| Abd paracentesis w/imaging (49083) |
$286.65 |
$819 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$278.95 |
$797 |
0.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$101.85 |
$291 |
0.6× |
| Application cast elbow finger short arm (29075) |
$166.60 |
$476 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$87.50 |
$250 |
0.3× |
| Application finger splint static (29130) |
$30.80 |
$88 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$96.25 |
$275 |
0.6× |
| Application of long leg cast (29345) |
$166.60 |
$476 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$74.55 |
$213 |
0.6× |
| Apply long leg splint (29505) |
$70.35 |
$201 |
0.4× |
| Apply short leg splint (29515) |
$70.35 |
$201 |
0.4× |
| Arterial puncture (36600) |
$59.15 |
$169 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$98.35 |
$281 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$73.85 |
$211 |
0.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$51.10 |
$146 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$193.02 |
$551.50 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$72.45 |
$207 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$160.65 |
$459 |
0.1× |
| Blood transfusion service (36430) |
$135.28 |
$386.50 |
0.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$347.20 |
$992 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$76.65 |
$219 |
0.0× |
| Casting/strapping procedure (29799) |
$96.25 |
$275 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$122.85 |
$351 |
0.6× |
| Chemical cautery tissue (17250) |
$109.55 |
$313 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$253.75 |
$725 |
1.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$592.20 |
$1,692 |
0.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$527.45 |
$1,507 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$161.70 |
$462 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$527.45 |
$1,507 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$134.40 |
$384 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$203 |
$580 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$616.35 |
$1,761 |
0.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$616.35 |
$1,761 |
0.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$217.70 |
$622 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$222.25 |
$635 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$849.80 |
$2,428 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$188.30 |
$538 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$704.55 |
$2,013 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$297.15 |
$849 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$224.35 |
$641 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$523.95 |
$1,497 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$127.05 |
$363 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$154.35 |
$441 |
0.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$473.55 |
$1,353 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$158.55 |
$453 |
0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$152.08 |
$434.50 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$184.45 |
$527 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$158.55 |
$453 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$203 |
$580 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$234.15 |
$669 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$263.20 |
$752 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,225.70 |
$3,502 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$84.70 |
$242 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$79.80 |
$228 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$99.05 |
$283 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$110.95 |
$317 |
0.9× |
| Cystourethroscopy (52000) |
$1,780.80 |
$5,088 |
2.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$210.35 |
$601 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$190.22 |
$543.50 |
0.5× |
| Destroy internal hemorrhoids (46930) |
$682.50 |
$1,950 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$483.35 |
$1,381 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$117.95 |
$337 |
0.6× |
| Drainage of gum lesion (41800) |
$110.95 |
$317 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$562.10 |
$1,606 |
0.3× |
| Draw blood off venous device (36591) |
$40.60 |
$116 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$210.35 |
$601 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$113.40 |
$324 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$109.55 |
$313 |
0.6× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$169.75 |
$485 |
0.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$65.10 |
$186 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$40.95 |
$117 |
0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$112 |
$320 |
0.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$121.80 |
$348 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$199.85 |
$571 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$229.60 |
$656 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$172.20 |
$492 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$136.85 |
$391 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$156.10 |
$446 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$131.95 |
$377 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$92.05 |
$263 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$324.80 |
$928 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$156.10 |
$446 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$179.55 |
$513 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$192.15 |
$549 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$141.05 |
$403 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$121.10 |
$346 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$174.65 |
$499 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$640.15 |
$1,829 |
0.4× |
| Exploration Penetrating Wound Spx Neck (20100) |
$158.55 |
$453 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$110.95 |
