| Abd paracentesis w/imaging (49083) |
$470.75 |
$941.50 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$411.50 |
$823 |
0.5× |
| Application cast elbow finger short arm (29075) |
$55.38 |
$110.75 |
0.2× |
| Application cast shoulder hand long arm (29065) |
$92.50 |
$185 |
0.4× |
| Application finger splint static (29130) |
$134.75 |
$269.50 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$96.38 |
$192.75 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$127.38 |
$254.75 |
0.9× |
| Application of long leg cast (29345) |
$59 |
$118 |
0.2× |
| Application short arm splint forearm-hand static (29125) |
$137.75 |
$275.50 |
1.2× |
| Application short leg splint calf foot (29515) |
$102.38 |
$204.75 |
0.7× |
| Apply short leg cast (29405) |
$88.75 |
$177.50 |
0.4× |
| Arterial puncture (36600) |
$32.75 |
$65.50 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$129.32 |
$258.62 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$142.76 |
$285.50 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$99.75 |
$199.50 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$178.44 |
$356.88 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$74.19 |
$148.38 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$181.13 |
$362.25 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$66.88 |
$133.75 |
0.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,005.25 |
$4,010.50 |
1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,336.88 |
$2,673.75 |
0.9× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$362.13 |
$724.25 |
0.6× |
| Bladder Irrigation Simple (51700) |
$117.63 |
$235.25 |
0.5× |
| Blood patch (62273) |
$462.75 |
$925.50 |
0.7× |
| Blood transfusion service (36430) |
$364.75 |
$729.50 |
0.9× |
| Bone marrow aspiration only (38220) |
$130.88 |
$261.75 |
0.1× |
| Bone Marrow Biopsy (38221) |
$1,300.38 |
$1,191 |
0.9× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$796.63 |
$1,593.25 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,336.88 |
$2,673.75 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$597.50 |
$1,195 |
0.4× |
| Bx breast 1st lesion us imag (19083) |
$1,336.88 |
$2,673.75 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$1,336.88 |
$2,673.75 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$46.50 |
$93 |
0.2× |
| Chemical Cautery Tissue (17250) |
$65.38 |
$130.75 |
0.4× |
| Chest tube placement (32551) |
$405.50 |
$811 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$11.50 |
$23 |
0.1× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$319.25 |
$638.50 |
1.2× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$134.25 |
$268.50 |
0.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$134.25 |
$268.50 |
0.1× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,144.13 |
$2,288.25 |
0.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$832.88 |
$1,665.75 |
0.6× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$134.25 |
$268.50 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$398.38 |
$796.75 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$92.50 |
$185 |
0.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$398.38 |
$796.75 |
0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$134.25 |
$268.50 |
0.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$92.50 |
$185 |
0.4× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$974 |
$1,948 |
0.7× |
| Closed treat wrist dislocation (25660) |
$134.25 |
$268.50 |
0.6× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,144.13 |
$2,288.25 |
0.4× |
| Closed treatment of broken top of shin bone at knee (27538) |
$134.25 |
$268.50 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$134.25 |
$268.50 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$92.50 |
$185 |
0.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$134.25 |
$268.50 |
0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$134.25 |
$268.50 |
0.6× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$134.25 |
$268.50 |
0.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$134.25 |
$268.50 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$92.50 |
$185 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$134.25 |
$268.50 |
0.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$832.88 |
$1,665.75 |
3.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$92.50 |
$185 |
0.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$398.38 |
$796.75 |
0.3× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$496.25 |
$992.50 |
0.4× |
| Closed tx knee dislocation w/anesthesia (27552) |
$974 |
$1,948 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$134.25 |
$268.50 |
0.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$832.88 |
$1,665.75 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$92.50 |
$185 |
0.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$832.88 |
$1,665.75 |
0.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,144.13 |
$2,288.25 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$974 |
$1,948 |
4.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$134.25 |
$268.50 |
0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$398.38 |
$796.75 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$92.50 |
$185 |
0.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$398.38 |
$796.75 |
0.3× |
| Closed tx septal&nose fx (21337) |
$1,144.13 |
$2,288.25 |
0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$398.38 |
$796.75 |
1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$134.25 |
$268.50 |
0.6× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$832.88 |
$1,665.75 |
0.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$134.25 |
$268.50 |
0.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$134.25 |
$268.50 |
0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$65.38 |
$130.75 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$134.25 |
$268.50 |
0.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$92.50 |
$185 |
0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$92.50 |
$185 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$69.50 |
$139 |
0.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$549.75 |
$1,099.50 |
1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$398.38 |
$796.75 |
