| Abd paracentesis w/imaging (49083) |
$1,367.80 |
$4,559.34 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,164.65 |
$3,882.18 |
1.2× |
| Anoscopy diagnostic (46600) |
$93.74 |
$312.46 |
0.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,198.51 |
$3,995.04 |
1.2× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$274.91 |
$916.36 |
0.9× |
| Application cast elbow finger short arm (29075) |
$314.75 |
$1,049.18 |
1.0× |
| Application Cast Shoulder Spica (29055) |
$290.23 |
$967.43 |
0.9× |
| Application finger splint static (29130) |
$228.54 |
$761.81 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$228.54 |
$761.81 |
1.3× |
| Application Long Leg Splint (29505) |
$228.54 |
$761.81 |
1.3× |
| Application of long leg cast (29345) |
$314.75 |
$1,049.18 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$228.54 |
$761.81 |
1.6× |
| Application short leg splint calf foot (29515) |
$228.54 |
$761.81 |
1.3× |
| Apply hand/wrist cast (29085) |
$314.75 |
$1,049.18 |
1.8× |
| Apply long arm cast (29065) |
$342.54 |
$1,141.79 |
1.1× |
| Apply Short Leg Cast (29405) |
$91.44 |
$304.80 |
0.3× |
| Apply short leg cast (29425) |
$135.62 |
$452.07 |
0.4× |
| Arterial puncture (36600) |
$112.86 |
$376.20 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$343.91 |
$1,146.37 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$471.19 |
$1,570.64 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$424.79 |
$1,415.98 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$322.28 |
$1,074.26 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$2,249.36 |
$7,497.88 |
3.3× |
| Aspirate Pleura W/O Imaging (32554) |
$1,918.94 |
$6,396.45 |
2.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$306.83 |
$1,022.76 |
0.9× |
Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,337.30–$2,442.48 |
$7,791–$8,141.60 |
varies |
| Aspiration Bladder Needle (51100) |
$1,398.84 |
$4,662.79 |
5.1× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,349.28 |
$4,497.60 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$154.24 |
$514.14 |
0.7× |
| Bladder Irrigation (51700) |
$802.25 |
$2,674.16 |
2.9× |
| Blepharotomy drainage abscess eyelid (67700) |
$261.46 |
$871.53 |
0.8× |
| Blood Transfusion Service (36430) |
$394.07 |
$1,313.57 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$476.52 |
$1,588.40 |
1.7× |
| Change of Windpipe Airway (31502) |
$200.33 |
$667.76 |
0.8× |
| Chemical Cautery Tissue (17250) |
$275.57 |
$918.56 |
1.3× |
| Chest tube placement (32551) |
$1,828.96 |
$6,096.53 |
1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$899.75 |
$2,999.15 |
0.5× |
| Clear outer ear canal (69200) |
$241.71 |
$805.70 |
1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$269.93 |
$899.75 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$899.75 |
$2,999.15 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$269.93 |
$899.75 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$269.93 |
$899.75 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$269.93 |
$899.75 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$269.93 |
$899.75 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$899.75 |
$2,999.15 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$269.93 |
$899.75 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$899.75 |
$2,999.15 |
0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$269.93 |
$899.75 |
1.0× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$4,051.67 |
$13,505.58 |
1.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$269.93 |
$899.75 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$269.93 |
$899.75 |
0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$899.75 |
$2,999.15 |
0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$899.75 |
$2,999.15 |
0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,051.67 |
$13,505.58 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$269.93 |
$899.75 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$899.75 |
$2,999.15 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$269.93 |
$899.75 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$899.75 |
$2,999.15 |
0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$899.75 |
$2,999.15 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$269.93 |
$899.75 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$269.93 |
$899.75 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$269.93 |
$899.75 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$269.93 |
$899.75 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$269.93 |
$899.75 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$899.75 |
$2,999.15 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$269.93 |
$899.75 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$269.93 |
$899.75 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$269.93 |
$899.75 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$269.93 |
$899.75 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$269.93 |
$899.75 |
1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$899.75 |
$2,999.15 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$269.93 |
$899.75 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$269.93 |
$899.75 |
0.5× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$269.93 |
$899.75 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$899.75 |
$2,999.15 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$269.93 |
$899.75 |
1.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$269.93 |
