| Abd paracentesis w/imaging (49083) |
$2,188 |
$2,188 |
2.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,124 |
$1,124 |
1.0× |
| Abdomen Surgery Procedure (22999) |
$2,566 |
$2,566 |
8.7× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,841.75 |
$2,841.75 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,849.50 |
$1,849.50 |
0.7× |
| Amputation Finger/Thumb (26951) |
$4,186.35 |
$4,186.35 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$3,853.17 |
$3,853.17 |
1.0× |
| Anoscopy diagnostic (46600) |
$353.42 |
$353.42 |
2.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$263.55 |
$263.55 |
1.4× |
| Application cast elbow finger short arm (29075) |
$364 |
$364 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$474.03 |
$474.03 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$360 |
$360 |
5.1× |
| Application finger splint static (29130) |
$278 |
$278 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$376.65 |
$376.65 |
1.9× |
| Application of long leg cast (29345) |
$612 |
$612 |
1.8× |
| Application of rigid total contact leg cast (29445) |
$499 |
$499 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$270 |
$270 |
1.7× |
| Apply Hand/Wrist Cast (29085) |
$466.64 |
$466.64 |
2.4× |
| Apply long leg splint (29505) |
$307 |
$307 |
1.6× |
| Apply short leg cast (29405) |
$497 |
$497 |
1.5× |
| Apply short leg cast (29425) |
$462 |
$462 |
1.4× |
| Apply short leg splint (29515) |
$307 |
$307 |
1.6× |
| Arterial puncture (36600) |
$244 |
$244 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$575.68 |
$575.68 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,268.82 |
$1,268.82 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$565 |
$565 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,287.90 |
$1,287.90 |
3.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$494.05 |
$494.05 |
1.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$5,994 |
$5,994 |
3.1× |
| Aspirate pleura w/ imaging (32555) |
$2,260 |
$2,260 |
3.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$395 |
$395 |
1.1× |
| Aspiration bladder needle (51100) |
$388 |
$388 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$362 |
$362 |
1.5× |
| Biopsy bone open deep (20245) |
$3,398.86 |
$3,398.86 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,398.86 |
$3,398.86 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$936.90 |
$936.90 |
0.8× |
| Biopsy Nail Unit Separate Procedure (11755) |
$978 |
$978 |
1.2× |
| Bladder Irrigation Simple (51700) |
$474 |
$474 |
1.6× |
| Blepharotomy drain absc eyelid (67700) |
$626 |
$626 |
1.6× |
| Blood patch (62273) |
$1,377 |
$1,377 |
1.6× |
| Blood transfusion service (36430) |
$2,245 |
$2,245 |
4.2× |
| Breast surgery procedure (19499) |
$2,154.60 |
$2,154.60 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,047.91 |
$2,047.91 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,306 |
$2,306 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$5,157 |
$5,157 |
2.6× |
| Bx breast 1st lesion us imag (19083) |
$4,996.81 |
$4,996.81 |
2.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,069.55 |
$2,069.55 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$2,360 |
$2,360 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$388 |
$388 |
1.5× |
| Change of cystostomy tube simple (51705) |
$577.26 |
$577.26 |
1.9× |
| Chemical cautery tissue (17250) |
$505 |
$505 |
2.1× |
| Chemodenerv Eccrine Glands (64650) |
$573 |
$573 |
1.6× |
| Chemodenerv musc migraine (64615) |
$724 |
$724 |
2.0× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$573 |
$573 |
1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$740.54 |
$740.54 |
2.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$415 |
$415 |
1.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$724.95 |
$724.95 |
2.5× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$812.70 |
$812.70 |
0.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,362.15 |
$1,362.15 |
4.6× |
| Closed Rx Radial Shaft Fx (25500) |
$696.60 |
$696.60 |
2.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,024 |
$1,024 |
3.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$702 |
$702 |
2.4× |
| Closed Treat Vert Body Fract (22310) |
$553 |
$553 |
1.9× |
| Closed treat wrist dislocation (25660) |
$536 |
$536 |
1.8× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$745.20 |
$745.20 |
2.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$910 |
$910 |
3.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$525 |
$525 |
1.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$947.70 |
$947.70 |
3.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$961.20 |
$961.20 |
3.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$552 |
$552 |
1.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$648 |
$648 |
2.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,744.20 |
$1,744.20 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$843.75 |
$843.75 |
2.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$993 |
$993 |
3.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$414 |
$414 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$813 |
$813 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,744.20 |
$1,744.20 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,036.80 |
$1,036.80 |
3.5× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,006.60 |
$1,006.60 |
3.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,845.45 |
$1,845.45 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,123 |
$1,123 |
3.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$585 |
$585 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$396 |
$396 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,057 |
$2,057 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$855 |
$855 |
2.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$729 |
$729 |
2.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$918 |
$918 |
