| Abd paracentesis w/imaging (49083) |
$649.14 |
$1,047 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$515.22 |
$831 |
0.5× |
| Apheresis Platelets (36513) |
$1,548.76 |
$2,498 |
3.3× |
| Application Body Cast Shoulder Hips (29035) |
$207.08 |
$334 |
0.7× |
| Application cast elbow finger short arm (29075) |
$207.08 |
$334 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$100.44 |
$162 |
1.6× |
| Application finger splint static (29130) |
$118.11 |
$190.50 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$172.05 |
$277.50 |
1.0× |
| Application Long Leg Splint (29505) |
$119.97 |
$193.50 |
0.7× |
Application multiplane external fixation system (20692) likely a partial charge, not the full procedure |
$2,619.19 |
$4,224.50 |
0.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$151.90 |
$245 |
0.5× |
| Application of long leg cast (29345) |
$165.54 |
$267 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$100.44 |
$162 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$100.44 |
$162 |
0.7× |
| Application short leg splint calf foot (29515) |
$100.44 |
$162 |
0.6× |
| Application, cast; figure-of-eight Facility (29049) |
$100.44 |
$162 |
0.3× |
| Apply hand/wrist cast (29085) |
$91.14 |
$147 |
0.5× |
| Apply long arm cast (29065) |
$170.81 |
$275.50 |
0.6× |
| Apply Short Leg Cast (29405) |
$207.08 |
$334 |
0.7× |
| Apply short leg cast (29425) |
$257.92 |
$416 |
0.9× |
| Arterial puncture (36600) |
$23.56 |
$38 |
0.2× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$200.26–$215.76 |
$323–$348 |
varies |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$411.68–$470.27 |
$664–$758.50 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$121.21–$429.66 |
$195.50–$693 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$101.06–$432.45 |
$163–$697.50 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$200.26–$221.34 |
$323–$357 |
varies |
| Aspirate pleura w/ imaging (32555) |
$434.93 |
$701.50 |
0.6× |
| Aspirate Pleura W/O Imaging (32554) |
$343.79 |
$554.50 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,735.07 |
$2,798.50 |
0.8× |
| Aspiration Bladder Needle (51100) |
$181.66 |
$293 |
0.7× |
| Aspiration bladder trocar/intracatheter (51101) |
$83.39 |
$134.50 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$89.90 |
$145 |
0.4× |
Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$1,601.46–$1,681.75 |
$2,583–$2,712.50 |
varies |
Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$2,039.18–$2,141.17 |
$3,289–$3,453.50 |
varies |
Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$4,196.16–$4,406.03 |
$6,768–$7,106.50 |
varies |
| Bladder instillation anticarcinogenic agent (51720) |
$188.79 |
$304.50 |
0.3× |
| Blepharotomy drainage abscess eyelid (67700) |
$343.79 |
$554.50 |
1.0× |
| Blood Transfusion Service (36430) |
$618.14 |
$997 |
1.3× |
Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$217.62–$228.78 |
$351–$369 |
varies |
| Bone Marrow; Aspiration Only (38220) |
$228.78 |
$369 |
0.1× |
Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$335.42–$857.46 |
$541–$1,383 |
varies |
| Canthotomy Separate Procedure (67715) |
$849.71 |
$1,370.50 |
0.3× |
Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$74.40–$135.47 |
$120–$218.50 |
varies |
| Change Cystostomy Tube Simple (51705) |
$215.76 |
$348 |
0.8× |
| Change of Windpipe Airway (31502) |
$257.92 |
$416 |
1.0× |
| Chemical Cautery Tissue (17250) |
$151.90 |
$245 |
0.7× |
| Chest tube placement (32551) |
$649.14 |
$1,047 |
0.4× |
| Cl Tx Scapular Fx; W Manip (23575) |
$490.42 |
$791 |
0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,285.26 |
$2,073 |
0.7× |
| Clear outer ear canal (69200) |
$77.50 |
$125 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$515.22 |
$831 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$379.75 |
$612.50 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$343.79 |
$554.50 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$523.59 |
$844.50 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$319.92 |
$516 |
1.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$306.90 |
$495 |
1.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$485.77 |
$783.50 |
0.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$349.06 |
$563 |
1.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$576.91 |
$930.50 |
2.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$515.22 |
$831 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$257.92 |
$416 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,370.51 |
$2,210.50 |
0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$1,447.39 |
$2,334.50 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$558 |
$900 |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$419.43 |
$676.50 |
1.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$323.02 |
$521 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$515.22 |
$831 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$599.85 |
$967.50 |
0.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$266.91 |
$430.50 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$558 |
$900 |
0.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$263.81 |
$425.50 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$306.90 |
