| Abd paracentesis w/imaging (49083) |
$461.20 |
$1,153 |
0.6× |
| Application finger splint static (29130) |
$114.40 |
$286 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$114.40 |
$286 |
0.8× |
| Application Long Leg Splint (29505) |
$110.80 |
$277 |
0.7× |
| Application of long leg cast (29345) |
$218.80 |
$547 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$159.60 |
$399 |
1.3× |
| Application short leg splint calf foot (29515) |
$114.40 |
$286 |
0.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$114 |
$285 |
0.8× |
| Apply Short Leg Cast (29405) |
$135.60 |
$339 |
0.5× |
| Arterial puncture (36600) |
$74 |
$185 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$200.40–$274 |
$501–$685 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines |
$177.20–$287.60 |
$443–$719 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$113.20–$274 |
$283–$685 |
varies |
| Avulsion nail plate partial/complete simple 1 (11730) |
$122.40 |
$306 |
0.7× |
| Biopsy Salivary Gland Needle (42400) |
$432 |
$1,080 |
0.7× |
Bladder Scan (51798)
range across 2 matching MRF lines |
$47.20–$47.60 |
$118–$119 |
varies |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$301.60–$358 |
$754–$895 |
varies |
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines |
$286.80–$1,694 |
$717–$4,235 |
varies |
| Change Cystostomy Tube Simple (51705) |
$173.20 |
$433 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$241.60 |
$604 |
0.9× |
| Chest tube placement (32551) |
$478.80 |
$1,197 |
0.3× |
| Clear outer ear canal (69200) |
$135.60 |
$339 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$402.40 |
$1,006 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$402.40 |
$1,006 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$194 |
$485 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$287.60 |
$719 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$446.40 |
$1,116 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$723.20 |
$1,808 |
3.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$171.60 |
$429 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$278.80 |
$697 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$402.40 |
$1,006 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$402.40 |
$1,006 |
1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$215.20 |
$538 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$404.80 |
$1,012 |
0.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$404.80 |
$1,012 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$565.60 |
$1,414 |
2.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$723.20 |
$1,808 |
3.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$402.40 |
$1,006 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$374.40 |
$936 |
0.3× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$14.80–$36.80 |
$37–$92 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$295.60 |
$739 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$243.20 |
$608 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$176.40 |
$441 |
1.4× |
| Destroy cerv/thor facet jnt (64633) |
$1,700 |
$4,250 |
0.9× |
| Destroy lumb/sac facet jnt (64635) |
$1,700 |
$4,250 |
0.9× |
| Drainage of gum lesion (41800) |
$223.20 |
$558 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$181.20 |
$453 |
0.1× |
| Draw Blood Off Venous Device (36591) |
$55.60 |
$139 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$539.20 |
$1,348 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$280.80 |
$702 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$172.80 |
$432 |
0.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,004 |
$2,510 |
1.2× |
| Egd remove lesion snare (43251) |
$858.40 |
$2,146 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$200.40 |
$501 |
1.6× |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
$434.80–$933.60 |
$1,087–$2,334 |
varies |
| I&d abscess simple (10060) |
$122.40 |
$306 |
0.7× |
| I&d perianal abscess superficial (46050) |
$542 |
$1,355 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$488.80 |
$1,222 |
0.8× |
| Implant neuroelectrodes (63650) |
$3,188.40 |
$7,971 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$738.40 |
$1,846 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$535.20 |
$1,338 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$262 |
$655 |
1.4× |
| Incision of rectal abscess (46040) |
$1,158 |
$2,895 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$85.60 |
$214 |
0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,004 |
$2,510 |
1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$112 |
$280 |
0.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$693.60 |
$1,734 |
0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$714.80 |
$1,787 |
1.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,004 |
$2,510 |
1.2× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$268.80–$274 |
$672–$685 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$274–$368.80 |
$685–$922 |
varies |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$714.80 |
$1,787 |
1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$494.40 |
$1,236 |
0.8× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$191.20–$193.60 |
$478–$484 |
varies |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$164.40–$166.40 |
$411–$416 |
varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,113.60 |
$2,784 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$287.60 |
$719 |
1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$714.80 |
$1,787 |
1.1× |
| N block inj intercost sng (64420) |
$693.60 |
$1,734 |
1.1× |
| N Block Lumbar/Thoracic (64520) |
$714.80 |
$1,787 |
0.9× |
| Needle Biopsy Lymph Nodes (38505) |
$245.20 |
$613 |
0.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$914.40 |
$2,286 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$714.80 |
$1,787 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,004 |
$2,510 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,140.80 |
$2,852 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,140.80 |
$2,852 |
1.8× |
| Occipital Nerve Block (64405) |
$274 |
$685 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$4,499.20 |
$11,248 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$204.80 |
$512 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$471.60 |
$1,179 |
1.3× |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
$263.20–$332.40 |
$658–$831 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$310.80 |
$777 |
5.7× |
| Removal of nail bed (11750) |
$458.40 |
$1,146 |
1.2× |
| Remove Nasal Foreign Body (30300) |
$466.80 |
$1,167 |
3.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$501.60 |
$1,254 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$280.40 |
$701 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$355.60 |
$889 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$224.80 |
$562 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$484 |
$1,210 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$527.60 |
$1,319 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$540.40 |
$1,351 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$264.80 |
$662 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$351.60 |
$879 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$402.40 |
$1,006 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$907.20 |
$2,268 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$224.80 |
$562 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$224.80 |
$562 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$770.40 |
$1,926 |
2.1× |
| Repair tongue laceration (41250) |
$236.40 |
$591 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$269.20 |
$673 |
0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$402.40 |
$1,006 |
2.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$145.20 |
$363 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$236.40 |
$591 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$236.40 |
$591 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$236.80 |
$592 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$190.40 |
$476 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$287.60 |
$719 |
1.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,240 |
$3,100 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$227.20 |
$568 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$402.40 |
$1,006 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$765.20 |
$1,913 |
2.0× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$114–$138.40 |
$285–$346 |
varies |
| Thrombolytic Therapy Stroke (37195) |
$220.40 |
$551 |
0.7× |
| Thyroid biopsy (60100) |
$406 |
$1,015 |
0.6× |
| Treat toe dislocation (28630) |
$402.40 |
$1,006 |
1.8× |
| Vaginal delivery only (59409) |
$1,778 |
$4,445 |
0.6× |