| Abd paracentesis w/imaging (49083) |
$1,781.67 |
$2,699.50 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,683.66 |
$2,551 |
1.8× |
| Anoscopy diagnostic (46600) |
$195.69 |
$296.50 |
1.4× |
| Application cast elbow finger short arm (29075) |
$445.50 |
$675 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$492.36 |
$746 |
1.7× |
| Application finger splint static (29130) |
$153.78 |
$233 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$255.75 |
$387.50 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$195.69 |
$296.50 |
1.4× |
| Apply long leg splint (29505) |
$278.85 |
$422.50 |
1.7× |
| Apply short leg cast (29405) |
$478.50 |
$725 |
1.7× |
| Apply short leg splint (29515) |
$278.85 |
$422.50 |
1.7× |
| Arterial puncture (36600) |
$195.69 |
$296.50 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$479.16 |
$726 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$442.86 |
$671 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$496.32 |
$752 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$226.71 |
$343.50 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$479.16 |
$726 |
1.5× |
| Aspirate pleura w/ imaging (32555) |
$538.56 |
$816 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$378.18 |
$573 |
1.8× |
| Bladder Irrigation Simple (51700) |
$442.86 |
$671 |
1.7× |
| Blood transfusion service (36430) |
$771.21 |
$1,168.50 |
1.7× |
| Chemodenerv musc migraine (64615) |
$514.80 |
$780 |
1.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$118.14 |
$179 |
0.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,343.99 |
$3,551.50 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$457.38 |
$693 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,607.33 |
$3,950.50 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$521.40 |
$790 |
2.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,826.22 |
$2,767 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$369.60 |
$560 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,903.01 |
$4,398.50 |
1.7× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,348.28 |
$3,558 |
1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,389.30 |
$2,105 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$277.53 |
$420.50 |
1.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$427.68 |
$648 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,348.28 |
$3,558 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$528.66 |
$801 |
2.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,903.01 |
$4,398.50 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$509.52 |
$772 |
2.0× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$782.76 |
$1,186 |
0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$778.47 |
$1,179.50 |
3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$509.52 |
$772 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$427.68 |
$648 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,099.23 |
$1,665.50 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$509.52 |
$772 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,348.28 |
$3,558 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$562.98 |
$853 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$369.60 |
$560 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$378.84 |
$574 |
1.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,343.99 |
$3,551.50 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$616.44 |
$934 |
2.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$300.96 |
$456 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$482.13 |
$730.50 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$736.89 |
$1,116.50 |
2.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,935.45 |
$2,932.50 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$509.52 |
$772 |
2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,348.28 |
$3,558 |
1.4× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,607.33 |
$3,950.50 |
1.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$616.44 |
$934 |
2.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,812.92 |
$4,262 |
1.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$204.93 |
$310.50 |
1.5× |
| Colonoscopy flex w/inj submuc (45381) |
$1,880.01 |
$2,848.50 |
1.5× |
| Colonoscopy flex w/rem forcep (45384) |
$1,880.01 |
$2,848.50 |
1.5× |
| Colonoscopy w/ablation (45388) |
$1,880.01 |
$2,848.50 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$285.78 |
$433 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$250.14 |
$379 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$378.84 |
$574 |
2.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$483.78 |
$733 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,430.22 |
$2,167 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$267.96 |
$406 |
1.3× |
| Drainage of gum lesion (41800) |
$305.91 |
$463.50 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$2,017.95 |
$3,057.50 |
1.2× |
| Draw blood off venous device (36591) |
$214.83 |
$325.50 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$483.78 |
$733 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$252.45 |
$382.50 |
1.2× |
| Egd control bleeding any (43255) |
$2,145.66 |
$3,251 |
1.1× |
| Egd remove lesion snare (43251) |
$2,858.79 |
$4,331.50 |
1.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,596.54 |
$2,419 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$322.41 |
$488.50 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$483.78 |
$733 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$471.90 |
$715 |
2.1× |
| I&D Abscess Peritonsillar (42700) |
$778.47 |
$1,179.50 |
3.2× |
| I&d abscess simple (10060) |
$257.07 |
$389.50 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$1,306.80 |
$1,980 |
1.8× |
| I&d vulva/perineal abscess (56405) |
$537.90 |
$815 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$489.06 |
$741 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,070.42 |
$3,137 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$499.95 |
