| Abd paracentesis w/imaging (49083) |
$975.65 |
$1,501 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$975.65 |
$1,501 |
1.1× |
| Amputation metatarsal with toe single (28810) |
$682.50 |
$1,050 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$627.25 |
$965 |
0.2× |
Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$146.25–$297.70 |
$225–$458 |
varies |
| Application finger splint static (29130) |
$141.70 |
$218 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$145.60 |
$224 |
1.0× |
| Application Long Leg Splint (29505) |
$172.90 |
$266 |
1.1× |
Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$165.75–$297.70 |
$255–$458 |
varies |
| Application short arm splint forearm-hand static (29125) |
$117.65 |
$181 |
0.9× |
| Application short leg splint calf foot (29515) |
$124.15 |
$191 |
0.8× |
| Apply long arm cast (29065) |
$161.85 |
$249 |
0.6× |
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$45.50–$172.90 |
$70–$266 |
varies |
| Apply Short Leg Cast (29405) |
$131.95 |
$203 |
0.5× |
| Apply short leg cast (29425) |
$122.20 |
$188 |
0.5× |
| Arterial puncture (36600) |
$141.70 |
$218 |
1.1× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$87.10–$174.20 |
$134–$268 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$104.65–$209.30 |
$161–$322 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$85.15–$170.30 |
$131–$262 |
varies |
| Aspirate pleura w/ imaging (32555) |
$666.90 |
$1,026 |
1.1× |
| Aspirate Pleura W/O Imaging (32554) |
$666.90 |
$1,026 |
1.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$102.70 |
$158 |
0.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$752.70 |
$1,158 |
1.1× |
Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$89.05–$213.20 |
$137–$328 |
varies |
| Biopsy nail unit (11755) |
$180.70 |
$278 |
0.3× |
| Biopsy of lip (40490) |
$191.75 |
$295 |
0.9× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,755 |
$2,700 |
1.1× |
Biopsy soft tissue leg/ankle area superficial (27613) range across 2 matching MRF lines |
$263.25–$1,755 |
$405–$2,700 |
varies |
| Biopsy Vaginal Mucosa Simple (57100) |
$159.90 |
$246 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$146.25 |
$225 |
0.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$741 |
$1,140 |
1.1× |
| Bladder Irrigation (51700) |
$282.75 |
$435 |
1.2× |
| Bladder Scan (51798) |
$63.05 |
$97 |
1.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$437.45 |
$673 |
1.5× |
| Blood Transfusion Service (36430) |
$487.50 |
$750 |
1.2× |
| Bone Marrow Biopsy (38221) |
$1,755 |
$2,700 |
1.1× |
| Bx Cervix (57500) |
$234 |
$360 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$282.75 |
$435 |
1.2× |
Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$61.75–$213.20 |
$95–$328 |
varies |
| Chest tube placement (32551) |
$1,673.10 |
$2,574 |
1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,708.85 |
$2,629 |
1.1× |
| Clear outer ear canal (69200) |
$149.50 |
$230 |
1.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,708.85 |
$2,629 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$262.60 |
$404 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$262.60 |
$404 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,708.85 |
$2,629 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$571.35 |
$879 |
2.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$406.25 |
$625 |
1.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$523.90 |
$806 |
2.3× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$262.60 |
$404 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$355.55 |
$547 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$262.60 |
$404 |
1.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$553.80 |
$852 |
2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$450.45 |
$693 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,708.85 |
$2,629 |
1.1× |
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$488.15–$976.30 |
$751–$1,502 |
varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$495.95 |
$763 |
2.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,708.85 |
$2,629 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$262.60 |
$404 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,708.85 |
$2,629 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$503.75 |
$775 |
2.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$386.75 |
$595 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,708.85 |
$2,629 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$262.60 |
$404 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$249.60 |
$384 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$262.60 |
$404 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$524.55 |
$807 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$262.60 |
$404 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$330.20 |
$508 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$573.95 |
$883 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$262.60 |
$404 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$262.60 |
$404 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$463.45 |
