| Application finger splint static (29130) |
$179.86 |
$230 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$179.86 |
$230 |
1.3× |
| Application Long Leg Splint (29505) |
$179.86 |
$230 |
1.3× |
Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$222.87–$559.13 |
$285–$715 |
varies |
| Application short arm splint forearm-hand static (29125) |
$179.86 |
$230 |
1.6× |
| Application short leg splint calf foot (29515) |
$179.86 |
$230 |
1.3× |
Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$62.56–$477.02 |
$80–$610 |
varies |
| Apply Short Leg Cast (29405) |
$132.94 |
$170 |
0.6× |
| Arterial puncture (36600) |
$249.46 |
$319 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$121.21 |
$155 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$149.36 |
$191 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$258.06 |
$330 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$477.02 |
$610 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$258.06 |
$330 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$121.21–$398.82 |
$155–$510 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
$523.94 |
$670 |
1.9× |
| Blood Transfusion Service (36430) |
$281.52 |
$360 |
0.7× |
| Bone Marrow; Aspiration Only (38220) |
$332.35 |
$425 |
0.2× |
| Catheter aspiration nasotracheal spx (31720) |
$449.65 |
$575 |
2.4× |
| Change Cystostomy Tube Simple (51705) |
$190.03 |
$243 |
0.9× |
| Change of Windpipe Airway (31502) |
$570.86 |
$730 |
2.8× |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$86.02–$398.82 |
$110–$510 |
varies |
| Chest tube placement (32551) |
$430.10 |
$550 |
0.3× |
| Clear outer ear canal (69200) |
$109.48 |
$140 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$320.62 |
$410 |
1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$254.15 |
$325 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$254.15 |
$325 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$71.94 |
$92 |
0.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$574.77 |
$735 |
2.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$738.99 |
$945 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$254.15 |
$325 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$320.62 |
$410 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$254.15 |
$325 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$254.15 |
$325 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$782 |
$1,000 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$15.64 |
$20 |
1.7× |
| Colporrhaphy (57200) |
$1,036.15 |
$1,325 |
0.4× |
Complex drainage wound (10180) range across 2 matching MRF lines |
$387.09–$5,474 |
$495–$7,000 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$183.77 |
$235 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$183.77 |
$235 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$183.77 |
$235 |
1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$183.77 |
$235 |
0.9× |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$336.26–$1,145.63 |
$430–$1,465 |
varies |
Debride nail 1-5 (11720) range across 2 matching MRF lines |
$35.19–$132.94 |
$45–$170 |
varies |
Debride nail 6 or more (11721) range across 2 matching MRF lines |
$58.65–$132.94 |
$75–$170 |
varies |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$496.57–$3,081.08 |
$635–$3,940 |
varies |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$148.58–$735.08 |
$190–$940 |
varies |
| Delivery of placenta (59414) |
$1,036.15 |
$1,325 |
0.4× |
Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$148.58–$232.25 |
$190–$297 |
varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$379.27 |
$485 |
2.2× |
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$304.98–$346.43 |
$390–$443 |
varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$371.45 |
$475 |
2.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$301.07 |
$385 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$320.62 |
$410 |
1.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$347.99 |
$445 |
2.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$203.32 |
$260 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$172.04 |
$220 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$491.10 |
$628 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$399.60 |
$511 |
0.7× |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$261.97–$3,163.19 |
$335–$4,045 |
varies |
| Drainage of scrotal wall abscess (55100) |
$1,329.40 |
$1,700 |
0.9× |
| Draw Blood Off Venous Device (36591) |
$11.73 |
$15 |
0.1× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$293.25–$731.17 |
$375–$935 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$293.25–$398.82 |
$375–$510 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$121.21–$398.82 |
$155–$510 |
varies |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$1,798.60 |
$2,300 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$473.11 |
$605 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$70.38 |
$90 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$821.10 |
$1,050 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$425.41 |
$544 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$505.17 |
$646 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$577.12 |
$738 |
0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$887.57 |
$1,135 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$480.93 |
$615 |
0.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$480.93 |
$615 |
0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,372.41 |
$1,755 |
2.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$457.47 |
$585 |
0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$457.47 |
$585 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$255.71 |
$327 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$332.35 |
$425 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,372.41 |
$1,755 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,346 |
$3,000 |
1.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$401.17 |
$513 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$887.57 |
$1,135 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,189.60 |
$2,800 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$887.57 |
$1,135 |
0.6× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,189.60 |
$2,800 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$2,920.77 |
$3,735 |
2.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,346 |
$3,000 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$887.57 |
$1,135 |
0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$821.10 |
$1,050 |
2.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$347.99 |
$445 |
0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,920.77 |
$3,735 |
2.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$602.92 |
$771 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$480.93 |
$615 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$480.93 |
$615 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$523.94 |
$670 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$457.47 |
$585 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$821.10 |
$1,050 |
1.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$457.47 |
$585 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,346 |
$3,000 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,372.41 |
$1,755 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$457.47 |
$585 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$545.05 |
$697 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$887.57 |
$1,135 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,720.40 |
$2,200 |
1.2× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$234.60–$398.82 |
$300–$510 |
varies |
| I&d perianal abscess superficial (46050) |
$645.15 |
$825 |
0.8× |
I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$371.45–$1,368.50 |
$475–$1,750 |
varies |
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$226.78–$1,368.50 |
$290–$1,750 |
varies |
| Incise external hemorrhoid (46083) |
$328.44 |
$420 |
1.5× |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$402.73–$731.17 |
$515–$935 |
varies |
Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$398.82–$3,163.19 |
$510–$4,045 |
varies |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$226.78–$782 |
