| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$663.36 |
$1,382 |
0.7× |
| Anoscopy diagnostic (46600) |
$69.12 |
$144 |
0.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$60 |
$125 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$127.68 |
$266 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$32.64 |
$68 |
0.5× |
| Application finger splint static (29130) |
$43.44 |
$90.50 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$99.84 |
$208 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$113.76 |
$237 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$55.68 |
$116 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$79.68 |
$166 |
0.6× |
| Application short leg splint calf foot (29515) |
$113.76 |
$237 |
0.7× |
| Application, cast; figure-of-eight (29049) |
$48 |
$100 |
0.2× |
| Apply multlay comprs arm/hand (29584) |
$127.68 |
$266 |
0.7× |
| Arterial puncture (36600) |
$79.68 |
$166 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$495.36 |
$1,032 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$161.52 |
$336.50 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$495.36 |
$1,032 |
1.5× |
| Aspiration bladder needle (51100) |
$24 |
$50 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$100.80 |
$210 |
0.5× |
| Bladder Irrigation Simple (51700) |
$172.32 |
$359 |
0.6× |
| Bladder Scan (51798) |
$66.35 |
$138.22 |
1.1× |
| Blood transfusion service (36430) |
$361.44 |
$753 |
0.8× |
| Bone marrow aspiration only (38220) |
$48 |
$100 |
0.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$136.56 |
$284.50 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$264 |
$550 |
1.0× |
| Chest tube placement (32551) |
$755.04 |
$1,573 |
0.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$63.84 |
$133 |
0.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$48 |
$100 |
0.2× |
| Closed tx femoral fracture prox head w manip (27268) |
$72 |
$150 |
0.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$60 |
$125 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$43.20 |
$90 |
0.2× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$48 |
$100 |
0.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$101.28 |
$211 |
0.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$125.04 |
$260.50 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$48 |
$100 |
0.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$36 |
$75 |
0.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$48 |
$100 |
0.2× |
| Complete replacement picc rs&i (36584) |
$204 |
$425 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$79.68 |
$166 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$90.96 |
$189.50 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$48 |
$100 |
0.3× |
| Debride nail 1-5 (11720) |
$36 |
$75 |
0.6× |
| Declot vascular device (36593) |
$290.66 |
$605.53 |
0.8× |
| Decompression of thigh/knee (27497) |
$22.71 |
$47.30 |
0.0× |
| Delivery placenta separate procedure (59414) |
$36 |
$75 |
0.0× |
| Diagnostic sigmoidoscopy (45330) |
$88.32 |
$184 |
0.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$32.64 |
$68 |
0.2× |
| Draw blood off venous device (36591) |
$79.68 |
$166 |
0.6× |
| Dry Needling 3+ Muscles (20561) |
$41.94 |
$87.37 |
1.4× |
| Episiotomy or vaginal repair (59300) |
$48 |
$100 |
0.0× |
| Evacuation of subungual hematoma (11740) |
$24 |
$50 |
0.2× |
| Excision of nail fold toe (11765) |
$62.40 |
$130 |
0.1× |
| Fixation of shoulder (23700) |
$138.72 |
$289 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$45.60 |
$95 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$60 |
$125 |
0.2× |
| I&d abscess simple (10060) |
$108.24 |
$225.50 |
0.5× |
| I&d perianal abscess superficial (46050) |
$48 |
$100 |
0.0× |
| I&d pilonidal cyst simple (10080) |
$79.20 |
$165 |
0.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$984.48 |
$2,051 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$208.80 |
$435 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$179.52 |
$374 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$38.40 |
$80 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$663.36 |
$1,382 |
2.0× |
| Incision of rectal abscess (46040) |
$60 |
$125 |
0.0× |
| Incision thrombosed hemorrhoid external (46083) |
$663.36 |
$1,382 |
2.5× |
| Initial tx 1st degree burn local tx (16000) |
$123.60 |
$257.50 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$60.96 |
$127 |
0.2× |
| Injection anes other peripheral nerve/branch (64450) |
$403.68 |
$841 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$129.60 |
$270 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$860.88 |
$1,793.50 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$138.24 |
$288 |
0.0× |
| Insert picc cath (36569) |
$681.84 |
$1,420.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$102.24 |
$213 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$90.96 |
$189.50 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,027.30 |
$2,140.22 |
0.6× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$48 |
$100 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$180.48 |
$376 |
0.7× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$38.40 |
$80 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$277.92 |
$579 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27.93 |
$58.18 |
0.9× |
Osteotomy and transfer of greater trochanter of femur(separate procedure) (27140)
likely a partial charge, not the full procedure |
$22.71 |
$47.30 |
0.0× |
| Placement of needle for intraosseous infusion (36680) |
$130.32 |
