| Anoscopy diagnostic (46600) |
$600 |
$800 |
5.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$749.54 |
$999.39 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$281.25 |
$375 |
1.9× |
| Application cast elbow finger short arm (29075) |
$179.36 |
$239.14 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$186.17 |
$248.23 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$180.22 |
$240.29 |
0.7× |
| Application finger splint static (29130) |
$109.50 |
$146 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$165 |
$220 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$178.12 |
$237.50 |
1.2× |
| Application of long leg cast (29345) |
$202.50 |
$270 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$141.75 |
$189 |
1.2× |
| Application short leg splint calf foot (29515) |
$147 |
$196 |
1.0× |
| Apply short leg cast (29405) |
$180.22 |
$240.29 |
0.7× |
| Apply short leg cast (29425) |
$180.22 |
$240.29 |
0.7× |
| Arterial puncture (36600) |
$273.85 |
$365.13 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$189.32 |
$252.43 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$189.32 |
$252.43 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$189.32 |
$252.43 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$134.99 |
$179.98 |
0.7× |
| Biopsy of nail unit (11755) |
$2,513.85 |
$3,351.80 |
3.9× |
| Bladder Scan (51798) |
$297.38 |
$396.50 |
5.6× |
| Blood transfusion service (36430) |
$337.50 |
$450 |
0.8× |
| Bone marrow aspiration only (38220) |
$1,052.26 |
$1,403.01 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,200 |
$1,600 |
0.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,096.51 |
$2,795.34 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,052.26 |
$1,403.01 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$177.04 |
$236.05 |
0.8× |
| Chemical Cautery Tissue (17250) |
$849 |
$1,132 |
4.7× |
| Chest tube placement (32551) |
$375 |
$500 |
0.3× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,102.22 |
$1,469.63 |
0.8× |
| Closed Rx Med Malleolus Fx (27760) |
$556.41 |
$741.88 |
2.5× |
| Closed Rx Radial Shaft Fx (25500) |
$468.41 |
$624.55 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$584.63 |
$779.50 |
2.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$521.14 |
$694.85 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$701.39 |
$935.18 |
3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,004.71 |
$1,339.61 |
0.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$412.58 |
$550.10 |
1.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$865.43 |
$1,153.90 |
3.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$850.04 |
$1,133.38 |
3.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$367.73 |
$490.30 |
1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,004.71 |
$1,339.61 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$445.60 |
$594.13 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,004.71 |
$1,339.61 |
0.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$439.49 |
$585.98 |
2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$172.19 |
$229.59 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,004.71 |
$1,339.61 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$439.99 |
$586.65 |
2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$429.04 |
$572.05 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,004.71 |
$1,339.61 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$547.69 |
$730.25 |
2.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,004.71 |
$1,339.61 |
0.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$691.54 |
$922.05 |
3.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$572.18 |
$762.90 |
2.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$697.30 |
$929.73 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$519.08 |
$692.10 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$499.26 |
$665.68 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$345.49 |
$460.65 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$583.82 |
$778.43 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,004.71 |
$1,339.61 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$267.71 |
$356.95 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$222.51 |
$296.68 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$273.75 |
$365 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$215.78 |
$287.70 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,004.71 |
$1,339.61 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$480.94 |
$641.25 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$538.15 |
$717.53 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$518.44 |
$691.25 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$572.10 |
$762.80 |
2.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$200.01 |
$266.68 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$554.21 |
$738.95 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$343.56 |
$458.08 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$514.91 |
$686.55 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$149.65 |
$199.53 |
0.7× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,004.71 |
$1,339.61 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$163.94 |
$218.58 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$107.40 |
$143.20 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$190.71 |
$254.28 |
1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$238.46 |
$317.95 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$369.41 |
$492.55 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$489.98 |
$653.30 |
0.8× |
| Debride nail 1-5 (11720) |
$66.47 |
$88.62 |
1.2× |
| Debride nail 6 or more (11721) |
$91.53 |
