| Abd paracentesis w/imaging (49083) |
$1,173 |
$1,173 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,117 |
$2,117 |
1.9× |
| Adding Walker Previously Applied Cast (29440) |
$243 |
$243 |
1.2× |
| Anoscopy diagnostic (46600) |
$243 |
$243 |
1.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,728 |
$1,728 |
1.6× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$243 |
$243 |
1.2× |
| Application cast elbow finger short arm (29075) |
$324 |
$324 |
1.0× |
| Application Cast Shoulder Spica (29055) |
$351 |
$351 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$198 |
$198 |
2.8× |
| Application finger splint static (29130) |
$198 |
$198 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$243 |
$243 |
1.2× |
| Application Long Leg Splint (29505) |
$281 |
$281 |
1.4× |
| Application of long leg cast (29345) |
$351 |
$351 |
1.0× |
| Application Patellar Tendon Bearing Cast (29435) |
$351 |
$351 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$243 |
$243 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$243 |
$243 |
1.5× |
| Application short leg splint calf foot (29515) |
$243 |
$243 |
1.2× |
| Apply hand/wrist cast (29085) |
$243 |
$243 |
1.2× |
| Apply long arm cast (29065) |
$324 |
$324 |
1.0× |
| Apply Short Leg Cast (29405) |
$351 |
$351 |
1.0× |
| Apply short leg cast (29425) |
$351 |
$351 |
1.0× |
| Apply shoulder cast,plastr velpeau (29058) |
$216 |
$216 |
0.6× |
Arterial puncture (36600) range across 2 matching MRF lines |
$198–$243 |
$198–$243 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$459 |
$459 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$459 |
$459 |
0.5× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$459–$467 |
$459–$467 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$464 |
$464 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$459 |
$459 |
1.2× |
| Aspirate Pleura W/O Imaging (32554) |
$1,621 |
$1,621 |
2.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$5,333 |
$5,333 |
2.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$351 |
$351 |
1.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$5,714 |
$5,714 |
1.6× |
| Bladder Scan (51798) |
$189 |
$189 |
2.7× |
| Blepharotomy drainage abscess eyelid (67700) |
$621 |
$621 |
1.6× |
| Blood Transfusion Service (36430) |
$837 |
$837 |
1.6× |
| Change Cystostomy Tube Simple (51705) |
$918 |
$918 |
3.1× |
| Change of Windpipe Airway (31502) |
$297 |
$297 |
1.0× |
| Chemical Cautery Tissue (17250) |
$351 |
$351 |
1.5× |
| Chest tube placement (32551) |
$1,080 |
$1,080 |
0.6× |
| Cl Tx Scapular Fx; W Manip (23575) |
$405 |
$405 |
0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,700 |
$2,700 |
1.4× |
| Clear outer ear canal (69200) |
$198 |
$198 |
1.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$270 |
$270 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$405 |
$405 |
1.4× |
| Closed Treatment Sternum Fracture (21820) |
$270 |
$270 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$405 |
$405 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,107 |
$1,107 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$405 |
$405 |
1.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,107 |
$1,107 |
3.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$405 |
$405 |
1.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,107 |
$1,107 |
0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$405 |
$405 |
1.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$405 |
$405 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$405 |
$405 |
1.4× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,646 |
$2,646 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$405 |
$405 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,808 |
$2,808 |
1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,188 |
$1,188 |
0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,592 |
$2,592 |
0.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,107 |
$1,107 |
3.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$270 |
$270 |
0.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$405 |
$405 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$405 |
$405 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$405 |
$405 |
1.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,107 |
$1,107 |
0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$270 |
$270 |
0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$405 |
$405 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$270 |
$270 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$270 |
$270 |
0.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$405 |
$405 |
1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,700 |
$2,700 |
1.4× |
| Closed tx talus fracture w/o manipulation (28430) |
$270 |
$270 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$198 |
$198 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$405 |
$405 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$270 |
$270 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$270 |
$270 |
0.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$621 |
$621 |
2.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,350 |
$1,350 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$405 |
$405 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$405 |
$405 |
1.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$999 |
$999 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$270 |
$270 |
0.9× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,188 |
$1,188 |
1.8× |
| Clsd Tx Pelvic Ring Fx (27198) |
$1,620 |
$1,620 |
5.5× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$1,620 |
$1,620 |
5.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,107 |
$1,107 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$405 |
$405 |
1.4× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$2,700 |
$2,700 |
