Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
$680–$1,168 |
$1,360–$2,336 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,345 |
$2,690 |
1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,237.50 |
$6,475 |
1.0× |
| Application cast elbow finger short arm (29075) |
$319 |
$638 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$145.50 |
$291 |
2.6× |
| Application finger splint static (29130) |
$192 |
$384 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$148.50 |
$297 |
0.9× |
| Application Long Leg Splint (29505) |
$187.50 |
$375 |
1.2× |
| Application of long leg cast (29345) |
$599 |
$1,198 |
2.2× |
| Application of rigid total contact leg cast (29445) |
$255.50 |
$511 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$269.50 |
$539 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$254.50 |
$509 |
2.0× |
| Application short leg splint calf foot (29515) |
$192 |
$384 |
1.2× |
| Apply long arm cast (29065) |
$247.50 |
$495 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$148.50 |
$297 |
0.9× |
| Apply Short Leg Cast (29405) |
$294.50 |
$589 |
1.1× |
| Arterial puncture (36600) |
$18 |
$36 |
0.1× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
$286.50–$289 |
$573–$578 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$395.50 |
$791 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$373 |
$746 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$479 |
$958 |
1.6× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$237.50–$1,000 |
$475–$2,000 |
varies |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
$743.50–$782 |
$1,487–$1,564 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$228 |
$456 |
0.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$290.50 |
$581 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$990 |
$1,980 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$220 |
$440 |
1.1× |
| Biopsy Abdominal Mass (49180) |
$1,671.50 |
$3,343 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$143 |
$286 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$894.50 |
$1,789 |
0.6× |
| Biopsy of liver, needle; percutaneous (47000) |
$910 |
$1,820 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$1,394 |
$2,788 |
0.9× |
| Biopsy Vaginal Mucosa Simple (57100) |
$699 |
$1,398 |
0.8× |
| Bladder Irrigation (51700) |
$295 |
$590 |
1.2× |
| Bladder Scan (51798) |
$114.50 |
$229 |
2.0× |
| Blood Transfusion Service (36430) |
$431 |
$862 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,218.50 |
$2,437 |
0.8× |
| Bone Marrow; Aspiration Only (38220) |
$1,131.50 |
$2,263 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$3,718 |
$7,436 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$2,319.50 |
$4,639 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$918 |
$1,836 |
0.6× |
| Canthotomy Separate Procedure (67715) |
$1,010 |
$2,020 |
0.4× |
| Catheter aspiration nasotracheal spx (31720) |
$30 |
$60 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$1,383.50 |
$2,767 |
2.1× |
| Change Cystostomy Tube Simple (51705) |
$243.50 |
$487 |
1.0× |
| Change of Windpipe Airway (31502) |
$204 |
$408 |
0.9× |
| Chemical Cautery Tissue (17250) |
$198 |
$396 |
1.0× |
| Chest tube placement (32551) |
$389 |
$778 |
0.3× |
| Circumcision 28 days or older (54161) |
$2,484.50 |
$4,969 |
1.2× |
| Circumcision w/clamp/oth dev w/block (54150) |
$249.50 |
$499 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,680 |
$3,360 |
1.1× |
| Clear outer ear canal (69200) |
$134.50 |
$269 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$397 |
$794 |
1.7× |
| Closed Treat Vert Body Fract (22310) |
$311 |
$622 |
1.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$448.50 |
$897 |
1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$526 |
$1,052 |
2.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$475.50 |
$951 |
2.0× |
| Closed Treatment Sternum Fracture (21820) |
$397 |
$794 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$141.50 |
$283 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$334.50 |
$669 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$734.50 |
$1,469 |
3.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$141 |
$282 |
0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$160 |
$320 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$269 |
$538 |
1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,208.50 |
$2,417 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$142 |
$284 |
0.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$119.50 |
$239 |
0.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,621.50 |
$3,243 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$262.50 |
$525 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,433.50 |
$6,867 |
2.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$185 |
$370 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$275 |
$550 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$283 |
$566 |
1.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$160 |
$320 |
0.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,032 |
$2,064 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$182 |
$364 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$998.50 |
$1,997 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$131.50 |
$263 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$139 |
$278 |
0.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$926 |
$1,852 |
1.8× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$355 |
$710 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,371 |
$2,742 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$149.50 |
$299 |
0.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$155.50 |
$311 |
0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$148 |
$296 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$526 |
$1,052 |
2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$571.50 |
$1,143 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$274 |
$548 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$311.50 |
$623 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$239.50 |
$479 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$411.50 |
$823 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$412.50 |
$825 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$373 |
$746 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$312 |
$624 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$251 |
$502 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$312 |
$624 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$152.50 |
$305 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,119.50 |
$6,239 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$213.50 |
$427 |
0.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$414.50 |
$829 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$150 |
$300 |
0.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,598.50 |
$3,197 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,156.50 |
$2,313 |
0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$285 |
$570 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$142 |
$284 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$211.50 |
