| Abd paracentesis w/imaging (49083) |
$733.60 |
$1,310 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$184.80 |
$330 |
0.2× |
| Application finger splint static (29130) |
$48.72 |
$87 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$134.40 |
$240 |
0.8× |
| Application of rigid total contact leg cast (29445) |
$180.32 |
$322 |
0.6× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$97.44–$157.92 |
$174–$282 |
varies |
| Application short leg splint calf foot (29515) |
$108.08 |
$193 |
0.6× |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
$112.56–$119.84 |
$201–$214 |
varies |
| Arterial puncture (36600) |
$86.24 |
$154 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$70.56 |
$126 |
0.2× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$81.76–$345.52 |
$146–$617 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$458.08 |
$818 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$59.92 |
$107 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$761.60 |
$1,360 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$104.16 |
$186 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$271.60 |
$485 |
0.4× |
| Bladder Scan (51798) |
$96.32 |
$172 |
1.5× |
Blood Transfusion Service (36430)
range across 3 matching MRF lines |
$549.36–$771.68 |
$981–$1,378 |
varies |
| Bx breast 1st lesion us imag (19083) |
$1,291.92 |
$2,307 |
0.7× |
| Catheter aspiration nasotracheal spx (31720) |
$127.12 |
$227 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$411.04 |
$734 |
1.5× |
| Chest tube placement (32551) |
$360.08 |
$643 |
0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$901.04 |
$1,609 |
0.5× |
| Clear outer ear canal (69200) |
$147.84 |
$264 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$260.40 |
$465 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$404.32 |
$722 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$611.52 |
$1,092 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$142.24 |
$254 |
0.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$938 |
$1,675 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$313.60 |
$560 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$124.88 |
$223 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$608.72 |
$1,087 |
2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$570.64 |
$1,019 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$260.40 |
$465 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$14.56 |
$26 |
1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$3,978.24 |
$7,104 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$132.72 |
$237 |
0.9× |
| Cysto w/insert ureteral stent (52332) |
$2,122.96 |
$3,791 |
0.6× |
Cysto w/ureteroscopy w/lithotripsy (52353)
unusually low: confirm this is the full procedure |
$2,233.28 |
$3,988 |
0.4× |
| Cystourethroscopy (52000) |
$622.16 |
$1,111 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$778.96 |
$1,391 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$898.80 |
$1,605 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$800.80 |
$1,430 |
1.8× |
| Declot vascular device (36593) |
$278.88 |
$498 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$2,142.56 |
$3,826 |
1.0× |
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines |
$139.44–$278.88 |
$249–$498 |
varies |
| Drainage of gum lesion (41800) |
$305.20 |
$545 |
2.1× |
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines |
$104.72–$187.60 |
$187–$335 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$133.28 |
$238 |
0.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$809.76 |
$1,446 |
0.9× |
| Egd control bleeding any (43255) |
$1,279.04 |
$2,284 |
0.6× |
| Egd Flexible Foreign Body Removal (43247) |
$3,346 |
$5,975 |
3.5× |
| Evacuation of subungual hematoma (11740) |
$199.92 |
$357 |
1.4× |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
$328.72–$367.92 |
$587–$657 |
varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$432.32 |
$772 |
0.4× |
| I&d abscess simple (10060) |
$157.92 |
$282 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$392 |
$700 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$272.72 |
$487 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$73.36 |
$131 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$73.36 |
$131 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$337.68 |
$603 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$1,253.84 |
$2,239 |
0.4× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$123.76–$132.16 |
$221–$236 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$99.12 |
$177 |
0.7× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
$2,424.80–$2,587.20 |
$4,330–$4,620 |
varies |
| Intubation endotracheal emergency procedure (31500) |
$216.16 |
$386 |
0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$139.44 |
$249 |
0.4× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$1,081.92–$1,191.12 |
$1,932–$2,127 |
varies |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines |
$878.08–$905.52 |
$1,568–$1,617 |
varies |
| Occipital Nerve Block (64405) |
$280.56 |
$501 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$119.84 |
$214 |
0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$272.72 |
$487 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$63.84 |
$114 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$63.84 |
$114 |
1.0× |
| Removal of nail bed (11750) |
$314.72 |
$562 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$73.36 |
$131 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$560 |
$1,000 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$547.68 |
$978 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$571.76 |
$1,021 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$547.68 |
$978 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$571.76 |
$1,021 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$594.72 |
$1,062 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$262.08 |
$468 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$229.60 |
$410 |
1.6× |
| Rplc Gtube No Revj Trc (43762) |
$69.44 |
$124 |
0.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,153.20 |
$3,845 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$314.72 |
$562 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$323.68 |
$578 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$484.96 |
$866 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$322.56 |
$576 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,176.16 |
$3,886 |
2.8× |
| Skin sub graft trnk/arm/leg (15271) |
$2,284.80 |
$4,080 |
2.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$318.64 |
$569 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$291.76 |
$521 |
0.4× |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
$138.32–$370.72 |
$247–$662 |
varies |
| Trim skin lesion (11055) |
$387.52 |
$692 |
1.8× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$421.68 |
$753 |
0.1× |