| Abd paracentesis w/imaging (49083) |
$1,341.75 |
$1,789 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,221 |
$1,628 |
1.3× |
| Abdomen Surgery Procedure (22999) |
$2,929.50 |
$3,906 |
11.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,020.25 |
$4,027 |
0.8× |
| Amniocentesis diagnostic (59000) |
$687.75 |
$917 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,301.50 |
$4,402 |
1.0× |
| Anoscopy diagnostic (46600) |
$168.75 |
$225 |
1.2× |
Application cast elbow finger short arm (29075) range across 13 matching MRF lines |
$402.75–$436.50 |
$537–$582 |
varies |
Application Finger Splint Dynamic (29131) range across 4 matching MRF lines |
$228–$366.75 |
$304–$489 |
varies |
Application finger splint static (29130) range across 4 matching MRF lines |
$146.25–$313.50 |
$195–$418 |
varies |
Application long arm splint shoulder hand (29105) range across 6 matching MRF lines |
$286.50–$333.75 |
$382–$445 |
varies |
| Application Long Leg Splint (29505) |
$386.25 |
$515 |
2.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$684.75 |
$913 |
2.3× |
Application of long leg cast (29345) range across 5 matching MRF lines |
$287.25–$531.75 |
$383–$709 |
varies |
Application Short Arm Splint Dynamic (29126) range across 6 matching MRF lines |
$216.75–$366 |
$289–$488 |
varies |
Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$167.25–$391.50 |
$223–$522 |
varies |
| Application short leg splint calf foot (29515) |
$368.25 |
$491 |
2.1× |
Apply hand/wrist cast (29085) range across 6 matching MRF lines |
$342–$453 |
$456–$604 |
varies |
Apply long arm cast (29065) range across 5 matching MRF lines |
$362.25–$414.75 |
$483–$553 |
varies |
| Apply Short Leg Cast (29405) |
$400.50 |
$534 |
1.4× |
| Apply short leg cast (29425) |
$557.25 |
$743 |
1.9× |
| Arterial puncture (36600) |
$120 |
$160 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$659.25 |
$879 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$511.50 |
$682 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$669.75 |
$893 |
2.1× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$259.50–$579.75 |
$346–$773 |
varies |
Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$522.75–$1,554 |
$697–$2,072 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$1,230.75 |
$1,641 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,674.25 |
$4,899 |
1.7× |
| Aspiration Bladder Needle (51100) |
$244.50 |
$326 |
0.9× |
| Aspiration bladder trocar/intracatheter (51101) |
$3,674.25 |
$4,899 |
4.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$332.25 |
$443 |
1.6× |
| Biopsy soft tissue neck/thorax (21550) |
$2,133.75 |
$2,845 |
1.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$4,591.50 |
$6,122 |
1.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$822 |
$1,096 |
1.1× |
| Bladder Irrigation (51700) |
$322.50 |
$430 |
1.2× |
| Bladder Scan (51798) |
$154.50 |
$206 |
2.5× |
Blood Transfusion Service (36430) range across 7 matching MRF lines |
$402–$1,270.50 |
$536–$1,694 |
varies |
| Bone Marrow Biopsy (38221) |
$1,231.50 |
$1,642 |
0.7× |
| Bone Marrow; Aspiration Only (38220) |
$957.75 |
$1,277 |
0.5× |
| Bx breast 1st lesion mr imag (19085) |
$3,155.25 |
$4,207 |
1.8× |
| Bx breast 1st lesion strtctc (19081) |
$3,059.25 |
$4,079 |
1.8× |
| Bx breast 1st lesion us imag (19083) |
$3,059.25 |
$4,079 |
1.8× |
| Canthotomy Separate Procedure (67715) |
$2,222.25 |
$2,963 |
0.9× |
| Catheter aspiration nasotracheal spx (31720) |
$192.75 |
$257 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$408 |
$544 |
1.5× |
| Change of Windpipe Airway (31502) |
$444.75 |
$593 |
1.8× |
| Chest tube placement (32551) |
$1,427.25 |
$1,903 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$4,142.25 |
$5,523 |
1.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,848 |
$2,464 |
1.1× |
| Clear outer ear canal (69200) |
$231.75 |
$309 |
1.7× |
| Closed Treat Vert Body Fract (22310) |
$585 |
$780 |
2.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$369.75 |
$493 |
1.4× |
| Closed Treatment Sternum Fracture (21820) |
$444.75 |
$593 |
1.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$443.25 |
$591 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$732.75 |
$977 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,714 |
$4,952 |
2.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$477.75 |
$637 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$401.25 |
$535 |
1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$627 |
$836 |
2.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$638.25 |
$851 |
2.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,446 |
$1,928 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$468 |
$624 |
1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$2,655 |
$3,540 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,170.75 |
$1,561 |
4.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$484.50 |
$646 |
1.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$432 |
$576 |
1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,692 |
$2,256 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$499.50 |
$666 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,296 |
$1,728 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,296 |
$1,728 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$464.25 |
$619 |
1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$344.25 |
$459 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$732.75 |
$977 |
2.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$576.75 |
