| Abd paracentesis w/imaging (49083) |
$1,107.36 |
$1,538 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,012.32 |
$1,406 |
1.0× |
| Amniocentesis diagnostic (59000) |
$940.32 |
$1,306 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$7,920.72 |
$11,001 |
2.3× |
| Application cast elbow finger short arm (29075) |
$749.52 |
$1,041 |
2.5× |
| Application Finger Splint Dynamic (29131) |
$200.88 |
$279 |
3.2× |
| Application finger splint static (29130) |
$200.88 |
$279 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$430.56 |
$598 |
2.5× |
| Application Long Leg Splint (29505) |
$430.56 |
$598 |
2.5× |
| Application of long leg cast (29345) |
$749.52 |
$1,041 |
2.5× |
| Application Short Arm Splint Dynamic (29126) |
$190.08 |
$264 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$329.76 |
$458 |
2.3× |
| Application short leg splint calf foot (29515) |
$430.56 |
$598 |
2.5× |
| Apply hand/wrist cast (29085) |
$285.12 |
$396 |
1.6× |
| Apply long arm cast (29065) |
$749.52 |
$1,041 |
2.5× |
| Apply Short Leg Cast (29405) |
$749.52 |
$1,041 |
2.5× |
| Apply short leg cast (29425) |
$749.52 |
$1,041 |
2.5× |
| Arterial puncture (36600) |
$315.36 |
$438 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$397.44 |
$552 |
1.2× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
$566.64–$850.32 |
$787–$1,181 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$750.24 |
$1,042 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$342.72 |
$476 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$838.80 |
$1,165 |
1.2× |
| Aspirate Pleura W/O Imaging (32554) |
$734.40 |
$1,020 |
1.1× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$425.52–$591 |
$591 |
varies |
| Biopsy muscle percutaneous needle (20206) |
$4,042.80 |
$5,615 |
2.3× |
| Biopsy soft tissue neck/thorax (21550) |
$3,936.24 |
$5,467 |
2.2× |
| Bladder Irrigation (51700) |
$432.72 |
$601 |
1.6× |
| Bladder Scan (51798) |
$178.56 |
$248 |
2.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$435.60 |
$605 |
1.3× |
| Blood Transfusion Service (36430) |
$883.44 |
$1,227 |
1.9× |
| Bone Marrow; Aspiration Only (38220) |
$3,936.96 |
$5,468 |
2.2× |
| Bx breast 1st lesion strtctc (19081) |
$5,224.32 |
$7,256 |
3.0× |
| Bx breast 1st lesion us imag (19083) |
$4,019.76 |
$5,583 |
2.3× |
| Canthotomy Separate Procedure (67715) |
$3,319.20 |
$4,610 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$765.36 |
$1,063 |
2.9× |
| Change of Windpipe Airway (31502) |
$548.64 |
$762 |
2.2× |
| Chemical Cautery Tissue (17250) |
$505.44 |
$702 |
2.4× |
Chest tube placement (32551)
range across 4 matching MRF lines |
$4,718.88–$7,078.32 |
$6,554–$9,831 |
varies |
| Circumcision Neonate (54160) |
$627.12 |
$871 |
0.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$5,152.32 |
$7,156 |
2.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$4,103.28 |
$5,699 |
2.4× |
| Clear outer ear canal (69200) |
$216.72 |
$301 |
1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$455.04 |
$632 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,922.56 |
$5,448 |
2.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$855.36 |
$1,188 |
3.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$4,001.04 |
$5,557 |
2.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$333.36 |
$463 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$358.56 |
$498 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,954.24 |
$5,492 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,716.64 |
$5,162 |
2.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,954.24 |
$5,492 |
2.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,615.12 |
$5,021 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$425.52 |
$591 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,954.24 |
$5,492 |
2.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$589.68 |
$819 |
2.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,122.48 |
$1,559 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,728.72 |
$2,401 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$332.64 |
$462 |
1.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,728.72 |
$2,401 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,954.24 |
$5,492 |
2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$534.96 |
$743 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$586.08 |
$814 |
2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$360.72 |
$501 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$855.36 |
$1,188 |
3.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$591.84 |
$822 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,728.72 |
$2,401 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,079.52 |
$5,666 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$645.12 |
$896 |
2.4× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$4,001.76 |
$5,558 |
2.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$620.64 |
