| Abd paracentesis w/imaging (49083) |
$1,440 |
$1,500 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,152 |
$1,200 |
1.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,880 |
$3,000 |
0.8× |
| Anoscopy; with biopsy, single or multiple (46606) |
$432 |
$450 |
0.3× |
| Application cast elbow finger short arm (29075) |
$384 |
$400 |
1.3× |
| Application Cast Finger (29086) |
$144 |
$150 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$288 |
$300 |
1.7× |
| Application cast shoulder hand long arm (29065) |
$432 |
$450 |
1.5× |
| Application Finger Splint Dynamic (29131) |
$168 |
$175 |
2.7× |
| Application finger splint static (29130) |
$220.80 |
$230 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$336 |
$350 |
2.0× |
| Application long leg splint thigh ankle/toes (29505) |
$336 |
$350 |
2.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$576 |
$600 |
2.0× |
| Application of long leg cast (29345) |
$672 |
$700 |
2.3× |
| Application Short Arm Splint Dynamic (29126) |
$168 |
$175 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$288 |
$300 |
2.1× |
| Application short leg splint calf foot (29515) |
$288 |
$300 |
1.7× |
| Apply short leg cast (29405) |
$480 |
$500 |
1.7× |
| Apply short leg cast (29425) |
$240 |
$250 |
0.8× |
| Arterial puncture (36600) |
$98.88 |
$103 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$384 |
$400 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$432 |
$450 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$432 |
$450 |
1.4× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$4,800 |
$5,000 |
1.4× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,840 |
$4,000 |
1.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,760 |
$6,000 |
1.7× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$960 |
$1,000 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$384 |
$400 |
1.8× |
| Biopsy Breast Open Incisional (19101) |
$3,360 |
$3,500 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$3,840 |
$4,000 |
0.9× |
| Bladder Irrigation Simple (51700) |
$360 |
$375 |
1.4× |
| Bladder Scan (51798) |
$192 |
$200 |
3.1× |
| Blood transfusion service (36430) |
$672 |
$700 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$720 |
$750 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$624 |
$650 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$480 |
$500 |
1.9× |
| Chemical Cautery Tissue (17250) |
$288 |
$300 |
1.4× |
| Chest tube placement (32551) |
$1,440 |
$1,500 |
0.9× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$216 |
$225 |
1.6× |
| Circum 28 days or older (54161) |
$1,680 |
$1,750 |
0.8× |
| Circumcision (54150) |
$1,680 |
$1,750 |
0.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,440 |
$1,500 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$960 |
$1,000 |
0.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$960 |
$1,000 |
0.6× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$336 |
$350 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$960 |
$1,000 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$336 |
$350 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$864 |
$900 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$480 |
$500 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$960 |
$1,000 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$336 |
$350 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$384 |
$400 |
1.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$336 |
$350 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$384 |
$400 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$480 |
$500 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$480 |
$500 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,152 |
$1,200 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$480 |
$500 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$720 |
$750 |
2.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$336 |
$350 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$960 |
$1,000 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$336 |
$350 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$336 |
$350 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$336 |
$350 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$288 |
$300 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$336 |
$350 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$336 |
$350 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$336 |
$350 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$864 |
$900 |
3.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$480 |
$500 |
1.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,440 |
$1,500 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$528 |
$550 |
2.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,200 |
$1,250 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$336 |
$350 |
1.3× |
| Colonoscopy flex w/rem forcep (45384) |
$1,920 |
$2,000 |
1.5× |
| Colonoscopy w/ablation (45388) |
$1,920 |
$2,000 |
1.5× |
| Complete replacement picc rs&i (36584) |
$1,920 |
$2,000 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$384 |
$400 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$288 |
$300 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$480 |
$500 |
3.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$288 |
$300 |
1.2× |
| Curettage postpartum (59160) |
$4,080 |
$4,250 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,070.88 |
$1,115.50 |
0.5× |
| Cystourethroscopy (52000) |
$984 |
$1,025 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$576 |
$600 |
1.4× |
| Declot vascular device (36593) |
$480 |
$500 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$254.40 |
$265 |
1.2× |
| Destruction Lesions Vulva Simple (56501) |
$1,920 |