1.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$134.25 |
$268.50 |
0.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$832.88 |
$1,665.75 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$69.50 |
$139 |
0.3× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$974 |
$1,948 |
4.5× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$134.25 |
$268.50 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$974 |
$1,948 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$205.75 |
$411.50 |
1.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$398.38 |
$796.75 |
0.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$134.25 |
$268.50 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$134.25 |
$268.50 |
0.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$134.25 |
$268.50 |
0.1× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$134.25 |
$268.50 |
0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$134.25 |
$268.50 |
0.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$92.50 |
$185 |
0.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$134.25 |
$268.50 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$398.38 |
$796.75 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$398.38 |
$796.75 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$832.88 |
$1,665.75 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$134.25 |
$268.50 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$69.50 |
$139 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$134.25 |
$268.50 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$832.88 |
$1,665.75 |
0.6× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$832.88 |
$1,665.75 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$146.63 |
$293.25 |
0.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$974 |
$1,948 |
4.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$115.63 |
$231.25 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$134.25 |
$268.50 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$134.25 |
$268.50 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$92.50 |
$185 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$134.25 |
$268.50 |
0.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$134.25 |
$268.50 |
0.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$974 |
$1,948 |
0.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$134.25 |
$268.50 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$134.25 |
$268.50 |
0.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$974 |
$1,948 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$134.25 |
$268.50 |
0.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$832.88 |
$1,665.75 |
0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$832.88 |
$1,665.75 |
0.6× |
| Cltx prox tibfib jt dislc req anes (27831) |
$832.88 |
$1,665.75 |
0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$134.25 |
$268.50 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$88.75 |
$177.50 |
0.4× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$398.38 |
$796.75 |
0.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$134.25 |
$268.50 |
0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$398.38 |
$796.75 |
0.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$134.25 |
$268.50 |
0.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$1,904.38 |
$3,808.75 |
0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$92.50 |
$185 |
0.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$832.88 |
$1,665.75 |
0.6× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$134.25 |
$268.50 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$398.38 |
$796.75 |
0.3× |
| Complex Drainage, Wound (10180) |
$1,318.13 |
$2,636.25 |
0.5× |
| Conization of cervix (57520) |
$192.25 |
$384.50 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$107.12 |
$214.25 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$87.44 |
$174.88 |
0.7× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$92.50 |
$185 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,336.88 |
$2,673.75 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$113.94 |
$227.88 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$67.94 |
$135.88 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$210.13 |
$420.25 |
0.6× |
| Debride nail 1-5 (11720) |
$72.50 |
$145 |
1.4× |
| Debride nail 6 or more (11721) |
$96.62 |
$193.25 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$168.94 |
$337.88 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$218.94 |
$437.88 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$331.25 |
$662.50 |
0.2× |
| Declot vascular device (36593) |
$205.25 |
$410.50 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$41.63 |
$83.25 |
0.2× |
| Dilate urethra stricture (53620) |
$15.75 |
$31.50 |
0.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$709.75 |
$1,419.50 |
0.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$123.25 |
$246.50 |
0.2× |
| Drain outer ear canal lesion (69020) |
$80.88 |
$161.75 |
0.1× |
| Drain/inj small joint/bursa w/us (20604) |
$107.12 |
$214.25 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$80.88 |
$161.75 |
0.1× |
| Drainage Finger Abscess Complicated (26011) |
$724.13 |
$1,448.25 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$123.25 |
$246.50 |
0.7× |
| Drainage of eyelid abscess (67700) |
$224.63 |
$449.25 |
0.8× |
| Drainage of gum lesion (41800) |
$123.25 |
$246.50 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$242.25 |
$484.50 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$724.13 |
$1,448.25 |
0.5× |
| Draw blood off venous device (36591) |
$34.06 |
$68.12 |
0.3× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$496.25 |
$992.50 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$134.25 |
$268.50 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$120.25 |
$240.50 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$129.44 |
$258.88 |
0.7× |
| Escharotomy initial incision (16035) |
$108.75 |
$217.50 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$31 |
$62 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$96.38 |
$192.75 |
0.1× |
| Excision of nail fold toe (11765) |
$96.38 |
$192.75 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,506.13 |
