| Abd paracentesis w/imaging (49083) |
$1,884 |
$2,355 |
2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,176 |
$1,470 |
1.3× |
| Amniocentesis diagnostic (59000) |
$1,204.80 |
$1,506 |
1.4× |
| Anoscopy diagnostic (46600) |
$220 |
$275 |
1.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,424.80 |
$1,781 |
1.6× |
| Application cast elbow finger short arm (29075) |
$233.60 |
$292 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$190.40 |
$238 |
3.4× |
| Application finger splint static (29130) |
$214.40 |
$268 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$309.60 |
$387 |
2.0× |
| Application Long Leg Splint (29505) |
$301.60 |
$377 |
1.9× |
| Application of long leg cast (29345) |
$341.60 |
$427 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$272.80 |
$341 |
2.1× |
| Application short leg splint calf foot (29515) |
$277.60 |
$347 |
1.8× |
| Apply hand/wrist cast (29085) |
$182.40 |
$228 |
1.2× |
| Apply long arm cast (29065) |
$263.20 |
$329 |
1.0× |
| Apply Short Leg Cast (29405) |
$281.60 |
$352 |
1.0× |
| Apply short leg cast (29425) |
$251.20 |
$314 |
0.9× |
| Arterial puncture (36600) |
$193.60 |
$242 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$689.60 |
$862 |
2.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$520–$798.40 |
$650–$998 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$868 |
$1,085 |
2.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$664 |
$830 |
2.3× |
| Aspirate pleura w/ imaging (32555) |
$1,886.40 |
$2,358 |
3.1× |
| Aspirate Pleura W/O Imaging (32554) |
$1,051.20 |
$1,314 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$348.80 |
$436 |
1.8× |
| Biopsy Abdominal Mass (49180) |
$2,324.80 |
$2,906 |
1.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,497.60 |
$3,122 |
1.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,044 |
$1,305 |
1.6× |
| Bladder Irrigation (51700) |
$412.80 |
$516 |
1.7× |
| Bladder Scan (51798) |
$212.80 |
$266 |
3.8× |
| Blood Transfusion Service (36430) |
$1,040 |
$1,300 |
2.5× |
| Bone Marrow Biopsy (38221) |
$1,520 |
$1,900 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,585.60 |
$3,232 |
1.6× |
| Bx/exc lymph node open superficial (38500) |
$3,636 |
$4,545 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$701.60 |
$877 |
2.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$529.60 |
$662 |
1.8× |
| Chest tube placement (32551) |
$1,180 |
$1,475 |
0.8× |
| Chorionic Villus Sampling (59015) |
$955.20 |
$1,194 |
1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,450.40 |
$1,813 |
0.9× |
| Clear outer ear canal (69200) |
$278.40 |
$348 |
2.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$467.20 |
$584 |
2.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$483.20 |
$604 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,896.80 |
$2,371 |
8.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$328 |
$410 |
1.4× |
| Closed Treatment Sternum Fracture (21820) |
$467.20 |
$584 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$604.80 |
$756 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$550.40 |
$688 |
2.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,101.60 |
$1,377 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$417.60 |
$522 |
1.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$612.80 |
$766 |
2.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$375.20 |
$469 |
1.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,694.40 |
$2,118 |
1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$421.60 |
$527 |
1.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$432 |
$540 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$550.40 |
$688 |
2.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,546.40 |
$3,183 |
1.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$308.80 |
$386 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$344.80 |
$431 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,016 |
$1,270 |
0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,587.20 |
$3,234 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$504.80 |
$631 |
2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$408.80 |
$511 |
1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,270.40 |
$1,588 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$387.20 |
$484 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,098.40 |
$1,373 |
0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$374.40 |
$468 |
1.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,213.60 |
$1,517 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$427.20 |
$534 |
1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$344 |
$430 |
1.5× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$328 |
$410 |
1.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$338.40 |
$423 |
1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,205.60 |
$1,507 |
0.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$371.20 |
$464 |
1.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$374.40 |
$468 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$454.40 |
$568 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,325.60 |
$1,657 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$407.20 |
$509 |
1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$348 |
$435 |
1.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$445.60 |
$557 |
2.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$850.40 |
$1,063 |
1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$458.40 |
$573 |
1.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$446.40 |
$558 |
1.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,392 |
$1,740 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$352.80 |
$441 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,980.80 |
$2,476 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$584.80 |
$731 |
2.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,524.80 |
$1,906 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$421.60 |
$527 |
1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,052 |
$2,565 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$994.40 |
$1,243 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$403.20 |
$504 |
1.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,204.80 |
$1,506 |
0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$368.80 |
