| Abd paracentesis w/imaging (49083) |
$291.80 |
$2,918 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$422.10 |
$4,221 |
0.5× |
| Anal/Urinary Muscle Study (51784) |
$36.80 |
$368 |
0.3× |
| Anoscopy diagnostic (46600) |
$28.80 |
$288 |
0.2× |
| Application cast elbow finger short arm (29075) |
$97.90 |
$979 |
0.3× |
| Application finger splint static (29130) |
$33.40 |
$334 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$58.20 |
$582 |
0.4× |
| Application Long Leg Splint (29505) |
$52.30 |
$523 |
0.3× |
| Application of rigid total contact leg cast (29445) |
$53.50 |
$535 |
0.2× |
| Application short arm splint forearm-hand static (29125) |
$53.50 |
$535 |
0.4× |
| Application short leg splint calf foot (29515) |
$52.30 |
$523 |
0.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$107.60 |
$1,076 |
0.7× |
| Apply Short Leg Cast (29405) |
$74.70 |
$747 |
0.3× |
| Arterial puncture (36600) |
$28.30 |
$283 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$121.60 |
$1,216 |
0.4× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
$158.40–$237.60 |
$1,584–$2,376 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$109.20 |
$1,092 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$81.80 |
$818 |
0.3× |
| Aspirate pleura w/ imaging (32555) |
$285.40 |
$2,854 |
0.5× |
| Aspirate Pleura W/O Imaging (32554) |
$263.90 |
$2,639 |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$57.30 |
$573 |
0.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$224.70 |
$2,247 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$63.90 |
$639 |
0.3× |
| Biopsy Abdominal Mass (49180) |
$258.90 |
$2,589 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$353.50 |
$3,535 |
0.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$602.50 |
$6,025 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$574.50 |
$5,745 |
0.3× |
| Biopsy of liver, needle; percutaneous (47000) |
$391 |
$3,910 |
0.2× |
| Biopsy Pleura Percutaneous Needle (32400) |
$602.50 |
$6,025 |
0.4× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$1,080.40 |
$10,804 |
0.3× |
| Biopsy Salivary Gland Needle (42400) |
$120.10 |
$1,201 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$1,133.50 |
$11,335 |
0.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$501.30 |
$5,013 |
0.3× |
| Biopsy Vaginal Mucosa Simple (57100) |
$267.30 |
$2,673 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$109.30 |
$1,093 |
0.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$88.90 |
$889 |
0.1× |
| Bladder Irrigation (51700) |
$128.40 |
$1,284 |
0.5× |
| Bladder Scan (51798) |
$19.30 |
$193 |
0.3× |
| Blepharotomy drainage abscess eyelid (67700) |
$112 |
$1,120 |
0.4× |
| Blood Transfusion Service (36430) |
$212.30 |
$2,123 |
0.5× |
| Bone Marrow Biopsy (38221) |
$762.10 |
$7,621 |
0.5× |
| Bone Marrow; Aspiration Only (38220) |
$762.10 |
$7,621 |
0.5× |
| Brnchsc Brushing/Protected Brushings (31623) |
$371.30 |
$3,713 |
0.2× |
| Bx breast 1st lesion mr imag (19085) |
$300.30 |
$3,003 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$300.30 |
$3,003 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$300.30 |
$3,003 |
0.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$574.50 |
$5,745 |
0.3× |
| Bx Cervix (57500) |
$139.60 |
$1,396 |
0.2× |
| Catheter aspiration nasotracheal spx (31720) |
$68.60 |
$686 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$90.40 |
$904 |
0.4× |
| Change of Windpipe Airway (31502) |
$73.90 |
$739 |
0.3× |
| Chemical Cautery Tissue (17250) |
$81.30 |
$813 |
0.4× |
| Chemodenerv Musc Migraine (64615) |
$101 |
$1,010 |
0.3× |
| Chemodenerv musc neck dyston (64616) |
$93 |
$930 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$62.60 |
$626 |
0.2× |
| Chest tube placement (32551) |
$602.30 |
$6,023 |
0.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$1,193.60 |
$11,936 |
0.3× |
| Circumcision 28 days or older (54161) |
$915 |
$9,150 |
0.4× |
| Cl Tx Scapular Fx; W Manip (23575) |
$596.60 |
$5,966 |
0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$567.20 |
$5,672 |
0.4× |
| Clear outer ear canal (69200) |
$33.50 |
$335 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$87 |
$870 |
0.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$78.90 |
$789 |
0.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$516.20 |
$5,162 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$76.30 |
$763 |
0.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$516.20 |
$5,162 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$88.30 |
$883 |
0.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$596.60 |
$5,966 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$75.90 |
$759 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$458 |
$4,580 |
0.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$596.60 |