1.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$270 |
$270 |
0.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,538 |
$2,538 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$405 |
$405 |
0.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$405 |
$405 |
1.4× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$405 |
$405 |
0.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$405 |
$405 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$270 |
$270 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$405 |
$405 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$405 |
$405 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$405 |
$405 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$270 |
$270 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$405 |
$405 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,107 |
$1,107 |
0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$405 |
$405 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$405 |
$405 |
1.4× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,512 |
$1,512 |
0.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$405 |
$405 |
1.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,970 |
$2,970 |
1.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$405 |
$405 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$270 |
$270 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$405 |
$405 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$270 |
$270 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,154 |
$3,154 |
1.6× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$270 |
$270 |
0.9× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$405 |
$405 |
1.4× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,970 |
$2,970 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$405 |
$405 |
1.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$405 |
$405 |
1.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$405 |
$405 |
0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$405 |
$405 |
0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$270 |
$270 |
0.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$405 |
$405 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$270 |
$270 |
0.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,890 |
$1,890 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$3,510 |
$3,510 |
10.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$270 |
$270 |
0.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,700 |
$2,700 |
1.4× |
| Cltx Medial Ankle Fx (27760) |
$405 |
$405 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$405 |
$405 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$270 |
$270 |
0.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,700 |
$2,700 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$405 |
$405 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$270 |
$270 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,700 |
$2,700 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$405 |
$405 |
1.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,107 |
$1,107 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$405 |
$405 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$405 |
$405 |
0.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$405 |
$405 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$405 |
$405 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,107 |
$1,107 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$405 |
$405 |
0.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$405 |
$405 |
1.4× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$4,320 |
$4,320 |
1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$270 |
$270 |
0.9× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$405 |
$405 |
1.4× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$405 |
$405 |
1.4× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$270 |
$270 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,107 |
$1,107 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$405 |
$405 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$22 |
$22 |
2.4× |
| Colpocentesis (57020) |
$5,508 |
$5,508 |
0.9× |
| Colporrhaphy (57200) |
$5,508 |
$5,508 |
1.4× |
| Complex drainage wound (10180) |
$3,510 |
$3,510 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$338 |
$338 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$282 |
$282 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$198 |
$198 |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$198 |
$198 |
0.7× |
| Curettage postpartum (59160) |
$3,078 |
$3,078 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$621 |
$621 |
1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,280 |
$1,280 |
1.4× |
| Debride nail 1-5 (11720) |
$149 |
$149 |
2.1× |
| Debride nail 6 or more (11721) |
$297 |
$297 |
4.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,404 |
$1,404 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$832 |
$832 |
1.7× |
| Declot vascular device (36593) |
$540 |
$540 |
1.4× |
| Destroy cerv/thor facet jnt (64633) |
$4,644 |
$4,644 |
2.0× |
Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$319–$4,644 |
$319–$4,644 |
varies |
| Drainage abscess parotid simple (42300) |
$1,350 |
$1,350 |
0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,890 |
$1,890 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$405 |
$405 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,890 |
$1,890 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$621 |
$621 |
2.2× |
| Drainage of finger abscess simple (26010) |
$1,620 |
$1,620 |
6.7× |
| Drainage of gum lesion (41800) |
$405 |
$405 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$1,836 |
$1,836 |
0.9× |
| Drainage of mouth lesion (41006) |
$4,050 |
$4,050 |
2.2× |
| Drainage of rectal abscess (45005) |
$3,078 |
$3,078 |
2.1× |