$495 |
1.2× |
| Closed tx septal&nose fx (21337) |
$1,285.26 |
$2,073 |
0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$472.13 |
$761.50 |
1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$429.66 |
$693 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$343.79 |
$554.50 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$472.13 |
$761.50 |
0.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$237.15 |
$382.50 |
0.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$225.99 |
$364.50 |
0.9× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$669.29 |
$1,079.50 |
1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$386.88 |
$624 |
1.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$280.86 |
$453 |
1.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,613.24 |
$2,602 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$278.69 |
$449.50 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,325.56 |
$2,138 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$458.49 |
$739.50 |
1.7× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$386.88 |
$624 |
0.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$408.89 |
$659.50 |
0.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,285.26 |
$2,073 |
0.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$472.13 |
$761.50 |
0.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$310 |
$500 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$86.80 |
$140 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$599.85 |
$967.50 |
2.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$246.14 |
$397 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$450.12 |
$726 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$224.13 |
$361.50 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$340.69 |
$549.50 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$782.75 |
$1,262.50 |
0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$857.46 |
$1,383 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$563.27 |
$908.50 |
2.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$553.35 |
$892.50 |
2.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,199.39 |
$1,934.50 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$172.05 |
$277.50 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$160.89 |
$259.50 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$428.42 |
$691 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$160.89 |
$259.50 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,285.26 |
$2,073 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$336.04 |
$542 |
1.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$899.93 |
$1,451.50 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$300.39 |
$484.50 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$160.89 |
$259.50 |
0.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,260.46 |
$2,033 |
4.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$450.12 |
$726 |
1.7× |
| Cltx Medial Ankle Fx (27760) |
$160.89 |
$259.50 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$276.83 |
$446.50 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$320.54 |
$517 |
1.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$879.78 |
$1,419 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$450.12 |
$726 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$195.30 |
$315 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$429.66 |
$693 |
1.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,199.39 |
$1,934.50 |
0.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,370.51 |
$2,210.50 |
0.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$459.73 |
$741.50 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,247.44 |
$2,012 |
4.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$358.98 |
$579 |
1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$617.21 |
$995.50 |
0.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$323.02 |
$521 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$23.56 |
$38 |
2.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$189.72 |
$306 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$102.92 |
$166 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$150.66 |
$243 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$240.25 |
$387.50 |
0.6× |
| Declot vascular device (36593) |
$257.92 |
$416 |
0.7× |
| Delivery of placenta (59414) |
$1,707.17 |
$2,753.50 |
0.5× |
Destruction of skin lesions (17106) range across 2 matching MRF lines |
$416.64–$832.04 |
$672–$1,342 |
varies |
| Drain Cerebro Spinal Fluid (62272) |
$368.59 |
$594.50 |
0.5× |
Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$190.96–$200.57 |
$308–$323.50 |
varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,093.06 |
$1,763 |
1.9× |
| Drainage external auditory canal abscess (69020) |
$194.68 |
$314 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$283.34 |
$457 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,037.88 |
$1,674 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$233.74 |
$377 |
0.9× |
| Drainage of finger abscess simple (26010) |
$292.95 |
$472.50 |
1.4× |
| Drainage of gum lesion (41800) |
$281.48 |