$5,966 |
0.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$545.90 |
$5,459 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$80.20 |
$802 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$70.40 |
$704 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$509 |
$5,090 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$94.70 |
$947 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$596.60 |
$5,966 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$80.30 |
$803 |
0.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$74.20 |
$742 |
0.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$47.80 |
$478 |
0.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$40.40 |
$404 |
0.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$596.60 |
$5,966 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$56.60 |
$566 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$59.70 |
$597 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$54.90 |
$549 |
0.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$60.10 |
$601 |
0.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$455.10 |
$4,551 |
0.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$63.50 |
$635 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$60.10 |
$601 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$49 |
$490 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$419.80 |
$4,198 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$50.20 |
$502 |
0.4× |
| Collection of venous blood by venipuncture (36415) |
$3.50 |
$35 |
0.4× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$216.50 |
$2,165 |
0.2× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$253.40 |
$2,534 |
0.2× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$216.50 |
$2,165 |
0.2× |
| Colonoscopy thru stoma (44388) |
$216.50 |
$2,165 |
0.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$216.50 |
$2,165 |
0.2× |
| Colonoscopy w/ablation (45388) |
$216.50 |
$2,165 |
0.2× |
| Colonoscopy w/ndl aspir/bx (44407) |
$375 |
$3,750 |
0.3× |
| Colonoscopy W/Resection (45390) |
$724.30 |
$7,243 |
0.3× |
| Colonoscopy w/submucosal inj (45381) |
$216.50 |
$2,165 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$83.60 |
$836 |
0.3× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$92.90 |
$929 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$66.10 |
$661 |
0.2× |
| Colposcopy Vulva W/Biopsy (56821) |
$120.70 |
$1,207 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$216.50 |
$2,165 |
0.2× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$262.80 |
$2,628 |
0.2× |
| Complex Cystometrogram (51726) |
$98.50 |
$985 |
0.4× |
| Complex drainage wound (10180) |
$567.90 |
$5,679 |
0.2× |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
$49.20–$73.80 |
$492–$738 |
varies |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$67 |
$670 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$592.80 |
$5,928 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$43.60 |
$436 |
0.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$582 |
$5,820 |
0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$471.20 |
$4,712 |
0.2× |
| Cystometrogram W/Vp (51728) |
$98.50 |
$985 |
0.1× |
| Cystometrogram W/Vp&Up (51729) |
$98.50 |
$985 |
0.1× |
| Cystourethroscopy (52000) |
$403.40 |
$4,034 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$226.80 |
$2,268 |
0.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$120 |
$1,200 |
0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$189.60 |
$1,896 |
0.3× |
| Debride nail 1-5 (11720) |
$29.30 |
$293 |
0.5× |
| Debride nail 6 or more (11721) |
$25.70 |
$257 |
0.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$262 |
$2,620 |
0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$413.10 |
$4,131 |
1.0× |
| Declot vascular device (36593) |
$160 |
$1,600 |
0.5× |
| Destruct B9 Lesion 1-14 (17110) |
$155.40 |
$1,554 |
0.8× |
| Destruction Benign Lesions 15/> (17111) |
$33.50 |
$335 |
0.2× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$379.20 |
$3,792 |
0.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$58.80 |
$588 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$81.30 |
$813 |
0.4× |
| Destruction Vaginal Lesions Simple (57061) |
$488 |
$4,880 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$227.60 |
$2,276 |
0.2× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$64.30 |
$643 |
0.5× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$50.80 |
$508 |
0.4× |
| Dilate Urethra Stricture (53620) |
$401.20 |
$4,012 |
0.6× |
| Dilate Urethra Stricture (53600) |
$447.10 |
$4,471 |
1.8× |
| Dilation Esophagus Guide Wire (43453) |
$611.20 |
$6,112 |
0.3× |
| Drain Cerebro Spinal Fluid (62272) |
$332 |
$3,320 |
0.5× |
| Drainage external auditory canal abscess (69020) |
$223.80 |
