| Abd paracentesis w/imaging (49083) |
$925 |
$925 |
1.1× |
| Application cast elbow finger short arm (29075) |
$140 |
$140 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$165 |
$165 |
0.6× |
| Application finger splint static (29130) |
$55 |
$55 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$145 |
$145 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$166 |
$166 |
1.4× |
| Application short leg splint calf foot (29515) |
$100 |
$100 |
0.7× |
| Apply short leg cast (29405) |
$150 |
$150 |
0.6× |
| Arterial puncture (36600) |
$20 |
$20 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$195 |
$195 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$490 |
$490 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$680 |
$680 |
2.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$435 |
$435 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$180 |
$180 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$140 |
$140 |
0.8× |
| Biopsy Breast Open Incisional (19101) |
$415 |
$415 |
0.1× |
| Blood transfusion service (36430) |
$700 |
$700 |
1.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,550 |
$1,550 |
2.4× |
| Chemodenerv Musc Migraine (64615) |
$940 |
$940 |
3.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$105 |
$105 |
0.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$470 |
$470 |
2.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$640 |
$640 |
0.4× |
| Closed Rx Radial Shaft Fx (25500) |
$400 |
$400 |
1.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$550 |
$550 |
2.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$640 |
$640 |
2.8× |
| Closed Rx Trimalleolar Fx (27816) |
$405 |
$405 |
1.8× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$405 |
$405 |
1.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$150 |
$150 |
0.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$400 |
$400 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$262 |
$262 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$460 |
$460 |
2.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$600 |
$600 |
2.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$425 |
$425 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$395 |
$395 |
1.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$170 |
$170 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$340 |
$340 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$475 |
$475 |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,100 |
$1,100 |
0.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$470 |
$470 |
2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$430 |
$430 |
1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,237.50 |
$1,237.50 |
5.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$500 |
$500 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$395 |
$395 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$135 |
$135 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$410 |
$410 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$675 |
$675 |
0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$220 |
$220 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$177.50 |
$177.50 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,100 |
$2,100 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$395 |
$395 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$360 |
$360 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$450 |
$450 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$400 |
$400 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$420 |
$420 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$300 |
$300 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$475 |
$475 |
2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$170 |
$170 |
0.7× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$650 |
$650 |
2.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$180 |
$180 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$405 |
$405 |
3.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$70 |
$70 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$600 |
$600 |
0.9× |
| Debride nail 1-5 (11720) |
$37.50 |
$37.50 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$276 |
$276 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$390 |
$390 |
0.3× |
| Destroy cerv/thor facet jnt (64633) |
$2,900 |
$2,900 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,050 |
$3,050 |
1.7× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$233 |
$233 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$125 |
$125 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$850 |
$850 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$265 |
$265 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,960 |
$2,960 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$223 |
$223 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$495 |
$495 |
0.3× |
| Drainage of gum lesion (41800) |
$270 |
$270 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$210 |
$210 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$82.50 |
$82.50 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$65 |
$65 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$255 |
$255 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$295 |
$295 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$170 |
$170 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$375 |
$375 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$195 |
$195 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$148 |
$148 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$210 |
$210 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$182.50 |
$182.50 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$350 |
$350 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$275 |
$275 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$490 |
$490 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$895 |
$895 |
0.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$395 |
$395 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$560 |
$560 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$140 |
$140 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$180 |
$180 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$285 |
$285 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$310 |
$310 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$355 |
$355 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$390 |
$390 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$530 |
$530 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$320 |
$320 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$225 |
$225 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$490 |
$490 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$245 |
$245 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$285 |
$285 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$320 |
$320 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$375 |
$375 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$420 |
$420 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$210 |
$210 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$180 |
$180 |
0.3× |
| Excision of lesion of tongue without closure (41110) |
$240 |
$240 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$220 |
$220 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$155 |
$155 |
0.1× |
| Excision of nail fold toe (11765) |
$210 |
$210 |
0.6× |
| Excision Prepatellar Bursa (27340) |
$465 |
$465 |
0.2× |
| I&d abscess simple (10060) |
$150 |
$150 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$217.50 |
$217.50 |
0.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$700 |
$700 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$190 |
$190 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$250 |
$250 |
1.1× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$425 |
$425 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$90 |
$90 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,300 |
$1,300 |
1.6× |
| Inj tendon sheath/ligament (20550) |
$100 |
$100 |
0.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$900 |
$900 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$750 |
$750 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$562.50 |
$562.50 |
0.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$937.50 |
$937.50 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$66 |
$66 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,600 |
$1,600 |
2.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$540 |
$540 |
0.8× |
| Injection aa&/strd suprascapular nerve (64418) |
$900 |
$900 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$800 |
$800 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$140 |
$140 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$480 |
$480 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$595 |
$595 |
2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$70 |
$70 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$135 |
$135 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$90 |
$90 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$200 |
$200 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$800 |
$800 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,262.50 |
$1,262.50 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,225 |
$1,225 |
1.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$625 |
$625 |
0.2× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$840 |
$840 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$155 |
$155 |
0.4× |
| Puncture Aspiration (10160) |
$165 |
$165 |
0.4× |
| Removal fb intranasal (30300) |
$247 |
$247 |
2.0× |
| Removal foreign body foot subcutaneous (28190) |
$320 |
$320 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$300 |
$300 |
0.2× |
| Removal foreign body pharynx (42809) |
$360 |
$360 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$70 |
$70 |
1.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$576 |
$576 |
0.4× |
| Removal of nail bed (11750) |
$260 |
$260 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$110 |
$110 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$193 |
$193 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$139 |
$139 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$95 |
$95 |
0.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$395 |
$395 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$680 |
$680 |
1.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$900 |
$900 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$330 |
$330 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$385 |
$385 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$435 |
$435 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$600 |
$600 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$305 |
$305 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$455 |
$455 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$305 |
$305 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$375 |
$375 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$525 |
$525 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$400 |
$400 |
1.1× |
| Repair of nail bed (11760) |
$240 |
$240 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$270 |
$270 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$95 |
$95 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$595 |
$595 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$130 |
$130 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$150 |
$150 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$180 |
$180 |
1.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$120 |
$120 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$170 |
$170 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$165 |
$165 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$100 |
$100 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$200 |
$200 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$263 |
$263 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$250 |
$250 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$300 |
$300 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$325 |
$325 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$425 |
$425 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$140 |
$140 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$280 |
$280 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$160 |
$160 |
0.9× |
| Skin pinch graft (15050) |
$700 |
$700 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$135 |
$135 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$202.50 |
$202.50 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$245 |
$245 |
0.7× |
| Strapping ankle (29540) |
$70 |
$70 |
0.5× |
| Strapping knee (29530) |
$69 |
$69 |
0.6× |
| Strapping shoulder (29240) |
$63 |
$63 |
0.5× |
| Strapping unna boot (29580) |
$80 |
$80 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$125 |
$125 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$650 |
$650 |
1.1× |
| Treat finger dislocation (26775) |
$480 |
$480 |
1.9× |
| Treat Fracture Radius & Ulna (25560) |
$400 |
$400 |
1.8× |
| Treat humerus fracture (24500) |
$560 |
$560 |
2.5× |
| Treat humerus fracture (23600) |
$304 |
$304 |
1.3× |
| Treat wrist bone fracture (25622) |
$475 |
$475 |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$400 |
$400 |
1.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$360 |
$360 |
1.6× |
| Trim skin lesion (11055) |
$70 |
$70 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$85 |
$85 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$355 |
$355 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$215 |
$215 |
0.6× |
| Venipuncture (36415) |
$16.50 |
$16.50 |
1.8× |