| Abd paracentesis w/imaging (49083) |
$273.25 |
$546.50 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$424.50 |
$849 |
0.4× |
| Amputation Finger/Thumb (26951) |
$1,750 |
$3,500 |
0.5× |
| Anoscopy diagnostic (46600) |
$198.50 |
$397 |
1.4× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$116 |
$232 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,637.50 |
$3,275 |
0.6× |
| Application cast elbow finger short arm (29075) |
$125.50 |
$251 |
0.4× |
| Application Cast Finger (29086) |
$100 |
$200 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$117 |
$234 |
0.4× |
| Application finger splint static (29130) |
$90.50 |
$181 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$109.50 |
$219 |
0.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$210 |
$420 |
0.7× |
| Application of long leg cast (29345) |
$135.50 |
$271 |
0.5× |
| Application Short Arm Splint Dynamic (29126) |
$90 |
$180 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$99 |
$198 |
0.7× |
| Apply Hand/Wrist Cast (29085) |
$100 |
$200 |
0.6× |
| Apply long leg splint (29505) |
$109.50 |
$219 |
0.6× |
| Apply short leg cast (29405) |
$135.50 |
$271 |
0.5× |
| Apply short leg cast (29425) |
$135.50 |
$271 |
0.5× |
| Apply short leg splint (29515) |
$109.50 |
$219 |
0.6× |
| Arterial puncture (36600) |
$39 |
$78 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$287.50 |
$575 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$153.50 |
$307 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$117.50 |
$235 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$129.50 |
$259 |
0.6× |
| Bladder Irrigation Simple (51700) |
$157.50 |
$315 |
0.6× |
| Blepharotomy drain absc eyelid (67700) |
$546 |
$1,092 |
1.6× |
| Blood transfusion service (36430) |
$875 |
$1,750 |
1.9× |
| Bone marrow aspiration only (38220) |
$315 |
$630 |
0.2× |
| Bone Marrow Biopsy (38221) |
$394 |
$788 |
0.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,931.50 |
$3,863 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$255.50 |
$511 |
0.1× |
| Change of cystostomy tube simple (51705) |
$271 |
$542 |
1.0× |
| Chemical cautery tissue (17250) |
$227 |
$454 |
1.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$105 |
$210 |
0.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$130.50 |
$261 |
0.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$141 |
$282 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,480 |
$2,960 |
0.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$680 |
$1,360 |
2.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$232.50 |
$465 |
0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$130.50 |
$261 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$141 |
$282 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,000 |
$2,000 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$968 |
$1,936 |
3.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$141 |
$282 |
0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$568 |
$1,136 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$269.50 |
$539 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$100 |
$200 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$127 |
$254 |
0.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$232.50 |
$465 |
0.1× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$130.50 |
$261 |
0.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$127 |
$254 |
0.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$600 |
$1,200 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$95.50 |
$191 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,128 |
$2,256 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$127 |
$254 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$466 |
$932 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$562.50 |
$1,125 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$141 |
$282 |
0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$141 |
$282 |
0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$127 |
$254 |
0.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$238.50 |
$477 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$396.50 |
$793 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$130.50 |
$261 |
0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$239.50 |
$479 |
0.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,609 |
$3,218 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$550 |
$1,100 |
0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$252 |
$504 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$252 |
$504 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$925 |
$1,850 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$141 |
$282 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$238.50 |
$477 |
0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$732 |
$1,464 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$113 |
$226 |
0.4× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$130.50 |
$261 |
0.5× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$925 |
$1,850 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$127 |
$254 |
0.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$105 |
$210 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$119 |
$238 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$127 |
$254 |
0.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$500 |
$1,000 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$252 |
$504 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$130.50 |
$261 |
0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$550 |
$1,100 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$127 |
$254 |
0.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$896 |
$1,792 |
0.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$550 |
$1,100 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$110.50 |
$221 |
0.8× |
| Colonoscopy flex w/blln dilat (45386) |
$772.50 |
$1,545 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$1,431.50 |
$2,863 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,431.50 |
$2,863 |
1.1× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$463.50 |
$927 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$1,431.50 |
$2,863 |
1.1× |
| Colonoscopy thru stoma (44388) |
$1,431.50 |
$2,863 |
1.4× |
| Colonoscopy w/ablation (45388) |
$1,431.50 |
$2,863 |
1.1× |
| Colonoscopy w/band ligation (45398) |
$1,416.50 |
$2,833 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$1,431.50 |
$2,863 |
1.1× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,431.50 |
$2,863 |
1.1× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,236 |
$2,472 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$102.50 |
$205 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$102.50 |