$3,012.25 |
0.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,549.75 |
$3,099.50 |
1.1× |
| Exploration penetrating wound spx chest (20101) |
$1,506.13 |
$3,012.25 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$724.13 |
$1,448.25 |
0.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$496.25 |
$992.50 |
1.0× |
| Fetal non-stress test (59025) |
$164.88 |
$329.75 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$668.50 |
$1,337 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$58 |
$116 |
0.3× |
| Guide Cathet Fluid Drainage (10030) |
$703 |
$1,406 |
1.1× |
| I&d abscess simple (10060) |
$105.06 |
$210.12 |
0.6× |
| I&d perianal abscess superficial (46050) |
$438.38 |
$876.75 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$126.88 |
$253.75 |
0.2× |
| I&d submucosal abscess rectum (45005) |
$1,274.50 |
$2,549 |
1.2× |
| Image Cath Fluid Colxn Visc (49405) |
$1,545 |
$3,090 |
1.1× |
| Image Cath Fluid Peri/Retro (49406) |
$733 |
$1,466 |
0.5× |
| Implant neuroelectrodes (63650) |
$4,101.88 |
$8,203.75 |
0.7× |
| Incise inner eye adhesns,laser (65860) |
$1,383 |
$2,766 |
2.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$103.44 |
$206.88 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$724.13 |
$1,448.25 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$150.13 |
$300.25 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$167.88 |
$335.75 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$96.38 |
$192.75 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$119.63 |
$239.25 |
0.4× |
| Incision of rectal abscess (46040) |
$1,274.50 |
$2,549 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$152.25 |
$304.50 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$73.50 |
$147 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$492.50 |
$985 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$181.13 |
$362.25 |
0.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$186.63 |
$373.25 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$462.75 |
$925.50 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$186.63 |
$373.25 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$492.50 |
$985 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$181.13 |
$362.25 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$289.75 |
$579.50 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$183.88 |
$367.75 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$186.63 |
$373.25 |
0.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$186.63 |
$373.25 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$356.82 |
$713.62 |
3.2× |
| Insert non-tunnel cv cath (36556) |
$770.69 |
$1,541.38 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$770.69 |
$1,541.38 |
0.3× |
| Insert picc cath (36569) |
$779.63 |
$1,559.25 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$768.19 |
$1,536.38 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$43.88 |
$87.75 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$49.50 |
$99 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,121.25 |
$2,242.50 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$260.13 |
$520.25 |
1.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$152.25 |
$304.50 |
0.7× |
| Liver Biopsy (47000) |
$1,336.88 |
$2,673.75 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$192.25 |
$384.50 |
0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$492.50 |
$985 |
0.6× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$206.63 |
$413.25 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$117.88 |
$235.75 |
0.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$492.50 |
$985 |
0.6× |
| Peritoneal Lavage (49084) |
$411.50 |
$823 |
0.5× |
| Perq dev breast 1st strtctc (19283) |
$127.13 |
$254.25 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$668.50 |
$1,337 |
1.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$405.50 |
$811 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$405.50 |
$811 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$108.75 |
$217.50 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$191.38 |
$382.75 |
0.5× |
| Puncture Aspiration (10160) |
$77.13 |
$154.25 |
0.2× |
| Removal fb intranasal (30300) |
$103.88 |
$207.75 |
0.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,633 |
$3,266 |
0.6× |
| Removal Foreign Body Foot Complicated (28193) |
$583 |
$1,166 |
0.4× |
| Removal foreign body foot deep (28192) |
$1,118.88 |
$2,237.75 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$583 |
$1,166 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$161.63 |
$323.25 |
0.1× |
| Removal foreign body pharynx (42809) |
$49.50 |
$99 |
0.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,118.88 |
$2,237.75 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$65.25 |
$130.50 |
1.3× |
| Removal of arm foreign body (24200) |
$259.13 |
$518.25 |
0.2× |
| Removal of nail bed (11750) |
$207.13 |
$414.25 |
0.6× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,633 |
$3,266 |
0.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$46.50 |
$93 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$94.25 |
$188.50 |
0.4× |
| Remove Eyelid Foreign Body (67938) |
$111.88 |
$223.75 |
0.4× |
| Remove foreign body from eye (65210) |
$72.50 |
$145 |
0.2× |
| Remove shoulder foreign body (23330) |
$579.38 |
$1,158.75 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$76.63 |
$153.25 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$108 |
$216 |
0.9× |
| Renal biopsy (50200) |
$2,005.25 |
$4,010.50 |
1.4× |
| Repair achilles tendon (27650) |
$3,428.63 |
$6,857.25 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$150.13 |
$300.25 |
0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$173.25 |
$346.50 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$150.13 |
$300.25 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$150.13 |
$300.25 |
0.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$173.25 |
$346.50 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$173.25 |
$346.50 |
0.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$173.25 |
$346.50 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$173.25 |
$346.50 |
0.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,165.88 |
