| Abd paracentesis w/imaging (49083) |
$1,826.40 |
$2,283 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,440 |
$1,800 |
1.7× |
| Acne Surgery (10040) |
$240 |
$300 |
1.2× |
| Amputation Finger/Thumb (26951) |
$1,600 |
$2,000 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$346.30 |
$432.87 |
2.2× |
| Application cast elbow finger short arm (29075) |
$580.80 |
$726 |
2.2× |
| Application cast shoulder hand long arm (29065) |
$580.80 |
$726 |
2.2× |
| Application finger splint static (29130) |
$31.20 |
$39 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$220 |
$275 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$154.40 |
$193 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$591.31 |
$739.14 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$35.20 |
$44 |
0.3× |
| Application short leg splint calf foot (29515) |
$346.30 |
$432.87 |
2.2× |
| Arterial puncture (36600) |
$48.80 |
$61 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$112.80 |
$141 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$240 |
$300 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$240 |
$300 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$440.16 |
$550.20 |
2.3× |
| Bladder Scan (51798) |
$28 |
$35 |
0.5× |
| Blood transfusion service (36430) |
$604.80 |
$756 |
1.4× |
| Bx vulva/perineum 1 lesion (56605) |
$120 |
$150 |
0.1× |
| Chemical Cautery Tissue (17250) |
$261.28 |
$326.60 |
1.4× |
| Chest tube placement (32551) |
$149.60 |
$187 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,040 |
$1,300 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$588 |
$735 |
2.5× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$920.23 |
$1,150.29 |
0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,212 |
$1,515 |
5.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$132 |
$165 |
0.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$384 |
$480 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,040 |
$1,300 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$220 |
$275 |
0.9× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$516 |
$645 |
2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$513.60 |
$642 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$732 |
$915 |
3.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$513.60 |
$642 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$513.60 |
$642 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$620 |
$775 |
2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$540 |
$675 |
2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$420 |
$525 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$513.60 |
$642 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$132 |
$165 |
0.6× |
| Complex Drainage, Wound (10180) |
$564 |
$705 |
0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$49.60 |
$62 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$92.80 |
$116 |
0.7× |
| Debride nail 1-5 (11720) |
$104.22 |
$130.28 |
1.8× |
| Debride nail 6 or more (11721) |
$136.44 |
$170.55 |
2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$577.60 |
$722 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,283.74 |
$1,604.67 |
1.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,448.78 |
$4,310.97 |
2.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$330.40 |
$413 |
0.8× |
| Destruction benign lesions 15 or more (17111) |
$287.20 |
$359 |
1.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$240.80 |
$301 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$146.40 |
$183 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$3,448.78 |
$4,310.97 |
2.2× |
| Draw blood off venous device (36591) |
$22.40 |
$28 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$847.20 |
$1,059 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$440.16 |
$550.20 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$281.28 |
$351.60 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$123.20 |
$154 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$807.43 |
$1,009.29 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$180 |
$225 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$200 |
$250 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$220 |
$275 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$240 |
$300 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$160 |
$200 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,630.66 |
$2,038.32 |
0.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$680 |
$850 |
0.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$320 |
$400 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$360 |
$450 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$380 |
$475 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$400 |
$500 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$440 |
$550 |
0.6× |
| Excision of nail fold toe (11765) |
$228 |
$285 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$22.40 |
$28 |
0.1× |
| I&d abscess simple (10060) |
$260.80 |
$326 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$420 |
$525 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$847.20 |
$1,059 |
2.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$760 |
$950 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$600 |
$750 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$144 |
$180 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$280 |
$350 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$1,283.98 |
$1,604.97 |
1.8× |
| Initial tx 1st degree burn local tx (16000) |
$240.08 |
$300.10 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$620 |
$775 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$118.40 |
$148 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$220.06 |
$275.07 |
0.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$159.70 |
$199.62 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$96 |
$120 |
0.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$137.42 |
$171.78 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$220 |
$275 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$480 |
$600 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$92 |