$461 |
1.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$442.40 |
$553 |
1.9× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$362.40 |
$453 |
1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$653.60 |
$817 |
2.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$416 |
$520 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$487.20 |
$609 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$355.20 |
$444 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$423.20 |
$529 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,216.80 |
$1,521 |
0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,135.20 |
$1,419 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$450.40 |
$563 |
1.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$424.80 |
$531 |
1.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$481.60 |
$602 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$312 |
$390 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$507.20 |
$634 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$318.40 |
$398 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,012.80 |
$2,516 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$407.20 |
$509 |
1.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$353.60 |
$442 |
1.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$368.80 |
$461 |
1.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,788 |
$2,235 |
1.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,811.20 |
$2,264 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$568 |
$710 |
2.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$443.20 |
$554 |
1.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$994.40 |
$1,243 |
0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,672 |
$2,090 |
1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$396.80 |
$496 |
1.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,460 |
$1,825 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$415.20 |
$519 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$488 |
$610 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,438.40 |
$1,798 |
0.9× |
| Cltx Medial Ankle Fx (27760) |
$419.20 |
$524 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$564 |
$705 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$373.60 |
$467 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$511.20 |
$639 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$384 |
$480 |
1.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,468 |
$3,085 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$584.80 |
$731 |
2.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,215.20 |
$2,769 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$358.40 |
$448 |
1.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,046.40 |
$1,308 |
4.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$596.80 |
$746 |
2.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$584.80 |
$731 |
2.5× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,004.80 |
$1,256 |
0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,291.20 |
$1,614 |
0.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,124 |
$1,405 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,240.80 |
$1,551 |
0.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$423.20 |
$529 |
1.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$521.60 |
$652 |
2.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$338.40 |
$423 |
1.4× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$427.20 |
$534 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$416 |
$520 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,194.40 |
$1,493 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$498.40 |
$623 |
2.1× |
| Collection of venous blood by venipuncture (36415) |
$20 |
$25 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$338.40 |
$423 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$302.40 |
$378 |
2.4× |
| Control oropharyngeal hemorrhage simple (42960) |
$2,558.40 |
$3,198 |
4.9× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$338.40 |
$423 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$356 |
$445 |
2.8× |
| Cystourethroscopy (52000) |
$3,592.80 |
$4,491 |
5.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$963.20 |
$1,204 |
2.5× |
| Debride nail 1-5 (11720) |
$205.60 |
$257 |
3.6× |
| Debride nail 6 or more (11721) |
$231.20 |
$289 |
4.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,088.80 |
$1,361 |
2.8× |
| Declot vascular device (36593) |
$676.80 |
$846 |
2.1× |
| Delivery of placenta (59414) |
$1,267.20 |
$1,584 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,744 |
$2,180 |
2.0× |
| Dilate Urethra Stricture (53620) |
$1,504.80 |
$1,881 |
2.2× |
| Dilation Esophagus Guide Wire (43453) |
$2,577.60 |
$3,222 |
1.4× |
| Drainage external auditory canal abscess (69020) |
$757.60 |
$947 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$785.60 |
$982 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,197.60 |
$2,747 |
1.4× |
| Drainage of finger abscess simple (26010) |
$451.20 |
$564 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$2,856.80 |
$3,571 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$1,908 |
$2,385 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$175.20 |
$219 |
1.4× |
| Dressing Change Under Anesthesia (15852) |
$585.60 |
$732 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$606.40 |
$758 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$578.40 |
$723 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$393.60 |
$492 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$359.20 |
$449 |
1.9× |
| Endometrial Biopsy (58100) |
$340.80 |
$426 |
1.8× |
Epidural Blood Patch (62273)
range across 3 matching MRF lines |
$1,579.20–$1,869.60 |
$1,974–$2,337 |
varies |
| Evacuation of subungual hematoma (11740) |
$195.20 |
$244 |
1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,322.40 |
$1,653 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,974.40 |
$3,718 |
1.9× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$1,271.20 |
$1,589 |
1.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,090.40 |
$1,363 |
1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,271.20 |
$1,589 |
1.9× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,363.20 |
$1,704 |
