| Abd paracentesis w/imaging (49083) |
$774.90 |
$2,583 |
0.6× |
| Acne surgery (10040) |
$171.60 |
$572 |
0.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,693.70 |
$8,979 |
0.9× |
| Allogeneic lymphocyte infusions (38242) |
$470.40 |
$1,568 |
0.2× |
| Amniocentesis diagnostic (59000) |
$650.70 |
$2,169 |
0.5× |
| Anal/Urinary Muscle Study (51784) |
$240 |
$800 |
1.3× |
| Anoscopy diagnostic (46600) |
$179.40 |
$598 |
1.0× |
| Apheresis Platelets (36513) |
$2,070 |
$6,900 |
3.3× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$277.80 |
$926 |
1.2× |
| Application cast elbow finger short arm (29075) |
$208.80 |
$696 |
0.5× |
| Application Cast Finger (29086) |
$100.20 |
$334 |
0.4× |
Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$83.70–$93.60 |
$279–$312 |
varies |
| Application finger splint static (29130) |
$225.90 |
$753 |
1.2× |
| Application Hip Spica Cast 1 Leg (29305) |
$318.30 |
$1,061 |
0.8× |
Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$185.70–$225.90 |
$619–$753 |
varies |
| Application Long Leg Cast Brace (29358) |
$292.20 |
$974 |
0.7× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$209.70 |
$699 |
0.5× |
Application Long Leg Splint (29505) range across 3 matching MRF lines |
$228.30–$254.70 |
$761–$849 |
varies |
Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$222.60–$248.40 |
$742–$828 |
varies |
Application of long leg cast (29345) range across 3 matching MRF lines |
$235.50–$262.50 |
$785–$875 |
varies |
Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$198.30–$207 |
$661–$690 |
varies |
| Application short arm splint forearm-hand static (29125) |
$225.90 |
$753 |
1.2× |
| Application short leg splint calf foot (29515) |
$208.80 |
$696 |
0.9× |
Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$156.30–$174.30 |
$521–$581 |
varies |
| Apply long arm cast (29065) |
$177.90 |
$593 |
0.5× |
| Apply Multlay Comprs Lwr Leg (29581) |
$183.30 |
$611 |
0.8× |
| Apply Short Leg Cast (29405) |
$259.20 |
$864 |
0.7× |
| Apply short leg cast (29425) |
$262.20 |
$874 |
0.7× |
Arterial puncture (36600) range across 2 matching MRF lines |
$74.40–$90.60 |
$248–$302 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$408 |
$1,360 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$512.40 |
$1,708 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$500.40 |
$1,668 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$572.10 |
$1,907 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$383.10 |
$1,277 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$990.30 |
$3,301 |
1.1× |
| Aspirate Pleura W/O Imaging (32554) |
$845.70 |
$2,819 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$235.50 |
$785 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,399.70 |
$7,999 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$177.30 |
$591 |
0.6× |
| Biopsy Abdominal Mass (49180) |
$737.70 |
$2,459 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$1,793.10 |
$5,977 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$727.50 |
$2,425 |
0.3× |
| Biopsy external ear (69100) |
$637.20 |
$2,124 |
1.9× |
| Biopsy muscle percutaneous needle (20206) |
$471 |
$1,570 |
0.2× |
| Biopsy Muscle Superficial (20200) |
$1,745.10 |
$5,817 |
0.7× |
| Biopsy of lip (40490) |
$231.90 |
$773 |
0.7× |
Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$1,085.70–$1,134 |
$3,619–$3,780 |
varies |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,490.70 |
$4,969 |
0.6× |
| Biopsy Salivary Gland Incisional (42405) |
$1,483.80 |
$4,946 |
0.7× |
| Biopsy Salivary Gland Needle (42400) |
$825.60 |
$2,752 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$2,001 |
$6,670 |
0.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$487.20 |
$1,624 |
0.4× |
| Bladder Irrigation (51700) |
$155.40 |
$518 |
0.4× |
| Bladder Scan (51798) |
$116.70 |
$389 |
1.4× |
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) range across 2 matching MRF lines |
$1,324.50–$2,144.10 |
$4,415–$7,147 |
varies |
| Blood Transfusion Service (36430) |
$1,003.20 |
$3,344 |
1.6× |
| Bone Marrow Biopsy (38221) |
$865.50 |
$2,885 |
0.4× |
| Bone marrow harvest allogen (38230) |
$484.80 |
$1,616 |
0.2× |
| Bone Marrow; Aspiration Only (38220) |
$351 |
$1,170 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,602.90 |
$5,343 |
0.6× |
| Bronchoscopy Clear Airways (31645) |
$1,982.40 |
$6,608 |
0.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,818.90 |
$6,063 |
0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,818.90 |
$6,063 |
0.7× |
| Catheter aspiration nasotracheal spx (31720) |
$241.80 |
$806 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$365.70 |
$1,219 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$351.90 |
$1,173 |
1.0× |
| Change of Windpipe Airway (31502) |
$213.90 |
$713 |
0.6× |
| Chemical Cautery Tissue (17250) |
$211.50 |
$705 |
0.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$544.20 |
$1,814 |
0.5× |
| Chemodenerv 1 extremity 1-4 (64642) |
$504.30 |
$1,681 |
0.5× |
| Chemodenerv Musc Migraine (64615) |
$367.50 |
$1,225 |
0.8× |
| Chemodenerv musc neck dyston (64616) |
$376.50 |
$1,255 |
0.9× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$136.20 |