$862 |
2.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$4,001.76 |
$5,558 |
2.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,728.72 |
$2,401 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$623.52 |
$866 |
2.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$749.52 |
$1,041 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$653.76 |
$908 |
2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$4,001.04 |
$5,557 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$855.36 |
$1,188 |
3.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$855.36 |
$1,188 |
3.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$948.96 |
$1,318 |
3.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,744.72 |
$5,201 |
2.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$591.84 |
$822 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$277.92 |
$386 |
1.1× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$4,295.52 |
$5,966 |
2.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$4,001.04 |
$5,557 |
2.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$3,922.56 |
$5,448 |
2.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$4,079.52 |
$5,666 |
2.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$4,083.12 |
$5,671 |
2.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$591.84 |
$822 |
2.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$347.76 |
$483 |
2.4× |
| Collection of venous blood by venipuncture (36415) |
$27.36 |
$38 |
2.9× |
| Colporrhaphy (57200) |
$6,810.48 |
$9,459 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$414.72 |
$576 |
2.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$329.76 |
$458 |
2.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,042.80 |
$5,615 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$465.12 |
$646 |
3.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,701.52 |
$5,141 |
1.7× |
| Cystourethroscopy (52000) |
$1,186.56 |
$1,648 |
1.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,660.32 |
$2,306 |
2.2× |
| Debride nail 1-5 (11720) |
$200.88 |
$279 |
3.2× |
| Debride nail 6 or more (11721) |
$329.76 |
$458 |
5.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$812.88 |
$1,129 |
1.9× |
| Declot vascular device (36593) |
$358.56 |
$498 |
1.0× |
| Delivery of placenta (59414) |
$6,868.08 |
$9,539 |
2.0× |
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines |
$5,176.08–$7,765.20 |
$7,189–$10,785 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines |
$5,176.08–$7,765.20 |
$7,189–$10,785 |
varies |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,974.48 |
$6,909 |
2.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,764.72 |
$2,451 |
2.3× |
| Drainage Finger Abscess Complicated (26011) |
$4,042.80 |
$5,615 |
2.3× |
| Drainage Mouth Roof Lesion (42000) |
$506.88 |
$704 |
2.0× |
| Drainage of finger abscess simple (26010) |
$465.12 |
$646 |
2.2× |
| Drainage of gum lesion (41800) |
$321.84 |
$447 |
2.3× |
| Drainage of scrotal wall abscess (55100) |
$2,244.24 |
$3,117 |
1.3× |
| Drainage of scrotum (54700) |
$5,126.40 |
$7,120 |
2.3× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,212.56 |
$3,073 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$147.60 |
$205 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,764.72 |
$2,451 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$431.28 |
$599 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$409.68 |
$569 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$388.80 |
$540 |
1.8× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines |
$2,349.36–$3,523.68 |
$3,263–$4,894 |
varies |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,936.96 |
$5,468 |
1.3× |
| Epidural Blood Patch (62273) |
$982.08 |
$1,364 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$187.92 |
$261 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,659.60 |
$2,305 |
2.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$5,636.16 |
$7,828 |
4.4× |
| Excision of single external papilla or tag, anus (46220) |
$2,980.08 |
$4,139 |
2.3× |
| Explo/Drain Breast Abscess (19020) |
$3,443.76 |
$4,783 |
1.9× |
| External cephalic version (59412) |
$3,433.68 |
$4,769 |
1.0× |
| Fetal Contraction Stress Test (59020) |
$432.72 |
$601 |
2.0× |
| Fetal non-stress test (59025) |
$570.24 |
$792 |
2.6× |
| Fluid Pressure Muscle (20950) |
$759.60 |
$1,055 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$591.84 |
$822 |
2.3× |
| Fna bx w/us gdn 1st les (10005) |
$759.60 |
$1,055 |
1.0× |
| Hymenotomy Simple Incision (56442) |
$4,245.12 |
$5,896 |
1.2× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$7,931.52 |
$11,016 |
2.2× |
| I&d abscess simple (10060) |
$423.36 |
$588 |
2.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,708.96 |
$9,318 |
2.2× |
| I&d perianal abscess superficial (46050) |
$2,134.08 |
$2,964 |
2.1× |
| I&d pilonidal cyst complicated (10081) |
$1,764.72 |