$115 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$225.60 |
$282 |
0.8× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$228 |
$285 |
0.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$280 |
$350 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$216.80 |
$271 |
1.8× |
| Insert Drug Implant Device (11981) |
$210.02 |
$262.53 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$180 |
$225 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$184 |
$230 |
0.1× |
| Insert picc cath (36569) |
$1,200 |
$1,500 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$126.40 |
$158 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$126.40 |
$158 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$800 |
$1,000 |
0.5× |
| Insertion picc w/rs&i < 5 yr (36572) |
$800 |
$1,000 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$260 |
$325 |
1.1× |
| Manipulation, elbow, under anesthesia (24300) |
$936.96 |
$1,171.20 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$312.80 |
$391 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$537.20 |
$671.50 |
1.4× |
| Puncture Aspiration (10160) |
$847.20 |
$1,059 |
2.2× |
| Removal fb intranasal (30300) |
$88 |
$110 |
0.7× |
| Removal Foreign Body Foot Complicated (28193) |
$760 |
$950 |
0.5× |
| Removal foreign body foot deep (28192) |
$760 |
$950 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$819.85 |
$1,024.81 |
1.2× |
| Removal foreign body pharynx (42809) |
$291.05 |
$363.81 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$140 |
$175 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$140 |
$175 |
2.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$200 |
$250 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$231.07 |
$288.84 |
0.8× |
| Removal of nail bed (11750) |
$320 |
$400 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$195.20 |
$244 |
1.0× |
| Remove drug implant device (11982) |
$232.13 |
$290.16 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$66 |
$82.50 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$40 |
$50 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$680.26 |
$850.32 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$744.84 |
$931.05 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$354.40 |
$443 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$980 |
$1,225 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$771.20 |
$964 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$404.80 |
$506 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$172 |
$215 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$771.20 |
$964 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$771.20 |
$964 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$692 |
$865 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$771.20 |
$964 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$600 |
$750 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$128 |
$160 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$439.20 |
$549 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$772.80 |
$966 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$248.80 |
$311 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$201.60 |
$252 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,196 |
$1,495 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$172 |
$215 |
0.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$780 |
$975 |
0.4× |
| Repair of nail bed (11760) |
$396 |
$495 |
0.6× |
| Repair Tongue Laceration (41250) |
$252 |
$315 |
0.6× |
| Reposition gastrostomy tube (43761) |
$235.22 |
$294.03 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$260 |
$325 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$36 |
$45 |
0.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$544 |
$680 |
0.5× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$298.18 |
$372.72 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$494.40 |
$618 |
2.2× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$494.40 |
$618 |
2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$100 |
$125 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$146 |
$182.50 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$160 |
$200 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$192 |
$240 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$247.60 |
$309.50 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$119.20 |
$149 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$66.40 |
$83 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$4,198.22 |
$5,247.78 |
5.9× |
| Skin sub graft trnk/arm/leg (15271) |
$4,198.22 |
$5,247.78 |
5.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$8,630.93 |
$10,788.66 |
4.3× |
| Skn sub grft f/n/hf/g child (15277) |
$4,198.22 |
$5,247.78 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$148 |
$185 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$229.20 |
$286.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$233.60 |
$292 |
0.6× |
| Strapping ankle (29540) |
$132 |
$165 |
0.8× |
| Strapping elbow/wrist (29260) |
$101.60 |
$127 |
1.8× |
| Strapping hand/finger (29280) |
$22.40 |
$28 |
0.4× |
| Strapping knee (29530) |
$22.40 |
$28 |
0.2× |
| Strapping toes (29550) |
$124 |
$155 |
2.2× |
| Strapping unna boot (29580) |
$393.15 |
$491.44 |
2.5× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$300 |
$375 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$440.16 |
$550.20 |
1.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$240 |
$300 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$196 |
$245 |
0.3× |
| Treat finger dislocation (26775) |
$840 |
$1,050 |
3.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$88 |
$110 |
0.4× |
| Trim skin lesion (11055) |
$234.08 |
$292.60 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$440.16 |
$550.20 |
2.3× |
| Trim skin lesions over 4 (11057) |
$440.16 |
$550.20 |
2.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$136.44 |
$170.55 |
2.4× |
| Unlisted Procedure External Ear (69399) |
$260.80 |
$326 |
1.1× |
| Vaginal delivery only (59409) |
$1,650.40 |
$2,063 |
0.5× |
| Venipuncture (36415) |
$23.60 |
$29.50 |
2.5× |