| Abd paracentesis w/imaging (49083) |
$1,178.85 |
$1,964.75 |
1.3× |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines |
$942.30–$980.10 |
$1,570.50–$1,633.50 |
varies |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$9,290.70 |
$15,484.50 |
0.5× |
| Amniocentesis diagnostic (59000) |
$943.50 |
$1,572.50 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,738.90 |
$6,231.50 |
1.1× |
| Anoscopy diagnostic (46600) |
$136.80 |
$228 |
1.0× |
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines |
$719.70–$1,697.10 |
$1,199.50–$2,828.50 |
varies |
| Anoscopy; with biopsy, single or multiple (46606) |
$702.60 |
$1,171 |
0.6× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$748.50 |
$1,247.50 |
0.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$185.10 |
$308.50 |
1.1× |
| Application cast elbow finger short arm (29075) |
$306.75 |
$511.25 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$154.65 |
$257.75 |
2.6× |
| 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 of long leg cast (29345) |
$337.05 |
$561.75 |
1.2× |
| Application of rigid total contact leg cast (29445) |
$339.15 |
$565.25 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$407.55 |
$679.25 |
3.0× |
| Application short arm splint forearm-hand static (29125) |
$154.05 |
$256.75 |
1.2× |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$185.10–$192.60 |
$308.50–$321 |
varies |
| Apply hand/wrist cast (29085) |
$294.90 |
$491.50 |
1.8× |
| Apply long arm cast (29065) |
$356.85 |
$594.75 |
1.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$192.60 |
$321 |
1.2× |
| Apply Short Leg Cast (29405) |
$339.15 |
$565.25 |
1.2× |
| Arterial puncture (36600) |
$77.40 |
$129 |
0.6× |
| 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 10 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)
range across 3 matching MRF lines |
$347.10–$354.75 |
$578.50–$591.25 |
varies |
| Aspirate pleura w/ imaging (32555) |
$938.70 |
$1,564.50 |
1.5× |
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines |
$1,029.60–$1,049.55 |
$1,716–$1,749.25 |
varies |
| Aspiration and/or injection thyroid cyst (60300) |
$1,053 |
$1,755 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,009.45 |
$5,015.75 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$235.35 |
$392.25 |
1.2× |
| Biopsy Abdominal Mass (49180) |
$1,117.80 |
$1,863 |
0.7× |
| Biopsy bone open superficial (20240) |
$3,295.35 |
$5,492.25 |
1.1× |
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines |
$1,823.55–$1,935.75 |
$3,039.25–$3,226.25 |
varies |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,935.75 |
$3,226.25 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,459.95 |
$2,433.25 |
0.9× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,265.25 |
$2,108.75 |
0.8× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,112.10 |
$1,853.50 |
0.7× |
| Biopsy soft tissue back/flank deep (21925) |
$4,301.25 |
$7,168.75 |
2.6× |
| Biopsy soft tissue neck/thorax (21550) |
$4,562.25 |
$7,603.75 |
2.7× |
| Bladder Irrigation (51700) |
$279.90 |
$466.50 |
1.1× |
Blood Transfusion Service (36430)
range across 10 matching MRF lines |
$746.25–$2,352.15 |
$1,243.75–$3,920.25 |
varies |
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines |
$2,549.85–$2,661.60 |
$4,249.75–$4,436 |
varies |
| Bone Marrow; Aspiration Only (38220) |
$1,800 |
$3,000 |
1.1× |
| 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 Dilate W/Stent (31631) |
$4,153.50 |
$6,922.50 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
$4,153.50 |
$6,922.50 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$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× |
| Bx breast 1st lesion mr imag (19085) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,069.20 |
$1,782 |
0.6× |
| Canthotomy Separate Procedure (67715) |
$3,993.45 |
$6,655.75 |
1.7× |
| Catheter aspiration nasotracheal spx (31720) |
$150.45 |
$250.75 |
0.7× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,891.90 |
$6,486.50 |
1.2× |
| Cessj Therapy Cath Removal (37214) |
$4,250.25 |
$7,083.75 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$390.75 |
$651.25 |
1.6× |
| Change of Windpipe Airway (31502) |
$517.50 |
$862.50 |
2.2× |
| Chemical Cautery Tissue (17250) |
$293.25 |
$488.75 |
1.5× |
| Chemodenerv musc neck dyston (64616) |
$724.95 |
$1,208.25 |
2.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$724.95 |
$1,208.25 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$3,280.20 |
$5,467 |
2.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$498.60 |
$831 |
1.6× |
| Chest tube placement (32551) |
$1,448.70 |
$2,414.50 |
0.9× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$1,940.10 |