$454 |
0.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$408.60 |
$1,362 |
0.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$204.90 |
$683 |
0.5× |
| Chest tube placement (32551) |
$1,436.70 |
$4,789 |
0.6× |
| Circumcision 28 days or older (54161) |
$1,596 |
$5,320 |
0.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,577.70 |
$5,259 |
0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,694.40 |
$5,648 |
0.7× |
| Clear outer ear canal (69200) |
$102.60 |
$342 |
0.5× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$264 |
$880 |
0.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$279 |
$930 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,815.60 |
$6,052 |
5.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$242.70 |
$809 |
0.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$385.50 |
$1,285 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$306.30 |
$1,021 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,578.60 |
$5,262 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$242.70 |
$809 |
0.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$279 |
$930 |
0.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,415.40 |
$4,718 |
0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$711 |
$2,370 |
2.0× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$2,827.20 |
$9,424 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$279 |
$930 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$554.70 |
$1,849 |
1.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,415.40 |
$4,718 |
0.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,471.50 |
$4,905 |
0.7× |
Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
$560.40–$625.20 |
$1,868–$2,084 |
varies |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$279 |
$930 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,825.20 |
$6,084 |
0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,024.20 |
$3,414 |
0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,127.30 |
$7,091 |
0.5× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$2,895.60 |
$9,652 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$318.60 |
$1,062 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$296.10 |
$987 |
0.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$279 |
$930 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,815.60 |
$6,052 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$638.40 |
$2,128 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,578.60 |
$5,262 |
0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$270.90 |
$903 |
0.8× |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$567.30–$1,470.30 |
$1,891–$4,901 |
varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$274.20 |
$914 |
0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$279 |
$930 |
0.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$242.70 |
$809 |
0.7× |
| Closed tx talus fracture w/o manipulation (28430) |
$242.70 |
$809 |
0.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$242.70 |
$809 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$808.20 |
$2,694 |
2.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,372.80 |
$4,576 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$270.90 |
$903 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$298.50 |
$995 |
0.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$349.50 |
$1,165 |
1.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$666 |
$2,220 |
0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$334.50 |
$1,115 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$242.70 |
$809 |
0.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,627.80 |
$5,426 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$370.20 |
$1,234 |
1.1× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$459 |
$1,530 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,133.40 |
$3,778 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$516.90 |
$1,723 |
1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,578.90 |
$5,263 |
0.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$343.20 |
$1,144 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,627.80 |
$5,426 |
0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$279 |
$930 |
0.8× |
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$239.70–$270.30 |
$799–$901 |
varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,504.20 |
$5,014 |
0.7× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,623.30 |
$5,411 |
0.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$770.40 |
$2,568 |
2.2× |
Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$264–$343.50 |
$880–$1,145 |
varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$644.70 |
$2,149 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$289.80 |
$966 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$430.20 |
$1,434 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,690.80 |
$5,636 |
0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,415.40 |
$4,718 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$242.70 |
$809 |
0.7× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,415.40 |