$769 |
2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$468.75 |
$625 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,304.25 |
$1,739 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$384 |
$512 |
1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$558 |
$744 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$554.25 |
$739 |
2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$357.75 |
$477 |
1.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,296 |
$1,728 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$458.25 |
$611 |
1.8× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$426.75 |
$569 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,766 |
$3,688 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$699 |
$932 |
2.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,467.75 |
$1,957 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,296 |
$1,728 |
0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$486 |
$648 |
1.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$391.50 |
$522 |
1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$551.25 |
$735 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$470.25 |
$627 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$458.25 |
$611 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$423 |
$564 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$470.25 |
$627 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,419 |
$1,892 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,277.25 |
$1,703 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$442.50 |
$590 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$470.25 |
$627 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$433.50 |
$578 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$470.25 |
$627 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,524 |
$2,032 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$918 |
$1,224 |
3.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$439.50 |
$586 |
1.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,959.75 |
$2,613 |
1.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$5,107.50 |
$6,810 |
3.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$672.75 |
$897 |
2.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$396 |
$528 |
1.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,959.75 |
$2,613 |
1.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$565.50 |
$754 |
1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$372.75 |
$497 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$537 |
$716 |
2.1× |
| Cltx Medial Ankle Fx (27760) |
$570 |
$760 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$495.75 |
$661 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$445.50 |
$594 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$477 |
$636 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$377.25 |
$503 |
1.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,133.75 |
$2,845 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$630 |
$840 |
2.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$465.75 |
$621 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$515.25 |
$687 |
2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,403.25 |
$1,871 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,296 |
$1,728 |
0.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$188.25 |
$251 |
0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$401.25 |
$535 |
1.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$531.75 |
$709 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,643.50 |
$4,858 |
2.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$150.75 |
$201 |
1.1× |
Collection of venous blood by venipuncture (36415) range across 11 matching MRF lines |
$27–$37.50 |
$36–$50 |
varies |
| Colonoscopy Flexible With Decompression (45393) |
$1,773 |
$2,364 |
1.4× |
| Colonoscopy thru stoma (44388) |
$1,708.50 |
$2,278 |
1.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,624.25 |
$3,499 |
2.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,624.25 |
$3,499 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$325.50 |
$434 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$404.25 |
$539 |
2.9× |
| Control oropharyngeal hemorrhage simple (42960) |
$1,160.25 |
$1,547 |
2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,329.75 |
$1,773 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$325.50 |
$434 |
2.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$973.50 |
$1,298 |
3.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,447.50 |
$5,930 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$827.25 |
$1,103 |
1.9× |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$1,842.75–$3,285.75 |
$2,457–$4,381 |
varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,477.50 |
$1,970 |
1.9× |
| Debride nail 1-5 (11720) |
$188.25 |
$251 |
3.0× |
| Debride nail 6 or more (11721) |
$145.50 |
$194 |
2.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,151.25 |
$1,535 |
2.7× |
| Declot vascular device (36593) |
$293.25 |
$391 |
0.8× |
| Delivery of placenta (59414) |
$2,402.25 |
$3,203 |
0.7× |
| Destruct B9 Lesion 1-14 (17110) |
$199.50 |
$266 |
0.9× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,467.75 |
$1,957 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,310.25 |
$1,747 |
1.3× |
| Drain Cerebro Spinal Fluid (62272) |
$753.75 |
$1,005 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$554.25 |