$454 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$1,037.88 |
$1,674 |
0.6× |
| Drainage of nose lesion (30000) |
$1,330.83 |
$2,146.50 |
5.2× |
| Drainage of scrotal wall abscess (55100) |
$1,003.47 |
$1,618.50 |
0.6× |
| Drainage of scrotum (54700) |
$1,456.38 |
$2,349 |
0.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$171.43 |
$276.50 |
0.2× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$857.46 |
$1,383 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$240.25 |
$387.50 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$240.25 |
$387.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$132.99 |
$214.50 |
0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$488.56 |
$788 |
0.6× |
| Egd Flexible Foreign Body Removal (43247) |
$764.46 |
$1,233 |
0.8× |
| Egd guide wire insertion (43248) |
$764.46 |
$1,233 |
0.8× |
| Egd us exam duodenum/jejunum (43259) |
$1,496.68 |
$2,414 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$1,114.14 |
$1,797 |
0.3× |
| Escharotomy; initial incision (16035) |
$270.94 |
$437 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$45.57 |
$73.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,445.22 |
$2,331 |
0.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$763.84 |
$1,232 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$387.50 |
$625 |
0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$515.22 |
$831 |
0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$686.34 |
$1,107 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$729.12 |
$1,176 |
0.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$729.12 |
$1,176 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$771.59 |
$1,244.50 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$729.12 |
$1,176 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$771.59 |
$1,244.50 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$797.63 |
$1,286.50 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,071.05 |
$1,727.50 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,520.24 |
$2,452 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,285.26 |
$2,073 |
0.7× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$1,414.22 |
$2,281 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,028.58 |
$1,659 |
0.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,067.70 |
$3,335 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$1,643.93 |
$2,651.50 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$865.83 |
$1,396.50 |
0.5× |
| External cephalic version (59412) |
$1,606.73 |
$2,591.50 |
0.5× |
Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
$206.46–$217 |
$333–$350 |
varies |
Fetal non-stress test (59025) range across 5 matching MRF lines |
$51.46–$281.48 |
$83–$454 |
varies |
| Fluid Pressure Muscle (20950) |
$257.92 |
$416 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$300.39 |
$484.50 |
1.2× |
Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$61.38–$295.74 |
$99–$477 |
varies |
| Foreskin manipulation (54450) |
$431.21 |
$695.50 |
1.6× |
| I&d abscess peritonsillar (42700) |
$225.99 |
$364.50 |
0.9× |
| I&d abscess simple (10060) |
$292.95 |
$472.50 |
1.4× |
| I&d perianal abscess superficial (46050) |
$1,280.61 |
$2,065.50 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$292.95 |
$472.50 |
0.4× |
| Incise external hemorrhoid (46083) |
$181.66 |
$293 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$330.77 |
$533.50 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,491.72 |
$2,406 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$292.95 |
$472.50 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$292.95 |
$472.50 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$249.55 |
$402.50 |
0.8× |
| Incision of rectal abscess (46040) |
$2,041.66 |
$3,293 |
1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,643.93 |
$2,651.50 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$72.54 |
$117 |
0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$201.81 |
$325.50 |
0.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$300.39 |
$484.50 |
0.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$515.22 |
$831 |
0.5× |
| Injection for identification of sentinel node (38792) |
$292.95 |
$472.50 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$257.92 |
$416 |
0.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$368.59 |
$594.50 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$108.19 |
$174.50 |
0.8× |
| Insert cath pleura w/o image (32556) |
$585.90 |
$945 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,829.31 |
$2,950.50 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$57.35 |
$92.50 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$57.35 |
$92.50 |
0.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$771.59 |
$1,244.50 |
0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$979.91 |
$1,580.50 |
0.6× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$3,253.14 |
$5,247 |
0.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$382.23 |
$616.50 |
0.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$473.37 |
$763.50 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$222.27 |
$358.50 |
0.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$171.43 |