$4,718 |
0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$279 |
$930 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,415.40 |
$4,718 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$235.50 |
$785 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$270.90 |
$903 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$638.40 |
$2,128 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$279 |
$930 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,815.60 |
$6,052 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$297.60 |
$992 |
0.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$242.70 |
$809 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$235.50 |
$785 |
0.7× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$279 |
$930 |
0.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,627.80 |
$5,426 |
0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,578.60 |
$5,262 |
0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$242.70 |
$809 |
0.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,627.80 |
$5,426 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$540.60 |
$1,802 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$441 |
$1,470 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,627.80 |
$5,426 |
4.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$400.50 |
$1,335 |
1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,415.40 |
$4,718 |
0.6× |
| Cltx Medial Ankle Fx (27760) |
$242.70 |
$809 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$445.50 |
$1,485 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$330.60 |
$1,102 |
0.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,983.90 |
$6,613 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$761.10 |
$2,537 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$289.80 |
$966 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$510.90 |
$1,703 |
1.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,815.60 |
$6,052 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$279 |
$930 |
0.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,203 |
$4,010 |
0.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$242.70 |
$809 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$430.20 |
$1,434 |
1.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,627.80 |
$5,426 |
0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,415.40 |
$4,718 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,316.40 |
$4,388 |
0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$311.10 |
$1,037 |
0.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$242.70 |
$809 |
0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$242.70 |
$809 |
0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$242.70 |
$809 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$574.50 |
$1,915 |
1.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$255 |
$850 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$704.40 |
$2,348 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$242.70 |
$809 |
0.7× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$2,827.20 |
$9,424 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$108.60 |
$362 |
0.6× |
Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$23.40–$24 |
$78–$80 |
varies |
| Colposcopy cervix upper/adjacent vagina (57452) |
$108 |
$360 |
0.4× |
| Complex Cystometrogram (51726) |
$273.90 |
$913 |
0.8× |
Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$141.90–$274.20 |
$473–$914 |
varies |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$209.10 |
$697 |
1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$960 |
$3,200 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,767.30 |
$5,891 |
0.8× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$402 |
$1,340 |
0.6× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$3,629.40 |
$12,098 |
0.7× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$76.20 |
$254 |
0.4× |
| Create Eardrum Opening (69433) |
$600.60 |
$2,002 |
0.8× |
| Csf shunt reprogram (62252) |
$175.50 |
$585 |
0.4× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$147.90–$159.30 |
$493–$531 |
varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$112.20 |
$374 |
0.3× |
| Cystometrogram W/Up (51727) |
$813.90 |
$2,713 |
0.8× |
| Cystometrogram W/Vp (51728) |
$635.70 |
$2,119 |
0.6× |
Cystometrogram W/Vp&Up (51729) range across 2 matching MRF lines |
$487.50–$543.60 |
$1,625–$1,812 |
varies |
Cystoscopy inject material (52327) likely a partial charge, not the full procedure |
$991.50 |
$3,305 |
0.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,743 |
$5,810 |
0.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$237.30 |
$791 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$390 |
$1,300 |
0.7× |
| Declot vascular device (36593) |
$594.90 |
$1,983 |
1.3× |
| Destruct B9 Lesion 1-14 (17110) |
$214.50 |
$715 |
0.8× |
| Destruction Benign Lesions 15/> (17111) |
$230.10 |
$767 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,185.50 |
$7,285 |
0.8× |
| Destruction of skin lesions (17106) |
$225.30 |
$751 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$129 |
$430 |
0.5× |
| Drain Cerebro Spinal Fluid (62272) |