$423 |
0.9× |
| Cltx Medial Ankle Fx (27760) |
$232 |
$464 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$275 |
$550 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$432 |
$864 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$275 |
$550 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$226.50 |
$453 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,302 |
$6,604 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$184.50 |
$369 |
0.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,106 |
$6,212 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$167 |
$334 |
0.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,707 |
$5,414 |
1.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$3,138 |
$6,276 |
13.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$267.50 |
$535 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,042 |
$2,084 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,097.50 |
$2,195 |
0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$153 |
$306 |
0.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$149 |
$298 |
0.6× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$299.50 |
$599 |
1.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$259 |
$518 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$359 |
$718 |
0.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$169 |
$338 |
1.3× |
| Collection of venous blood by venipuncture (36415) |
$4.55 |
$9.09 |
0.5× |
| Complex drainage wound (10180) |
$1,817.50 |
$3,635 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$121 |
$242 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$131.50 |
$263 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,638.50 |
$5,277 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$206 |
$412 |
1.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$418 |
$836 |
0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$355 |
$710 |
0.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$369.50 |
$739 |
0.2× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$277–$355 |
$554–$710 |
varies |
| Declot vascular device (36593) |
$403 |
$806 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$932.50 |
$1,865 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$993 |
$1,986 |
1.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$143.50 |
$287 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$163 |
$326 |
0.1× |
| Drainage Mouth Roof Lesion (42000) |
$143 |
$286 |
0.6× |
| Drainage of finger abscess simple (26010) |
$143.50 |
$287 |
0.7× |
| Drainage of gum lesion (41800) |
$134.50 |
$269 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$143.50 |
$287 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$1,295 |
$2,590 |
0.8× |
| Drainage of scrotum (54700) |
$1,407.50 |
$2,815 |
0.7× |
| Draw Blood Off Venous Device (36591) |
$129.50 |
$259 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$143 |
$286 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$584.50 |
$1,169 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$194 |
$388 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$194 |
$388 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,203.50 |
$2,407 |
0.4× |
| Dx Bronchoscope/Lavage (31624) |
$1,754 |
$3,508 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,509.50 |
$3,019 |
0.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,139.50 |
$2,279 |
1.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,408.50 |
$6,817 |
1.7× |
| Epidural Blood Patch (62273) |
$874 |
$1,748 |
1.3× |
| Escharotomy; initial incision (16035) |
$230 |
$460 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$116 |
$232 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,341.50 |
$2,683 |
1.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,404.50 |
$4,809 |
0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,561 |
$3,122 |
0.8× |
| External cephalic version (59412) |
$3,733.50 |
$7,467 |
1.2× |
| Fetal non-stress test (59025) |
$370.50 |
$741 |
1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,348 |
$4,696 |
3.4× |
| Fine needle aspiration without imaging guidance (10021) |
$248 |
$496 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$247.50 |
$495 |
1.1× |
| Fna bx w/us gdn 1st les (10005) |
$1,521 |
$3,042 |
2.2× |
| Foreskin manipulation (54450) |
$197 |
$394 |
0.8× |
| Guide Cathet Fluid Drainage (10030) |
$1,676 |
$3,352 |
2.5× |
| I&d abscess peritonsillar (42700) |
$199 |
$398 |
0.9× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$317.50–$939.50 |
$635–$1,879 |
varies |
| I&d perianal abscess superficial (46050) |
$163 |
$326 |
0.2× |
| I&d pilonidal cyst complicated (10081) |
$1,495.50 |
$2,991 |
2.2× |
| I&d pilonidal cyst simple (10080) |
$143.50 |
$287 |
0.2× |
| Image Cath Fluid Colxn Visc (49405) |
$1,986 |
$3,972 |
1.2× |
| Image Cath Fluid Peri/Retro (49406) |
$1,986 |
$3,972 |
1.2× |
| Incise external hemorrhoid (46083) |
$418.50 |
$837 |
1.7× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$380.50–$399.50 |
$761–$799 |
varies |
| Incision & removal foreign body subq tiss compl (10121) |
$2,726 |
$5,452 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$338.50 |
$677 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$143 |
$286 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$244.50 |
$489 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,322.50 |
$4,645 |
1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$924 |
$1,848 |
0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$197 |
$394 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$326 |
$652 |
1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$426.50 |
$853 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$350 |
$700 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$403.50 |
$807 |
1.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$621.50 |
$1,243 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$694.50 |
$1,389 |
1.0× |
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines |
$359–$359.50 |
$718–$719 |
varies |
| Insert cath pleura w/ image (32557) |
$865 |
$1,730 |
0.6× |
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines |
$1,127.50–$1,128.50 |
$2,255–$2,257 |
varies |
| Insert cervical dilator (59200) |
$163.50 |
$327 |
0.6× |
| Insert Drug Implant Device (11981) |
$122 |
$244 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,811.50 |
$3,623 |
0.6× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$33–$37 |
$66–$74 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$27 |
$54 |
0.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,863.50 |
$7,727 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,009 |
$2,018 |
0.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,055.50 |
$8,111 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,005.50 |
$8,011 |
1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$334 |
$668 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,021 |
$2,042 |
0.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$529 |
$1,058 |
1.3× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$5,880.50 |
$11,761 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$184.50 |
