| Anoscopy W/Rmvl Foreign Body (46608) |
$201.90 |
$673 |
0.2× |
| Application finger splint static (29130) |
$39 |
$130 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$108.90 |
$363 |
0.7× |
| Application Long Leg Splint (29505) |
$39 |
$130 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$39 |
$130 |
0.3× |
| Application short leg splint calf foot (29515) |
$39 |
$130 |
0.3× |
Apply Multlay Comprs Lwr Leg (29581) range across 7 matching MRF lines |
$39–$182.10 |
$130–$607 |
varies |
| Arterial puncture (36600) |
$9.30 |
$31 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$315 |
$1,050 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$315 |
$1,050 |
1.1× |
Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$73.65–$201.90 |
$245.50–$673 |
varies |
| Biopsy bone open superficial (20240) |
$1,584 |
$5,280 |
0.6× |
| Bladder Irrigation (51700) |
$49.50 |
$165 |
0.2× |
Blood Transfusion Service (36430) range across 6 matching MRF lines |
$209.70–$690.30 |
$699–$2,301 |
varies |
| Change Cystostomy Tube Simple (51705) |
$198 |
$660 |
0.9× |
| Chemical Cautery Tissue (17250) |
$120.75 |
$402.50 |
0.7× |
| Chest tube placement (32551) |
$315 |
$1,050 |
0.2× |
| Clear outer ear canal (69200) |
$201.90 |
$673 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$201.90 |
$673 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$201.90 |
$673 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$201.90 |
$673 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$201.90 |
$673 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$9.30 |
$31 |
0.1× |
| Collection of venous blood by venipuncture (36415) |
$8.25 |
$27.50 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$201.90 |
$673 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$201.90 |
$673 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$201.90 |
$673 |
1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$259.05 |
$863.50 |
0.4× |
| Debride nail 1-5 (11720) |
$73.65 |
$245.50 |
1.4× |
| Debride nail 6 or more (11721) |
$73.65 |
$245.50 |
1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$685.80 |
$2,286 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$259.05 |
$863.50 |
0.7× |
| Draw Blood Off Venous Device (36591) |
$9.30 |
$31 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$120.75 |
$402.50 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$120.75 |
$402.50 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$120.75 |
$402.50 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$201.90 |
$673 |
1.7× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$120.45–$201.90 |
$401.50–$673 |
varies |
| I&d pilonidal cyst simple (10080) |
$201.90 |
$673 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$120.45 |
$401.50 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$201.90 |
$673 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$201.90 |
$673 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$201.90 |
$673 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$120.75 |
$402.50 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$315 |
$1,050 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$49.50 |
$165 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$415.05 |
$1,383.50 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$49.50 |
$165 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$49.50 |
$165 |
0.4× |
Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$136.80–$315 |
$456–$1,050 |
varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$201.90 |
$673 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$120.75 |
$402.50 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$201.90 |
$673 |
3.8× |
| Removal of nail bed (11750) |
$357.75 |
$1,192.50 |
1.0× |
| Remove foreign body from eye (65205) |
$201.90 |
$673 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$201.90 |
$673 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$315 |
$1,050 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$315 |
$1,050 |
0.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$315 |
$1,050 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$315 |
$1,050 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$201.90 |
$673 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$201.90 |
$673 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$201.90 |
$673 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$201.90 |
$673 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$201.90 |
$673 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$201.90 |
$673 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$201.90 |
$673 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$201.90 |
$673 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$201.90 |
$673 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$201.90 |
$673 |
0.5× |
Replace duodenostomy/jejunostomy tube perq (49451) range across 4 matching MRF lines |
$6.75–$7.87 |
$22.50–$26.25 |
varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$201.90 |
$673 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$191.40 |
$638 |
0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$201.90 |
$673 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$201.90 |
$673 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$201.90 |
$673 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$201.90 |
$673 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$201.90 |
$673 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$201.90 |
$673 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$201.90 |
$673 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$201.90 |
$673 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$201.90 |
$673 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$201.90 |
$673 |
0.5× |
| Strapping ankle (29540) |
$39 |
$130 |
0.3× |
| Strapping elbow or wrist (29260) |
$39 |
$130 |
0.7× |
| Strapping knee (29530) |
$39 |
$130 |
0.3× |
Strapping Unna Boot (29580) range across 5 matching MRF lines |
$91.05–$182.10 |
$303.50–$607 |
varies |
| Tangential biopsy skin single lesion (11102) |
$120.75 |
$402.50 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$201.90 |
$673 |
0.9× |
| Trim skin lesion (11055) |
$73.65 |
$245.50 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$73.65 |
$245.50 |
0.4× |
| Trim skin lesions over 4 (11057) |
$120.75 |
$402.50 |
0.7× |
| Tx Gastro Intub W/Asp (43753) |
$201.90 |
$673 |
1.0× |