$1,451.10 |
$4,837 |
1.5× |
| Drain/inj small joint/bursa w/us (20604) |
$493.80 |
$1,646 |
1.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$694.50 |
$2,315 |
0.9× |
| Drainage external auditory canal abscess (69020) |
$773.70 |
$2,579 |
0.8× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,819.50 |
$6,065 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$699.90 |
$2,333 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,552.50 |
$5,175 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$237 |
$790 |
0.7× |
| Drainage of finger abscess simple (26010) |
$309.90 |
$1,033 |
1.1× |
| Drainage of gum lesion (41800) |
$119.70 |
$399 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$2,629.50 |
$8,765 |
1.1× |
| Drainage of hydrocele (55000) |
$536.70 |
$1,789 |
0.5× |
| Drainage of nose lesion (30000) |
$255.60 |
$852 |
0.8× |
| Drainage of rectal abscess (45005) |
$1,214.40 |
$4,048 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,509.60 |
$5,032 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$280.50 |
$935 |
1.5× |
| Dressing Change Under Anesthesia (15852) |
$570.60 |
$1,902 |
0.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$763.50 |
$2,545 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$442.80 |
$1,476 |
0.8× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$218.40–$413.70 |
$728–$1,379 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$318 |
$1,060 |
1.1× |
| Drug metabolism (adverse drug reactions and drug response), genotyping of 16 genes (ie, ABCG2, CYP2B6, CYP2C9, CYP2C19,… (0533U) |
$131.10 |
$437 |
0.3× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$225.30 |
$751 |
0.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$768.30 |
$2,561 |
0.3× |
| Dstrj lesion anus simple cryosurgery (46916) |
$218.40 |
$728 |
0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$218.70 |
$729 |
0.8× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,757.40 |
$5,858 |
0.4× |
| Dx Bronchoscope/Lavage (31624) |
$2,160.60 |
$7,202 |
0.9× |
| Dx Bronchoscope/Wash (31622) |
$1,014.60 |
$3,382 |
0.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,462.40 |
$8,208 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$981.90 |
$3,273 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,456.20 |
$4,854 |
1.1× |
| Egd place gastrostomy tube (43246) |
$2,171.10 |
$7,237 |
0.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$296.10 |
$987 |
0.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$356.10 |
$1,187 |
0.8× |
| Electro-Uroflowmetry First (51741) |
$193.50 |
$645 |
0.6× |
| Epidural Blood Patch (62273) |
$818.40 |
$2,728 |
0.8× |
| Esophagosc Dilate Balloon 30 (43214) |
$600 |
$2,000 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$106.50 |
$355 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$378 |
$1,260 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,214.90 |
$7,383 |
0.9× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,259.40 |
$4,198 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$154.80 |
$516 |
0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$167.40 |
$558 |
0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$200.70 |
$669 |
0.2× |
| Exc Frenum Labial/Buccal (40819) |
$564.30 |
$1,881 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$181.50 |
$605 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,380.30 |
$4,601 |
1.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,849.20 |
$6,164 |
0.8× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$1,179.90 |
$3,933 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$912.90 |
$3,043 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,926 |
$6,420 |
0.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$466.50 |
$1,555 |
0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$666.60 |
$2,222 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,926 |
$6,420 |
0.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,712.50 |
$12,375 |
0.7× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,299.30 |
$4,331 |
0.5× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$1,142.70 |
$3,809 |
0.2× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,959.90 |
$6,533 |
0.9× |
| Excision Chalazion Multiple Same Lid (67801) |
$434.40 |
$1,448 |
0.3× |
| Excision Chalazion Single (67800) |
$171.90 |
$573 |
0.4× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$2,508 |
$8,360 |
0.7× |
| Excision Lesion Tongue W/O Closure (41110) |
$3,455.70 |
$11,519 |
0.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,168.80 |
$3,896 |
0.5× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$6,144.90 |
$20,483 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$2,309.40 |
$7,698 |
1.0× |
Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$259.50–$289.50 |
$865–$965 |
varies |
| Fluoro exam of g/colon tube (49465) |
$109.50 |
$365 |
0.3× |
Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$557.10–$640.80 |
$1,857–$2,136 |
varies |
Foreskin manipulation (54450) range across 2 matching MRF lines |
$500.70–$575.70 |
$1,669–$1,919 |
varies |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$392.40 |
$1,308 |
0.1× |