$369 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$427 |
$854 |
1.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$303.50 |
$607 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$302 |
$604 |
1.6× |
| Lithotripsy, extracorporeal shock wave (50590) |
$5,458 |
$10,916 |
1.6× |
| Myelography Lumbar Injection (62304) |
$465 |
$930 |
0.6× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$441 |
$882 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,276 |
$6,552 |
1.9× |
| Needle Biopsy Lymph Nodes (38505) |
$212.50 |
$425 |
0.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$659 |
$1,318 |
1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$312 |
$624 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,130 |
$2,260 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,296.50 |
$2,593 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$454 |
$908 |
0.7× |
| Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) |
$600 |
$1,200 |
4.7× |
| Occipital Nerve Block (64405) |
$581 |
$1,162 |
2.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,799.50 |
$3,599 |
0.6× |
| Penile Injection (54235) |
$217 |
$434 |
0.9× |
| Perq dev breast 1st us imag (19285) |
$1,220.50 |
$2,441 |
1.8× |
| Perq device breast 1st imag (19281) |
$1,000 |
$2,000 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$265 |
$530 |
0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$5,930 |
$11,860 |
2.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$855.50 |
$1,711 |
1.3× |
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines |
$265.50–$266.50 |
$531–$533 |
varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$201.50 |
$403 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$373 |
$746 |
0.5× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$1,518 |
$3,036 |
2.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$846.50 |
$1,693 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$978 |
$1,956 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$104 |
$208 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$76.50 |
$153 |
1.3× |
| Removal of foreign body from pharynx (42809) |
$886.50 |
$1,773 |
2.1× |
| Removal of nail bed (11750) |
$426.50 |
$853 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$106.50 |
$213 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$348.50 |
$697 |
1.3× |
| Remove drug implant device (11982) |
$255 |
$510 |
0.6× |
| Remove foreign body from eye (65205) |
$270.50 |
$541 |
2.1× |
| Remove Intrauterine Device (58301) |
$188 |
$376 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$120 |
$240 |
0.9× |
| Renal Biopsy Perq (50200) |
$1,670 |
$3,340 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,212.50 |
$2,425 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,147.50 |
$2,295 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,918.50 |
$3,837 |
4.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,374.50 |
$2,749 |
3.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$631.50 |
$1,263 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$631.50 |
$1,263 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$401 |
$802 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$384.50 |
$769 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$256 |
$512 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$354 |
$708 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$955.50 |
$1,911 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$214.50 |
$429 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$204 |
$408 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$179 |
$358 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$446.50 |
$893 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$446.50 |
$893 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$483 |
$966 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$446.50 |
$893 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,093.50 |
$6,187 |
1.6× |
| Repair of nail bed (11760) |
$194.50 |
$389 |
0.3× |
| Repair tongue laceration (41250) |
$321 |
$642 |
0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$135 |
$270 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$416 |
$832 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$366 |
$732 |
2.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$227 |
$454 |
0.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$694.50 |
$1,389 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$830.50 |
$1,661 |
1.4× |
| Rplc Gtube No Revj Trc (43762) |
$438.50 |
$877 |
1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$208 |
$416 |
1.1× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$1,319.50 |
$2,639 |
0.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$438.50 |
$877 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,029 |
$2,058 |
2.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$3,741 |
$7,482 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$289.50 |
$579 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$289.50 |
$579 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$208 |
$416 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$306.50 |
$613 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$161 |
$322 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$218.50 |
$437 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$685.50 |
$1,371 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$1,802 |
$3,604 |
2.5× |
| Skin sub grft t/arm/lg child (15273) |
$730 |
$1,460 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$218.50 |
$437 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$291.50 |
$583 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$161 |
$322 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$755 |
$1,510 |
1.1× |
| Strapping ankle (29540) |
$242 |
$484 |
1.5× |
| Strapping elbow or wrist (29260) |
$255 |
$510 |
4.5× |
| Strapping hand/finger (29280) |
$241.50 |
$483 |
4.2× |
| Strapping knee (29530) |
$241.50 |
$483 |
1.9× |
| Strapping shoulder (29240) |
$255 |
$510 |
2.0× |
| Strapping Unna Boot (29580) |
$148.50 |
$297 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$299 |
$598 |
0.9× |
| Thyroid biopsy (60100) |
$301.50 |
$603 |
0.4× |
| Treat humerus fracture (24500) |
$253.50 |
$507 |
1.1× |
| Treat Humerus Fracture (24505) |
$288 |
$576 |
0.2× |
| Treat humerus fracture (23600) |
$202 |
$404 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$142 |
$284 |
0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,187.50 |
$6,375 |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$141.50 |
$283 |
0.6× |
| Trim skin lesion (11055) |
$126 |
$252 |
0.7× |
| Trimming Nondystrophic Nails Any Number (11719) |
$56 |
$112 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$243.50 |
$487 |
1.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,234 |
$6,468 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$379.50 |
$759 |
0.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$535 |
$1,070 |
0.6× |
| Vaginal delivery only (59409) |
$6,208.50 |
$12,417 |
2.0× |
| Wedge excision skin nail fold (11765) |
$294 |
$588 |
0.8× |