| Abd paracentesis w/imaging (49083) |
$319.20 |
$532 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$529.20 |
$882 |
0.6× |
| Amputation Finger/Thumb (26951) |
$945 |
$1,575 |
0.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$1,926 |
$3,210 |
0.8× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$589.20 |
$982 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$522 |
$870 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162 |
$270 |
1.1× |
| Application finger splint static (29130) |
$33.60 |
$56 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$94.80 |
$158 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$276 |
$460 |
1.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$276 |
$460 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$45.60 |
$76 |
0.4× |
| Application short leg splint calf foot (29515) |
$158.10 |
$263.50 |
1.1× |
| Apply short leg cast (29405) |
$96.60 |
$161 |
0.4× |
| Arterial puncture (36600) |
$34.80 |
$58 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$380.40 |
$634 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$42.60 |
$71 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$132.60 |
$221 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$384 |
$640 |
1.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$90 |
$150 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$151.80 |
$253 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$1,602 |
$2,670 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,602 |
$2,670 |
1.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$94.20 |
$157 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$927 |
$1,545 |
0.6× |
| Biopsy of uterus lining (58100) |
$84.30 |
$140.50 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$65.40 |
$109 |
0.1× |
| Bladder Irrigation Simple (51700) |
$595.20 |
$992 |
2.6× |
| Bladder Scan (51798) |
$132.60 |
$221 |
2.5× |
| Blood patch (62273) |
$99 |
$165 |
0.2× |
| Blood transfusion service (36430) |
$621 |
$1,035 |
1.6× |
| Bone Marrow Biopsy (38221) |
$397.20 |
$662 |
0.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,323 |
$2,205 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$893.40 |
$1,489 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$2,150.40 |
$3,584 |
1.4× |
| Bx vulva/perineum 1 lesion (56605) |
$130.20 |
$217 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,363.80 |
$2,273 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$36.60 |
$61 |
0.2× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$111 |
$185 |
0.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$239.40 |
$399 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$1,058.40 |
$1,764 |
4.7× |
| Chemical Cautery Tissue (17250) |
$199.20 |
$332 |
1.1× |
| Chest tube placement (32551) |
$319.20 |
$532 |
0.2× |
| Chromotubation of oviduct, including materials (58350) |
$70.80 |
$118 |
0.0× |
| Circumcision (54150) |
$153.60 |
$256 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,852.20 |
$3,087 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,447.40 |
$4,079 |
1.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,521.60 |
$2,536 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,720.20 |
$2,867 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$330.60 |
$551 |
1.5× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,653.60 |
$2,756 |
1.1× |
| Closed treat wrist dislocation (25660) |
$426.60 |
$711 |
1.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,969 |
$6,615 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$3,638.40 |
$6,064 |
16.4× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$3,439.80 |
$5,733 |
2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$114 |
$190 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$725.40 |
$1,209 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$549.60 |
$916 |
2.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,778.60 |
$4,631 |
1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$793.80 |
$1,323 |
3.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,307.80 |
$5,513 |
2.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,050.80 |
$3,418 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$568.80 |
$948 |
2.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,257 |
$2,095 |
0.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,646 |
$4,410 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$661.80 |
$1,103 |
3.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,455.60 |
$2,426 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,315.40 |
$3,859 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$114 |
$190 |
0.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$661.80 |
$1,103 |
3.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$535.80 |
$893 |
2.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$926.40 |
$1,544 |
4.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$523.20 |
$872 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$661.80 |
$1,103 |
3.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$516 |
$860 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$725.40 |
$1,209 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,587.60 |
$2,646 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$725.40 |
$1,209 |
0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$612 |
$1,020 |
2.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$165.60 |
$276 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$397.20 |
$662 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,844.60 |
$4,741 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$859.80 |
