| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$13,921.38 |
$13,921.38 |
3.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$5,510.52 |
$5,510.52 |
2.7× |
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines |
$4,044.91–$8,236.80 |
$4,044.91–$8,236.80 |
varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,393.69 |
$2,393.69 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$7,385.82 |
$7,385.82 |
3.6× |
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines |
$2,894.47–$7,385.82 |
$2,894.47–$7,385.82 |
varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$12,738.62 |
$12,738.62 |
3.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$12,738.62 |
$12,738.62 |
3.9× |
| Amputation, arm through humerus; re-amputation Facility (24930) |
$10,464.20 |
$10,464.20 |
1.4× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$2,649.69 |
$2,649.69 |
0.8× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$1,183.92 |
$1,183.92 |
3.8× |
| Anal/Urinary Muscle Study (51784) |
$393.80 |
$393.80 |
3.0× |
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 3 matching MRF lines |
$623.78–$1,247.56 |
$623.78–$1,247.56 |
varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$1,095.04 |
$1,095.04 |
3.9× |
| Application cast elbow finger short arm (29075) |
$1,068.80 |
$1,068.80 |
3.8× |
| Application Cast Finger (29086) |
$623.78 |
$623.78 |
3.8× |
| Application Cast Shoulder Spica (29055) |
$1,026.70 |
$1,026.70 |
3.7× |
| Application Finger Splint Dynamic (29131) |
$264.10 |
$264.10 |
4.5× |
| Application finger splint static (29130) |
$496.89 |
$496.89 |
3.7× |
| Application Hip Spica Cast 1 Leg (29305) |
$1,136.55 |
$1,136.55 |
4.0× |
| Application long arm splint shoulder hand (29105) |
$623.78 |
$623.78 |
3.8× |
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines |
$1,068.80–$1,222.87 |
$1,068.80–$1,222.87 |
varies |
| Application Long Leg Splint (29505) |
$623.78 |
$623.78 |
3.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$1,068.80 |
$1,068.80 |
3.8× |
| Application of long leg cast (29345) |
$1,068.80 |
$1,068.80 |
3.8× |
| Application of rigid total contact leg cast (29445) |
$1,068.80 |
$1,068.80 |
3.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$1,068.80 |
$1,068.80 |
3.8× |
| Application Short Arm Splint Dynamic (29126) |
$484.20 |
$484.20 |
3.6× |
| Application short arm splint forearm-hand static (29125) |
$496.89 |
$496.89 |
3.7× |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$307.70–$623.78 |
$307.70–$623.78 |
varies |
| Apply hand/wrist cast (29085) |
$623.78 |
$623.78 |
3.8× |
| Apply long arm cast (29065) |
$1,068.80 |
$1,068.80 |
3.8× |
Apply Short Leg Cast (29405)
range across 3 matching MRF lines |
$1,068.80–$2,137.60 |
$1,068.80–$2,137.60 |
varies |
Apply short leg cast (29425)
range across 4 matching MRF lines |
$1,026.69–$2,053.38 |
$1,026.69–$2,053.38 |
varies |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$5,510.53 |
$5,510.53 |
1.7× |
| Arterial puncture (36600) |
$520.86 |
$520.86 |
3.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,163.55 |
$1,163.55 |
3.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,757.45 |
$2,757.45 |
3.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,163.55 |
$1,163.55 |
3.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,263.27 |
$1,263.27 |
4.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,163.55 |
$1,163.55 |
3.8× |
| Arthrodesis great toe interphalangeal joint (28755) |
$18,912.99 |
$18,912.99 |
2.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$12,738.62 |
$12,738.62 |
3.9× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$12,738.62 |
$12,738.62 |
3.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$29,170.48 |
$29,170.48 |
4.0× |
| Aspirate Pleura W/O Imaging (32554) |
$2,475.69 |
$2,475.69 |
3.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$1,163.55 |
$1,163.55 |
3.8× |
| Aspiration and/or injection thyroid cyst (60300) |
$2,777.27 |
$2,777.27 |
3.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$877.21 |
$877.21 |
4.4× |
| Biopsy Pleura Percutaneous Needle (32400) |
$6,417.32 |
$6,417.32 |
3.9× |
| Bladder Scan (51798) |
