| Abd paracentesis w/imaging (49083) |
$1,325.70 |
$4,419 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,325.70 |
$4,419 |
1.5× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,707.80 |
$9,026 |
1.0× |
| Application finger splint static (29130) |
$387.90 |
$1,293 |
3.0× |
| Application long arm splint shoulder hand (29105) |
$607.20 |
$2,024 |
3.9× |
| Application Long Leg Splint (29505) |
$426.90 |
$1,423 |
2.7× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$606.30–$788.10 |
$2,021–$2,627 |
varies |
| Application short leg splint calf foot (29515) |
$526.80 |
$1,756 |
3.4× |
| Arterial puncture (36600) |
$89.70 |
$299 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$295.80 |
$986 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$674.40 |
$2,248 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines |
$825.30–$1,237.95 |
$2,751–$4,126.50 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$285.90 |
$953 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$1,174.50 |
$3,915 |
1.9× |
| Aspirate Pleura W/O Imaging (32554) |
$1,020.90 |
$3,403 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$379.80 |
$1,266 |
2.0× |
| Biopsy Abdominal Mass (49180) |
$1,506.90 |
$5,023 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$1,902.60 |
$6,342 |
1.2× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,292.40 |
$4,308 |
0.8× |
| Biopsy Salivary Gland Needle (42400) |
$720.30 |
$2,401 |
1.1× |
| Biopsy soft tissue neck/thorax (21550) |
$2,857.50 |
$9,525 |
1.8× |
| Bladder Irrigation (51700) |
$390.90 |
$1,303 |
1.6× |
| Bladder Scan (51798) |
$215.70 |
$719 |
3.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$717 |
$2,390 |
2.3× |
| Blood Transfusion Service (36430) |
$1,021.50 |
$3,405 |
2.4× |
| Bx breast 1st lesion us imag (19083) |
$2,052.60 |
$6,842 |
1.3× |
| Catheter aspiration nasotracheal spx (31720) |
$129.90 |
$433 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$277.50 |
$925 |
1.2× |
| Chemical Cautery Tissue (17250) |
$184.50 |
$615 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$325.50 |
$1,085 |
1.1× |
| Chest tube placement (32551) |
$733.20 |
$2,444 |
0.5× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,671.10 |
$12,237 |
1.1× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,945.40 |
$9,818 |
1.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,815.20 |
$9,384 |
1.8× |
| Clear outer ear canal (69200) |
$290.40 |
$968 |
2.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$222.60 |
$742 |
0.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,906.20 |
$6,354 |
1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$296.40 |
$988 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$443.10 |
$1,477 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,007 |
$6,690 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,600.50 |
$5,335 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$296.40 |
$988 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$840.90 |
$2,803 |
0.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,726.80 |
$5,756 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$509.40 |
$1,698 |
2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$339 |
$1,130 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,449 |
$4,830 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$714.30 |
$2,381 |
3.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,550.10 |
$5,167 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,726.80 |
$5,756 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$227.70 |
$759 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$436.80 |
$1,456 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$229.20 |
$764 |
1.0× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$1,419.90–$2,129.85 |
$4,733–$7,099.50 |
varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$229.20 |
$764 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$255.60 |
$852 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$227.70 |
$759 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$303.60 |
$1,012 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$408.60 |
$1,362 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$370.80 |
$1,236 |
1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,550.10 |
$5,167 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$418.50 |
$1,395 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$296.40 |
$988 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$343.50 |
$1,145 |
1.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$227.70 |
$759 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$438.30 |
$1,461 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$229.20 |
$764 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,726.80 |
$5,756 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$23.70 |
$79 |
