| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$610.12 |
$813.50 |
0.7× |
| Application finger splint static (29130) |
$64.50 |
$86 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$178.50 |
$238 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$126.75 |
$169 |
0.8× |
| Application short leg splint calf foot (29515) |
$178.50 |
$238 |
1.2× |
| Arterial puncture (36600) |
$122.62 |
$163.50 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$216.75 |
$289 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$333 |
$444 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$120.75 |
$161 |
0.6× |
| Blood transfusion service (36430) |
$724.50 |
$966 |
1.8× |
| Chest tube placement (32551) |
$1,025.62 |
$1,367.50 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$270.75 |
$361 |
1.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$270.75 |
$361 |
1.2× |
| Closed Treatment Sternum Fracture (21820) |
$301.88 |
$402.50 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$270.75 |
$361 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$270.75 |
$361 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$270.75 |
$361 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$270.75 |
$361 |
1.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$270.75 |
$361 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$270.75 |
$361 |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$270.75 |
$361 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$328.88 |
$438.50 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$270.75 |
$361 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$270.75 |
$361 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$270.75 |
$361 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$270.75 |
$361 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$270.75 |
$361 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$223.50 |
$298 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$145.50 |
$194 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$486.38 |
$648.50 |
0.7× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,830 |
$2,440 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$794.25 |
$1,059 |
1.2× |
| Egd flexible foreign body removal (43247) |
$309 |
$412 |
0.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,554.25 |
$4,739 |
1.2× |
Endoven ther chem adhes 1st (36482)
likely a partial charge, not the full procedure |
$394.50 |
$526 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$492.75 |
$657 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$566.25 |
$755 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$340.50 |
$454 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$549.75 |
$733 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$383.25 |
$511 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$372 |
$496 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$410.25 |
$547 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$327 |
$436 |
0.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$687.75 |
$917 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$538.50 |
$718 |
0.4× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$942.75 |
$1,257 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$771 |
$1,028 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$768.75 |
$1,025 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$471.75 |
$629 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$570.75 |
$761 |
0.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$415.50 |
$554 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$461.25 |
$615 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$432 |
$576 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$794.25 |
$1,059 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$451.50 |
$602 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$451.50 |
$602 |
1.2× |
| Incision of rectal abscess (46040) |
$940.50 |
$1,254 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$224.25 |
$299 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$782.25 |
$1,043 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$1,876.12 |
$2,501.50 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$145.50 |
$194 |
1.2× |
| Insert tunneled cv cath (36561) |
$3,554.25 |
$4,739 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$145.50 |
$194 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$290.62 |
$387.50 |
1.3× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$333.75 |
$445 |
0.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,501.62 |
$3,335.50 |
1.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$84.75 |
$113 |
0.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$309 |
$412 |
0.8× |
| Open tx rib fx w/fixj thoracoscopic vis 4-6 ribs (21812) |
$8,067 |
$10,756 |
1.2× |
| Open tx rib fx w/fixj thoracoscopic vis 7+ ribs (21813) |
$1,807.50 |
$2,410 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$274.50 |
$366 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$450.75 |
$601 |
1.1× |
| Puncture Aspiration (10160) |
$451.50 |
$602 |
1.2× |
| Removal fb intranasal (30300) |
$202.50 |
$270 |
1.6× |
| Removal foreign body foot deep (28192) |
$1,830 |
$2,440 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$437.25 |
$583 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,026 |
$1,368 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$66.75 |
$89 |
1.2× |
| Removal of nail bed (11750) |
$338.62 |
$451.50 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$195.75 |
$261 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$100.50 |
$134 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$73.50 |
$98 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$145.50 |
$194 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$612.75 |
$817 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$738 |
$984 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$492.75 |
$657 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$666 |
$888 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$598.12 |
$797.50 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$568.50 |
$758 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$441.75 |
$589 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$539.25 |
$719 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$557.25 |
$743 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$371.25 |
$495 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$439.50 |
$586 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$844.50 |
$1,126 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$474 |
$632 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$486.75 |
$649 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$687.38 |
$916.50 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$597 |
$796 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$386.25 |
$515 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$431.25 |
$575 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$474 |
$632 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$773.25 |
$1,031 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$491.62 |
$655.50 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$331.50 |
$442 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$434.25 |
$579 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$622.50 |
$830 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$451.50 |
$602 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$722.25 |
$963 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$450.75 |
$601 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$145.50 |
$194 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,331.25 |
$1,775 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$634.88 |
$846.50 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$430.50 |
$574 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$274.50 |
$366 |
1.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$696 |
$928 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$285.75 |
$381 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$124.50 |
$166 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$177 |
$236 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$368.62 |
$491.50 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$166.50 |
$222 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$210.75 |
$281 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$224.25 |
$299 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$162 |
$216 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$273.75 |
$365 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$193.88 |
$258.50 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$131.25 |
$175 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$211.50 |
$282 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$261 |
$348 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$261.38 |
$348.50 |
0.4× |
| Strapping knee (29530) |
$83.25 |
$111 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$270.75 |
$361 |
1.2× |
Treat sternum fracture (21825)
likely a partial charge, not the full procedure |
$1,218 |
$1,624 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$270.75 |
$361 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$449.25 |
$599 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$379.88 |
$506.50 |
1.0× |
| Vaginal delivery only (59409) |
$2,679.38 |
$3,572.50 |
0.9× |
| Vasc embolize/occlude artery (37242) |
$10,662 |
$14,216 |
0.6× |
| Venipuncture (36415) |
$21 |
$28 |
2.2× |