$739 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$579 |
$772 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$1,503.75 |
$2,005 |
0.9× |
| Drainage of finger abscess simple (26010) |
$444.75 |
$593 |
2.1× |
| Drainage of gum lesion (41800) |
$393 |
$524 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$2,537.25 |
$3,383 |
1.5× |
| Drainage of scrotal wall abscess (55100) |
$2,421 |
$3,228 |
1.4× |
| Drainage of scrotum (54700) |
$2,118 |
$2,824 |
1.0× |
Draw Blood Off Venous Device (36591) range across 5 matching MRF lines |
$97.50–$229.50 |
$130–$306 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$387 |
$516 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$387 |
$516 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$387 |
$516 |
1.8× |
Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$1,437–$1,511.25 |
$1,916–$2,015 |
varies |
| Egd cautery tumor polyp (43250) |
$1,510.50 |
$2,014 |
0.7× |
| Egd Flexible Foreign Body Removal (43247) |
$1,375.50 |
$1,834 |
1.4× |
| Egd remove lesion snare (43251) |
$1,642.50 |
$2,190 |
0.8× |
| Epidural Blood Patch (62273) |
$1,302.75 |
$1,737 |
1.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,647.50 |
$3,530 |
1.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,375.25 |
$3,167 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$266.25 |
$355 |
1.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$809.25 |
$1,079 |
1.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,958.50 |
$5,278 |
1.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,176 |
$1,568 |
0.7× |
| External cephalic version (59412) |
$2,402.25 |
$3,203 |
0.7× |
| Fetal non-stress test (59025) |
$357.75 |
$477 |
1.7× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$534.75 |
$713 |
0.7× |
| Fna bx w/us gdn 1st les (10005) |
$580.50 |
$774 |
0.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,083 |
$5,444 |
1.4× |
| I&d abscess peritonsillar (42700) |
$516.75 |
$689 |
2.1× |
| I&d abscess simple (10060) |
$393.75 |
$525 |
1.9× |
| I&d perianal abscess superficial (46050) |
$3,038.25 |
$4,051 |
3.1× |
| I&d pilonidal cyst complicated (10081) |
$3,474.75 |
$4,633 |
4.7× |
| I&d pilonidal cyst simple (10080) |
$587.25 |
$783 |
0.8× |
| Image Cath Fluid Peri/Retro (49406) |
$2,403.75 |
$3,205 |
1.4× |
| Incise external hemorrhoid (46083) |
$647.25 |
$863 |
2.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$393.75 |
$525 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,720.50 |
$6,294 |
2.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$755.25 |
$1,007 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$365.25 |
$487 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$548.25 |
$731 |
1.7× |
| Incision of rectal abscess (46040) |
$2,526.75 |
$3,369 |
2.0× |
| Incisional biopsy skin single lesion (11106) |
$677.25 |
$903 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$222 |
$296 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$928.50 |
$1,238 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$378 |
$504 |
1.7× |
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 6 matching MRF lines |
$1,415.25–$1,810.50 |
$1,887–$2,414 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$275.25 |
$367 |
0.9× |
Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$939.75–$1,170 |
$1,253–$1,560 |
varies |
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 9 matching MRF lines |
$1,139.25–$1,458.75 |
$1,519–$1,945 |
varies |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,278.75 |
$1,705 |
1.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,480.50 |
$1,974 |
1.6× |
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) range across 6 matching MRF lines |
$1,625.25–$2,080.50 |
$2,167–$2,774 |
varies |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 5 matching MRF lines |
$1,176–$1,505.25 |
$1,568–$2,007 |
varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,248 |
$1,664 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$602.25 |
$803 |
1.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,464 |
$1,952 |
2.0× |
| Injection for identification of sentinel node (38792) |
$812.25 |
$1,083 |
1.9× |
| Injection single tendon origin/insertion (20551) |
$288 |
$384 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$566.25 |
$755 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$600 |
$800 |
1.9× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$1,257 |
$1,676 |
0.8× |
Injection, anesthetic agent; brachial plexus, single (64415) range across 7 matching MRF lines |
$1,167.75–$1,494.75 |
$1,557–$1,993 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$974.25–$1,083.75 |
$1,299–$1,445 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 11 matching MRF lines |
$998.25–$1,278.75 |
$1,331–$1,705 |
varies |
| Ins Vag Brachytx Device (57156) |
$1,130.25 |
$1,507 |
3.5× |
Insert Bladder Cath Complex (51703) range across 5 matching MRF lines |
$322.50–$594.75 |
$430–$793 |
varies |
| Insert cath pleura w/ image (32557) |
$1,923.75 |
$2,565 |
1.2× |
| Insert cath pleura w/o image (32556) |
$1,795.50 |
$2,394 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$2,786.25 |
$3,715 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,162.25 |
$2,883 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$213 |
$284 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$213 |
$284 |
1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,090 |
$4,120 |
1.9× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$3,433.50 |
$4,578 |
