| Abd paracentesis w/imaging (49083) |
$300 |
$375 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$634.40 |
$793 |
0.8× |
| Acne Surgery (10040) |
$120 |
$150 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,120 |
$2,650 |
1.1× |
| Amputation Finger/Thumb (26951) |
$3,990.48 |
$4,988.10 |
1.3× |
| Amputation of finger/thumb (26952) |
$2,325.20 |
$2,906.50 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,771.40 |
$5,964.25 |
1.6× |
| Anoscopy diagnostic (46600) |
$84 |
$105 |
0.7× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$896.88 |
$1,121.10 |
0.8× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$310.40 |
$388 |
2.1× |
| Application cast elbow finger short arm (29075) |
$84 |
$105 |
0.3× |
| Application Cast Finger (29086) |
$78.48 |
$98.10 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$92 |
$115 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$480 |
$600 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$256 |
$320 |
4.7× |
| Application finger splint static (29130) |
$40 |
$50 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$78.40 |
$98 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$88 |
$110 |
0.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$480 |
$600 |
1.9× |
| Application Short Arm Splint Dynamic (29126) |
$256 |
$320 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$166 |
$207.50 |
1.4× |
| Application short leg splint calf foot (29515) |
$68 |
$85 |
0.5× |
| Apply multlay comprs arm/hand (29584) |
$310.40 |
$388 |
2.1× |
| Apply short leg cast (29405) |
$76 |
$95 |
0.3× |
| Apply short leg cast (29425) |
$312 |
$390 |
1.2× |
| Arterial puncture (36600) |
$75.20 |
$94 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$366.40 |
$458 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$279.20 |
$349 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$367.20 |
$459 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$700 |
$875 |
2.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$352 |
$440 |
1.2× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,614.40 |
$2,018 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$140 |
$175 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$111.20 |
$139 |
0.6× |
| Biopsy Breast Open Incisional (19101) |
$1,088 |
$1,360 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$111.20 |
$139 |
0.1× |
| Biopsy external ear (69100) |
$144.80 |
$181 |
0.7× |
| Biopsy of lip (40490) |
$94 |
$117.50 |
0.4× |
| Biopsy of uterus lining (58100) |
$80.40 |
$100.50 |
0.4× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$600.96 |
$751.20 |
0.2× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$898 |
$1,122.50 |
0.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$262.40 |
$328 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$4,192.80 |
$5,241 |
1.2× |
| Biopsy/removal lymph nodes (38510) |
$4,394.80 |
$5,493.50 |
1.2× |
| Bladder Irrigation Simple (51700) |
$346.56 |
$433.20 |
1.5× |
| Bladder Scan (51798) |
$74.80 |
$93.50 |
1.4× |
| Blood transfusion service (36430) |
$576 |
$720 |
1.4× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$170 |
$212.50 |
0.6× |
| Change Cystostomy Tube Complicated (51710) |
$344.40 |
$430.50 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$75.20 |
$94 |
0.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$560 |
$700 |
0.9× |
| Chemodenerv Musc Migraine (64615) |
$333.20 |
$416.50 |
1.2× |
| Circumcision (54150) |
$394.60 |
$493.25 |
0.2× |
| Circumcision Neonate (54160) |
$176 |
$220 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$338 |
$422.50 |
0.2× |
| Closed Rx Med Malleolus Fx (27760) |
$306 |
$382.50 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,614.40 |
$2,018 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$259.20 |
$324 |
1.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$395.20 |
$494 |
0.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,614.40 |
$2,018 |
7.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,614.40 |
$2,018 |
7.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$169.60 |
$212 |
0.1× |
| Closed Rx Trimalleolar Fx (27816) |
$300 |
$375 |
1.3× |
| Closed treat wrist dislocation (25660) |
$1,614.40 |
$2,018 |
7.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$898 |
$1,122.50 |
4.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$316.80 |
$396 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$305.20 |
$381.50 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$898 |
$1,122.50 |
4.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,614.40 |
$2,018 |
1.1× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$368.80 |
$461 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$898 |
$1,122.50 |
4.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$326.40 |
$408 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,409.60 |
$1,762 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,804 |
$3,505 |
12.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$335.20 |
$419 |
1.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$1,614.40 |
$2,018 |
7.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$804.80 |
$1,006 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$252 |
$315 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,048 |
$1,310 |
0.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$268 |
$335 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$252 |
$315 |
1.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$583.20 |
$729 |
2.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$330.40 |
$413 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$212 |
$265 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$295.60 |
$369.50 |
1.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$217.20 |
$271.50 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$381.60 |
$477 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$898 |
$1,122.50 |
4.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$292 |
$365 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$256.80 |
$321 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$180 |
$225 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$246 |
$307.50 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$498 |
$622.50 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,614.40 |
$2,018 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,614.40 |
$2,018 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,794.88 |
$2,243.60 |
7.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,614.40 |
$2,018 |