$2,331.75 |
0.8× |
| Repair finger tendon (26432) |
$1,165.88 |
$2,331.75 |
0.8× |
| Repair finger tendon (26433) |
$1,165.88 |
$2,331.75 |
0.4× |
| Repair finger/hand tendon (26350) |
$2,063.63 |
$4,127.25 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$2,299.13 |
$4,598.25 |
0.8× |
| Repair hand tendon (26410) |
$1,165.88 |
$2,331.75 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$173.25 |
$346.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$173.25 |
$346.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$248.75 |
$497.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$115.63 |
$231.25 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$173.25 |
$346.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$173.25 |
$346.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$250 |
$500 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$115.63 |
$231.25 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$248.75 |
$497.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$173.25 |
$346.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$166 |
$332 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$250 |
$500 |
0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$173.25 |
$346.50 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$228.88 |
$457.75 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$236 |
$472 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$173.25 |
$346.50 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$250.50 |
$501 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$250 |
$500 |
0.1× |
Repair kneecap tendon (27380) unusually low: confirm this is the full procedure |
$2,299.13 |
$4,598.25 |
0.4× |
| Repair Of Foot Tendon (28208) |
$1,535.25 |
$3,070.50 |
0.5× |
| Repair of nail bed (11760) |
$100.25 |
$200.50 |
0.2× |
| Repair Tongue Laceration (41250) |
$69.50 |
$139 |
0.2× |
| Replace g/c tube perc (49450) |
$325.88 |
$651.75 |
0.4× |
| Reposition gastrostomy tube (43761) |
$604.75 |
$1,209.50 |
2.8× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,795.88 |
$3,591.75 |
3.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$49.50 |
$99 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$248.75 |
$497.50 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$72.50 |
$145 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,630.13 |
$3,260.25 |
0.6× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,165.88 |
$2,331.75 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$115.63 |
$231.25 |
0.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$549.75 |
$1,099.50 |
2.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$497.75 |
$995.50 |
2.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$476.75 |
$953.50 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$173.25 |
$346.50 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$152.63 |
$305.25 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$228.88 |
$457.75 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$79.88 |
$159.75 |
0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$173.25 |
$346.50 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$173.25 |
$346.50 |
1.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$253.63 |
$507.25 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$208.88 |
$417.75 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$79.88 |
$159.75 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$218.88 |
$437.75 |
1.2× |
| Skin splt grft trnk/arm/leg (15100) |
$965.63 |
$1,931.25 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$328.88 |
$657.75 |
0.5× |
| Skin sub graft trnk/arm/leg (15271) |
$241.50 |
$483 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$228.88 |
$457.75 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$243.13 |
$486.25 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$192.25 |
$384.50 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$186.63 |
$373.25 |
0.3× |
| Strapping ankle (29540) |
$54.50 |
$109 |
0.4× |
| Strapping elbow/wrist (29260) |
$54.50 |
$109 |
1.1× |
| Strapping hand/finger (29280) |
$54.50 |
$109 |
1.1× |
| Strapping Hip (29520) |
$54.50 |
$109 |
0.5× |
| Strapping knee (29530) |
$139.38 |
$278.75 |
1.2× |
| Strapping shoulder (29240) |
$54.50 |
$109 |
0.5× |
| Strapping toes (29550) |
$73.50 |
$147 |
1.4× |
| Strapping unna boot (29580) |
$90.13 |
$180.25 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$65.75 |
$131.50 |
0.2× |
| Ther Apheresis,White Blood Cells (36511) |
$1,448.25 |
$2,896.50 |
1.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$411.50 |
$823 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$405.50 |
$811 |
0.7× |
| Thrombolytic Therapy, Stroke (37195) |
$170.38 |
$340.75 |
0.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$496.25 |
$992.50 |
2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$496.25 |
$992.50 |
0.4× |
| Treat finger dislocation (26775) |
$974 |
$1,948 |
4.0× |
| Treat humerus fracture (24500) |
$115.63 |
$231.25 |
0.5× |
| Treat humerus fracture (24577) |
$134.25 |
$268.50 |
0.1× |
| Treat Metatarsal Fracture (28475) |
$134.25 |
$268.50 |
0.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$398.38 |
$796.75 |
0.3× |
| Treat wrist bone fracture (25635) |
$134.25 |
$268.50 |
0.1× |
| Treatment closed elbow dislocation req anes (24605) |
$974 |
$1,948 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$134.25 |
$268.50 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$92.50 |
$185 |
0.4× |
| Trim skin lesion (11055) |
$76.13 |
$152.25 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$89.88 |
$179.75 |
0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$974 |
$1,948 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$391.25 |
$782.50 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$250 |
$500 |
0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$134.25 |
$268.50 |
0.1× |
| Unlisted Procedure Nervous System (64999) |
$462.75 |
$925.50 |
1.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$47.50 |
$95 |
0.1× |
| Vaginal delivery only (59409) |
$1,448.25 |
$2,896.50 |
0.5× |
| Venipuncture (36415) |
$15.63 |
$31.25 |
1.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$38.63 |
$77.25 |
0.1× |