| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$550.40 |
$688 |
0.6× |
| Acne surgery (10040) |
$264 |
$330 |
1.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,335.20 |
$2,919 |
1.2× |
| Amniocentesis diagnostic (59000) |
$759.20 |
$949 |
0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,325.60 |
$2,907 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,554.40 |
$1,943 |
0.5× |
| Application cast elbow finger short arm (29075) |
$183.20 |
$229 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$197.60 |
$247 |
1.3× |
| Application Long Leg Cast Brace (29358) |
$183.20 |
$229 |
0.7× |
| Application of long leg cast (29345) |
$183.20 |
$229 |
0.7× |
| Application of rigid total contact leg cast (29445) |
$324.80 |
$406 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$192.80 |
$241 |
1.5× |
| Apply hand/wrist cast (29085) |
$128 |
$160 |
0.8× |
| Apply long arm cast (29065) |
$183.20 |
$229 |
0.7× |
| Apply Short Leg Cast (29405) |
$183.20 |
$229 |
0.7× |
| Arterial puncture (36600) |
$74.40 |
$93 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$300.80 |
$376 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$321.60 |
$402 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$280 |
$350 |
0.9× |
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines |
$422.40–$500.80 |
$528–$626 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$228 |
$285 |
0.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,967.20 |
$3,709 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$219.20 |
$274 |
1.1× |
| Biopsy bone open superficial (20240) |
$1,356.80 |
$1,696 |
0.5× |
| Biopsy of breast; open, incisional (19101) |
$1,299.20 |
$1,624 |
0.3× |
| Biopsy of liver, needle; percutaneous (47000) |
$500.80 |
$626 |
0.3× |
| Biopsy of rectum (45100) |
$1,515.20 |
$1,894 |
0.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$522.40 |
$653 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$2,271.20 |
$2,839 |
0.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$796.80 |
$996 |
1.2× |
| Bladder Scan (51798) |
$44.80 |
$56 |
0.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$444 |
$555 |
1.5× |
Blood Transfusion Service (36430)
range across 3 matching MRF lines |
$547.20–$632.80 |
$684–$791 |
varies |
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines |
$608.80–$1,112 |
$761–$1,390 |
varies |
| Bone Marrow; Aspiration Only (38220) |
$608.80 |
$761 |
0.4× |
| Bx/exc lymph node open superficial (38500) |
$2,271.20 |
$2,839 |
0.6× |
| Catheter aspiration nasotracheal spx (31720) |
$140.80 |
$176 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$317.60 |
$397 |
1.3× |
| Chemical Cautery Tissue (17250) |
$220 |
$275 |
1.1× |
| Chemodenervation of internal anal sphincter (46505) |
$1,515.20 |
$1,894 |
1.3× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$626.40–$1,039.20 |
$783–$1,299 |
varies |
| Circumcision 28 days or older (54161) |
$1,194.40 |
$1,493 |
0.6× |
| Circumcision w/clamp/oth dev w/block (54150) |
$143.20 |
$179 |
0.1× |
| Clear outer ear canal (69200) |
$115.20 |
$144 |
0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,004.80 |
$1,256 |
4.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$502.40 |
$628 |
2.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$603.20 |
$754 |
2.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$654.40 |
$818 |
2.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$703.20 |
$879 |
3.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$703.20 |
$879 |
3.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,004.80 |
$1,256 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,004.80 |
$1,256 |
0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$502.40 |
$628 |
2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$499.20 |
$624 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$935.20 |
$1,169 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$548.80 |
$686 |
2.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$502.40 |
$628 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,004.80 |
$1,256 |
4.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$401.60 |
$502 |
1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$598.40 |
$748 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$502.40 |
$628 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,004.80 |
$1,256 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,071.20 |
$1,339 |
4.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,004.80 |
$1,256 |
4.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,004.80 |
$1,256 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$691.20 |
$864 |
2.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$399.20 |
$499 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$499.20 |
$624 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$502.40 |
$628 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$598.40 |
$748 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$598.40 |
$748 |
2.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,114.40 |
$1,393 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$603.20 |
$754 |
2.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,004.80 |
$1,256 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$502.40 |
$628 |
2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,004.80 |
$1,256 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,004.80 |
$1,256 |
0.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$20.80 |
$26 |
0.2× |
| Collection of venous blood by venipuncture (36415) |
$16.80 |
$21 |
1.8× |
| Complex drainage wound (10180) |
$1,680 |
$2,100 |
0.6× |
| Composite Skin Graft (15760) |
$1,458.40 |
$1,823 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$204 |
$255 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$238.40 |
$298 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$272.80 |
$341 |
2.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,170.40 |
$2,713 |
1.1× |
| Cystourethroscopy (52000) |
$1,131.20 |
$1,414 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$220 |
$275 |
0.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,356.80 |
$1,696 |
2.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,124.80 |
$1,406 |
1.6× |
| Debride nail 1-5 (11720) |
$90.40 |
$113 |
1.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,876 |
$2,345 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$275.20 |
$344 |
0.7× |
| Declot vascular device (36593) |
$133.60 |
$167 |
0.4× |
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893)
unusually low: confirm this is the full procedure |
$3,036.80 |
$3,796 |