$3,233.50 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,229.25 |
$2,048.75 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,650.90 |
$2,751.50 |
1.0× |
| Clear outer ear canal (69200) |
$197.25 |
$328.75 |
1.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$343.95 |
$573.25 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$279.90 |
$466.50 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$520.80 |
$868 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,396.80 |
$2,328 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$279.90 |
$466.50 |
1.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$279.90 |
$466.50 |
1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$279.90 |
$466.50 |
1.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$520.80 |
$868 |
2.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,292.70 |
$2,154.50 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$279.90 |
$466.50 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$279.90 |
$466.50 |
1.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,536 |
$2,560 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,616.10 |
$7,693.50 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$279.90 |
$466.50 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$279.90 |
$466.50 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,862.25 |
$3,103.75 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,396.80 |
$2,328 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$211.95 |
$353.25 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$217.20 |
$362 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$256.95 |
$428.25 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$286.50 |
$477.50 |
1.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,409.40 |
$2,349 |
2.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$194.40 |
$324 |
0.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,650.90 |
$2,751.50 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$211.95 |
$353.25 |
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 artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,862.25 |
$3,103.75 |
1.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$256.95 |
$428.25 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$279.90 |
$466.50 |
1.1× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$424.50 |
$707.50 |
1.7× |
| 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 phlngl fx fngr/thmb w/manj ea (26755) |
$211.95 |
$353.25 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$211.95 |
$353.25 |
0.9× |
| 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 fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$211.95 |
$353.25 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$194.40 |
$324 |
0.8× |
| 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 hip dislocation traumatic req anesthesia (27252) |
$1,408.80 |
$2,348 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$279.90 |
$466.50 |
1.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,327.55 |
$3,879.25 |
1.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$389.40 |
$649 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$211.95 |
$353.25 |
0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$389.40 |
$649 |
1.4× |
| 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 Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,459.50 |
$2,432.50 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$211.95 |
$353.25 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$211.95 |
$353.25 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,921.85 |
$4,869.75 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$256.95 |
$428.25 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$279.90 |
$466.50 |
1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$279.90 |
$466.50 |
1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,661.45 |
$4,435.75 |
1.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$256.95 |
$428.25 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,163.85 |
$1,939.75 |
0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$279.90 |
$466.50 |
1.1× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$12–$23.85 |
$20–$39.75 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/ablation (45388) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy W/Band Ligation (45398) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy W/Resection (45390) |
$1,671.30 |
$2,785.50 |
0.6× |
| Colonoscopy w/stent plcmt (45389) |
$3,571.80 |
$5,953 |
0.6× |
| Colonoscopy w/submucosal inj (45381) |
$760.95 |
$1,268.25 |
0.6× |
| Colporrhaphy (57200) |