3.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$990.90 |
$990.90 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,752.30 |
$1,752.30 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$360 |
$360 |
1.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$404 |
$404 |
1.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$762 |
$762 |
2.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,900.58 |
$1,900.58 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$559 |
$559 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$673 |
$673 |
2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$517 |
$517 |
1.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$548 |
$548 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$724.95 |
$724.95 |
2.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,421 |
$2,421 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$810.86 |
$810.86 |
2.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,084.05 |
$1,084.05 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$382 |
$382 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$284.87 |
$284.87 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,744.20 |
$1,744.20 |
5.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$785.70 |
$785.70 |
2.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$560.25 |
$560.25 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$386.10 |
$386.10 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,281.15 |
$1,281.15 |
4.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,962.75 |
$1,962.75 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,606.50 |
$1,606.50 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$453 |
$453 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$554.85 |
$554.85 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$602.10 |
$602.10 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$576.45 |
$576.45 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,900.58 |
$1,900.58 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$2,050.65 |
$2,050.65 |
6.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$658 |
$658 |
2.2× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$626 |
$626 |
2.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$524 |
$524 |
1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$575 |
$575 |
1.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,474 |
$2,474 |
7.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$892.35 |
$892.35 |
3.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,340.55 |
$1,340.55 |
4.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,744.20 |
$1,744.20 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$751 |
$751 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$428 |
$428 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$549 |
$549 |
1.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$626 |
$626 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$926.10 |
$926.10 |
3.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,397 |
$2,397 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$674.70 |
$674.70 |
2.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$802 |
$802 |
2.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$506 |
$506 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$495 |
$495 |
1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,900.58 |
$1,900.58 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$498 |
$498 |
1.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,939.95 |
$1,939.95 |
1.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$1,582.84 |
$1,582.84 |
6.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$764 |
$764 |
4.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$399 |
$399 |
2.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$1,262 |
$1,262 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$543 |
$543 |
3.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,539.43 |
$3,539.43 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$949 |
$949 |
1.9× |
| Debride nail 1-5 (11720) |
$126 |
$126 |
1.8× |
| Debride nail 6 or more (11721) |
$158 |
$158 |
2.2× |
| Debride tissue/muscle (11043) |
$2,125.76 |
$2,125.76 |
2.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$286.53 |
$286.53 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,644 |
$1,644 |
3.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,309.05 |
$2,309.05 |
1.2× |
| Destruction Benign Lesions 15/> (17111) |
$306 |
$306 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$243 |
$243 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$272 |
$272 |
1.1× |
| Dilate Urethra Stricture (53620) |
$1,244 |
$1,244 |
1.5× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,616 |
$2,616 |
1.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$704.70 |
$704.70 |
0.8× |
| Drainage external auditory canal abscess (69020) |
$1,236 |
$1,236 |
1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$440.10 |
$440.10 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$911.25 |
$911.25 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$633.15 |
$633.15 |
2.6× |
| Drainage of gum lesion (41800) |
$1,156.95 |
$1,156.95 |
7.3× |
| Drainage of hematoma/fluid (10140) |
$1,998 |
$1,998 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$3,309 |
$3,309 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$887 |
$887 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$596 |
$596 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$302 |
$302 |
1.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,853.55 |
$1,853.55 |
0.9× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$3,598 |
$3,598 |
1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,580 |
$3,580 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$253.80 |
$253.80 |
1.6× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,941 |
$2,941 |