0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$3,042.75 |
$4,057 |
1.8× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$2,664 |
$3,552 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,737.50 |
$7,650 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,009 |
$12,012 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$852.75 |
$1,137 |
2.0× |
| Intro Gastrointestinal Tube (44500) |
$871.50 |
$1,162 |
0.9× |
Intubation endotracheal emergency procedure (31500) range across 8 matching MRF lines |
$659.25–$2,066.25 |
$879–$2,755 |
varies |
Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$259.50–$596.25 |
$346–$795 |
varies |
| Laryngoscopy diagnostic (31505) |
$183 |
$244 |
0.9× |
Laryngoscopy flexible diagnostic (31575) range across 5 matching MRF lines |
$153–$418.50 |
$204–$558 |
varies |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$561.75 |
$749 |
1.4× |
| Late closure of wound (13160) |
$4,680.75 |
$6,241 |
1.3× |
| Manipulation knee joint under general anesthesia (27570) |
$2,477.25 |
$3,303 |
1.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,343 |
$3,124 |
1.4× |
| Myelography Lumbar Injection (62305) |
$1,580.25 |
$2,107 |
1.9× |
| Myelography Lumbar Injection (62304) |
$1,976.25 |
$2,635 |
2.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,625.25 |
$2,167 |
2.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,358.25 |
$1,811 |
1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,536 |
$2,048 |
2.1× |
| N block inj intercost sng (64420) |
$980.25 |
$1,307 |
1.3× |
| N Block Lumbar/Thoracic (64520) |
$1,810.50 |
$2,414 |
1.9× |
| Needle Biopsy Lymph Nodes (38505) |
$1,317 |
$1,756 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$58.50 |
$78 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$83.25 |
$111 |
2.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$464.25 |
$619 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,599 |
$2,132 |
1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$555 |
$740 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,958 |
$3,944 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,699.50 |
$2,266 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$2,140.50 |
$2,854 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$2,140.50 |
$2,854 |
2.3× |
| Occipital Nerve Block (64405) |
$524.25 |
$699 |
1.6× |
| Peritoneal Lavage (49084) |
$1,218 |
$1,624 |
1.3× |
| Perq dev breast 1st strtctc (19283) |
$621 |
$828 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$621 |
$828 |
0.8× |
| Perq device breast 1st imag (19281) |
$621 |
$828 |
0.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,165.50 |
$1,554 |
1.6× |
| Place breast rad tube/caths (19298) |
$8,151 |
$10,868 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$651 |
$868 |
1.4× |
| Plmt expandable cath brst following prtl mast (19296) |
$8,151 |
$10,868 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,499.25 |
$1,999 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$332.25 |
$443 |
0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$426.75 |
$569 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$621 |
$828 |
0.8× |
Pvb thoracic cont infusion (64463) range across 2 matching MRF lines |
$560.25–$1,361.25 |
$747–$1,815 |
varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,464 |
$1,952 |
2.0× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,975.25 |
$3,967 |
1.4× |
| Removal Embedded Foreign Body Eyelid (67938) |
$688.50 |
$918 |
2.1× |
| Removal foreign body foot deep (28192) |
$4,518 |
$6,024 |
2.6× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$2,007.75 |
$2,677 |
2.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$132.75 |
$177 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$147.75 |
$197 |
2.4× |
| Removal intact breast implant (19328) |
$2,712 |
$3,616 |
0.7× |
| Removal of nail bed (11750) |
$1,043.25 |
$1,391 |
2.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$3,420.75 |
$4,561 |
4.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,297.25 |
$3,063 |
1.1× |
| Remove cerclage suture (59871) |
$2,402.25 |
$3,203 |
0.7× |
| Remove foreign body from eye (65205) |
$218.25 |
$291 |
1.6× |
| Remove Intrauterine Device (58301) |
$297 |
$396 |
0.9× |
| Remove Nasal Foreign Body (30300) |
$189 |
$252 |
1.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,697.50 |
$4,930 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,250.25 |
$1,667 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,316.25 |
$1,755 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$888.75 |
$1,185 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,250.25 |
$1,667 |
2.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$888.75 |
$1,185 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$902.25 |
$1,203 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,036.50 |
$1,382 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,523.25 |
$2,031 |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,721.75 |
$3,629 |
1.6× |
| Repair Hand Tendon (26410) |
$2,660.25 |
$3,547 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$382.50 |
$510 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$406.50 |
$542 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$429.75 |
$573 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$663 |
$884 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$702 |
$936 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$497.25 |
$663 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$723.75 |