| Drainage of salivary gland (42320) |
$621 |
$621 |
1.0× |
| Drainage of salivary gland (42305) |
$4,050 |
$4,050 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,836 |
$1,836 |
0.9× |
| Drainage of scrotum (54700) |
$3,780 |
$3,780 |
1.5× |
| Draw Blood Off Venous Device (36591) |
$243 |
$243 |
1.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,350 |
$1,350 |
2.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$378 |
$378 |
0.4× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$621 |
$621 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$832 |
$832 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$649 |
$649 |
2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$467 |
$467 |
1.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,592 |
$2,592 |
1.2× |
| Epidural Blood Patch (62273) |
$1,847 |
$1,847 |
2.2× |
| Escharotomy; initial incision (16035) |
$540 |
$540 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$135 |
$135 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$729 |
$729 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,484 |
$2,484 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$729 |
$729 |
0.9× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$729 |
$729 |
0.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,404 |
$1,404 |
1.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,404 |
$1,404 |
0.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,404 |
$1,404 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,404 |
$1,404 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,404 |
$1,404 |
1.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,404 |
$1,404 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,404 |
$1,404 |
1.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,484 |
$2,484 |
1.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,780 |
$3,780 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,484 |
$2,484 |
1.3× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$3,780 |
$3,780 |
1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,078 |
$3,078 |
2.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$729 |
$729 |
1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$729 |
$729 |
0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,484 |
$2,484 |
1.3× |
| Exchange Transfusion Blood Newborn (36450) |
$368 |
$368 |
0.7× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
$1,580 |
$1,580 |
0.5× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$1,580 |
$1,580 |
0.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,970 |
$2,970 |
1.2× |
| Exploration penetrating wound spx chest (20101) |
$2,970 |
$2,970 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,836 |
$1,836 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,296 |
$1,296 |
2.0× |
| External cephalic version (59412) |
$390 |
$390 |
0.1× |
| Fetal Contraction Stress Test (59020) |
$275 |
$275 |
1.1× |
| Fetal non-stress test (59025) |
$312 |
$312 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$270 |
$270 |
0.9× |
| Hem vw factor&clgn iii bndg (0279U) |
$59 |
$59 |
5.1× |
| Hem Vwd Propeptide Ag Lvl (0281U) |
$86 |
$86 |
5.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,053 |
$1,053 |
0.9× |
| I&d abscess peritonsillar (42700) |
$621 |
$621 |
2.2× |
| I&d abscess simple (10060) |
$467 |
$467 |
1.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,510 |
$3,510 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,080 |
$1,080 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$1,836 |
$1,836 |
2.2× |
| I&d pilonidal cyst simple (10080) |
$378 |
$378 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,510 |
$3,510 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,348 |
$3,348 |
1.0× |
| Icd Pocket Revision (33223) |
$3,618 |
$3,618 |
1.5× |
| Implant Neuroelectrodes (64561) |
$14,958 |
$14,958 |
2.0× |
| Incise external hemorrhoid (46083) |
$486 |
$486 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$832 |
$832 |
1.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,510 |
$3,510 |
1.0× |
| Incision & drainage leg/ankle infected bursa (27604) |
$5,508 |
$5,508 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,484 |
$2,484 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$621 |
$621 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$297 |
$297 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$459 |
$459 |
1.3× |
| Incision of rectal abscess (46040) |
$3,078 |
$3,078 |
2.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,890 |
$1,890 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$48 |
$48 |
0.2× |
| Inj W/Fluor Eval Cv Device (36598) |
$605 |
$605 |
2.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$459 |
$459 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,652 |
$1,652 |
2.0× |
| Injection for identification of sentinel node (38792) |
$1,025 |
$1,025 |
2.1× |
| Injection single tendon origin/insertion (20551) |
$459 |
$459 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$715 |
$715 |
1.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$787 |
$787 |
2.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$794 |
$794 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$9,639 |
$9,639 |
1.4× |
Insert 1 Electrode Pm-Defib (33216) range across 4 matching MRF lines |
$10,480–$15,317 |
$10,480–$15,317 |
varies |
| Insert Bladder Cath Complex (51703) |
$486 |
$486 |
3.2× |
| Insert cath pleura w/ image (32557) |
$1,347 |
$1,347 |
0.7× |
| Insert cervical dilator (59200) |
$567 |
$567 |
1.6× |
| Insert Heart Pm Ventricular (33207) |
$15,317 |
$15,317 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$1,836 |
$1,836 |
0.5× |
| Insert pessary/other device (57160) |
$297 |
$297 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$243 |
$243 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$243 |
$243 |