$300.20 |
$300.20 |
5.1× |
| Blood Transfusion Service (36430) |
$2,476.30 |
$2,476.30 |
5.6× |
| Carpal Tunnel Surgery (64721) |
$7,692.49 |
$7,692.49 |
3.9× |
| Catheter aspiration nasotracheal spx (31720) |
$144.40 |
$144.40 |
0.7× |
| Change of Windpipe Airway (31502) |
$479.30 |
$479.30 |
2.0× |
| Chemical Cautery Tissue (17250) |
$772.79 |
$772.79 |
3.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$2,757.45 |
$2,757.45 |
3.9× |
| Chemodenerv 1 extremity 1-4 (64642) |
$2,757.45 |
$2,757.45 |
3.9× |
| Chemodenerv musc neck dyston (64616) |
$1,163.55 |
$1,163.55 |
3.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$1,163.55 |
$1,163.55 |
3.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$2,757.45 |
$2,757.45 |
3.9× |
| Chemodenerv trunk musc 6/> (64647) |
$2,757.45 |
$2,757.45 |
3.9× |
| Chemodenervation eccrine glands oth area per day (64653) |
$1,163.55 |
$1,163.55 |
3.8× |
| Chemodenervation of internal anal sphincter (46505) |
$4,634.31 |
$4,634.31 |
3.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$1,163.55 |
$1,163.55 |
3.8× |
| Circumcision 28 days or older (54161) |
$7,937.96 |
$7,937.96 |
3.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$6,139.03 |
$6,139.03 |
3.8× |
| Clear outer ear canal (69200) |
$496.89 |
$496.89 |
3.7× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$12,738.62 |
$12,738.62 |
3.9× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$885.90 |
$885.90 |
3.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$885.90 |
$885.90 |
3.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$885.90 |
$885.90 |
3.6× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$885.90 |
$885.90 |
3.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$885.90 |
$885.90 |
3.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$885.90 |
$885.90 |
3.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$885.90 |
$885.90 |
3.6× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$15,740.04 |
$15,740.04 |
4.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$885.90 |
$885.90 |
3.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$885.90 |
$885.90 |
3.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$885.90 |
$885.90 |
3.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$885.90 |
$885.90 |
3.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$12,738.62 |
$12,738.62 |
7.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$885.90 |
$885.90 |
3.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$6,139.03 |
$6,139.03 |
3.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$885.90 |
$885.90 |
3.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$885.90 |
$885.90 |
3.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$885.90 |
$885.90 |
3.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$885.90 |
$885.90 |
3.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$6,139.03 |
$6,139.03 |
3.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$885.90 |
$885.90 |
3.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$885.90 |
$885.90 |
3.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$885.90 |
$885.90 |
3.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$885.90 |
$885.90 |
3.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$885.90 |
$885.90 |
3.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$885.90 |
$885.90 |
3.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$885.90 |
$885.90 |
3.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$885.90 |
$885.90 |
3.6× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$885.90 |
$885.90 |
0.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$885.90 |
$885.90 |
3.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$885.90 |
$885.90 |
3.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$885.90 |
$885.90 |
3.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$885.90 |
$885.90 |
3.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$885.90 |
$885.90 |
3.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$885.90 |
$885.90 |
3.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$885.90 |
$885.90 |
3.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$885.90 |
