| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$895 |
$895 |
6.0× |
| Application finger splint static (29130) |
$50 |
$50 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$154 |
$154 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$127 |
$127 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$711.78 |
$711.78 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$133 |
$133 |
1.1× |
| Application short leg splint calf foot (29515) |
$133 |
$133 |
0.9× |
| Arterial puncture (36600) |
$188 |
$188 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$45 |
$45 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$265.75 |
$265.75 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$300 |
$300 |
1.6× |
| Blood transfusion service (36430) |
$564 |
$564 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$315 |
$315 |
1.6× |
| Chemical Cautery Tissue (17250) |
$670.45 |
$670.45 |
3.7× |
| Chest tube placement (32551) |
$2,786 |
$2,786 |
1.9× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,405 |
$2,405 |
1.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$551.05 |
$551.05 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$689.50 |
$689.50 |
3.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$481.95 |
$481.95 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$52.70 |
$52.70 |
0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$549 |
$549 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$418.07 |
$418.07 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$647.25 |
$647.25 |
0.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$375.81 |
$375.81 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$794 |
$794 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$235.76 |
$235.76 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$191.18 |
$191.18 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$272 |
$272 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$141.15 |
$141.15 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$379 |
$379 |
1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$338.55 |
$338.55 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$436.92 |
$436.92 |
1.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$174 |
$174 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$422.35 |
$422.35 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$197.50 |
$197.50 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$985 |
$985 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$110.62 |
$110.62 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$168.48 |
$168.48 |
1.4× |
| Debride nail 1-5 (11720) |
$23 |
$23 |
0.4× |
| Debride nail 6 or more (11721) |
$67.95 |
$67.95 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$932.34 |
$932.34 |
2.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,246.88 |
$1,246.88 |
1.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,541.91 |
$3,541.91 |
2.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$110 |
$110 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$80.90 |
$80.90 |
0.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$203.50 |
$203.50 |
0.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$172.80 |
$172.80 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$192.75 |
$192.75 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$270.10 |
$270.10 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$300 |
$300 |
1.6× |
| Drainage mouth roof lesion (42000) |
$174 |
$174 |
0.8× |
| Drainage of eyelid abscess (67700) |
$162.35 |
$162.35 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$2,763.45 |
$2,763.45 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,947.82 |
$1,947.82 |
5.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$1,080.72 |
$1,080.72 |
5.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$183.40 |
$183.40 |
1.0× |
| Egd place gastrostomy tube (43246) |
$450 |
$450 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$50 |
$50 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$223 |
$223 |
0.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$177.50 |
$177.50 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$911 |
$911 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$341 |
$341 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$171.04 |
$171.04 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$149.95 |
$149.95 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$390.89 |
$390.89 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$186.26 |
$186.26 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$207.05 |
$207.05 |
0.1× |
| Excision of nail fold toe (11765) |
$109.73 |
$109.73 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$608.32 |
$608.32 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$508.20 |
$508.20 |
0.3× |
| I&d abscess simple (10060) |
$300 |
$300 |
1.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$335 |
$335 |
0.2× |
| I&d perianal abscess superficial (46050) |
$179.65 |
$179.65 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$141.70 |
$141.70 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$260.70 |
$260.70 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$241 |
$241 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,447 |
$1,447 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$139 |
$139 |
0.4× |
| Incision and drainage of abscess of pelvis (57010) |
$632.60 |
$632.60 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$232 |
$232 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$464 |
$464 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$125.46 |
$125.46 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$1,132.20 |
$1,132.20 |
6.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$99.20 |
$99.20 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$448 |
$448 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$60.85 |
$60.85 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$200.75 |
$200.75 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$350 |
$350 |
1.6× |
| Manipulation, elbow, under anesthesia (24300) |
$569.35 |
$569.35 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$305 |
$305 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$400 |
$400 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$88.14 |
$88.14 |
0.2× |
| Puncture Aspiration (10160) |
$533.84 |
$533.84 |
1.4× |
| Removal fb intranasal (30300) |
$237.82 |
$237.82 |
2.0× |
| Removal foreign body foot subcutaneous (28190) |
$194.85 |
$194.85 |
0.3× |
| Removal of arm foreign body (24200) |
$130 |
$130 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$366.80 |
$366.80 |
2.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$175 |
$175 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$239 |
$239 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$85.20 |
$85.20 |
0.7× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$1,072.49 |
$1,072.49 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$622.25 |
$622.25 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$401.90 |
$401.90 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$475.95 |
$475.95 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$476.20 |
$476.20 |
1.3× |
| Repair forearm tendon/muscle (25260) |
$1,634 |
$1,634 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$393 |
$393 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$263.80 |
$263.80 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$381.94 |
$381.94 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$500.40 |
$500.40 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$312.90 |
$312.90 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$361 |
$361 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$348.10 |
$348.10 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$248.15 |
$248.15 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$317.90 |
$317.90 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$306 |
$306 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$445 |
$445 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$377.30 |
$377.30 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$248 |
$248 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$420.54 |
$420.54 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$386.80 |
$386.80 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$367 |
$367 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$451 |
$451 |
0.2× |
| Repair of nail bed (11760) |
$662.42 |
$662.42 |
1.0× |
| Repair Tongue Laceration (41250) |
$249 |
$249 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$341.48 |
$341.48 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$399 |
$399 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$410.75 |
$410.75 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$64.20 |
$64.20 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$546 |
$546 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$300 |
$300 |
1.6× |
| 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 20.1cm-30.0 cm (12017) |
$249 |
$249 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$300 |
$300 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$203 |
$203 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$234 |
$234 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$254 |
$254 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$300 |
$300 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$4,988.22 |
$4,988.22 |
7.4× |
| Skin sub graft trnk/arm/leg (15271) |
$4,988.22 |
$4,988.22 |
7.4× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$8,931.87 |
$8,931.87 |
4.8× |
| Skn sub grft f/n/hf/g child (15277) |
$4,988.22 |
$4,988.22 |
2.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$201.12 |
$201.12 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$546 |
$546 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$209 |
$209 |
0.6× |
| Strapping unna boot (29580) |
$670.45 |
$670.45 |
4.5× |
| Suture/repair testicular injury (54670) |
$719 |
$719 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$274.35 |
$274.35 |
0.7× |
| Thrombolytic Venous Therapy (37212) |
$530.41 |
$530.41 |
0.2× |
| Treat thumb fracture (26665) |
$979 |
$979 |
0.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$610 |
$610 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$458.90 |
$458.90 |
2.0× |
| Trim skin lesion (11055) |
$1,132.20 |
$1,132.20 |
6.2× |
| Trim skin lesions 2 to 4 (11056) |
$1,132.20 |
$1,132.20 |
6.2× |
| Trim skin lesions over 4 (11057) |
$1,132.20 |
$1,132.20 |
6.2× |
| Vasectomy (55250) |
$347.10 |
$347.10 |
0.2× |
| Venipuncture (36415) |
$19.95 |
$19.95 |
2.1× |