$2,070.30 |
$3,450.50 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$760.95 |
$1,268.25 |
0.6× |
| Complex drainage wound (10180) |
$3,295.35 |
$5,492.25 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$261.30 |
$435.50 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$284.40 |
$474 |
2.1× |
| Control oropharyngeal hemorrhage simple (42960) |
$741.45 |
$1,235.75 |
1.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,862.85 |
$3,104.75 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$972.15 |
$1,620.25 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$284.40 |
$474 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$284.40 |
$474 |
1.2× |
| Curettage postpartum (59160) |
$3,827.25 |
$6,378.75 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,952.65 |
$6,587.75 |
1.9× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$18,681.30 |
$31,135.50 |
3.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,015 |
$5,025 |
1.0× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$828.75 |
$1,381.25 |
1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,266.60 |
$2,111 |
1.7× |
| Debride nail 1-5 (11720) |
$84.15 |
$140.25 |
1.4× |
| Debride nail 6 or more (11721) |
$84.15 |
$140.25 |
1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,896.60 |
$3,161 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,115.25 |
$1,858.75 |
2.7× |
| Declot vascular device (36593) |
$540 |
$900 |
1.6× |
| Delivery of placenta (59414) |
$1,907.85 |
$3,179.75 |
0.6× |
| 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 by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$2,346.60 |
$3,911 |
1.2× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,118.70 |
$1,864.50 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,094.55 |
$1,824.25 |
1.2× |
| Dilate Esophagus 1/Mult Pass (43450) |
$562.65 |
$937.75 |
0.6× |
| Drain Cerebro Spinal Fluid (62272) |
$1,045.65 |
$1,742.75 |
1.5× |
| Drainage external auditory canal abscess (69020) |
$1,053 |
$1,755 |
1.5× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,428.35 |
$4,047.25 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$631.80 |
$1,053 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,051.50 |
$1,752.50 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$286.50 |
$477.50 |
1.2× |
| Drainage of finger abscess simple (26010) |
$258.15 |
$430.25 |
1.3× |
| Drainage of gum lesion (41800) |
$217.20 |
$362 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$1,946.55 |
$3,244.25 |
1.2× |
| Drainage of nose lesion (30000) |
$424.80 |
$708 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$1,051.50 |
$1,752.50 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$77.40 |
$129 |
0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,053 |
$1,755 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$235.35 |
$392.25 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$235.35 |
$392.25 |
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 Laryngoscopy Excl Nb (31525) |
$3,720.15 |
$6,200.25 |
2.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$2,776.65 |
$4,627.75 |
3.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,138.20 |
$1,897 |
0.6× |
| 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 dilation gastric/duodenal stricture (43245) |
$1,138.20 |
$1,897 |
0.6× |
| Egd endo mucosal resection (43254) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Endoscopic Stent Place (43266) |
$3,571.80 |
$5,953 |
0.6× |
| Egd Flexible Foreign Body Removal (43247) |
$731.70 |
$1,219.50 |
0.8× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
$669.90 |
$1,116.50 |
0.7× |
| Egd guide wire insertion (43248) |
$731.70 |
$1,219.50 |
0.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,138.20 |
$1,897 |
0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,138.20 |
$1,897 |
0.6× |
| Egd lesion ablation (43270) |
$1,138.20 |
$1,897 |
0.6× |
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines |
$1,138.20–$1,742.85 |
$1,897–$2,904.75 |
varies |
| 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× |
| Endoscopy Upper Small Intestine (44360) |
$2,045.40 |
$3,409 |
1.1× |
| Endoscopy upper small intestine w/biopsy (44361) |
$1,138.20 |
$1,897 |
0.6× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,497.65 |
$19,162.75 |
1.0× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$1,138.20 |
$1,897 |
0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,045.40 |
$3,409 |
1.1× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$1,138.20 |
$1,897 |
0.6× |
| Epidural Blood Patch (62273) |
$1,045.65 |
$1,742.75 |
1.5× |
| Episiotomy or vaginal repair (59300) |
$3,843.60 |
$6,406 |
