| Abd paracentesis w/imaging (49083) |
$1,538 |
$3,075 |
1.8× |
| Application cast elbow finger short arm (29075) |
$237 |
$474 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$157 |
$314 |
1.0× |
| Application finger splint static (29130) |
$178.50 |
$356.50 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$207 |
$413 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$379 |
$758 |
2.4× |
| Application Short Arm Splint Dynamic (29126) |
$317 |
$633 |
2.5× |
| Application short arm splint forearm-hand static (29125) |
$178 |
$355 |
1.4× |
| Application short leg splint calf foot (29515) |
$235 |
$470 |
1.5× |
| Apply short leg cast (29405) |
$185 |
$370 |
0.7× |
| Apply short leg cast (29425) |
$260.50 |
$520.50 |
1.0× |
| Arterial puncture (36600) |
$50 |
$100 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$319.50 |
$638 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$469 |
$937 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$67 |
$134 |
0.2× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$2 |
$3 |
0.0× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$77 |
$153 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$345 |
$689 |
1.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$163 |
$326 |
0.2× |
| Biopsy external ear (69100) |
$163 |
$326 |
0.7× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$741.50 |
$1,483 |
0.3× |
| Blood transfusion service (36430) |
$1,172 |
$2,343 |
2.8× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$92 |
$183 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$20 |
$40 |
0.0× |
| Change Cystostomy Tube Simple (51705) |
$6 |
$12 |
0.0× |
| Chemical Cautery Tissue (17250) |
$20 |
$40 |
0.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,251 |
$2,502 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$690 |
$1,380 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$466.50 |
$932 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$599 |
$1,197 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$2,081 |
$4,161 |
8.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$834 |
$1,668 |
0.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$544 |
$1,087 |
2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$544 |
$1,087 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$544 |
$1,087 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,251 |
$2,502 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$6 |
$12 |
0.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$550 |
$1,100 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$698 |
$1,395 |
2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$271 |
$542 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$219 |
$438 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$544 |
$1,087 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$271 |
$542 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,146 |
$2,292 |
1.0× |
| Complex Cystometrogram (51726) |
$6 |
$12 |
0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$148 |
$295 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$127 |
$254 |
1.0× |
| Cystourethroscopy (52000) |
$232 |
$464 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$489 |
$978 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$476.50 |
$952 |
1.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$200 |
$400 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$220 |
$439 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$195 |
$389.50 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$3 |
$5 |
0.0× |
| Drainage of hematoma/fluid (10140) |
$242 |
$483 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$258 |
$515 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$172 |
$344 |
0.9× |
| Egd rem tumr/polyp forcep (43250) |
$1,799 |
$3,597 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$139 |
$278 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$167 |
$333 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$119 |
$237 |
0.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2 |
$3 |
0.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$135 |
$270 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$856 |
$1,711.50 |
2.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$811 |
$1,621.50 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,163 |
$2,326 |
1.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$201 |
$402 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$549 |
$1,097 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,614 |
$3,228 |
1.0× |
| Excise excessive skin arm (15836) |
$35 |
$70 |
0.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$175 |
$350 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$505 |
$1,009 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$133 |
$265 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$657 |
$1,313.50 |
1.0× |
| Excision of lesion of tongue without closure (41110) |
$213 |
$425 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,119 |
$2,238 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$634 |
$1,268 |
0.4× |
Fusion of foot bones (28715)
likely a partial charge, not the full procedure |
$5 |
$10 |
0.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$276 |