$2,451 |
2.3× |
| I&d pilonidal cyst simple (10080) |
$822.96 |
$1,143 |
1.1× |
| Implant neuroelectrodes (63650) |
$7,087.68 |
$9,844 |
1.0× |
| Incise external hemorrhoid (46083) |
$805.68 |
$1,119 |
3.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$822.96 |
$1,143 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$5,100.48 |
$7,084 |
2.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$812.88 |
$1,129 |
1.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$396.72 |
$551 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$328.32 |
$456 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$5,457.60 |
$7,580 |
3.3× |
| Incision of rectal abscess (46040) |
$2,905.20 |
$4,035 |
2.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,659.04 |
$5,082 |
2.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$388.80 |
$540 |
1.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,349.36 |
$3,263 |
2.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$406.80 |
$565 |
1.8× |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines |
$2,349.36–$4,698.72 |
$3,263–$6,526 |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,328.48 |
$3,234 |
2.5× |
| Injection for identification of sentinel node (38792) |
$822.96 |
$1,143 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$756 |
$1,050 |
2.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$3,273.84 |
$4,547 |
3.5× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 5 matching MRF lines |
$2,328.48–$3,492 |
$3,234–$4,850 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$2,086.56 |
$2,898 |
2.8× |
| Insert Bladder Cath Complex (51703) |
$401.04 |
$557 |
2.9× |
| Insert non-tunnel cv cath (36556) |
$3,399.12 |
$4,721 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$215.28 |
$299 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$226.80 |
$315 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,594.88 |
$3,604 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,194.56 |
$3,048 |
1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$492.48 |
$684 |
1.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$517.68 |
$719 |
1.2× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$390.24 |
$542 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$619.92 |
$861 |
2.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$663.12 |
$921 |
2.5× |
| Laryngoscopy diagnostic (31505) |
$357.12 |
$496 |
1.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$776.88 |
$1,079 |
1.9× |
| Needle Biopsy Lymph Nodes (38505) |
$3,936.24 |
$5,467 |
2.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28.08 |
$39 |
0.9× |
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines |
$38.16–$69.84 |
$53–$97 |
varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,077.84 |
$1,497 |
2.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$708.48 |
$984 |
2.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,811.68 |
$5,294 |
1.0× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines |
$2,349.36–$4,698.72 |
$3,263–$6,526 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,808.64 |
$2,512 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,740.96 |
$2,418 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,808.64 |
$2,512 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$3,273.84 |
$4,547 |
3.5× |
Occipital Nerve Block (64405)
range across 3 matching MRF lines |
$663.12–$1,326.24 |
$921–$1,842 |
varies |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,248.08 |
$7,289 |
1.5× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$7,920.72 |
$11,001 |
2.3× |
| Penile Injection (54235) |
$765.36 |
$1,063 |
2.9× |
| Peritoneal Lavage (49084) |
$1,012.32 |
$1,406 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$1,822.32 |
$2,531 |
2.4× |
| Perq device breast 1st imag (19281) |
$1,822.32 |
$2,531 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$18,010.80 |
$25,015 |
2.3× |
| Perq Vertebral Augmentation (22513) |
$18,010.80 |
$25,015 |
2.3× |
| Place Rt Device/Marker Pros (55876) |
$3,749.76 |
$5,208 |
2.5× |
| Placement of needle for intraosseous infusion (36680) |
$817.20 |
$1,135 |
1.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$822.96 |
$1,143 |
1.9× |
| Puncture Aspiration Cyst Breast (19000) |
$820.80 |
$1,140 |
1.1× |
| Reconstruct finger joint (26545) |
$7,920 |
$11,000 |
2.3× |
| Removal Embedded Foreign Body Eyelid (67938) |
$1,089.36 |
$1,513 |
3.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$156.24 |
$217 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$256.32 |
$356 |
4.1× |
Removal of nail bed (11750)
range across 3 matching MRF lines |
$939.60–$1,305 |
$1,305 |
varies |
| Remove foreign body from eye (65205) |
$381.60 |
$530 |
2.7× |
| Remove Nasal Foreign Body (30300) |
$329.76 |
$458 |
2.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,531.68 |
$6,294 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$660.96 |
