| Abd paracentesis w/imaging (49083) |
$1,782 |
— |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,782 |
— |
1.6× |
| Ablate inf turbinate submuc (30802) |
$306.50 |
$514 |
0.2× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$404.29 |
$678 |
0.0× |
| Acne surgery (10040) |
$119.56 |
$200.50 |
0.5× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$864.49 |
$1,449.75 |
0.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$763.26 |
$1,280 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$6,168 |
— |
1.5× |
| Amputation foot transmetarsal (28805) |
$791.29 |
$1,327 |
0.2× |
| Amputation metatarsal with toe single (28810) |
$1,068.27 |
$1,791.50 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$415.92 |
$697.50 |
0.1× |
| Anoscopy diagnostic (46600) |
$245 |
— |
1.5× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$2,242 |
— |
1.5× |
| Anoscopy; with biopsy, single or multiple (46606) |
$84.08 |
$141 |
0.1× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$217.50 |
$364.75 |
0.1× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$302.18 |
$506.75 |
1.5× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$248.81 |
$417.25 |
0.7× |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
$148–$505 |
— |
varies |
Application finger splint static (29130)
range across 2 matching MRF lines |
$245–$335 |
— |
varies |
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines |
$90–$422 |
— |
varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$505 |
— |
1.4× |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
$90–$300 |
— |
varies |
| Application of cylinder cast (thigh to ankle) (29365) |
$505 |
— |
1.4× |
| Application of long leg cast (29345) |
$505 |
— |
1.4× |
| Application of rigid total contact leg cast (29445) |
$390.13 |
$654.25 |
1.1× |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
$95–$340 |
— |
varies |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
$94–$394 |
— |
varies |
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure |
$734.34 |
$1,231.50 |
0.1× |
| Apply hand/wrist cast (29085) |
$300 |
— |
1.5× |
| Apply long arm cast (29065) |
$505 |
— |
1.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$134.76 |
$226 |
0.7× |
| Apply Short Leg Cast (29405) |
$505 |
— |
1.4× |
| Apply short leg cast (29425) |
$505 |
— |
1.4× |
| Arterial puncture (36600) |
$245 |
— |
1.5× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
likely a partial charge, not the full procedure |
$1,874.77 |
$3,144 |
0.1× |
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
likely a partial charge, not the full procedure |
$860.46 |
$1,443 |
0.1× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$98–$561 |
— |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,316 |
— |
1.5× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$117–$561 |
— |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$561 |
— |
1.5× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$90–$561 |
— |
varies |
Arthrodesis Posterior/Posterolateral Lumbar (22612)
likely a partial charge, not the full procedure |
$1,748.95 |
$2,933 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$1,348 |
— |
0.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$2,115.23 |
$3,547.25 |
0.5× |
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure |
$769.82 |
$1,291 |
0.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$2,084.37 |
$3,495.50 |
0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,535 |
— |
0.4× |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$1,184.25 |
$1,986 |
0.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$608.23 |
$1,020 |
0.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$942.15 |
$1,580 |
0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,113.29 |
$3,544 |
0.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$2,173 |
— |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,842 |
— |
0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$612.40 |
$1,027 |
0.1× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$2,676.49 |
$4,488.50 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$2,480 |
— |
0.3× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$592.72 |
$994 |
0.1× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$998.21 |
$1,674 |
0.2× |
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
likely a partial charge, not the full procedure |
$1,586.46 |
$2,660.50 |
0.2× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$953.48 |
$1,599 |
0.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$5,908.44 |
$9,908.50 |
0.7× |
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure |
$1,371.49 |
$2,300 |
0.1× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$745.97 |
$1,251 |
0.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$700.65 |
$1,175 |
0.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$532 |
— |
0.1× |
| Aspirate pleura w/ imaging (32555) |
$1,176 |
— |
1.5× |
| Aspirate Pleura W/O Imaging (32554) |
$1,176 |
— |
1.5× |
| Aspirate/Inj Ganglion Cyst (20612) |
$561 |
— |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,894 |
— |
1.5× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines |
$92–$470 |
— |
varies |
| Biopsy bone open superficial (20240) |
$156.23 |
$262 |
0.0× |
| Biopsy muscle percutaneous needle (20206) |
$226.15 |
$379.25 |
0.1× |
| Biopsy nail unit (11755) |
$115.38 |
$193.50 |
0.1× |
| Biopsy of lip (40490) |
$135.36 |
$227 |
0.5× |
| Biopsy of palate, uvula (42100) |
$161.60 |
$271 |
0.1× |
| Biopsy Oropharynx (42800) |
$151.91 |
$254.75 |
0.1× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$234.35 |
$393 |
0.1× |
| Biopsy Salivary Gland Incisional (42405) |
$349.88 |
$586.75 |
0.2× |
| Biopsy Salivary Gland Needle (42400) |
$104.35 |
$175 |
0.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$177.10 |
$297 |
0.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$258.20 |
$433 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$174.12 |
$292 |
0.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$301.73 |
$506 |
0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$285.63 |
$479 |
0.1× |
| Biopsy Testis Incisional Separate Procedure (54505) |
$235.54 |
$395 |
0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$178.74 |
$299.75 |
0.3× |
| Biopsy Tongue Posterior One-Third (41105) |
$279.22 |
$468.25 |
0.1× |
| Biopsy, vestibule of mouth (40808) |
$236.43 |
$396.50 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,269 |
— |
1.5× |
| Bladder Irrigation (51700) |
$462 |
— |
1.5× |
| Bladder Scan (51798) |
$113 |
— |
1.5× |
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines |
$568–$677 |
— |
varies |
| Blood Transfusion Service (36430) |
$831 |
— |
1.5× |
| Bx breast 1st lesion strtctc (19081) |
$3,080 |
— |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$3,080 |
— |
1.5× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$290.99 |
$488 |
0.1× |
| Bx/exc lymph node open deep axillary node (38525) |
$1,168.90 |
$1,960.25 |
0.2× |
| Canthotomy Separate Procedure (67715) |
$4,435 |
— |
1.5× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,139.53 |
$1,911 |
0.6× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$413.24 |
