| Abd paracentesis w/imaging (49083) |
$1,178.85 |
$1,964.75 |
1.3× |
| Application cast elbow finger short arm (29075) |
$306.75 |
$511.25 |
1.1× |
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines |
$148.65–$154.65 |
$247.75–$257.75 |
varies |
| Application finger splint static (29130) |
$154.65 |
$257.75 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$356.85 |
$594.75 |
2.2× |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
$343.05–$356.85 |
$571.75–$594.75 |
varies |
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines |
$391.80–$407.55 |
$653–$679.25 |
varies |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
$148.05–$154.05 |
$246.75–$256.75 |
varies |
| Application short leg splint calf foot (29515) |
$192.60 |
$321 |
1.2× |
| Apply hand/wrist cast (29085) |
$294.90 |
$491.50 |
1.8× |
| Apply long arm cast (29065) |
$356.85 |
$594.75 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$926.10 |
$1,543.50 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,045.65 |
$1,742.75 |
1.5× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
$416.40–$441.30 |
$694–$735.50 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$441.30 |
$735.50 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$354.75 |
$591.25 |
1.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$441.30 |
$735.50 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$235.35 |
$392.25 |
1.2× |
| Blepharotomy drainage abscess eyelid (67700) |
$360.45 |
$600.75 |
1.1× |
Blood Transfusion Service (36430)
range across 5 matching MRF lines |
$761.40–$2,352.15 |
$1,269–$3,920.25 |
varies |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy Clear Airways (31645) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy/Needle Bx Each (31629) |
$2,229 |
$3,715 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$442.20 |
$737 |
1.4× |
| Chemodenerv musc neck dyston (64616) |
$724.95 |
$1,208.25 |
2.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$498.60 |
$831 |
1.6× |
| Clear outer ear canal (69200) |
$197.25 |
$328.75 |
1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$429.45 |
$715.75 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$279.90 |
$466.50 |
1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,396.80 |
$2,328 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,408.80 |
$2,348 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$211.95 |
$353.25 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,163.85 |
$1,939.75 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$211.95 |
$353.25 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$211.95 |
$353.25 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$279.90 |
$466.50 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$279.90 |
$466.50 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,894.05 |
$3,156.75 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$211.95 |
$353.25 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,921.85 |
$4,869.75 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$279.90 |
$466.50 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,163.85 |
$1,939.75 |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$23.85 |
$39.75 |
2.6× |
| Colonoscopy w/ablation (45388) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/submucosal inj (45381) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$760.95 |
$1,268.25 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$284.40 |
$474 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$284.40 |
$474 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$668.55 |
$1,114.25 |
1.6× |
| Destroy cerv/thor facet jnt (64633) |
$3,138.15 |
$5,230.25 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,138.15 |
$5,230.25 |
1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,138.15 |
$5,230.25 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,094.55 |
$1,824.25 |
1.2× |
| Dilate Esophagus 1/Mult Pass (43450) |
$562.65 |
$937.75 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$447.75 |
$746.25 |
1.4× |
| Drainage of finger abscess simple (26010) |
$258.15 |
$430.25 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$1,946.55 |
$3,244.25 |
1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,382.70 |
$2,304.50 |
1.6× |
| Dx Bronchoscope/Lavage (31624) |
$1,034.70 |
$1,724.50 |
0.6× |
| Dx Bronchoscope/Wash (31622) |
$2,137.05 |
$3,561.75 |
1.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$2,776.65 |
$4,627.75 |
3.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,138.20 |
$1,897 |
0.6× |
| Egd cautery tumor polyp (43250) |
$1,138.20 |
$1,897 |
0.6× |
| Egd control bleeding any (43255) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Flexible Foreign Body Removal (43247) |
$731.70 |
$1,219.50 |
0.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,138.20 |
$1,897 |
0.6× |
| Egd lesion ablation (43270) |
$1,138.20 |
$1,897 |
0.6× |
| Egd remove lesion snare (43251) |
$1,138.20 |
