| Amputation Foot Midtarsal (28800) |
$895.86 |
$995.40 |
0.3× |
| Application cast elbow finger short arm (29075) |
$92.59 |
$102.88 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$102.65 |
$114.06 |
0.4× |
| Application finger splint static (29130) |
$66.17 |
$73.52 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$103.39 |
$114.88 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$98.64 |
$109.60 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$210.44 |
$233.83 |
1.8× |
| Application short leg splint calf foot (29515) |
$95.76 |
$106.40 |
0.7× |
| Apply short leg cast (29405) |
$97.65 |
$108.50 |
0.4× |
| Apply short leg cast (29425) |
$107.55 |
$119.50 |
0.4× |
| Arterial puncture (36600) |
$198 |
$220 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$156.22 |
$173.57 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$167.42 |
$186.02 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$62.05 |
$68.94 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$159.30 |
$177 |
0.9× |
| Bladder Scan (51798) |
$81 |
$90 |
1.6× |
| Blood transfusion service (36430) |
$390.60 |
$434 |
1.0× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$406.60 |
$451.78 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$225 |
$250 |
1.2× |
| Chemical Cautery Tissue (17250) |
$126 |
$140 |
0.7× |
| Circum 28 days or older (54161) |
$334.22 |
$371.36 |
0.2× |
| Circumcision Neonate (54160) |
$245.83 |
$273.14 |
0.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$375.72 |
$417.47 |
1.8× |
| Closed Rx Med Malleolus Fx (27760) |
$615.60 |
$684 |
2.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$630.45 |
$700.50 |
3.0× |
| Closed Rx Trimalleolar Fx (27816) |
$594.90 |
$661 |
2.8× |
| Closed treat wrist dislocation (25660) |
$906.30 |
$1,007 |
4.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$609.30 |
$677 |
2.9× |
| Closed tx femoral fracture prox head w manip (27268) |
$2,160 |
$2,400 |
1.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$905.51 |
$1,006.12 |
4.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,008 |
$1,120 |
2.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$277.20 |
$308 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$467.55 |
$519.50 |
2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$357.70 |
$397.45 |
1.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$220.86 |
$245.40 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$339.30 |
$377 |
1.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$612.30 |
$680.34 |
3.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$310.41 |
$344.90 |
1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$596.25 |
$662.50 |
2.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$405.56 |
$450.62 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,304.10 |
$1,449 |
0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$811.80 |
$902 |
3.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$179.93 |
$199.92 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$176.90 |
$196.56 |
0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$133.67 |
$148.52 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$571.50 |
$635 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$218.95 |
$243.28 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$273.56 |
$303.96 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$143.10 |
$159 |
1.2× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$808.52 |
$898.36 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$838.01 |
$931.12 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$168.68 |
$187.42 |
1.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$104.09 |
$115.66 |
0.3× |
| Debride nail 1-5 (11720) |
$61.36 |
$68.18 |
1.2× |
| Debride nail 6 or more (11721) |
$44.08 |
$48.98 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$339.52 |
$377.24 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$705.60 |
$784 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$570.20 |
$633.55 |
0.4× |
| Declot vascular device (36593) |
$661.50 |
$735 |
2.3× |
| Delivery placenta separate procedure (59414) |
$1,250.26 |
$1,389.18 |
0.4× |
| Dressing change under anesthesia (15852) |
$169.20 |
$188 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$241.47 |
$268.30 |
1.4× |
| Electrical stimulation bone healing noninvasive (20974) |
$73.82 |
$82.02 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$236.32 |
$262.58 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$167.11 |
$185.68 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$201.19 |
$223.54 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$123.25 |
$136.94 |
0.1× |
| Excision of nail fold toe (11765) |
$180 |
$200 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$180 |
$200 |
0.5× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$428.33 |
$475.92 |
0.2× |
| I&d abscess simple (10060) |
$141.73 |
$157.48 |
0.8× |
| I&d below fascia foot 1 bursal space (28002) |
$602.05 |
$668.94 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$329.92 |
$366.58 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$479.25 |
$532.50 |
1.4× |
| Incision bone cortex foot (28005) |
$949.73 |
$1,055.26 |
0.3× |
Incision of heel bone (28300)
likely a partial charge, not the full procedure |
$1,034.77 |
$1,149.74 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$65.95 |
$73.28 |
0.2× |
| Insert and remove bone pin (20650) |
$238.46 |
$264.96 |
0.1× |
| Insert picc cath (36569) |
$3,060 |
$3,400 |
2.3× |
| Insert Temp Bladder Cath (51702) |
$355.50 |
$395 |
3.1× |
| Intubation endotracheal emergency procedure (31500) |
$198 |
$220 |
1.0× |
| Metatarsectomy (28140) |
$722.92 |
$803.24 |
0.3× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge, not the full procedure |
$1,845.34 |
$2,050.38 |
0.3× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$1,295.95 |
$1,439.94 |
0.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$663.30 |
$737 |
0.2× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$533.09 |
$592.32 |
0.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$497 |
$552.22 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$453.92 |
$504.36 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$524.66 |
$582.96 |
0.2× |
| Phalangectomy toe each toe (28150) |
$452.27 |
$502.52 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$596.26 |
$662.51 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$76.50 |
$85 |
1.5× |
| Removal Implant Deep (20680) |
$649.12 |
$721.24 |
0.3× |
| Removal of heel bone (28118) |
$647.60 |
$719.56 |
0.2× |
| Removal of nail bed (11750) |
$267.91 |
$297.68 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$159.30 |
$177 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$603 |
$670 |
2.5× |
| Remv Ext Canal Foreign Body (69200) |
$139.87 |
$155.41 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$100.80 |
$112 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$520.20 |
$578 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$744.30 |
$827 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$426.80 |
$474.23 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$504.11 |
$560.12 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$360 |
$400 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$346.02 |
$384.46 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$347.52 |
$386.14 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$311.54 |
$346.16 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$344.36 |
$382.63 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$330.17 |
$366.86 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$573.30 |
$637 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$763.88 |
$848.75 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$266.16 |
$295.73 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$436.28 |
$484.75 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$497.22 |
$552.46 |
0.8× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$412.34 |
$458.16 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$324.45 |
$360.50 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$159.30 |
$177 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$421.52 |
$468.35 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$301.50 |
$335 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$250.20 |
$278 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$318.22 |
$353.58 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$351.36 |
$390.40 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$208.19 |
$231.32 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$286.70 |
$318.55 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$214.34 |
$238.15 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$317.94 |
$353.27 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$677.70 |
$753 |
1.1× |
| Trach Tube Change (31502) |
$450 |
$500 |
2.2× |
| Treat Fracture Radius & Ulna (25560) |
$265.16 |
$294.62 |
1.2× |
Treat heel fracture (28415)
likely a partial charge, not the full procedure |
$1,751.35 |
$1,945.94 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$542.32 |
$602.58 |
2.6× |
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure |
$868.12 |
$964.58 |
0.1× |
| Trim skin lesion (11055) |
$159.30 |
$177 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$81 |
$90 |
0.5× |
| Trim skin lesions over 4 (11057) |
$95.40 |
$106 |
0.6× |
| Vaginal delivery only (59409) |
$2,352.42 |
$2,613.80 |
0.8× |
| Venipuncture (36415) |
$28.80 |
$32 |
3.1× |