2.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,084.80 |
$2,606 |
3.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,248 |
$1,560 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,129.60 |
$2,662 |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,196 |
$1,495 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,374.40 |
$2,968 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,248 |
$1,560 |
1.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,474.40 |
$5,593 |
1.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,984 |
$4,980 |
2.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,725.60 |
$4,657 |
3.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$658.40 |
$823 |
1.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$855.20 |
$1,069 |
1.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,117.60 |
$2,647 |
1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$692 |
$865 |
1.8× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,872 |
$4,840 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,529.60 |
$8,162 |
2.3× |
| Excision of single external papilla or tag, anus (46220) |
$1,956.80 |
$2,446 |
1.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,272 |
$2,840 |
1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,564.80 |
$5,706 |
2.3× |
| Explo/Drain Breast Abscess (19020) |
$2,817.60 |
$3,522 |
1.8× |
| Exploration penetrating wound spx chest (20101) |
$2,262.40 |
$2,828 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$2,472 |
$3,090 |
1.6× |
| Exploration Penetrating Wound Spx Neck (20100) |
$5,156 |
$6,445 |
9.9× |
| External cephalic version (59412) |
$1,961.60 |
$2,452 |
0.6× |
| Fetal non-stress test (59025) |
$547.20 |
$684 |
2.8× |
| Fine needle aspiration without imaging guidance (10021) |
$716 |
$895 |
1.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$5,130.40 |
$6,413 |
1.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,168 |
$1,460 |
1.3× |
| I&d abscess simple (10060) |
$473.60 |
$592 |
2.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,856.80 |
$6,071 |
1.7× |
| I&d perianal abscess superficial (46050) |
$1,508 |
$1,885 |
1.7× |
| I&d pilonidal cyst complicated (10081) |
$1,696 |
$2,120 |
2.5× |
| I&d pilonidal cyst simple (10080) |
$610.40 |
$763 |
0.9× |
| Incise external hemorrhoid (46083) |
$549.60 |
$687 |
2.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$855.20 |
$1,069 |
2.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,219.20 |
$5,274 |
2.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$810.40 |
$1,013 |
2.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$388.80 |
$486 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$543.20 |
$679 |
1.9× |
| Incision of rectal abscess (46040) |
$3,142.40 |
$3,928 |
2.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$381.60 |
$477 |
2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$473.60 |
$592 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$546.40 |
$683 |
1.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$652 |
$815 |
2.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$994.40 |
$1,243 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$316 |
$395 |
2.6× |
| Insert cervical dilator (59200) |
$587.20 |
$734 |
2.0× |
| Insert Drug Implant Device (11981) |
$470.40 |
$588 |
3.7× |
| Insert non-tunnel cv cath (36556) |
$1,795.20 |
$2,244 |
0.6× |
| Insert pessary/other device (57160) |
$256.80 |
$321 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$224.80 |
$281 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$180.80 |
$226 |
1.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,264 |
$2,830 |
0.7× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$1,829.60–$1,940 |
$2,287–$2,425 |
varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,350.40 |
$6,688 |
1.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,962.40 |
$8,703 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$790.40 |
$988 |
2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$671.20 |
$839 |
1.7× |
| Intro Gastrointestinal Tube (44500) |
$1,061.60 |
$1,327 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$572 |
$715 |
2.5× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$11,330.40 |
$14,163 |
1.9× |
| Laryngoscopy diagnostic (31505) |
$290.40 |
$363 |
1.5× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$257.60 |
$322 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$4,917.60 |
$6,147 |
3.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$456.80 |
$571 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$2,348.80 |
$2,936 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$4,064.80 |
$5,081 |
2.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.20 |
$49 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$68.80 |
$86 |
2.5× |
| 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) |
$577.60 |
$722 |
2.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,060 |
$2,575 |
0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,328.80 |
$2,911 |
2.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,048 |
$2,560 |
3.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,124.80 |
$1,406 |
1.3× |
| Pericardiocentesis W/Imaging (33016) |
$2,251.20 |
$2,814 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,108.80 |
$1,386 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$380 |
$475 |
0.9× |
| Proctosgmdsc rigid w/dilation (45303) |
$3,265.60 |
$4,082 |
2.8× |
| Punch biopsy skin single lesion (11104) |
$517.60 |
$647 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$552 |
$690 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$1,110.40 |
$1,388 |
1.6× |
| Reduction of rectal prolapse (45900) |
$1,282.40 |
$1,603 |
1.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,620.80 |
$7,026 |
2.0× |
| Removal Foreign Body Foot Complicated (28193) |
$2,872.80 |
$3,591 |
1.8× |
| Removal foreign body foot deep (28192) |
$3,659.20 |
$4,574 |
2.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,260.80 |
$1,576 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,388.80 |
$2,986 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$132 |
$165 |
2.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$132 |
$165 |
2.3× |
| Removal of foreign body from pharynx (42809) |
$472.80 |
$591 |
1.1× |
| Removal of nail bed (11750) |