$918 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$660.96 |
$918 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$513.36 |
$713 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$660.96 |
$918 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$660.96 |
$918 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$660.96 |
$918 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$660.96 |
$918 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$660.96 |
$918 |
0.8× |
| Repair Eyelid Wound (67935) |
$6,439.68 |
$8,944 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$431.28 |
$599 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$431.28 |
$599 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$447.84 |
$622 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$470.16 |
$653 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$542.88 |
$754 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$660.96 |
$918 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$431.28 |
$599 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$431.28 |
$599 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$660.96 |
$918 |
0.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,975.68 |
$2,744 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$431.28 |
$599 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$431.28 |
$599 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$429.84 |
$597 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$660.96 |
$918 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$431.28 |
$599 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,975.68 |
$2,744 |
0.9× |
| Repair of nail bed (11760) |
$1,452.96 |
$2,018 |
1.8× |
| Repair tongue laceration (41250) |
$431.28 |
$599 |
0.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,099.52 |
$2,916 |
2.2× |
| Replace g/c tube perc (49450) |
$2,450.88 |
$3,404 |
2.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$431.28 |
$599 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$3,139.92 |
$4,361 |
2.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$5,100.48 |
$7,084 |
1.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,749.60 |
$2,430 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$667.44 |
$927 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$663.12 |
$921 |
2.5× |
| Rplc gtube revj gstrst trc (43763) |
$663.12 |
$921 |
2.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$326.88 |
$454 |
1.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$660.96 |
$918 |
0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$297.36 |
$413 |
0.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,452.96 |
$2,018 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$431.28 |
$599 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$308.88 |
$429 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$362.88 |
$504 |
1.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$431.28 |
$599 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$319.68 |
$444 |
1.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$342.72 |
$476 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$354.96 |
$493 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$337.68 |
$469 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$319.68 |
$444 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$362.88 |
$504 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$431.28 |
$599 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$431.28 |
$599 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$708.48 |
$984 |
0.9× |
| Strapping knee (29530) |
$200.88 |
$279 |
1.4× |
| Strapping shoulder (29240) |
$200.88 |
$279 |
1.4× |
| Strapping Unna Boot (29580) |
$430.56 |
$598 |
2.5× |
| Tangential biopsy skin single lesion (11102) |
$447.84 |
$622 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$609.12 |
$846 |
1.7× |
| Thyroid biopsy (60100) |
$1,659.60 |
$2,305 |
2.2× |
| Tooth extraction (41899) |
$676.80 |
$940 |
2.7× |
| Treat Humerus Fracture (24505) |
$1,728.72 |
$2,401 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$855.36 |
$1,188 |
3.2× |
| Treat Metatarsal Fracture (28475) |
$349.20 |
$485 |
1.3× |
| Treat Tail Bone Fracture (27200) |
$620.64 |
$862 |
2.3× |
| Treat toe dislocation (28630) |
$645.12 |
$896 |
2.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$495.36 |
$688 |
1.9× |
| Treatment of penis lesion (54115) |
$6,811.20 |
$9,460 |
2.2× |
| Trim skin lesions 2 to 4 (11056) |
$515.52 |
$716 |
2.4× |
| Tx Gastro Intub W/Asp (43753) |
$367.92 |
$511 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,698.48 |
$2,359 |
2.1× |
| Unlisted procedure nervous system (64999) |
$342.72 |
$476 |
1.0× |
| Vaginal delivery only (59409) |
$3,433.68 |
$4,769 |
1.0× |
| Wedge excision skin nail fold (11765) |
$431.28 |
$599 |
1.0× |
| Xtroral I&D Floor Masticator Space (41018) |
$4,096.08 |
$5,689 |
2.5× |