$2,238 |
0.3× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$515.70 |
$5,157 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$266.20 |
$2,662 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$520.90 |
$5,209 |
0.3× |
| Drainage of finger abscess simple (26010) |
$68.30 |
$683 |
0.3× |
| Drainage of gum lesion (41800) |
$84.70 |
$847 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$401 |
$4,010 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$361.10 |
$3,611 |
0.2× |
| Drainage of scrotum (54700) |
$1,024 |
$10,240 |
0.5× |
| Draw Blood Off Venous Device (36591) |
$59.10 |
$591 |
0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$204.80 |
$2,048 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$72.50 |
$725 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$52.30 |
$523 |
0.3× |
| Dstrj lesion anus simple surg excision (46922) |
$488.40 |
$4,884 |
0.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$77.10 |
$771 |
0.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$230.70 |
$2,307 |
0.3× |
| Dx Bone Marrow Bx & Aspir (38222) |
$647 |
$6,470 |
0.2× |
| Dx Bronchoscope/Lavage (31624) |
$371.40 |
$3,714 |
0.2× |
| Dx Bronchoscope/Wash (31622) |
$366.50 |
$3,665 |
0.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$261.60 |
$2,616 |
0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$611.20 |
$6,112 |
0.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$312.60 |
$3,126 |
0.2× |
| Egd cautery tumor polyp (43250) |
$450.10 |
$4,501 |
0.2× |
| Egd control bleeding any (43255) |
$312.60 |
$3,126 |
0.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$312.60 |
$3,126 |
0.2× |
| Egd endo mucosal resection (43254) |
$312.60 |
$3,126 |
0.2× |
| Egd Flexible Foreign Body Removal (43247) |
$214.30 |
$2,143 |
0.2× |
| Egd guide wire insertion (43248) |
$214.30 |
$2,143 |
0.2× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$312.60 |
$3,126 |
0.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$312.60 |
$3,126 |
0.2× |
| Egd lesion ablation (43270) |
$312.60 |
$3,126 |
0.2× |
| Egd place gastrostomy tube (43246) |
$385.30 |
$3,853 |
0.2× |
| Egd remove lesion snare (43251) |
$312.60 |
$3,126 |
0.2× |
| Egd us exam duodenum/jejunum (43259) |
$312.60 |
$3,126 |
0.2× |
| Egd Varices Ligation (43244) |
$312.60 |
$3,126 |
0.2× |
| Electro-Uroflowmetry First (51741) |
$34.80 |
$348 |
0.2× |
| Endometrial Biopsy (58100) |
$68.30 |
$683 |
0.3× |
| Endoscopic us exam esoph (43237) |
$312.60 |
$3,126 |
0.2× |
| Endoscopy Upper Small Intestine (44360) |
$214.30 |
$2,143 |
0.1× |
| Endoscopy upper small intestine w/biopsy (44361) |
$639.50 |
$6,395 |
0.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$1,061.70 |
$10,617 |
0.3× |
Endoven ther chem adhes 1st (36482)
unusually low: confirm this is the full procedure |
$1,923.50 |
$19,235 |
0.3× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$312.60 |
$3,126 |
0.2× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$603.20 |
$6,032 |
0.3× |
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure |
$1,038.30 |
$10,383 |
0.2× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$569 |
$5,690 |
0.1× |
| Ercp ea duct/ampulla dilate (43277) |
$569 |
$5,690 |
0.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$569 |
$5,690 |
0.1× |
| Ercp remove forgn body duct (43275) |
$569 |
$5,690 |
0.3× |
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure |
$1,038.30 |
$10,383 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$569 |
$5,690 |
0.1× |
| Ercp,Sphincterotomy (43262) |
$569 |
$5,690 |
0.1× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$261.90 |
$2,619 |
0.3× |
| Esophagosc Dilate Balloon 30 (43214) |
$312.60 |
$3,126 |
0.2× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$569 |
$5,690 |
0.1× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$312.60 |
$3,126 |
0.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$214.30 |
$2,143 |
0.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$312.60 |
$3,126 |
0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$214.30 |
$2,143 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$24.90 |
$249 |
0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$459.60 |
$4,596 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$826.20 |
$8,262 |
0.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$266.60 |
$2,666 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$293.20 |
$2,932 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$255.50 |
$2,555 |
0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$244 |
$2,440 |
0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$394.60 |
$3,946 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$761.80 |
$7,618 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$663.20 |
$6,632 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$535 |
