| Abd paracentesis w/imaging (49083) |
$1,494.50 |
$1,494.50 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$664.80 |
$664.80 |
0.7× |
| Acne surgery (10040) |
$311 |
$311 |
1.4× |
| Adding Walker Previously Applied Cast (29440) |
$158 |
$158 |
0.9× |
| Amputation Finger/Thumb (26951) |
$3,168.50 |
$3,168.50 |
0.9× |
| Anoscopy diagnostic (46600) |
$332.15 |
$332.15 |
2.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$496 |
$496 |
0.5× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$312 |
$312 |
1.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$331 |
$331 |
1.8× |
| Application cast elbow finger short arm (29075) |
$313 |
$313 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$415.70 |
$415.70 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$329 |
$329 |
5.0× |
| Application finger splint static (29130) |
$146.50 |
$146.50 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$255.10 |
$255.10 |
1.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$590 |
$590 |
1.9× |
| Application of long leg cast (29345) |
$533 |
$533 |
1.7× |
| Application Patellar Tendon Bearing Cast (29435) |
$571 |
$571 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$238 |
$238 |
1.6× |
| Application, cast; figure-of-eight Facility (29049) |
$163 |
$163 |
0.5× |
| Apply Hand/Wrist Cast (29085) |
$303.50 |
$303.50 |
1.7× |
| Apply long leg splint (29505) |
$377.95 |
$377.95 |
2.1× |
| Apply short leg cast (29405) |
$442 |
$442 |
1.4× |
| Apply short leg splint (29515) |
$468.50 |
$468.50 |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$274.55 |
$274.55 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$318.50 |
$318.50 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$317.85 |
$317.85 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$2,258.50 |
$2,258.50 |
3.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$204 |
$204 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$217.45 |
$217.45 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$670 |
$670 |
0.7× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,167 |
$1,167 |
0.6× |
| Biopsy of penis (54100) |
$511 |
$511 |
0.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,733 |
$1,733 |
0.4× |
| Biopsy soft tissue back,superf (21920) |
$499 |
$499 |
0.3× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$587 |
$587 |
0.3× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$1,365 |
$1,365 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$671 |
$671 |
0.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$496 |
$496 |
0.5× |
| Bladder Irrigation Simple (51700) |
$338 |
$338 |
1.2× |
| Blepharotomy drain absc eyelid (67700) |
$439 |
$439 |
1.2× |
| Blood transfusion service (36430) |
$738 |
$738 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$770 |
$770 |
0.4× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$726 |
$726 |
2.1× |
| Chemical cautery tissue (17250) |
$158 |
$158 |
0.7× |
| Chemodenerv Eccrine Glands (64650) |
$197 |
$197 |
0.6× |
| Chemodenerv musc migraine (64615) |
$1,109 |
$1,109 |
3.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$1,194 |
$1,194 |
3.5× |
| Circum 28 days or older (54161) |
$2,709 |
$2,709 |
1.2× |
| Circumcision (54150) |
$399 |
$399 |
0.2× |
| Circumcision Neonate (54160) |
$399 |
$399 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$717.95 |
$717.95 |
2.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,209 |
$1,209 |
4.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,613.50 |
$1,613.50 |
5.9× |
| Closed Rx Radial Shaft Fx (25500) |
$1,221.05 |
$1,221.05 |
4.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,574.50 |
$1,574.50 |
5.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,841 |
$1,841 |
6.7× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,646.50 |
$1,646.50 |
6.0× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$893 |
$893 |
1.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,562 |
$2,562 |
1.4× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,534.45 |
$1,534.45 |
5.6× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$2,758.90 |
$2,758.90 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,402.90 |
$1,402.90 |
5.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,245.65 |
$1,245.65 |
4.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,297.90 |
$1,297.90 |
4.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,053 |
$3,053 |
1.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$1,251 |
$1,251 |
4.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$789 |
$789 |
2.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,588.90 |
$1,588.90 |
5.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,030.50 |
$1,030.50 |
3.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,671.50 |
$2,671.50 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,598.30 |
$1,598.30 |
5.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$2,050 |
$2,050 |
7.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,280 |
$2,280 |
8.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,803.50 |
$1,803.50 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,226 |
$1,226 |
4.5× |
| Closed tx lunate dislocation w/manipulation (25690) |
$2,347 |
$2,347 |
1.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,934.50 |
$1,934.50 |
3.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$968.45 |
$968.45 |
3.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,446.90 |
$1,446.90 |
5.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$910.45 |
$910.45 |
3.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$422 |
$422 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,183.80 |
$1,183.80 |
4.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,730.50 |
$2,730.50 |
