| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,149.50 |
$2,866 |
2.4× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,208.25 |
$1,611 |
0.2× |
| Arterial puncture (36600) |
$181.19 |
$241.59 |
1.4× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$108.38–$317.63 |
$144.50–$423.50 |
varies |
| Aspiration bladder insert suprapubic catheter (51102) |
$274.50 |
$366 |
0.1× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines |
$96.75–$253.43 |
$129–$337.90 |
varies |
| Biopsy of breast; open, incisional (19101) |
$410.25 |
$547 |
0.1× |
| Blood Transfusion Service (36430) |
$768 |
$1,024 |
1.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$132 |
$176 |
0.1× |
| Bx/exc lymph node open superficial (38500) |
$474 |
$632 |
0.1× |
| Chest tube placement (32551) |
$1,474.46 |
$1,965.94 |
0.9× |
| Clear outer ear canal (69200) |
$108.30 |
$144.40 |
0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$454.91 |
$606.55 |
1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$866.12 |
$1,154.83 |
0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$708.15 |
$944.20 |
2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$259.54 |
$346.05 |
1.1× |
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines |
$23.29–$25.13 |
$31.05–$33.50 |
varies |
| Colonoscopy W/Band Ligation (45398) |
$2,852.25 |
$3,803 |
2.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$558 |
$744 |
0.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$634.50 |
$846 |
0.5× |
| Debride nail 6 or more (11721) |
$42 |
$56 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$115.50 |
$154 |
0.3× |
| Destruction Benign Lesions 15/> (17111) |
$249 |
$332 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$90.75 |
$121 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$118.50 |
$158 |
0.1× |
| Drainage of hematoma/fluid (10140) |
$329.25 |
$439 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$253.43 |
$337.90 |
1.3× |
| Dstrj lesion anus simple surg excision (46922) |
$1,111.50 |
$1,482 |
0.4× |
| Dstrj lesion penis simple surg excision (54060) |
$2,043 |
$2,724 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,761.75 |
$2,349 |
0.9× |
| Egd Flexible Foreign Body Removal (43247) |
$354.75 |
$473 |
0.4× |
| Egd place gastrostomy tube (43246) |
$2,489.25 |
$3,319 |
1.3× |
| Egd remove lesion snare (43251) |
$396.75 |
$529 |
0.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$2,116.50 |
$2,822 |
2.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$153.75 |
$205 |
0.2× |
| Exc Back Les Sc < 3 Cm (21930) |
$466.50 |
$622 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$329.25 |
$439 |
0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$340.50 |
$454 |
0.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$488.25 |
$651 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$215.25 |
$287 |
0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$303 |
$404 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$360.75 |
$481 |
0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$416.25 |
$555 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$149.25 |
$199 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$204 |
$272 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$248.25 |
$331 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,789.50 |
$2,386 |
2.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$174.75 |
$233 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$509.25 |
$679 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$456 |
$608 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$617.25 |
$823 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,302 |
$1,736 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$208.50 |
$278 |
0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$196.50 |
$262 |
0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$264.75 |
$353 |
0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,011 |
$1,348 |
0.6× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$293.25 |
$391 |
0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$371.25 |
$495 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$425.25 |
$567 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$594 |
$792 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$837 |
$1,116 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$524.25 |
$699 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$208.50 |
$278 |
0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$441 |
$588 |
0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$915 |
$1,220 |
0.3× |
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure |
$2,202 |
$2,936 |
0.3× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$3,009.75 |
$4,013 |
1.1× |
I&d abscess simple (10060)
range across 4 matching MRF lines |
$175.50–$365.10 |
$234–$486.80 |
varies |
| I&d perianal abscess superficial (46050) |
$188.25 |
$251 |
0.2× |
| Incise external hemorrhoid (46083) |
$270.75 |
$361 |
1.1× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$329.25–$368.42 |
$439–$491.23 |
varies |
| Incision & removal foreign body subq tiss compl (10121) |
$345.75 |
$461 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$427.50 |
$570 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$102.75 |
$137 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$317.63 |
$423.50 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$93 |
$124 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$207.75 |
$277 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$1,654.50 |
$2,206 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$302.21 |
$402.95 |
2.3× |
| Insert tunneled cv cath (36561) |
$4,977.75 |
$6,637 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$302.21 |
$402.95 |
2.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$615.75 |
$821 |
0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,680 |
$6,240 |
1.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,649.25 |
$2,199 |
0.5× |
| Intro Gastrointestinal Tube (44500) |
$874.67 |
$1,166.23 |
1.0× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$847.46–$847.50 |
$1,129.95–$1,130 |
varies |
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure |
$1,124.25 |
$1,499 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,340.25 |
$1,787 |
0.2× |
| Late closure of wound (13160) |
$2,027.25 |
$2,703 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$182.25 |
$243 |
0.5× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$6,394.50 |
$8,526 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$96.38 |
$128.50 |
1.7× |
| Removal of nail bed (11750) |
$321 |
$428 |
0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$156.75 |
$209 |
0.8× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$96 |
$128 |
0.0× |
| Remove drug implant device (11982) |
$427.13 |
$569.50 |
1.0× |
| Remove foreign body from eye (65205) |
$195.84 |
$261.12 |
1.5× |
| Remove Intrauterine Device (58301) |
$343.88 |
$458.50 |
1.1× |
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure |
$1,270.50 |
$1,694 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$516.63 |
$688.84 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$650.25 |
$867 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,457.20 |
$3,276.26 |
6.1× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines |
$565.50–$1,459.40 |
$754–$1,945.86 |
varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$369 |
$492 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$401.57 |
$535.43 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$357.53 |
$476.70 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$638.25 |
$851 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$169.56 |
$226.08 |
1.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$2,656.50 |
$3,542 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$5,394 |
$7,192 |
3.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$157.50 |
$210 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$103.50 |
$138 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$126 |
$168 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$119.25 |
$159 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$87.75 |
$117 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$138 |
$184 |
0.7× |
| Sigmoidoscopy & Polypectomy (45333) |
$231.75 |
$309 |
0.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$141 |
$188 |
0.2× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$306.75–$333.73 |
$409–$444.97 |
varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$353.94 |
$471.92 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$312.64 |
$416.85 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$365.63 |
$487.50 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$337.20 |
$449.60 |
1.7× |
| Strapping Unna Boot (29580) |
$233.60 |
$311.47 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$457.50 |
$610 |
1.1× |
| Treat humerus fracture (24500) |
$592.65 |
$790.20 |
2.4× |
| Trim skin lesion (11055) |
$95.25 |
$127 |
0.5× |
| Vaginal delivery only (59409) |
$2,578.50 |
$3,438 |
0.8× |