| Abd paracentesis w/imaging (49083) |
$366.10 |
$457.62 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$72 |
$90 |
1.3× |
| Application finger splint static (29130) |
$55.20 |
$69 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$120 |
$150 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$76.80 |
$96 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$76 |
$95 |
0.6× |
| Application short leg splint calf foot (29515) |
$96 |
$120 |
0.6× |
| Apply patella tendon bearing cast (29435) |
$179.20 |
$224 |
0.7× |
| Arterial puncture (36600) |
$37.64 |
$47.05 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$81.20 |
$101.50 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$107.12 |
$133.90 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$69.60 |
$87 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$149.60 |
$187 |
0.8× |
| Blood transfusion service (36430) |
$276.80 |
$346 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$250.40 |
$313 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$59.42 |
$74.28 |
0.3× |
| Chest tube placement (32551) |
$552 |
$690 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$27.70 |
$34.62 |
0.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$716.51 |
$1,023.58 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$708 |
$885 |
0.5× |
| Closed Rx Tibial Plateau Fx (27530) |
$518.40 |
$648 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$328 |
$410 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$630.40 |
$788 |
2.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$85.60 |
$107 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$85.60 |
$107 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$123.20 |
$154 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$508.80 |
$636 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$403.20 |
$504 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$446.40 |
$558 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$258.40 |
$323 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$211.20 |
$264 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$320.32 |
$400.40 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$230.40 |
$288 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$102.40 |
$128 |
0.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$128 |
$160 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$168 |
$210 |
0.7× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$520 |
$650 |
2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$721 |
$1,030 |
0.5× |
| Complete replacement picc rs&i (36584) |
$724.04 |
$1,023.12 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$144 |
$180 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$159.20 |
$199 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$117.20 |
$146.50 |
0.3× |
| Debride skin musc at fx site (11011) |
$257.60 |
$322 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$186.40 |
$233 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$106.40 |
$133 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$137.60 |
$172 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$96 |
$120 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$288.68 |
$360.85 |
0.4× |
| Drainage of eyelid abscess (67700) |
$221.58 |
$276.98 |
0.7× |
| Drainage of gum lesion (41800) |
$285.20 |
$356.50 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$107.12 |
$133.90 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$75.20 |
$94 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$240.80 |
$301 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$420.80 |
$526 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$132 |
$165 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$216.80 |
$271 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$180.80 |
$226 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$204.80 |
$256 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$240.80 |
$301 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$240.80 |
$301 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$232 |
$290 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$661.60 |
$827 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$144 |
$180 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$168.80 |
$211 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$420.80 |
$526 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$565.60 |
$707 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$541.60 |
$677 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$553.60 |
$692 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$360.80 |
$451 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$480.80 |
$601 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$480.80 |
$601 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$789.60 |
$1,128 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$276.80 |
$346 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$324.80 |
$406 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$144 |
$180 |
0.1× |
| Excision of nail fold toe (11765) |
$192.80 |
$241 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$192 |
$240 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$39.80 |
$49.75 |
0.2× |
| Hemorrhoidectomy external complete (46250) |
$210.18 |
$262.73 |
0.1× |
| I&d abscess simple (10060) |
$170.80 |
$213.50 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$85.60 |
$107 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$163.48 |
$204.35 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$168 |
$210 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$70.80 |
$88.50 |
0.2× |
| Injection anes other peripheral nerve/branch (64450) |
$56.80 |
$71 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$96.63 |
$120.79 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$111.94 |
$139.93 |
0.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$172.80 |
$216 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$2,146.20 |
$3,066 |
0.7× |
| Insert picc cath (36569) |
$334.80 |
$418.50 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$898.65 |
$1,257.50 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$85.60 |
$107 |
0.4× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
$280.96 |
$351.20 |
0.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$93.82 |
$117.28 |
0.5× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$70.40 |
$88 |
0.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$81 |
$101.25 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge, not the full procedure |
$1,176 |
$1,680 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$75.14 |
$93.93 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$116 |
$145 |
0.3× |
| Pr laryngoscopy direct,w/dilat, subsequent (31529) |
$314.50 |
$393.12 |
0.1× |
| Puncture Aspiration (10160) |
$175.70 |
$219.63 |
0.5× |
| Removal fb intranasal (30300) |
$85.60 |
$107 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$163.20 |
$204 |
0.1× |
| Removal foreign body pharynx (42809) |
$236.06 |
$295.08 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$71.20 |
$89 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$288.80 |
$361 |
0.4× |
| Removal of nail bed (11750) |
$204.80 |
$256 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$103.20 |
$129 |
0.5× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$542.40 |
$678 |
0.2× |
| Remove Eyelid Foreign Body (67938) |
$211.94 |
$264.92 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$168.80 |
$211 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$572 |
$715 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$504 |
$630 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$444.80 |
$556 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$580 |
$725 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$223.20 |
$279 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$360.80 |
$451 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$240.80 |
$301 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$336.80 |
$421 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$245.20 |
$306.50 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$300.80 |
$376 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$384.80 |
$481 |
1.0× |
| Repair Tongue Laceration (41250) |
$280 |
$350 |
0.7× |
| Revision of colostomy simple (44340) |
$2,613.70 |
$3,733.85 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$104 |
$130 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$119.20 |
$149 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$784 |
$1,096.35 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$132 |
$165 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$132 |
$165 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$329.60 |
$412 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$148.40 |
$185.50 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$243.20 |
$304 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$288.80 |
$361 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$221.60 |
$277 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$244 |
$305 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$360 |
$450 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$138.80 |
$173.50 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$360 |
$450 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$216.40 |
$270.50 |
1.1× |
| Skin pinch graft (15050) |
$404 |
$505 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$203.20 |
$254 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$258.80 |
$323.50 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$286.40 |
$358 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$118.40 |
$148 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$164.26 |
$205.32 |
0.3× |
| Treat Finger Fracture Each (26727) |
$129.60 |
$162 |
0.0× |
| Treatment closed elbow dislocation req anes (24605) |
$628.80 |
$786 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$605.60 |
$757 |
2.6× |
| Trim skin lesion (11055) |
$120 |
$150 |
0.6× |
| Unlisted Procedure Casting/Strapping (29799) |
$85.60 |
$107 |
0.6× |
| Vaginal delivery only (59409) |
$1,046.50 |
$1,495 |
0.3× |
| Venipuncture (36415) |
$19.20 |
$24 |
2.1× |