| Abd paracentesis w/imaging (49083) |
$2,003.22 |
$3,231 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$660.92 |
$1,066 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,383.90 |
$3,845 |
0.7× |
| Anoscopy diagnostic (46600) |
$124 |
$200 |
0.9× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$871.72 |
$1,406 |
0.7× |
| Application cast elbow finger short arm (29075) |
$226.30 |
$365 |
0.8× |
| Application finger splint static (29130) |
$83.70 |
$135 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$229.40 |
$370 |
1.3× |
| Application Long Leg Splint (29505) |
$229.40 |
$370 |
1.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$279 |
$450 |
0.9× |
| Application of long leg cast (29345) |
$310 |
$500 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$294.50 |
$475 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$220.10 |
$355 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$210.80 |
$340 |
1.5× |
| Application short leg splint calf foot (29515) |
$210.80 |
$340 |
1.2× |
| Apply hand/wrist cast (29085) |
$108.50 |
$175 |
0.6× |
| Apply long arm cast (29065) |
$244.90 |
$395 |
0.8× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$148.80–$223.20 |
$240–$360 |
varies |
| Apply Short Leg Cast (29405) |
$248 |
$400 |
0.8× |
| Apply short leg cast (29425) |
$263.50 |
$425 |
0.9× |
Arterial puncture (36600)
range across 3 matching MRF lines |
$47.12–$77.50 |
$76–$125 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$275.90 |
$445 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$538.78 |
$869 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$959.76 |
$1,548 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,097.40 |
$1,770 |
3.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$269.70 |
$435 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$1,063.30 |
$1,715 |
1.6× |
| Aspirate Pleura W/O Imaging (32554) |
$806 |
$1,300 |
1.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$279 |
$450 |
0.9× |
| Aspiration and/or injection thyroid cyst (60300) |
$861.80 |
$1,390 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$189.10 |
$305 |
0.9× |
| Biopsy Abdominal Mass (49180) |
$1,203.42 |
$1,941 |
0.7× |
| Biopsy bone open deep (20245) |
$903.96 |
$1,458 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$740.90 |
$1,195 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$740.90 |
$1,195 |
0.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,203.42 |
$1,941 |
0.7× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,264.80 |
$2,040 |
0.7× |
| Biopsy Salivary Gland Needle (42400) |
$515.84 |
$832 |
0.7× |
| Biopsy soft tissue neck/thorax (21550) |
$564.20 |
$910 |
0.3× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$703.08 |
$1,134 |
0.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,054 |
$1,700 |
0.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$260.40 |
$420 |
0.3× |
| Bladder Irrigation (51700) |
$275.90 |
$445 |
1.0× |
| Bladder Scan (51798) |
$142.60 |
$230 |
2.3× |
| Blepharotomy drainage abscess eyelid (67700) |
$344.10 |
$555 |
1.0× |
| Blood Transfusion Service (36430) |
$1,025.48 |
$1,654 |
2.2× |
| Bone Marrow Biopsy (38221) |
$948.60 |
$1,530 |
0.5× |
| Bone Marrow; Aspiration Only (38220) |
$948.60 |
$1,530 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$4,052.32 |
$6,536 |
2.3× |
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines |
$4,052.32–$6,078.48 |
$6,536–$9,804 |
varies |
| Change Cystostomy Tube Simple (51705) |
$192.20 |
$310 |
0.7× |
| Chemical Cautery Tissue (17250) |
$156.24 |
$252 |
0.7× |
| Chest tube placement (32551) |
$1,202.80 |
$1,940 |
0.7× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,019.28 |
$1,644 |
0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,302 |
$2,100 |
0.8× |
| Clear outer ear canal (69200) |
$124 |
$200 |
0.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,302 |
$2,100 |
0.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$326.12 |
$526 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$427.80 |
$690 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$682 |
$1,100 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$341 |
$550 |
1.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$585.90 |
$945 |
2.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,302 |
$2,100 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$512.74 |
$827 |
1.9× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$957.90 |
$1,545 |
0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,130.26 |
$1,823 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$376.96 |
$608 |
1.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$957.90 |
$1,545 |
0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$289.54 |
$467 |
1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$957.90 |
$1,545 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$291.40 |
$470 |
1.1× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$288.30 |
$465 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$170.50 |
$275 |
0.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$393.08 |
$634 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$266.60 |
$430 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$624.96 |
$1,008 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$348.44 |
$562 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$957.90 |
$1,545 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$249.24 |
$402 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$350.30 |