7.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$146 |
$182.50 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$480 |
$600 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,782.56 |
$2,228.20 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$222 |
$277.50 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,196.80 |
$1,496 |
4.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$898 |
$1,122.50 |
4.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$260 |
$325 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$302 |
$377.50 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$360.80 |
$451 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$898 |
$1,122.50 |
4.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,196.24 |
$1,495.30 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,262.40 |
$1,578 |
5.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$185.20 |
$231.50 |
0.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,196.24 |
$1,495.30 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$898 |
$1,122.50 |
4.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,614.40 |
$2,018 |
7.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$102.40 |
$128 |
0.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,614.40 |
$2,018 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,126.80 |
$2,658.50 |
1.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,466.40 |
$1,833 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$76 |
$95 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$104 |
$130 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$393.60 |
$492 |
3.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$233.20 |
$291.50 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$42.40 |
$53 |
0.1× |
| Debride nail 1-5 (11720) |
$49.60 |
$62 |
0.9× |
| Debride nail 6 or more (11721) |
$52.80 |
$66 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$124 |
$155 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$499.60 |
$624.50 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,006.40 |
$2,508 |
1.3× |
| Declot vascular device (36593) |
$48 |
$60 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$1,665.60 |
$2,082 |
0.9× |
| Destroy lumb/sac facet jnt (64635) |
$1,764.80 |
$2,206 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$160.80 |
$201 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$988.80 |
$1,236 |
5.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$108 |
$135 |
0.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,316 |
$1,645 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$142 |
$177.50 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$162.80 |
$203.50 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$112 |
$140 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$107.60 |
$134.50 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$115.60 |
$144.50 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$147.20 |
$184 |
0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$81.60 |
$102 |
0.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,492.80 |
$1,866 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$65.60 |
$82 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$130 |
$162.50 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$910.40 |
$1,138 |
1.1× |
| Drain outer ear canal lesion (69020) |
$340.80 |
$426 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$333.60 |
$417 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$275.20 |
$344 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,179.40 |
$1,474.25 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$234.40 |
$293 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$137.20 |
$171.50 |
0.1× |
| Drainage of hydrocele (55000) |
$104 |
$130 |
0.2× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$344.24 |
$430.30 |
0.1× |
| Draw blood off venous device (36591) |
$144 |
$180 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$188 |
$235 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$149.60 |
$187 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$81.60 |
$102 |
0.4× |
| Dry Needling 3+ Muscles (20561) |
$38.40 |
$48 |
1.4× |
| Egd place gastrostomy tube (43246) |
$2,369.60 |
$2,962 |
1.3× |
| Egd rem tumr/polyp forcep (43250) |
$1,301.60 |
$1,627 |
0.7× |
| Egd remove lesion snare (43251) |
$1,502.40 |
$1,878 |
0.9× |
| Egd tube/cath insertion (43241) |
$1,014.40 |
$1,268 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,014.40 |
$1,268 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$42.40 |
$53 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$172 |
$215 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$195.20 |
$244 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$118.80 |
$148.50 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$192.80 |
$241 |
0.1× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,121.20 |
$1,401.50 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$3,180.80 |
$3,976 |
2.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$129.60 |
$162 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$149.60 |
$187 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$163.20 |
$204 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$188 |
$235 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$214.40 |
$268 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$286 |
$357.50 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$266.40 |
$333 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,150.40 |
$1,438 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,107.20 |
$2,634 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,425.60 |
$4,282 |
1.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$360 |
$450 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$170 |
$212.50 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$122.40 |
$153 |
0.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$344.24 |
$430.30 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$446 |
$557.50 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$152 |
$190 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$220 |
$275 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$233.60 |
$292 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$223.60 |
$279.50 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$193.60 |
$242 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$225.60 |
$282 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$214 |