$2,000 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$196.80 |
$205 |
0.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,080 |
$4,250 |
1.2× |
| Division of fallopian tube (58600) |
$2,640 |
$2,750 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$624 |
$650 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$240 |
$250 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$720 |
$750 |
0.4× |
| Draw blood off venous device (36591) |
$216 |
$225 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$480 |
$500 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$336 |
$350 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
$3,840 |
$4,000 |
1.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,632 |
$1,700 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,632 |
$1,700 |
0.8× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,632 |
$1,700 |
0.8× |
| Egd flexible foreign body removal (43247) |
$1,632 |
$1,700 |
1.7× |
| Egd guide wire insertion (43248) |
$1,632 |
$1,700 |
1.7× |
| Egd remove lesion snare (43251) |
$1,632 |
$1,700 |
0.8× |
| Endoscopic us exam esoph (43237) |
$1,632 |
$1,700 |
0.8× |
| Epididymectomy unilateral (54860) |
$1,920 |
$2,000 |
0.5× |
| Esophagoscopy flex biopsy (43202) |
$1,632 |
$1,700 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$168 |
$175 |
1.2× |
| Exc abd les sc 3 cm/> (22903) |
$2,160 |
$2,250 |
0.7× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$4,032 |
$4,200 |
1.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,920 |
$2,000 |
1.1× |
| Exc frenum labial/buccal (40819) |
$1,440 |
$1,500 |
0.9× |
| Exc hand les sc < 1.5 cm (26115) |
$2,592 |
$2,700 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,920 |
$2,000 |
2.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,880 |
$3,000 |
1.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,920 |
$2,000 |
1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$624 |
$650 |
0.5× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,880 |
$3,000 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,160 |
$2,250 |
1.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,592 |
$2,700 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$576 |
$600 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$480 |
$500 |
0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,056 |
$1,100 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,440 |
$1,500 |
2.0× |
| Excision of hydrocele; unilateral (55040) |
$3,360 |
$3,500 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,400 |
$2,500 |
1.4× |
| Excision of local lesion of epididymis (54830) |
$3,840 |
$4,000 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,640 |
$2,750 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$2,688 |
$2,800 |
2.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,760 |
$6,000 |
1.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,920 |
$2,000 |
1.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$960 |
$1,000 |
0.6× |
| Fetal non-stress test (59025) |
$384 |
$400 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,248 |
$1,300 |
1.7× |
| Fixation of knee joint (27570) |
$1,680 |
$1,750 |
1.0× |
| Fixation of shoulder (23700) |
$1,680 |
$1,750 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$312 |
$325 |
1.4× |
| Hemorrhoidectomy (46255) |
$2,688 |
$2,800 |
0.9× |
| Hemorrhoidectomy external complete (46250) |
$2,400 |
$2,500 |
0.8× |
| I&d abscess simple (10060) |
$576 |
$600 |
2.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$864 |
$900 |
0.4× |
| I&d perianal abscess superficial (46050) |
$720 |
$750 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$768 |
$800 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$960 |
$1,000 |
0.3× |
| Incise finger tendon sheath (26055) |
$2,160 |
$2,250 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,152 |
$1,200 |
2.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$480 |
$500 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$336 |
$350 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$816 |
$850 |
2.6× |
| Incision extensor tendon sheath wrist (25000) |
$2,400 |
$2,500 |
1.4× |
| Incision thrombosed hemorrhoid external (46083) |
$576 |
$600 |
2.2× |
| Initial tx 1st degree burn local tx (16000) |
$240 |
$250 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$384 |
$400 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$384 |
$400 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$561.60 |
$585 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$384 |
$400 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$816 |
$850 |
2.6× |
| Insert cervical dilator (59200) |
$216 |
$225 |
0.7× |
| Insert picc cath (36569) |
$1,440 |
$1,500 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$230.40 |
$240 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$240 |
$250 |
1.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,400 |
$2,500 |
0.6× |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
$1,632 |
$1,700 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,920 |
$2,000 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$624 |
$650 |
2.5× |
| Knee arthroscopy/surgery (29883) |
$5,760 |
$6,000 |
1.7× |
| Laparoscopy appendectomy (44970) |
$5,040 |
$5,250 |
0.8× |
| Laparoscopy biopsy (49321) |
$5,040 |
$5,250 |
0.8× |
| Laparoscopy Remove Adnexa (58661) |
$4,656 |
$4,850 |
0.7× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$3,840 |
$4,000 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$2,592 |
$2,700 |
2.7× |
| Liver Biopsy (47000) |
$3,072 |
$3,200 |
1.8× |
| Mastectomy partial (19301) |
$3,120 |
$3,250 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$384 |
$400 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$864 |
$900 |
1.2× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$470.40 |
