| Abd paracentesis w/imaging (49083) |
$127.90 |
$1,279 |
0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$247.20 |
$2,472 |
0.3× |
| Amniocentesis diagnostic (59000) |
$295.60 |
$2,956 |
0.3× |
| Anal/Urinary Muscle Study (51784) |
$86.90 |
$869 |
0.7× |
| Anoscopy; with biopsy, single or multiple (46606) |
$379.20 |
$3,792 |
0.3× |
| Application finger splint static (29130) |
$95.20 |
$952 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$95.20 |
$952 |
0.6× |
| Application Long Leg Splint (29505) |
$53.20 |
$532 |
0.3× |
| Application of rigid total contact leg cast (29445) |
$100.20 |
$1,002 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$74.30 |
$743 |
0.6× |
| Application short leg splint calf foot (29515) |
$34.90 |
$349 |
0.2× |
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines |
$48.30–$108.75 |
$483–$1,087.50 |
varies |
| Arterial puncture (36600) |
$47.10 |
$471 |
0.4× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$95.20–$142.80 |
$952–$1,428 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$136.30 |
$1,363 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$93.90 |
$939 |
0.3× |
| Aspirate pleura w/ imaging (32555) |
$297.60 |
$2,976 |
0.5× |
| Aspirate Pleura W/O Imaging (32554) |
$270.60 |
$2,706 |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$76.50 |
$765 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$45.60 |
$456 |
0.2× |
| Biopsy Abdominal Mass (49180) |
$487.70 |
$4,877 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$523.70 |
$5,237 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$523.70 |
$5,237 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$481.50 |
$4,815 |
0.3× |
| Biopsy of liver, needle; percutaneous (47000) |
$588.90 |
$5,889 |
0.4× |
| Biopsy Pleura Percutaneous Needle (32400) |
$487.70 |
$4,877 |
0.3× |
| Biopsy Salivary Gland Needle (42400) |
$255.50 |
$2,555 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$523.70 |
$5,237 |
0.3× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$523.70 |
$5,237 |
0.3× |
| Bladder Irrigation (51700) |
$70.60 |
$706 |
0.3× |
| Bladder Scan (51798) |
$21 |
$210 |
0.4× |
| Blood Transfusion Service (36430) |
$394.60 |
$3,946 |
0.9× |
| Brnchsc Brushing/Protected Brushings (31623) |
$544.50 |
$5,445 |
0.3× |
| Bronchoscopy Clear Airways (31645) |
$557 |
$5,570 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$339.30 |
$3,393 |
0.2× |
| Bronchoscopy/Needle Bx Each (31629) |
$1,153.10 |
$11,531 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$292.30 |
$2,923 |
0.2× |
| Catheter aspiration nasotracheal spx (31720) |
$70.20 |
$702 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$70.60 |
$706 |
0.3× |
| Change of Windpipe Airway (31502) |
$118 |
$1,180 |
0.5× |
| Chemical Cautery Tissue (17250) |
$75.20 |
$752 |
0.4× |
| Chest tube placement (32551) |
$699.80 |
$6,998 |
0.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$1,184.90 |
$11,849 |
0.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$287.30 |
$2,873 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$246 |
$2,460 |
0.2× |
| Clear outer ear canal (69200) |
$42.80 |
$428 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$77 |
$770 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$482.70 |
$4,827 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$80.90 |
$809 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$121.40 |
$1,214 |
0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$519.10 |
$5,191 |
2.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$482.70 |
$4,827 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$76.30 |
$763 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$101.80 |
$1,018 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$516.20 |
$5,162 |
0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$77 |
$770 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$43.20 |
$432 |
0.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$77 |
$770 |
0.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$83.10 |
$831 |
0.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$293.50 |
$2,935 |
0.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$519.10 |
$5,191 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$77 |
$770 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$75.90 |
$759 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$75.90 |
$759 |
0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$44.70 |
$447 |
0.2× |
| Cltx Medial Ankle Fx (27760) |
$108.20 |
$1,082 |
0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$56.80 |
$568 |
0.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$75.90 |
$759 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$77 |
$770 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$120.50 |
$1,205 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$118.30 |