$899.75 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$269.93 |
$899.75 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$269.93 |
$899.75 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$269.93 |
$899.75 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$269.93 |
$899.75 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$269.93 |
$899.75 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$269.93 |
$899.75 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$269.93 |
$899.75 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$269.93 |
$899.75 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,102.89 |
$3,676.31 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$269.93 |
$899.75 |
1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$4,051.67 |
$13,505.58 |
2.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$269.93 |
$899.75 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$269.93 |
$899.75 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$269.93 |
$899.75 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$269.93 |
$899.75 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$269.93 |
$899.75 |
1.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$269.93 |
$899.75 |
1.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$269.93 |
$899.75 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$269.93 |
$899.75 |
1.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$269.93 |
$899.75 |
1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$269.93 |
$899.75 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$269.93 |
$899.75 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$269.93 |
$899.75 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Medial Ankle Fx (27760) |
$269.93 |
$899.75 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$269.93 |
$899.75 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$269.93 |
$899.75 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$269.93 |
$899.75 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$269.93 |
$899.75 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$269.93 |
$899.75 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$269.93 |
$899.75 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$269.93 |
$899.75 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$269.93 |
$899.75 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$269.93 |
$899.75 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$269.93 |
$899.75 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$269.93 |
$899.75 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$269.93 |
$899.75 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$899.75 |
$2,999.15 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$269.93 |
$899.75 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$241.71 |
$805.70 |
1.7× |
| Collection of venous blood by venipuncture (36415) |
$33.55 |
$111.82 |
3.6× |
| Colporrhaphy (57200) |
$2,376.65 |
$7,922.15 |
0.7× |
| Complex drainage wound (10180) |
$1,285.67 |
$4,285.55 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$241.71 |
$805.70 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$241.71 |
$805.70 |
1.7× |
| Control oropharyngeal hemorrhage simple (42960) |
$241.71 |
$805.70 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$241.71 |
$805.70 |
1.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$241.71 |
$805.70 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$349.24 |
$1,164.13 |
0.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$349.24 |
$1,164.13 |
0.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,264.10 |
$7,546.99 |
2.8× |
| Debride nail 1-5 (11720) |
$48.91 |
$163.02 |
0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,387.05 |
$11,290.18 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$891.28 |
$2,970.94 |
2.0× |
| Declot vascular device (36593) |
$333.25 |
$1,110.84 |
0.9× |
| Delivery of placenta (59414) |
$1,582.86 |
$5,276.21 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$180.89 |
$602.97 |
0.8× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$563.21 |
$1,877.36 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,215.13 |
$4,050.42 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,049.60 |
$3,498.66 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,215.13 |
$4,050.42 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$261.46 |
$871.53 |
1.0× |
| Drainage of finger abscess simple (26010) |
$261.46 |
$871.53 |
1.2× |
| Drainage of gum lesion (41800) |
$261.46 |
$871.53 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$1,468.75 |
$4,895.83 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$1,215.13 |
$4,050.42 |
0.7× |
| Draw Blood Off Venous Device (36591) |
$110.98 |
$369.93 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,049.60 |
$3,498.66 |
1.4× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$1,049.60 |
$3,498.66 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$487.18 |
$1,623.93 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$211.30 |
$704.33 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$129.48 |
$431.59 |
0.6× |
| Escharotomy; initial incision (16035) |
$576.21 |
$1,920.71 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$158.32 |
$527.73 |
1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$700.67 |
$2,335.58 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,049.60 |
$3,498.66 |
0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$409.12 |