1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,055.55 |
$1,055.55 |
3.8× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$1,419.50 |
$1,419.50 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$586.50 |
$586.50 |
2.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$668 |
$668 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,477.40 |
$1,477.40 |
5.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,125.75 |
$1,125.75 |
4.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$886.80 |
$886.80 |
3.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,773.10 |
$1,773.10 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,182.05 |
$1,182.05 |
4.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,736.50 |
$1,736.50 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,709 |
$1,709 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,100.60 |
$1,100.60 |
4.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,284.50 |
$2,284.50 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$2,319.50 |
$2,319.50 |
8.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,263.35 |
$1,263.35 |
4.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$942.50 |
$942.50 |
3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$621.80 |
$621.80 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,314.35 |
$1,314.35 |
4.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,685.15 |
$2,685.15 |
1.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$2,124 |
$2,124 |
7.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,930.50 |
$1,930.50 |
7.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,446.50 |
$3,446.50 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$684 |
$684 |
2.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$588.65 |
$588.65 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$665.40 |
$665.40 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$469.35 |
$469.35 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,221 |
$3,221 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$1,618.55 |
$1,618.55 |
5.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,978.70 |
$1,978.70 |
7.2× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$1,210.50 |
$1,210.50 |
4.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,023 |
$3,023 |
1.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,885 |
$2,885 |
1.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$690 |
$690 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$591 |
$591 |
2.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,005.05 |
$1,005.05 |
3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$670.40 |
$670.40 |
2.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,501 |
$1,501 |
5.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,578.80 |
$1,578.80 |
5.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,052.55 |
$1,052.55 |
3.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,413.50 |
$1,413.50 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,180.50 |
$1,180.50 |
4.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$960.80 |
$960.80 |
0.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$782 |
$782 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,224.50 |
$1,224.50 |
4.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$4,041.50 |
$4,041.50 |
2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,094.50 |
$2,094.50 |
7.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,165.05 |
$1,165.05 |
4.2× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,626 |
$1,626 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$572.90 |
$572.90 |
2.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,781 |
$3,781 |
2.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,613.50 |
$1,613.50 |
0.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,618.55 |
$1,618.55 |
5.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$830 |
$830 |
2.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$582 |
$582 |
2.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$348 |
$348 |
1.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$399 |
$399 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$565.75 |
$565.75 |
3.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$382.60 |
$382.60 |
2.6× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$189 |
$189 |
2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,024.50 |
$1,024.50 |
6.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$163 |
$163 |
0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,448.50 |
$2,448.50 |
0.8× |
| Debride nail 1-5 (11720) |
$83 |
$83 |
1.3× |
| Debride nail 6 or more (11721) |
$125 |
$125 |
1.9× |
| Debride tissue/muscle (11043) |
$828 |
$828 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$504 |
$504 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$516.50 |
$516.50 |
0.3× |
| Delivery placenta separate procedure (59414) |
$1,129 |
$1,129 |
0.3× |
| Destruction Benign Lesions 15/> (17111) |
$353 |
$353 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$179 |
$179 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$438 |
$438 |
0.4× |
| Destruction Lesions Vulva Simple (56501) |
$520 |
$520 |
0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$500 |
$500 |
2.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$679 |
$679 |
3.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$619 |
$619 |
2.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$552 |
$552 |
2.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$470 |
$470 |
2.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$2,301 |
$2,301 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$746 |
$746 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$175 |
$175 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$565 |