$693 |
0.2× |
| Carpal Tunnel Surgery (64721) |
$1,387.59 |
$2,327 |
0.6× |
| Carpectomy All Bones Proximal Row (25215) |
$703.63 |
$1,180 |
0.2× |
| Change Cystostomy Tube Complicated (51710) |
$1,269 |
— |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$462 |
— |
1.5× |
| Change of Windpipe Airway (31502) |
$442 |
— |
1.5× |
| Chemical Cautery Tissue (17250) |
$378 |
— |
1.5× |
| Chemodenerv Musc Migraine (64615) |
$221.38 |
$371.25 |
0.6× |
| Chemodenerv trunk musc 6/> (64647) |
$267.29 |
$448.25 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$561 |
— |
1.5× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$398–$2,953 |
— |
varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$87.06 |
$146 |
0.0× |
| Circumcision 28 days or older (54161) |
$221.82 |
$372 |
0.1× |
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines |
$468–$3,042 |
— |
varies |
| Claviculectomy partial (23120) |
$812 |
— |
0.2× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$245–$294 |
— |
varies |
| Closed Rx Metacarpal Fx,Percut (26608) |
$549.19 |
$921 |
0.1× |
| Closed Treat Vert Body Fract (22310) |
$456 |
— |
1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$456 |
— |
1.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$3,042 |
— |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$456 |
— |
1.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$456 |
— |
1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$456 |
— |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,042 |
— |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$456 |
— |
1.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$456 |
— |
1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$456 |
— |
1.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$545.02 |
$914 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$456 |
— |
1.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,042 |
— |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$456 |
— |
1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$619.11 |
$1,038.25 |
0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$456 |
— |
1.5× |
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines |
$330–$456 |
— |
varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$456 |
— |
1.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,042 |
— |
1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$456 |
— |
1.5× |
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines |
$710–$3,042 |
— |
varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$456 |
— |
1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,042 |
— |
1.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$456 |
— |
1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$456 |
— |
1.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,042 |
— |
1.5× |
| Closed tx talus fracture w/o manipulation (28430) |
$456 |
— |
1.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$456 |
— |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,042 |
— |
1.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$456 |
— |
1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$456 |
— |
1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$456 |
— |
1.5× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$505 |
— |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,323.79 |
$2,220 |
0.7× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
$408–$456 |
— |
varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$456 |
— |
1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,042 |
— |
1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,042 |
— |
1.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,042 |
— |
1.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$456 |
— |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$456 |
— |
1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$456 |
— |
1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$456 |
— |
1.5× |
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines |
$317–$456 |
— |
varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$456 |
— |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$456 |
— |
1.5× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$490–$3,042 |
— |
varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$3,042 |
— |
1.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,042 |
— |
1.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$456 |
— |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$456 |
— |
1.5× |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines |
$456–$592 |
— |
varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$456 |
— |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,042 |
— |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$456 |
— |
1.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$456 |
— |
1.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$456 |
— |
1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,042 |
— |
1.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,042 |
— |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$426 |
— |
1.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$456 |
— |
1.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$456 |
— |
1.5× |
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines |
$456–$558 |
— |
varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$505 |
— |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$456 |
— |
1.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,042 |
— |
1.5× |
| Cltx Medial Ankle Fx (27760) |
$456 |
— |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$456 |
— |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$456 |
— |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$456 |
— |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$456 |
— |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,042 |
— |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$456 |
— |
1.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,042 |
— |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$456 |
— |
1.5× |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines |
$456–$640 |
— |
varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$657.57 |
$1,102.75 |
0.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$3,042 |
— |
1.5× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$456 |
— |
1.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$3,042 |
— |
1.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$456 |
— |
1.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$456 |
— |
1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,042 |
— |
1.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$456 |
— |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$245 |
— |
1.5× |
| Collection of venous blood by venipuncture (36415) |
$16 |
— |
1.7× |
| Colonoscopy w/submucosal inj (45381) |
$792.78 |
$1,329.50 |
0.5× |
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure |
$1,809.47 |
$3,034.50 |
0.3× |
| Colporrhaphy (57200) |
$6,044 |
— |
1.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$351.52 |
