| Application cast elbow finger short arm (29075) |
$178.50 |
$178.50 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$188 |
$188 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$196.70 |
$196.70 |
0.7× |
| Application finger splint static (29130) |
$70 |
$70 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$128 |
$128 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$126.52 |
$126.52 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$246.25 |
$246.25 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$360.70 |
$360.70 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$212.20 |
$212.20 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$86.48 |
$86.48 |
0.6× |
| Application short leg splint calf foot (29515) |
$142 |
$142 |
0.9× |
| Arterial puncture (36600) |
$16.05 |
$16.05 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$109.50 |
$109.50 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$120 |
$120 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$95 |
$95 |
0.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$61.50 |
$61.50 |
0.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$208 |
$208 |
1.0× |
| Biopsy of palate, uvula (42100) |
$148.50 |
$148.50 |
0.1× |
| Biopsy of uterus lining (58100) |
$68.30 |
$68.30 |
0.3× |
| Bladder Irrigation Simple (51700) |
$25.70 |
$25.70 |
0.1× |
| Chest tube placement (32551) |
$511.62 |
$511.62 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$100 |
$100 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$100 |
$100 |
0.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$100 |
$100 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$716 |
$716 |
2.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$100 |
$100 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$372.50 |
$372.50 |
1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$77 |
$77 |
0.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$100 |
$100 |
0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$77 |
$77 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$77 |
$77 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$77 |
$77 |
0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$256.80 |
$256.80 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$570 |
$570 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$445.94 |
$445.94 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$100 |
$100 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$115 |
$115 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$173.25 |
$173.25 |
1.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$980 |
$980 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$115.55 |
$115.55 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$577.80 |
$577.80 |
0.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$282 |
$282 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$257 |
$257 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$217 |
$217 |
1.1× |
| Destruction of skin lesions (17106) |
$674 |
$674 |
1.7× |
| Destruction premalignant lesion 1st (17000) |
$92.40 |
$92.40 |
0.5× |
| Drainage of hydrocele (55000) |
$126.10 |
$126.10 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$367 |
$367 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$290 |
$290 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$198 |
$198 |
1.0× |
| Dx gastr intub w/asp spec (43754) |
$260 |
$260 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$98 |
$98 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$394 |
$394 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$195.92 |
$195.92 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$307 |
$307 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$293 |
$293 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$200 |
$200 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$377 |
$377 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$256.05 |
$256.05 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$245 |
$245 |
0.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$333.85 |
$333.85 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$329 |
$329 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$368 |
$368 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$346 |
$346 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$240 |
$240 |
0.1× |
| Excision of nail fold toe (11765) |
$96 |
$96 |
0.2× |
| I&d abscess simple (10060) |
$233 |
$233 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$350 |
$350 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$305.22 |
$305.22 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$538 |
$538 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$300 |
$300 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$168 |
$168 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$136 |
$136 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$105 |
$105 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$62.40 |
$62.40 |
0.1× |
| Injection anes other peripheral nerve/branch (64450) |
$64.20 |
$64.20 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$170.44 |
$170.44 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$125 |
$125 |
0.4× |
| Insert Drug Implant Device (11981) |
$234.78 |
$234.78 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$126 |
$126 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$125 |
$125 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$242 |
$242 |
1.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$489 |
$489 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$463 |
$463 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$205 |
$205 |
0.5× |
| Puncture Aspiration (10160) |
$59.30 |
$59.30 |
0.1× |
| Removal fb intranasal (30300) |
$205 |
$205 |
1.5× |
| Removal foreign body foot subcutaneous (28190) |
$57.80 |
$57.80 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$27 |
$27 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$69.45 |
$69.45 |
1.2× |
| Removal of nail bed (11750) |
$325.50 |
$325.50 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$51.35 |
$51.35 |
0.3× |
| Remove drug implant device (11982) |
$259.20 |
$259.20 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$70.60 |
$70.60 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$62.25 |
$62.25 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$523.50 |
$523.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$150 |
$150 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$210 |
$210 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$128.40 |
$128.40 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$300.48 |
$300.48 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$565 |
$565 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$231.87 |
$231.87 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$134.20 |
$134.20 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$651 |
$651 |
1.6× |
| Repair Tongue Laceration (41250) |
$321 |
$321 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$117 |
$117 |
0.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$374.08 |
$374.08 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$126.88 |
$126.88 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$179 |
$179 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$198.56 |
$198.56 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$136 |
$136 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$131.50 |
$131.50 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$77 |
$77 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$195 |
$195 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$122 |
$122 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$360 |
$360 |
0.9× |
| Strapping shoulder (29240) |
$60 |
$60 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$205 |
$205 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$200 |
$200 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$89.05 |
$89.05 |
0.4× |
| Trim skin lesions over 4 (11057) |
$100 |
$100 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$29 |
$29 |
0.5× |
| Vaginal delivery only (59409) |
$1,613 |
$1,613 |
0.5× |
| Venipuncture (36415) |
$18.85 |
$18.85 |
2.0× |