$565 |
0.5× |
| Drain shoulder bursa (23031) |
$1,517 |
$1,517 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$569 |
$569 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$491 |
$491 |
2.2× |
| Drainage Mouth Roof Lesion (42000) |
$1,003.50 |
$1,003.50 |
3.8× |
| Drainage of gum lesion (41800) |
$577.50 |
$577.50 |
3.9× |
| Drainage of hematoma/fluid (10140) |
$674.20 |
$674.20 |
0.4× |
| Dressing change under anesthesia (15852) |
$194 |
$194 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$663 |
$663 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$447 |
$447 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$282 |
$282 |
1.3× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$406 |
$406 |
0.9× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$533 |
$533 |
2.4× |
| Dstrj lesion penis simple surg excision (54060) |
$1,108 |
$1,108 |
0.5× |
| Dx gastr intub w/asp specs (43755) |
$679 |
$679 |
4.7× |
| Endometrial Biopsy (58100) |
$543 |
$543 |
2.4× |
| Evacuation of subungual hematoma (11740) |
$128.75 |
$128.75 |
0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$338 |
$338 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$374 |
$374 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$886 |
$886 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,135 |
$1,135 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$568 |
$568 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$1,309 |
$1,309 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$444 |
$444 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$994 |
$994 |
0.5× |
| Exc Frenum Labial/Buccal (40819) |
$973 |
$973 |
0.6× |
| Exc ganglion wrist recurrent (25112) |
$2,557 |
$2,557 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$480 |
$480 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$426 |
$426 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$727 |
$727 |
0.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,541 |
$1,541 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,560 |
$1,560 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,454 |
$1,454 |
0.8× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,048 |
$2,048 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,708 |
$1,708 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,537 |
$1,537 |
0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,028 |
$1,028 |
0.6× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,869 |
$1,869 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,578 |
$2,578 |
0.8× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,095 |
$3,095 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,205 |
$2,205 |
0.7× |
| Excise/repair mouth lesion (40812) |
$869 |
$869 |
0.5× |
| Excision Chalazion Single (67800) |
$501 |
$501 |
1.4× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$2,127 |
$2,127 |
0.7× |
| Excision Lingual Frenum Frenectomy (41115) |
$858 |
$858 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$441 |
$441 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$485 |
$485 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$640 |
$640 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$797 |
$797 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,054 |
$1,054 |
1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$684 |
$684 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$883 |
$883 |
1.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,110 |
$1,110 |
1.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,422 |
$1,422 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,650 |
$1,650 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$723 |
$723 |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$883 |
$883 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,082 |
$1,082 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,327 |
$1,327 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$585 |
$585 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$781 |
$781 |
1.0× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
unusually low: confirm this is the full procedure |
$3,909 |
$3,909 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,101 |
$2,101 |
1.2× |
| Excision of lesion of tongue without closure (41110) |
$585 |
$585 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$603 |
$603 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,090 |
$1,090 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$602 |
$602 |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$1,851 |
$1,851 |
0.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
$2,451 |
$2,451 |
0.8× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
$2,959 |
$2,959 |
0.9× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,945 |
$1,945 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,600.20 |
$1,600.20 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$2,821 |
$2,821 |
4.7× |
| Fetal Invas Px W/ US (59897) |
$339 |
$339 |
1.5× |
| Fetal non-stress test (59025) |
$326 |
$326 |
1.4× |
| Fine needle aspiration without imaging guidance (10021) |
$433 |
$433 |
1.0× |
| Fit/Insert Intravag Support Device (57160) |
$232 |
$232 |
1.0× |
| Foreskin manipulation (54450) |
$547 |
$547 |
2.0× |
| Fusion of finger tendons (26474) |
$2,772 |
$2,772 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$504.55 |
$504.55 |
2.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,678 |
$1,678 |
2.1× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$1,019 |
$1,019 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$707 |
$707 |
2.7× |
| I&d abscess simple (10060) |
$443.30 |
$443.30 |
2.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,844 |
$1,844 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$577.20 |
