| Abd paracentesis w/imaging (49083) |
$1,147 |
$1,638 |
1.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$230 |
$328 |
1.4× |
| Application cast elbow finger short arm (29075) |
$220 |
$314 |
0.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$233 |
$333 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$238 |
$340 |
0.8× |
| Application finger splint static (29130) |
$124 |
$177 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$136.50 |
$194.50 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$176 |
$251 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$176 |
$252 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$222 |
$317 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$148.50 |
$212 |
1.1× |
| Application short leg splint calf foot (29515) |
$105.50 |
$151 |
0.6× |
| Apply multlay comprs arm/hand (29584) |
$161 |
$230 |
1.0× |
| Arterial puncture (36600) |
$81 |
$115 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$288 |
$412 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$283.50 |
$404.50 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$295 |
$421.50 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$222.50 |
$317.50 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$274.50 |
$392 |
1.3× |
| Biopsy of uterus lining (58100) |
$83 |
$119 |
0.4× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$351 |
$502 |
0.2× |
| Bladder Irrigation Simple (51700) |
$174 |
$248 |
0.7× |
| Bladder Scan (51798) |
$137 |
$196 |
2.2× |
| Blood patch (62273) |
$787 |
$1,124 |
1.1× |
| Blood transfusion service (36430) |
$1,014 |
$1,449 |
2.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$166 |
$237 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$324 |
$463 |
1.2× |
| Chemical Cautery Tissue (17250) |
$223 |
$318.50 |
1.1× |
| Chest tube placement (32551) |
$1,168 |
$1,669 |
0.7× |
| Circumcision Neonate (54160) |
$248 |
$355 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$445 |
$636 |
0.3× |
| Closed Rx Med Malleolus Fx (27760) |
$555 |
$793 |
2.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$223 |
$318 |
0.1× |
| Closed Rx Radial Shaft Fx (25500) |
$451 |
$645 |
1.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$293 |
$419 |
0.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$688 |
$983 |
2.7× |
| Closed treatment nasal fracture w/stabilization (21320) |
$239 |
$341 |
0.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$272 |
$389 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$580 |
$828 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$930 |
$1,328 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,044 |
$1,492 |
0.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$223 |
$319 |
0.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$301 |
$430 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$622 |
$889 |
2.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$197 |
$282 |
0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$251 |
$359 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$457 |
$653 |
1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$389 |
$555 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$861 |
$1,230 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$409 |
$584 |
1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,178 |
$3,111 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$279 |
$398 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$447 |
$639 |
1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$528.50 |
$755 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$418 |
$597 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$530.50 |
$757.50 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,636 |
$3,765 |
1.6× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,902 |
$4,146 |
1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$347 |
$495 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$258 |
$368.50 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$261 |
$373 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$120 |
$171 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$599 |
$855 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$335 |
$479 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$442 |
$631 |
1.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$255 |
$364 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$539 |
$770 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$362 |
$517 |
1.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,742 |
$3,917 |
1.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,741 |
$3,916 |
1.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$228 |
$326 |
0.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$288 |
$412 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,718 |
$2,454 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$677 |
$967 |
0.4× |
| Complete replacement picc rs&i (36584) |
$783 |
$1,119 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$333 |
$476 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$165 |
$236 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$408 |
$583 |
3.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$145 |
$207 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$431 |
$615 |
0.6× |
| Debride nail 1-5 (11720) |
$34 |
$49 |
0.6× |
| Debride nail 6 or more (11721) |
$209 |
$298 |
3.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$652 |
$931.50 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$472 |
$674 |
0.6× |
| Declot vascular device (36593) |
$361 |
$516 |
1.1× |
| Destruction benign lesions 15 or more (17111) |
$220 |
$314 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$185 |
$264 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$225 |
$322 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$114 |
$163 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$452 |
$646 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$279 |
$399 |
1.3× |
| Drainage of eyelid abscess (67700) |
$403 |
$576 |
1.2× |
| Drainage of gum lesion (41800) |
$270 |
$386 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$287 |
$410 |
0.2× |
| Draw blood off venous device (36591) |
$130 |
$185 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$527 |
$753 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$321 |
$459 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$369 |
$527 |
1.8× |
| Egd flexible foreign body removal (43247) |
$1,455 |
$2,079 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$222 |
$317 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$169 |
$241 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$344 |
$491.50 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$188 |
$268 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$270 |
$386 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$129 |
$184 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$215 |
$307.50 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$336 |
$480 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$184 |
$263 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$274 |
$392 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$259 |
$370 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$533 |
$762 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$876 |
$1,251 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$249 |
$355.50 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$256 |
$366 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$298 |
$426 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$204 |
$291 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$232 |
$331 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$457 |
$653 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$295 |
$421 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$357 |
$510 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$454 |
$648 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$639 |
$913 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$271 |
$387 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$192 |
$274 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$429 |
$613 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$433 |
$618 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$285 |
$407 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$319 |
$455 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$149 |
$213 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$410 |
$585.50 |
0.2× |
| Excision of nail fold toe (11765) |
$334.50 |
$478 |
0.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$443 |
$633 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$207 |