1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$835.56 |
$835.56 |
1.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,333.80 |
$1,333.80 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,601.10 |
$1,601.10 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,694.25 |
$1,694.25 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$827.55 |
$827.55 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$1,924.13 |
$1,924.13 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$823.50 |
$823.50 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,628.10 |
$1,628.10 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$835.56 |
$835.56 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$564 |
$564 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$835.56 |
$835.56 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,849.50 |
$1,849.50 |
0.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,398.86 |
$3,398.86 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,173 |
$4,173 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,011.85 |
$3,011.85 |
1.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$4,148 |
$4,148 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,461 |
$2,461 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,727 |
$3,727 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,278.45 |
$1,278.45 |
0.6× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,763 |
$2,763 |
1.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,603 |
$2,603 |
1.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,169 |
$4,169 |
1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,417 |
$2,417 |
1.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,567 |
$2,567 |
1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,202 |
$2,202 |
1.1× |
| Excise cutaneous neurofibroma (64788) |
$2,319.03 |
$2,319.03 |
1.0× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$4,514 |
$4,514 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$791.10 |
$791.10 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$791.10 |
$791.10 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$740 |
$740 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$925 |
$925 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,437 |
$1,437 |
1.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$747.90 |
$747.90 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$835.56 |
$835.56 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$835.56 |
$835.56 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,112.40 |
$1,112.40 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,423 |
$1,423 |
1.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,695 |
$1,695 |
2.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,967 |
$1,967 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,518 |
$2,518 |
1.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$835.56 |
$835.56 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$848 |
$848 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,082 |
$2,082 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$976.80 |
$976.80 |
0.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,044.90 |
$1,044.90 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$4,104 |
$4,104 |
2.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$3,172 |
$3,172 |
1.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,545 |
$2,545 |
1.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,040 |
$5,040 |
1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$2,518 |
$2,518 |
1.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,518 |
$2,518 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$1,277.07 |
$1,277.07 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,161 |
$1,161 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,303.20 |
$1,303.20 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,303.20 |
$1,303.20 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$728 |
$728 |
1.5× |
| Fit/Insert Intravag Support Device (57160) |
$457.65 |
$457.65 |
1.9× |
| Foreskin manipulation (54450) |
$509 |
$509 |
1.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,813 |
$2,813 |
1.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,424 |
$2,424 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$427 |
$427 |
1.7× |
| I&D Abscess Peritonsillar (42700) |
$1,510.65 |
$1,510.65 |
5.3× |
| I&d abscess simple (10060) |
$593.59 |
$593.59 |
2.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,694 |
$3,694 |
1.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,755 |
$1,755 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$823.50 |
$823.50 |
1.0× |
| I&d submucosal abscess rectum (45005) |
$2,199 |
$2,199 |
1.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,831.95 |
$1,831.95 |
0.9× |
| I&d vulva/perineal abscess (56405) |
$778 |
$778 |
2.1× |
| Image Cath Fluid Peri/Retro (49406) |
$3,730 |
$3,730 |
1.9× |
| Incise external hemorrhoid (46083) |
$615.60 |
$615.60 |
2.1× |
| Incise finger tendon sheath (26055) |
$3,309 |
$3,309 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$651 |
$651 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,098.90 |
$1,098.90 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,530 |
$2,530 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$733.05 |
$733.05 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$857.25 |
$857.25 |
3.5× |
| Incision and drainage perianal abscess superficial (46050) |
$1,744.20 |
$1,744.20 |
1.6× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,926.80 |
$2,926.80 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$2,021 |
$2,021 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,759.11 |
$1,759.11 |
0.9× |
| Incision of rectal abscess (46040) |
$1,813 |
$1,813 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$726.94 |
$726.94 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$306 |
$306 |
