| Application long arm splint shoulder hand (29105) |
$414 |
$460 |
2.5× |
| Application Long Leg Splint (29505) |
$414 |
$460 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$414 |
$460 |
3.0× |
| Application short leg splint calf foot (29515) |
$414 |
$460 |
2.5× |
| Apply Multlay Comprs Lwr Leg (29581) |
$526.50 |
$585 |
3.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$172.80 |
$192 |
0.6× |
| Aspirate Pleura W/O Imaging (32554) |
$635.40 |
$706 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$70.20 |
$78 |
0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$148.50 |
$165 |
0.1× |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$220.50–$311.40 |
$245–$346 |
varies |
Bladder Scan (51798)
range across 2 matching MRF lines |
$167.40–$592.20 |
$186–$658 |
varies |
| Blood Transfusion Service (36430) |
$982.80 |
$1,092 |
2.2× |
| Change Cystostomy Tube Simple (51705) |
$237.60 |
$264 |
0.9× |
| Chemical Cautery Tissue (17250) |
$261 |
$290 |
1.3× |
| Chest tube placement (32551) |
$374.40 |
$416 |
0.2× |
| Clear outer ear canal (69200) |
$379.80 |
$422 |
2.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$855.90 |
$951 |
3.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$855.90 |
$951 |
3.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$855.90 |
$951 |
0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$855.90 |
$951 |
3.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$881.10 |
$979 |
3.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$855.90 |
$951 |
3.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$855.90 |
$951 |
3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$855.90 |
$951 |
3.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$855.90 |
$951 |
3.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$855.90 |
$951 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$855.90 |
$951 |
3.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$855.90 |
$951 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$855.90 |
$951 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$855.90 |
$951 |
3.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$855.90 |
$951 |
3.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$855.90 |
$951 |
0.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$72.90 |
$81 |
0.5× |
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines |
$52.20–$63.90 |
$58–$71 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$258.30 |
$287 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$449.10 |
$499 |
3.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$258.30 |
$287 |
1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,080 |
$1,200 |
1.4× |
| Debride nail 1-5 (11720) |
$205.20 |
$228 |
3.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$931.50 |
$1,035 |
2.2× |
| Declot vascular device (36593) |
$82.80 |
$92 |
0.2× |
| Destruct B9 Lesion 1-14 (17110) |
$304.20 |
$338 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$182.70 |
$203 |
0.9× |
| Draw Blood Off Venous Device (36591) |
$131.40 |
$146 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$430.20 |
$478 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$192.60 |
$214 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$194.40 |
$216 |
1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$188.10 |
$209 |
0.3× |
| Fetal non-stress test (59025) |
$452.70 |
$503 |
2.2× |
I&d abscess simple (10060)
range across 3 matching MRF lines |
$136.80–$723.60 |
$152–$804 |
varies |
| Incision & drainage abscess complicated/multiple (10061) |
$723.60 |
$804 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$624.60 |
$694 |
1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$192.60 |
$214 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$857.70 |
$953 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$327.60 |
$364 |
2.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$204.30 |
$227 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$808.20 |
$898 |
3.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,363.50 |
$1,515 |
3.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$549.90 |
$611 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$123.30 |
$137 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$243.90 |
$271 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$323.10 |
$359 |
0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$624.60 |
$694 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$323.10 |
$359 |
5.4× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines |
$110.70–$314.10 |
$123–$349 |
varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$194.40 |
$216 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$785.70 |
$873 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$619.20 |
$688 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$619.20 |
$688 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$619.20 |
$688 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$619.20 |
$688 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$323.10 |
$359 |
0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$480.60 |
$534 |
2.3× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$188.10–$480.60 |
$209–$534 |
varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$480.60 |
$534 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$480.60 |
$534 |
2.3× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$188.10–$480.60 |
$209–$534 |
varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$480.60 |
$534 |
2.3× |
| Skin sub graft face/nk/hf/g (15275) |
$3,100.50 |
$3,445 |
4.1× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
$356.40–$480.60 |
$396–$534 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$480.60 |
$534 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$327.60 |
$364 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$855.90 |
$951 |
3.4× |
| Trim skin lesion (11055) |
$175.50 |
$195 |
0.9× |
| Vaginal delivery only (59409) |
$2,720.70 |
$3,023 |
0.8× |