$713 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$262.60 |
$404 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$262.60 |
$404 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$276.25 |
$425 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$262.60 |
$404 |
1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$249.60 |
$384 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$510.25 |
$785 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$593.45 |
$913 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$351.65 |
$541 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$262.60 |
$404 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$202.80 |
$312 |
0.9× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,708.85 |
$2,629 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,708.85 |
$2,629 |
1.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$141.70 |
$218 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$14.95 |
$23 |
1.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$266.50 |
$410 |
0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$250.90 |
$386 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$208.65 |
$321 |
0.7× |
Complex drainage wound (10180) range across 2 matching MRF lines |
$282.75–$3,086.85 |
$435–$4,749 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$141.70 |
$218 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$246.35 |
$379 |
2.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,326.65 |
$2,041 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$141.70 |
$218 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$89.05 |
$137 |
0.2× |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$253.50–$785.85 |
$390–$1,209 |
varies |
Debride nail 1-5 (11720) range across 3 matching MRF lines |
$24.05–$87.75 |
$37–$135 |
varies |
Debride nail 6 or more (11721) range across 3 matching MRF lines |
$41.60–$71.50 |
$64–$110 |
varies |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$373.75–$1,755 |
$575–$2,700 |
varies |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$104–$432.25 |
$160–$665 |
varies |
| Declot vascular device (36593) |
$351 |
$540 |
1.1× |
| Destruct B9 Lesion 1-14 (17110) |
$172.25 |
$265 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$201.50 |
$310 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$104 |
$160 |
0.6× |
| Dilate Urethra Stricture (53620) |
$916.50 |
$1,410 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$286.65 |
$441 |
0.4× |
| Drainage Mouth Roof Lesion (42000) |
$330.85 |
$509 |
1.5× |
| Drainage of finger abscess simple (26010) |
$551.85 |
$849 |
2.9× |
| Drainage of gum lesion (41800) |
$562.25 |
$865 |
4.5× |
Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$191.75–$1,755 |
$295–$2,700 |
varies |
| Drainage of scrotal wall abscess (55100) |
$373.75 |
$575 |
0.2× |
| Drainage of scrotum (54700) |
$2,221.70 |
$3,418 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$134.55 |
$207 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$752.70 |
$1,158 |
1.1× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$214.50–$432.25 |
$330–$665 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$178.75–$250.25 |
$275–$385 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$87.75–$213.20 |
$135–$328 |
varies |
| Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with… (0349U) |
$1,206.40 |
$1,856 |
1.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$399.10 |
$614 |
0.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,086.85 |
$4,749 |
1.1× |
| Endocervical curettage (57505) |
$222.95 |
$343 |
0.3× |
| Endometrial Biopsy (58100) |
$169 |
$260 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$85.80 |
$132 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$195 |
$300 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$315.25 |
$485 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$217.75 |
$335 |
0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$266.50 |
$410 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$195 |
$300 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$243.75 |
$375 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$276.25 |
$425 |
0.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$705.90 |
$1,086 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$302.25 |
$465 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,395.55 |
$2,147 |
1.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$237.25 |
$365 |
0.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$263.25 |
$405 |
0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$438.75 |
$675 |
0.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$576.55 |
$887 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,755 |
$2,700 |
1.1× |
| Fetal non-stress test (59025) |
$76.70 |
$118 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$254.15 |
$391 |
1.1× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,016.60 |
$1,564 |
0.1× |
| I&d abscess peritonsillar (42700) |
$348.40 |
$536 |
1.6× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$159.25–$213.20 |
$245–$328 |