$122.04 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$249.06 |
$332.08 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$2,244 |
$2,992 |
3.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,820 |
$3,760 |
1.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$134.99 |
$179.98 |
0.7× |
| Destruction of skin lesions (17106) |
$1,424.70 |
$1,899.60 |
3.9× |
| Destruction premalignant lesion 1st (17000) |
$450 |
$600 |
2.5× |
| Diagnostic sigmoidoscopy (45330) |
$750 |
$1,000 |
0.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$443.20 |
$590.93 |
0.7× |
| Drainage abscess/hematoma nasal int approach (30000) |
$214.19 |
$285.58 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$443.20 |
$590.93 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,052.26 |
$1,403.01 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$249.96 |
$333.28 |
1.4× |
| Drainage mouth roof lesion (42000) |
$192.71 |
$256.95 |
0.9× |
| Drainage of eyelid abscess (67700) |
$216.89 |
$289.19 |
0.8× |
| Drainage of gum lesion (41800) |
$267.06 |
$356.08 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$1,052.26 |
$1,403.01 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,052.26 |
$1,403.01 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$240.27 |
$320.36 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$207 |
$276 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$134.99 |
$179.98 |
0.7× |
| Escharotomy initial incision (16035) |
$1,424.70 |
$1,899.60 |
3.9× |
| Evacuation of subungual hematoma (11740) |
$262.50 |
$350 |
2.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,052.26 |
$1,403.01 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,661.30 |
$2,215.07 |
1.1× |
| Exc forearm les sc < 3 cm (25075) |
$1,052.26 |
$1,403.01 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$443.20 |
$590.93 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$240.27 |
$320.36 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$747.73 |
$996.97 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$443.20 |
$590.93 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,052.26 |
$1,403.01 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,087.50 |
$1,450 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,076.63 |
$2,768.84 |
1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$459.38 |
$612.50 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$749.54 |
$999.39 |
0.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$443.20 |
$590.93 |
0.7× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,819.40 |
$2,425.86 |
0.7× |
| Excision external ear partial simple repair (69110) |
$1,819.40 |
$2,425.86 |
0.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$2,820 |
$3,760 |
4.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$443.20 |
$590.93 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$443.20 |
$590.93 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$338.72 |
$451.62 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$443.20 |
$590.93 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,052.26 |
$1,403.01 |
0.7× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,004.71 |
$1,339.61 |
0.7× |
| Explore/treat hand joint (26070) |
$1,004.71 |
$1,339.61 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$240.27 |
$320.36 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$525.31 |
$700.41 |
2.4× |
| I&D Abscess Peritonsillar (42700) |
$240.53 |
$320.70 |
1.1× |
| I&d abscess simple (10060) |
$219 |
$292 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,819.40 |
$2,425.86 |
0.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,006.86 |
$2,675.81 |
0.7× |
| I&d perianal abscess superficial (46050) |
$569.84 |
$759.79 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$443.20 |
$590.93 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$325.94 |
$434.58 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$240.27 |
$320.36 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$162.66 |
$216.88 |
0.9× |
| Incision of rectal abscess (46040) |
$756.59 |
$1,008.78 |
0.7× |
| Incision thrombosed hemorrhoid external (46083) |
$195.59 |
$260.78 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$2,244 |
$2,992 |
3.4× |
| Initial tx 1st degree burn local tx (16000) |
$715.31 |
$953.75 |
3.9× |
| Inject Sinus Tract Theraputic (20500) |
$978.51 |
$1,304.68 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$188.41 |
$251.22 |
0.7× |
| Insert picc cath (36569) |
$836.63 |
$1,115.50 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$93.75 |
$125 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$523.64 |
$698.19 |
2.4× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$127.50 |
$170 |
0.7× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$239.66 |
$319.55 |
1.3× |
| Marsup Bartholin Gland Cyst (56440) |
$1,806.38 |
$2,408.50 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,875.51 |
$2,500.68 |
4.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$202.50 |
$270 |
0.9× |
| Preputial Stretching (54450) |
$412.50 |
$550 |
1.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$1,785.95 |
$2,381.27 |
0.7× |
| Proctosigmoidoscopy w/bx (45305) |
$2,529.81 |
$3,373.08 |
2.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,959.32 |
$2,612.43 |
2.3× |
| Punch biopsy skin single lesion (11104) |
$244.53 |
$326.04 |
0.7× |
| Puncture Aspiration (10160) |
$240.27 |
$320.36 |
0.7× |
| Removal fb intranasal (30300) |
$213.66 |
$284.88 |
1.8× |
| Removal foreign body foot subcutaneous (28190) |
$443.20 |
$590.93 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,052.26 |
$1,403.01 |
0.7× |
| Removal foreign body pharynx (42809) |
$266.34 |
$355.12 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$112.50 |
