat Humerus Fracture (24505) |
$1,391.20 |
$1,739 |
0.8× |
| Treat knee fracture (27532) |
$3,708 |
$4,635 |
1.1× |
| Treat Knuckle Dislocation (26700) |
$593.60 |
$742 |
2.4× |
| Treat Metatarsal Fracture (28475) |
$528 |
$660 |
2.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,500.80 |
$3,126 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$723.20 |
$904 |
2.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$960 |
$1,200 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,674.40 |
$2,093 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,120 |
$1,400 |
1.5× |