$1,363.73 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$647.06 |
$2,156.88 |
0.3× |
| Exploration penetrating wound spx chest (20101) |
$647.06 |
$2,156.88 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$647.06 |
$2,156.88 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$375.89 |
$1,252.96 |
0.8× |
| Fluoro exam of g/colon tube (49465) |
$523.23 |
$1,744.11 |
2.0× |
| Foreskin manipulation (54450) |
$407.24 |
$1,357.46 |
1.5× |
| I&d abscess peritonsillar (42700) |
$261.46 |
$871.53 |
1.0× |
| I&d abscess simple (10060) |
$210.05 |
$700.15 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,215.13 |
$4,050.42 |
0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,765.01 |
$5,883.35 |
0.5× |
| I&d perianal abscess superficial (46050) |
$1,049.60 |
$3,498.66 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$1,391.31 |
$4,637.71 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$1,049.60 |
$3,498.66 |
1.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,215.13 |
$4,050.42 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,215.13 |
$4,050.42 |
0.4× |
| Incise external hemorrhoid (46083) |
$307.55 |
$1,025.15 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$389.06 |
$1,296.85 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,790.40 |
$5,968 |
0.6× |
| Incision & drainage leg/ankle infected bursa (27604) |
$4,051.67 |
$13,505.58 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,215.13 |
$4,050.42 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$479.97 |
$1,599.90 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$261.46 |
$871.53 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$261.46 |
$871.53 |
0.8× |
| Incision of rectal abscess (46040) |
$3,307.43 |
$11,024.75 |
2.5× |
| Incision of urethra (53000) |
$1,988.84 |
$6,629.48 |
0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,215.13 |
$4,050.42 |
0.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$487.18 |
$1,623.93 |
2.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$322.28 |
$1,074.26 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$258.32 |
$861.08 |
0.8× |
| Injection single tendon origin/insertion (20551) |
$322.28 |
$1,074.26 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$322.28 |
$1,074.26 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$322.28 |
$1,074.26 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$922.63 |
$3,075.44 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$68.34 |
$227.81 |
0.3× |
| Insert cath pleura w/o image (32556) |
$726.69 |
$2,422.31 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$2,064.71 |
$6,882.37 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$343.60 |
$1,145.32 |
2.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$227.60 |
$758.67 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$440.47 |
$1,468.23 |
0.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,002.95 |
$6,676.51 |
0.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,915.80 |
$6,386 |
1.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,874.15 |
$9,580.50 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$546.74 |
$1,822.48 |
1.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$546.74 |
$1,822.48 |
1.2× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,049.60 |
$3,498.66 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$593.46 |
$1,978.19 |
2.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$906.02 |
$3,020.05 |
3.3× |
| Laryngoscopy diagnostic (31505) |
$743.62 |
$2,478.74 |
3.4× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,691.71 |
$8,972.37 |
1.4× |
| N block inj intercost sng (64420) |
$673.40 |
$2,244.66 |
0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$231.05 |
$770.17 |
0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$257.70 |
$858.99 |
0.8× |
| Occipital Nerve Block (64405) |
$422.60 |
$1,408.66 |
1.3× |
| Penile Injection (54235) |
$230.42 |
$768.08 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$300.65 |
$1,002.16 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,091.30 |
$3,637.65 |
2.5× |
| Puncture Aspiration Cyst Breast (19000) |
$332.31 |
$1,107.70 |
0.4× |
| Removal Embedded Foreign Body Eyelid (67938) |
$241.71 |
$805.70 |
0.7× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,323.42 |
$11,078.05 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$1,297.26 |
$4,324.21 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,297.26 |
$4,324.21 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$834.85 |
$2,782.84 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,929.28 |
$6,430.93 |
1.1× |
| Removal Foreign Body Scrotum (55120) |
$1,036.43 |
$3,454.77 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$257.07 |
$856.90 |
4.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$257.07 |
$856.90 |
4.0× |
| Removal of foreign body from pharynx (42809) |
$241.71 |
$805.70 |
0.5× |
| Removal of nail bed (11750) |
$308.80 |
$1,029.33 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$241.71 |
$805.70 |
1.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$257.07 |
$856.90 |
0.8× |
| Remove foreign body from eye (65205) |
$241.71 |
$805.70 |
1.7× |
| Remove Intrauterine Device (58301) |
$241.71 |
$805.70 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$241.71 |
$805.70 |
1.7× |
| Remove Shoulder Foreign Body (23330) |
$817.92 |
$2,726.41 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$546.74 |