| Guide Cathet Fluid Drainage (10030) |
$657 |
$2,190 |
0.7× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$3,951.90 |
$13,173 |
0.6× |
| I&d abscess peritonsillar (42700) |
$248.40 |
$828 |
0.7× |
| I&d abscess simple (10060) |
$453.30 |
$1,511 |
1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,038.20 |
$6,794 |
0.5× |
| I&d perianal abscess superficial (46050) |
$1,023.90 |
$3,413 |
0.8× |
| I&d pilonidal cyst complicated (10081) |
$1,032.30 |
$3,441 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$790.80 |
$2,636 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,482.30 |
$4,941 |
0.4× |
| Image Cath Fluid Colxn Visc (49405) |
$1,257.90 |
$4,193 |
0.5× |
| Image Cath Fluid Peri/Retro (49406) |
$674.70 |
$2,249 |
0.3× |
| Image Cath Fluid Trns/Vgnl (49407) |
$674.70 |
$2,249 |
0.3× |
| Incise external hemorrhoid (46083) |
$278.10 |
$927 |
0.8× |
| Incise finger tendon sheath (26055) |
$3,078 |
$10,260 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$703.80 |
$2,346 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,653.60 |
$5,512 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$427.20 |
$1,424 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$180 |
$600 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$370.80 |
$1,236 |
0.9× |
| Incision of labial frenum (frenotomy) (40806) |
$590.70 |
$1,969 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$876.90 |
$2,923 |
0.4× |
| Incision of rectal abscess (46040) |
$1,552.80 |
$5,176 |
0.9× |
| Incision of urethra (53020) |
$2,678.10 |
$8,927 |
0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$999.30 |
$3,331 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$408.60 |
$1,362 |
0.4× |
Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$172.80–$180.30 |
$576–$601 |
varies |
| Inject Intravitreal Pharmcologic (67028) |
$378.30 |
$1,261 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$477 |
$1,590 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$794.40 |
$2,648 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$794.40 |
$2,648 |
0.8× |
| Injection Into Brain Canal (61055) |
$301.20 |
$1,004 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$379.80 |
$1,266 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$551.10 |
$1,837 |
1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,125 |
$3,750 |
0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$991.80 |
$3,306 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$1,048.80–$1,206 |
$3,496–$4,020 |
varies |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$177.90 |
$593 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$129.60 |
$432 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$3,431.10 |
$11,437 |
0.8× |
| Ins cath ren art 1st unilat (36251) |
$3,318.60 |
$11,062 |
0.7× |
| Insert and remove bone pin (20650) |
$2,564.40 |
$8,548 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$206.70 |
$689 |
1.1× |
| Insert cath pleura w/ image (32557) |
$1,948.50 |
$6,495 |
0.9× |
| Insert cath pleura w/o image (32556) |
$1,531.80 |
$5,106 |
0.6× |
| Insert Drug Implant Device (11981) |
$404.40 |
$1,348 |
2.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$455.70 |
$1,519 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$2,313.30 |
$7,711 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,683.30 |
$5,611 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$138.60 |
$462 |
0.7× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$3,055.20 |
$10,184 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$78.90 |
$263 |
0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,313.30 |
$7,711 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,929.10 |
$13,097 |
0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,313.30 |
$7,711 |
0.5× |
| Insj Picc Rs&I <5 Yr (36572) |
$775.50 |
$2,585 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,462 |
$11,540 |
0.8× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,462 |
$11,540 |
0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,709.70 |
$5,699 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,409.90 |
$8,033 |
0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$353.40 |
$1,178 |
0.6× |
| Intranasal Biopsy (30100) |
$1,770.90 |
$5,903 |
0.8× |
| Intro Gastrointestinal Tube (44500) |
$898.80 |
$2,996 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$541.20 |
$1,804 |
1.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$267.60 |
$892 |
0.8× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$3.90 |
$13 |
0.1× |
Laryngoscope Injection Vocal Cord Therapeutic (31570) unusually low: confirm this is the full procedure |
$1,738.20 |
$5,794 |
0.3× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$4,055.40 |
$13,518 |
0.8× |
| Laryngoscopy flexible diagnostic (31575) |
$364.20 |
$1,214 |
1.3× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$4,055.40 |
$13,518 |
0.8× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$1,896.90 |
$6,323 |
0.8× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$1,896.90 |
$6,323 |
0.8× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$1,896.90 |
$6,323 |
0.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$427.20 |