1.3× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$556 |
$556 |
1.5× |
| Inj tendon sheath/ligament (20550) |
$623 |
$623 |
1.7× |
| Inj therapeutic carpal tunnel (20526) |
$497 |
$497 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,289.25 |
$1,289.25 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,116.45 |
$1,116.45 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,355 |
$1,355 |
1.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,810.35 |
$1,810.35 |
1.7× |
| Inject Tendon Origin/Insert (20551) |
$350.56 |
$350.56 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,108.35 |
$1,108.35 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,099.75 |
$1,099.75 |
3.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,116.45 |
$1,116.45 |
1.3× |
| Injection into skin lesions (11900) |
$226.80 |
$226.80 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$561.60 |
$561.60 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$500.40 |
$500.40 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$432 |
$432 |
2.8× |
| Insert cath pleura w/ image (32557) |
$2,553.44 |
$2,553.44 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$2,080.35 |
$2,080.35 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$339 |
$339 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$272 |
$272 |
1.7× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285) unusually low: confirm this is the full procedure |
$3,329.10 |
$3,329.10 |
0.3× |
| Insj picc rs&i 5 yr+ (36573) |
$2,356 |
$2,356 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,245.40 |
$3,245.40 |
0.9× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$2,785.05 |
$2,785.05 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$540 |
$540 |
1.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,688.85 |
$1,688.85 |
5.6× |
| Laryngoscopy diagnostic (31505) |
$382 |
$382 |
1.6× |
| Laryngoscopy Direct Aspiration (31515) |
$1,123 |
$1,123 |
2.4× |
| Laryngoscopy flexible diagnostic (31575) |
$650 |
$650 |
2.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,586 |
$2,586 |
1.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,101.59 |
$1,101.59 |
1.0× |
| Lithotripsy (50590) |
$7,550.78 |
$7,550.78 |
1.8× |
| Manipulat Palm Cord Post Inj (26341) |
$392 |
$392 |
1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,116.45 |
$1,116.45 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$692 |
$692 |
1.3× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$3,015 |
$3,015 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$571 |
$571 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$1,036.80 |
$1,036.80 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,300 |
$1,300 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$347.10 |
$347.10 |
1.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$626 |
$626 |
1.3× |
| Ob pe sflt-1/plgf ia srm/pls (0524U) |
$175 |
$175 |
1.4× |
| Occipital Nerve Block (64405) |
$521.10 |
$521.10 |
1.4× |
| Perq dev breast 1st strtctc (19283) |
$1,525 |
$1,525 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$3,982 |
$3,982 |
4.7× |
| Perq device breast 1st imag (19281) |
$3,020 |
$3,020 |
1.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$495 |
$495 |
1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,258.60 |
$6,258.60 |
0.7× |
| Picc line placement (36569) |
$1,898 |
$1,898 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$473.88 |
$473.88 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$503.55 |
$503.55 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$1,149.26 |
$1,149.26 |
1.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$637 |
$637 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$996.30 |
$996.30 |
1.2× |
| Removal foreign body intranasal (30300) |
$271.35 |
$271.35 |
1.7× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,998 |
$1,998 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$252 |
$252 |
3.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$272.50 |
$272.50 |
3.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,786.05 |
$1,786.05 |
0.9× |
| Removal of arm foreign body (24200) |
$1,924.13 |
$1,924.13 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$4,200 |
$4,200 |
2.9× |
| Removal of finger lesion (26210) |
$2,778.91 |
$2,778.91 |
1.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$334.80 |
$334.80 |
0.6× |
| Removal of iud (58301) |
$441.45 |
$441.45 |
1.2× |
| Removal of nail bed (11750) |
$631 |
$631 |
1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$353 |
$353 |
1.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,746 |
$1,746 |
2.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$407 |
$407 |
1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$407 |
$407 |
1.2× |
| Remove drug implant device (11982) |
$376.65 |
$376.65 |
0.7× |
| Remove foreign body from eye (65235) |
$3,524 |
$3,524 |
1.3× |
| Remove Tendon Sheath Lesion (26160) |
$2,817.45 |
$2,817.45 |
1.5× |
| Remove/Insert Drug Implant (11983) |
$486 |
$486 |
0.9× |
| Remv Ext Canal Foreign Body (69200) |
$380.70 |
$380.70 |
2.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$294 |
$294 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$932.22 |
$932.22 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,011.53 |
$1,011.53 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$476.14 |
$476.14 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,586.25 |
$1,586.25 |
3.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,956 |
$1,956 |
4.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,449.90 |
$1,449.90 |
3.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,186.35 |
$4,186.35 |
2.2× |
| Repair forearm tendon/muscle (25260) |
$6,412 |
$6,412 |
1.6× |
| Repair hand tendon (26410) |
$3,101 |
$3,101 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$945 |
$945 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$605 |
$605 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$664 |