1.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,161 |
$11,161 |
1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$621 |
$621 |
0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$3,348 |
$3,348 |
1.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,954 |
$3,954 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$47,110 |
$47,110 |
1.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$9,828–$11,920 |
$9,828–$11,920 |
varies |
| Insrt heart pm atrial & vent (33208) |
$15,171 |
$15,171 |
1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$459 |
$459 |
0.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$459 |
$459 |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,350 |
$1,350 |
2.1× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$621 |
$621 |
2.2× |
| Intro cath dialysis circuit (36901) |
$2,676 |
$2,676 |
1.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$20,329 |
$20,329 |
1.5× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$9,837 |
$9,837 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$378 |
$378 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$761 |
$761 |
2.5× |
| Laryngoscopy diagnostic (31505) |
$351 |
$351 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$351 |
$351 |
1.5× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$810 |
$810 |
1.7× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$351 |
$351 |
1.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,592 |
$2,592 |
1.2× |
| Late closure of wound (13160) |
$2,970 |
$2,970 |
0.7× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$4,698 |
$4,698 |
1.2× |
| Myelography Lumbar Injection (62305) |
$2,241 |
$2,241 |
2.4× |
| Myelography Lumbar Injection (62304) |
$2,241 |
$2,241 |
2.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$2,241 |
$2,241 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$2,241 |
$2,241 |
2.4× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,160 |
$2,160 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$1,145 |
$1,145 |
3.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,240 |
$3,240 |
0.8× |
| Onc thyr mut alys 10 gen 37 RNA fsn xprsn 4 mrna (0245U) |
$2,735 |
$2,735 |
2.2× |
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) likely a partial charge, not the full procedure |
$1,080 |
$1,080 |
0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,320 |
$4,320 |
1.1× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$4,320 |
$4,320 |
1.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,320 |
$4,320 |
1.1× |
| Penile Injection (54235) |
$795 |
$795 |
2.7× |
| Pericardiocentesis W/Imaging (33016) |
$3,744 |
$3,744 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$198 |
$198 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$378 |
$378 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$891 |
$891 |
1.0× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$621 |
$621 |
1.2× |
| Relocation Pocket Pacemaker (33222) |
$3,618 |
$3,618 |
1.5× |
| Rem Endovas Vena Cava Filter (37193) |
$6,140 |
$6,140 |
1.6× |
| Removal Embedded Foreign Body Eyelid (67938) |
$459 |
$459 |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$3,279 |
$3,279 |
1.7× |
| Removal foreign body foot deep (28192) |
$2,700 |
$2,700 |
1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,620 |
$1,620 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,404 |
$1,404 |
0.7× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,780 |
$3,780 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,700 |
$2,700 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$198 |
$198 |
2.8× |
| Removal of foreign body from pharynx (42809) |
$243 |
$243 |
0.5× |
| Removal of nail bed (11750) |
$702 |
$702 |
1.4× |
| Removal or bivalving full arm or full leg cast (29705) |
$243 |
$243 |
0.7× |
| Removal ppm generator only (33233) |
$11,920 |
$11,920 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$216 |
$216 |
0.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,646 |
$1,646 |
1.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$243 |
$243 |
0.7× |
| Remove Forearm Foreign Body (25248) |
$4,458 |
$4,458 |
2.3× |
| Remove foreign body from eye (65205) |
$243 |
$243 |
1.5× |
| Remove hip pressure sore (15940) |
$1,580 |
$1,580 |
0.5× |
| Remove Intrauterine Device (58301) |
$459 |
$459 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$243 |
$243 |
1.5× |
| Remove Shoulder Foreign Body (23330) |
$1,458 |
$1,458 |
0.7× |
| Remove&replace pm gen singl (33227) |
$30,617 |
$30,617 |
3.1× |
| Remv&replc cvd gen dual lead (33263) |
$33,158 |
$33,158 |
1.2× |
| Remv&replc cvd gen mult lead (33264) |
$48,866 |
$48,866 |
1.3× |
| Remv&replc cvd gen sing lead (33262) |
$33,158 |
$33,158 |
1.2× |
| Remv&replc pm gen dual lead (33228) |
$29,226 |
$29,226 |
2.3× |
| Remv&replc pm gen mult leads (33229) |
$25,024 |
$25,024 |
1.1× |
| Renal Biopsy Perq (50200) |
$3,443 |
$3,443 |
1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$891 |
$891 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$891 |
$891 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$459 |
$459 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$891 |
$891 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$459 |
$459 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$891 |
$891 |
1.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$891 |
$891 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$891 |
$891 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,970 |
$2,970 |
1.5× |
| Repair Finger/Hand Tendon (26350) |
$4,752 |
$4,752 |
1.2× |
| Repair Hand Tendon (26410) |
$2,700 |
$2,700 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$459 |
$459 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$459 |
$459 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$459 |
$459 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$459 |