$589.50 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$294.87 |
$494.50 |
0.8× |
| Colposcopy of vulva (56820) |
$191.26 |
$320.75 |
0.8× |
| Colposcopy Vulva W/Biopsy (56821) |
$286.67 |
$480.75 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$833.78 |
$1,398.25 |
0.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$404.59 |
$678.50 |
0.3× |
| Complex drainage wound (10180) |
$5,441 |
— |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$245 |
— |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$245 |
— |
1.5× |
| Correction hammertoe (28285) |
$801.13 |
$1,343.50 |
0.2× |
| Create Eardrum Opening (69433) |
$334.23 |
$560.50 |
0.5× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
$245–$364 |
— |
varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$442 |
— |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$446.63 |
$749 |
0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,894 |
— |
1.5× |
| Cysto w/complex removal stone & stent (52315) |
$3,894 |
— |
1.5× |
| Cysto w/destruction of lesions (52214) |
$210.49 |
$353 |
0.0× |
| Cysto w/insert ureteral stent (52332) |
$6,556 |
— |
1.5× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$6,556 |
— |
1.5× |
| Cysto w/removal of lesions small (52224) |
$349.88 |
$586.75 |
0.1× |
| Cysto w/removal of tumors small (52234) |
$271.91 |
$456 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,894 |
— |
1.5× |
| Cysto w/ureter stricture tx (52341) |
$313.65 |
$526 |
0.1× |
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure |
$674.56 |
$1,131.25 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$446.93 |
$749.50 |
0.1× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$594.51 |
$997 |
0.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$506.26 |
$849 |
0.1× |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure |
$696.03 |
$1,167.25 |
0.1× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$715.71 |
$1,200.25 |
0.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$328.56 |
$551 |
0.1× |
Cystouretero w/excise tumor (52355)
likely a partial charge, not the full procedure |
$780.85 |
$1,309.50 |
0.1× |
Cystouretero w/renal strict (52346)
likely a partial charge, not the full procedure |
$746.42 |
$1,251.75 |
0.1× |
| Cystourethroscopy (52000) |
$1,269 |
— |
1.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$187.24 |
$314 |
0.1× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$482.11 |
$808.50 |
0.1× |
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure |
$655.18 |
$1,098.75 |
0.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$349.58 |
$586.25 |
0.1× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$272.51 |
$457 |
0.1× |
| Cystourethroscopy with biopsy (52204) |
$3,894 |
— |
1.5× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$292.19 |
$490 |
0.1× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$202.74 |
$340 |
0.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$179.49 |
$301 |
0.1× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$274.89 |
$461 |
0.1× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
$223.61 |
$375 |
0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,164 |
— |
2.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$5,441 |
— |
1.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,338 |
— |
1.5× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$537.86 |
$902 |
0.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,164 |
— |
1.3× |
| Debride nail 1-5 (11720) |
$113 |
— |
1.5× |
Debride nail 6 or more (11721)
range across 2 matching MRF lines |
$51–$113 |
— |
varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,080 |
— |
1.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$116.58 |
$195.50 |
0.5× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$118–$760 |
— |
varies |
| Declot vascular device (36593) |
$630 |
— |
1.5× |
| Delivery of placenta (59414) |
$6,044 |
— |
1.5× |
| Destr penis lesion(s) (54065) |
$287.71 |
$482.50 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$537 |
— |
0.2× |
| Destroy lumb/sac facet jnt (64635) |
$633.42 |
$1,062.25 |
0.3× |
| Destruct B9 Lesion 1-14 (17110) |
$378 |
— |
1.5× |
| Destruction Benign Lesions 15/> (17111) |
$127.01 |
$213 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$378 |
— |
1.5× |
| Diagnostic anoscopy (46601) |
$758 |
— |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$220.48 |
$369.75 |
0.2× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$298 |
— |
1.9× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$244 |
— |
1.5× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
$462 |
— |
1.5× |
| Dilate Esophagus 1/Mult Pass (43450) |
$195.29 |
$327.50 |
0.2× |
| Dilate Urethra Stricture (53620) |
$1,269 |
— |
1.5× |
| Dilate Urethra Stricture (53600) |
$462 |
— |
1.5× |
| Dilation Esophagus Guide Wire (43453) |
$812.61 |
$1,362.75 |
0.3× |
| Drain Cerebro Spinal Fluid (62272) |
$1,316 |
— |
1.5× |
| Drain Hand Tendon Sheath (26020) |
$632.08 |
$1,060 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$561 |
— |
1.5× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$968 |
— |
1.4× |
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines |
$1,249–$1,338 |
— |
varies |
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines |
$2,636–$3,080 |
— |
varies |
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines |
$1,338–$1,486 |
— |
varies |
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines |
$3,080–$3,459 |
— |
varies |
| Drainage Mouth Roof Lesion (42000) |
$442 |
— |
1.5× |
| Drainage of finger abscess simple (26010) |
$378 |
— |
1.5× |
| Drainage of gum lesion (41800) |
$245 |
— |
1.5× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$146–$3,080 |
— |
varies |
| Drainage of hydrocele (55000) |
$1,338 |
— |
1.5× |
| Drainage of nose lesion (30000) |
$272.36 |
$456.75 |
0.9× |
| Drainage of rectal abscess (45005) |
$2,242 |
— |
1.5× |
| Drainage of scrotal wall abscess (55100) |
$3,080 |
— |
1.5× |
| Drainage of scrotum (54700) |
$3,894 |
— |
1.5× |
| Draw Blood Off Venous Device (36591) |
$245 |
— |
1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,338 |
— |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$760 |
— |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$378 |
— |
1.5× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines |
$69–$470 |
— |
varies |
| Dstrj lesion anus simple surg excision (46922) |
$319.17 |
$535.25 |
0.1× |
| Dstrj lesion penis simple laser (54057) |
$210.49 |
$353 |
0.1× |
| Dstrj lesion penis simple surg excision (54060) |
$3,478 |
— |
1.4× |
| Dx Bone Marrow Bx & Aspir (38222) |
$220.78 |
$370.25 |
0.1× |
| Egd cautery tumor polyp (43250) |
$485.39 |
$814 |
0.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$286.82 |
$481 |
0.1× |
| Egd guide wire insertion (43248) |
$644.30 |
$1,080.50 |
0.6× |
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$472.27 |
$792 |
0.0× |
| Egd place gastrostomy tube (43246) |
$1,196.18 |
$2,006 |
0.5× |
| Electro-Uroflowmetry First (51741) |
$592 |
— |
2.2× |
| Endometrial Biopsy (58100) |
$382 |
— |
1.5× |
| Endoscopy of ureter (50953) |
$663.23 |
$1,112.25 |
0.2× |
| Epidural Blood Patch (62273) |
$1,316 |
