Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$37.25–$105 |
$74.50–$210 |
varies |
Application finger splint static (29130) range across 6 matching MRF lines |
$85–$127.75 |
$170–$255.50 |
varies |
Application long arm splint shoulder hand (29105) range across 7 matching MRF lines |
$85–$127.75 |
$170–$255.50 |
varies |
Application Long Leg Splint (29505) range across 7 matching MRF lines |
$85–$127.75 |
$170–$255.50 |
varies |
| Application of rigid total contact leg cast (29445) |
$150.62 |
$301.25 |
0.6× |
Application Short Arm Splint Dynamic (29126) range across 5 matching MRF lines |
$105–$127.75 |
$210–$255.50 |
varies |
Application short arm splint forearm-hand static (29125) range across 7 matching MRF lines |
$85–$127.75 |
$170–$255.50 |
varies |
Application short leg splint calf foot (29515) range across 7 matching MRF lines |
$85–$127.75 |
$170–$255.50 |
varies |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$164.38 |
$328.75 |
0.0× |
| Apply long arm cast (29065) |
$178.12 |
$356.25 |
0.7× |
Arterial puncture (36600) range across 2 matching MRF lines |
$13.12–$262 |
$26.25–$524 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$127.75 |
$255.50 |
0.5× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$127.75–$185.12 |
$255.50–$370.25 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$127.75 |
$255.50 |
0.5× |
| Aspiration Bladder Needle (51100) |
$127.75 |
$255.50 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$127.75 |
$255.50 |
0.7× |
| Biopsy of palate, uvula (42100) |
$81.38 |
$162.75 |
0.1× |
| Bladder Irrigation (51700) |
$127.75 |
$255.50 |
0.6× |
Bladder Scan (51798) range across 2 matching MRF lines |
$43.38–$89.50 |
$86.75–$179 |
varies |
Blood Transfusion Service (36430) range across 15 matching MRF lines |
$259.88–$842 |
$519.75–$1,684 |
varies |
| Bx breast needle core w/o imaging guidance spx (19100) |
$96.12 |
$192.25 |
0.1× |
| Bx Cervix (57500) |
$48.88 |
$97.75 |
0.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$96.62 |
$193.25 |
0.4× |
| Clear outer ear canal (69200) |
$127.75 |
$255.50 |
1.1× |
| Closed Treat Vert Body Fract (22310) |
$178.12 |
$356.25 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$386.88 |
$773.75 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$127.75 |
$255.50 |
0.6× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$127.75 |
$255.50 |
0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$127.75 |
$255.50 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$127.75 |
$255.50 |
0.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$253.62 |
$507.25 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$201.12 |
$402.25 |
0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$127.75 |
$255.50 |
0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$127.75 |
$255.50 |
0.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$127.75 |
$255.50 |
0.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$127.75 |
$255.50 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$127.75 |
$255.50 |
0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$178.12 |
$356.25 |
0.8× |
Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$127.75–$178.12 |
$255.50–$356.25 |
varies |
Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$127.75–$178.12 |
$255.50–$356.25 |
varies |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$127.75–$178.12 |
$255.50–$356.25 |
varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$127.75 |
$255.50 |
0.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$127.75 |
$255.50 |
0.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$178.12 |
$356.25 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$127.75 |
$255.50 |
0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$127.75 |
$255.50 |
0.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$127.75 |
$255.50 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$127.75 |
$255.50 |
0.6× |
Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$127.75–$178.12 |
$255.50–$356.25 |
varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$178.12 |
$356.25 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$127.75 |
$255.50 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$127.75 |
$255.50 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$127.75 |
$255.50 |
0.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$178.12 |
$356.25 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$178.12 |
$356.25 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$94.50 |
$189 |
0.8× |
Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$2.25–$19.50 |
$4.50–$39 |
varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$94.50 |
$189 |
0.4× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$136.50 |
$273 |
0.5× |
| Colposcopy entire vagina w/cervix if present (57420) |
$114.50 |
$229 |
0.4× |
| Destruction Lesions Vulva Extensive (56515) |
$303.50 |
$607 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$150 |
$300 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$127.75 |
$255.50 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$127.75 |
$255.50 |
0.1× |