$757.50 |
1.2× |
| Incision and drainage perianal abscess superficial (46050) |
$1,595.55 |
$2,417.50 |
1.7× |
| Incision of rectal abscess (46040) |
$2,463.12 |
$3,732 |
2.0× |
| Initial tx 1st degree burn local tx (16000) |
$252.45 |
$382.50 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,776.22 |
$2,691.25 |
1.9× |
| Inj therapeutic carpal tunnel (20526) |
$725.67 |
$1,099.50 |
2.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,249.38 |
$1,893 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,254 |
$1,900 |
1.4× |
| Inject Tendon Origin/Insert (20551) |
$208.23 |
$315.50 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$669.24 |
$1,014 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$519.75 |
$787.50 |
0.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$500.28 |
$758 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$479.16 |
$726 |
1.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$719.40 |
$1,090 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$408.87 |
$619.50 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$426.69 |
$646.50 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$385.77 |
$584.50 |
2.9× |
| Insert non-tunnel cv cath (36556) |
$1,848 |
$2,800 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,848 |
$2,800 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$195.69 |
$296.50 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$195.69 |
$296.50 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,554.63 |
$2,355.50 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$560.67 |
$849.50 |
2.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$499.95 |
$757.50 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,070.19 |
$1,621.50 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$991.32 |
$1,502 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,584.33 |
$2,400.50 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,556.61 |
$2,358.50 |
2.1× |
| Occipital Nerve Block (64405) |
$663.96 |
$1,006 |
2.1× |
| Picc line placement (36569) |
$1,848 |
$2,800 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$321.42 |
$487 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$684.75 |
$1,037.50 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$772.20 |
$1,170 |
1.1× |
| Removal foreign body intranasal (30300) |
$200.31 |
$303.50 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$120.12 |
$182 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$120.12 |
$182 |
2.0× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,492.26 |
$2,261 |
1.5× |
| Removal of embedded foreign body, eyelid (67938) |
$567.27 |
$859.50 |
1.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$339.24 |
$514 |
0.7× |
| Removal of iud (58301) |
$625.68 |
$948 |
2.0× |
| Removal of nail bed (11750) |
$489.06 |
$741 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$195.69 |
$296.50 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$195.69 |
$296.50 |
1.4× |
| Repair blood vessel direct hand finger (35207) |
$3,771.57 |
$5,714.50 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,122.99 |
$1,701.50 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$684.75 |
$1,037.50 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$970.53 |
$1,470.50 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,064.91 |
$1,613.50 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$483.78 |
$733 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$483.78 |
$733 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$499.95 |
$757.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$642.51 |
$973.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$627.33 |
$950.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$627.33 |
$950.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$970.53 |
$1,470.50 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$642.51 |
$973.50 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$627.33 |
$950.50 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$627.33 |
$950.50 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$642.51 |
$973.50 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$499.95 |
$757.50 |
1.2× |
| Repair of nail bed (11760) |
$918.06 |
$1,391 |
1.2× |
| Repair Tongue Laceration (41250) |
$225.39 |
$341.50 |
0.5× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,366.76 |
$3,586 |
0.7× |
| Sigmoidoscopy w/biopsy (45331) |
$1,452.99 |
$2,201.50 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$912.78 |
$1,383 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$271.59 |
$411.50 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$271.59 |
$411.50 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$271.59 |
$411.50 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$428.34 |
$649 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$263.01 |
$398.50 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$385.11 |
$583.50 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$314.49 |
$476.50 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$271.59 |
$411.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$328.68 |
$498 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$257.07 |
$389.50 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,254 |
$1,900 |
1.7× |
| Strapping thorax (29200) |
$267.96 |
$406 |
1.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,048.41 |
$1,588.50 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$427.68 |
$648 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$257.40 |
$390 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$457.38 |
$693 |
1.8× |
| Trim skin lesion (11055) |
$392.70 |
$595 |
1.9× |
| Tube thoracostomy includes water seal (32551) |
$1,033.89 |
$1,566.50 |
0.6× |
| Unlisted procedure dentoalveolar structures (41899) |
$278.19 |
$421.50 |
1.1× |
| Us urine capacity measure (51798) |
$195.69 |
$296.50 |
3.2× |
| Vaginal delivery only (59409) |
$4,636.83 |
$7,025.50 |
1.4× |
| Venipuncture (36415) |
$25.08 |
$38 |
2.7× |