| Acne surgery (10040) |
$74.55 |
$149.10 |
0.4× |
| Anoscopy diagnostic (46600) |
$64.58 |
$129.15 |
0.5× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$152.25 |
$304.50 |
0.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$168.52 |
$337.05 |
0.6× |
| Application of long leg cast (29345) |
$168.52 |
$337.05 |
0.6× |
| Application Patellar Tendon Bearing Cast (29435) |
$165.38 |
$330.75 |
0.6× |
| Apply long arm cast (29065) |
$168.52 |
$337.05 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$128.62 |
$257.25 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$94.50 |
$189 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$191.62 |
$383.25 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$131.78 |
$263.55 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$46.20 |
$92.40 |
0.2× |
| Biopsy of lip (40490) |
$152.78 |
$305.55 |
0.7× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$403.20 |
$806.40 |
0.2× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$403.20 |
$806.40 |
0.2× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$469.88 |
$939.75 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$228.38 |
$456.75 |
0.3× |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$84.52–$185.32 |
$169.05–$370.65 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
$278.78 |
$557.55 |
0.9× |
Blood Transfusion Service (36430)
range across 3 matching MRF lines |
$4.41–$6.62 |
$8.82–$13.23 |
varies |
| Clear outer ear canal (69200) |
$98.70 |
$197.40 |
0.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$142.28 |
$284.55 |
0.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$319.20 |
$638.40 |
1.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$252 |
$504 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$168.52 |
$337.05 |
0.7× |
| Closure lacrimal punctum (68760) |
$152.25 |
$304.50 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$201.60 |
$403.20 |
0.8× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$148.05 |
$296.10 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$201.60 |
$403.20 |
0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$286.12 |
$572.25 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$201.60 |
$403.20 |
0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$201.60 |
$403.20 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$168.52 |
$337.05 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$201.60 |
$403.20 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$469.88 |
$939.75 |
0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$168.52 |
$337.05 |
0.7× |
| Cltx Medial Ankle Fx (27760) |
$286.12 |
$572.25 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$168.52 |
$337.05 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$168.52 |
$337.05 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$201.60 |
$403.20 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$185.32 |
$370.65 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$302.40 |
$604.80 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$252 |
$504 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$1.05 |
$2.10 |
0.0× |
| Collection of venous blood by venipuncture (36415) |
$17.32 |
$34.65 |
1.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$175.35 |
$350.70 |
0.6× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$54.60 |
$109.20 |
0.1× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$34.65 |
$69.30 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$30.45 |
$60.90 |
0.1× |
| Debride nail 1-5 (11720) |
$26.25 |
$52.50 |
0.4× |
| Debride nail 6 or more (11721) |
$44.62 |
$89.25 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$153.30 |
$306.60 |
0.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$174.82 |
$349.65 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$198.98 |
$397.95 |
1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$148.05 |
$296.10 |
0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$175.35 |
$350.70 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$174.82 |
$349.65 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$70.88 |
$141.75 |
0.4× |
| Dilate Urethra Stricture (53600) |
$137.02 |
$274.05 |
0.6× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$88.20 |
$176.40 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$140.18 |
$280.35 |
0.2× |
| Drainage of hematoma/fluid (10140) |
$127.05 |
$254.10 |
0.1× |
| Draw Blood Off Venous Device (36591) |
$1.05 |
$2.10 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$88.20 |
$176.40 |
0.4× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$228.38 |
$456.75 |
0.6× |
| Endocervical curettage (57505) |
$345.45 |
$690.90 |
0.4× |
| Endometrial Biopsy (58100) |
$137.02 |
$274.05 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$42 |
$84 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$250.42 |
$500.85 |
0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$405.30 |
$810.60 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$383.78 |
$767.55 |
0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$318.15 |
$636.30 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$95.02 |