$1,433 |
3.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$568.80 |
$948 |
2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$595.20 |
$992 |
2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$859.80 |
$1,433 |
3.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$116.40 |
$194 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$634.80 |
$1,058 |
2.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$397.20 |
$662 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$793.80 |
$1,323 |
3.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$463.20 |
$772 |
2.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$859.80 |
$1,433 |
3.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,712 |
$4,520 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$144 |
$240 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,447.40 |
$4,079 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,455.60 |
$2,426 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$306 |
$510 |
0.3× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$267 |
$445 |
0.2× |
| Colonoscopy stoma w/snare (44394) |
$1,852.20 |
$3,087 |
1.7× |
| Colporrhaphy suture injury vagina (57200) |
$135.60 |
$226 |
0.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$134.40 |
$224 |
0.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$104.40 |
$174 |
0.6× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$138.60 |
$231 |
0.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$115.20 |
$192 |
0.4× |
| Colposcopy vulva (56820) |
$99 |
$165 |
0.5× |
| Colposcopy vulva w/biopsy (56821) |
$136.20 |
$227 |
0.5× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$121.80 |
$203 |
0.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$153.60 |
$256 |
0.2× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$336 |
$560 |
0.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$270 |
$450 |
0.3× |
| Complete replacement picc rs&i (36584) |
$2,287.20 |
$3,812 |
1.6× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$153 |
$255 |
0.2× |
| Complex Drainage, Wound (10180) |
$2,196.60 |
$3,661 |
0.8× |
| Conization of cervix (57520) |
$436.80 |
$728 |
0.1× |
| Conization of cervix (57522) |
$415.20 |
$692 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$85.20 |
$142 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$60.60 |
$101 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$992.40 |
$1,654 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$85.20 |
$142 |
0.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$410.40 |
$684 |
1.9× |
| Cystourethroscopy (52000) |
$126 |
$210 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$2,315.40 |
$3,859 |
6.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$3,439.80 |
$5,733 |
5.4× |
| Debride nail 1-5 (11720) |
$176.40 |
$294 |
3.3× |
| Debride nail 6 or more (11721) |
$120 |
$200 |
2.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$221.10 |
$368.50 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$353.10 |
$588.50 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$877.50 |
$1,462.50 |
0.6× |
| Declot vascular device (36593) |
$240 |
$400 |
0.8× |
| Delivery placenta separate procedure (59414) |
$82.20 |
$137 |
0.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$216.60 |
$361 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$90 |
$150 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$57 |
$95 |
0.3× |
| Destruction Lesions Vulva Extensive (56515) |
$351 |
$585 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$102 |
$170 |
0.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$200.40 |
$334 |
1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$241.20 |
$402 |
1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$135 |
$225 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$42 |
$70 |
0.2× |
| Destruction vaginal lesions simple (57061) |
$176.40 |
$294 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,125 |
$1,875 |
1.8× |
| Diagnostic sigmoidoscopy (45330) |
$78 |
$130 |
0.1× |
| Dilate urethra stricture (53620) |
$1,389 |
$2,315 |
2.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$331.80 |
$553 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$960 |
$1,600 |
1.5× |
| Drain outer ear canal lesion (69020) |
$919.80 |
$1,533 |
1.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$661.80 |
$1,103 |
3.1× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,984.80 |
$3,308 |
4.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$661.80 |
$1,103 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,315.40 |
$3,859 |
1.6× |
| Drainage Finger Abscess Simple (26010) |
$183 |
$305 |
1.0× |
| Drainage mouth roof lesion (42000) |
$450 |
$750 |
2.1× |
| Drainage of eyelid abscess (67700) |
$661.80 |
$1,103 |
2.3× |
| Drainage of gum lesion (41800) |
$463.20 |
$772 |
3.9× |
| Drainage of hematoma/fluid (10140) |
$1,352.40 |
$1,177.50 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$628.80 |
$1,048 |
0.4× |
| Draw blood off venous device (36591) |
$142.50 |
$237.50 |
1.2× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$992.40 |
$1,654 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$423 |
$705 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$369 |
$615 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$204 |
$340 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$34.20 |
$57 |
1.3× |
| Dx bone marrow bx & aspir (38222) |
$1,323 |
$2,205 |
0.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$306 |
$510 |
0.2× |
| Egd flexible foreign body removal (43247) |
$2,646 |
$4,410 |
3.2× |
