| Abd paracentesis w/imaging (49083) |
$304.50 |
$609 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$262 |
$524 |
0.3× |
| Acne Surgery (10040) |
$83 |
$166 |
0.4× |
| Adding Walker Previously Applied Cast (29440) |
$33 |
$66 |
0.2× |
| Anoscopy diagnostic (46600) |
$79 |
$157 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$135.50 |
$270.50 |
0.8× |
| Application cast elbow finger short arm (29075) |
$65 |
$129 |
0.2× |
| Application Cast Finger (29086) |
$59 |
$118 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$71 |
$142 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$72 |
$143 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$39 |
$78 |
0.7× |
| Application finger splint static (29130) |
$57.50 |
$115 |
0.4× |
| Application Hip Spica Cast 1 Leg (29305) |
$183 |
$366 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$131.50 |
$263 |
0.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$107 |
$213 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$133 |
$266 |
0.8× |
| Application of long leg cast (29345) |
$102 |
$203 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$99 |
$197 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$58 |
$116 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$104 |
$207.50 |
0.8× |
| Application short leg splint calf foot (29515) |
$130.50 |
$260 |
0.8× |
| Apply multlay comprs arm/hand (29584) |
$64 |
$127 |
0.4× |
| Apply of clubfoot cast (29450) |
$110 |
$219 |
0.7× |
| Apply patella tendon bearing cast (29435) |
$86 |
$172 |
0.3× |
| Apply short leg cast (29405) |
$60 |
$120 |
0.2× |
| Apply short leg cast (29425) |
$58 |
$115 |
0.2× |
| Arterial puncture (36600) |
$45 |
$90 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$373.50 |
$747 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$64 |
$128 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$273.50 |
$547 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$72 |
$143 |
0.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$289 |
$578 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$81.50 |
$162 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$194 |
$387.50 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$119 |
$238 |
0.1× |
| Biopsy of nail unit (11755) |
$93 |
$186 |
0.1× |
| Biopsy of uterus lining (58100) |
$74 |
$148 |
0.4× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$64 |
$127 |
0.1× |
| Bladder Irrigation Simple (51700) |
$164 |
$328 |
0.7× |
| Bladder Scan (51798) |
$46.50 |
$92 |
0.8× |
| Blood patch (62273) |
$222 |
$443 |
0.3× |
| Blood transfusion service (36430) |
$575 |
$1,149 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$1,624 |
$3,247 |
1.0× |
| Bx vulva/perineum 1 lesion (56605) |
$69 |
$137 |
0.1× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$133 |
$265 |
0.4× |
| Cautery Cervix Electro/Thermal (57510) |
$115 |
$229 |
0.0× |
| Change Cystostomy Tube Simple (51705) |
$87 |
$173.50 |
0.3× |
| Chemical Cautery Tissue (17250) |
$19 |
$38 |
0.1× |
| Chest tube placement (32551) |
$1,641 |
$3,281 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$126 |
$252 |
0.9× |
| Circumcision (54150) |
$117 |
$233 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$94 |
$187 |
0.1× |
| Closed Rx Med Malleolus Fx (27760) |
$253 |
$506 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,970 |
$3,940 |
1.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$865 |
$1,730 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,594 |
$3,187 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$232.50 |
$464.50 |
0.9× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,594 |
$3,187 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$262 |
$523 |
1.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$230 |
$460 |
0.9× |
| Closed treat wrist dislocation (25660) |
$798 |
$1,595 |
3.2× |
| Closed treatment nasal fracture w/stabilization (21320) |
$259 |
$517 |
0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$874 |
$1,748 |
3.5× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$853 |
$1,706 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$254 |
$507 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$417.50 |
$834.50 |
1.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$122 |
$244 |
0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$338 |
$675 |
1.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$934 |
$1,867 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$166 |
$332 |
0.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,068 |
$2,136 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$338 |
$675 |
1.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$245 |
$489 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$199 |
$397 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,594 |
$3,187 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$625 |
$1,249 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$338 |
$675 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$803 |
$1,605 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$221 |
$442 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$167 |
$333 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$778 |
$1,556 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$248 |
$495.50 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$266 |
$531 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$266 |
$531 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$742 |
$1,483 |
3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$246 |
$491.50 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$254 |
$507 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$141 |
$281 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$295 |
$589 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$657 |
$1,313 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,319 |
$2,637 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,466 |
$2,932 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$290 |
$580 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$109 |
$217 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$195.50 |
$390 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$254 |
$507 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,594 |
$3,187 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$241 |
$481 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$338 |
$675 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$254 |
$507 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$266 |
$531 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$292.50 |
$584 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$225 |
$450 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$338 |