$1,183 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$519.10 |
$5,191 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$482.70 |
$4,827 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$41.80 |
$418 |
0.3× |
| Collection of venous blood by venipuncture (36415) |
$10.30 |
$103 |
1.1× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$355.20 |
$3,552 |
0.3× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$461.50 |
$4,615 |
0.4× |
| Colonoscopy thru stoma (44388) |
$295.60 |
$2,956 |
0.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$355.20 |
$3,552 |
0.3× |
| Colonoscopy w/ablation (45388) |
$379.20 |
$3,792 |
0.3× |
| Colonoscopy W/Resection (45390) |
$901.80 |
$9,018 |
0.3× |
| Colonoscopy w/submucosal inj (45381) |
$651.50 |
$6,515 |
0.5× |
| Colporrhaphy (57200) |
$630.50 |
$6,305 |
0.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$375 |
$3,750 |
0.3× |
| Complex drainage wound (10180) |
$821.50 |
$8,215 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$73.90 |
$739 |
0.6× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$62.20–$93.30 |
$622–$933 |
varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$523.70 |
$5,237 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$90.50 |
$905 |
0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$207.70 |
$2,077 |
0.3× |
| Debride nail 1-5 (11720) |
$19 |
$190 |
0.3× |
| Debride nail 6 or more (11721) |
$27.50 |
$275 |
0.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$520.90 |
$5,209 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$128.80 |
$1,288 |
0.3× |
| Declot vascular device (36593) |
$132.90 |
$1,329 |
0.4× |
| Delivery of placenta (59414) |
$418.60 |
$4,186 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$654.10 |
$6,541 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$654.20 |
$6,542 |
0.3× |
| Destruct B9 Lesion 1-14 (17110) |
$92 |
$920 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$320.50 |
$3,205 |
0.3× |
| Drain Cerebro Spinal Fluid (62272) |
$236.40 |
$2,364 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$231.80 |
$2,318 |
0.3× |
| Drainage of finger abscess simple (26010) |
$114.20 |
$1,142 |
0.6× |
| Drainage of gum lesion (41800) |
$70 |
$700 |
0.5× |
| Drainage of hematoma/fluid (10140) |
$435.20 |
$4,352 |
0.3× |
| Drainage of rectal abscess (45005) |
$386.40 |
$3,864 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$372.30 |
$3,723 |
0.2× |
| Draw Blood Off Venous Device (36591) |
$163.10 |
$1,631 |
1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$139.30 |
$1,393 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$128.20 |
$1,282 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$106.60 |
$1,066 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$96.90 |
$969 |
0.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$882.30 |
$8,823 |
0.3× |
| Dx Bronchoscope/Wash (31622) |
$495.10 |
$4,951 |
0.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$236.40 |
$2,364 |
0.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$563.40 |
$5,634 |
0.3× |
| Egd cautery tumor polyp (43250) |
$603.20 |
$6,032 |
0.3× |
| Egd endo mucosal resection (43254) |
$603.20 |
$6,032 |
0.3× |
| Egd Flexible Foreign Body Removal (43247) |
$358.30 |
$3,583 |
0.4× |
| Egd guide wire insertion (43248) |
$538.90 |
$5,389 |
0.6× |
| Egd place gastrostomy tube (43246) |
$538.90 |
$5,389 |
0.3× |
| Egd remove lesion snare (43251) |
$563.40 |
$5,634 |
0.3× |
| Egd Varices Ligation (43244) |
$538.90 |
$5,389 |
0.3× |
| Epidural Blood Patch (62273) |
$268.40 |
$2,684 |
0.4× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$332.50 |
$3,325 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$36.10 |
$361 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$515.30 |
$5,153 |
0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$128.20 |
$1,282 |
0.3× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$366.90 |
$3,669 |
0.2× |
| External cephalic version (59412) |
$909.30 |
$9,093 |
0.3× |
| Fetal non-stress test (59025) |
$324.60 |
$3,246 |
1.6× |
| Fluoro exam of g/colon tube (49465) |
$85.80 |
$858 |
0.4× |
| Fna bx w/us gdn 1st les (10005) |
$158.70 |
$1,587 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$231.60 |
$2,316 |
0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$295.60 |
$2,956 |
0.3× |
| I&d abscess peritonsillar (42700) |
$96.70 |
$967 |
0.4× |
| I&d abscess simple (10060) |
$109.30 |
$1,093 |
0.5× |
| I&d perianal abscess superficial (46050) |
$295.60 |
$2,956 |
0.3× |
| I&d pilonidal cyst complicated (10081) |
$231.60 |
$2,316 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$215.70 |
$2,157 |
0.3× |
| Image Cath Fluid Colxn Visc (49405) |
$200.70 |
$2,007 |
0.1× |
| Image Cath Fluid Peri/Retro (49406) |
$487.70 |
$4,877 |
0.3× |
| Image Cath Fluid Trns/Vgnl (49407) |
$437.50 |
$4,375 |
0.3× |
| Incise external hemorrhoid (46083) |
$316.70 |
