| Abd paracentesis w/imaging (49083) |
$1,440 |
$2,400 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,558.80 |
$2,598 |
1.6× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$349.20 |
$582 |
1.1× |
| Application cast elbow finger short arm (29075) |
$436.20 |
$727 |
1.5× |
| Application finger splint static (29130) |
$185.40 |
$309 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$303 |
$505 |
1.8× |
| Application Long Leg Splint (29505) |
$263.40 |
$439 |
1.5× |
| Application of long leg cast (29345) |
$393 |
$655 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$87 |
$145 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$285 |
$475 |
2.0× |
| Application short leg splint calf foot (29515) |
$263.40 |
$439 |
1.5× |
| Apply hand/wrist cast (29085) |
$312 |
$520 |
1.8× |
| Apply long arm cast (29065) |
$349.20 |
$582 |
1.2× |
| Apply Short Leg Cast (29405) |
$386.40 |
$644 |
1.3× |
| Apply short leg cast (29425) |
$379.20 |
$632 |
1.3× |
| Arterial puncture (36600) |
$121.20 |
$202 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$366.60 |
$611 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$880.20 |
$1,467 |
2.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$486 |
$810 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$399.60 |
$666 |
1.2× |
| Aspirate Pleura W/O Imaging (32554) |
$657.60 |
$1,096 |
1.0× |
| Aspiration Bladder Needle (51100) |
$545.40 |
$909 |
2.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$337.80 |
$563 |
1.6× |
| Bladder Irrigation (51700) |
$220.20 |
$367 |
0.8× |
| Bladder Scan (51798) |
$210.60 |
$351 |
3.4× |
| Blepharotomy drainage abscess eyelid (67700) |
$511.20 |
$852 |
1.5× |
| Blood Transfusion Service (36430) |
$1,140 |
$1,900 |
2.4× |
| Bronchoscopy Clear Airways (31645) |
$1,779.60 |
$2,966 |
0.9× |
| Bronchoscopy Reclear Airway (31646) |
$1,284 |
$2,140 |
3.1× |
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines |
$2,262.60–$2,350.80 |
$3,771–$3,918 |
varies |
| Canthotomy Separate Procedure (67715) |
$2,289.60 |
$3,816 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$497.40 |
$829 |
1.9× |
| Change of Windpipe Airway (31502) |
$441 |
$735 |
1.8× |
| Chest tube placement (32551) |
$1,033.80 |
$1,723 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,074.60 |
$1,791 |
0.6× |
| Clear outer ear canal (69200) |
$213.60 |
$356 |
1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$507 |
$845 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$534 |
$890 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$514.20 |
$857 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,377.20 |
$3,962 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$441 |
$735 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$364.20 |
$607 |
1.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,230.20 |
$3,717 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$441 |
$735 |
1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,182.60 |
$1,971 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,072.20 |
$1,787 |
0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$364.20 |
$607 |
1.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,101 |
$1,835 |
0.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$391.20 |
$652 |
1.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$405 |
$675 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$300 |
$500 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$412.20 |
$687 |
1.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$365.40 |
$609 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$587.40 |
$979 |
2.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$438 |
$730 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$364.20 |
$607 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$364.80 |
$608 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$391.20 |
$652 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$414.60 |
$691 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$435.60 |
$726 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,191 |
$1,985 |
0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,507.20 |
$2,512 |
0.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$2,568.60 |
$4,281 |
1.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,428.80 |
$4,048 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$393 |
$655 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$321 |
$535 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$484.20 |
$807 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$350.40 |
$584 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,246.80 |
$2,078 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$483 |
$805 |
1.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$465 |
$775 |
1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$393 |
$655 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$403.80 |
$673 |
1.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,074.60 |
$1,791 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$430.80 |
$718 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$367.20 |
$612 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$414.60 |
$691 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$394.80 |
$658 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$480.60 |
$801 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$403.20 |
$672 |
1.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$377.40 |
$629 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$377.40 |
$629 |
1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,870.20 |
$3,117 |
1.1× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$415.20 |
$692 |
1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,377.20 |
$3,962 |
1.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$373.80 |
$623 |
1.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$153 |
$255 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$18.60 |
$31 |
2.0× |
| Colporrhaphy (57200) |
$2,979 |
$4,965 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$355.80 |
$593 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$238.20 |
$397 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$352.20 |
$587 |
2.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$327 |
$545 |
1.3× |
| Debride nail 1-5 (11720) |
$93 |
$155 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$737.40 |
$1,229 |
1.7× |
| Declot vascular device (36593) |
$661.80 |
$1,103 |
1.9× |
| Delivery of placenta (59414) |
$2,493.60 |
$4,156 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,050.60 |
$1,751 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,620.60 |
$2,701 |
0.9× |
| Drainage of finger abscess simple (26010) |
$441 |
$735 |
2.1× |
| Drainage of gum lesion (41800) |
$366.60 |
$611 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$2,116.20 |
$3,527 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$1,943.40 |
$3,239 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$189 |
$315 |
1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$915 |
$1,525 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$330.60 |
$551 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$292.80 |
$488 |
1.4× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$349.20 |
$582 |
1.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$349.20 |
$582 |
1.1× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$349.20 |