$675 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$254 |
$507 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$254 |
$507 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$254 |
$507 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$777 |
$1,553 |
3.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$233 |
$465 |
0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$819 |
$1,637 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$172 |
$343 |
0.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,580 |
$5,159 |
1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$838 |
$1,675 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$124 |
$248 |
0.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$91 |
$182 |
0.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$261 |
$522 |
0.1× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$233 |
$466 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$96 |
$191 |
0.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$118 |
$235 |
0.4× |
| Colposcopy vulva (56820) |
$91 |
$181 |
0.4× |
| Colposcopy vulva w/biopsy (56821) |
$121 |
$241 |
0.4× |
| Complete replacement picc rs&i (36584) |
$1,015 |
$2,030 |
0.6× |
| Complex Uroflowmetry (51741) |
$11 |
$22 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$149.50 |
$298.50 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$134.50 |
$268 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$191.50 |
$382.50 |
1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$239 |
$477.50 |
1.0× |
| Cystometrogram w/vp (51728) |
$268 |
$535 |
0.4× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$244 |
$488 |
0.1× |
| Cystourethroscopy (52000) |
$160 |
$320 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$43 |
$86 |
0.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$359 |
$718 |
0.5× |
| Debride nail 1-5 (11720) |
$45.50 |
$91 |
0.8× |
| Debride nail 6 or more (11721) |
$61.50 |
$122.50 |
1.0× |
| Debride skin musc at fx site (11011) |
$399 |
$798 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$95 |
$190 |
0.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$120 |
$240 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$100 |
$199 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$85 |
$169 |
0.4× |
| Destruction Lesions Vulva Extensive (56515) |
$192 |
$383 |
0.1× |
| Destruction Lesions Vulva Simple (56501) |
$125 |
$249 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$135 |
$270 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$156 |
$311 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$185 |
$370 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$211 |
$421 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$271 |
$542 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$111 |
$221 |
0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$134 |
$268 |
0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$146 |
$291 |
0.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$156 |
$312 |
0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$178 |
$355 |
0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$106 |
$211 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$113 |
$225 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$125 |
$249 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$142 |
$284 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$158 |
$316 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$186 |
$372 |
0.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$73 |
$146 |
0.4× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$339 |
$677 |
0.5× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$483 |
$965 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$107 |
$213 |
0.5× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$102 |
$204 |
0.2× |
| Destruction of multiple growths of penis (54065) |
$167 |
$334 |
0.1× |
| Destruction of skin lesions (17106) |
$259 |
$518 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$50 |
$99 |
0.2× |
| Destruction Vaginal Lesions Extensive (57065) |
$169 |
$337 |
0.1× |
| Destruction vaginal lesions simple (57061) |
$108 |
$215 |
0.0× |
| Dil urethra,female,subsequent (53661) |
$53 |
$106 |
0.4× |
| Dilate urethra stricture (53620) |
$171 |
$341 |
0.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$62 |
$123 |
0.5× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$164 |
$328 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$676 |
$1,352 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$58 |
$116 |
0.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$228 |
$455 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$409 |
$818 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$961.50 |
$1,923 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$219 |
$437.50 |
1.1× |
| Drainage mouth roof lesion (42000) |
$211 |
$421 |
0.9× |
| Drainage of eyelid abscess (67700) |
$316 |
$632 |
1.0× |
| Drainage of gum lesion (41800) |
$160 |
$319 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,096.50 |
$2,192.50 |
0.7× |
| Draw blood off venous device (36591) |
$86.50 |
$172.50 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$256.50 |
$513 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$158 |
$315.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$164 |
$327 |
0.8× |
| Dstrj lesion penis simple surg excision (54060) |
$143 |
$286 |
0.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$216 |
$431 |
0.5× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$51 |
$102 |
0.4× |
| Endocervical Curettage (57505) |
$98 |
$196 |
0.1× |
| Escharotomy initial incision (16035) |
$150 |
$300 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$100.50 |
$200 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$155 |
$309 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$178 |
$356 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$106 |
$212 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$172 |
$343 |
0.1× |
| Exc hand les sc < 1.5 cm (26115) |
$405 |
$809 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$121 |
$242 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$116 |
$232 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$129 |
$257 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$148 |
$296 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$215 |
$429 |
0.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$168 |
$336 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$295 |
$590 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$254 |
$508 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$239 |
$478 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$241 |
$481 |
0.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$386 |