$1,897 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Varices Ligation (43244) |
$1,138.20 |
$1,897 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,138.20 |
$1,897 |
0.6× |
| Epidural Blood Patch (62273) |
$1,045.65 |
$1,742.75 |
1.5× |
| Epidural lysis mult sessions (62263) |
$2,440.50 |
$4,067.50 |
2.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$731.70 |
$1,219.50 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$97.35 |
$162.25 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,896.60 |
$3,161 |
1.1× |
| Fna bx w/us gdn 1st les (10005) |
$526.50 |
$877.50 |
0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$890.85 |
$1,484.75 |
1.0× |
| I&d abscess simple (10060) |
$467.85 |
$779.75 |
2.3× |
| I&d pilonidal cyst simple (10080) |
$526.50 |
$877.50 |
0.7× |
| Implant neuroelectrodes (63650) |
$7,672.50 |
$12,787.50 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$812.40 |
$1,354 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$484.50 |
$807.50 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$306.90 |
$511.50 |
1.5× |
| Incision of rectal abscess (46040) |
$1,915.20 |
$3,192 |
1.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$235.35 |
$392.25 |
1.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,482.45 |
$2,470.75 |
1.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,382.70 |
$2,304.50 |
1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$441.30 |
$735.50 |
1.4× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,141.35 |
$1,902.25 |
1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$463.65 |
$772.75 |
0.7× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines |
$880.20–$1,045.65 |
$1,467–$1,742.75 |
varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,402.50 |
$2,337.50 |
1.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection Into Brain Canal (61055) |
$746.85 |
$1,244.75 |
2.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$441.30 |
$735.50 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$441.30 |
$735.50 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$401.40 |
$669 |
1.3× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
$541.95–$1,382.70 |
$903.25–$2,304.50 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$515.55–$1,045.65 |
$859.25–$1,742.75 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,045.65 |
$1,742.75 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$2,899.95 |
$4,833.25 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$188.70 |
$314.50 |
1.4× |
| Insert tunneled cv cath (36561) |
$3,648.15 |
$6,080.25 |
1.1× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$28,346.25 |
$47,243.75 |
2.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,414.10 |
$4,023.50 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,510.55 |
$4,184.25 |
1.6× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$24,061.80 |
$40,103 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$312.90 |
$521.50 |
0.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$276.30 |
$460.50 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$539.85 |
$899.75 |
2.3× |
| Late closure of wound (13160) |
$2,105.40 |
$3,509 |
0.6× |
| Lithotripsy, extracorporeal shock wave (50590) |
$18,406.05 |
$30,676.75 |
5.2× |
| Myelography Lumbar Injection (62305) |
$1,300.20 |
$2,167 |
1.6× |
| Myelography Lumbar Injection (62304) |
$1,300.20 |
$2,167 |
1.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,300.20 |
$2,167 |
1.6× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,300.20 |
$2,167 |
1.6× |
| N Block Inj Celiac Pelus (64530) |
$1,382.70 |
$2,304.50 |
1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,045.65 |
$1,742.75 |
1.5× |
| N block inj intercost sng (64420) |
$1,045.65 |
$1,742.75 |
1.5× |
| N Block Inj Paracervical (64435) |
$1,045.65 |
$1,742.75 |
1.5× |
| N Block Inj Plantar Digit (64455) |
$493.65 |
$822.75 |
1.6× |
| N Block Inj Pudendal (64430) |
$1,382.70 |
$2,304.50 |
1.6× |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
$1,354.95–$1,355.25 |
$2,258.25–$2,258.75 |
varies |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$508.20 |
$847 |
2.0× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$1,041 |
$1,735 |
4.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,382.70 |
$2,304.50 |
1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$264.30 |
$440.50 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,482.45 |
$2,470.75 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,438.95 |
$2,398.25 |
2.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,045.65 |
$1,742.75 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,141.85 |
$3,569.75 |
2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,001.25 |
$1,668.75 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,261.95 |
$2,103.25 |
1.4× |
| Occipital Nerve Block (64405) |
$427.05 |
$711.75 |
1.4× |
| Pericardiocentesis W/Imaging (33016) |
$2,976.90 |
$4,961.50 |
