| Abd paracentesis w/imaging (49083) |
$300.18 |
$300.18 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$178.70 |
$178.70 |
0.2× |
| Anoscopy diagnostic (46600) |
$283.60 |
$283.60 |
1.9× |
| Application cast elbow finger short arm (29075) |
$290 |
$290 |
0.9× |
| Application finger splint static (29130) |
$436.60 |
$436.60 |
3.0× |
| Application long arm splint shoulder hand (29105) |
$239.70 |
$239.70 |
1.3× |
| Application Long Leg Splint (29505) |
$341.30 |
$341.30 |
1.9× |
| Application of long leg cast (29345) |
$495.40 |
$495.40 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$272.90 |
$272.90 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$436.60 |
$436.60 |
3.0× |
| Application short leg splint calf foot (29515) |
$222.60 |
$222.60 |
1.2× |
| Apply hand/wrist cast (29085) |
$227.90 |
$227.90 |
1.3× |
| Apply long arm cast (29065) |
$375.60 |
$375.60 |
1.2× |
| Apply Multlay Comprs Lwr Leg (29581) |
$341.30 |
$341.30 |
1.9× |
| Apply Short Leg Cast (29405) |
$409.80 |
$409.80 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$270.70 |
$270.70 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$211.82 |
$211.82 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$303.90 |
$303.90 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$165.64 |
$165.64 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$223.60 |
$223.60 |
0.7× |
| Aspirate Pleura W/O Imaging (32554) |
$1,236.90 |
$1,236.90 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$402.30 |
$402.30 |
1.8× |
| Bladder Scan (51798) |
$300.70 |
$300.70 |
4.6× |
| Blood Transfusion Service (36430) |
$702.66 |
$702.66 |
1.4× |
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines |
$171.20–$229 |
$171.20–$229 |
varies |
| Change Cystostomy Tube Simple (51705) |
$36.77 |
$36.77 |
0.1× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$388.02–$468.70 |
$388.02–$468.70 |
varies |
| Circumcision w/clamp/oth dev w/block (54150) |
$256.80 |
$256.80 |
0.1× |
| Clear outer ear canal (69200) |
$193.60 |
$193.60 |
1.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,265.80 |
$1,265.80 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$936.30 |
$936.30 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$672 |
$672 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,322.50 |
$1,322.50 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,198.40 |
$1,198.40 |
0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$813.20 |
$813.20 |
2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$599.20 |
$599.20 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$224.70 |
$224.70 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$806.80 |
$806.80 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$222.60 |
$222.60 |
0.8× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$39.20–$49.70 |
$39.20–$49.70 |
varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$346.70 |
$346.70 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$232.20 |
$232.20 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$246.96 |
$246.96 |
0.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$608.80 |
$608.80 |
0.2× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$265.40 |
$265.40 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$77 |
$77 |
0.2× |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$39.60–$43.90 |
$39.60–$43.90 |
varies |
Debride nail 6 or more (11721)
range across 2 matching MRF lines |
$166.90–$171 |
$166.90–$171 |
varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$150.90 |
$150.90 |
0.3× |
| Destruct B9 Lesion 1-14 (17110) |
$251.50 |
$251.50 |
1.1× |
| Drain Cerebro Spinal Fluid (62272) |
$289.80 |
$289.80 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$292.10 |
$292.10 |
0.4× |
| Drainage of finger abscess simple (26010) |
$463.30 |
$463.30 |
2.1× |
| Drainage of hematoma/fluid (10140) |
$286.80 |
$286.80 |
0.2× |
| Draw Blood Off Venous Device (36591) |
$217.40 |
$217.40 |
1.5× |
| Dressing Change Under Anesthesia (15852) |
$128.53 |
$128.53 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$328.50 |
$328.50 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$468.70 |
$468.70 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$326.60 |
$326.60 |
1.5× |
| Endometrial Biopsy (58100) |
$405.50 |
$405.50 |
1.8× |
| Episiotomy or vaginal repair (59300) |
$369.20 |
$369.20 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$77 |
$77 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$188.30 |
$188.30 |
0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$313.50 |