$771 |
0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$309 |
$617 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$339 |
$678 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$150 |
$300 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$95 |
$190 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$150 |
$299 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$174 |
$347 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$187 |
$374 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$213 |
$426 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$238 |
$475 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$154 |
$307 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$181 |
$361 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$205 |
$409 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$297 |
$593 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$150 |
$300 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$175 |
$349 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$193 |
$386 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$227 |
$453 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$256 |
$512 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$130 |
$260 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$145 |
$289 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$136 |
$272 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$96 |
$192 |
0.1× |
| Excision of nail fold toe (11765) |
$248 |
$495.50 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$236 |
$471 |
0.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$308 |
$616 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$551 |
$1,102 |
0.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$405 |
$810 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,852 |
$3,703 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$593 |
$1,185 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$676 |
$1,352 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$869 |
$1,738 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$92 |
$183 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$294 |
$587 |
1.4× |
| Hymenotomy Simple Incision (56442) |
$36 |
$72 |
0.0× |
| I&D Abscess Peritonsillar (42700) |
$211 |
$421 |
0.9× |
| I&d abscess simple (10060) |
$210.50 |
$420.50 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$972 |
$1,944 |
0.3× |
| I&d perianal abscess superficial (46050) |
$502.50 |
$1,004.50 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$514.50 |
$1,028.50 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$261.50 |
$522.50 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$254 |
$507.50 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$289.50 |
$579 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$898.50 |
$1,797 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$340.50 |
$681 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$119 |
$237 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$207.50 |
$414.50 |
0.7× |
| Incision of rectal abscess (46040) |
$1,157 |
$2,313 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$147 |
$293 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$132 |
$263.50 |
0.7× |
| Inj dupuytren cord w/enzyme (20527) |
$64 |
$128 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$42 |
$83 |
0.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$37 |
$74 |
0.1× |
| Inject Sinus Tract Theraputic (20500) |
$87 |
$173 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$43 |
$85 |
0.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$62 |
$123 |
0.2× |
| Injection anes other peripheral nerve/branch (64450) |
$72.50 |
$145 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$206.50 |
$413 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$49 |
$97 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$60 |
$119 |
0.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$54 |
$108 |
0.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$53 |
$105 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$42 |
$83 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$151 |
$302 |
1.2× |
| Insert cervical dilator (59200) |
$67 |
$134 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$1,751 |
$3,501 |
0.6× |
| Insert pessary/other device (57160) |
$52 |
$104 |
0.3× |
| Insert picc cath (36569) |
$1,057 |
$2,113.50 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$39 |
$78 |
0.0× |
| Insert picvad cath (36570) |
$170 |
$339 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$203 |
$405 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$60 |
$120 |
0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$986 |
$1,972 |
0.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$559 |
$1,118 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$161 |
$321 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$281.50 |
$562.50 |
1.2× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$1,194 |
$2,387 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,954 |
$3,908 |
0.2× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$186 |
$371 |
0.9× |
| Liver Biopsy (47000) |
$2,064 |
$4,127 |
1.2× |
| Lysis of labial adhesions (56441) |
$125 |
$250 |
0.0× |
| Marsup Bartholin Gland Cyst (56440) |
$138 |
$276 |
0.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$411 |
$822 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,437 |
$6,873 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$898 |
$1,796 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$898 |
$1,796 |
1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$968 |
$1,936 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$684 |
$1,367 |
1.0× |
| Perq device breast 1st imag (19281) |
$869 |
$1,738 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$209.50 |
$418 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$522 |
$1,044 |
1.2× |
| Preputial Stretching (54450) |
$84 |
$167 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$94 |
$188 |
0.1× |
| Puncture Aspiration (10160) |
$285 |
$570 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$676 |
$1,352 |
1.0× |
| Reconstruction of nail bed with graft (11762) |
$225 |
$450 |
0.1× |
| Removal fb intranasal (30300) |
$173.50 |
$346.50 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$194 |
$388 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$160 |
$320 |
0.1× |
| Removal foreign body pharynx (42809) |
$390 |
$779 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$38.50 |
$76.50 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$36 |
$72 |
0.6× |
| Removal of arm foreign body (24200) |
$1,591 |
$3,182 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$63 |
$126 |
0.2× |