$965 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$543 |
$724 |
0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,594.50 |
$2,126 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,222.50 |
$1,630 |
2.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$399.75 |
$533 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$723.75 |
$965 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,287.75 |
$1,717 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$762 |
$1,016 |
1.8× |
| Repair of nail bed (11760) |
$492.75 |
$657 |
0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,045 |
$4,060 |
0.9× |
| Repair tongue laceration (41252) |
$554.25 |
$739 |
2.2× |
| Repair tongue laceration (41250) |
$437.25 |
$583 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$344.25 |
$459 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$393.75 |
$525 |
2.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$267 |
$356 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,925.75 |
$3,901 |
2.3× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$2,085.75 |
$2,781 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,115.25 |
$1,487 |
1.7× |
| Rplc Gtube No Revj Trc (43762) |
$591.75 |
$789 |
2.2× |
| Rplc gtube revj gstrst trc (43763) |
$672.75 |
$897 |
2.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,037.75 |
$2,717 |
1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,758 |
$2,344 |
1.1× |
| Rpr blood vessel direct lower extremity (35226) |
$1,473.75 |
$1,965 |
2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$580.50 |
$774 |
2.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$755.25 |
$1,007 |
1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$459.75 |
$613 |
1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,234.50 |
$1,646 |
2.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,389 |
$1,852 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$241.50 |
$322 |
1.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,718.25 |
$2,291 |
1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$639.75 |
$853 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$366.75 |
$489 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$390.75 |
$521 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$411 |
$548 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$366.75 |
$489 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$406.50 |
$542 |
1.9× |
| Skin Tissue Procedure (17999) |
$1,305 |
$1,740 |
6.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$385.50 |
$514 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$429.75 |
$573 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$453 |
$604 |
1.1× |
Spinal puncture lumbar diagnostic (62270) range across 7 matching MRF lines |
$861–$1,172.25 |
$1,148–$1,563 |
varies |
| Strapping ankle (29540) |
$132.75 |
$177 |
0.8× |
| Strapping hand/finger (29280) |
$210.75 |
$281 |
3.4× |
| Strapping knee (29530) |
$113.25 |
$151 |
0.8× |
| Strapping shoulder (29240) |
$113.25 |
$151 |
0.8× |
| Strapping toes (29550) |
$193.50 |
$258 |
3.1× |
| Thrombolytic Therapy Stroke (37195) |
$551.25 |
$735 |
1.6× |
| Tooth extraction (41899) |
$390.75 |
$521 |
1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,726.50 |
$2,302 |
6.9× |
Tracheostomy Emergency Procedure Transtracheal (31603) range across 5 matching MRF lines |
$2,229.75–$2,259 |
$2,973–$3,012 |
varies |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$1,806 |
$2,408 |
5.6× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$6,717 |
$8,956 |
1.2× |
| Treat Big Toe Fracture (28505) |
$4,938 |
$6,584 |
1.4× |
| Treat humerus fracture (24500) |
$465 |
$620 |
1.8× |
| Treat Humerus Fracture (24505) |
$1,304.25 |
$1,739 |
0.8× |
| Treat humerus fracture (23600) |
$463.50 |
$618 |
1.8× |
| Treat Knuckle Dislocation (26700) |
$548.25 |
$731 |
2.1× |
| Treat Tail Bone Fracture (27200) |
$313.50 |
$418 |
1.2× |
| Treat Thumb Dislocation (26641) |
$472.50 |
$630 |
1.8× |
| Treat Thumb Fracture (26645) |
$1,743 |
$2,324 |
1.0× |
| Treat toe dislocation (28630) |
$411 |
$548 |
1.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,446 |
$1,928 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$667.50 |
$890 |
2.6× |
| Tx Gastro Intub W/Asp (43753) |
$500.25 |
$667 |
2.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,460.50 |
$4,614 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,399.50 |
$1,866 |
1.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$526.50 |
$702 |
2.0× |
| Unlisted procedure anus (46999) |
$738 |
$984 |
0.8× |
Unlisted procedure femur or knee (27599) range across 2 matching MRF lines |
$638.25–$2,686.50 |
$851–$3,582 |
varies |
| Unlisted procedure humerus/elbow (24999) |
$667.50 |
$890 |
2.6× |
Unlisted procedure nervous system (64999) range across 4 matching MRF lines |
$385.50–$1,464 |
$514–$1,952 |
varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$459.75 |
$613 |
1.8× |
| Unlisted Procedure Rectum (45999) |
$2,925.75 |
$3,901 |
3.0× |
| Unlisted procedure stomach (43999) |
$1,100.25 |
$1,467 |
1.1× |
Unlisted Procedure Vascular Surgery (37799) range across 4 matching MRF lines |
$453–$4,355.25 |
$604–$5,807 |
varies |
| Unlisted px female genital system nonobstetrical (58999) |
$1,185 |
$1,580 |
5.6× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$6,747 |
$8,996 |
2.0× |
| Vaginal delivery only (59409) |
$4,092 |
$5,456 |
1.2× |
Vasc Embolize/Occlude Bleed (37244) likely a partial charge, not the full procedure |
$534 |
$712 |
0.0× |