| Anoscopy diagnostic (46600) |
$57.80 |
$68 |
0.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$382.50 |
$450 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$293.50 |
$345.30 |
1.9× |
| Application cast elbow finger short arm (29075) |
$59.50 |
$70 |
0.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$68 |
$80 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$76.50 |
$90 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$123.25 |
$145 |
2.2× |
| Application finger splint static (29130) |
$72.25 |
$85 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$80.75 |
$95 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$60.35 |
$71 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$500.24 |
$588.52 |
1.9× |
| Application Short Arm Splint Dynamic (29126) |
$148.75 |
$175 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$72.25 |
$85 |
0.6× |
| Application short leg splint calf foot (29515) |
$76.50 |
$90 |
0.5× |
| Apply short leg cast (29405) |
$72.25 |
$85 |
0.3× |
| Apply short leg cast (29425) |
$97.75 |
$115 |
0.4× |
| Arterial puncture (36600) |
$63.75 |
$75 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$93.50 |
$110 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$119 |
$140 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$322.60 |
$379.53 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$226.84 |
$266.86 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$3,019.99 |
$3,552.93 |
2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,019.99 |
$3,552.93 |
2.0× |
| Bladder Irrigation Simple (51700) |
$127.50 |
$150 |
0.5× |
| Bladder Scan (51798) |
$93.50 |
$110 |
1.7× |
| Blood transfusion service (36430) |
$552.50 |
$650 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$76.50 |
$90 |
0.4× |
| Chemical Cautery Tissue (17250) |
$372.92 |
$438.73 |
2.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$446.25 |
$525 |
3.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$437.75 |
$515 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$340 |
$400 |
1.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$340 |
$400 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$340 |
$400 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$331.50 |
$390 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$183.60 |
$216 |
0.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$136.85 |
$161 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$331.50 |
$390 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$265.20 |
$312 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$173.40 |
$204 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$142.80 |
$168 |
0.6× |
| Complex Drainage, Wound (10180) |
$5,292.87 |
$6,226.91 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$116.45 |
$137 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$85 |
$100 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$161.50 |
$190 |
1.3× |
| Debride nail 1-5 (11720) |
$72.69 |
$85.52 |
1.3× |
| Debride nail 6 or more (11721) |
$79.92 |
$94.02 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$583.87 |
$686.91 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,169.87 |
$1,376.32 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,019.99 |
$3,552.93 |
2.0× |
| Destruction benign lesions 15 or more (17111) |
$127.50 |
$150 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$204 |
$240 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$467.50 |
$550 |
0.3× |
| Draw blood off venous device (36591) |
$25.50 |
$30 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$153 |
$180 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$127.50 |
$150 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$76.50 |
$90 |
0.4× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$3,396.87 |
$3,996.32 |
1.8× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,396.87 |
$3,996.32 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$149.60 |
$176 |
1.2× |
| I&d abscess simple (10060) |
$123.25 |
$145 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$255 |
$300 |
0.1× |
| I&d perianal abscess superficial (46050) |
$191.25 |
$225 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$713.08 |
$838.92 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$174.25 |
$205 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$552.50 |
$650 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$807.50 |
$950 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$123.25 |
$145 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$124.10 |
$146 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$127.50 |
$150 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$148.75 |
$175 |
0.6× |
| Incision&drainage bursa foot (28001) |
$3,019.99 |
$3,552.93 |
2.0× |
| Incisional biopsy skin single lesion (11106) |
$1,169.87 |
$1,376.32 |
1.7× |
| Initial tx 1st degree burn local tx (16000) |
$217.91 |
$256.36 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$93.50 |
$110 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$119 |
$140 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$85 |
$100 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$25.50 |
$30 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$212.50 |
$250 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$212.50 |
$250 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$148.75 |
$175 |
1.2× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$692.75 |
$815 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$87.12 |
$102.50 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$692.75 |
$815 |
0.2× |
| Intro windpipe wire/tube (31730) |
$212.50 |
$250 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$250.75 |
$295 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$170 |
$200 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$123.25 |
$145 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$742.75 |
$873.82 |
2.0× |
| Puncture Aspiration (10160) |
$409.62 |
$481.91 |
1.1× |
| Removal fb intranasal (30300) |
$98.18 |
$115.50 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$761.53 |
$895.92 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$48.88 |
$57.50 |
0.9× |
| Removal of arm foreign body (24200) |
$208.25 |
$245 |
0.1× |
| Removal of nail bed (11750) |
$452.12 |
$531.91 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$85 |
$100 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$500.24 |
$588.52 |
1.9× |
| Remove foreign body from eye (65210) |
$97.75 |
$115 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$93.08 |
$109.50 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$96.05 |
$113 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$190.40 |
$224 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$208.25 |
$245 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$245.65 |
$289 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$279.65 |
$329 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$291.55 |
$343 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$178.50 |
$210 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$205.70 |
$242 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$249.05 |
$293 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$271.15 |
$319 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$164.05 |
$193 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$186.15 |
$219 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$229.50 |
$270 |
0.6× |
| Repair Tongue Laceration (41250) |
$165.75 |
$195 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$148.75 |
$175 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$106.25 |
$125 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$97.75 |
$115 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$158.95 |
$187 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$150.45 |
$177 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$159.80 |
$188 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$214.62 |
$252.50 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$240.55 |
$283 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$247.35 |
$291 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$165.75 |
$195 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$247.35 |
$291 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$198.05 |
$233 |
1.1× |
| Skin splt grft trnk/arm/leg (15100) |
$3,396.87 |
$3,996.32 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$3,396.87 |
$3,996.32 |
4.9× |
| Skin sub graft trnk/arm/leg (15271) |
$3,396.87 |
$3,996.32 |
4.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$6,682.70 |
$7,862 |
3.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$6,682.70 |
$7,862 |
2.0× |
| Skn sub grft f/n/hf/g child (15277) |
$3,396.87 |
$3,996.32 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$165.75 |
$195 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$221.85 |
$261 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$425 |
$500 |
0.6× |
| Strapping ankle (29540) |
$55.25 |
$65 |
0.4× |
| Strapping elbow/wrist (29260) |
$47.60 |
$56 |
0.9× |
| Strapping shoulder (29240) |
$55.25 |
$65 |
0.4× |
| Strapping toes (29550) |
$55.25 |
$65 |
1.0× |
| Strapping unna boot (29580) |
$170.13 |
$200.15 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$372.92 |
$438.73 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,019.99 |
$3,552.93 |
2.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$637.50 |
$750 |
1.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$323 |
$380 |
1.5× |
| Trim skin lesion (11055) |
$372.92 |
$438.73 |
2.0× |
| Trim skin lesions 2 to 4 (11056) |
$372.92 |
$438.73 |
2.0× |
| Trim skin lesions over 4 (11057) |
$372.92 |
$438.73 |
2.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$113.93 |
$134.04 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$655.91 |
$771.66 |
1.0× |
| Vaginal delivery only (59409) |
$467.50 |
$550 |
0.2× |
| Venipuncture (36415) |
$10.20 |
$12 |
1.1× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$89.25 |
$105 |
0.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$89.25 |
$105 |
0.2× |
| Wound Prep F/N/Hf/G (15004) |
$1,169.87 |
$1,376.32 |
3.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$3,396.87 |
$3,996.32 |
4.9× |