$551 |
1.3× |
| I&d abscess simple (10060) |
$291 |
$581.50 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$374 |
$747 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$410.50 |
$820.50 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$212.50 |
$424.50 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$163 |
$325 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$300 |
$600 |
1.6× |
| Inj tendon sheath/ligament (20550) |
$90 |
$179 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$691 |
$1,381 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$274 |
$548 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$260 |
$519.50 |
0.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$86 |
$171 |
0.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$60 |
$119 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$48 |
$96 |
0.2× |
| Insert Drug Implant Device (11981) |
$1,150 |
$2,300 |
9.0× |
| Insert non-tunnel cv cath (36556) |
$675 |
$1,350 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$130 |
$259 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$104 |
$208 |
0.8× |
| Intro windpipe wire/tube (31730) |
$984 |
$1,967 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$228 |
$455 |
1.0× |
| Lengthening of hand tendon (26478) |
$20 |
$40 |
0.0× |
| Placement of needle for intraosseous infusion (36680) |
$169 |
$337 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$185.50 |
$370 |
0.5× |
| Puncture Aspiration (10160) |
$374 |
$747 |
1.0× |
| Removal fb intranasal (30300) |
$172 |
$343.50 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$1,075 |
$2,150 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$123 |
$245 |
2.2× |
| Removal Implant Deep (20680) |
$580 |
$1,160 |
0.2× |
| Removal of arm foreign body (24200) |
$549 |
$1,097 |
0.3× |
| Removal of intranasal lesion (30118) |
$1,845 |
$3,690 |
0.6× |
| Removal of intrauterine device (iud) (58301) |
$232.50 |
$464.50 |
0.8× |
| Removal of nail bed (11750) |
$505 |
$1,009 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$233.50 |
$466 |
1.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$277 |
$553.50 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$56 |
$112 |
0.2× |
| Remove drug implant device (11982) |
$538 |
$1,075 |
1.3× |
| Remove foreign body from eye (65235) |
$499.50 |
$999 |
0.2× |
| Remove wrist tendon lesion (25111) |
$683 |
$1,365 |
0.4× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$5 |
$10 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$142 |
$283.50 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$113 |
$225.50 |
0.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$237 |
$473 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$195 |
$389 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$343 |
$685 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$261.50 |
$522.50 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$158 |
$316 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$124.50 |
$249 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$111 |
$222 |
0.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$45 |
$90 |
0.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$192 |
$383.50 |
0.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$583 |
$1,165 |
1.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$233.50 |
$466 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$413 |
$826 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$345 |
$689 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$184 |
$368 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$379 |
$757.50 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$345 |
$689 |
1.8× |
| Skin Tissue Procedure (17999) |
$30 |
$59 |
0.2× |
| Slitting of prepuce (54001) |
$2 |
$3 |
0.0× |
| Slitting of prepuce (54000) |
$2 |
$3 |
0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$272.50 |
$544.50 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$413 |
$826 |
1.1× |
| Strapping ankle (29540) |
$65 |
$129 |
0.4× |
| Strapping knee (29530) |
$55 |
$110 |
0.4× |
| Strapping shoulder (29240) |
$317 |
$633 |
2.5× |
| Strapping thorax (29200) |
$317 |
$633 |
2.0× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$300 |
$600 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$88 |
$175 |
0.2× |
| Tendon lengthening (26476) |
$20 |
$40 |
0.0× |
| Tendon shortening (26477) |
$20 |
$40 |
0.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$20 |
$40 |
0.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$344.50 |
$689 |
0.6× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$63 |
$125 |
0.0× |
| Trach Tube Change (31502) |
$418 |
$836 |
1.8× |
| Tracheostomy planned (31600) |
$2,700 |
$5,399 |
0.8× |
| Treat humerus fracture (24500) |
$4 |
$7 |
0.0× |
| Treat humerus fracture (23600) |
$2 |
$3 |
0.0× |
| Treat Wrist Bone Fracture (25630) |
$382 |
$764 |
1.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$310 |
$619 |
1.3× |
| Trim skin lesion (11055) |
$33 |
$65 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$135 |
$269 |
0.7× |
| Vaginal delivery only (59409) |
$1,437 |
$2,873.50 |
0.5× |
| Venipuncture (36415) |
$9.50 |
$18.50 |
1.0× |