$565 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$422.84 |
$682 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$318.06 |
$513 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$306.90 |
$495 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$215.14 |
$347 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$365.18 |
$589 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$957.90 |
$1,545 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,302 |
$2,100 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$297.60 |
$480 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$266.60 |
$430 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$297.60 |
$480 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$266.60 |
$430 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,178 |
$1,900 |
0.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,302 |
$2,100 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$427.80 |
$690 |
1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$288.30 |
$465 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$293.88 |
$474 |
1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,302 |
$2,100 |
0.8× |
| Cltx Medial Ankle Fx (27760) |
$343.48 |
$554 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$331.70 |
$535 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$323.02 |
$521 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$957.90 |
$1,545 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$338.52 |
$546 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$213.90 |
$345 |
0.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,302 |
$2,100 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$465.62 |
$751 |
1.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,302 |
$2,100 |
0.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$494.76 |
$798 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$251.10 |
$405 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$624.96 |
$1,008 |
0.4× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$323.64 |
$522 |
1.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$358.36 |
$578 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$744 |
$1,200 |
0.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$327.36 |
$528 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$119.66 |
$193 |
0.8× |
| Collection of venous blood by venipuncture (36415) |
$14.26 |
$23 |
1.5× |
| Complex drainage wound (10180) |
$793.60 |
$1,280 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$213.90 |
$345 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$198.40 |
$320 |
1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,264.80 |
$2,040 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$229.40 |
$370 |
1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$241.80 |
$390 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$793.60 |
$1,280 |
0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$353.40 |
$570 |
0.4× |
| Debride nail 1-5 (11720) |
$164.30 |
$265 |
2.6× |
| Debride nail 6 or more (11721) |
$182.90 |
$295 |
2.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$744 |
$1,200 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$328.60 |
$530 |
0.8× |
Declot vascular device (36593)
range across 2 matching MRF lines |
$269.70–$294.50 |
$435–$475 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$164.30 |
$265 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,961.74 |
$4,777 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$65.10 |
$105 |
0.3× |
| Drain Cerebro Spinal Fluid (62272) |
$697.50 |
$1,125 |
0.9× |
| Drain penis lesion (54015) |
$1,203.42 |
$1,941 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$257.30 |
$415 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,054 |
$1,700 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$465 |
$750 |
1.8× |
| Drainage of finger abscess simple (26010) |
$189.10 |
$305 |
0.9× |
| Drainage of gum lesion (41800) |
$263.50 |
$425 |
1.9× |
| Drainage of hematoma/fluid (10140) |
$744 |
$1,200 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$1,364 |
$2,200 |
0.8× |
| Draw Blood Off Venous Device (36591) |
$119.66 |
$193 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$263.50 |
$425 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$232.50 |
$375 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$201.50 |
$325 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$170.50 |
$275 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$987.04 |
$1,592 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,215.20 |
$1,960 |
0.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,689.50 |
$2,725 |
0.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$629.30 |
$1,015 |
0.8× |
| Egd control bleeding any (43255) |
$2,325 |
$3,750 |
1.1× |
| Egd Flexible Foreign Body Removal (43247) |
$1,612 |
$2,600 |
1.7× |
| Egd place gastrostomy tube (43246) |
$2,325 |
$3,750 |
1.1× |
| Epidural Blood Patch (62273) |
$781.20 |
$1,260 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$89.90 |
$145 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$217 |
$350 |
0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$232.50 |
$375 |
0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$248 |
$400 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,860 |
$3,000 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$740.90 |
$1,195 |
0.4× |
| External cephalic version (59412) |