— |
1.5× |
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure |
$757.45 |
$1,270.25 |
0.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$353.61 |
$593 |
0.1× |
| Ercp ea duct/ampulla dilate (43277) |
$638.34 |
$1,070.50 |
0.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,298.15 |
$2,177 |
0.3× |
| Ercp,Sphincterotomy (43262) |
$1,192.30 |
$1,999.50 |
0.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$361.66 |
$606.50 |
0.3× |
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines |
$78–$323 |
— |
varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$472.27 |
$792 |
0.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,080 |
— |
1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,338 |
— |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,080 |
— |
1.5× |
| Exc Back Les Sc < 3 Cm (21930) |
$3,080 |
— |
1.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$442.01 |
$741.25 |
0.5× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$3,080 |
— |
1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,338 |
— |
1.5× |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines |
$318–$1,338 |
— |
varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,338 |
— |
1.5× |
| Exc ganglion wrist recurrent (25112) |
$790 |
— |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,080 |
— |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,338 |
— |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,080 |
— |
1.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$558.29 |
$936.25 |
0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$795.32 |
$1,333.75 |
0.4× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$664.28 |
$1,114 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$278.92 |
$467.75 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$273.40 |
$458.50 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$511.18 |
$857.25 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$695.58 |
$1,166.50 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,080 |
— |
1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,242 |
— |
1.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$760 |
— |
1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,338 |
— |
1.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,080 |
— |
1.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,441 |
— |
1.5× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$815.74 |
$1,368 |
0.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,343.46 |
$2,253 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,080 |
— |
1.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$943.20 |
$1,581.75 |
0.3× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$396.54 |
$665 |
0.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$601.82 |
$1,009.25 |
0.1× |
| Excise tendon forearm/wrist (25109) |
$610.61 |
$1,024 |
0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$361.81 |
$606.75 |
0.4× |
| Excision Lesion Tongue W/O Closure (41110) |
$250.45 |
$420 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$199.46 |
$334.50 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,338 |
— |
1.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$760 |
— |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,338 |
— |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$205.13 |
$344 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$259.24 |
$434.75 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,338 |
— |
1.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,338 |
— |
1.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,214 |
— |
1.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$794.27 |
$1,332 |
0.4× |
| Excision of hydrocele; bilateral (55041) |
$574.24 |
$963 |
0.1× |
| Excision of hydrocele; unilateral (55040) |
$555.75 |
$932 |
0.1× |
| Excision of local lesion of epididymis (54830) |
$419.20 |
$703 |
0.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$842.72 |
$1,413.25 |
0.2× |
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure |
$657.87 |
$1,103.25 |
0.1× |
| Excision olecranon bursa (24105) |
$882.37 |
$1,479.75 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,649.66 |
$2,766.50 |
0.4× |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
$283.84 |
$476 |
0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$644.60 |
$1,081 |
0.2× |
| Excision prepatellar bursa (27340) |
$937.98 |
$1,573 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$774 |
$1,298 |
0.2× |
| Excision spermatocele w/wo epididymectomy (54840) |
$362.55 |
$608 |
0.1× |
| Excision tendon finger flexor/extensor each (26180) |
$515.20 |
$864 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,232.40 |
$2,066.75 |
0.6× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$542.63 |
$910 |
0.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$625.07 |
$1,048.25 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$553.96 |
$929 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$3,080 |
— |
1.5× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$516.40 |
$866 |
0.1× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$511.63 |
$858 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$3,080 |
— |
1.5× |
| Exploration of knee joint (27310) |
$1,941.25 |
$3,255.50 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$3,080 |
— |
1.5× |
| Fasciotomy palmar percutaneous (26040) |
$965.26 |
$1,618.75 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,124.92 |
$3,563.50 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$760 |
— |
1.5× |
| Fluoro exam of g/colon tube (49465) |
$460 |
— |
1.5× |
| Fna bx w/us gdn 1st les (10005) |
$1,338 |
— |
1.5× |
| Foreskin manipulation (54450) |
— |
$89.25 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,131.63 |
$1,897.75 |
0.4× |
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure |
$2,034.72 |
$3,412.25 |
0.2× |
| Fusion Finger Joint (26860) |
$1,338.99 |
$2,245.50 |
0.3× |
Fusion of knuckle (26850)
likely a partial charge, not the full procedure |
$1,669.49 |
$2,799.75 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$682.17 |
$1,144 |
0.8× |
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure |
$3,453.47 |
$5,791.50 |
0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$853.90 |
$1,432 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,067.53 |
$1,790.25 |
0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,733 |
— |
1.5× |
| I&d abscess peritonsillar (42700) |
$442 |
— |
1.5× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$378–$512 |
— |
varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,441 |
— |
1.5× |
| I&d perianal abscess superficial (46050) |
$1,733 |
— |
1.5× |
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines |
$760–$1,338 |
— |
varies |
| I&d pilonidal cyst simple (10080) |
$1,338 |
— |
1.5× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,143.41 |
$1,917.50 |
0.1× |
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure |
$1,121.49 |
$1,880.75 |
0.1× |
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure |
$328.56 |
$551 |
0.0× |
Incise external hemorrhoid (46083)
range across 2 matching MRF lines |