$459 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$459 |
$459 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$459 |
$459 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$459 |
$459 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$459 |
$459 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$459 |
$459 |
0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$891 |
$891 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$891 |
$891 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$459 |
$459 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$459 |
$459 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$891 |
$891 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$459 |
$459 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$891 |
$891 |
0.4× |
| Repair Laceration Palate </2 Cm (42180) |
$621 |
$621 |
1.0× |
| Repair of nail bed (11760) |
$459 |
$459 |
0.5× |
| Repair tongue laceration (41252) |
$1,350 |
$1,350 |
4.8× |
| Repair tongue laceration (41250) |
$216 |
$216 |
0.4× |
| Reposition Gastrostomy Tube (43761) |
$1,539 |
$1,539 |
5.1× |
| Reposition Pacing-Defib Lead (33215) |
$3,955 |
$3,955 |
1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$4,050 |
$4,050 |
6.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$243 |
$243 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$243 |
$243 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$243 |
$243 |
1.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$243 |
$243 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$3,078 |
$3,078 |
2.1× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,699 |
$3,699 |
1.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,458 |
$1,458 |
0.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,431 |
$1,431 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,930 |
$1,930 |
2.6× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$351 |
$351 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$926 |
$926 |
3.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,553 |
$5,553 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$832 |
$832 |
3.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$459 |
$459 |
0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$621 |
$621 |
2.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,350 |
$1,350 |
2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,350 |
$1,350 |
2.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,350 |
$1,350 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$915 |
$915 |
1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$467 |
$467 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$490 |
$490 |
2.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,007 |
$1,007 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$561 |
$561 |
2.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$1,107 |
$1,107 |
4.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$467 |
$467 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,107 |
$1,107 |
4.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$832 |
$832 |
3.5× |
| Skin Tissue Procedure (17999) |
$481 |
$481 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$561 |
$561 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$915 |
$915 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,007 |
$1,007 |
2.1× |
| Spinal puncture lumbar diagnostic (62270) |
$810 |
$810 |
1.0× |
| Strapping ankle (29540) |
$198 |
$198 |
1.0× |
| Strapping elbow or wrist (29260) |
$198 |
$198 |
2.8× |
| Strapping hand/finger (29280) |
$198 |
$198 |
2.8× |
| Strapping Hip (29520) |
$198 |
$198 |
1.2× |
| Strapping knee (29530) |
$198 |
$198 |
1.2× |
| Strapping shoulder (29240) |
$198 |
$198 |
1.2× |
| Strapping thorax (29200) |
$198 |
$198 |
1.0× |
| Strapping toes (29550) |
$198 |
$198 |
2.8× |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
$166–$351 |
$166–$351 |
varies |
Therapeutic plasma exchange (36514) range across 5 matching MRF lines |
$2,592–$2,808 |
$2,592–$2,808 |
varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,296 |
$1,296 |
4.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,296 |
$1,296 |
0.7× |
| Treat Hip Socket Fracture (27222) |
$405 |
$405 |
1.4× |
| Treat humerus fracture (24500) |
$405 |
$405 |
1.4× |
| Treat Humerus Fracture (24505) |
$405 |
$405 |
0.2× |
| Treat humerus fracture (23600) |
$405 |
$405 |
1.4× |
| Treat Knee Fracture(S) (27538) |
$405 |
$405 |
1.4× |
| Treat Knuckle Dislocation (26700) |
$405 |
$405 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$405 |
$405 |
1.4× |
| Treat Tail Bone Fracture (27200) |
$162 |
$162 |
0.5× |
| Treat Thumb Dislocation (26641) |
$405 |
$405 |
1.4× |
| Treat Thumb Fracture (26645) |
$405 |
$405 |
0.2× |
| Treat toe dislocation (28630) |
$405 |
$405 |
1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,484 |
$2,484 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$405 |
$405 |
1.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$135 |
$135 |
1.9× |
| Tx Gastro Intub W/Asp (43753) |
$378 |
$378 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$891 |
$891 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$459 |
$459 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$270 |
$270 |
0.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$270 |
$270 |
0.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$270 |
$270 |
1.4× |
| Unlisted Procedure Leg/Ankle (27899) |
$5,508 |
$5,508 |
18.6× |
| Vein Access Cutdown < 1 Yr (36420) |
$216 |
$216 |
1.4× |
| Venous Cutdown >1 Y/O (36425) |
$198 |
$198 |
0.4× |
| Von willebrand factor type 2b plasma (0283U) |
$92 |
$92 |
5.0× |
| Vw factor type 2n eval plsm (0284U) |
$86 |
$86 |
5.0× |
| Wedge excision skin nail fold (11765) |
$216 |
$216 |
0.4× |
| Wedging of cast (29740) |
$243 |
$243 |
0.7× |
| Windowing of cast (29730) |
$243 |
$243 |
1.2× |