| Acne surgery (10040) |
$174 |
$183 |
0.8× |
| Application cast elbow finger short arm (29075) |
$267 |
$281 |
0.9× |
| Application Cast Finger (29086) |
$148 |
$156 |
0.9× |
| Application finger splint static (29130) |
$105 |
$110 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$314 |
$330 |
1.9× |
| Application Long Leg Splint (29505) |
$182 |
$192 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$648 |
$682 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$72 |
$76 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$177 |
$186 |
1.3× |
| Application, cast; figure-of-eight Facility (29049) |
$323 |
$340 |
1.1× |
| Apply hand/wrist cast (29085) |
$364 |
$383 |
2.2× |
| Apply long arm cast (29065) |
$480 |
$505 |
1.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$299 |
$315 |
1.8× |
| Apply Short Leg Cast (29405) |
$278 |
$293 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$135 |
$142 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$162 |
$170 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$261 |
$275 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$136 |
$143 |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$132 |
$139 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$201 |
$212 |
1.0× |
| Bladder Irrigation (51700) |
$438 |
$461 |
1.7× |
| Bladder Scan (51798) |
$171 |
$180 |
2.8× |
Blood Transfusion Service (36430)
range across 3 matching MRF lines |
$881–$924 |
$927–$973 |
varies |
| Change of Windpipe Airway (31502) |
$1,876 |
$1,975 |
7.6× |
| Chemical Cautery Tissue (17250) |
$253 |
$266 |
1.2× |
| Chest tube placement (32551) |
$368 |
$387 |
0.2× |
| Clear outer ear canal (69200) |
$227 |
$239 |
1.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$556 |
$585 |
2.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$649 |
$683 |
2.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$582 |
$613 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$416 |
$438 |
1.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$196 |
$206 |
1.4× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$31–$43 |
$33–$45 |
varies |
| Complex drainage wound (10180) |
$1,502 |
$1,581 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$305 |
$321 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$235 |
$247 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$406 |
$427 |
2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$271 |
$285 |
1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,349 |
$1,420 |
1.8× |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$38–$55 |
$40–$58 |
varies |
Debride nail 6 or more (11721)
range across 2 matching MRF lines |
$84–$87 |
$88–$92 |
varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,880 |
$1,979 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$243 |
$256 |
0.6× |
| Destruct B9 Lesion 1-14 (17110) |
$231 |
$243 |
1.1× |
| Destruction Benign Lesions 15/> (17111) |
$284 |
$299 |
1.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$418 |
$440 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$157 |
$165 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$522 |
$549 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,140 |
$1,200 |
0.7× |
| Drainage of finger abscess simple (26010) |
$482 |
$507 |
2.3× |
| Draw Blood Off Venous Device (36591) |
$194 |
$204 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$522 |
$549 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$545 |
$574 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$94 |
$99 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$237 |
$249 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$665 |
$700 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$254 |
$267 |
0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$385 |
$405 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$411 |
$433 |
0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$296 |
$312 |
0.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$350 |
$368 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$537 |
$565 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$192 |
$202 |
0.5× |
| I&d abscess simple (10060) |
$233 |
$245 |
1.1× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$556 |
$585 |
0.3× |
| I&d forearm/wrist bursa (25031) |
$556 |
$585 |
0.3× |
| I&d pilonidal cyst complicated (10081) |
$522 |
$549 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$551 |
$580 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$286 |
$301 |
0.7× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$719 |
$757 |
0.4× |
| Incision&drainage bursa foot (28001) |
$556 |
$585 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$150 |
$158 |
0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$229 |
$241 |
0.7× |
| Injection single tendon origin/insertion (20551) |
$241 |
$254 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$125 |
$132 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$517 |
$544 |
1.6× |
| Insert Bladder Cath Complex (51703) |
$333 |
$351 |
2.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$556 |
$585 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$173 |
$182 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$191 |
$201 |
1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,546 |
$2,680 |
1.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$684 |
$720 |
1.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$741 |
$780 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$312 |
$328 |
1.3× |
| Late closure of wound (13160) |
$2,554 |
$2,688 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$252 |
$265 |
8.4× |
| Placement of needle for intraosseous infusion (36680) |
$389 |
$409 |
0.8× |
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines |
$323–$334 |
$340–$352 |
varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$266 |
$280 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$687 |
$723 |
0.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$473 |
$498 |
1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$550 |
$579 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$366 |
$385 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$90 |
$95 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$100 |
$105 |
1.6× |
| Removal implantable contraceptive capsules (11976) |
$196 |
$206 |
0.3× |
| Removal of nail bed (11750) |
$436 |
$459 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$179 |
$188 |
0.9× |
| Remove foreign body from eye (65205) |
$100 |
$105 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$389 |
$409 |
2.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$499 |
$525 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$594 |
$625 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$649 |
$683 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$499 |
$525 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$465 |
$489 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$873 |
$919 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$451 |
$475 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$546 |
$575 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$537 |
$565 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$638 |
$672 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$404 |
$425 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$451 |
$475 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$760 |
$800 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$846 |
$890 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$517 |
$544 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$615 |
$647 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$499 |
$525 |
0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$846 |
$890 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$838 |
$882 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$514 |
$541 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$646 |
$680 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$499 |
$525 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$625 |
$658 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,140 |
$1,200 |
0.5× |
| Repair tongue laceration (41250) |
$364 |
$383 |
0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$617 |
$649 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$105 |
$110 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$221 |
$233 |
1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$725 |
$763 |
1.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,205 |
$1,268 |
0.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$556 |
$585 |
0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$660 |
$695 |
3.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$846 |
$890 |
1.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$189 |
$199 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$323 |
$340 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$789 |
$830 |
1.9× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
$129–$306 |
$136–$322 |
varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$353 |
$372 |
1.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$484 |
$509 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$523 |
$551 |
2.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$484 |
$509 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$276 |
$290 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$502 |
$528 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$389 |
$409 |
1.9× |
| Skin Tissue Procedure (17999) |
$48 |
$50 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$308 |
$324 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$586 |
$617 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$559 |
$588 |
1.3× |
| Strapping Unna Boot (29580) |
$361 |
$380 |
2.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$863 |
$908 |
3.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,440 |
$1,516 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,340 |
$1,411 |
5.2× |
| Trim skin lesion (11055) |
$94 |
$99 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$127 |
$134 |
0.6× |
| Trim skin lesions over 4 (11057) |
$149 |
$157 |
0.7× |
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines |
$35–$52 |
$37–$55 |
varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$592 |
$623 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$323 |
$340 |
0.8× |