$885.90 |
3.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$885.90 |
$885.90 |
3.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$885.90 |
$885.90 |
3.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,026.69 |
$1,026.69 |
3.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$885.90 |
$885.90 |
3.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,026.57 |
$1,026.57 |
4.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Medial Ankle Fx (27760) |
$885.90 |
$885.90 |
3.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$885.90 |
$885.90 |
3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$885.90 |
$885.90 |
3.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$885.90 |
$885.90 |
3.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$885.90 |
$885.90 |
3.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$885.90 |
$885.90 |
3.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$885.90 |
$885.90 |
3.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$885.90 |
$885.90 |
3.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$885.90 |
$885.90 |
3.6× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$885.90 |
$885.90 |
3.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$885.90 |
$885.90 |
3.6× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$885.90 |
$885.90 |
3.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$885.90 |
$885.90 |
3.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$6,139.03 |
$6,139.03 |
3.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$885.90 |
$885.90 |
3.6× |
| Collection of venous blood by venipuncture (36415) |
$15.20 |
$15.20 |
1.6× |
| Complex Cystometrogram (51726) |
$919.54 |
$919.54 |
3.7× |
| Composite Skin Graft (15760) |
$12,691.60 |
$12,691.60 |
6.1× |
| Csf shunt reprogram (62252) |
$1,183.92 |
$1,183.92 |
3.8× |
| Cystometrogram W/Up (51727) |
$2,676.14 |
$2,676.14 |
3.8× |
| Cystometrogram W/Vp (51728) |
$2,676.14 |
$2,676.14 |
3.8× |
| Cystometrogram W/Vp&Up (51729) |
$3,048.72 |
$3,048.72 |
4.4× |
| Cystourethroscopy (52000) |
$3,048.72 |
$3,048.72 |
4.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$11,055.02 |
$11,055.02 |
3.8× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines |
$5,510.53–$6,417.32 |
$5,510.53–$6,417.32 |
varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,596.55 |
$1,596.55 |
3.9× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$7,679.95 |
$7,679.95 |
3.7× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$13,921.38 |
$13,921.38 |
3.9× |
| Destruct B9 Lesion 1-14 (17110) |
$772.79 |
$772.79 |
3.8× |
| Destruction Lesions Vulva Simple (56501) |
$7,385.82 |
$7,385.82 |
3.6× |
| Destruction premalignant lesion 1st (17000) |
$772.79 |
$772.79 |
3.8× |
| Drain Cerebro Spinal Fluid (62272) |
$2,715.09 |
$2,715.09 |
3.8× |
| Drain/inj small joint/bursa w/us (20604) |
$1,342.05 |
$1,342.05 |
4.4× |
| Drainage external auditory canal abscess (69020) |
$2,777.27 |
$2,777.27 |
3.9× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$6,417.32 |
$6,417.32 |
3.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$2,777.27 |
$2,777.27 |
3.9× |
| Dressing Change Under Anesthesia (15852) |
$2,061.40 |
$2,061.40 |
2.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$2,777.27 |
$2,777.27 |
3.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,596.55 |
$1,596.55 |
3.9× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
$307.70–$772.79 |
$307.70–$772.79 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$307.70–$772.79 |
$307.70–$772.79 |
varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$7,828.19 |
$7,828.19 |
3.8× |
| Dx Bronchoscope/Wash (31622) |
$3,429 |
$3,429 |
1.9× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$1,183.92 |
$1,183.92 |
3.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,183.92 |
$1,183.92 |
3.8× |
| Electro-Uroflowmetry First (51741) |
$393.80 |
$393.80 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$551.63 |
$551.63 |
4.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,777.27 |
$2,777.27 |
3.9× |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines |
$2,777.27–$8,236.80 |
$2,777.27–$8,236.80 |
varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$2,777.27 |
$2,777.27 |
3.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,777.27 |
$2,777.27 |
3.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$6,417.32 |
$6,417.32 |
3.9× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$6,417.32 |
$6,417.32 |
3.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,777.27 |
$2,777.27 |
3.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$6,417.32 |
$6,417.32 |
3.9× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$6,417.32 |
$6,417.32 |
3.9× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$7,692.49 |
$7,692.49 |
3.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,777.27 |
$2,777.27 |
3.9× |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines |
$2,204.21–$6,417.32 |
$2,204.21–$6,417.32 |
varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$6,417.32 |
$6,417.32 |
3.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,596.55 |
$1,596.55 |
3.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$2,777.27 |
$2,777.27 |
3.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$6,417.32 |
$6,417.32 |
3.9× |
| Excision Lingual Frenum Frenectomy (41115) |
$6,339.14 |
$6,339.14 |
4.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$2,777.27 |
$2,777.27 |
3.9× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$6,139.03 |
$6,139.03 |
3.8× |
| Fine needle aspiration without imaging guidance (10021) |
$1,596.55 |
$1,596.55 |
3.9× |
| Fluid Pressure Muscle (20950) |
$3,011.01 |
$3,011.01 |
4.2× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$267.70 |
$267.70 |
0.4× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$9,130.05 |
$9,130.05 |
2.7× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$7,385.82 |
$7,385.82 |
3.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$5,788.95 |
$5,788.95 |
2.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,649.69 |
$2,649.69 |
1.3× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$7,385.82 |
$7,385.82 |
3.6× |
| Gastrocnemius recession (27687) |
$4,953.67 |
$4,953.67 |
1.5× |
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 2 matching MRF lines |
$2,894.47–$4,230.53 |
$2,894.47–$4,230.53 |
varies |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$5,510.53 |
$5,510.53 |
1.5× |
| I&d abscess peritonsillar (42700) |
$889.41 |
$889.41 |
3.7× |
| I&d abscess simple (10060) |
$772.79 |
$772.79 |
3.8× |
| I&d pilonidal cyst simple (10080) |
$2,777.27 |
$2,777.27 |
3.9× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$13,878.72 |
$13,878.72 |
4.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,596.55 |
$1,596.55 |
3.9× |
| Incision extensor tendon sheath wrist (25000) |
$6,139.03 |
$6,139.03 |
3.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$6,339.14 |
$6,339.14 |
4.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$772.79 |
$772.79 |
3.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$3,646.90 |
$3,646.90 |
4.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$3,867.08 |
$3,867.08 |
4.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$1,163.55 |
$1,163.55 |
3.8× |
| Injection single tendon origin/insertion (20551) |
$1,163.55 |
$1,163.55 |
3.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,163.55 |
$1,163.55 |
3.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,163.55 |
$1,163.55 |
3.8× |
| Injection therapeutic carpal tunnel (20526) |
$1,163.55 |
$1,163.55 |
3.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$592.75 |
$592.75 |
0.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$2,757.45 |
$2,757.45 |
3.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$772.79 |
$772.79 |
3.8× |
| Insert and remove bone pin (20650) |
$12,738.62 |
$12,738.62 |
3.9× |
| Insert Temp Bladder Cath (51702) |
$638 |
$638 |
4.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$229.40 |
$229.40 |
1.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$7,689.20 |
$7,689.20 |
4.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$6,647.95 |
$6,647.95 |
4.2× |
| Intubation endotracheal emergency procedure (31500) |
$832.20 |
$832.20 |