$190.05 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$180.08 |
$360.15 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$288.75 |
$577.50 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$282.98 |
$565.95 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$227.32 |
$454.65 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$228.38 |
$456.75 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$201.60 |
$403.20 |
0.3× |
| Incise/Drain Conjunctiva (68020) |
$152.25 |
$304.50 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$169.58 |
$339.15 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$99.22 |
$198.45 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$162.50 |
$325 |
0.8× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$199.50 |
$399 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$136.50 |
$273 |
0.2× |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
$124.95–$268.38 |
$249.90–$536.75 |
varies |
| Injection single tendon origin/insertion (20551) |
$80.85 |
$161.70 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$185.32 |
$370.65 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$46.20 |
$92.40 |
0.2× |
| Insert Drug Implant Device (11981) |
$175.35 |
$350.70 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$84.52 |
$169.05 |
0.6× |
| Iridotomy/irridectomy laser surg per session (66761) |
$262.50 |
$525 |
0.5× |
| Laser Surgery,Sever Vitreous Strands (67031) |
$252 |
$504 |
0.5× |
| Late closure of wound (13160) |
$554.40 |
$1,108.80 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$57.22 |
$114.45 |
0.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$99.22 |
$198.45 |
0.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$199.50 |
$399 |
0.6× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$57.75–$118.12 |
$115.50–$236.25 |
varies |
| Removal implantable contraceptive capsules (11976) |
$80.85 |
$161.70 |
0.1× |
| Removal of nail bed (11750) |
$160.12 |
$320.25 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$74.55 |
$149.10 |
0.4× |
| Remove drug implant device (11982) |
$201.60 |
$403.20 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$302.40 |
$604.80 |
0.4× |
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines |
$142.28–$231 |
$284.55–$462 |
varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$190.05 |
$380.10 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$288.75 |
$577.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$152.25 |
$304.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$168.52 |
$337.05 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$201.60 |
$403.20 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$181.12 |
$362.25 |
0.5× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines |
$165.38–$252 |
$330.75–$504 |
varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$168.52 |
$337.05 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$89.25 |
$178.50 |
0.2× |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines |
$80.32–$124.95 |
$160.65–$249.90 |
varies |
| Shave skin lesion 0.5 cm/< (11300) |
$53.02 |
$106.05 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$63 |
$126 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$77.18 |
$154.35 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$86.62 |
$173.25 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$76.12 |
$152.25 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$89.78 |
$179.55 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$95.02 |
$190.05 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$77.18 |
$154.35 |
0.4× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$64.58–$95.02 |
$129.15–$190.05 |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines |
$70.88–$108.15 |
$141.75–$216.30 |
varies |
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines |
$74.55–$105.52 |
$149.10–$211.05 |
varies |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
$64.58–$74.55 |
$129.15–$149.10 |
varies |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines |
$80.32–$105.52 |
$160.65–$211.05 |
varies |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
$70.88–$88.20 |
$141.75–$176.40 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$96.60 |
$193.20 |
0.2× |
| Strapping ankle (29540) |
$57.75 |
$115.50 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$57.22 |
$114.45 |
0.1× |
| Trabeculoplasty by laser surgery (65855) |
$252 |
$504 |
0.5× |
| Treat Metatarsal Fracture (28475) |
$201.60 |
$403.20 |
0.8× |
| Treat Tail Bone Fracture (27200) |
$175.35 |
$350.70 |
0.7× |
| Treat Thumb Fracture (26645) |
$302.40 |
$604.80 |
0.2× |
| Treatment of retinal lesion (67208) |
$301.88 |
$603.75 |
1.0× |
| Trim skin lesion (11055) |
$24.15 |
$48.30 |
0.1× |
| Trim skin lesions 2 to 4 (11056) |
$28.88 |
$57.75 |
0.1× |
| Trim skin lesions over 4 (11057) |
$34.65 |
$69.30 |
0.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$11.55 |
$23.10 |
0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$201.60 |
$403.20 |
0.8× |
| Wedge excision skin nail fold (11765) |
$123.38 |
$246.75 |
0.3× |