$664 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,101 |
$1,101 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$751 |
$751 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$827 |
$827 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,191 |
$1,191 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$842 |
$842 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$505 |
$505 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$683 |
$683 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$742 |
$742 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,514.70 |
$1,514.70 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$909 |
$909 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$474.47 |
$474.47 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$676 |
$676 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$912 |
$912 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$844 |
$844 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,645 |
$3,645 |
1.5× |
| Repair Mouth Laceration (40831) |
$926 |
$926 |
1.4× |
| Repair of leg tendon each (27664) |
$6,261.30 |
$6,261.30 |
0.7× |
| Repair of nail bed (11760) |
$710.10 |
$710.10 |
0.8× |
| Repair tongue laceration (41252) |
$1,141 |
$1,141 |
4.0× |
| Repair Tongue Laceration (41250) |
$690 |
$690 |
1.3× |
| Repeat control of nosebleed (30906) |
$647 |
$647 |
2.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,104 |
$2,104 |
1.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$893.70 |
$893.70 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$262 |
$262 |
1.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,522.80 |
$1,522.80 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,820.15 |
$2,820.15 |
1.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,048.80 |
$1,048.80 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,050 |
$1,050 |
1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,050 |
$1,050 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$429.30 |
$429.30 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$484 |
$484 |
2.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$493 |
$493 |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$576 |
$576 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$723 |
$723 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$442.17 |
$442.17 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$509 |
$509 |
2.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$790 |
$790 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$640 |
$640 |
2.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$666 |
$666 |
2.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$894 |
$894 |
3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$322 |
$322 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$846 |
$846 |
3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$559 |
$559 |
2.3× |
| Skin sub graft face/nk/hf/g (15275) |
$3,094.20 |
$3,094.20 |
3.5× |
| Skin sub graft trnk/arm/leg (15271) |
$2,737.79 |
$2,737.79 |
3.1× |
| Skin Tissue Procedure (17999) |
$271 |
$271 |
1.1× |
| Skin tissue rearrangement (14040) |
$2,737 |
$2,737 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$394 |
$394 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$660 |
$660 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$733 |
$733 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,289 |
$1,289 |
1.5× |
| Spinal Puncture Therapeutic (62272) |
$1,058 |
$1,058 |
1.3× |
| Strapping ankle (29540) |
$280 |
$280 |
1.4× |
| Strapping knee (29530) |
$280 |
$280 |
1.8× |
| Strapping shoulder (29240) |
$337.09 |
$337.09 |
2.1× |
| Strapping toes (29550) |
$219 |
$219 |
3.1× |
| Strapping unna boot (29580) |
$351 |
$351 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$382 |
$382 |
0.8× |
| Tenotomy flexor finger open each tendon (26455) |
$3,348 |
$3,348 |
1.7× |
| Tenotomy percutaneous single each digit (26060) |
$3,348 |
$3,348 |
1.7× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$3,348 |
$3,348 |
1.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,190 |
$1,190 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$522 |
$522 |
1.3× |
| Tongue and mouth surg unlisted (41599) |
$1,438 |
$1,438 |
5.1× |
| Tracheotomy tube change (31502) |
$235 |
$235 |
0.8× |
| Treat clavicle dislocation (23540) |
$466 |
$466 |
1.6× |
| Treat humerus fracture (24500) |
$1,096.20 |
$1,096.20 |
3.7× |
| Treat humerus fracture (23600) |
$648 |
$648 |
2.2× |
| Treat knee fracture (27532) |
$1,582.20 |
$1,582.20 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$458 |
$458 |
1.5× |
| Treat shoulder blade fx (23575) |
$1,275.75 |
$1,275.75 |
0.7× |
| Treat Thumb Dislocation (26641) |
$484 |
$484 |
1.6× |
| Treat wrist bone fracture (25622) |
$747 |
$747 |
2.5× |
| Treat Wrist Bone Fracture (25630) |
$411 |
$411 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,368.90 |
$1,368.90 |
4.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$434 |
$434 |
1.5× |
| Trim skin lesion (11055) |
$306 |
$306 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$306 |
$306 |
1.3× |
| Trim skin lesions over 4 (11057) |
$236.60 |
$236.60 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$102 |
$102 |
1.4× |
| Tube thoracostomy includes water seal (32551) |
$1,831.95 |
$1,831.95 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$825 |
$825 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$629.10 |
$629.10 |
1.3× |
| Unlisted procedure nervous system (64999) |
$1,098.90 |
$1,098.90 |
3.0× |
| Us urine capacity measure (51798) |
$118 |
$118 |
1.7× |
| Uvulectomy excision of uvula (42140) |
$560.25 |
$560.25 |
0.1× |
| Vaginal delivery only (59409) |
$3,775.88 |
$3,775.88 |
1.0× |
| Venipuncture (36415) |
$17 |
$17 |
1.8× |
| Vw factor type 2n eval plsm (0284U) |
$418 |
$418 |
24.2× |
| Wedge excision skin nail fold (11765) |
$488.70 |
$488.70 |
1.0× |