$5,350 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$408.10 |
$4,081 |
0.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$571.80 |
$5,718 |
0.3× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$291.40 |
$2,914 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$414.40 |
$4,144 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$637.70 |
$6,377 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$545.90 |
$5,459 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$396.80 |
$3,968 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$603.80 |
$6,038 |
0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$435.80 |
$4,358 |
1.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$224.90 |
$2,249 |
0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$375.80 |
$3,758 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$255.50 |
$2,555 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$90.90 |
$909 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$252.10 |
$2,521 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$187 |
$1,870 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$274.20 |
$2,742 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$240.80 |
$2,408 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$508.40 |
$5,084 |
0.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$266.20 |
$2,662 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$96.70 |
$967 |
0.2× |
| Fluoro exam of g/colon tube (49465) |
$94.20 |
$942 |
0.4× |
| Fna bx w/us gdn 1st les (10005) |
$266.20 |
$2,662 |
0.4× |
| Foreskin manipulation (54450) |
$50.20 |
$502 |
0.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$1,157.70 |
$11,577 |
0.3× |
| Guide Cathet Fluid Drainage (10030) |
$122.70 |
$1,227 |
0.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$319.80 |
$3,198 |
0.3× |
| I&d abscess peritonsillar (42700) |
$150.90 |
$1,509 |
0.6× |
| I&d abscess simple (10060) |
$80.20 |
$802 |
0.4× |
| I&d perianal abscess superficial (46050) |
$538.90 |
$5,389 |
0.6× |
| I&d pilonidal cyst complicated (10081) |
$217.20 |
$2,172 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$266.20 |
$2,662 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$433 |
$4,330 |
0.1× |
| Image Cath Fluid Colxn Visc (49405) |
$252.70 |
$2,527 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$515.60 |
$5,156 |
0.3× |
| Incise external hemorrhoid (46083) |
$74 |
$740 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$85.40 |
$854 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$571.80 |
$5,718 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$89.50 |
$895 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$77.40 |
$774 |
0.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$152.30 |
$1,523 |
0.5× |
| Incision of rectal abscess (46040) |
$633.90 |
$6,339 |
0.5× |
| Incision of urethra (53020) |
$766.80 |
$7,668 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$130.60 |
$1,306 |
0.2× |
| Inj W/Fluor Eval Cv Device (36598) |
$80.20 |
$802 |
0.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$115.40 |
$1,154 |
0.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$453.80 |
$4,538 |
0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$95.20 |
$952 |
0.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$222.20 |
$2,222 |
0.3× |
| Injection single tendon origin/insertion (20551) |
$51.90 |
$519 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$121.60 |
$1,216 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$91.60 |
$916 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$109.60 |
$1,096 |
0.4× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$116.60–$174.90 |
$1,166–$1,749 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$63.90 |
$639 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$90.40 |
$904 |
0.7× |
| Insert cath pleura w/ image (32557) |
$717 |
$7,170 |
0.5× |
| Insert cath pleura w/o image (32556) |
$651.90 |
$6,519 |
0.3× |
| Insert Drug Implant Device (11981) |
$39.50 |
$395 |
0.3× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$556.60 |
$5,566 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,225.80 |
$12,258 |
0.4× |
| Insert pessary/other device (57160) |
$50.20 |
$502 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$602.30 |
$6,023 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$36 |
$360 |
0.3× |
| Insert tunneled cv cath (36561) |
$862.10 |
$8,621 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$59.10 |
$591 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,033.60 |
$10,336 |
0.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$630.20 |
$6,302 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$363.60 |
$3,636 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,223.50 |
$12,235 |