| Removal of nail bed (11750) |
$245 |
$490 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$67 |
$134 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$69 |
$137.50 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$47 |
$94 |
0.2× |
| Remove drug implant device (11982) |
$62 |
$123 |
0.1× |
| Remove Eyelid Foreign Body (67938) |
$226 |
$451 |
0.7× |
| Remove foreign body from eye (65210) |
$35 |
$70 |
0.1× |
| Remove Pilonidal Cyst Exten (11771) |
$455 |
$909 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$111 |
$221 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$94.50 |
$188 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$577 |
$1,153 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$577 |
$1,153 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$471 |
$942 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$725 |
$1,449 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$577 |
$1,153 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$844 |
$1,687 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$577 |
$1,153 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$577 |
$1,153 |
0.8× |
| Repair Entropion Suture (67921) |
$442 |
$883 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$728 |
$1,455 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$368 |
$735.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$338.50 |
$677 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$351 |
$702 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$396.50 |
$793 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$321 |
$641.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$326 |
$651.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$460 |
$919 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$442.50 |
$884.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$331.50 |
$662.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$349.50 |
$698.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$503.50 |
$1,006 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,128.50 |
$2,256.50 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$568 |
$1,135.50 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$331 |
$662 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$319.50 |
$639 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$525.50 |
$1,050 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$358.50 |
$716.50 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$369 |
$738 |
0.2× |
| Repair of nail bed (11760) |
$362.50 |
$724.50 |
0.5× |
| Repair Tongue Laceration (41250) |
$124 |
$248 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$283.50 |
$567 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$76.50 |
$153 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$361 |
$722 |
0.1× |
Rpr hern preemie reduc (49491)
likely a partial charge, not the full procedure |
$1,194 |
$2,387 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$368.50 |
$736.50 |
0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$211 |
$421 |
0.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$543 |
$1,086 |
2.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$588 |
$1,176 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$88 |
$176 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$141 |
$281 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$80 |
$160 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$94 |
$187 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$110 |
$219 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$117 |
$234 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$76 |
$152 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$104 |
$208 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$121 |
$241 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$92 |
$184 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$118 |
$235 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$107 |
$213 |
0.5× |
| Simple Cystometrogram (51725) |
$162 |
$323 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$264.50 |
$529 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$174 |
$347.50 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$176 |
$351 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$241.50 |
$483 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$185.50 |
$370 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$196.50 |
$392 |
1.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$132 |
$263 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$167 |
$333 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$186.50 |
$372.50 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$181 |
$361.50 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$114 |
$227 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$84 |
$167 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$300 |
$599.50 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$311.50 |
$622.50 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$898 |
$1,796 |
1.3× |
| Strapping ankle (29540) |
$22 |
$43 |
0.1× |
| Strapping elbow/wrist (29260) |
$23 |
$46 |
0.4× |
| Strapping hand/finger (29280) |
$24 |
$47 |
0.4× |
| Strapping knee (29530) |
$24 |
$47 |
0.2× |
| Strapping shoulder (29240) |
$83 |
$165 |
0.6× |
| Strapping toes (29550) |
$26.50 |
$52 |
0.4× |
| Strapping unna boot (29580) |
$121 |
$241 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$475.50 |
$951 |
0.8× |
| Trach Tube Change (31502) |
$211 |
$421 |
0.9× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$841 |
$1,681 |
0.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,344 |
$2,687 |
0.9× |
| Treat finger dislocation (26775) |
$668 |
$1,336 |
2.4× |
| Treat Fracture Radius & Ulna (25560) |
$254 |
$507 |
1.0× |
| Treat humerus fracture (24577) |
$972 |
$1,944 |
0.6× |
| Treat wrist bone fracture (25622) |
$253 |
$506 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,594 |
$3,187 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$254 |
$507 |
1.0× |
| Treatment of bone cyst (20615) |
$189 |
$378 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$162 |
$323 |
0.7× |
| Trim skin lesion (11055) |
$48 |
$95 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$56 |
$112 |
0.3× |
| Trim skin lesions over 4 (11057) |
$62 |
$124 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$11 |
$21 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$400 |
$799.50 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$130 |
$259 |
0.3× |
| Unlisted Procedure Casting/Strapping (29799) |
$61 |
$122 |
0.4× |
| Urine Flow Measurement (51736) |
$11 |
$21 |
0.1× |
| Vaginal delivery only (59409) |
$2,788 |
$5,575 |
0.9× |
| Venipuncture (36415) |
$6 |
$11 |
0.6× |