$1,822.48 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$546.74 |
$1,822.48 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$546.74 |
$1,822.48 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$546.74 |
$1,822.48 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$546.74 |
$1,822.48 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$546.74 |
$1,822.48 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$546.74 |
$1,822.48 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$546.74 |
$1,822.48 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,376.65 |
$7,922.15 |
1.4× |
| Repair Finger/Hand Tendon (26350) |
$2,376.65 |
$7,922.15 |
0.7× |
| Repair Hand Tendon (26410) |
$2,376.65 |
$7,922.15 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$269.93 |
$899.75 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$546.74 |
$1,822.48 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$546.74 |
$1,822.48 |
0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,376.65 |
$7,922.15 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$546.74 |
$1,822.48 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$546.74 |
$1,822.48 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,376.65 |
$7,922.15 |
1.1× |
| Repair Laceration Palate </2 Cm (42180) |
$546.74 |
$1,822.48 |
0.9× |
| Repair of nail bed (11760) |
$576.21 |
$1,920.71 |
0.7× |
| Repair tongue laceration (41252) |
$546.74 |
$1,822.48 |
2.1× |
| Repair tongue laceration (41250) |
$269.93 |
$899.75 |
0.6× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$817.92 |
$2,726.41 |
1.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$241.71 |
$805.70 |
0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,297.26 |
$4,324.21 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$241.71 |
$805.70 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$241.71 |
$805.70 |
1.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$241.71 |
$805.70 |
0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,908.65 |
$9,695.49 |
0.9× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,297.26 |
$4,324.21 |
0.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,929.28 |
$6,430.93 |
1.1× |
| Rplc Gtube No Revj Trc (43762) |
$487.49 |
$1,624.98 |
1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$269.93 |
$899.75 |
1.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$546.74 |
$1,822.48 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$269.93 |
$899.75 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$546.74 |
$1,822.48 |
0.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$546.74 |
$1,822.48 |
0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,376.65 |
$7,922.15 |
1.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,191.75 |
$10,639.15 |
0.9× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$1,098.57 |
$3,661.89 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$269.93 |
$899.75 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$269.93 |
$899.75 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$269.93 |
$899.75 |
1.2× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$269.93 |
$899.75 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$139.19 |
$463.98 |
0.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$269.93 |
$899.75 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$269.93 |
$899.75 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$269.93 |
$899.75 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$269.93 |
$899.75 |
1.2× |
| Slitting of prepuce (54001) |
$2,084.95 |
$6,949.82 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$269.93 |
$899.75 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$269.93 |
$899.75 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$269.93 |
$899.75 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,045.84 |
$3,486.12 |
1.4× |
| Thrombolytic Therapy Stroke (37195) |
$1,392.57 |
$4,641.89 |
3.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,364.98 |
$4,549.93 |
5.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,292.87 |
$4,309.58 |
0.8× |
| Treat humerus fracture (24500) |
$269.93 |
$899.75 |
1.0× |
| Treat Humerus Fracture (24505) |
$899.75 |
$2,999.15 |
0.5× |
| Treat humerus fracture (23600) |
$269.93 |
$899.75 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$269.93 |
$899.75 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$269.93 |
$899.75 |
1.0× |
| Treat Tail Bone Fracture (27200) |
$269.93 |
$899.75 |
1.0× |
| Treat Thumb Dislocation (26641) |
$269.93 |
$899.75 |
1.0× |
| Treat Thumb Fracture (26645) |
$899.75 |
$2,999.15 |
0.5× |
| Treat toe dislocation (28630) |
$269.93 |
$899.75 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$241.71 |
$805.70 |
1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$899.75 |
$2,999.15 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$269.93 |
$899.75 |
1.0× |
| Trim skin lesion (11055) |
$206.28 |
$687.61 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
$126.34 |
$421.14 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,509.25 |
$8,364.18 |
3.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$788.14 |
$2,627.13 |
1.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$269.93 |
$899.75 |
1.0× |
| Unlisted procedure nervous system (64999) |
$334.82 |
$1,116.06 |
1.0× |
| Vaginal delivery only (59409) |
$2,633.72 |
$8,779.05 |
0.7× |
| Venous Cutdown >1 Y/O (36425) |
$300.65 |
$1,002.16 |
0.6× |
| Wedge excision skin nail fold (11765) |
$576.21 |
$1,920.71 |
1.3× |