$857.60 |
$1,072 |
2.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$304.80 |
$381 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$391.20 |
$489 |
2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$391.20 |
$489 |
1.5× |
| Remove foreign body from eye (65205) |
$260.80 |
$326 |
2.0× |
| Remove Intrauterine Device (58301) |
$560.80 |
$701 |
1.9× |
| Remove lung catheter (32552) |
$1,829.60 |
$2,287 |
3.0× |
| Remove Nasal Foreign Body (30300) |
$244.80 |
$306 |
1.9× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,939.20 |
$6,174 |
1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,068 |
$1,335 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,279.20 |
$1,599 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$810.40 |
$1,013 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,250.40 |
$1,563 |
3.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$979.20 |
$1,224 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,481.60 |
$1,852 |
3.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,675.20 |
$2,094 |
2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,517.60 |
$3,147 |
3.5× |
| Repair Hand Tendon (26410) |
$3,118.40 |
$3,898 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$620 |
$775 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$659.20 |
$824 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$657.60 |
$822 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$687.20 |
$859 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$960.80 |
$1,201 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$925.60 |
$1,157 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$579.20 |
$724 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$855.20 |
$1,069 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$782.40 |
$978 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,932.80 |
$2,416 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$863.20 |
$1,079 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$733.60 |
$917 |
1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$750.40 |
$938 |
1.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,160 |
$1,450 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$760 |
$950 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,403.20 |
$3,004 |
1.2× |
| Repair of nail bed (11760) |
$845.60 |
$1,057 |
1.2× |
| Repair tongue laceration (41252) |
$801.60 |
$1,002 |
3.5× |
| Repair tongue laceration (41250) |
$415.20 |
$519 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$307.20 |
$384 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$392.80 |
$491 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$280.80 |
$351 |
2.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,076 |
$2,595 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,944 |
$2,430 |
3.2× |
| Rplc Gtube No Revj Trc (43762) |
$567.20 |
$709 |
2.4× |
| Rpr blood vessel direct lower extremity (35226) |
$1,427.20 |
$1,784 |
2.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,695.20 |
$4,619 |
2.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$484.80 |
$606 |
2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$877.60 |
$1,097 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$204.80 |
$256 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$222.40 |
$278 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$520 |
$650 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$367.20 |
$459 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$388 |
$485 |
2.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$618.40 |
$773 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$441.60 |
$552 |
2.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$478.40 |
$598 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$455.20 |
$569 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$550.40 |
$688 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$407.20 |
$509 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$373.60 |
$467 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$521.60 |
$652 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$528 |
$660 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$974.40 |
$1,218 |
1.4× |
| Strapping Unna Boot (29580) |
$276 |
$345 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$413.60 |
$517 |
1.1× |
| Thrombolytic Therapy Stroke (37195) |
$682.40 |
$853 |
2.1× |
| Thyroid biopsy (60100) |
$1,351.20 |
$1,689 |
2.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,379.20 |
$2,974 |
1.6× |
| Treat humerus fracture (24500) |
$406.40 |
$508 |
1.7× |
| Treat Humerus Fracture (24505) |
$1,080.80 |
$1,351 |
0.7× |
| Treat humerus fracture (23600) |
$419.20 |
$524 |
1.8× |
| Treat Knee Fracture(S) (27538) |
$576.80 |
$721 |
2.4× |
| Treat Knuckle Dislocation (26700) |
$491.20 |
$614 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$609.60 |
$762 |
2.6× |
| Treat Tail Bone Fracture (27200) |
$336 |
$420 |
1.4× |
| Treat Thumb Dislocation (26641) |
$420.80 |
$526 |
1.8× |
| Treat Thumb Fracture (26645) |
$1,035.20 |
$1,294 |
0.7× |
| Treat toe dislocation (28630) |
$400.80 |
$501 |
1.7× |
| Treat Vaginal Bleeding (57180) |
$409.60 |
$512 |
2.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,937.60 |
$2,422 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$540.80 |
$676 |
2.3× |
| Tx Gastro Intub W/Asp (43753) |
$316.80 |
$396 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$736 |
$920 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$620.80 |
$776 |
1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,700.80 |
$3,376 |
1.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$328.80 |
$411 |
1.4× |
| Unlisted procedure femur or knee (27599) |
$4,309.60 |
$5,387 |
18.2× |
| Unlisted Procedure Leg/Ankle (27899) |
$3,078.40 |
$3,848 |
13.0× |
| Unlisted procedure lungs and pleura (32999) |
$1,432 |
$1,790 |
2.4× |
| Unlisted procedure nervous system (64999) |
$526.40 |
$658 |
1.8× |
| Unlisted Procedure Rectum (45999) |
$2,164 |
$2,705 |
2.4× |
| Vaginal delivery only (59409) |
$3,452.80 |
$4,316 |
1.1× |
| Vein Access Cutdown < 1 Yr (36420) |
$68.80 |
$86 |
0.5× |
| Venous Cutdown >1 Y/O (36425) |
$100.80 |
$126 |
0.2× |
| Wedge excision skin nail fold (11765) |
$426.40 |
$533 |
1.1× |
| Windowing of cast (29730) |
$219.20 |
$274 |
1.4× |