1.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,094.55 |
$1,824.25 |
1.2× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$10,493.25 |
$17,488.75 |
1.6× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$1,393.80 |
$2,323 |
1.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$484.50 |
$807.50 |
1.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,045.65 |
$1,742.75 |
1.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,138.15 |
$5,230.25 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.30 |
$185.50 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$84.15 |
$140.25 |
1.4× |
| Removal Implant Deep (20680) |
$3,295.35 |
$5,492.25 |
1.1× |
| Removal of nail bed (11750) |
$449.25 |
$748.75 |
1.1× |
| Remove foreign body from eye (65205) |
$339.60 |
$566 |
2.5× |
| Remove intrvas foreign body (37197) |
$5,398.35 |
$8,997.25 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$217.20 |
$362 |
1.6× |
| Remove Shoulder Foreign Body (23330) |
$964.05 |
$1,606.75 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$478.95 |
$798.25 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$487.20 |
$812 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$449.25 |
$748.75 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$478.95 |
$798.25 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$478.95 |
$798.25 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$478.95 |
$798.25 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$423.45 |
$705.75 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$695.40 |
$1,159 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,420.65 |
$2,367.75 |
3.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$373.50 |
$622.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$373.50 |
$622.50 |
0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,365.90 |
$2,276.50 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$695.40 |
$1,159 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,840.60 |
$6,401 |
1.8× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) |
$7,080.45 |
$11,800.75 |
2.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$10,544.40 |
$17,574 |
1.6× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$2,897.70 |
$4,829.50 |
0.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,758.95 |
$4,598.25 |
1.4× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,167.85 |
$5,279.75 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$312.90 |
$521.50 |
1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,591.05 |
$2,651.75 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$547.05 |
$911.75 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy & Polypectomy (45333) |
$719.70 |
$1,199.50 |
0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy w/fb removal (45332) |
$707.55 |
$1,179.25 |
0.6× |
| Sigmoidoscopy w/plcmt stent (45347) |
$3,571.80 |
$5,953 |
0.6× |
| Sigmoidoscopy W/Ultrasound (45341) |
$748.50 |
$1,247.50 |
0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$547.05 |
$911.75 |
0.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$748.50 |
$1,247.50 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$607.35 |
$1,012.25 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$312.90 |
$521.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$312.90 |
$521.50 |
1.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$607.35 |
$1,012.25 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$312.90 |
$521.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$312.90 |
$521.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$235.35 |
$392.25 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$235.35 |
$392.25 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312.90 |
$521.50 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$449.25 |
$748.75 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$449.25 |
$748.75 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,045.65 |
$1,742.75 |
1.5× |
| Strapping elbow or wrist (29260) |
$225.15 |
$375.25 |
3.8× |
| Strapping hand/finger (29280) |
$225.15 |
$375.25 |
3.8× |
| Surg Implnt Neuroelect,Epidural (63655) |
$45,520.80 |
$75,868 |
2.3× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$1,721.70 |
$2,869.50 |
0.7× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$2,776.65 |
$4,627.75 |
3.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$21,248.85 |
$35,414.75 |
1.6× |
| Treat Humerus Fracture (24505) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat toe dislocation (28630) |
$211.95 |
$353.25 |
0.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,408.80 |
$2,348 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$279.90 |
$466.50 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$695.40 |
$1,159 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$431.85 |
$719.75 |
1.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$136.50 |
$227.50 |
0.8× |
| Unlisted procedure nervous system (64999) |
$832.50 |
$1,387.50 |
2.7× |