$1,424 |
0.8× |
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$427.20–$477.60 |
$1,424–$1,592 |
varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$203.10 |
$677 |
0.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,697.10 |
$5,657 |
0.7× |
| Lyse chest fibrin init day (32561) |
$775.50 |
$2,585 |
0.9× |
| Lyse Chest Fibrin Subq Day (32562) |
$775.50 |
$2,585 |
0.9× |
| Lysis of labial adhesions (56441) |
$1,437.60 |
$4,792 |
0.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,902 |
$6,340 |
0.6× |
| Myelography Lumbar Injection (62304) |
$772.80 |
$2,576 |
0.7× |
| N block inj intercost sng (64420) |
$883.50 |
$2,945 |
0.9× |
| N Block Inj Plantar Digit (64455) |
$251.10 |
$837 |
0.6× |
| Nasal Endoscopy Dx (31231) |
$183.90 |
$613 |
0.7× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$216.60 |
$722 |
0.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,970.10 |
$6,567 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,062.50 |
$6,875 |
0.8× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$4,779 |
$15,930 |
0.9× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$240 |
$800 |
0.7× |
Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$459.90–$480.30 |
$1,533–$1,601 |
varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$90 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$117.60 |
$392 |
0.3× |
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) range across 2 matching MRF lines |
$600–$660 |
$2,000–$2,200 |
varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$390.60 |
$1,302 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,578.50 |
$8,595 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$853.80 |
$2,846 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$619.50 |
$2,065 |
0.6× |
| Occipital Nerve Block (64405) |
$365.70 |
$1,219 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,818.40 |
$12,728 |
0.8× |
| Penile Injection (54235) |
$305.10 |
$1,017 |
0.9× |
| Pericardiocentesis W/Imaging (33016) |
$1,762.50 |
$5,875 |
0.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,500.30 |
$5,001 |
0.3× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) unusually low: confirm this is the full procedure |
$2,925.60 |
$9,752 |
0.4× |
| Photopheresis extracorporeal (36522) |
$9,637.80 |
$32,126 |
1.6× |
| Place Cath Subclavian Art (36225) |
$4,009.20 |
$13,364 |
0.9× |
| Place Cath Vertebral Art (36226) |
$5,134.80 |
$17,116 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$530.40 |
$1,768 |
0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,411.50 |
$4,705 |
0.5× |
| Probing nasolacrimal duct (68810) |
$171.90 |
$573 |
0.4× |
| Proctopexy Perineal Approach (45541) |
$2,980.20 |
$9,934 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$279.60 |
$932 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$349.20 |
$1,164 |
0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$883.50 |
$2,945 |
0.9× |
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$2,029.80–$2,185.50 |
$6,766–$7,285 |
varies |
| Reduction of rectal prolapse (45900) |
$844.50 |
$2,815 |
0.6× |
| Rem Endovas Vena Cava Filter (37193) |
$3,842.40 |
$12,808 |
0.9× |
| Removal Anal Seton Other Marker (46030) |
$1,456.50 |
$4,855 |
0.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$77.10 |
$257 |
0.2× |
| Removal foreign body foot deep (28192) |
$1,782.30 |
$5,941 |
0.8× |
Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$633.60–$767.70 |
$2,112–$2,559 |
varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,240.40 |
$7,468 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58.20 |
$194 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$69.30 |
$231 |
0.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,254.70 |
$10,849 |
0.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$814.20 |
$2,714 |
0.3× |
| Removal implantable contraceptive capsules (11976) |
$313.50 |
$1,045 |
0.3× |
| Removal of foreign body from pharynx (42809) |
$117.30 |
$391 |
0.2× |
| Removal of nail bed (11750) |
$362.70 |
$1,209 |
0.6× |
| Removal or bivalving full arm or full leg cast (29705) |
$180.90 |
$603 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$156.90 |
$523 |
0.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,269.80 |
$7,566 |
0.8× |
Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$274.50–$306.30 |
$915–$1,021 |
varies |
| Remove Brain Cavity Fluid (61020) |
$981.60 |
$3,272 |
0.8× |
| Remove drug implant device (11982) |
$264.60 |
$882 |
0.4× |
| Remove foreign body from eye (65235) |
$2,235 |
$7,450 |
0.7× |
| Remove foreign body from eye (65205) |
$83.10 |
$277 |
0.4× |
| Remove Intrauterine Device (58301) |
$157.20 |
$524 |
0.4× |
| Remove Nasal Foreign Body (30300) |
$170.40 |
$568 |
0.9× |
| Remove Skin Nerve Lesion (64774) |
$2,383.20 |
$7,944 |
0.9× |
| Remove/Insert Drug Implant (11983) |
$315 |
$1,050 |
0.5× |
| Renal Biopsy Perq (50200) |
$1,215 |
$4,050 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$550.20 |
$1,834 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$608.10 |
$2,027 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$356.70 |