0.4× |
| Destruct B9 Lesion 1-14 (17110) |
$220 |
$275 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$220 |
$275 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$220 |
$275 |
1.1× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$176.80 |
$221 |
1.4× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$147.20 |
$184 |
1.2× |
| Dilate Esophagus 1/Mult Pass (43450) |
$824.80 |
$1,031 |
0.9× |
| Dilate Urethra Stricture (53600) |
$294.40 |
$368 |
1.2× |
| Drain Cerebro Spinal Fluid (62272) |
$896 |
$1,120 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$528 |
$660 |
0.8× |
| Drainage Mouth Roof Lesion (42000) |
$528 |
$660 |
2.3× |
| Drainage of finger abscess simple (26010) |
$475.20 |
$594 |
2.5× |
| Drainage of gum lesion (41800) |
$528 |
$660 |
4.1× |
| Drainage of hematoma/fluid (10140) |
$792 |
$990 |
0.5× |
| Drainage of rectal abscess (45005) |
$1,515.20 |
$1,894 |
1.3× |
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines |
$20.80–$24.80 |
$26–$31 |
varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$521.60 |
$652 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$132.80 |
$166 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$162.40 |
$203 |
0.8× |
| Dx Bronchoscope/Wash (31622) |
$632.80 |
$791 |
0.4× |
| Endometrial Biopsy (58100) |
$320.80 |
$401 |
1.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,126.40 |
$1,408 |
0.6× |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
$353.60–$896 |
$442–$1,120 |
varies |
| Evacuation of subungual hematoma (11740) |
$103.20 |
$129 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$521.60 |
$652 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$652 |
$815 |
0.4× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$555.20 |
$694 |
0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$652 |
$815 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$652 |
$815 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,696 |
$2,120 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$652 |
$815 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$652 |
$815 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$652 |
$815 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,714.40 |
$3,393 |
1.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$2,714.40 |
$3,393 |
1.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$652 |
$815 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$652 |
$815 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$811.20 |
$1,014 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$600 |
$750 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,696 |
$2,120 |
1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,696 |
$2,120 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,696 |
$2,120 |
1.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$652 |
$815 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,696 |
$2,120 |
0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,696 |
$2,120 |
1.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$521.60 |
$652 |
1.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$521.60 |
$652 |
0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$521.60 |
$652 |
0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$521.60 |
$652 |
0.8× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$2,194.40 |
$2,743 |
0.8× |
| Excision Lesion Tongue W/O Closure (41110) |
$1,330.40 |
$1,663 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,330.40 |
$1,663 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$521.60 |
$652 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$521.60 |
$652 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$652 |
$815 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$521.60 |
$652 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$652 |
$815 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,696 |
$2,120 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,696 |
$2,120 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$521.60 |
$652 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$521.60 |
$652 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$652 |
$815 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,356.80 |
$1,696 |
0.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$1,356.80 |
$1,696 |
0.5× |
| Excision synovial cyst popliteal space (27345) |
$1,588 |
$1,985 |
0.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,230.40 |
$2,788 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$2,194.40 |
$2,743 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,194.40 |
$2,743 |
0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$521.60 |
$652 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$1,654.40 |
$2,068 |
1.0× |
| Exploration of knee joint (27310) |
$2,449.60 |
$3,062 |
0.8× |
| External cephalic version (59412) |
$2,875.20 |
$3,594 |
0.9× |
| Fetal non-stress test (59025) |
$368.80 |
$461 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$442.40 |
$553 |
1.1× |
| Fluoro exam of g/colon tube (49465) |
$345.60 |
$432 |
1.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,234.40 |
$2,793 |
0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$652 |
$815 |
0.7× |
| I&d abscess peritonsillar (42700) |
$528 |
$660 |
2.3× |
| I&d abscess simple (10060) |
$316.80 |
$396 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,068 |
$2,585 |
0.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,449.60 |
$3,062 |
0.8× |
| I&d perianal abscess superficial (46050) |
$1,515.20 |
$1,894 |
1.7× |
| I&d pilonidal cyst complicated (10081) |
$1,158.40 |
$1,448 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$528 |
$660 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,654.40 |
$2,068 |
0.6× |
| Incise external hemorrhoid (46083) |
$422.40 |
$528 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$528 |
$660 |
1.4× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,654.40 |
$2,068 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$521.60 |
$652 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$503.20 |
$629 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$422.40 |
$528 |
1.4× |
| Incision bone cortex foot (28005) |
$3,759.20 |
$4,699 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,330.40 |
$1,663 |
0.9× |
| Incision of rectal abscess (46040) |
$1,853.60 |
$2,317 |
1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,654.40 |
$2,068 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$339.20 |
$424 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$350.40 |
$438 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$280 |