$290–$1,000 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$347.99 |
$445 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$265.88 |
$340 |
1.0× |
| Incision of rectal abscess (46040) |
$3,933.46 |
$5,030 |
3.8× |
Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$136.85–$1,212.10 |
$175–$1,550 |
varies |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$148.58 |
$190 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$123.56 |
$158 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$258.06 |
$330 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$156.40 |
$200 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$117.30 |
$150 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$504.39 |
$645 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$109.48 |
$140 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$109.48 |
$140 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$550.53 |
$704 |
0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$234.60 |
$300 |
0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$234.60 |
$300 |
0.7× |
Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$250.24–$483.28 |
$320–$618 |
varies |
| Laryngoscopy diagnostic (31505) |
$148.58 |
$190 |
0.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$254.15 |
$325 |
0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,255.11 |
$1,605 |
0.8× |
| Late closure of wound (13160) |
$684.25 |
$875 |
0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$19.55 |
$25 |
0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.10 |
$50 |
1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$46.92 |
$60 |
1.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$320.62 |
$410 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$320.62 |
$410 |
0.1× |
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$105.57–$758.54 |
$135–$970 |
varies |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$211.14–$782 |
$270–$1,000 |
varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$26.59 |
$34 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$109.48 |
$140 |
2.2× |
| Removal of foreign body from pharynx (42809) |
$109.48 |
$140 |
0.3× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$226.78–$735.08 |
$290–$940 |
varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$183.77 |
$235 |
1.1× |
| Remove foreign body from eye (65205) |
$156.40 |
$200 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$109.48 |
$140 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$746.81 |
$955 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$746.81 |
$955 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$234.60 |
$300 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$750.72 |
$960 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$512.21 |
$655 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$512.21 |
$655 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$746.81 |
$955 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$746.81 |
$955 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$548.96 |
$702 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$234.60 |
$300 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$215.05 |
$275 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$234.60 |
$300 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$746.81 |
$955 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$234.60 |
$300 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$508.30 |
$650 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$234.60 |
$300 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$234.60 |
$300 |
0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$426.19 |
$545 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$234.60 |
$300 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$496.57 |
$635 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$512.21 |
$655 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$234.60 |
$300 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$234.60 |
$300 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$746.81 |
$955 |
0.4× |
| Repair of nail bed (11760) |
$483.28 |
$618 |
0.8× |
| Repair tongue laceration (41252) |
$738.99 |
$945 |
3.6× |
| Repair tongue laceration (41250) |
$242.42 |
$310 |
0.6× |
| Reposition Gastrostomy Tube (43761) |
$488.75 |
$625 |
2.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$199.41 |
$255 |
0.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$199.41 |
$255 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$355.81 |
$455 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$449.65 |
$575 |
2.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$215.05 |
$275 |
1.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$234.60 |
$300 |
0.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$242.42 |
$310 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$147.02 |
$188 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$180.64 |
$231 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$332.35 |
$425 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$136.85 |
$175 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$203.32 |
$260 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$148.58 |
$190 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$136.85 |
$175 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$148.58 |
$190 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$148.58 |
$190 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$197.85 |
$253 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$195.50 |
$250 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$236.95 |
$303 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$234.60 |
$300 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$215.05 |
$275 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$215.05 |
$275 |
1.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$234.60 |
$300 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$308.89 |
$395 |
1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$234.60 |
$300 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$191.59 |
$245 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$234.60 |
$300 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$215.05 |
$275 |
1.2× |
Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$207.23–$1,837.70 |
$265–$2,350 |
varies |
Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$183.77–$1,837.70 |
$235–$2,350 |
varies |
Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$426.19–$5,931.47 |
$545–$7,585 |
varies |
Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$484.84–$1,833.79 |
$620–$2,345 |
varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$233.04 |
$298 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$215.05 |
$275 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$234.60 |
$300 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$331.57 |
$424 |
0.5× |
| Strapping ankle (29540) |
$179.86 |
$230 |
1.3× |
| Strapping elbow or wrist (29260) |
$179.86 |
$230 |
3.5× |
| Strapping Hip (29520) |
$179.86 |
$230 |
1.6× |
| Strapping knee (29530) |
$179.86 |
$230 |
1.6× |
| Strapping shoulder (29240) |
$179.86 |
$230 |
1.6× |
| Strapping toes (29550) |
$179.86 |
$230 |
3.5× |
Strapping Unna Boot (29580) range across 4 matching MRF lines |
$58.65–$477.02 |
$75–$610 |
varies |
Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$86.02–$383.18 |
$110–$490 |
varies |
| Thrombolytic Therapy Stroke (37195) |
$254.15 |
$325 |
0.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$410.55 |
$525 |
0.3× |
| Treat Knuckle Dislocation (26700) |
$724.91 |
$927 |
3.4× |
| Treat toe dislocation (28630) |
$254.15 |
$325 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$254.15 |
$325 |
1.2× |
Trim skin lesion (11055) range across 2 matching MRF lines |
$39.10–$398.82 |
$50–$510 |
varies |
Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$50.83–$398.82 |
$65–$510 |
varies |
Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$66.47–$398.82 |
$85–$510 |
varies |
Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$19.55–$132.94 |
$25–$170 |
varies |
| Tx Gastro Intub W/Asp (43753) |
$207.23 |
$265 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$234.60 |
$300 |
0.4× |
| Vaginal delivery only (59409) |
$3,343.05 |
$4,275 |
1.2× |
| Venous Cutdown >1 Y/O (36425) |
$39.10 |
$50 |
0.1× |