$462–$792 |
— |
varies |
| Incise finger tendon sheath (26055) |
$1,157.12 |
$1,940.50 |
0.6× |
| Incise Wrist/Forearm Tendon (25290) |
$498.51 |
$836 |
0.1× |
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines |
$234–$993 |
— |
varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$632.67 |
$1,061 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,080 |
— |
1.5× |
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines |
$378–$894 |
— |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$382 |
— |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$578 |
— |
1.5× |
| Incision extensor tendon sheath wrist (25000) |
$564.55 |
$946.75 |
0.3× |
| Incision of eardrum (69420) |
$251.79 |
$422.25 |
0.9× |
| Incision of lingual frenum (frenotomy) (41010) |
$307.39 |
$515.50 |
0.2× |
| Incision of rectal abscess (46040) |
$2,242 |
— |
1.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,876 |
— |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$219.44 |
$368 |
0.2× |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
$378–$441 |
— |
varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$169 |
— |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$374.18 |
$627.50 |
0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$561 |
— |
1.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$344 |
— |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$326.03 |
$546.75 |
0.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$322.75 |
$541.25 |
0.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$170 |
— |
0.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$145.65 |
$244.25 |
0.2× |
| Injection enzyme palmar fascial cord (20527) |
$106.44 |
$178.50 |
0.3× |
| Injection single tendon origin/insertion (20551) |
$561 |
— |
1.5× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$96–$561 |
— |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$561 |
— |
1.5× |
| Injection therapeutic carpal tunnel (20526) |
$561 |
— |
1.5× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
$168–$1,692 |
— |
varies |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$565–$1,316 |
— |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$176–$1,316 |
— |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$54.86 |
$92 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$298 |
— |
1.9× |
| Insert cath pleura w/o image (32556) |
$3,606 |
— |
1.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,606 |
— |
1.5× |
| Insert non-tunnel cv cath (36556) |
$5,984 |
— |
1.5× |
| Insert pessary/other device (57160) |
$129.55 |
$217.25 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$245 |
— |
1.5× |
| Insert tunneled cv cath (36561) |
$1,452.59 |
$2,436 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$245 |
— |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,953 |
— |
1.5× |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure |
$366 |
— |
0.0× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure |
$378.05 |
$634 |
0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$759 |
— |
1.5× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$760 |
— |
1.5× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$213–$442 |
— |
varies |
| Knee Arthroscopy/Surgery (29874) |
$604.65 |
$1,014 |
0.1× |
| Knee Arthroscopy/Surgery (29850) |
$705.42 |
$1,183 |
0.4× |
| Labyrinthotomy Transcanal (69801) |
$305.31 |
$512 |
0.2× |
Lam facetec & foramot lumbar (63047)
likely a partial charge, not the full procedure |
$1,228.97 |
$2,061 |
0.1× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$483.60 |
$811 |
0.1× |
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure |
$1,349.73 |
$2,263.50 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,773.69 |
$2,974.50 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$2,072.29 |
$3,475.25 |
0.3× |
| Laryngoscopy flexible diagnostic (31575) |
$279.66 |
$469 |
1.1× |
| Laryngoscopy W/Biopsy (31535) |
$210.49 |
$353 |
0.0× |
| Lateral retinacular release open (27425) |
$516.99 |
$867 |
0.1× |
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure |
$798.45 |
$1,339 |
0.1× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$655.18 |
$1,098.75 |
0.1× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$438.58 |
$735.50 |
0.1× |
| Lithotripsy, extracorporeal shock wave (50590) |
$946.78 |
$1,587.75 |
0.2× |
Lmtd lmphadec staging spx pel¶-aortic (38562)
likely a partial charge, not the full procedure |
$790.10 |
$1,325 |
0.1× |
Low Back Disk Surgery (63030)
likely a partial charge, not the full procedure |
$1,018.48 |
$1,708 |
0.1× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$520.42 |
$872.75 |
0.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$322.75 |
$541.25 |
0.2× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,828.85 |
$3,067 |
0.2× |
| N Block Inj Celiac Pelus (64530) |
$308.29 |
$517 |
0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$213.77 |
$358.50 |
0.2× |
| N block inj intercost sng (64420) |
$1,316 |
— |
1.5× |
| N Block Inj Plantar Digit (64455) |
$561 |
— |
1.5× |
| N Block Inj Pudendal (64430) |
$1,692 |
— |
1.5× |
| N Block Lumbar/Thoracic (64520) |
$1,692 |
— |
1.5× |
| Nasal Endoscopy Dx (31231) |
$311.72 |
$522.75 |
1.3× |
| Nasal surgery procedure (30999) |
$442 |
— |
1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$758 |
— |
1.4× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$298.15 |
$500 |
0.6× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$200.95 |
$337 |
0.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$666.22 |
$1,117.25 |
0.3× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure |
$269.53 |
$452 |
0.0× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure |
$358.38 |
$601 |
0.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$812.46 |
$1,362.50 |
0.4× |
| Needle Biopsy Lymph Nodes (38505) |
$3,080 |
— |
1.5× |
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890)
likely a partial charge, not the full procedure |
$1,201.54 |
$2,015 |
0.1× |
Nerve repair w/conduit each nerve (64910)
likely a partial charge, not the full procedure |
$852.71 |
$1,430 |
0.1× |
Nerve Repair W/Nerve Allograft First Strand (64912)
likely a partial charge, not the full procedure |
$995.82 |
$1,670 |
0.1× |
| Neuroeltrd Stim Post Tibial (64566) |
$181.42 |
$304.25 |
0.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,849.42 |
$3,101.50 |
0.8× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$809.63 |
$1,357.75 |
0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$561 |
— |
1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$6,709 |
— |
1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$206 |
— |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$230 |
— |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$271.17 |
$454.75 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$227 |
— |
0.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$300.83 |
$504.50 |
0.3× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure |
$301.73 |
$506 |
0.0× |
| Occipital Nerve Block (64405) |
$561 |
— |
1.5× |
Open Implantation Nea Sacral Nerve (64581)
likely a partial charge, not the full procedure |
$731.66 |