2.5× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,138.20 |
$3,794 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,138.20 |
$3,794 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,125.30 |
$3,751 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,332.90 |
$4,443 |
1.2× |
| Colonoscopy W/Resection (45390) |
$2,669.10 |
$8,897 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,680.60 |
$5,602 |
1.5× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,530.90 |
$5,103 |
1.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,398.60 |
$4,662 |
1.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,702.50 |
$5,675 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$543.60 |
$1,812 |
4.2× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$651.90–$977.85 |
$2,173–$3,259.50 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$117.30 |
$391 |
0.9× |
Cysto w/insert ureteral stent (52332)
range across 3 matching MRF lines |
$19,519.80–$29,279.70 |
$65,066–$97,599 |
varies |
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines |
$19,519.80–$29,279.70 |
$65,066–$97,599 |
varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$343.20 |
$1,144 |
0.9× |
| Declot vascular device (36593) |
$420.30 |
$1,401 |
1.3× |
| Delivery of placenta (59414) |
$2,949.60 |
$9,832 |
0.9× |
| Destruct B9 Lesion 1-14 (17110) |
$232.50 |
$775 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,010.70 |
$3,369 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$310.20 |
$1,034 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$384.30 |
$1,281 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,563.90 |
$5,213 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$271.80 |
$906 |
1.2× |
| Drainage of finger abscess simple (26010) |
$452.70 |
$1,509 |
2.3× |
| Drainage of gum lesion (41800) |
$399 |
$1,330 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$1,902.60 |
$6,342 |
1.2× |
| Drainage of nose lesion (30000) |
$236.10 |
$787 |
1.0× |
| Drainage of rectal abscess (45005) |
$1,138.20 |
$3,794 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,620.90 |
$5,403 |
1.0× |
| Drainage of scrotum (54700) |
$3,074.70 |
$10,249 |
1.5× |
| Draw Blood Off Venous Device (36591) |
$172.50 |
$575 |
1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$671.40 |
$2,238 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$498.90 |
$1,663 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$413.10 |
$1,377 |
2.1× |
| Dstrj Lesion Anus Simple Chemical (46900) |
$713.10 |
$2,377 |
1.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$738.60 |
$2,462 |
1.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,835.10 |
$6,117 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,240.40 |
$7,468 |
1.2× |
| Egd cautery tumor polyp (43250) |
$2,240.40 |
$7,468 |
1.2× |
| Egd control bleeding any (43255) |
$1,838.70 |
$6,129 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,240.40 |
$7,468 |
1.2× |
| Egd Flexible Foreign Body Removal (43247) |
$1,662 |
$5,540 |
1.9× |
| Egd place gastrostomy tube (43246) |
$2,803.20 |
$9,344 |
1.5× |
| Egd remove lesion snare (43251) |
$1,423.20 |
$4,744 |
0.8× |
| Egd Varices Ligation (43244) |
$2,031.30 |
$6,771 |
1.1× |
| Endometrial Biopsy (58100) |
$192.60 |
$642 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,950 |
$6,500 |
1.1× |
| Epidural Blood Patch (62273) |
$1,368.60 |
$4,562 |
2.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,482.30 |
$4,941 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$148.80 |
$496 |
1.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,125.30 |
$3,751 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,576.80 |
$5,256 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,694.90 |
$8,983 |
1.7× |
| External cephalic version (59412) |
$2,853.90 |
$9,513 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$318.90 |
$1,063 |
1.6× |
| Fetal non-stress test (59025) |
$281.70 |
$939 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$276.30 |
$921 |
1.2× |
| Fna bx w/us gdn 1st les (10005) |
$1,384.20 |
$4,614 |
2.0× |
| Guide Cathet Fluid Drainage (10030) |
$666.60 |
$2,222 |
1.0× |
| I&d abscess peritonsillar (42700) |
$220.80 |
$736 |
1.0× |
| I&d abscess simple (10060) |
$640.80 |
$2,136 |
3.3× |
| I&d perianal abscess superficial (46050) |
$915.60 |
$3,052 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$2,328.90 |
$7,763 |
3.4× |
| I&d pilonidal cyst simple (10080) |
$445.80 |
$1,486 |
0.7× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$1,870.50 |
$6,235 |
1.0× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$834 |
$2,780 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$894.60 |
$2,982 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$3,071.10 |
$10,237 |
1.9× |
| Incise external hemorrhoid (46083) |
$713.10 |
$2,377 |
3.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$726.60 |
