| Amputate metacarpal bone (26910) |
$2,017.12 |
$2,689.50 |
0.6× |
| Amputation Finger/Thumb (26951) |
$4,329.75 |
$5,773 |
1.3× |
| Application cast elbow finger short arm (29075) |
$310.50 |
$414 |
1.1× |
| Application Cast Finger (29086) |
$177 |
$236 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$310.50 |
$414 |
1.1× |
| Application finger splint static (29130) |
$106.50 |
$142 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$201 |
$268 |
1.3× |
| Application of long leg cast (29345) |
$264.75 |
$353 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$155.25 |
$207 |
1.2× |
| Apply Hand/Wrist Cast (29085) |
$200.25 |
$267 |
1.2× |
| Apply long leg splint (29505) |
$223.50 |
$298 |
1.4× |
| Apply short leg cast (29405) |
$264.75 |
$353 |
1.0× |
| Apply short leg cast (29425) |
$264.75 |
$353 |
1.0× |
| Apply short leg splint (29515) |
$207.75 |
$277 |
1.3× |
| Arterial puncture (36600) |
$153 |
$204 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$369.75 |
$493 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$528.75 |
$705 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$258 |
$344 |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$399 |
$532 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$254.25 |
$339 |
1.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$264.75 |
$353 |
0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$399 |
$532 |
0.2× |
| Bladder Irrigation Simple (51700) |
$534 |
$712 |
2.2× |
| Blood transfusion service (36430) |
$213 |
$284 |
0.5× |
| Bx breast 1st lesion us imag (19083) |
$702.75 |
$937 |
0.4× |
| Change of cystostomy tube simple (51705) |
$211.50 |
$282 |
0.9× |
| Chemical cautery tissue (17250) |
$264.75 |
$353 |
1.3× |
| Circumcision (54150) |
$238.12 |
$317.50 |
0.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$264.75 |
$353 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$417.75 |
$557 |
1.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,405.50 |
$1,874 |
0.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$264.75 |
$353 |
0.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$399 |
$532 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$239.25 |
$319 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$264.75 |
$353 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$399 |
$532 |
0.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$417.75 |
$557 |
0.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$264.75 |
$353 |
0.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$272.62 |
$363.50 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$399 |
$532 |
1.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$264.75 |
$353 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$729 |
$972 |
3.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,060.50 |
$1,414 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$331.50 |
$442 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$641.25 |
$855 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$264.75 |
$353 |
1.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$239.25 |
$319 |
0.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$399 |
$532 |
0.3× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$781.50 |
$1,042 |
0.7× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$68.25 |
$91 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$321.75 |
$429 |
2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$112.50 |
$150 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$264.75 |
$353 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$245.25 |
$327 |
1.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$264.75 |
$353 |
0.7× |
| Destruction Premalignant Lesion 15/> (17004) |
$264.75 |
$353 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$218.25 |
$291 |
1.1× |
| Diagnostic sigmoidoscopy (45330) |
$700.88 |
$934.50 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$303.75 |
$405 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$304.88 |
$406.50 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$264.75 |
$353 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$264.75 |
$353 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$294.75 |
$202.50 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$264.75 |
$353 |
1.3× |
| Endoscopic us exam esoph (43237) |
$1,774.50 |
$2,366 |
0.9× |
| Endoscopy Upper Small Intestine (44360) |
$1,881 |
$2,508 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$607.12 |
$809.50 |
0.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$325.50 |
$434 |
0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$321.75 |
$429 |
0.5× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$226.88 |
$302.50 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$264.75 |
$353 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$276.75 |
$369 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$264.75 |
$353 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$264.75 |
$353 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$264.75 |
$353 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$245.25 |
$327 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$317.25 |
$423 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$456.75 |
$609 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$781.50 |
$1,042 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$536.62 |
$715.50 |
0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$375.75 |
$501 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$264.75 |
$353 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$264.75 |
$353 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$264.75 |
$353 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$299.25 |
$399 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$201.75 |
$269 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$264.75 |
$353 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$264.75 |
$353 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$264.75 |
$353 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$454.50 |
$606 |
0.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,024 |
$4,032 |
0.9× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$609.75 |
$813 |
2.0× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$975 |
$1,300 |
3.2× |
| Fine needle aspiration without imaging guidance (10021) |