$205 |
0.7× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$824 |
$1,648 |
3.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$185 |
$370 |
1.3× |
| Cystourethroscopy (52000) |
$341.50 |
$683 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$171 |
$342 |
0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,293 |
$2,586 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$750.50 |
$1,501 |
1.0× |
| Debride nail 1-5 (11720) |
$47.50 |
$95 |
0.8× |
| Debride nail 6 or more (11721) |
$83 |
$166 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$171 |
$342 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$269 |
$538 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$109.50 |
$219 |
0.5× |
| Destruction Vaginal Lesions Simple (57061) |
$228.50 |
$457 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$608.50 |
$1,217 |
0.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$345 |
$690 |
0.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$92.50 |
$185 |
0.4× |
| Drainage external auditory canal abscess (69020) |
$286 |
$572 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$125 |
$250 |
0.2× |
| Drainage Mouth Roof Lesion (42000) |
$217.50 |
$435 |
0.9× |
| Drainage of gum lesion (41800) |
$135 |
$270 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$373.50 |
$747 |
0.2× |
| Draw blood off venous device (36591) |
$58.50 |
$117 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$113.50 |
$227 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$218 |
$436 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$129.50 |
$259 |
0.6× |
| Dx gastr intub w/asp spec (43754) |
$108 |
$216 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,936.50 |
$3,873 |
0.9× |
| Egd control bleeding any (43255) |
$1,936.50 |
$3,873 |
0.9× |
| Egd dilate stricture (43245) |
$1,936.50 |
$3,873 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,287.50 |
$2,575 |
1.3× |
| Egd guide wire insertion (43248) |
$1,287.50 |
$2,575 |
1.3× |
| Egd place gastrostomy tube (43246) |
$1,936.50 |
$3,873 |
0.9× |
| Egd remove lesion snare (43251) |
$1,936.50 |
$3,873 |
0.9× |
| Egd tube/cath insertion (43241) |
$360.50 |
$721 |
0.2× |
| Esoph Scope W/Submucous Inj (43201) |
$1,936.50 |
$3,873 |
0.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,287.50 |
$2,575 |
1.3× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,936.50 |
$3,873 |
0.9× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,936.50 |
$3,873 |
0.9× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,287.50 |
$2,575 |
1.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,287.50 |
$2,575 |
0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,936.50 |
$3,873 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$93 |
$186 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$104 |
$208 |
0.1× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$316 |
$632 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$196 |
$392 |
0.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$605 |
$1,210 |
0.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$842 |
$1,684 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$676 |
$1,352 |
0.4× |
| Explore/treat hand joint (26070) |
$658 |
$1,316 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$125 |
$250 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$108 |
$216 |
0.5× |
| Hemorrhoidectomy (46255) |
$3,862.50 |
$7,725 |
1.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$1,133 |
$2,266 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$272 |
$544 |
1.1× |
| I&d abscess simple (10060) |
$135 |
$270 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$422 |
$844 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$135 |
$270 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$303.50 |
$607 |
0.9× |
| Ileoscopy thru stoma (44380) |
$1,596.50 |
$3,193 |
1.6× |
| Incise external hemorrhoid (46083) |
$157.50 |
$315 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$135 |
$270 |
0.3× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$750 |
$1,500 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$425 |
$850 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$465 |
$930 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$170 |
$340 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$213.50 |
$427 |
1.0× |
| Incision and drainage perianal abscess superficial (46050) |
$234.50 |
$469 |
0.2× |
| Incision of rectal abscess (46040) |
$852 |
$1,704 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$93 |
$186 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$114 |
$228 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$152.50 |
$305 |
0.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$218 |
$436 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$153.50 |
$307 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$153.50 |
$307 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$147.50 |
$295 |
1.1× |
| Insert cath pleura w/o image (32556) |
$1,421 |
$2,842 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$822.75 |
$1,645.50 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$146 |
$292 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$96.75 |
$193.50 |
0.7× |
| Insj picc rs&i 5 yr+ (36573) |
$744 |
$1,488 |
0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$887.50 |
$1,775 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$485.50 |
$971 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$135 |
$270 |
0.5× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$262.50 |
$525 |
1.2× |
| Liver Biopsy (47000) |
$473 |
$946 |
0.3× |
| Manipulation hip joint general anesthesia (27275) |
$1,000 |
$2,000 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$132.50 |
$265 |
0.3× |
| Peritoneal Lavage (49084) |
$287.50 |
$575 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$953 |
$1,906 |
1.3× |
| Perq device breast 1st imag (19281) |
$477.50 |
$955 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$129 |
$258 |
0.5× |
| Picc line placement (36569) |
$575 |
$1,150 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$295.50 |
$591 |
0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$608.50 |
$1,217 |
0.6× |
| Proctosigmoid w/biopsy (45305) |
$206 |
$412 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$192 |
$384 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$135 |
$270 |
0.3× |
| Removal Foreign Body Foot Complicated (28193) |
$726 |
$1,452 |
0.4× |
| Removal foreign body foot deep (28192) |
$622.50 |
$1,245 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$469 |
$938 |
0.6× |
| Removal foreign body intranasal (30300) |
$108 |
$216 |
0.8× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$500 |
$1,000 |
0.3× |