3.5× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$22,305.40 |
$22,305.40 |
3.7× |
| Laryngoscopy flexible diagnostic (31575) |
$764.96 |
$764.96 |
3.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,752.40 |
$1,752.40 |
4.5× |
| Lateral Canthopexy (21282) |
$12,175.31 |
$12,175.31 |
3.7× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$7,385.82 |
$7,385.82 |
3.6× |
| Myringoplasty (69620) |
$4,230.53 |
$4,230.53 |
1.3× |
| Nasal Endoscopy Dx (31231) |
$764.96 |
$764.96 |
3.8× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$722.30 |
$722.30 |
2.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$124.50 |
$124.50 |
4.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$124.50 |
$124.50 |
4.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,783.61 |
$1,783.61 |
4.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,646.90 |
$3,646.90 |
4.1× |
| Open treatment fracture distal tibia only (27827) |
$8,821.20 |
$8,821.20 |
0.7× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$22,851.12 |
$22,851.12 |
3.8× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$22,851.12 |
$22,851.12 |
3.8× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
$6,067.38 |
$6,067.38 |
1.0× |
| Pin Finger Dislocation (26776) |
$5,510.52 |
$5,510.52 |
1.7× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$12,738.62 |
$12,738.62 |
3.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,596.55 |
$1,596.55 |
3.9× |
| Reconstruct cleft palate (42210) |
$14,362.15 |
$14,362.15 |
2.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$254.20 |
$254.20 |
4.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$245.99 |
$245.99 |
4.2× |
Removal Implant Deep (20680)
range across 3 matching MRF lines |
$2,061.40–$10,464.20 |
$2,061.40–$10,464.20 |
varies |
| Removal Implant Superficial Separate Procedure (20670) |
$6,417.32 |
$6,417.32 |
3.9× |
| Removal of adenoids (42831) |
$2,894.47 |
$2,894.47 |
0.9× |
| Removal of nail bed (11750) |
$4,118.40 |
$4,118.40 |
10.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$1,026.70 |
$1,026.70 |
3.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$300.20 |
$300.20 |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$7,829.47 |
$7,829.47 |
3.8× |
| Remove Nasal Foreign Body (30300) |
$496.89 |
$496.89 |
3.7× |
| Remove tissue expander (11971) |
$11,055.02 |
$11,055.02 |
3.8× |
| Repair arm/leg nerve (64857) |
$26,441.53 |
$26,441.53 |
7.7× |
| Repair cleft lip/nasal (40720) |
$6,067.37 |
$6,067.37 |
1.8× |
| Repair cleft lip/nasal (40700) |
$16,589.55 |
$16,589.55 |
2.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,486.18 |
$2,486.18 |
3.3× |
| Repair Finger/Hand Tendon (26350) |
$12,738.62 |
$12,738.62 |
3.9× |
| Repair Hand Tendon (26410) |
$5,510.53 |
$5,510.53 |
3.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,596.55 |
$1,596.55 |
3.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,596.55 |
$1,596.55 |
3.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,596.55 |
$1,596.55 |
3.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,596.55 |
$1,596.55 |
3.9× |
| Replace g/c tube perc (49450) |
$4,012.29 |
$4,012.29 |
4.4× |
| Respir iadna 18 viral&2 bact (0115U) |
$1,178.36 |
$1,178.36 |
4.3× |
| Revise external ear (69300) |
$3,116.84 |
$3,116.84 |
0.9× |
Revise lower leg tendon (27690)
range across 2 matching MRF lines |
$4,601.78–$6,902.65 |
$4,601.78–$6,902.65 |
varies |
| Revision of foot fascia (28250) |
$4,601.76 |
$4,601.76 |
1.4× |
Revision of lower leg tendon (27685)
range across 3 matching MRF lines |
$4,601.76–$12,134.75 |
$4,601.76–$12,134.75 |
varies |
| Revision of nose (30462) |
$9,130.05 |
$9,130.05 |
1.5× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$22,851.12 |
$22,851.12 |
3.8× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$1,095.04 |
$1,095.04 |
3.9× |
| Rplc Gtube No Revj Trc (43762) |
$919.54 |
$919.54 |
3.7× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$12,738.62 |
$12,738.62 |
3.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$12,738.62 |
$12,738.62 |
3.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$12,738.62 |
$12,738.62 |
3.9× |
| Simple Cystometrogram (51725) |
$1,138.70 |
$1,138.70 |