$267.50 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$153.20 |
$191.50 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$220 |
$275 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$202 |
$252.50 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$239.20 |
$299 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$165.60 |
$207 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$160.80 |
$201 |
0.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$2,615.60 |
$3,269.50 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$172 |
$215 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,064 |
$153 |
0.7× |
| Excision of nail fold toe (11765) |
$124 |
$155 |
0.3× |
| Excision of tongue lesion (41112) |
$3,817.60 |
$4,772 |
1.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,684 |
$5,855 |
1.8× |
| Excision Synovial Cyst Popliteal Space (27345) |
$3,644 |
$4,555 |
1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$223.20 |
$279 |
0.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$396 |
$495 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$1,273.60 |
$1,592 |
0.8× |
| Exploration of knee joint (27310) |
$3,180.80 |
$3,976 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$223.20 |
$279 |
0.1× |
| Explore/treat hand joint (26070) |
$1,614.40 |
$2,018 |
1.1× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,614.40 |
$2,018 |
1.1× |
| Fetal non-stress test (59025) |
$400 |
$500 |
2.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$663.20 |
$829 |
1.0× |
| Fna bx w/fluor gdn 1st les (10007) |
$663.20 |
$829 |
1.0× |
| I&d abscess simple (10060) |
$120 |
$150 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,073.60 |
$5,092 |
1.5× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$784 |
$980 |
0.3× |
| I&d perianal abscess superficial (46050) |
$180 |
$225 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$1,092 |
$1,365 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$202.40 |
$253 |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$908.16 |
$1,135.20 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,684.80 |
$2,106 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$121.20 |
$151.50 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$154.80 |
$193.50 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$147.20 |
$184 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$170 |
$212.50 |
0.7× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$259.20 |
$324 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$430.40 |
$538 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$60 |
$75 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,080 |
$1,350 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$152.40 |
$190.50 |
0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,228.80 |
$1,536 |
1.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$408.80 |
$511 |
1.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$564 |
$705 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$684 |
$855 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$828 |
$1,035 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$766 |
$957.50 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$213.20 |
$266.50 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,762 |
$2,202.50 |
2.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$804 |
$1,005 |
1.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,308.80 |
$1,636 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$432 |
$540 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$160 |
$200 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$146.40 |
$183 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$512 |
$640 |
1.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$544 |
$680 |
1.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$56 |
$70 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$204.80 |
$256 |
1.7× |
| Insert Drug Implant Device (11981) |
$152 |
$190 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$2,960 |
$3,700 |
1.0× |
| Insert pessary/other device (57160) |
$59.20 |
$74 |
0.3× |
| Insert picc cath (36569) |
$860 |
$1,075 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$60 |
$75 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$161.60 |
$202 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$223.20 |
$279 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,256 |
$5,320 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,404.80 |
$4,256 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$168 |
$210 |
0.8× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$68 |
$85 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$250 |
$312.50 |
0.2× |
| Liver Biopsy (47000) |
$196 |
$245 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$338.40 |
$423 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$26.40 |
$33 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,680 |
$2,100 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,130 |
$1,412.50 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$606.40 |
$758 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,024.40 |
$1,280.50 |
1.6× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
unusually low: confirm this is the full procedure |
$4,261.60 |
$5,327 |
0.4× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$4,965.60 |
$6,207 |
0.7× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$2,394.80 |
$2,993.50 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$513.60 |
$642 |
2.2× |
| Placement of needle for intraosseous infusion (36680) |
$426.40 |
$533 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$122.40 |
$153 |
0.3× |
| Puncture Aspiration (10160) |
$107.20 |
$134 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$131.20 |
$164 |
0.2× |
| Removal fb intranasal (30300) |
$164 |
$205 |
1.3× |
| Removal foreign body foot deep (28192) |
$1,383.44 |
$1,729.30 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$179.20 |
$224 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$21.20 |
$26.50 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$70.40 |
$88 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$216 |
$270 |
0.3× |
| Removal of arm foreign body (24200) |
$171.20 |
$214 |
0.1× |
| Removal of finger lesion (26210) |
$424 |
$530 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$106.40 |
$133 |
0.4× |
| Removal of nail bed (11750) |
$125.60 |
$157 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$86.40 |
$108 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$309.60 |
$387 |