varies |
| I&d perianal abscess superficial (46050) |
$988.65 |
$1,521 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$752.70 |
$1,158 |
1.1× |
| Image Cath Fluid Colxn Visc (49405) |
$1,755 |
$2,700 |
1.1× |
| Incise external hemorrhoid (46083) |
$282.75 |
$435 |
1.2× |
Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$286–$432.25 |
$440–$665 |
varies |
Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$295.75–$1,755 |
$455–$2,700 |
varies |
Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$165.75–$432.25 |
$255–$665 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$274.30 |
$422 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$220.35 |
$339 |
0.8× |
| Incision of rectal abscess (46040) |
$1,391.65 |
$2,141 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$237.90 |
$366 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$213.20 |
$328 |
1.1× |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$92.30–$184.60 |
$142–$284 |
varies |
| Injection single tendon origin/insertion (20551) |
$97.50 |
$150 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$87.75 |
$135 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$94.90 |
$146 |
0.3× |
Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$133.25–$249.60 |
$205–$384 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$121.55–$243.10 |
$187–$374 |
varies |
| Insert Bladder Cath Complex (51703) |
$206.70 |
$318 |
1.7× |
| Insert cath pleura w/o image (32556) |
$2,039.05 |
$3,137 |
1.1× |
| Insert Drug Implant Device (11981) |
$221 |
$340 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$3,355.30 |
$5,162 |
1.1× |
| Insert pessary/other device (57160) |
$117 |
$180 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,673.10 |
$2,574 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$141.70 |
$218 |
1.1× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$82.55–$141.70 |
$127–$218 |
varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,673.10 |
$2,574 |
1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,673.10 |
$2,574 |
1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$432.25 |
$665 |
1.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$432.25 |
$665 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$319.15 |
$491 |
1.4× |
| Laryngoscopy flexible diagnostic (31575) |
$212.55 |
$327 |
1.1× |
| Lysis of labial adhesions (56441) |
$276.25 |
$425 |
0.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$185.90 |
$286 |
0.8× |
| N Block Inj Plantar Digit (64455) |
$77.35 |
$119 |
0.3× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
$981.50 |
$1,510 |
2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$326.30 |
$502 |
1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,476.85 |
$5,349 |
1.1× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$724.75 |
$1,115 |
0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$882.05 |
$1,357 |
0.3× |
| Partical Excision Bone Phalanx Toe (28124) |
$715.65 |
$1,101 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,673.10 |
$2,574 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$475.15 |
$731 |
1.1× |
Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$81.25–$432.25 |
$125–$665 |
varies |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$148.85–$416 |
$229–$640 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$752.70 |
$1,158 |
1.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$337.35 |
$519 |
1.1× |
| Removal foreign body foot deep (28192) |
$1,755 |
$2,700 |
1.1× |
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$214.50–$789.10 |
$330–$1,214 |
varies |
| Removal foreign body upper arm/elbow deep (24201) |
$3,086.85 |
$4,749 |
1.1× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$24.70–$49.40 |
$38–$76 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$75.40–$150.80 |
$116–$232 |
varies |
| Removal of foreign body from pharynx (42809) |
$475.15 |
$731 |
1.1× |
Removal of nail bed (11750) range across 3 matching MRF lines |
$269.10–$432.25 |
$414–$665 |
varies |
| Removal shoulder foreign body deep subfascial/im (23333) |
$3,086.85 |
$4,749 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$139.75 |
$215 |
0.7× |
| Remove drug implant device (11982) |
$247 |
$380 |
0.6× |
| Remove foreign body from eye (65205) |
$91 |
$140 |
0.7× |
| Remove Intrauterine Device (58301) |
$169 |
$260 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$314.60 |
$484 |
2.5× |
| Remove/Insert Drug Implant (11983) |
$364 |
$560 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$785.85 |
$1,209 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$785.85 |
$1,209 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$432.25 |
$665 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$637 |
$980 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$549.25 |
$845 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$637 |
$980 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$785.85 |
$1,209 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$785.85 |
$1,209 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$432.25 |