$1,189 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$495 |
$1,650 |
0.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$423 |
$1,410 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$480.60 |
$1,602 |
0.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$264.60 |
$882 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$590.10 |
$1,967 |
0.6× |
| Repair Detached Retina (67101) |
$2,469.60 |
$8,232 |
0.8× |
| Repair Eyelid Wound (67935) |
$2,085.30 |
$6,951 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$419.40 |
$1,398 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$451.20 |
$1,504 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$467.40 |
$1,558 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$467.40 |
$1,558 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$549.60 |
$1,832 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$345.90 |
$1,153 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$505.20 |
$1,684 |
0.9× |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$520.50–$598.50 |
$1,735–$1,995 |
varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$600.60 |
$2,002 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$440.70 |
$1,469 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$507.60 |
$1,692 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$600.60 |
$2,002 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$533.70 |
$1,779 |
0.9× |
| Repair Laceration Palate </2 Cm (42180) |
$644.40 |
$2,148 |
0.8× |
| Repair of nail bed (11760) |
$562.80 |
$1,876 |
0.5× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) unusually low: confirm this is the full procedure |
$4,581.30 |
$15,271 |
0.4× |
| Repair Spica/Body/Jacket Cast (29720) |
$189 |
$630 |
0.8× |
Repair tongue laceration (41252) range across 2 matching MRF lines |
$471–$534.60 |
$1,570–$1,782 |
varies |
Repair tongue laceration (41250) range across 2 matching MRF lines |
$134.70–$154.80 |
$449–$516 |
varies |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$848.10 |
$2,827 |
0.7× |
| Replace G-J Tube Perc (49452) |
$478.20 |
$1,594 |
0.4× |
| Replace g/c tube perc (49450) |
$437.10 |
$1,457 |
0.3× |
| Replantation digit complete (20822) |
$2,246.40 |
$7,488 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$503.40 |
$1,678 |
1.4× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,378.50 |
$4,595 |
0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,123.80 |
$3,746 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$67.20 |
$224 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$291.60 |
$972 |
1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$341.70 |
$1,139 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,396.50 |
$4,655 |
0.8× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$3,086.10 |
$10,287 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,609.20 |
$5,364 |
1.8× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$145.50 |
$485 |
0.4× |
| Rplc Gtube No Revj Trc (43762) |
$256.20 |
$854 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$385.50 |
$1,285 |
1.1× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,462 |
$11,540 |
0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,708.80 |
$5,696 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,773.80 |
$9,246 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$551.10 |
$1,837 |
1.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$222.30 |
$741 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$243.60 |
$812 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$745.80 |
$2,486 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,773.60 |
$5,912 |
0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$613.80 |
$2,046 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$1,093.80 |
$3,646 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$113.10 |
$377 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$113.10 |
$377 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$255.60 |
$852 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$177.60 |
$592 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$492.30 |
$1,641 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$260.70 |
$869 |
0.9× |
| Simple Cystometrogram (51725) |
$758.10 |
$2,527 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$351 |
$1,170 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$361.80 |
$1,206 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$459.60 |
$1,532 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$248.10 |
$827 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$396.90 |
$1,323 |
1.4× |
| Skin Tissue Procedure (17999) |
$246.90 |
$823 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,682.30 |
$18,941 |
0.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,134.80 |
$17,116 |
0.7× |
| Slitting of prepuce (54001) |
$2,366.40 |
$7,888 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$326.10 |
$1,087 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406.50 |
$1,355 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$467.40 |
$1,558 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$956.70 |
$3,189 |
1.0× |
Strapping ankle (29540) range across 2 matching MRF lines |