$350 |
0.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$240 |
$300 |
0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$508 |
$635 |
0.7× |
| Insert cath pleura w/o image (32556) |
$626.40 |
$783 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,504.80 |
$1,881 |
0.5× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$188–$193.60 |
$235–$242 |
varies |
| Insert tun ip cath perc (49418) |
$472.80 |
$591 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$188 |
$235 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,381.60 |
$1,727 |
0.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$463.20 |
$579 |
1.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,330.40 |
$1,663 |
0.4× |
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines |
$228–$420 |
$285–$525 |
varies |
| Ligation or biopsy temporal artery (37609) |
$652 |
$815 |
0.4× |
| Lyse chest fibrin init day (32561) |
$432.80 |
$541 |
0.7× |
| Neuroeltrd Stim Post Tibial (64566) |
$527.20 |
$659 |
1.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$521.60 |
$652 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,087.20 |
$1,359 |
1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,345.60 |
$4,182 |
1.1× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$2,808 |
$3,510 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$302.40 |
$378 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$475.20 |
$594 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$760.80 |
$951 |
1.1× |
| Radical styloidectomy separate procedure (25230) |
$2,449.60 |
$3,062 |
0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,356.80 |
$1,696 |
0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$521.60 |
$652 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55.20 |
$69 |
1.0× |
| Removal of anal fissure (46200) |
$1,515.20 |
$1,894 |
0.6× |
| Removal of nail bed (11750) |
$652 |
$815 |
1.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$197.60 |
$247 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$220 |
$275 |
1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$157.60 |
$197 |
0.6× |
| Remove foreign body from eye (65205) |
$144 |
$180 |
1.1× |
| Remove Intrauterine Device (58301) |
$320.80 |
$401 |
1.1× |
| Remove Nasal Foreign Body (30300) |
$51.20 |
$64 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$463.20 |
$579 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$844.80 |
$1,056 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$243.20 |
$304 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$304 |
$380 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$420 |
$525 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$463.20 |
$579 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,243.20 |
$1,554 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$304 |
$380 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$304 |
$380 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$308.80 |
$386 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$304 |
$380 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$463.20 |
$579 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$334.40 |
$418 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$290.40 |
$363 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$243.20 |
$304 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$579.20 |
$724 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$304 |
$380 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$304 |
$380 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$463.20 |
$579 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$579.20 |
$724 |
1.5× |
| Repair of nail bed (11760) |
$243.20 |
$304 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$115.20 |
$144 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,587.20 |
$1,984 |
1.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$521.60 |
$652 |
0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$287.20 |
$359 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,330.40 |
$1,663 |
2.6× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$2,449.60 |
$3,062 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$176 |
$220 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$274.40 |
$343 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$243.20 |
$304 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$281.60 |
$352 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$243.20 |
$304 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$304 |
$380 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$455.20 |
$569 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$568.80 |
$711 |
0.8× |
| Skin sub grft t/arm/lg child (15273) |
$744 |
$930 |
0.4× |
| Skin Tissue Procedure (17999) |
$240 |
$300 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$659.20 |
$824 |
0.3× |
| Slitting of prepuce (54001) |
$955.20 |
$1,194 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$284 |
$355 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$276.80 |
$346 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$404 |
$505 |
1.0× |
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines |
$324.80–$481.60 |
$406–$602 |
varies |
Strapping ankle (29540)
range across 2 matching MRF lines |
$93.60–$144 |
$117–$180 |
varies |
| Strapping hand/finger (29280) |
$81.60 |
$102 |
1.4× |
| Strapping knee (29530) |
$84.80 |
$106 |
0.7× |
| Strapping shoulder (29240) |
$103.20 |
$129 |
0.8× |
| Strapping toes (29550) |
$75.20 |
$94 |
1.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,335.20 |
$2,919 |
1.2× |
| Treat humerus fracture (24500) |
$502.40 |
$628 |
2.1× |
| Treat Humerus Fracture (24505) |
$1,004.80 |
$1,256 |
0.7× |
| Treat Knuckle Dislocation (26700) |
$548.80 |
$686 |
2.3× |
| Treat Thumb Dislocation (26641) |
$502.40 |
$628 |
2.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,114.40 |
$1,393 |
0.7× |
| Treatment of penis lesion (54115) |
$1,770.40 |
$2,213 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$115.20 |
$144 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$463.20 |
$579 |
0.7× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$664.80 |
$831 |
2.9× |
| Unlisted procedure anus (46999) |
$1,515.20 |
$1,894 |
1.7× |
| Unlisted Procedure Casting/Strapping (29799) |
$197.60 |
$247 |
1.3× |
| Unlisted Procedure Rectum (45999) |
$1,984 |
$2,480 |
2.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,620 |
$2,025 |
1.9× |
Vaginal delivery only (59409)
range across 2 matching MRF lines |
$1,192–$2,004 |
$1,490–$2,505 |
varies |
| Wedge excision skin nail fold (11765) |
$220 |
$275 |
0.6× |