1.2× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$3,571.80 |
$5,953 |
0.6× |
| Ercp duct stent placement (43274) |
$3,571.80 |
$5,953 |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,494.90 |
$7,491.50 |
1.2× |
| Ercp ea duct/ampulla dilate (43277) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp remove forgn body duct (43275) |
$2,144.25 |
$3,573.75 |
1.1× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,571.80 |
$5,953 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp,Sphincterotomy (43262) |
$2,282.85 |
$3,804.75 |
0.6× |
| Esoph Scope W/Submucous Inj (43201) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$731.70 |
$1,219.50 |
0.8× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,282.85 |
$3,804.75 |
0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,824.75 |
$3,041.25 |
2.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,138.20 |
$1,897 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$97.35 |
$162.25 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$827.40 |
$1,379 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,896.60 |
$3,161 |
1.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$795.45 |
$1,325.75 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$827.40 |
$1,379 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,295.35 |
$5,492.25 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,896.60 |
$3,161 |
1.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$431.85 |
$719.75 |
1.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$827.40 |
$1,379 |
1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,823.55 |
$3,039.25 |
1.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,790.30 |
$4,650.50 |
0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,009.45 |
$5,015.75 |
1.4× |
| Exchange Transfusion Blood Newborn (36450) |
$566.55 |
$944.25 |
1.3× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,017.80 |
$3,363 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,813.35 |
$3,022.25 |
0.6× |
| External cephalic version (59412) |
$1,907.85 |
$3,179.75 |
0.6× |
| Fetal Contraction Stress Test (59020) |
$441.90 |
$736.50 |
2.2× |
| Fetal non-stress test (59025) |
$337.50 |
$562.50 |
1.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$526.50 |
$877.50 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$298.80 |
$498 |
1.2× |
| Fna bx w/us gdn 1st les (10005) |
$526.50 |
$877.50 |
0.7× |
| Foreskin manipulation (54450) |
$756.45 |
$1,260.75 |
3.0× |
| Guide Cathet Fluid Drainage (10030) |
$631.80 |
$1,053 |
0.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$890.85 |
$1,484.75 |
1.0× |
| I&d abscess peritonsillar (42700) |
$283.05 |
$471.75 |
1.2× |
| I&d abscess simple (10060) |
$467.85 |
$779.75 |
2.3× |
| I&d perianal abscess superficial (46050) |
$1,020.15 |
$1,700.25 |
1.1× |
| I&d pilonidal cyst complicated (10081) |
$1,069.20 |
$1,782 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$526.50 |
$877.50 |
0.7× |
| Icd Pocket Revision (33223) |
$1,665.60 |
$2,776 |
0.8× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$2,104.50 |
$3,507.50 |
2.3× |
| Image Cath Fluid Colxn Visc (49405) |
$3,207.15 |
$5,345.25 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$2,433 |
$4,055 |
1.5× |
| Image Cath Fluid Trns/Vgnl (49407) |
$4,171.50 |
$6,952.50 |
2.5× |
| Implant neuroelectrodes (63650) |
$7,672.50 |
$12,787.50 |
1.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$45,520.80 |
$75,868 |
2.3× |
| Incise external hemorrhoid (46083) |
$322.50 |
$537.50 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$812.40 |
$1,354 |
2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,191.30 |
$6,985.50 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,896.60 |
$3,161 |
1.1× |
| 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 and drainage of vulva or perineal abscess (56405) |
$306.90 |
$511.50 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,183.95 |
$1,973.25 |
0.8× |
| Incision of rectal abscess (46040) |
$1,915.20 |
$3,192 |
1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,611 |
$2,685 |
1.0× |
| Induced abortion dilation and curettage (59840) |
$1,907.85 |
$3,179.75 |
0.6× |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
$226.20–$235.35 |
$377–$392.25 |
varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,482.45 |
$2,470.75 |
1.7× |
| Inj W/Fluor Eval Cv Device (36598) |
$198.60 |
$331 |
0.9× |
| 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 Lumbar Plexus Cont Nfs Cath (64449) |
$1,277.55 |
$2,129.25 |
1.4× |
| 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 Anes Agent Sphenopalatine Ganglion (64505) |
$456.60 |
$761 |
1.5× |