$577.20 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,622 |
$1,622 |
0.9× |
| Incise external hemorrhoid (46083) |
$508.75 |
$508.75 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$738.95 |
$738.95 |
1.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,950 |
$1,950 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$810.55 |
$810.55 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$409.90 |
$409.90 |
0.9× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,301 |
$1,301 |
0.4× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$1,546 |
$1,546 |
0.5× |
| Incision of eardrum (69420) |
$676 |
$676 |
2.6× |
| Incision of eyelid fold (67715) |
$609 |
$609 |
0.2× |
| Incision of labial frenum (frenotomy) (40806) |
$917 |
$917 |
1.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,053 |
$1,053 |
0.6× |
| Incision of rectal abscess (46040) |
$1,671 |
$1,671 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$939 |
$939 |
1.1× |
| Initial tx 1st degree burn local tx (16000) |
$186.75 |
$186.75 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$290 |
$290 |
0.8× |
| Inj therapeutic carpal tunnel (20526) |
$204 |
$204 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,366 |
$1,366 |
1.4× |
| Inject Tendon Origin/Insert (20551) |
$290 |
$290 |
0.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$642.50 |
$642.50 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$515 |
$515 |
1.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$830 |
$830 |
1.1× |
| Injection into skin lesions (11900) |
$175 |
$175 |
0.8× |
| Injection peyronie disease (54200) |
$457 |
$457 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$293.30 |
$293.30 |
0.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$249 |
$249 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$566 |
$566 |
3.9× |
| Insert Drug Implant Device (11981) |
$604 |
$604 |
4.1× |
| Insert non-tunnel cv cath (36556) |
$1,029.50 |
$1,029.50 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$312.30 |
$312.30 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$314.50 |
$314.50 |
2.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$680 |
$680 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$727.10 |
$727.10 |
2.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$926 |
$926 |
2.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$916 |
$916 |
0.4× |
| N Block Inj, Plantar Digit (64455) |
$577 |
$577 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$471 |
$471 |
0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,679.40 |
$2,679.40 |
0.7× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$2,241 |
$2,241 |
0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$2,647.50 |
$2,647.50 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,476 |
$3,476 |
1.0× |
| Picc line placement (36569) |
$1,290 |
$1,290 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$912.50 |
$912.50 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$780 |
$780 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$444 |
$444 |
0.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$313.60 |
$313.60 |
0.7× |
| Removal foreign body foot deep (28192) |
$2,087 |
$2,087 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$932 |
$932 |
1.2× |
| Removal foreign body intranasal (30300) |
$315.35 |
$315.35 |
2.1× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$565.25 |
$565.25 |
0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,263 |
$3,263 |
0.9× |
| Removal foreign body pharynx (42809) |
$586 |
$586 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$69 |
$69 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$176 |
$176 |
2.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$809.50 |
$809.50 |
0.2× |
| Removal Implantable Contraceptive Capsules (11976) |
$383 |
$383 |
0.5× |
| Removal of arm foreign body (24200) |
$464.50 |
$464.50 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$986.50 |
$986.50 |
0.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$352.20 |
$352.20 |
0.7× |
| Removal of iud (58301) |
$238 |
$238 |
0.7× |
| Removal of nail bed (11750) |
$579.40 |
$579.40 |
1.3× |
| Removal of salivary stone (42330) |
$1,089 |
$1,089 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$313 |
$313 |
1.4× |
| Remove drug implant device (11982) |
$628 |
$628 |
1.3× |
| Remove ext hem groups 2+ (46250) |
$2,074 |
$2,074 |
0.7× |
| Remove Tendon Sheath Lesion (26160) |
$2,148 |
$2,148 |
1.2× |
| Remove/Insert Drug Implant (11983) |
$647 |
$647 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$434.95 |
$434.95 |
2.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$301.65 |
$301.65 |
2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,335.60 |
$1,335.60 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,609.90 |
$2,609.90 |
3.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,062.50 |
$1,062.50 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,064.10 |
$2,064.10 |
4.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$910.55 |
$910.55 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,396.55 |
$1,396.55 |
3.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$580 |
$580 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,032.30 |
$1,032.30 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,092.50 |
$3,092.50 |
1.7× |
| Repair forearm tendon/muscle (25260) |
$148 |
$148 |
0.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,932.50 |
$1,932.50 |
4.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$818.55 |
$818.55 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$909.95 |
$909.95 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,200.85 |
$1,200.85 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,511 |
$1,511 |
3.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,546 |