$295 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,025 |
$1,464 |
0.6× |
| Fetal non-stress test (59025) |
$311 |
$444 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$171 |
$244 |
0.4× |
| Fixation of knee joint (27570) |
$2,926 |
$4,180 |
1.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$205 |
$293 |
0.9× |
| I&d abscess simple (10060) |
$204 |
$291.50 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,492 |
$2,132 |
0.5× |
| I&d perianal abscess superficial (46050) |
$355 |
$507 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$302 |
$431.50 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$287 |
$410 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$386.50 |
$552.50 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,241 |
$3,202 |
3.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,313 |
$1,875 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$272 |
$388 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$255 |
$364 |
0.8× |
| Incision of rectal abscess (46040) |
$934 |
$1,335 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$340.50 |
$486 |
1.3× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$250 |
$357 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$216 |
$309 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$175 |
$250 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$129 |
$184 |
0.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$88 |
$125 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$136 |
$194 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$214 |
$305 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$232 |
$331 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$223 |
$319 |
0.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$280 |
$400 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$165 |
$236 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$550 |
$785 |
0.2× |
| Insert picc cath (36569) |
$1,205 |
$1,722 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$140 |
$200 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$154.50 |
$220.50 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,598 |
$2,283 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$409 |
$584 |
1.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$185 |
$264 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$722 |
$1,031 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$413 |
$590 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$410 |
$586 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$449 |
$642 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$265 |
$378.50 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$195 |
$279 |
0.5× |
| Puncture Aspiration (10160) |
$223 |
$318.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$196 |
$280 |
0.3× |
| Removal fb intranasal (30300) |
$267 |
$382 |
1.9× |
| Removal foreign body foot subcutaneous (28190) |
$362.50 |
$517.50 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$25 |
$35.50 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$84.50 |
$120.50 |
1.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$447 |
$639 |
0.6× |
| Removal of arm foreign body (24200) |
$228 |
$326 |
0.1× |
| Removal of intrauterine device (iud) (58301) |
$195.50 |
$279 |
0.6× |
| Removal of nail bed (11750) |
$612 |
$874 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$157.50 |
$225 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$248 |
$355 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$175 |
$250 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$138 |
$197 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$910 |
$1,300 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$720 |
$1,029 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$349 |
$499 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$663 |
$947 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$398 |
$568 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$676 |
$965 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$228 |
$326 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$533 |
$762 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$820 |
$1,172 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$384 |
$549 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$447.50 |
$639 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$231 |
$330 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$534.50 |
$763.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$746 |
$1,065 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$841 |
$1,201 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$781 |
$1,116 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$382 |
$545 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$631 |
$901.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$461 |
$658 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$788 |
$1,125 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$606 |
$866 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$372 |
$531 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$505 |
$721.50 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$417 |
$596 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$470 |
$672 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$645 |
$921 |
0.3× |
| Repair of nail bed (11760) |
$389 |
$556 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$138.50 |
$197.50 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$923 |
$1,319 |
1.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,021 |
$1,458 |
1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$946 |
$1,352 |
1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$190 |
$272 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$142.50 |
$203.50 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$104 |
$148 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$182 |
$260 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$176 |
$251 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$180 |
$257 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$103 |
$147 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$117 |
$167 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$365 |
$522 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$278.50 |
$398 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$229 |
$327 |
1.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$445 |
$636 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$854 |
$1,220 |
4.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$352 |
$503 |
1.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$365 |
$522 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$346 |
$494.50 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$950 |
$1,357 |
4.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$228.50 |
$326.50 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,357 |
$1,939 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,357 |
$1,939 |
1.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,226 |
$4,608 |
1.5× |
| Skin tissue rearrangement (14040) |
$1,471 |
$2,102 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$3,226 |
$4,608 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$267.50 |
$382 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$261.50 |
$373.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$327 |
$467 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$539 |
$770 |
0.7× |
| Strapping unna boot (29580) |
$251 |
$359 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$169 |
$242 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$856 |
$1,223 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,055 |
$1,507 |
1.6× |
| Thrombolytic Therapy, Stroke (37195) |
$421 |
$602 |
1.2× |
| Treat Fracture Radius & Ulna (25560) |
$781 |
$1,116 |
3.0× |
| Treat humerus fracture (24577) |
$214 |
$306 |
0.1× |
| Treat humerus fracture (23600) |
$272 |
$389 |
1.1× |
| Treat wrist bone fracture (25622) |
$537 |
$767 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$988 |
$1,412 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$371 |
$530 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$384 |
$548 |
1.5× |
| Trim skin lesion (11055) |
$125 |
$178.50 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$215 |
$307.50 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$74.50 |
$106 |
1.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,907 |
$2,725 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$629 |
$899 |
0.8× |
| Unlisted Procedure Nervous System (64999) |
$72 |
$103 |
0.2× |
| Venipuncture (36415) |
$25 |
$35 |
2.7× |