| Removal foreign body pharynx (42809) |
$109 |
$218 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$129 |
$258 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$89.50 |
$179 |
1.4× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$345 |
$690 |
0.1× |
| Removal implant deep (20680) |
$491 |
$982 |
0.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$694 |
$1,388 |
0.4× |
| Removal of arm foreign body (24200) |
$340.50 |
$681 |
0.2× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$136 |
$272 |
0.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$100 |
$200 |
0.2× |
| Removal of iud (58301) |
$287.50 |
$575 |
0.9× |
| Removal of nail bed (11750) |
$202 |
$404 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$112.50 |
$225 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$100 |
$200 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$89.50 |
$179 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$100 |
$200 |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,175 |
$2,350 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$544 |
$1,088 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$211.50 |
$423 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$152.50 |
$305 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$260.50 |
$521 |
0.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$640 |
$1,280 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$260.50 |
$521 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,700 |
$3,400 |
1.0× |
| Repair hand tendon (26410) |
$1,700 |
$3,400 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$795 |
$1,590 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$136 |
$272 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$152.50 |
$305 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$795 |
$1,590 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$464.50 |
$929 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$324.50 |
$649 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,120 |
$2,240 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$136 |
$272 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$152.50 |
$305 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$140.50 |
$281 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$136 |
$272 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$697 |
$1,394 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$140.50 |
$281 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$152.50 |
$305 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$152.50 |
$305 |
0.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$875.50 |
$1,751 |
0.4× |
| Repair of nail bed (11760) |
$424 |
$848 |
0.5× |
| Repair Tongue Laceration (41250) |
$165 |
$330 |
0.3× |
| Repeat control of nosebleed (30906) |
$292.50 |
$585 |
1.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,130 |
$2,260 |
1.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$386.50 |
$773 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$236 |
$472 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$100 |
$200 |
0.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$100 |
$200 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$920 |
$1,840 |
0.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$167.50 |
$335 |
0.1× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$456.50 |
$913 |
0.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$216.50 |
$433 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$856 |
$1,712 |
1.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$636 |
$1,272 |
1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$175 |
$350 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$953 |
$1,906 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$953 |
$1,906 |
0.7× |
| Shave skin lesion 0.5 cm/< (11305) |
$80 |
$160 |
0.4× |
| Sigmoidoscopy & decompress (45337) |
$953 |
$1,906 |
1.0× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,699.50 |
$3,399 |
1.3× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$283.50 |
$567 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$953 |
$1,906 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$572 |
$1,144 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$102.50 |
$205 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$102.50 |
$205 |
0.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$572 |
$1,144 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$102.50 |
$205 |
0.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$92.50 |
$185 |
0.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$624 |
$1,248 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$102.50 |
$205 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$102.50 |
$205 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$102.50 |
$205 |
0.5× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$566.50 |
$1,133 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$102.50 |
$205 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$102.50 |
$205 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$218 |
$436 |
0.3× |
| Strapping ankle (29540) |
$90.50 |
$181 |
0.5× |
| Strapping elbow or wrist (29260) |
$90.50 |
$181 |
1.4× |
| Strapping hand/finger (29280) |
$90.50 |
$181 |
1.4× |
| Strapping knee (29530) |
$90.50 |
$181 |
0.6× |
| Strapping shoulder (29240) |
$100 |
$200 |
0.7× |
| Strapping thorax (29200) |
$207.50 |
$415 |
1.2× |
| Strapping toes (29550) |
$90.50 |
$181 |
1.4× |
| Strapping unna boot (29580) |
$125.50 |
$251 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$389.75 |
$779.50 |
0.6× |
| Treat humerus fracture (23600) |
$127 |
$254 |
0.5× |
| Treat pleurodesis w/agent (32560) |
$600 |
$1,200 |
0.9× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$828 |
$1,656 |
0.1× |
| Treat Thumb Dislocation (26641) |
$788 |
$1,576 |
3.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,000 |
$2,000 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$130.50 |
$261 |
0.5× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,530 |
$3,060 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$230 |
$460 |
0.9× |
| Trim skin lesion (11055) |
$95.50 |
$191 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$28.50 |
$57 |
0.5× |
| Tube thoracostomy includes water seal (32551) |
$274 |
$548 |
0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$258.50 |
$517 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$502 |
$1,004 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$136 |
$272 |
0.3× |
| Unlisted procedure rectum (45999) |
$249 |
$498 |
0.3× |
| Us urine capacity measure (51798) |
$80.50 |
$161 |
1.3× |
| Venipuncture (36415) |
$15.50 |
$31 |
1.7× |
| Wedge excision skin nail fold (11765) |
$95.50 |
$191 |
0.2× |