0.4× |
| Intraoral i&d tongue/floor lingual (41000) |
$184.70 |
$1,847 |
0.3× |
| Intraoral i&d tongue/floor submental space (41007) |
$504.10 |
$5,041 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$119.10 |
$1,191 |
0.5× |
| Laryngoscopy flexible diagnostic (31575) |
$64.20 |
$642 |
0.3× |
| Myelography Lumbar Injection (62304) |
$320.70 |
$3,207 |
0.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$320.70 |
$3,207 |
0.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$320.70 |
$3,207 |
0.4× |
| N block inj intercost sng (64420) |
$271.50 |
$2,715 |
0.4× |
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines |
$92.10–$138.15 |
$921–$1,381.50 |
varies |
| N Block Lumbar/Thoracic (64520) |
$300.20 |
$3,002 |
0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$116.40 |
$1,164 |
0.3× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$293.60 |
$2,936 |
0.3× |
| Needle Biopsy Lymph Nodes (38505) |
$602.50 |
$6,025 |
0.4× |
| Needle Biopsy Pancreas (48102) |
$515.60 |
$5,156 |
0.3× |
| Neuroeltrd Stim Post Tibial (64566) |
$87.70 |
$877 |
0.3× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$709.10 |
$7,091 |
0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$120.10 |
$1,201 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,193.60 |
$11,936 |
0.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$119.10 |
$1,191 |
0.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$122.10 |
$1,221 |
0.3× |
| Njx Sclrsnt Spider Veins (36468) |
$61.60 |
$616 |
0.2× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$93–$139.50 |
$930–$1,395 |
varies |
| Percut Drain/Inject Renal Cyst (50390) |
$201.30 |
$2,013 |
0.3× |
| Peritoneal Lavage (49084) |
$270.20 |
$2,702 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$266.60 |
$2,666 |
0.4× |
| Perq device breast 1st imag (19281) |
$266.60 |
$2,666 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$92.80 |
$928 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$138.30 |
$1,383 |
0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$850.80 |
$8,508 |
0.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$388.80 |
$3,888 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$81.30 |
$813 |
0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$163.70 |
$1,637 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$266.60 |
$2,666 |
0.4× |
| Removal foreign body foot deep (28192) |
$520.90 |
$5,209 |
0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$400.20 |
$4,002 |
0.6× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$23.30–$34.95 |
$233–$349.50 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$35 |
$350 |
0.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$472.10 |
$4,721 |
0.3× |
| Removal of nail bed (11750) |
$148.60 |
$1,486 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$51.90 |
$519 |
0.3× |
| Remove drug implant device (11982) |
$152.30 |
$1,523 |
0.3× |
| Remove foreign body from eye (65205) |
$44.40 |
$444 |
0.3× |
| Remove Intrauterine Device (58301) |
$62.90 |
$629 |
0.2× |
| Remove Nasal Foreign Body (30300) |
$61.40 |
$614 |
0.5× |
| Remove/Insert Drug Implant (11983) |
$116.40 |
$1,164 |
0.3× |
| Renal Biopsy Perq (50200) |
$515.60 |
$5,156 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$200.80 |
$2,008 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$75.30 |
$753 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$208.20 |
$2,082 |
0.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$201.80 |
$2,018 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$319.50 |
$3,195 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$200.80 |
$2,008 |
0.3× |
| Repair incomplete circumcision (54163) |
$461.80 |
$4,618 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$133.90 |
$1,339 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$133.90 |
$1,339 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$133.60 |
$1,336 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$59.30 |
$593 |
0.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$69 |
$690 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$126 |
$1,260 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$207.70 |
$2,077 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$169.80 |
$1,698 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$188.70 |
$1,887 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$104.40 |
$1,044 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$92.40 |
$924 |
0.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$585.80 |
$5,858 |
0.3× |
| Repair of nail bed (11760) |
$225.70 |
$2,257 |
0.3× |
| Repair tongue laceration (41250) |
$132.90 |
$1,329 |
0.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$291.80 |
$2,918 |
0.3× |
| Replace g/c tube perc (49450) |
$291.30 |