| 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 for identification of sentinel node (38792) |
$731.25 |
$1,218.75 |
1.8× |
| 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, anesthetic agent; brachial plexus, single (64415)
range across 4 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× |
| Inner ear surgery proc unlisted (69949) |
$1,476.90 |
$2,461.50 |
6.2× |
| Ins cath ren art 1st bilat (36252) |
$5,395.20 |
$8,992 |
1.7× |
| Ins cath ren art 1st unilat (36251) |
$5,395.20 |
$8,992 |
1.7× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,395.20 |
$8,992 |
1.7× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,395.20 |
$8,992 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$8,028.15 |
$13,380.25 |
1.4× |
| Ins/Rep Subq Defibrillator (33270) |
$32,052.60 |
$53,421 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$9,426.60 |
$15,711 |
1.1× |
| Insert cath pleura w/ image (32557) |
$2,414.10 |
$4,023.50 |
1.5× |
| Insert cervical dilator (59200) |
$261.15 |
$435.25 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,865.10 |
$3,108.50 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$15,654.45 |
$26,090.75 |
1.5× |
| Insert Heart Pm Ventricular (33207) |
$16,493.55 |
$27,489.25 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$2,899.95 |
$4,833.25 |
0.9× |
| Insert Pacing Lead & Connect (33224) |
$33,423.45 |
$55,705.75 |
3.2× |
| Insert pulse gen dual leads (33213) |
$14,063.40 |
$23,439 |
1.3× |
| Insert pulse gen mult leads (33221) |
$15,107.85 |
$25,179.75 |
0.8× |
| Insert Pulse Gen Sngl Lead (33212) |
$13,247.55 |
$22,079.25 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$188.70 |
$314.50 |
1.4× |
| Insert tun ip cath perc (49418) |
$5,882.10 |
$9,803.50 |
1.6× |
| Insert tunneled cv cath (36561) |
$3,648.15 |
$6,080.25 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$205.20 |
$342 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,035.45 |
$6,725.75 |
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× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,277.20 |
$15,462 |
1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$9,134.25 |
$15,223.75 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,167.85 |
$5,279.75 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,510.55 |
$4,184.25 |
1.6× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$8,937.30 |
$14,895.50 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,045.90 |
$5,076.50 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$51,832.80 |
$86,388 |
1.6× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$24,061.80 |
$40,103 |
0.8× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines |
$8,602.65–$9,426.60 |
$14,337.75–$15,711 |
varies |
| Insrt heart pm atrial & vent (33208) |
$18,985.80 |
$31,643 |
1.8× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$42,952.50 |
$71,587.50 |
1.9× |
| 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× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,536 |
$2,560 |
2.8× |
| Intro cath dialysis circuit (36901) |
$1,545.15 |
$2,575.25 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$9,720.45 |
$16,200.75 |
1.7× |
| Intro Gastrointestinal Tube (44500) |
$669.90 |
$1,116.50 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$539.85 |
$899.75 |
2.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$457.80 |
$763 |
1.8× |
| Laryngoscopy flexible diagnostic (31575) |
$163.05 |
$271.75 |
0.8× |
| Lithotripsy, extracorporeal shock wave (50590) |
$18,406.05 |
$30,676.75 |
5.2× |
| Maternity Care Procedure (59899) |
$300.90 |
$501.50 |
1.5× |
| Mech remov tunneled cv cath (36595) |
$3,167.85 |
$5,279.75 |
1.0× |
| Myelography Lumbar Injection (62305) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,300.20 |
$2,167 |
1.7× |
| 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 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) |
$1,354.95 |
$2,258.25 |
1.5× |
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines |
$501–$510.45 |
$835–$850.75 |
varies |
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines |
$2,743.20–$2,853 |
$4,572–$4,755 |
varies |
| 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 Crv/Thrc W/O Img Gdn (62324) |
$1,261.20 |
$2,102 |
1.4× |
| 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× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,657.05 |
$2,761.75 |
2.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,657.05 |
$2,761.75 |
2.4× |
| Obstructive material removal from gi tube (49460) |
$710.40 |
$1,184 |
0.8× |
| Occipital Nerve Block (64405) |
$427.05 |
$711.75 |
1.4× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$5,143.95 |
$8,573.25 |