$1,227 |
0.1× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$2,107.62 |
$3,534.50 |
0.2× |
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure |
$1,252.23 |
$2,100 |
0.1× |
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure |
$1,348 |
— |
0.1× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,587.80 |
$2,662.75 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$635.66 |
$1,066 |
0.1× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,439.32 |
$2,413.75 |
0.2× |
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure |
$1,044 |
— |
0.1× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$709 |
$1,189 |
0.1× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$992.84 |
$1,665 |
0.1× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$759.69 |
$1,274 |
0.1× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$648.18 |
$1,087 |
0.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,623.43 |
$2,722.50 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,168 |
— |
1.5× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,541.29 |
$2,584.75 |
0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$901.75 |
$1,512.25 |
0.2× |
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure |
$830.05 |
$1,392 |
0.1× |
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure |
$1,043.53 |
$1,750 |
0.1× |
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure |
$916.51 |
$1,537 |
0.1× |
| Open tx interphalangeal joint dislocation (26785) |
$625.52 |
$1,049 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$655.33 |
$1,099 |
0.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$6,168 |
— |
1.5× |
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure |
$827.07 |
$1,387 |
0.1× |
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines
likely a partial charge, not the full procedure |
$1,000.59 |
$1,508.50–$1,678 |
0.1× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure |
$976.14 |
$1,637 |
0.1× |
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure |
$1,669.19 |
$2,799.25 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,612.25 |
$2,703.75 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure |
$1,690.21 |
$2,834.50 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure |
$1,332.13 |
$2,234 |
0.1× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$2,047.10 |
$3,433 |
0.1× |
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure |
$1,327.36 |
$2,226 |
0.1× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$786.37 |
$1,318.75 |
0.2× |
| Ostc prtl exostc/condylc metar head (28288) |
$576.32 |
$966.50 |
0.1× |
| Ostectomy calcaneus (28118) |
$2,704.07 |
$4,534.75 |
0.7× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$500.15 |
$838.75 |
0.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$631.93 |
$1,059.75 |
0.2× |
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure |
$1,533.68 |
$2,572 |
0.1× |
Osteoplasty Radius/Ulna Shortening (25390)
likely a partial charge, not the full procedure |
$868.21 |
$1,456 |
0.1× |
| Partial excision bone metacarpal (26230) |
$793.08 |
$1,330 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$503.87 |
$845 |
0.3× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$561.12 |
$941 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$521.61 |
$874.75 |
0.1× |
| Pelvic examination under anesthesia (other than local) (57410) |
$323.34 |
$542.25 |
0.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$103.76 |
$174 |
0.1× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$816.93 |
$1,370 |
0.4× |
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
likely a partial charge, not the full procedure |
$778.17 |
$1,305 |
0.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,338 |
— |
1.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,294.87 |
$2,171.50 |
0.3× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$525.34 |
$881 |
0.1× |
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure |
$562.31 |
$943 |
0.1× |
| Pin hand dislocation (26676) |
$582.59 |
$977 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$758 |
— |
1.4× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$920.54 |
$1,543.75 |
0.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$1,647.28 |
$2,762.50 |
0.4× |
Prostate laser enucleation (52649)
likely a partial charge, not the full procedure |
$1,049.34 |
$1,759.75 |
0.2× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
likely a partial charge, not the full procedure |
$364.94 |
$612 |
0.0× |
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure |
$1,016.10 |
$1,704 |
0.1× |
| Prq skel fixj metar fx w/manj (28476) |
$2,704.07 |
$4,534.75 |
0.7× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure |
$887.29 |
$1,488 |
0.1× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$551.58 |
$925 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$760 |
— |
1.5× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$760–$837 |
— |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$1,338 |
— |
1.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,155.18 |
$1,937.25 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$1,473.46 |
$2,471 |
0.4× |
| Radical styloidectomy separate procedure (25230) |
$494.93 |
$830 |
0.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$761.92 |
$1,277.75 |
0.3× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$1,212.73 |
$2,033.75 |
0.3× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$746.72 |
$1,252.25 |
0.2× |
| Reconstruction of urethra (54326) |
$1,458.55 |
$2,446 |
0.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,441 |
— |
1.5× |
| Removal Foreign Body Foot Complicated (28193) |
$3,080 |
— |
1.5× |
| Removal foreign body foot deep (28192) |
$3,080 |
— |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,338 |
— |
1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,080 |
— |
1.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$228.98 |
$384 |
0.1× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
$54–$167 |
— |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$113–$190 |
— |
varies |
Removal Implant Deep (20680)
range across 2 matching MRF lines |
$649–$5,440 |
— |
varies |
| Removal Implant Superficial Separate Procedure (20670) |
$3,080 |
— |
1.5× |
| Removal implantable contraceptive capsules (11976) |
$1,338 |
— |
1.5× |
| Removal of adenoids (42831) |
$261.78 |
$439 |
0.1× |
| Removal of adenoids (42830) |
$240.91 |
$404 |
0.1× |
| Removal of foreign body from pharynx (42809) |
$758 |
— |
1.4× |
| Removal of humerus lesion (23150) |
$754.32 |
$1,265 |
0.2× |
| Removal of implant from finger or hand (26320) |
$399.52 |
$670 |
0.2× |
Removal of kidney stone (50081)
likely a partial charge, not the full procedure |
$1,353.60 |
$2,270 |
0.1× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$760–$1,017 |
— |
varies |
| Removal of tonsils (42826) |
$288.61 |
$484 |
0.1× |
| Removal of wrist bone (25210) |
$562.31 |
$943 |
0.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$505 |
— |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$378 |
— |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$63.80 |
$107 |