$276.50 |
0.6× |
| Laryngoscopy diagnostic (31505) |
$121.21 |
$195.50 |
0.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,039.18 |
$3,289 |
1.1× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
$172.05 |
$277.50 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$2,078.24 |
$3,352 |
0.6× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,387.74 |
$7,077 |
1.2× |
| N block inj intercost sng (64420) |
$379.13 |
$611.50 |
0.5× |
| Needle Biopsy Lymph Nodes (38505) |
$1,180.48 |
$1,904 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$210.49 |
$339.50 |
0.6× |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$275.90–$289.85 |
$445–$467.50 |
varies |
| Occipital Nerve Block (64405) |
$343.79 |
$554.50 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,158.28 |
$5,094 |
0.9× |
| Perq dev breast 1st us imag (19285) |
$337.28 |
$544 |
0.4× |
Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$329.84–$346.58 |
$532–$559 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$257.92 |
$416 |
0.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$1,456.38 |
$2,349 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$292.95 |
$472.50 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$389.36 |
$628 |
0.5× |
| Removal Embedded Foreign Body Eyelid (67938) |
$114.08 |
$184 |
0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$599.85 |
$967.50 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$387.50 |
$625 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.60 |
$180 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$57.35 |
$92.50 |
0.9× |
| Removal of foreign body from pharynx (42809) |
$180.42 |
$291 |
0.4× |
| Removal of nail bed (11750) |
$387.50 |
$625 |
0.9× |
| Removal or bivalving full arm or full leg cast (29705) |
$100.44 |
$162 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$89.90 |
$145 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$100.44 |
$162 |
0.3× |
| Remove foreign body from eye (65205) |
$79.67 |
$128.50 |
0.6× |
| Remove Intrauterine Device (58301) |
$881.02 |
$1,421 |
2.7× |
| Remove Nasal Foreign Body (30300) |
$162.75 |
$262.50 |
1.1× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,869.05 |
$4,627.50 |
0.8× |
| Repair blood vessel direct neck (35201) |
$4,571.57 |
$7,373.50 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,869.05 |
$4,627.50 |
0.8× |
Repair blood vessel lesion (35236) unusually low: confirm this is the full procedure |
$2,622.29 |
$4,229.50 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$407.03 |
$656.50 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$569.78 |
$919 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$407.03 |
$656.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$599.85 |
$967.50 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$324.26 |
$523 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$416.64 |
$672 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$587.45 |
$947.50 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$587.45 |
$947.50 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,285.26 |
$2,073 |
0.7× |
| Repair Hand Tendon (26410) |
$1,477.77 |
$2,383.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$236.53 |
$381.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$265.67 |
$428.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$279.93 |
$451.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$304.73 |
$491.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$535.37 |
$863.50 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$340.07 |
$548.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$217.62 |
$351 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$252.03 |
$406.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$281.48 |
$454 |
0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$446.71 |
$720.50 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$327.05 |
$527.50 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$199.95 |
$322.50 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$250.79 |
$404.50 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$387.50 |
$625 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$483.29 |
$779.50 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$450.74 |
$727 |
0.2× |
| Repair of nail bed (11760) |
$300.39 |
$484.50 |
0.4× |
| Repair tongue laceration (41252) |
$1,040.36 |
$1,678 |
4.1× |
| Repair tongue laceration (41250) |
$225.99 |
$364.50 |
0.5× |
| Reposition Gastrostomy Tube (43761) |
$764.46 |
$1,233 |
2.9× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,713.68 |
$2,764 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$177.32 |
$286 |
0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,499.47 |
$2,418.50 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$79.67 |
$128.50 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$79.67 |
$128.50 |
0.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$79.67 |
$128.50 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$781.20 |
$1,260 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$899.93 |
$1,451.50 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$599.85 |
$967.50 |
0.9× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$207.08 |