| Egd rem tumr/polyp forcep (43250) |
$228 |
$380 |
0.1× |
| Egd remove lesion snare (43251) |
$264 |
$440 |
0.2× |
| Endocervical Curettage (57505) |
$135.60 |
$226 |
0.2× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,950 |
$3,250 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,950 |
$3,250 |
1.0× |
| Episiotomy or vaginal repair (59300) |
$141.60 |
$236 |
0.0× |
| Evacuation of subungual hematoma (11740) |
$132 |
$220 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$811.20 |
$1,352 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$213 |
$355 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$246 |
$410 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$75 |
$125 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$304.20 |
$507 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$72.60 |
$121 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$94.80 |
$158 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$238.20 |
$397 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$201 |
$335 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$363 |
$605 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$333 |
$555 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$438 |
$730 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,099.20 |
$1,832 |
1.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$62.40 |
$104 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$265.20 |
$442 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$126 |
$210 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$827.40 |
$1,379 |
2.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$270 |
$450 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$165.60 |
$276 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$117 |
$195 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$117 |
$195 |
0.1× |
| Excision of nail fold toe (11765) |
$595.20 |
$992 |
1.6× |
| Excision of vaginal cyst or tumor (57135) |
$226.80 |
$378 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$771 |
$1,285 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$5,953.80 |
$9,923 |
3.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$291 |
$485 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$3,969 |
$6,615 |
2.7× |
| Exploration penetrating wound spx extremity (20103) |
$330.60 |
$551 |
0.2× |
| Fetal Contraction Stress Test (59020) |
$37.80 |
$63 |
0.2× |
| Fetal non-stress test (59025) |
$48.60 |
$81 |
0.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$383.40 |
$639 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$793.80 |
$1,323 |
2.2× |
| Fluoro exam of g/colon tube (49465) |
$217.20 |
$362 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$463.20 |
$772 |
2.4× |
| Hysteroscopy biopsy (58558) |
$940.20 |
$1,567 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$793.80 |
$1,323 |
3.7× |
| I&d abscess simple (10060) |
$150.60 |
$251 |
0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,887.20 |
$9,812 |
2.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,622.60 |
$9,371 |
3.0× |
| I&d perianal abscess superficial (46050) |
$325.80 |
$543 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$220.80 |
$368 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$3,043.20 |
$5,072 |
2.0× |
| Image Cath Fluid Peri/Retro (49406) |
$883.20 |
$1,472 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$187.80 |
$313 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,587.60 |
$2,646 |
2.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,961.40 |
$8,269 |
3.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$167.10 |
$278.50 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$562.80 |
$938 |
3.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$201.60 |
$336 |
0.7× |
| Incision of rectal abscess (46040) |
$1,099.20 |
$1,832 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$178.80 |
$298 |
0.8× |
| Incision&drainage bursa foot (28001) |
$1,602 |
$2,670 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$364.80 |
$608 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$137.40 |
$229 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$82.80 |
$138 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$231.60 |
$386 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$82.20 |
$137 |
0.1× |
| Injection for identification of sentinel node (38792) |
$726.60 |
$1,211 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$46.80 |
$78 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$124.80 |
$208 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$926.40 |
$1,544 |
3.3× |
| Insert Bladder Cath Complex (51703) |
$86.40 |
$144 |
0.7× |
| Insert Drug Implant Device (11981) |
$141.60 |
$236 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$661.80 |
$1,103 |
0.2× |
| Insert pessary/other device (57160) |
$53.40 |
$89 |
0.3× |
| Insert picc cath (36569) |
$1,323 |
$2,205 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$141 |
$235 |
1.2× |
| Insert tunneled cv cath (36561) |
$444 |
$740 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$36.60 |
$61 |
0.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,027.40 |
$8,379 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,287.20 |
$3,812 |
1.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$897.60 |
$1,496 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$222 |
$370 |
1.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$760.80 |
$1,268 |
3.4× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
likely a partial charge, not the full procedure |
$978.60 |
$1,631 |
0.1× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure |
$1,139.40 |
$1,899 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$804 |
$1,340 |
0.1× |
Laparoscopy fimbrioplasty (58672)
likely a partial charge, not the full procedure |
$762.60 |
$1,271 |
0.1× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$962.40 |
$1,604 |
0.2× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$851.40 |
$1,419 |
0.1× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$484.80 |
$808 |
0.1× |
Laparoscopy w/lysis of adhesions (58660)
likely a partial charge, not the full procedure |
$636.60 |
$1,061 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$281.40 |
$469 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure |
$1,224 |
$2,040 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$957 |
$1,595 |
0.2× |
Laps abltj uterine fibroids w/intraop us gdn (58674)
likely a partial charge, not the full procedure |
$707.40 |
$1,179 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$719.40 |
$1,199 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$472.80 |
$788 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$668.40 |
$1,114 |
0.1× |
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure |
$763.80 |
$1,273 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$516 |
$860 |
2.9× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$330.60 |
$551 |
1.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,903 |
$6,505 |
2.4× |
| Liver Biopsy (47000) |
$467.40 |
$779 |
0.3× |
| Marsup Bartholin Gland Cyst (56440) |
$291.60 |
$486 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$661.80 |
$1,103 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$26.40 |
$44 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$450 |
$750 |
2.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,299.60 |
$7,166 |
1.5× |
| Ovarian cystectomy (58925) |
$796.80 |
$1,328 |
0.2× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$168 |
$280 |
0.1× |
| Pelvic exam under anesthesia (57410) |
$123.60 |
$206 |
0.0× |
| Pericardiocentesis W/Imaging (33016) |
$459 |
$765 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$657 |
$1,095 |
1.0× |
| Perq device breast 1st imag (19281) |
$163.20 |
$272 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,984.80 |
$3,308 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$536.40 |
$894 |
2.4× |
| Placement of needle for intraosseous infusion (36680) |
$60.60 |
$101 |
0.2× |
| Placement of seton (46020) |
$156 |
$260 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$267.30 |
$445.50 |
0.7× |
| Puncture Aspiration (10160) |
$286.50 |
$477.50 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$372.60 |
$621 |
0.6× |
| Removal fb intranasal (30300) |
$289.80 |
$483 |
2.4× |
| Removal foreign body foot subcutaneous (28190) |
$1,111.20 |
$1,852 |
1.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$99.60 |
$166 |
0.1× |
| Removal foreign body pharynx (42809) |
$60.60 |
$101 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$25.20 |
$42 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$26.40 |
$44 |
0.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$727.80 |
$1,213 |
1.1× |
| Removal of arm foreign body (24200) |
$318 |
$530 |
0.2× |
| Removal of foreign body in scrotum (55120) |
$5,622.60 |
$9,371 |
3.0× |
| Removal of intrauterine device (iud) (58301) |
$126 |
$210 |
0.5× |
| Removal of nail bed (11750) |
$480.60 |
$801 |
1.3× |
| Removal of residual cervix (57550) |
$361.80 |
$603 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$41.70 |
$69.50 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$314.40 |
$524 |
1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$276 |
$460 |
1.1× |
| Remove anal fist subq (46270) |
$537 |
$895 |
0.2× |
| Remove drug implant device (11982) |
$113.40 |
$189 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$1,290 |
$2,150 |
4.5× |
| Remove foreign body from eye (65210) |
$43.20 |
$72 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$61.20 |
$102 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$48 |
$80 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,299.60 |
$7,166 |
1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$283.80 |
$473 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$283.80 |
$473 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$283.80 |
$473 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$283.80 |
$473 |
0.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$283.80 |
$473 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$283.80 |
$473 |
0.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$2,646 |
$4,410 |
4.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,646 |
$4,410 |
4.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,976.60 |
$4,961 |
2.1× |
| Repair forearm tendon/muscle (25270) |
$3,638.40 |
$6,064 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,323 |
$2,205 |
3.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$149.40 |
$249 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$270 |
$450 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$992.40 |
$1,654 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$149.40 |
$249 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$926.40 |
$1,544 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$992.40 |
$1,654 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,521.60 |
$2,536 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$195 |
$325 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$264 |
$440 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,323 |
$2,205 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,976.60 |