$317 |
0.5× |
| I&d abscess simple (10060) |
$97.30 |
$278 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$563.85 |
$1,611 |
0.8× |
| I&d vulva/perineal abscess (56405) |
$123.55 |
$353 |
0.4× |
| Image Cath Fluid Peri/Retro (49406) |
$762.65 |
$2,179 |
0.5× |
| Incise external hemorrhoid (46083) |
$523.95 |
$1,497 |
2.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$117.95 |
$337 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$991.55 |
$2,833 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$130.38 |
$372.50 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$99.05 |
$283 |
0.5× |
| Incision and drainage perianal abscess superficial (46050) |
$327.95 |
$937 |
0.4× |
| Incision of rectal abscess (46040) |
$922.08 |
$2,634.50 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$67.55 |
$193 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$70.35 |
$201 |
0.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$268.80 |
$768 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$146.65 |
$419 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$108.32 |
$309.50 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$88.90 |
$254 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$458.50 |
$1,310 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$73.50 |
$210 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$79.80 |
$228 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$455 |
$1,300 |
2.0× |
| Laryngoscopy flexible diagnostic (31575) |
$218.75 |
$625 |
1.1× |
| Liver Biopsy (47000) |
$762.65 |
$2,179 |
0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$406.35 |
$1,161 |
0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,507.10 |
$4,306 |
0.5× |
| Perq dev breast 1st strtctc (19283) |
$96.60 |
$276 |
0.1× |
| Perq device breast 1st imag (19281) |
$179.20 |
$512 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$145.60 |
$416 |
0.6× |
| Picc line placement (36569) |
$264.78 |
$756.50 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$343 |
$980 |
0.8× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$113.05 |
$323 |
0.3× |
| Removal foreign body foot deep (28192) |
$611.10 |
$1,746 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$611.10 |
$1,746 |
0.9× |
| Removal foreign body intranasal (30300) |
$87.85 |
$251 |
0.7× |
| Removal foreign body shoulder subcutaneous (23330) |
$611.10 |
$1,746 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$44.10 |
$126 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$44.10 |
$126 |
0.8× |
| Removal of arm foreign body (24200) |
$764.75 |
$2,185 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$302.40 |
$864 |
0.7× |
| Removal of nail bed (11750) |
$200.38 |
$572.50 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$84.70 |
$242 |
0.4× |
| Remove foreign body from eye (65235) |
$1,293.95 |
$3,697 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$88.55 |
$253 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$44.80 |
$128 |
0.3× |
| Renal Biopsy Percutaneous (50200) |
$361.55 |
$1,033 |
0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$402.50 |
$1,150 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$165.20 |
$472 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$445.55 |
$1,273 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$445.55 |
$1,273 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$189.70 |
$542 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$140.52 |
$401.50 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$117.60 |
$336 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$322.70 |
$922 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$208.95 |
$597 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$175.35 |
$501 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$159.25 |
$455 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$195.65 |
$559 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$215.25 |
$615 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$168.35 |
$481 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$163.80 |
$468 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$282.45 |
$807 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$179.90 |
$514 |
0.5× |
| Repair tongue laceration (41252) |
$478.45 |
$1,367 |
2.1× |
| Repair Tongue Laceration (41250) |
$110.95 |
$317 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$302.40 |
$864 |
2.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$110.95 |
$317 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$317.80 |
$908 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$154 |
$440 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$119.35 |
$341 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$77.70 |
$222 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$79.80 |
$228 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$147 |
$420 |
0.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$133.35 |
$381 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$116.55 |
$333 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$333.55 |
$953 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$133.35 |
$381 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$68.78 |
$196.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$253.40 |
$724 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$154.35 |
$441 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$167.48 |
$478.50 |
0.2× |
| Strapping ankle (29540) |
$72.45 |
$207 |
0.5× |
| Strapping unna boot (29580) |
$141.75 |
$405 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$140.35 |
$401 |
0.4× |
| Treat shoulder blade fx (23575) |
$473.55 |
$1,353 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$253.75 |
$725 |
1.1× |
| Tube thoracostomy includes water seal (32551) |
$937.30 |
$2,678 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$318.85 |
$911 |
0.4× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$1,068.55 |
$3,053 |
0.3× |
| Venipuncture (36415) |
$8.75 |
$25 |
0.9× |
| Venipuncture cutdown under age 1 yr (36420) |
$23.80 |
$68 |
0.2× |