4.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$772.79 |
$772.79 |
3.8× |
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines |
$2,894.49–$7,385.82 |
$2,894.49–$7,385.82 |
varies |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
$1,653.98–$7,828.19 |
$1,653.98–$7,828.19 |
varies |
| Skin sub grft t/arm/lg child (15273) |
$2,204.21 |
$2,204.21 |
1.1× |
Skin Tissue Procedure (17999)
range across 3 matching MRF lines |
$2,486.18–$10,697.53 |
$2,486.18–$10,697.53 |
varies |
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines |
$1,516.87–$9,021.06 |
$1,516.87–$9,021.06 |
varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$772.79 |
$772.79 |
3.8× |
| Spinal puncture lumbar diagnostic (62270) |
$2,715.09 |
$2,715.09 |
3.8× |
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines |
$2,616.05–$13,921.38 |
$2,616.05–$13,921.38 |
varies |
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines |
$2,755.27–$7,385.82 |
$2,755.27–$7,385.82 |
varies |
| Strapping ankle (29540) |
$642.48 |
$642.48 |
3.9× |
| Strapping elbow or wrist (29260) |
$249.41 |
$249.41 |
4.2× |
| Strapping hand/finger (29280) |
$137.50 |
$137.50 |
2.3× |
| Strapping knee (29530) |
$520.86 |
$520.86 |
3.9× |
| Strapping shoulder (29240) |
$520.86 |
$520.86 |
3.9× |
| Strapping toes (29550) |
$264.10 |
$264.10 |
4.5× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$772.79 |
$772.79 |
3.8× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
$2,486.18 |
$2,486.18 |
3.3× |
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
unusually low: confirm this is the full procedure |
$2,894.47 |
$2,894.47 |
0.5× |
| Surgery to stop leg growth (27479) |
$10,464.20 |
$10,464.20 |
1.4× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$2,486.18 |
$2,486.18 |
3.3× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$12,738.62 |
$12,738.62 |
3.9× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$6,139.03 |
$6,139.03 |
3.8× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
$4,953.68 |
$4,953.68 |
1.5× |
| Thyroid biopsy (60100) |
$2,777.27 |
$2,777.27 |
3.9× |
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 3 matching MRF lines |
$2,616.05–$7,828.19 |
$2,616.05–$7,828.19 |
varies |
| Tooth extraction (41899) |
$8,793.65 |
$8,793.65 |
37.0× |
| Treat humerus fracture (24500) |
$885.90 |
$885.90 |
3.6× |
| Treat Humerus Fracture (24505) |
$6,139.03 |
$6,139.03 |
3.8× |
| Treat humerus fracture (23600) |
$885.90 |
$885.90 |
3.6× |
| Treat knee fracture (27532) |
$12,738.62 |
$12,738.62 |
3.9× |
| Treat Knee Fracture(S) (27538) |
$885.90 |
$885.90 |
3.6× |
| Treat Metatarsal Fracture (28475) |
$885.90 |
$885.90 |
3.6× |
| Treat toe dislocation (28630) |
$885.90 |
$885.90 |
3.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$885.90 |
$885.90 |
3.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$885.90 |
$885.90 |
3.6× |
Tympanoplasty (69631)
range across 2 matching MRF lines |
$2,894.49–$11,021.05 |
$2,894.49–$11,021.05 |
varies |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$13,805.30 |
$13,805.30 |
2.3× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$4,230.54 |
$4,230.54 |
0.7× |
| Tympanostomy general anesthesia (69436) |
$7,123.10 |
$7,123.10 |
4.6× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$5,510.53 |
$5,510.53 |
23.2× |
Unlisted Procedure External Ear (69399)
range across 2 matching MRF lines |
$993.79–$9,907.35 |
$993.79–$9,907.35 |
varies |
| Unlisted Procedure Hands/Fingers (26989) |
$885.90 |
$885.90 |
3.6× |
| Unlisted procedure humerus/elbow (24999) |
$885.90 |
$885.90 |
3.6× |
| Unlisted procedure spine (22899) |
$885.90 |
$885.90 |
3.6× |
| Urinary Reflex Study (51792) |
$366 |
$366 |
6.2× |
| Wedge excision skin nail fold (11765) |
$1,596.55 |
$1,596.55 |
3.9× |
| Wedging of cast (29740) |
$1,026.70 |
$1,026.70 |
3.7× |
| Windowing of cast (29730) |
$623.78 |
$623.78 |
3.8× |
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines |
$2,486.18–$2,616.05 |
$2,486.18–$2,616.05 |
varies |
| Wound Prep Trk/Arm/Leg (15002) |
$2,649.69 |
$2,649.69 |
3.6× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
$6,848.95 |
$6,848.95 |
4.2× |