1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$309.60 |
$387 |
1.2× |
| Remove Eyelid Foreign Body (67938) |
$373.60 |
$467 |
1.3× |
| Remove foreign body from eye (65235) |
$616.80 |
$771 |
0.3× |
| Remove foreign body from eye (65210) |
$344.40 |
$430.50 |
0.8× |
| Remove wrist tendon lesion (25111) |
$308 |
$385 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$120.80 |
$151 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$68.80 |
$86 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,460 |
$1,825 |
2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,796 |
$2,245 |
2.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$876 |
$1,095 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$367.20 |
$459 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$345.60 |
$432 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$600 |
$750 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$345.60 |
$432 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$306.80 |
$383.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,514.40 |
$1,893 |
4.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$216 |
$270 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$244.40 |
$305.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,081.60 |
$1,352 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,178.40 |
$1,473 |
3.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,208 |
$1,510 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$194.40 |
$243 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$240 |
$300 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$900 |
$1,125 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$297.20 |
$371.50 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$199.20 |
$249 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$288.80 |
$361 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$2,448.80 |
$3,061 |
3.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$256.80 |
$321 |
0.7× |
| Repair of nail bed (11760) |
$414.40 |
$518 |
0.6× |
Revise knuckle joint (26530)
unusually low: confirm this is the full procedure |
$2,198.48 |
$2,748.10 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$88.80 |
$111 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$338 |
$422.50 |
0.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,064 |
$1,330 |
1.8× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$133.60 |
$167 |
0.3× |
| Rplc gtube revj gstrst trc (43763) |
$513.60 |
$642 |
2.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$112 |
$140 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$71.20 |
$89 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$83.20 |
$104 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$98.40 |
$123 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$106 |
$132.50 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$98.40 |
$123 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$110.40 |
$138 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$83.60 |
$104.50 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$107.20 |
$134 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$95.20 |
$119 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$166 |
$207.50 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$166.80 |
$208.50 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$84 |
$105 |
0.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,708.80 |
$2,136 |
4.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$210 |
$262.50 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$126.80 |
$158.50 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$66.40 |
$83 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,708.80 |
$2,136 |
9.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$96.80 |
$121 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$4,980 |
$6,225 |
7.3× |
| Skin sub graft trnk/arm/leg (15271) |
$3,348 |
$4,185 |
4.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,744 |
$3,430 |
1.4× |
| Skin tissue rearrangement (14040) |
$1,976 |
$2,470 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$900 |
$1,125 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$82 |
$102.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$128 |
$160 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$152 |
$190 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$481.60 |
$602 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$481.60 |
$602 |
0.7× |
| Strapping ankle (29540) |
$310.40 |
$388 |
2.1× |
| Strapping elbow/wrist (29260) |
$24.40 |
$30.50 |
0.4× |
| Strapping hand/finger (29280) |
$25.20 |
$31.50 |
0.5× |
| Strapping knee (29530) |
$310.40 |
$388 |
2.5× |
| Strapping shoulder (29240) |
$30.40 |
$38 |
0.2× |
| Strapping toes (29550) |
$308.32 |
$385.40 |
5.7× |
| Strapping unna boot (29580) |
$181.60 |
$227 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$100 |
$125 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$312 |
$390 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$240 |
$300 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$272 |
$340 |
0.9× |
| Treat finger dislocation (26775) |
$898 |
$1,122.50 |
3.5× |
| Treat Fracture Radius & Ulna (25560) |
$261.20 |
$326.50 |
1.2× |
| Treat humerus fracture (24500) |
$332 |
$415 |
1.5× |
| Treat humerus fracture (23600) |
$1,048 |
$1,310 |
4.6× |
| Treat knee fracture (27532) |
$1,614.40 |
$2,018 |
0.5× |
| Treat Metatarsal Fracture (28475) |
$1,795.20 |
$2,244 |
7.9× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$394 |
$492.50 |
0.3× |
| Treat wrist bone fracture (25622) |
$283.20 |
$354 |
1.2× |
| Treat Wrist Bone Fracture (25630) |
$600.96 |
$751.20 |
2.6× |
| Treatment closed elbow dislocation req anes (24605) |
$804.80 |
$1,006 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$340 |
$425 |
1.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$718.80 |
$898.50 |
3.2× |
| Trim skin lesion (11055) |
$69.60 |
$87 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$80 |
$100 |
0.4× |
| Trim skin lesions over 4 (11057) |
$244 |
$305 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$52.40 |
$65.50 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,136.80 |
$1,421 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$240 |
$300 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$240 |
$300 |
0.6× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$4,261.60 |
$5,327 |
0.8× |
| Unlisted Procedure Nervous System (64999) |
$930 |
$1,162.50 |
3.3× |
| Venipuncture (36415) |
$11.20 |
$14 |
1.2× |