$271.50 |
0.3× |
| Removal fb intranasal (30300) |
$63.36 |
$132 |
0.4× |
| Removal foreign body pharynx (42809) |
$60 |
$125 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22.56 |
$47 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$49.68 |
$103.50 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$37.92 |
$79 |
0.1× |
| Removal of nail bed (11750) |
$100.80 |
$210 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$166.56 |
$347 |
0.6× |
| Remove foreign body from eye (65210) |
$48 |
$100 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$90.96 |
$189.50 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$78.72 |
$164 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$88.80 |
$185 |
0.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$88.80 |
$185 |
0.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$663.36 |
$1,382 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$759.36 |
$1,582 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$663.36 |
$1,382 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$759.36 |
$1,582 |
1.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$84 |
$175 |
0.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$84 |
$175 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$84 |
$175 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$495.36 |
$1,032 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$495.36 |
$1,032 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$84 |
$175 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$84 |
$175 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$84 |
$175 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$84 |
$175 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$88.80 |
$185 |
0.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$495.36 |
$1,032 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$495.36 |
$1,032 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$88.80 |
$185 |
0.1× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$88.80 |
$185 |
0.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$72.48 |
$151 |
0.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$495.36 |
$1,032 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$495.36 |
$1,032 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$88.80 |
$185 |
0.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$663.36 |
$1,382 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$88.80 |
$185 |
0.0× |
| Repair of nail bed (11760) |
$470.53 |
$980.27 |
0.6× |
| Repair Tongue Laceration (41250) |
$72 |
$150 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$479.04 |
$998 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$24 |
$50 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$36 |
$75 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$420.48 |
$876 |
0.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$88.80 |
$185 |
0.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$347.04 |
$723 |
1.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$84 |
$175 |
0.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$84 |
$175 |
0.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$144 |
$300 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$84 |
$175 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$138.96 |
$289.50 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$138.96 |
$289.50 |
0.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$108 |
$225 |
0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$120 |
$250 |
0.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$74.88 |
$156 |
0.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$84 |
$175 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$138.96 |
$289.50 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$84 |
$175 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$138.96 |
$289.50 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$1,208.38 |
$2,517.46 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,208.38 |
$2,517.46 |
1.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,456.92 |
$3,035.23 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$1,456.92 |
$3,035.23 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$138.96 |
$289.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$96 |
$200 |
0.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$84 |
$175 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$403.68 |
$841 |
0.5× |
| Strapping ankle (29540) |
$113.76 |
$237 |
0.7× |
| Strapping elbow/wrist (29260) |
$41.04 |
$85.50 |
0.7× |
| Strapping hand/finger (29280) |
$26.64 |
$55.50 |
0.4× |
| Strapping Hip (29520) |
$69.12 |
$144 |
0.5× |
| Strapping knee (29530) |
$90.96 |
$189.50 |
0.6× |
| Strapping shoulder (29240) |
$79.68 |
$166 |
0.6× |
| Strapping thorax (29200) |
$52.32 |
$109 |
0.3× |
| Strapping toes (29550) |
$32.16 |
$67 |
0.5× |
| Strapping unna boot (29580) |
$37.44 |
$78 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$38.40 |
$80 |
0.1× |
| Thrombolytic Therapy, Stroke (37195) |
$4,162 |
$8,670.82 |
11.8× |
| Tongue and mouth surg unlisted (41599) |
$576 |
$1,200 |
2.3× |
| Trach Tube Change (31502) |
$24 |
$50 |
0.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$48 |
$100 |
0.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$60 |
$125 |
0.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$48 |
$100 |
0.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$113.76 |
$237 |
0.7× |
| Vaginal delivery only (59409) |
$1,489.44 |
$3,103 |
0.4× |
| Venipuncture (36415) |
$5.28 |
$11 |
0.6× |