$3,167 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$166.50 |
$1,665 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$185.40 |
$1,854 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$118.60 |
$1,186 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$132.10 |
$1,321 |
0.4× |
| Incision of rectal abscess (46040) |
$356.60 |
$3,566 |
0.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$515.30 |
$5,153 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$40.10 |
$401 |
0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$306.80 |
$3,068 |
0.3× |
| Inj W/Fluor Eval Cv Device (36598) |
$75.90 |
$759 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$292.90 |
$2,929 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$306.80 |
$3,068 |
0.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$292.90 |
$2,929 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$211.50 |
$2,115 |
0.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$222.20 |
$2,222 |
0.3× |
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines |
$130.80–$196.20 |
$1,308–$1,962 |
varies |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$112.60–$168.90 |
$1,126–$1,689 |
varies |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$306.20 |
$3,062 |
0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$222.20 |
$2,222 |
0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$268.40 |
$2,684 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$62.80 |
$628 |
0.5× |
| Insert cath pleura w/ image (32557) |
$231.20 |
$2,312 |
0.1× |
| Insert cath pleura w/o image (32556) |
$604.80 |
$6,048 |
0.3× |
| Insert cervical dilator (59200) |
$66.40 |
$664 |
0.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$604.80 |
$6,048 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$699.80 |
$6,998 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$47.10 |
$471 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$47.20 |
$472 |
0.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,001 |
$10,010 |
0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,127.70 |
$11,277 |
0.7× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$872.20 |
$8,722 |
0.3× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,019.20 |
$10,192 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$147.70 |
$1,477 |
0.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$104.70 |
$1,047 |
0.4× |
| Ligation of hemorrhoids (46946) |
$901.80 |
$9,018 |
0.3× |
| N Block Inj Pudendal (64430) |
$315.80 |
$3,158 |
0.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$156.10 |
$1,561 |
0.3× |
| Needle Biopsy Lymph Nodes (38505) |
$487.70 |
$4,877 |
0.3× |
| Needle Biopsy Pancreas (48102) |
$523.70 |
$5,237 |
0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$97.50 |
$975 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,184.90 |
$11,849 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$306.80 |
$3,068 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$230.60 |
$2,306 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$236.70 |
$2,367 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$292.90 |
$2,929 |
0.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$199.40 |
$1,994 |
0.3× |
| Obstructive material removal from gi tube (49460) |
$301.50 |
$3,015 |
0.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$158.50 |
$1,585 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$104.40 |
$1,044 |
0.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$231.60 |
$2,316 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$128 |
$1,280 |
0.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$392 |
$3,920 |
0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$652.70 |
$6,527 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$128.20 |
$1,282 |
0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$137.30 |
$1,373 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$196.40 |
$1,964 |
0.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$230.60 |
$2,306 |
0.3× |
| Removal Embedded Foreign Body Eyelid (67938) |
$95.10 |
$951 |
0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$241.40 |
$2,414 |
0.3× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$44.70–$67.05 |
$447–$670.50 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$57–$85.50 |
$570–$855 |
varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,011.10 |
$10,111 |
0.3× |
| Removal of anal fissure (46200) |
$872.20 |
$8,722 |
0.3× |
| Removal of foreign body from pharynx (42809) |
$127 |
$1,270 |
0.3× |
| Removal of nail bed (11750) |
$222.30 |
$2,223 |
0.5× |
| Remove foreign body from eye (65205) |
$116.10 |
$1,161 |
0.9× |
| Remove intrvas foreign body (37197) |
$1,065.10 |
$10,651 |
0.3× |
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines |
$92–$138 |
$920–$1,380 |
varies |
| Remove renal tube w/fluoro (50389) |
$214 |
$2,140 |
0.3× |