$2,422 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,902.60 |
$6,342 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,043.10 |
$3,477 |
2.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$689.70 |
$2,299 |
3.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$958.50 |
$3,195 |
3.3× |
| Incision of rectal abscess (46040) |
$1,332.90 |
$4,443 |
1.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,809 |
$6,030 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$412.20 |
$1,374 |
2.1× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines |
$1,005.90–$1,508.85 |
$3,353–$5,029.50 |
varies |
| Inj W/Fluor Eval Cv Device (36598) |
$270 |
$900 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,024.40 |
$6,748 |
2.4× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$780.90 |
$2,603 |
0.9× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$2,024.40 |
$6,748 |
2.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$661.20 |
$2,204 |
1.0× |
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines |
$849.60–$1,508.85 |
$2,832–$5,029.50 |
varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$661.20 |
$2,204 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$769.80 |
$2,566 |
1.1× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,615.20 |
$5,384 |
1.9× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$633 |
$2,110 |
0.7× |
| Injection anesthetic agent suprascapular nerve (64418) |
$767.10 |
$2,557 |
1.1× |
| Injection for identification of sentinel node (38792) |
$492.90 |
$1,643 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$445.80 |
$1,486 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$325.50 |
$1,085 |
1.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$780.90 |
$2,603 |
0.9× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$780.90–$1,171.35 |
$2,603–$3,904.50 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,233 |
$4,110 |
1.8× |
| Insert Bladder Cath Complex (51703) |
$393.90 |
$1,313 |
3.2× |
| Insert cath pleura w/ image (32557) |
$1,506.30 |
$5,021 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,048.70 |
$6,829 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$358.80 |
$1,196 |
2.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$240.30 |
$801 |
1.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,482.30 |
$4,941 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,072.10 |
$6,907 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$375.60 |
$1,252 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$1,042.20 |
$3,474 |
4.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$379.80 |
$1,266 |
1.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,048.70 |
$6,829 |
1.4× |
| Myelography Lumbar Injection (62305) |
$909.90 |
$3,033 |
1.2× |
| Myelography Lumbar Injection (62304) |
$962.70 |
$3,209 |
1.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$962.70 |
$3,209 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$729.30 |
$2,431 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$767.10 |
$2,557 |
1.1× |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
$746.40–$1,119.60 |
$2,488–$3,732 |
varies |
| N Block Lumbar/Thoracic (64520) |
$1,005.90 |
$3,353 |
1.2× |
| Nasal Endoscopy Dx (31231) |
$250.80 |
$836 |
1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$384.60 |
$1,282 |
0.9× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$906.90 |
$3,023 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$979.50 |
$3,265 |
1.1× |
| Needle Biopsy Lymph Nodes (38505) |
$1,638.30 |
$5,461 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$633 |
$2,110 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$447.90 |
$1,493 |
1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,875.10 |
$12,917 |
1.1× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines |
$1,005.90–$1,508.85 |
$3,353–$5,029.50 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$788.10 |
$2,627 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$767.10 |
$2,557 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$788.10 |
$2,627 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,665 |
$5,550 |
2.0× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$272.40–$325.50 |
$908–$1,085 |
varies |
| Penile Injection (54235) |
$327.90 |
$1,093 |
1.4× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$1,005.90 |
$3,353 |
1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$678.30 |
$2,261 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$666.60 |
$2,222 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$281.40 |
$938 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,263.90 |
$4,213 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,563.90 |
$5,213 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$83.40 |
$278 |
1.5× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$435.90–$653.85 |
$1,453–$2,179.50 |
varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,726.70 |
$9,089 |
0.9× |
| Removal of foreign body from pharynx (42809) |
$458.10 |
$1,527 |
1.1× |
| Removal of nail bed (11750) |
$438.90 |
$1,463 |
1.1× |
| Remove foreign body from eye (65205) |
$525.60 |
$1,752 |
4.1× |
| Remove Nasal Foreign Body (30300) |
$317.70 |
$1,059 |
2.5× |
| Remove renal tube w/fluoro (50389) |
$805.20 |
$2,684 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$788.10 |
$2,627 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$584.40 |
$1,948 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$814.80 |
$2,716 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,021.20 |
$3,404 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$683.10 |
$2,277 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$785.40 |
$2,618 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$608.40 |
$2,028 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$669 |
$2,230 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$735.30 |
$2,451 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$769.20 |
$2,564 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$887.10 |
$2,957 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$676.80 |
$2,256 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$744.90 |
$2,483 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$819.60 |
$2,732 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,021.20 |
$3,404 |
2.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$684.30 |
$2,281 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$751.80 |
$2,506 |
1.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$769.20 |
$2,564 |
2.0× |
| Repair of nail bed (11760) |
$838.20 |
$2,794 |
1.2× |
| Repair tongue laceration (41250) |
$534.60 |
$1,782 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$516.90 |
$1,723 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$569.70 |
$1,899 |
4.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,902.60 |
$6,342 |
1.2× |
| Rplc Gtube No Revj Trc (43762) |
$789.60 |
$2,632 |
3.3× |
| Rplc gtube revj gstrst trc (43763) |
$869.10 |
$2,897 |
3.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,482.30 |
$4,941 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$888.60 |
$2,962 |
4.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$641.10 |
$2,137 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$522 |
$1,740 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,607.10 |
$5,357 |
1.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,185.90 |
$3,953 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,138.20 |
$3,794 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$882.60 |
$2,942 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$381.30 |
$1,271 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$457.20 |
$1,524 |
2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$522.60 |
$1,742 |
2.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$808.20 |
$2,694 |
4.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$480.30 |
$1,601 |
2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$572.10 |
$1,907 |
3.0× |
| Skin Tissue Procedure (17999) |
$192.90 |
$643 |
1.0× |
| Small bowel endoscopy (44366) |
$1,835.10 |
$6,117 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$565.80 |
$1,886 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$594.60 |
$1,982 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$652.80 |
$2,176 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$908.40 |
$3,028 |
1.3× |
| Strapping ankle (29540) |
$168.90 |
$563 |
1.1× |
| Strapping elbow or wrist (29260) |
$210.90 |
$703 |
3.7× |
| Strapping hand/finger (29280) |
$249.60 |
$832 |
4.4× |
| Strapping Hip (29520) |
$252.90 |
$843 |
2.0× |
| Strapping knee (29530) |
$206.70 |
$689 |
1.6× |
| Strapping shoulder (29240) |
$388.80 |
$1,296 |
3.0× |
| Strapping thorax (29200) |
$274.80 |
$916 |
1.8× |
| Strapping toes (29550) |
$205.80 |
$686 |
3.6× |
| Strapping Unna Boot (29580) |
$207.60 |
$692 |
1.3× |
| Thrombolytic Therapy Stroke (37195) |
$424.50 |
$1,415 |
1.3× |
| Thyroid biopsy (60100) |
$990.90 |
$3,303 |
1.5× |
| Treat Knuckle Dislocation (26700) |
$379.80 |
$1,266 |
1.6× |
| Treat Thumb Dislocation (26641) |
$303.60 |
$1,012 |
1.3× |
| Treat toe dislocation (28630) |
$227.70 |
$759 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$258.90 |
$863 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$578.70 |
$1,929 |
2.4× |
| Tx Gastro Intub W/Asp (43753) |
$305.10 |
$1,017 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$606 |
$2,020 |
0.9× |
| Unlisted procedure nervous system (64999) |
$279.90 |
$933 |
0.9× |
| Unlisted procedure pancreas (48999) |
$666.60 |
$2,222 |
1.0× |
| Unlisted procedure stomach (43999) |
$867 |
$2,890 |
1.0× |
| Wedge excision skin nail fold (11765) |
$438.90 |
$1,463 |
1.1× |