$264.75 |
$353 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$39.75 |
$53 |
0.2× |
| I&d abscess simple (10060) |
$312 |
$416 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$264.75 |
$353 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$399 |
$532 |
0.2× |
| Incise external hemorrhoid (46083) |
$431.25 |
$575 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$264.75 |
$353 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$264.75 |
$353 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$351.38 |
$468.50 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$263.25 |
$351 |
1.3× |
| Incision and drainage perianal abscess superficial (46050) |
$286.50 |
$382 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$264.75 |
$353 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$144.75 |
$193 |
0.5× |
| Inj therapeutic carpal tunnel (20526) |
$264.75 |
$353 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$277.88 |
$370.50 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$353.25 |
$471 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$402 |
$536 |
1.3× |
| Insert Drug Implant Device (11981) |
$123 |
$164 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$367.50 |
$490 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$186.38 |
$248.50 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$422.25 |
$563 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.50 |
$30 |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$40.50 |
$54 |
1.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$303.75 |
$405 |
1.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$626.62 |
$835.50 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$150 |
$200 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$264.75 |
$353 |
0.7× |
| Removal foreign body foot subcutaneous (28190) |
$792 |
$1,056 |
1.1× |
| Removal foreign body intranasal (30300) |
$189.75 |
$253 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$105.75 |
$141 |
1.8× |
| Removal of iud (58301) |
$222 |
$296 |
0.7× |
| Removal of nail bed (11750) |
$264.75 |
$353 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$203.62 |
$271.50 |
1.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$179.62 |
$239.50 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$173.25 |
$231 |
0.6× |
| Remove drug implant device (11982) |
$194.25 |
$259 |
0.4× |
| Remove/Insert Drug Implant (11983) |
$540.75 |
$721 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$232.50 |
$310 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$149.25 |
$199 |
1.1× |
| Remv/revisn shldr/hip spica cast (29710) |
$214.12 |
$285.50 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$264.75 |
$353 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$647.25 |
$863 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$565.50 |
$754 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$264.75 |
$353 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$264.75 |
$353 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$264.75 |
$353 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$264.75 |
$353 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$264.75 |
$353 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$555.38 |
$740.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$264.75 |
$353 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$145.50 |
$194 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$264.75 |
$353 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$264.75 |
$353 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$411.38 |
$353 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$383.25 |
$511 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$264.75 |
$353 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$409.88 |
$353 |
1.0× |
| Repair Mouth Laceration (40831) |
$482.62 |
$643.50 |
0.9× |
| Repair Spica Body Cast/Jacket (29720) |
$147.38 |
$196.50 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$191.62 |
$255.50 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$728.25 |
$971 |
1.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$207.38 |
$276.50 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$217.88 |
$290.50 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$264.75 |
$353 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$232.50 |
$310 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$250.12 |
$333.50 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$261.75 |
$349 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$226.50 |
$302 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$266.25 |
$355 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$264.75 |
$353 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$302.25 |
$403 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$329.62 |
$439.50 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$264.75 |
$353 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$316.50 |
$422 |
1.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$591.38 |
$788.50 |
0.3× |
| Small bowel endoscopy/biopsy (44377) |
$654.38 |
$872.50 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$264.75 |
$353 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$382.88 |
$510.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$264.75 |
$353 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$346.88 |
$462.50 |
0.5× |
| Strapping elbow or wrist (29260) |
$42.75 |
$57 |
0.7× |
| Strapping shoulder (29240) |
$132.75 |
$177 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$249.75 |
$333 |
0.6× |
| Treat clavicle dislocation (23540) |
$399 |
$532 |
1.6× |
| Treat shoulder blade fx (23575) |
$399 |
$532 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$912.75 |
$1,217 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$399 |
$532 |
1.6× |
| Trim skin lesion (11055) |
$147.38 |
$196.50 |
0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$239.25 |
$319 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$264.75 |
$353 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$735 |
$980 |
0.4× |
| Venipuncture (36415) |
$18.75 |
$25 |
2.0× |
| Wedge excision skin nail fold (11765) |
$243.75 |
$325 |
0.6× |
| Wedging of cast (29740) |
$68.62 |
$91.50 |
0.2× |
| Wedging of clubfoot cast (29750) |
$179.62 |
$239.50 |
0.7× |
| Windowing of cast (29730) |
$153.38 |
$204.50 |
1.0× |