| Remove self-contd penis pros (54415) |
$777.60 |
$7,776 |
0.2× |
| Remove/Insert Drug Implant (11983) |
$135 |
$1,350 |
0.3× |
| Renal Biopsy Perq (50200) |
$487.70 |
$4,877 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$184 |
$1,840 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$127.10 |
$1,271 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$195.30 |
$1,953 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$153.30 |
$1,533 |
0.4× |
| Repair Finger/Hand Tendon (26350) |
$411.60 |
$4,116 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$137.30 |
$1,373 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$150.90 |
$1,509 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$128.80 |
$1,288 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$137.30 |
$1,373 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$150.90 |
$1,509 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$182.90 |
$1,829 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$137.30 |
$1,373 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$150.90 |
$1,509 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$194.70 |
$1,947 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$166.10 |
$1,661 |
0.4× |
| Repair of nail bed (11760) |
$120.70 |
$1,207 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$301.50 |
$3,015 |
0.3× |
| Replace G-J Tube Perc (49452) |
$301.50 |
$3,015 |
0.3× |
| Replace g/c tube perc (49450) |
$280.70 |
$2,807 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$125.90 |
$1,259 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$138.40 |
$1,384 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$127 |
$1,270 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$375 |
$3,750 |
0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$535.90 |
$5,359 |
0.3× |
| Rplc Gtube No Revj Trc (43762) |
$117.90 |
$1,179 |
0.5× |
| Rplc gtube revj gstrst trc (43763) |
$77 |
$770 |
0.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$523.50 |
$5,235 |
0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$146.30 |
$1,463 |
0.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$195.30 |
$1,953 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$168.40 |
$1,684 |
0.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$471.10 |
$4,711 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$297.10 |
$2,971 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$352.70 |
$3,527 |
0.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$379.20 |
$3,792 |
0.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$352.70 |
$3,527 |
0.4× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$387 |
$3,870 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$160.80 |
$1,608 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$95.20 |
$952 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$104.70 |
$1,047 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$132.80 |
$1,328 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$103.50 |
$1,035 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$168.50 |
$1,685 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$125.30 |
$1,253 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$668.10 |
$6,681 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$668.10 |
$6,681 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$113.80 |
$1,138 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$137.90 |
$1,379 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$151.60 |
$1,516 |
0.4× |
| Sphincterotomy anal division sphincter spx (46080) |
$901.80 |
$9,018 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$268.40 |
$2,684 |
0.4× |
| Strapping knee (29530) |
$67.70 |
$677 |
0.5× |
| Strapping shoulder (29240) |
$45.30 |
$453 |
0.3× |
| Strapping thorax (29200) |
$87.20 |
$872 |
0.5× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$48.30–$72.50 |
$483–$725 |
varies |
| Therapeutic plasma exchange (36514) |
$521.30 |
$5,213 |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$67 |
$670 |
0.2× |
| Thyroid biopsy (60100) |
$196.40 |
$1,964 |
0.3× |
| Tracheostomy planned (31600) |
$1,018.60 |
$10,186 |
0.3× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$131.40 |
$1,314 |
0.4× |
| Treat Humerus Fracture (24505) |
$509 |
$5,090 |
0.3× |
| Treat Knuckle Dislocation (26700) |
$68.50 |
$685 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$68.20 |
$682 |
0.3× |
| Treat Thumb Dislocation (26641) |
$77 |
$770 |
0.3× |
| Treat toe dislocation (28630) |
$81.40 |
$814 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$106.20 |
$1,062 |
0.4× |
| Trim skin lesion (11055) |
$67 |
$670 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$67 |
$670 |
0.3× |
| Tx Gastro Intub W/Asp (43753) |
$70.30 |
$703 |
0.3× |
| Unlisted procedure nervous system (64999) |
$95.20 |
$952 |
0.3× |
| Wedge excision skin nail fold (11765) |
$86.30 |
$863 |
0.2× |