$313.50 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$863.50 |
$863.50 |
0.5× |
| External cephalic version (59412) |
$258.90 |
$258.90 |
0.1× |
| Fetal non-stress test (59025) |
$74.90 |
$74.90 |
0.3× |
| I&d abscess peritonsillar (42700) |
$338.10 |
$338.10 |
1.3× |
| I&d abscess simple (10060) |
$315.70 |
$315.70 |
1.4× |
| I&d perianal abscess superficial (46050) |
$233.30 |
$233.30 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$425.90 |
$425.90 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$225.80 |
$225.80 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$230.10 |
$230.10 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$266.40 |
$266.40 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$270.70 |
$270.70 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$236.50 |
$236.50 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$236.50 |
$236.50 |
0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$178.70 |
$178.70 |
0.2× |
| Insert cath pleura w/o image (32556) |
$419.78 |
$419.78 |
0.2× |
| Insert Drug Implant Device (11981) |
$208.70 |
$208.70 |
1.4× |
| Insert pessary/other device (57160) |
$123.10 |
$123.10 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$369.20 |
$369.20 |
2.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$395.50 |
$395.50 |
2.7× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$290–$362.26 |
$290–$362.26 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$730.80 |
$730.80 |
2.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$44.58 |
$44.58 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$61.68 |
$61.68 |
1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$130.94 |
$130.94 |
0.4× |
| Occipital Nerve Block (64405) |
$144.08 |
$144.08 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$322.10 |
$322.10 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$277.38 |
$277.38 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$389.50 |
$389.50 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$333.80 |
$333.80 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$694.40 |
$694.40 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$172.30 |
$172.30 |
2.6× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$172.30–$215.10 |
$172.30–$215.10 |
varies |
| Removal implantable contraceptive capsules (11976) |
$321 |
$321 |
0.4× |
| Removal of nail bed (11750) |
$834.60 |
$834.60 |
1.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$157.30 |
$157.30 |
0.5× |
| Remove drug implant device (11982) |
$321 |
$321 |
0.6× |
| Remove foreign body from eye (65235) |
$1,797.50 |
$1,797.50 |
0.7× |
| Remove Intrauterine Device (58301) |
$186.20 |
$186.20 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$449.40 |
$449.40 |
3.0× |
| Remove/Insert Drug Implant (11983) |
$446.20 |
$446.20 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$507.20 |
$507.20 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$475.10 |
$475.10 |
1.1× |
| Repair of nail bed (11760) |
$1,019.70 |
$1,019.70 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$338.10 |
$338.10 |
2.3× |
| Rplc Gtube No Revj Trc (43762) |
$658.73 |
$658.73 |
2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$154.10 |
$154.10 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$173.30 |
$173.30 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$218.30 |
$218.30 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$573.50 |
$573.50 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$202.20 |
$202.20 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$163.70 |
$163.70 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$247.20 |
$247.20 |
0.3× |
| Strapping ankle (29540) |
$65.30 |
$65.30 |
0.4× |
| Strapping elbow or wrist (29260) |
$118.80 |
$118.80 |
1.8× |
| Strapping hand/finger (29280) |
$102.70 |
$102.70 |
1.6× |
| Strapping knee (29530) |
$137 |
$137 |
0.9× |
| Strapping shoulder (29240) |
$137 |
$137 |
0.9× |
| Strapping toes (29550) |
$156.20 |
$156.20 |
2.4× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$1,075.40 |
$1,075.40 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,022.90 |
$1,022.90 |
3.7× |
| Trim skin lesion (11055) |
$53.50 |
$53.50 |
0.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$93.10 |
$93.10 |
1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$727.60 |
$727.60 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$458 |
$458 |
0.6× |
| Tympanostomy general anesthesia (69436) |
$384.48 |
$384.48 |
0.2× |
| Vaginal delivery only (59409) |
$2,057.60 |
$2,057.60 |
0.6× |