1.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$10,497.45 |
$17,495.75 |
1.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,331.35 |
$5,552.25 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$11,631.90 |
$19,386.50 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,631.90 |
$19,386.50 |
1.0× |
| Penile Injection (54235) |
$386.70 |
$644.50 |
1.5× |
| Perc Cryo Ablate Renal Tum (50593) |
$7,870.05 |
$13,116.75 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,053 |
$1,755 |
1.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,094.75 |
$8,491.25 |
1.6× |
| Pericardiocentesis W/Imaging (33016) |
$2,976.90 |
$4,961.50 |
1.9× |
| Perq Cervicothoracic Inject (22510) |
$5,623.50 |
$9,372.50 |
1.7× |
| Perq dev breast 1st strtctc (19283) |
$490.20 |
$817 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$490.20 |
$817 |
0.7× |
| Perq device breast 1st imag (19281) |
$972.15 |
$1,620.25 |
0.6× |
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines |
$931.80–$969.15 |
$1,553–$1,615.25 |
varies |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,787.75 |
$19,646.25 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,720.45 |
$16,200.75 |
1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,203.30 |
$17,005.50 |
1.4× |
| Perq Vertebral Augmentation (22513) |
$10,203.30 |
$17,005.50 |
1.4× |
| Place Cath Subclavian Art (36225) |
$5,377.65 |
$8,962.75 |
1.7× |
| Place Cath Thoracic Aorta (36221) |
$5,377.65 |
$8,962.75 |
1.7× |
| Place Cath Vertebral Art (36226) |
$8,795.70 |
$14,659.50 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$361.95 |
$603.25 |
0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,100.60 |
$8,501 |
0.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$4,904.40 |
$8,174 |
0.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$5,100.60 |
$8,501 |
0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,150.90 |
$5,251.50 |
1.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,272.80 |
$8,788 |
1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$5,272.80 |
$8,788 |
1.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,272.80 |
$8,788 |
1.5× |
| Prim art mech thrombectomy (37184) |
$10,774.05 |
$17,956.75 |
0.6× |
| Proctopexy Perineal Approach (45541) |
$5,247.90 |
$8,746.50 |
1.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$5,641.20 |
$9,402 |
1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,641.20 |
$9,402 |
1.6× |
| Pseudoaneurysm Injection Trt (36002) |
$1,994.85 |
$3,324.75 |
3.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$484.50 |
$807.50 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,053 |
$1,755 |
1.5× |
| 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× |
| Reduction of rectal prolapse (45900) |
$1,355.70 |
$2,259.50 |
1.5× |
| Relocation Pocket Pacemaker (33222) |
$2,431.80 |
$4,053 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$5,509.05 |
$9,181.75 |
1.7× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,178.85 |
$1,964.75 |
1.3× |
| Removal Embedded Foreign Body Eyelid (67938) |
$360.45 |
$600.75 |
1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$694.20 |
$1,157 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,896.60 |
$3,161 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.30 |
$185.50 |
1.9× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$80.85–$84.15 |
$134.75–$140.25 |
varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,070.30 |
$3,450.50 |
0.6× |
| Removal of foreign body from pharynx (42809) |
$407.10 |
$678.50 |
0.9× |
| Removal of nail bed (11750) |
$449.25 |
$748.75 |
1.1× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,089.85 |
$5,149.75 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,027 |
$5,045 |
0.8× |
| Removal ppm generator only (33233) |
$7,946.25 |
$13,243.75 |
1.0× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,770 |
$2,950 |
0.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,044.15 |
$1,740.25 |
1.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$389.40 |
$649 |
1.4× |
| Remove cerclage suture (59871) |
$5,702.55 |
$9,504.25 |
1.8× |
| Remove Elctrd Transvenously (33244) |
$3,027 |
$5,045 |
0.8× |
| Remove foreign body from eye (65235) |
$3,503.70 |
$5,839.50 |
1.5× |
| Remove foreign body from eye (65205) |
$339.60 |
$566 |
2.5× |
| Remove Intrauterine Device (58301) |
$219.60 |
$366 |
0.7× |
| Remove intrvas foreign body (37197) |
$5,398.35 |
$8,997.25 |
1.7× |
| Remove lung catheter (32552) |
$938.70 |
$1,564.50 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$217.20 |
$362 |
1.6× |
| Remove Pulse Generator (33241) |
$4,986.90 |
$8,311.50 |
1.3× |
| Remove renal tube w/fluoro (50389) |
$613.35 |