| Drainage of hematoma/fluid (10140) |
$127.75 |
$255.50 |
0.1× |
| Draw Blood Off Venous Device (36591) |
$127.75 |
$255.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$128.25 |
$256.50 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$108 |
$216 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$128.25 |
$256.50 |
0.7× |
| Dstrj lesion anus simple surg excision (46922) |
$191.12 |
$382.25 |
0.1× |
| Egd endo mucosal resection (43254) |
$257 |
$514 |
0.2× |
| Endocervical curettage (57505) |
$81.38 |
$162.75 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$127.75 |
$255.50 |
1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$127.75 |
$255.50 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$127.75 |
$255.50 |
0.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$207.88 |
$415.75 |
0.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$420 |
$840 |
0.3× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$355.38 |
$710.75 |
0.1× |
| Fasciotomy palmar percutaneous (26040) |
$331.75 |
$663.50 |
0.2× |
| Fetal non-stress test (59025) |
$203 |
$406 |
1.1× |
| I&d abscess simple (10060) |
$127.75 |
$255.50 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$127.75 |
$255.50 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$127.75 |
$255.50 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$127.75 |
$255.50 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$262 |
$524 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$127.75 |
$255.50 |
0.2× |
| Injection enzyme palmar fascial cord (20527) |
$66.12 |
$132.25 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$457.62 |
$915.25 |
1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$127.75 |
$255.50 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$127.75 |
$255.50 |
1.1× |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$71.88–$127.75 |
$143.75–$255.50 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.75 |
$255.50 |
1.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$119.12 |
$238.25 |
0.6× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$226.75 |
$453.50 |
0.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$132.25 |
$264.50 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$15 |
$30 |
0.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$15 |
$30 |
0.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$127.75 |
$255.50 |
0.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$127.75 |
$255.50 |
0.0× |
| Placement of needle for intraosseous infusion (36680) |
$199 |
$398 |
0.5× |
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$45.12–$412.50 |
$90.25–$825 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$127.75 |
$255.50 |
2.5× |
| Removal of foreign body from pharynx (42809) |
$127.75 |
$255.50 |
0.3× |
| Removal of nail bed (11750) |
$127.75 |
$255.50 |
0.4× |
| Removal or bivalving full arm or full leg cast (29705) |
$127.75 |
$255.50 |
0.5× |
| Remove Nasal Foreign Body (30300) |
$127.75 |
$255.50 |
1.1× |
| Remove/graft finger lesion (26215) |
$522.38 |
$1,044.75 |
0.2× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) likely a partial charge, not the full procedure |
$433.50 |
$867 |
0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$127.75 |
$255.50 |
0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$170.62 |
$341.25 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$127.75 |
$255.50 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$127.75 |
$255.50 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$127.75 |
$255.50 |
0.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$127.75 |
$255.50 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$127.75 |
$255.50 |
0.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$127.75 |
$255.50 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$127.75 |
$255.50 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$127.75 |
$255.50 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$127.75 |
$255.50 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$127.75 |
$255.50 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$127.75 |
$255.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$127.75 |
$255.50 |
0.4× |
| Strapping ankle (29540) |
$127.75 |
$255.50 |
0.9× |
| Strapping elbow or wrist (29260) |
$127.75 |
$255.50 |
2.5× |
| Strapping hand/finger (29280) |
$127.75 |
$255.50 |
2.5× |
| Strapping knee (29530) |
$127.75 |
$255.50 |
1.1× |
| Strapping shoulder (29240) |
$127.75 |
$255.50 |
1.1× |
| Strapping thorax (29200) |
$127.75 |
$255.50 |
0.9× |
| Strapping toes (29550) |
$127.75 |
$255.50 |
2.5× |
Strapping Unna Boot (29580) range across 5 matching MRF lines |
$98.75–$127.75 |
$197.50–$255.50 |
varies |
| Treat Knuckle Dislocation (26700) |
$127.75 |
$255.50 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$127.75 |
$255.50 |
0.6× |
| Tx Gastro Intub W/Asp (43753) |
$127.75 |
$255.50 |
0.7× |
| Wedge excision skin nail fold (11765) |
$127.75 |
$255.50 |
0.4× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$288.75 |
$577.50 |
0.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$222.62 |
$445.25 |
0.2× |