$665 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$432.25 |
$665 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$432.25 |
$665 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$432.25 |
$665 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$432.25 |
$665 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$785.85 |
$1,209 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$432.25 |
$665 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$432.25 |
$665 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$785.85 |
$1,209 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,192.45 |
$3,373 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$432.25 |
$665 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$432.25 |
$665 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$432.25 |
$665 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$785.85 |
$1,209 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$432.25 |
$665 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,330.25 |
$3,585 |
1.2× |
| Repair of nail bed (11760) |
$637 |
$980 |
0.9× |
| Repair tongue laceration (41252) |
$618.15 |
$951 |
2.8× |
| Repair tongue laceration (41250) |
$475.15 |
$731 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$475.15 |
$731 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$141.70 |
$218 |
1.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$475.15 |
$731 |
1.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,755 |
$2,700 |
1.1× |
| Rplc Gtube No Revj Trc (43762) |
$282.75 |
$435 |
1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$213.20 |
$328 |
1.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$785.85 |
$1,209 |
1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$252.20 |
$388 |
1.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$156 |
$240 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$178.75 |
$275 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$162.50 |
$250 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$188.50 |
$290 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$188.50 |
$290 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$432.25 |
$665 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$208.65 |
$321 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$218.40 |
$336 |
1.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$432.25 |
$665 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$213.20 |
$328 |
1.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$289.25 |
$445 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$170.30 |
$262 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$289.25 |
$445 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$243.10 |
$374 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$243.10 |
$374 |
0.4× |
Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$136.50–$1,902.55 |
$210–$2,927 |
varies |
| Skin sub grft t/arm/lg child (15273) |
$486.85 |
$749 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$208.65 |
$321 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$317.20 |
$488 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$432.25 |
$665 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$750.10 |
$1,154 |
1.1× |
| Strapping ankle (29540) |
$43.55 |
$67 |
0.3× |
| Strapping elbow or wrist (29260) |
$63.05 |
$97 |
1.1× |
| Strapping hand/finger (29280) |
$63.05 |
$97 |
1.1× |
| Strapping knee (29530) |
$141.70 |
$218 |
1.1× |
| Strapping shoulder (29240) |
$141.70 |
$218 |
1.1× |
| Strapping toes (29550) |
$63.05 |
$97 |
1.1× |
| Strapping Unna Boot (29580) |
$94.90 |
$146 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$156 |
$240 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$351 |
$540 |
1.1× |
| Thyroid biopsy (60100) |
$752.70 |
$1,158 |
1.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,649.05 |
$2,537 |
1.1× |
| Treat Humerus Fracture (24505) |
$1,708.85 |
$2,629 |
1.1× |
| Treat humerus fracture (23600) |
$569.40 |
$876 |
2.5× |
| Treat Knuckle Dislocation (26700) |
$262.60 |
$404 |
1.1× |
| Treat Thumb Dislocation (26641) |
$249.60 |
$384 |
1.1× |
| Treat toe dislocation (28630) |
$262.60 |
$404 |
1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,708.85 |
$2,629 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$262.60 |
$404 |
1.1× |
Trim skin lesion (11055) range across 3 matching MRF lines |
$29.25–$213.20 |
$45–$328 |
varies |
Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$39–$213.20 |
$60–$328 |
varies |
| Trim skin lesions over 4 (11057) |
$132.60 |
$204 |
0.7× |
Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$13–$65 |
$20–$100 |
varies |
| Tx Gastro Intub W/Asp (43753) |
$324.35 |
$499 |
1.6× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$562.25 |
$865 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$473.85 |
$729 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$280.15 |
$431 |
0.7× |
| Unlisted procedure nervous system (64999) |
$356.85 |
$549 |
1.2× |
| Vaginal delivery only (59409) |
$3,439.80 |
$5,292 |
1.1× |
Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$146.25–$416 |
$225–$640 |
varies |