$1,022.25 |
0.9× |
| Remove&replace pm gen singl (33227) |
$17,102.25 |
$28,503.75 |
2.1× |
| Remv&replc cvd gen dual lead (33263) |
$36,434.85 |
$60,724.75 |
1.6× |
| Remv&replc cvd gen sing lead (33262) |
$36,434.85 |
$60,724.75 |
1.6× |
| Remv&replc pm gen dual lead (33228) |
$18,139.20 |
$30,232 |
1.7× |
| Remv&replc pm gen mult leads (33229) |
$18,139.20 |
$30,232 |
0.9× |
| Renal Biopsy Perq (50200) |
$1,241.85 |
$2,069.75 |
0.7× |
| 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 extensor tendon finger w/o graft each (26418) |
$1,446.15 |
$2,410.25 |
0.9× |
| Repair incomplete circumcision (54163) |
$4,027.05 |
$6,711.75 |
1.9× |
| 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 |
1.9× |
| Repair lead pace-defib dual (33220) |
$5,222.10 |
$8,703.50 |
1.4× |
| Repair Lead Pace-Defib One (33218) |
$3,886.05 |
$6,476.75 |
1.0× |
| Repair of nail bed (11760) |
$373.50 |
$622.50 |
0.5× |
| Repair tongue laceration (41252) |
$1,536 |
$2,560 |
6.5× |
| Repair tongue laceration (41250) |
$438.90 |
$731.50 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,382.70 |
$2,304.50 |
1.5× |
| Replace G-J Tube Perc (49452) |
$1,382.70 |
$2,304.50 |
1.5× |
| Replace g/c tube perc (49450) |
$1,382.70 |
$2,304.50 |
1.5× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,841.05 |
$6,401.75 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$730.95 |
$1,218.25 |
2.9× |
| Reposition L Ventric Lead (33226) |
$4,504.20 |
$7,507 |
1.4× |
| Reposition Pacing-Defib Lead (33215) |
$4,504.20 |
$7,507 |
1.4× |
| Reposition Venous Catheter (36597) |
$1,069.50 |
$1,782.50 |
0.7× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,080.45 |
$11,800.75 |
2.0× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) |
$7,080.45 |
$11,800.75 |
2.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$2,897.70 |
$4,829.50 |
0.8× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$908.10 |
$1,513.50 |
1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$339.60 |
$566 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$339.60 |
$566 |
2.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$339.60 |
$566 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,020.15 |
$1,700.25 |
0.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,295.35 |
$5,492.25 |
1.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,822.05 |
$3,036.75 |
1.1× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,994.80 |
$6,658 |
1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$6,373.35 |
$10,622.25 |
1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,931.40 |
$3,219 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,877.25 |
$3,128.75 |
3.0× |
| Rplc Gtube No Revj Trc (43762) |
$446.55 |
$744.25 |
1.8× |
| Rplc gtube revj gstrst trc (43763) |
$507.60 |
$846 |
2.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,167.85 |
$5,279.75 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,414.10 |
$4,023.50 |
1.5× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,167.85 |
$5,279.75 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,794.10 |
$6,323.50 |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,286.65 |
$5,477.75 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,070.85 |
$1,784.75 |
0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$312.90 |
$521.50 |
1.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,536 |
$2,560 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,536 |
$2,560 |
2.8× |
| 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 & decompress (45337) |
$547.05 |
$911.75 |
0.6× |
| 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 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$312.90 |
$521.50 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$312.90 |
$521.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$312.90 |
$521.50 |
1.6× |
| 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)
range across 2 matching MRF lines |
$226.20–$235.35 |
$377–$392.25 |
varies |
| Skin sub graft face/nk/hf/g (15275) |
$2,189.70 |
$3,649.50 |
2.9× |
| Skin sub graft trnk/arm/leg (15271) |
$2,189.70 |
$3,649.50 |
2.9× |
| Skin sub grft t/arm/lg child (15273) |
$3,840.60 |
$6,401 |
1.9× |
Skin Tissue Procedure (17999)
range across 2 matching MRF lines |
$237.60–$1,403.70 |
$396–$2,339.50 |
varies |
| Skn sub grft f/n/hf/g child (15277) |
$2,105.40 |
$3,509 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,377.65 |
$8,962.75 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$5,377.65 |
$8,962.75 |
1.7× |
| Slitting of prepuce (54001) |
$3,281.10 |
$5,468.50 |
1.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,138.20 |
$1,897 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312.90 |