0.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$505 |
— |
1.4× |
| Remove drug implant device (11982) |
$758 |
— |
1.4× |
| Remove Elbow Joint Lining (24102) |
$698.27 |
$1,171 |
0.2× |
| Remove Forearm Foreign Body (25248) |
$473.46 |
$794 |
0.2× |
| Remove foreign body from eye (65235) |
$4,336 |
— |
1.5× |
Remove foreign body from eye (65205)
range across 2 matching MRF lines |
$75–$245 |
— |
varies |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
$578–$579 |
— |
varies |
| Remove Lower Leg Bone Lesion (27635) |
$2,704.07 |
$4,534.75 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$245 |
— |
1.5× |
Remove palate/lesion (42120)
likely a partial charge, not the full procedure |
$1,141.91 |
$1,915 |
0.2× |
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure |
$550.83 |
$923.75 |
0.1× |
| Remove renal tube w/fluoro (50389) |
$432.91 |
$726 |
0.5× |
| Remove Shoulder Foreign Body (23330) |
$3,080 |
— |
1.5× |
| Remove Tendon Sheath Lesion (26160) |
$1,023.25 |
$1,716 |
0.5× |
| Remove/graft finger lesion (26215) |
$642.22 |
$1,077 |
0.2× |
| Remove/graft forearm lesion (25126) |
$679.78 |
$1,140 |
0.2× |
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure |
$3,561 |
— |
0.4× |
| Repair cleft hand deformity (26580) |
$1,714.36 |
$2,875 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,164 |
— |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,164 |
— |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$760 |
— |
1.5× |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
$400–$1,164 |
— |
varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,164 |
— |
2.3× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines |
$361–$1,164 |
— |
varies |
| Repair extensor tendon finger w/o graft each (26418) |
$3,042 |
— |
1.5× |
| Repair forearm tendon/muscle (25265) |
$850.32 |
$1,426 |
0.2× |
| Repair Hallux Rigidus (28289) |
$938.58 |
$1,574 |
0.2× |
| Repair Hand Joint (26540) |
$1,210.64 |
$2,030.25 |
0.3× |
| Repair Hand Tendon (26410) |
$3,042 |
— |
1.5× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines |
$260–$1,019 |
— |
varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$760 |
— |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$760 |
— |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$760 |
— |
1.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$760 |
— |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,164 |
— |
1.3× |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines |
$240–$999 |
— |
varies |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines |
$263–$1,022 |
— |
varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,164 |
— |
1.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$3,478 |
— |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$760 |
— |
1.5× |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines |
$759–$760 |
— |
varies |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines |
$287–$760 |
— |
varies |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines |
$192–$760 |
— |
varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,478 |
— |
1.4× |
Repair of nail bed (11760)
range across 2 matching MRF lines |
$305–$1,164 |
— |
varies |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure |
$1,314.99 |
$2,205.25 |
0.1× |
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure |
$2,183.50 |
$3,661.75 |
0.2× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,744.77 |
$2,926 |
0.2× |
| Repair tongue laceration (41250) |
$758 |
— |
1.4× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
$635.06 |
$1,065 |
0.2× |
Repair/Revise Wrist Joint (25320)
likely a partial charge, not the full procedure |
$1,120.45 |
$1,879 |
0.1× |
| Replace g/c tube perc (49450) |
$621.94 |
$1,043 |
0.5× |
| Repr elbow lat ligmnt w/tiss (24343) |
$811.56 |
$1,361 |
0.2× |
Revise knuckle joint (26530)
likely a partial charge, not the full procedure |
$1,356.88 |
$2,275.50 |
0.1× |
Revise Spine Eltrd Plate (63664)
likely a partial charge, not the full procedure |
$985.68 |
$1,653 |
0.1× |
| Revise ulnar nerve at wrist (64719) |
$1,323.04 |
$2,218.75 |
0.5× |
| Revise/Repair Finger/Toe Nerve (64702) |
$581.99 |
$976 |
0.2× |
| Revision of penis (54300) |
$722.72 |
$1,212 |
0.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$333.33 |
$559 |
0.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,816 |
— |
1.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,782 |
— |
1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$758 |
— |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$245 |
— |
1.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$758 |
— |
1.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$5,440 |
— |
1.5× |
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines |
$2,876–$3,083 |
— |
varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$367.92 |
$617 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$608.08 |
$1,019.75 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,176 |
— |
1.5× |
| Rmvl/revj sling stress incontinence (57287) |
$825.88 |
$1,385 |
0.2× |
| Rplc Gtube No Revj Trc (43762) |
$462 |
— |
1.5× |
| Rplc gtube revj gstrst trc (43763) |
$462 |
— |
1.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,119.11 |
$1,876.75 |
0.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$513.12 |
$860.50 |
0.1× |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure |
$1,156.08 |
$1,938.75 |
0.1× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure |
$959.60 |
$1,609.25 |
0.1× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$857.33 |
$1,437.75 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$632.67 |
$1,061 |
0.1× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$859.42 |
$1,441.25 |
0.1× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$713.62 |
$1,196.75 |
0.1× |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines |
$146–$378 |
— |
varies |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$968 |
— |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,816 |
— |
1.5× |
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469)
likely a partial charge, not the full procedure |
$171.73 |
$288 |
0.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$721.52 |
$1,210 |
0.2× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$563.50 |
$945 |
0.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$574.24 |
$963 |
0.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$899.82 |
$1,509 |
0.2× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$871.19 |
$1,461 |
0.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$745.38 |
$1,250 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$726 |
$1,217.50 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$102.27 |
$171.50 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$121.05 |
$203 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$107.18 |
$179.75 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$54.26 |
$91 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$102.56 |
$172 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$127.76 |
$214.25 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$91.23 |
$153 |