$334 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$186.93 |
$301.50 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$281.48 |
$454 |
1.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$979.91 |
$1,580.50 |
0.6× |
| Rpr blood vessel direct lower extremity (35226) |
$2,384.83 |
$3,846.50 |
3.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$253.89 |
$409.50 |
1.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$276.83 |
$446.50 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$669.29 |
$1,079.50 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$104.16 |
$168 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$121.21 |
$195.50 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$131.13 |
$211.50 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$95.79 |
$154.50 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$95.79 |
$154.50 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$138.88 |
$224 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$100.44 |
$162 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$121.21 |
$195.50 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$138.88 |
$224 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$79.05 |
$127.50 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$131.13 |
$211.50 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$131.13 |
$211.50 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$310.62 |
$501 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$188.17 |
$303.50 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$188.17 |
$303.50 |
0.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$376.96 |
$608 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$203.36 |
$328 |
0.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$455.08 |
$734 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$188.17 |
$303.50 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$297.60 |
$480 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$188.17 |
$303.50 |
0.9× |
| Skin Tissue Procedure (17999) |
$215.76 |
$348 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$188.17 |
$303.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$234.36 |
$378 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$296.36 |
$478 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$368.59 |
$594.50 |
0.5× |
| Strapping ankle (29540) |
$100.44 |
$162 |
0.6× |
| Strapping elbow or wrist (29260) |
$131.13 |
$211.50 |
2.1× |
| Strapping hand/finger (29280) |
$100.44 |
$162 |
1.6× |
| Strapping knee (29530) |
$100.44 |
$162 |
0.7× |
| Strapping shoulder (29240) |
$100.44 |
$162 |
0.7× |
| Strapping toes (29550) |
$100.44 |
$162 |
1.6× |
| Strapping Unna Boot (29580) |
$95.79 |
$154.50 |
0.6× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,548.76 |
$2,498 |
0.9× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,548.76 |
$2,498 |
0.9× |
| Therapeutic plasma exchange (36514) |
$1,753.36 |
$2,828 |
1.1× |
| Thrombolytic Therapy Stroke (37195) |
$257.92 |
$416 |
0.7× |
| Tooth extraction (41899) |
$144.46 |
$233 |
0.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$599.85 |
$967.50 |
2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$599.85 |
$967.50 |
0.4× |
Transur electr resection of prostate (52601) unusually low: confirm this is the full procedure |
$1,874.88 |
$3,024 |
0.3× |
| Treat humerus fracture (24500) |
$356.81 |
$575.50 |
1.3× |
| Treat Humerus Fracture (24505) |
$515.22 |
$831 |
0.3× |
| Treat humerus fracture (23600) |
$390.60 |
$630 |
1.5× |
| Treat Knuckle Dislocation (26700) |
$450.12 |
$726 |
1.7× |
| Treat Metatarsal Fracture (28475) |
$220.10 |
$355 |
0.8× |
| Treat Thumb Dislocation (26641) |
$369.21 |
$595.50 |
1.4× |
| Treat Thumb Fracture (26645) |
$343.79 |
$554.50 |
0.2× |
| Treat toe dislocation (28630) |
$450.12 |
$726 |
1.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,028.58 |
$1,659 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$447.33 |
$721.50 |
1.7× |
| Trim skin lesion (11055) |
$43.71 |
$70.50 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$57.97 |
$93.50 |
0.3× |
| Trim skin lesions over 4 (11057) |
$278.69 |
$449.50 |
1.3× |
| Tx Gastro Intub W/Asp (43753) |
$26.97 |
$43.50 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$578.77 |
$933.50 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$189.72 |
$306 |
0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$310 |
$500 |
0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$224.13 |
$361.50 |
0.8× |
| Unlisted procedure anus (46999) |
$2,908.73 |
$4,691.50 |
2.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$215.76 |
$348 |
1.2× |
| Unlisted Procedure Rectum (45999) |
$352.47 |
$568.50 |
0.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$131.13 |
$211.50 |
0.6× |
| Vaginal delivery only (59409) |
$1,606.73 |
$2,591.50 |
0.5× |
| Vein Access Cutdown < 1 Yr (36420) |
$62.62 |
$101 |
0.4× |
| Venous Cutdown >1 Y/O (36425) |
$86.80 |
$140 |
0.2× |
| Wedge excision skin nail fold (11765) |
$132.99 |
$214.50 |
0.3× |
| Wedging of cast (29740) |
$86.80 |
$140 |
0.3× |
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) likely a partial charge, not the full procedure |
$1,005.33 |
$1,621.50 |
0.2× |