$521.50 |
1.6× |
| 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× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,692.85 |
$6,154.75 |
1.0× |
| Strapping ankle (29540) |
$205.20 |
$342 |
1.3× |
| Strapping elbow or wrist (29260) |
$225.15 |
$375.25 |
3.8× |
| Strapping hand/finger (29280) |
$225.15 |
$375.25 |
3.8× |
Strapping knee (29530)
range across 2 matching MRF lines |
$197.25–$205.20 |
$328.75–$342 |
varies |
Strapping shoulder (29240)
range across 2 matching MRF lines |
$197.25–$205.20 |
$328.75–$342 |
varies |
| Strapping toes (29550) |
$142.05 |
$236.75 |
2.4× |
| Strapping Unna Boot (29580) |
$192.60 |
$321 |
1.2× |
| 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× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$5,057.70 |
$8,429.50 |
1.6× |
| 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× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$17,867.40 |
$29,779 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$3,267.30 |
$5,445.50 |
0.6× |
| Thrombolytic Therapy Stroke (37195) |
$5,052.15 |
$8,420.25 |
15.2× |
| Thrombolytic Venous Therapy (37212) |
$3,866.70 |
$6,444.50 |
1.2× |
| Thyroid biopsy (60100) |
$733.05 |
$1,221.75 |
1.0× |
| Tooth extraction (41899) |
$349.95 |
$583.25 |
1.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,591.05 |
$2,651.75 |
6.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,529.85 |
$2,549.75 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$313.95 |
$523.25 |
1.0× |
| Transcatheter biopsy (37200) |
$3,794.10 |
$6,323.50 |
0.7× |
| Treat Humerus Fracture (24505) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat humerus fracture (23600) |
$279.90 |
$466.50 |
1.1× |
| Treat Knee Fracture(S) (27538) |
$424.50 |
$707.50 |
1.7× |
| Treat Knuckle Dislocation (26700) |
$211.95 |
$353.25 |
0.9× |
| Treat Metatarsal Fracture (28475) |
$429.45 |
$715.75 |
1.7× |
| Treat Thumb Dislocation (26641) |
$279.90 |
$466.50 |
1.1× |
| Treat Thumb Fracture (26645) |
$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× |
| Trim skin lesion (11055) |
$235.35 |
$392.25 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$235.35 |
$392.25 |
1.2× |
| Trim skin lesions over 4 (11057) |
$226.20 |
$377 |
1.1× |
| Trimming Nondystrophic Nails Any Number (11719) |
$84.15 |
$140.25 |
1.4× |
| Trluml Balo Angiop 1St Art (37246) |
$9,720.45 |
$16,200.75 |
1.7× |
| Trluml Balo Angiop 1St Vein (37248) |
$9,720.45 |
$16,200.75 |
1.7× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,584 |
$2,640 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
$196.95 |
$328.25 |
0.9× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,858.95 |
$3,098.25 |
0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,292.70 |
$2,154.50 |
0.8× |
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines |
$668.55–$695.40 |
$1,114.25–$1,159 |
varies |
| Unlisted Cardiac Surgery (33999) |
$5,004.45 |
$8,340.75 |
7.9× |
Unlisted procedure breast (19499)
range across 3 matching MRF lines |
$2,266.50–$4,428.15 |
$3,777.50–$7,380.25 |
varies |
| Unlisted procedure femur or knee (27599) |
$269.10 |
$448.50 |
1.1× |
| Unlisted Procedure Intestine (44799) |
$2,163.45 |
$3,605.75 |
2.4× |
| Unlisted procedure nervous system (64999) |
$832.50 |
$1,387.50 |
2.7× |
| Unlisted Procedure Rectum (45999) |
$543.60 |
$906 |
0.6× |
Unlisted procedure stomach (43999)
range across 3 matching MRF lines |
$539.10–$731.70 |
$898.50–$1,219.50 |
varies |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$211.95 |
$353.25 |
0.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,163.45 |
$3,605.75 |
2.4× |
| Unlisted Procedure, Urinary System (53899) |
$280.65 |
$467.75 |
1.1× |
| Unlisted procedure, vestibule of mouth (40899) |
$646.20 |
$1,077 |
2.7× |
Unlisted px female genital system nonobstetrical (58999)
range across 3 matching MRF lines |
$293.85–$513.30 |
$489.75–$855.50 |
varies |
| Upgrade of pacemaker system (33214) |
$18,019.35 |
$30,032.25 |
1.7× |
| Vaginal delivery only (59409) |
$1,907.85 |
$3,179.75 |
0.6× |
| Vasc embolize/occlude artery (37242) |
$11,865.60 |
$19,776 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,865.60 |
$19,776 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$11,865.60 |
$19,776 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,497.65 |
$19,162.75 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$8,611.50 |
$14,352.50 |
0.7× |
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines |
$449.25–$829.80 |
$748.75–$1,383 |
varies |
| Wound Prep F/N/Hf/G (15004) |
$695.40 |
$1,159 |
1.7× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,189.70 |
$3,649.50 |
2.9× |