0.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$6,166 |
— |
1.5× |
| Sigmoidoscopy & Polypectomy (45333) |
$468.84 |
$786.25 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$279.52 |
$468.75 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$760 |
— |
1.5× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines |
$201–$579 |
— |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines |
$239–$616 |
— |
varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$760 |
— |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$378 |
— |
1.5× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines |
$174–$561 |
— |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$378 |
— |
1.5× |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines |
$256–$634 |
— |
varies |
| Skin Full Grft Face/Genit/Hf (15240) |
$935.45 |
$1,568.75 |
0.4× |
| Skin sub graft face/nk/hf/g (15275) |
$225.55 |
$378.25 |
0.2× |
| Skin Tissue Procedure (17999) |
$378 |
— |
1.5× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure |
$2,203.03 |
$3,694.50 |
0.4× |
| Slitting of prepuce (54001) |
$221.82 |
$372 |
0.1× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines |
$201–$579 |
— |
varies |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines |
$759–$760 |
— |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$760 |
— |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,316 |
— |
1.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$851.52 |
$1,428 |
0.2× |
| Strapping ankle (29540) |
$300 |
— |
1.5× |
| Strapping elbow or wrist (29260) |
$113 |
— |
1.5× |
| Strapping hand/finger (29280) |
$113 |
— |
1.5× |
| Strapping knee (29530) |
$245 |
— |
1.5× |
| Strapping shoulder (29240) |
$245 |
— |
1.5× |
| Strapping toes (29550) |
$113 |
— |
1.5× |
| Strapping Unna Boot (29580) |
$300 |
— |
1.5× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$64.40 |
$108 |
0.1× |
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure |
$934.40 |
$1,567 |
0.0× |
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure |
$1,868.06 |
$3,132.75 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$378 |
— |
0.7× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$1,459.44 |
$2,447.50 |
0.4× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$855.69 |
$1,435 |
0.1× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$1,122.98 |
$1,883.25 |
0.3× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$599.88 |
$1,006 |
0.1× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$515.20 |
$864 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$237.92 |
$399 |
0.1× |
| Thrombolytic Therapy Stroke (37195) |
$630 |
— |
1.5× |
| Thyroid biopsy (60100) |
$1,338 |
— |
1.5× |
Tibial Arthroscopy/Surgery (29855)
likely a partial charge, not the full procedure |
$877.75 |
$1,472 |
0.1× |
| Tnot elbow lateral/medial debride open (24358) |
$1,286.82 |
$2,158 |
0.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$342.87 |
$575 |
0.1× |
| Tooth extraction (41899) |
$442 |
— |
1.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$442 |
— |
1.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,816 |
— |
1.5× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$626.12 |
$1,050 |
0.3× |
| Transplant hand tendon (26480) |
$1,174.41 |
$1,969.50 |
0.3× |
Transur electr resection of prostate (52601)
likely a partial charge, not the full procedure |
$1,216.15 |
$2,039.50 |
0.2× |
| Transurethral resection bladder neck (52500) |
$554.56 |
$930 |
0.1× |
Treat dislocation/fracture (23670)
likely a partial charge, not the full procedure |
$982.11 |
$1,647 |
0.1× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$1,212.87 |
$2,034 |
0.1× |
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure |
$767.44 |
$1,287 |
0.1× |
| Treat Finger Fracture Each (26727) |
$542.04 |
$909 |
0.1× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,019.08 |
$1,709 |
0.1× |
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure |
$1,086 |
— |
0.1× |
| Treat humerus fracture (24500) |
$456 |
— |
1.5× |
| Treat humerus fracture (23600) |
$456 |
— |
1.5× |
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines |
$332–$456 |
— |
varies |
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines |
$226–$456 |
— |
varies |
| Treat Thumb Dislocation (26641) |
$456 |
— |
1.5× |
| Treat Thumb Fracture (26645) |
$3,042 |
— |
1.5× |
| Treat toe dislocation (28630) |
$456 |
— |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$456 |
— |
1.5× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure |
$1,968.24 |
$3,300.75 |
0.2× |
| Trim skin lesion (11055) |
$378 |
— |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$378 |
— |
1.5× |
| Trim skin lesions over 4 (11057) |
$79.31 |
$133 |
0.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$113 |
— |
1.5× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$1,840.33 |
$3,086.25 |
0.4× |
| Trurl rescj postop bladder neck contracture (52640) |
$516.69 |
$866.50 |
0.1× |
| Tx Gastro Intub W/Asp (43753) |
$592 |
— |
2.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,044 |
— |
1.5× |
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure |
$3,165.46 |
$5,308.50 |
0.3× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$397.73 |
$667 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,164 |
— |
1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$434.55 |
$728.75 |
1.4× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$936 |
— |
0.1× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$367.02 |
$615.50 |
0.2× |
| Tympanostomy general anesthesia (69436) |
$399.07 |
$669.25 |
0.2× |
| Unlisted procedure arthroscopy (29999) |
$182.47 |
$306 |
0.6× |
| Unlisted procedure forearm or wrist (25999) |
$612.25 |
$1,026.75 |
2.0× |
| Unlisted Procedure Intestine (44799) |
$223.61 |
$375 |
0.2× |
| Unlisted Procedure Leg/Ankle (27899) |
$261.78 |
$439 |
0.9× |
| Unlisted Procedure Male Genital System (55899) |
$136.55 |
$229 |
0.4× |
| Unlisted Procedure Muscskeletal System General (20999) |
$254.02 |
$426 |
0.8× |
| Unlisted procedure nervous system (64999) |
$561 |
— |
1.5× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$442 |
— |
1.5× |
| Unlisted Procedure Rectum (45999) |
$223.61 |
$375 |
0.2× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$691.56 |
$1,159.75 |
0.2× |
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410)
likely a partial charge, not the full procedure |
$1,091.23 |
$1,830 |
0.2× |
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425)
likely a partial charge, not the full procedure |
$1,043.53 |
$1,750 |
0.2× |
| Urine Flow Measurement (51736) |
$54.56 |
$91.50 |
0.3× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$6,044 |
— |
1.5× |
| Vaginal delivery only (59409) |
$6,044 |
— |
1.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$539.06 |
$904 |
0.2× |
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines |
$759–$892 |
— |
varies |
| Wedging of cast (29740) |
$505 |
— |
1.4× |
| Windowing of cast (29730) |
$102.56 |
$172 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$725.55 |
$1,216.75 |
1.4× |
| Wrist arthroscopy with partial removal of joint lining (29844) |
$568.27 |
$953 |
0.1× |