$709.90 |
$1,145 |
0.2× |
Fetal non-stress test (59025)
range across 4 matching MRF lines |
$227.54–$473.68 |
$367–$764 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,936.26 |
$3,123 |
2.6× |
| Fine needle aspiration without imaging guidance (10021) |
$424.08 |
$684 |
1.0× |
| Fluid Pressure Muscle (20950) |
$558 |
$900 |
0.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,936.26 |
$3,123 |
2.6× |
| Fna bx w/us gdn 1st les (10005) |
$1,936.26 |
$3,123 |
2.6× |
| Foreskin manipulation (54450) |
$309.38 |
$499 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$737.80 |
$1,190 |
1.0× |
| I&d abscess peritonsillar (42700) |
$279 |
$450 |
1.1× |
| I&d abscess simple (10060) |
$269.70 |
$435 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,178 |
$1,900 |
0.4× |
| I&d perianal abscess superficial (46050) |
$1,047.80 |
$1,690 |
1.1× |
| I&d pilonidal cyst complicated (10081) |
$647.90 |
$1,045 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$263.50 |
$425 |
0.3× |
| Image Cath Fluid Colxn Visc (49405) |
$1,203.42 |
$1,941 |
0.7× |
| Image Cath Fluid Peri/Retro (49406) |
$1,203.42 |
$1,941 |
0.7× |
| Incise external hemorrhoid (46083) |
$362.70 |
$585 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$297.60 |
$480 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$744 |
$1,200 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$288.30 |
$465 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$288.30 |
$465 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$313.10 |
$505 |
1.0× |
| Incision of rectal abscess (46040) |
$1,233.80 |
$1,990 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$220.10 |
$355 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$164.30 |
$265 |
0.8× |
| Inj W/Fluor Eval Cv Device (36598) |
$827.70 |
$1,335 |
3.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$629.30 |
$1,015 |
0.8× |
| Injection for identification of sentinel node (38792) |
$688.20 |
$1,110 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$217 |
$350 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$226.30 |
$365 |
0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$414.78 |
$669 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$229.40 |
$370 |
1.7× |
| Insert cath pleura w/o image (32556) |
$1,762.04 |
$2,842 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,324.94 |
$2,137 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$139.50 |
$225 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$108.50 |
$175 |
0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,324.94 |
$2,137 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$811.58 |
$1,309 |
0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,028.26 |
$9,723 |
0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$424.70 |
$685 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$514.60 |
$830 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$418.50 |
$675 |
1.7× |
| Laryngoscopy diagnostic (31505) |
$201.50 |
$325 |
0.9× |
| Myelography Lumbar Injection (62304) |
$1,221.40 |
$1,970 |
1.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,221.40 |
$1,970 |
1.5× |
| N block inj intercost sng (64420) |
$629.30 |
$1,015 |
0.8× |
| N Block Inj Pudendal (64430) |
$930 |
$1,500 |
1.0× |
| Nasal Endoscopy Dx (31231) |
$356.50 |
$575 |
1.7× |
| Needle Biopsy Pancreas (48102) |
$1,203.42 |
$1,941 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40.30 |
$65 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$62 |
$100 |
2.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$691.30 |
$1,115 |
1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$244.90 |
$395 |
0.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$926.28 |
$1,494 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,202.80 |
$1,940 |
0.7× |
| Perq dev breast 1st strtctc (19283) |
$638.60 |
$1,030 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$638.60 |
$1,030 |
0.8× |
Perq device breast 1st imag (19281)
range across 3 matching MRF lines |
$1,209–$1,813.50 |
$1,950–$2,925 |
varies |
| Perq Vertebral Augmentation (22513) |
$4,650 |
$7,500 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$279 |
$450 |
0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,523.34 |
$2,457 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$179.80 |
$290 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$263.50 |
$425 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$418.50 |
$675 |
0.6× |
| Removal Embedded Foreign Body Eyelid (67938) |
$325.50 |
$525 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$837 |
$1,350 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$830.80 |
$1,340 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$89.90 |
$145 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$130.20 |
$210 |
2.1× |
| Removal of nail bed (11750) |
$542.50 |
$875 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$161.20 |
$260 |
0.8× |
| Remove foreign body from eye (65205) |
$201.50 |
$325 |
1.4× |
| Remove Intrauterine Device (58301) |
$210.80 |
$340 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$126.48 |
$204 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$492.90 |
$795 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$678.90 |
$1,095 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$337.90 |
$545 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$508.40 |
$820 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$325.50 |
$525 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$458.80 |