$582 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$178.20 |
$297 |
1.3× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$4,719 |
$7,865 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$2,007.60 |
$3,346 |
1.1× |
| Fluoro exam of g/colon tube (49465) |
$373.80 |
$623 |
1.5× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$4,556.40 |
$7,594 |
1.3× |
| I&d abscess peritonsillar (42700) |
$205.20 |
$342 |
0.8× |
| I&d abscess simple (10060) |
$445.80 |
$743 |
2.1× |
| I&d perianal abscess superficial (46050) |
$1,467.60 |
$2,446 |
1.5× |
| I&d pilonidal cyst complicated (10081) |
$1,360.80 |
$2,268 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$587.40 |
$979 |
0.8× |
| Incise external hemorrhoid (46083) |
$377.40 |
$629 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$819.60 |
$1,366 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$642 |
$1,070 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$377.40 |
$629 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$424.20 |
$707 |
1.3× |
| Incision of rectal abscess (46040) |
$2,391 |
$3,985 |
1.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$220.20 |
$367 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,371.60 |
$2,286 |
1.5× |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
$1,299–$2,050.80 |
$2,165–$3,418 |
varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,246.80 |
$2,078 |
1.7× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,246.80 |
$2,078 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$530.40 |
$884 |
1.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$935.40 |
$1,559 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$534.60 |
$891 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$441 |
$735 |
1.4× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
$1,626–$2,563.20 |
$2,710–$4,272 |
varies |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,371.60 |
$2,286 |
1.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$734.40 |
$1,224 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,002.20 |
$3,337 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,785.60 |
$2,976 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$235.20 |
$392 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$185.40 |
$309 |
1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,995 |
$3,325 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$708 |
$1,180 |
2.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$613.80 |
$1,023 |
2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$427.20 |
$712 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,496.40 |
$2,494 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,496.40 |
$2,494 |
1.6× |
| Occipital Nerve Block (64405) |
$655.80 |
$1,093 |
2.0× |
| Penile Injection (54235) |
$613.80 |
$1,023 |
2.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,246.80 |
$2,078 |
0.7× |
Perq dev breast 1st mr guide (19287)
range across 2 matching MRF lines |
$1,845.60–$1,917.60 |
$3,076–$3,196 |
varies |
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines |
$1,200.60–$1,247.40 |
$2,001–$2,079 |
varies |
Perq device breast 1st imag (19281)
range across 2 matching MRF lines |
$1,486.80–$1,545 |
$2,478–$2,575 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$303 |
$505 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$552.60 |
$921 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$748.20 |
$1,247 |
1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$834.60 |
$1,391 |
1.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$935.40 |
$1,559 |
1.3× |
| Removal Embedded Foreign Body Eyelid (67938) |
$246 |
$410 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,639.20 |
$2,732 |
2.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$154.80 |
$258 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$184.20 |
$307 |
3.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,979 |
$4,965 |
0.9× |
| Removal of foreign body from pharynx (42809) |
$571.20 |
$952 |
1.2× |
| Removal of nail bed (11750) |
$258 |
$430 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$240.60 |
$401 |
1.1× |
| Remove foreign body from eye (65205) |
$220.20 |
$367 |
1.6× |
| Remove Intrauterine Device (58301) |
$385.20 |
$642 |
1.2× |
| Remove Nasal Foreign Body (30300) |
$205.20 |
$342 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$403.80 |
$673 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$441 |
$735 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$477.60 |
$796 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$261 |
$435 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$348.60 |
$581 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$366.60 |
$611 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$597 |
$995 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$409.80 |
$683 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$694.20 |
$1,157 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$601.80 |
$1,003 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$712.80 |
$1,188 |
1.7× |
| Repair of nail bed (11760) |
$419.40 |
$699 |
0.5× |
| Repair tongue laceration (41250) |
$258 |
$430 |
0.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,364.60 |
$3,941 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$660 |
$1,100 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$268.20 |
$447 |
1.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,945.20 |
$3,242 |
1.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,412.40 |
$2,354 |
0.8× |
| Rplc Gtube No Revj Trc (43762) |
$532.20 |
$887 |
2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$352.80 |
$588 |
1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$330.60 |
$551 |
1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,101 |
$1,835 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$523.80 |
$873 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$431.40 |
$719 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$463.80 |
$773 |
2.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$586.20 |
$977 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$553.20 |
$922 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$445.80 |
$743 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$495 |
$825 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$508.80 |
$848 |
2.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$452.40 |
$754 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$417 |
$695 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$495 |
$825 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$960 |
$1,600 |
1.3× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$329.40–$342 |
$549–$570 |
varies |
| Thrombolytic Therapy Stroke (37195) |
$456 |
$760 |
1.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,090.80 |
$1,818 |
4.4× |
| Treat Knuckle Dislocation (26700) |
$364.20 |
$607 |
1.4× |
| Treat toe dislocation (28630) |
$349.20 |
$582 |
1.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,470.60 |
$2,451 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$534.60 |
$891 |
2.0× |
| Trim skin lesion (11055) |
$161.40 |
$269 |
0.8× |
| Tx Gastro Intub W/Asp (43753) |
$360 |
$600 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$671.40 |
$1,119 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$354 |
$590 |
1.4× |
| Vaginal delivery only (59409) |
$2,774.40 |
$4,624 |
0.8× |
| Wedge excision skin nail fold (11765) |
$282.60 |
$471 |
0.7× |