$2,913 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$48.50 |
$485 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$414.60 |
$4,146 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$144.80 |
$1,448 |
0.2× |
| Rplc Gtube No Revj Trc (43762) |
$96.90 |
$969 |
0.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,010.10 |
$10,101 |
0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$64.70 |
$647 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$176.80 |
$1,768 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$297.40 |
$2,974 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$216.50 |
$2,165 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$147.80 |
$1,478 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$77 |
$770 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$102.30 |
$1,023 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$77 |
$770 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$84.70 |
$847 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$93 |
$930 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$102.30 |
$1,023 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$84.70 |
$847 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$93 |
$930 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$162.60 |
$1,626 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$196.90 |
$1,969 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$178.90 |
$1,789 |
0.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$216.50 |
$2,165 |
0.2× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$387 |
$3,870 |
0.3× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$477.40 |
$4,774 |
0.4× |
| Sigmoidoscopy W/Resection (45349) |
$724.30 |
$7,243 |
0.3× |
| Sigmoidoscopy W/Ultrasound (45341) |
$216.50 |
$2,165 |
0.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$141.60 |
$1,416 |
0.2× |
| Simple Cystometrogram (51725) |
$114.10 |
$1,141 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$65.10 |
$651 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$64.90 |
$649 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$77 |
$770 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$67.60 |
$676 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$65 |
$650 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$732.10 |
$7,321 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$732.10 |
$7,321 |
1.0× |
| Small bowel endoscopy (44366) |
$603.20 |
$6,032 |
0.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$314.20 |
$3,142 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$63.90 |
$639 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$75.80 |
$758 |
0.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$62.20 |
$622 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$133.80 |
$1,338 |
0.2× |
| Strapping ankle (29540) |
$59.80 |
$598 |
0.4× |
| Strapping elbow or wrist (29260) |
$33.20 |
$332 |
0.6× |
| Strapping hand/finger (29280) |
$33.70 |
$337 |
0.6× |
| Strapping Hip (29520) |
$33.20 |
$332 |
0.2× |
| Strapping knee (29530) |
$36.50 |
$365 |
0.3× |
| Strapping shoulder (29240) |
$45.90 |
$459 |
0.3× |
| Strapping thorax (29200) |
$33.20 |
$332 |
0.2× |
| Strapping toes (29550) |
$37.90 |
$379 |
0.6× |
| Strapping Unna Boot (29580) |
$40.10 |
$401 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$77 |
$770 |
0.2× |
| Thrombolytic Therapy Stroke (37195) |
$136.50 |
$1,365 |
0.4× |
| Thyroid biopsy (60100) |
$154.40 |
$1,544 |
0.2× |
Tprnl Plmt Biodegrdabl Matrl (55874)
unusually low: confirm this is the full procedure |
$1,770.90 |
$17,709 |
0.3× |
| Tracheostomy planned (31600) |
$1,169.30 |
$11,693 |
0.4× |
| Treat Humerus Fracture (24505) |
$507.70 |
$5,077 |
0.3× |
| Treat Knuckle Dislocation (26700) |
$54.50 |
$545 |
0.2× |
| Treat Thumb Fracture (26645) |
$545.60 |
$5,456 |
0.3× |
| Treat toe dislocation (28630) |
$83.40 |
$834 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$75.90 |
$759 |
0.3× |
| Trim skin lesion (11055) |
$77 |
$770 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$84.70 |
$847 |
0.4× |
| Trim skin lesions over 4 (11057) |
$100.30 |
$1,003 |
0.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$22.40 |
$224 |
0.4× |
| Tx Gastro Intub W/Asp (43753) |
$113.30 |
$1,133 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$208.10 |
$2,081 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$71 |
$710 |
0.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$52.20 |
$522 |
0.3× |
| Unlisted Procedure Intestine (44799) |
$291.30 |
$2,913 |
0.3× |
| Unlisted procedure nervous system (64999) |
$93.90 |
$939 |
0.3× |
| Urine Flow Measurement (51736) |
$41.80 |
$418 |
0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$718.50 |
$7,185 |
0.3× |
| Wedge excision skin nail fold (11765) |
$130.50 |
$1,305 |
0.3× |