$740 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$538.78 |
$869 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$659.68 |
$1,064 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$744 |
$1,200 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$235.60 |
$380 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$282.10 |
$455 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$328.60 |
$530 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$375.10 |
$605 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$561.10 |
$905 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$375.10 |
$605 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$235.60 |
$380 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$282.10 |
$455 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$328.60 |
$530 |
0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$474.30 |
$765 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$347.20 |
$560 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$235.60 |
$380 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$272.80 |
$440 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$384.40 |
$620 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$310 |
$500 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$434 |
$700 |
0.2× |
| Repair of nail bed (11760) |
$235.60 |
$380 |
0.3× |
| Repair tongue laceration (41252) |
$260.40 |
$420 |
1.0× |
| Repair tongue laceration (41250) |
$241.80 |
$390 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$201.50 |
$325 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$201.50 |
$325 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$744 |
$1,200 |
0.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,386.94 |
$2,237 |
0.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$830.80 |
$1,340 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$415.40 |
$670 |
1.6× |
| Rplc gtube revj gstrst trc (43763) |
$434 |
$700 |
1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$213.90 |
$345 |
1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$424.70 |
$685 |
0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$232.50 |
$375 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$843.20 |
$1,360 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$781.20 |
$1,260 |
1.4× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,170 |
$3,500 |
0.6× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$2,108 |
$3,400 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$226.30 |
$365 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$189.10 |
$305 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$192.20 |
$310 |
0.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$238.70 |
$385 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$201.50 |
$325 |
0.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$294.50 |
$475 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$189.10 |
$305 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$294.50 |
$475 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$213.90 |
$345 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$471.20 |
$760 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$471.20 |
$760 |
0.6× |
| Skin sub grft t/arm/lg child (15273) |
$915.74 |
$1,477 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$915.74 |
$1,477 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$201.50 |
$325 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$226.30 |
$365 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$238.70 |
$385 |
0.5× |
Sperm washing artificial insemination (58323)
range across 2 matching MRF lines |
$27.90–$43.40 |
$45–$70 |
varies |
| Spinal puncture lumbar diagnostic (62270) |
$539.40 |
$870 |
0.7× |
| Strapping ankle (29540) |
$130.20 |
$210 |
0.8× |
| Strapping elbow or wrist (29260) |
$124 |
$200 |
2.0× |
| Strapping knee (29530) |
$179.80 |
$290 |
1.3× |
| Strapping shoulder (29240) |
$186 |
$300 |
1.3× |
| Strapping toes (29550) |
$108.50 |
$175 |
1.7× |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
$155–$232.50 |
$250–$375 |
varies |
| Thyroid biopsy (60100) |
$479.26 |
$773 |
0.6× |
| Tooth extraction (41899) |
$229.40 |
$370 |
0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,116 |
$1,800 |
4.4× |
| Treat Elbow Fracture (24635) |
$5,286.12 |
$8,526 |
0.7× |
| Treat humerus fracture (24500) |
$372.62 |
$601 |
1.4× |
| Treat Humerus Fracture (24505) |
$495.38 |
$799 |
0.3× |
| Treat knee fracture (27532) |
$1,984 |
$3,200 |
0.6× |
| Treat Knuckle Dislocation (26700) |
$348.44 |
$562 |
1.3× |
| Treat Thumb Dislocation (26641) |
$424.08 |
$684 |
1.6× |
| Treat Thumb Fracture (26645) |
$957.90 |
$1,545 |
0.6× |
| Treat toe dislocation (28630) |
$288.30 |
$465 |
1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,364 |
$2,200 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$379.44 |
$612 |
1.4× |
Trim skin lesion (11055)
range across 2 matching MRF lines |
$148.80–$170.50 |
$240–$275 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$158.10 |
$255 |
0.7× |
| Trim skin lesions over 4 (11057) |
$170.50 |
$275 |
0.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$71.30 |
$115 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$545.60 |
$880 |
0.7× |
| Unlisted procedure nervous system (64999) |
$458.80 |
$740 |
1.4× |
| Vaginal delivery only (59409) |
$2,294 |
$3,700 |
0.7× |
| Wedge excision skin nail fold (11765) |
$192.20 |
$310 |
0.4× |