$490 |
0.6× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,688 |
$2,800 |
0.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$384 |
$400 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$480 |
$500 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$384 |
$400 |
0.8× |
| Puncture Aspiration (10160) |
$288 |
$300 |
0.7× |
| Removal Anal Seton Other Marker (46030) |
$1,200 |
$1,250 |
1.0× |
| Removal fb intranasal (30300) |
$240 |
$250 |
1.7× |
| Removal foreign body foot deep (28192) |
$1,440 |
$1,500 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$720 |
$750 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$480 |
$500 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$144 |
$150 |
2.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$192 |
$200 |
3.1× |
| Removal of anal fissure (46200) |
$2,400 |
$2,500 |
0.8× |
| Removal of arm foreign body (24200) |
$960 |
$1,000 |
0.6× |
| Removal of knee cartilage (27332) |
$3,120 |
$3,250 |
0.9× |
| Removal of nail bed (11750) |
$720 |
$750 |
1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$192 |
$200 |
0.7× |
| Remove Eyelid Foreign Body (67938) |
$384 |
$400 |
1.2× |
| Remove foreign body from eye (65235) |
$576 |
$600 |
0.2× |
| Remove foreign body from eye (65210) |
$384 |
$400 |
0.8× |
| Remove in/ex hem groups 2+ (46260) |
$3,264 |
$3,400 |
1.1× |
| Remove Pilonidal Cyst Exten (11771) |
$5,280 |
$5,500 |
1.8× |
| Remv Ext Canal Foreign Body (69200) |
$240 |
$250 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$240 |
$250 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$720 |
$750 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,200 |
$1,250 |
2.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,200 |
$1,250 |
1.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$5,040 |
$5,250 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$480 |
$500 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$480 |
$500 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$480 |
$500 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,056 |
$1,100 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$672 |
$700 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$720 |
$750 |
1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$864 |
$900 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$528 |
$550 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$576 |
$600 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$768 |
$800 |
1.8× |
| Repair of eye socket wound (65290) |
$816 |
$850 |
0.2× |
| Repair Of Foot Tendon (28208) |
$2,880 |
$3,000 |
0.8× |
| Repair of nail bed (11760) |
$960 |
$1,000 |
1.3× |
| Rerepair ing hernia reduce (49520) |
$5,040 |
$5,250 |
1.4× |
| Revise Eyelashes,Forceps (67820) |
$336 |
$350 |
2.4× |
| Revise median n/carpal tunnel surg (64721) |
$2,160 |
$2,250 |
1.1× |
| Revise ulnar nerve at elbow (64718) |
$3,840 |
$4,000 |
1.9× |
| Revise ulnar nerve at wrist (64719) |
$1,920 |
$2,000 |
0.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$288 |
$300 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$384 |
$400 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$288 |
$300 |
2.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$960 |
$1,000 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$192 |
$200 |
0.3× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,480 |
$6,750 |
1.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$6,240 |
$6,500 |
1.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$6,240 |
$6,500 |
1.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$422.40 |
$440 |
2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$384 |
$400 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$384 |
$400 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$408 |
$425 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$432 |
$450 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$480 |
$500 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$288 |
$300 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$528 |
$550 |
2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$408 |
$425 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312 |
$325 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$384 |
$400 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$480 |
$500 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$864 |
$900 |
1.2× |
| Strapping ankle (29540) |
$144 |
$150 |
0.9× |
| Strapping elbow/wrist (29260) |
$96 |
$100 |
1.6× |
| Strapping hand/finger (29280) |
$96 |
$100 |
1.6× |
| Strapping knee (29530) |
$192 |
$200 |
1.4× |
| Strapping shoulder (29240) |
$288 |
$300 |
2.1× |
| Strapping toes (29550) |
$96 |
$100 |
1.6× |
| Strapping unna boot (29580) |
$288 |
$300 |
1.7× |
| Tangential biopsy skin single lesion (11102) |
$336 |
$350 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$960 |
$1,000 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$672 |
$700 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$384 |
$400 |
1.1× |
| Treat Fracture Radius & Ulna (25560) |
$336 |
$350 |
1.3× |
| Treat humerus fracture (24500) |
$336 |
$350 |
1.3× |
| Treat humerus fracture (23600) |
$480 |
$500 |
1.9× |
| Treat knee fracture (27532) |
$912 |
$950 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$336 |
$350 |
1.3× |
| Treatment closed elbow dislocation req anes (24605) |
$912 |
$950 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$336 |
$350 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$81.60 |
$85 |
1.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,840 |
$4,000 |
1.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$4,080 |
$4,250 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$288 |
$300 |
0.7× |
| Venipuncture (36415) |
$29.47 |
$30.70 |
3.2× |