$121.20–$147.60 |
$404–$492 |
varies |
Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$89.10–$101.70 |
$297–$339 |
varies |
| Strapping hand/finger (29280) |
$118.20 |
$394 |
1.4× |
Strapping Hip (29520) range across 2 matching MRF lines |
$100.50–$105.30 |
$335–$351 |
varies |
| Strapping knee (29530) |
$194.10 |
$647 |
1.0× |
Strapping shoulder (29240) range across 2 matching MRF lines |
$151.80–$163.50 |
$506–$545 |
varies |
| Strapping thorax (29200) |
$123.60 |
$412 |
0.5× |
Strapping toes (29550) range across 3 matching MRF lines |
$61.20–$74.40 |
$204–$248 |
varies |
| Strapping Unna Boot (29580) |
$154.80 |
$516 |
0.7× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$277.50 |
$925 |
0.4× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
$3,567 |
$11,890 |
0.8× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$2,448.90 |
$8,163 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$222.90 |
$743 |
0.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,830 |
$6,100 |
0.8× |
Thaw preserved stem cells (38208) range across 3 matching MRF lines |
$161.10–$1,362.90 |
$537–$4,543 |
varies |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$5,414.70 |
$18,049 |
0.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,419.60 |
$14,732 |
2.0× |
Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
$1,413.90–$1,476.90 |
$4,713–$4,923 |
varies |
| Therapeutic Apheresis White Blood Cells (36511) |
$2,493.60 |
$8,312 |
1.1× |
| Therapeutic plasma exchange (36514) |
$2,747.10 |
$9,157 |
1.2× |
| Thyroid biopsy (60100) |
$881.10 |
$2,937 |
0.9× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$944.70 |
$3,149 |
0.3× |
| Tooth extraction (41899) |
$1,320 |
$4,400 |
3.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$880.80 |
$2,936 |
1.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$255.60 |
$852 |
0.8× |
Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$1,087.50 |
$3,625 |
0.1× |
| Treat Dental Ridge Fracture (21440) |
$251.40 |
$838 |
0.1× |
| Treat humerus fracture (24500) |
$288.90 |
$963 |
0.8× |
| Treat Humerus Fracture (24505) |
$1,383.60 |
$4,612 |
0.6× |
| Treat humerus fracture (23600) |
$572.10 |
$1,907 |
1.6× |
| Treat knee fracture (27532) |
$3,548.40 |
$11,828 |
0.8× |
| Treat Knee Fracture(S) (27538) |
$235.50 |
$785 |
0.7× |
| Treat Knuckle Dislocation (26700) |
$464.70 |
$1,549 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$532.80 |
$1,776 |
1.5× |
| Treat Thumb Dislocation (26641) |
$348 |
$1,160 |
1.0× |
| Treat Thumb Fracture (26645) |
$1,415.40 |
$4,718 |
0.6× |
| Treat toe dislocation (28630) |
$242.70 |
$809 |
0.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,147.20 |
$3,824 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$482.10 |
$1,607 |
1.4× |
| Treatment extensive retinopathy photocoagulation (67228) |
$603.60 |
$2,012 |
0.8× |
| Trim skin lesion (11055) |
$204 |
$680 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$238.50 |
$795 |
0.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$98.10 |
$327 |
1.2× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$2,044.20 |
$6,814 |
3.3× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$262.20 |
$874 |
0.4× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$5,394.30 |
$17,981 |
8.7× |
Trnsplj allogeneic hematopoietic cells per donor (38240) likely a partial charge, not the full procedure |
$15,923.40 |
$53,078 |
0.2× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$2,143.50 |
$7,145 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$279.60 |
$932 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$279 |
$930 |
0.8× |
| Unlisted Cardiac Surgery (33999) |
$664.20 |
$2,214 |
0.7× |
| Unlisted procedure humerus/elbow (24999) |
$175.20 |
$584 |
0.5× |
| Unlisted procedure lacrimal system (68899) |
$318 |
$1,060 |
0.7× |
Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$142.20–$588 |
$474–$1,960 |
varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$1,054.20 |
$3,514 |
3.2× |
| Unlisted procedure spine (22899) |
$1,624.80 |
$5,416 |
4.7× |
| Unlisted procedure stomach (43999) |
$778.50 |
$2,595 |
0.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$664.20 |
$2,214 |
0.7× |
| Urinary Reflex Study (51792) |
$65.40 |
$218 |
0.8× |
| Urine Flow Measurement (51736) |
$149.40 |
$498 |
0.8× |
| Vaginal delivery only (59409) |
$3,157.20 |
$10,524 |
0.7× |
Vasc embolize/occlude artery (37242) likely a partial charge, not the full procedure |
$1,280.40 |
$4,268 |
0.0× |
Vasc Embolize/Occlude Bleed (37244) likely a partial charge, not the full procedure |
$1,956.45 |
$6,521.50 |
0.1× |
Vasc embolize/occlude venous (37241) likely a partial charge, not the full procedure |
$1,825.80 |
$6,086 |
0.1× |
Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$4,766.70 |
$15,889 |
0.3× |
| Ventricular puncture previous burr hole w/inj (61026) |
$821.70 |
$2,739 |
0.8× |
| Wash harvest stem cells (38209) |
$2,961.60 |
$9,872 |
4.8× |
| Wedge excision skin nail fold (11765) |
$448.20 |
$1,494 |
0.8× |
| Wedging of cast (29740) |
$292.20 |
$974 |
0.7× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
$1,624.80 |
$5,416 |
0.7× |