$1,546 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$673.70 |
$673.70 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$727.75 |
$727.75 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$946.15 |
$946.15 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,109.95 |
$1,109.95 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$564.45 |
$564.45 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$727.75 |
$727.75 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,559.30 |
$1,559.30 |
1.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$818.55 |
$818.55 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,698.50 |
$1,698.50 |
0.7× |
| Repair intrinsic muscles hand each muscle (26591) |
$135 |
$135 |
0.0× |
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188)
likely a partial charge, not the full procedure |
$170 |
$170 |
0.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$431.95 |
$431.95 |
2.9× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$327 |
$327 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,455 |
$1,455 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,055 |
$1,055 |
1.5× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$5,611 |
$5,611 |
7.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$789 |
$789 |
1.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$4,397.50 |
$4,397.50 |
1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,777 |
$1,777 |
1.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$214 |
$214 |
0.5× |
| Shave skin lesion 0.5 cm/< (11305) |
$231 |
$231 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$264 |
$264 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$412 |
$412 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$281 |
$281 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$329 |
$329 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$379 |
$379 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$313 |
$313 |
1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$362 |
$362 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$264 |
$264 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$425 |
$425 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$425 |
$425 |
1.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,538 |
$1,538 |
1.2× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,777 |
$1,777 |
1.7× |
| Sigmoidoscopy w/biopsy (45331) |
$820 |
$820 |
0.8× |
| Sigmoidoscopy w/fb removal (45332) |
$1,025 |
$1,025 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,243 |
$1,243 |
2.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$607.30 |
$607.30 |
2.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$711.85 |
$711.85 |
3.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$2,485.50 |
$2,485.50 |
5.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$832.35 |
$832.35 |
3.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$1,067.75 |
$1,067.75 |
4.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$502.75 |
$502.75 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,138 |
$1,138 |
5.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$754.10 |
$754.10 |
3.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$607.30 |
$607.30 |
2.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$898.05 |
$898.05 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$907.50 |
$907.50 |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$571.55 |
$571.55 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$778 |
$778 |
1.0× |
| Strapping ankle (29540) |
$158 |
$158 |
0.9× |
| Strapping elbow or wrist (29260) |
$132.25 |
$132.25 |
2.0× |
| Strapping knee (29530) |
$157.50 |
$157.50 |
1.1× |
| Strapping shoulder (29240) |
$138 |
$138 |
0.9× |
| Strapping thorax (29200) |
$158 |
$158 |
0.9× |
| Strapping toes (29550) |
$99 |
$99 |
1.5× |
| Strapping unna boot (29580) |
$211.65 |
$211.65 |
1.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$461 |
$461 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$594 |
$594 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$681.85 |
$681.85 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,148.50 |
$2,148.50 |
1.2× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
$702 |
$702 |
0.3× |
| Treat Big Toe Fracture (28505) |
$2,030.50 |
$2,030.50 |
0.6× |
| Treat clavicle dislocation (23540) |
$1,151.50 |
$1,151.50 |
4.2× |
| Treat humerus fracture (24500) |
$1,378.25 |
$1,378.25 |
5.0× |
| Treat humerus fracture (23600) |
$1,350.75 |
$1,350.75 |
4.9× |
| Treat Metatarsal Fracture (28475) |
$1,301.50 |
$1,301.50 |
4.7× |
| Treat Thumb Dislocation (26641) |
$1,426 |
$1,426 |
5.2× |
| Treat wrist bone fracture (25622) |
$1,383.60 |
$1,383.60 |
5.0× |
| Treat Wrist Bone Fracture (25630) |
$1,336 |
$1,336 |
4.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,707.50 |
$1,707.50 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,337.85 |
$1,337.85 |
4.9× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,165.70 |
$1,165.70 |
4.2× |
| Trim skin lesion (11055) |
$103 |
$103 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$131 |
$131 |
0.6× |
| Trim skin lesions over 4 (11057) |
$209 |
$209 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$92 |
$92 |
1.4× |
| Tube thoracostomy includes water seal (32551) |
$1,031.65 |
$1,031.65 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$932 |
$932 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$977 |
$977 |
2.2× |
| Unlisted procedure excision pressure ulcer (15999) |
$370 |
$370 |
0.5× |
| Unlisted procedure foot or toes (28899) |
$59 |
$59 |
0.2× |
| Vaginal delivery only (59409) |
$3,234.50 |
$3,234.50 |
0.9× |
| Venipuncture (36415) |
$31 |
$31 |
3.3× |
| Wedge excision skin nail fold (11765) |
$413 |
$413 |
0.9× |