$4,961 |
1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$322.20 |
$537 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$204 |
$340 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$255 |
$425 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$375 |
$625 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$276 |
$460 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,241.20 |
$5,402 |
1.7× |
| Repair of nail bed (11760) |
$1,317 |
$2,195 |
2.0× |
| Repair of vagina (57260) |
$670.20 |
$1,117 |
0.1× |
| Repair Tongue Laceration (41250) |
$496.20 |
$827 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$52.80 |
$88 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$298.20 |
$497 |
2.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$4,564.20 |
$7,607 |
4.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,324.20 |
$2,207 |
0.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$189 |
$315 |
0.5× |
| Rplc gtube revj gstrst trc (43763) |
$496.20 |
$827 |
2.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$990 |
$1,650 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$456 |
$760 |
0.1× |
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
likely a partial charge, not the full procedure |
$864 |
$1,440 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$793.80 |
$1,323 |
1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$793.80 |
$1,323 |
3.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,124.40 |
$1,874 |
5.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,278 |
$2,130 |
2.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$171.60 |
$286 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$162 |
$270 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$60.60 |
$101 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$183.60 |
$306 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$178.20 |
$297 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$282.60 |
$471 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$195 |
$325 |
1.1× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$2,205 |
$3,675 |
2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$793.80 |
$1,323 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$86.40 |
$144 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$91.20 |
$152 |
0.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,058.40 |
$1,764 |
2.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$78 |
$130 |
0.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$78 |
$130 |
0.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$595.20 |
$992 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$145.20 |
$242 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$149.40 |
$249 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$123 |
$205 |
0.7× |
| Skin splt grft trnk/arm/leg (15100) |
$1,950 |
$3,250 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$1,950 |
$3,250 |
2.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,950 |
$3,250 |
2.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,002 |
$6,670 |
2.2× |
| Skin tissue rearrangement (14040) |
$4,630.80 |
$7,718 |
2.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,776 |
$2,960 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$1,950 |
$3,250 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$211.20 |
$352 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$721.20 |
$1,202 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$859.80 |
$1,433 |
2.3× |
| Spinal puncture lumbar diagnostic (62270) |
$130.20 |
$217 |
0.2× |
| Strapping ankle (29540) |
$126 |
$210 |
0.9× |
| Strapping elbow/wrist (29260) |
$33.60 |
$56 |
0.6× |
| Strapping hand/finger (29280) |
$33 |
$55 |
0.6× |
| Strapping toes (29550) |
$37.20 |
$62 |
0.7× |
| Strapping unna boot (29580) |
$183.90 |
$306.50 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$204 |
$340 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,584 |
$2,640 |
1.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$489.60 |
$816 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,389 |
$2,315 |
2.5× |
| Thrombolytic Therapy, Stroke (37195) |
$793.80 |
$1,323 |
2.7× |
| Trach Tube Change (31502) |
$793.80 |
$1,323 |
3.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,786.20 |
$2,977 |
1.3× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$1,171.20 |
$1,952 |
0.2× |
| Treat finger dislocation (26775) |
$1,455.60 |
$2,426 |
5.8× |
| Treat Fracture Radius & Ulna (25560) |
$661.80 |
$1,103 |
3.0× |
| Treat humerus fracture (24500) |
$397.20 |
$662 |
1.8× |
| Treat humerus fracture (24577) |
$3,307.80 |
$5,513 |
2.3× |
| Treatment closed elbow dislocation req anes (24605) |
$2,910.60 |
$4,851 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$727.80 |
$1,213 |
3.3× |
| Trim skin lesion (11055) |
$124.20 |
$207 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$204 |
$340 |
1.1× |
| Trim skin lesions over 4 (11057) |
$204 |
$340 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$85.20 |
$142 |
1.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$340.20 |
$567 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$433.80 |
$723 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$600 |
$1,000 |
0.9× |
| Unlisted Procedure Nervous System (64999) |
$330.60 |
$551 |
1.2× |
| Vaginal delivery only (59409) |
$1,156.20 |
$1,927 |
0.4× |
| Vaginal hysterectomy (58260) |
$756 |
$1,260 |
0.2× |
| Venipuncture (36415) |
$10.20 |
$17 |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$600 |
$1,000 |
1.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,950 |
$3,250 |
2.9× |