$150 |
2.1× |
| Removal of arm foreign body (24200) |
$1,052.26 |
$1,403.01 |
0.7× |
| Removal of nail bed (11750) |
$289.45 |
$385.94 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$360.75 |
$481 |
2.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$180.22 |
$240.29 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$180.22 |
$240.29 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$216 |
$288 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$159.38 |
$212.50 |
1.3× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,020.76 |
$2,694.35 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$490.94 |
$654.58 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$592.60 |
$790.13 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$427.05 |
$569.40 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$533.85 |
$711.80 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$406.46 |
$541.95 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$369.41 |
$492.55 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$433.35 |
$577.80 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$536.16 |
$714.88 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$298.60 |
$398.13 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$679 |
$905.33 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$391.64 |
$522.18 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$742.80 |
$990.40 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$484.20 |
$645.60 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$256.43 |
$341.90 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$345.02 |
$460.03 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$379.54 |
$506.05 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,184.96 |
$1,579.94 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$428.06 |
$570.75 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$333.98 |
$445.30 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$502.71 |
$670.28 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$362.76 |
$483.68 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,184.96 |
$1,579.94 |
0.6× |
| Repair Of Foot Tendon (28208) |
$1,744.12 |
$2,325.49 |
0.6× |
| Repair of nail bed (11760) |
$369.41 |
$492.55 |
0.6× |
| Repair Tongue Laceration (41250) |
$272.10 |
$362.80 |
0.7× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$978.51 |
$1,304.68 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$266.34 |
$355.12 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,820 |
$3,760 |
1.1× |
| Rplc gtube revj gstrst trc (43763) |
$281.25 |
$375 |
1.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$565.76 |
$754.35 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$149.03 |
$198.70 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$299.65 |
$399.53 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$149.03 |
$198.70 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,579.66 |
$2,106.22 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$240.27 |
$320.36 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$165 |
$220 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$157.50 |
$210 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$345.75 |
$461 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$187.50 |
$250 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$236.25 |
$315 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$415.50 |
$554 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$165 |
$220 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$297.75 |
$397 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$159.38 |
$212.50 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,312.44 |
$1,749.92 |
2.0× |
| Skin sub graft trnk/arm/leg (15271) |
$1,305.67 |
$1,740.89 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$154.50 |
$206 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$240.27 |
$320.36 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$308.25 |
$411 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$458.09 |
$610.79 |
0.7× |
| Strapping ankle (29540) |
$116.25 |
$155 |
0.8× |
| Strapping elbow/wrist (29260) |
$116.25 |
$155 |
2.2× |
| Strapping hand/finger (29280) |
$116.25 |
$155 |
2.2× |
| Strapping Hip (29520) |
$273.85 |
$365.13 |
2.3× |
| Strapping knee (29530) |
$116.25 |
$155 |
1.0× |
| Strapping shoulder (29240) |
$118.50 |
$158 |
1.0× |
| Strapping thorax (29200) |
$240.14 |
$320.20 |
1.6× |
| Strapping toes (29550) |
$116.25 |
$155 |
2.2× |
| Strapping unna boot (29580) |
$337.79 |
$450.39 |
2.3× |
| Tangential biopsy skin single lesion (11102) |
$67.28 |
$89.71 |
0.2× |
| Trach Tube Change (31502) |
$172.60 |
$230.13 |
0.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$978.51 |
$1,304.68 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$470.59 |
$627.45 |
2.1× |
| Treat humerus fracture (24500) |
$605.95 |
$807.93 |
2.7× |
| Treat wrist bone fracture (25635) |
$1,004.71 |
$1,339.61 |
0.7× |
| Treat Wrist Bone Fracture (25630) |
$516.10 |
$688.13 |
2.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$624.36 |
$832.48 |
2.8× |
| Trim skin lesion (11055) |
$715.31 |
$953.75 |
3.9× |
| Trim skin lesions 2 to 4 (11056) |
$438.20 |
$584.26 |
2.4× |
| Trim skin lesions over 4 (11057) |
$852 |
$1,136 |
4.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,004.71 |
$1,339.61 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$369.41 |
$492.55 |
0.6× |
| Vaginal delivery only (59409) |
$1,806.38 |
$2,408.50 |
0.6× |
| Venipuncture (36415) |
$39.74 |
$52.98 |
4.3× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$198 |
$264 |
1.6× |
| Venipuncture, cutdown; age 1 or over (36425) |
$266.34 |
$355.12 |
0.7× |
| Windowing of cast (29730) |
$122.25 |
$163 |
0.8× |