| Acne Surgery (10040) |
$261.61 |
$523.22 |
1.3× |
| Application finger splint static (29130) |
$181.04 |
$362.07 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$369.54 |
$739.08 |
2.3× |
| Application long leg splint thigh ankle/toes (29505) |
$64.97 |
$129.94 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$1,231.34 |
$2,462.67 |
9.2× |
| Application short leg splint calf foot (29515) |
$1,261.17 |
$2,522.34 |
7.7× |
| Arterial puncture (36600) |
$80.50 |
$161 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$734.10 |
$1,468.20 |
2.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$734.10 |
$1,468.20 |
2.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$734.10 |
$1,468.20 |
2.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$506.85 |
$1,013.70 |
2.5× |
| Bladder Irrigation Simple (51700) |
$688.59 |
$1,377.18 |
2.7× |
| Bladder Scan (51798) |
$174.44 |
$348.87 |
2.9× |
| Blood transfusion service (36430) |
$992.90 |
$1,985.79 |
2.2× |
| Chemical Cautery Tissue (17250) |
$231.18 |
$462.36 |
1.1× |
| Chest tube placement (32551) |
$468.48 |
$936.96 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,077.63 |
$2,155.26 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$782.88 |
$1,565.76 |
3.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,556.04 |
$3,112.08 |
1.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$644.70 |
$1,289.40 |
2.6× |
| Closed Rx Med Malleolus Fx (27760) |
$781.76 |
$1,563.51 |
3.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,445.25 |
$2,890.50 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,506.09 |
$3,012.18 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$644.70 |
$1,289.40 |
2.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,200.22 |
$2,400.44 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$599.70 |
$1,199.40 |
2.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$879.06 |
$1,758.12 |
3.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,227.47 |
$4,454.94 |
1.4× |
| Closed Rx Trimalleolar Fx (27816) |
$599.70 |
$1,199.40 |
2.4× |
| Closed treat wrist dislocation (25660) |
$644.70 |
$1,289.40 |
2.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$721.92 |
$1,443.84 |
2.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,263.63 |
$2,527.26 |
5.1× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$989.16 |
$1,978.32 |
4.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$934.11 |
$1,868.22 |
3.8× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$4,049.82 |
$8,099.64 |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$208.08 |
$416.15 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$644.70 |
$1,289.40 |
2.6× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$3,792.14 |
$7,584.28 |
2.3× |
| Closed Treatment Sternum Fracture (21820) |
$644.70 |
$1,289.40 |
2.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$930.51 |
$1,861.02 |
3.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$249.64 |
$499.28 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,177.41 |
$2,354.81 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$947.68 |
$1,895.36 |
3.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$625.68 |
$1,251.36 |
2.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,393.65 |
$2,787.30 |
0.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,518.45 |
$3,036.90 |
6.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$644.70 |
$1,289.40 |
2.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,731.88 |
$7,463.76 |
2.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,632.27 |
$3,264.54 |
3.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$502.92 |
$1,005.84 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,614.51 |
$3,229.02 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$786.03 |
$1,572.06 |
0.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,060.95 |
$2,121.90 |
4.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$644.70 |
$1,289.40 |
2.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,747.08 |
$5,494.15 |
1.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$644.70 |
$1,289.40 |
2.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$4,049.82 |
$8,099.64 |
2.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$677.10 |
$1,354.20 |
2.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$284.61 |
$569.22 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$845.58 |
$1,691.16 |
3.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$644.70 |
$1,289.40 |
2.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$783.99 |
$1,567.98 |
3.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$644.70 |
$1,289.40 |
2.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,026.51 |
$2,053.02 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$644.70 |
$1,289.40 |
2.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$557.52 |
$1,115.04 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,172.61 |
$2,345.22 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$689.23 |
$1,378.46 |
2.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$817.28 |
$1,634.55 |
3.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$769.66 |
$1,539.32 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$182.16 |
$364.32 |
0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$914.73 |
$1,829.46 |
3.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$536.37 |
$1,072.74 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,111.15 |
$2,222.29 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,534.14 |
$3,068.28 |
6.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,392.15 |
$2,784.30 |
5.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$399.44 |
$798.88 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$403.13 |
$806.26 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$354.82 |
$709.63 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$354.82 |
$709.63 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$580.81 |
$1,161.61 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$463.09 |
$926.17 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$4,049.82 |
$8,099.64 |
2.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$944.07 |
$1,888.14 |
3.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$338.25 |
$676.49 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,990.74 |
$3,981.47 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$644.70 |
$1,289.40 |
2.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,170.48 |
$2,340.96 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,312.26 |
$6,624.51 |
2.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$339.73 |
$679.46 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,888.97 |
$3,777.93 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$315.12 |
$630.24 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$391.98 |
$783.96 |
2.9× |
| Corneal smear (65430) |
$385.53 |
$771.05 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$928.59 |
$1,857.18 |
6.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$966.03 |
$1,932.06 |
4.1× |
| Curette/treat cornea (65435) |
$2,425.11 |
$4,850.22 |
2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,464.60 |
$2,929.20 |
3.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,800.14 |
$5,600.27 |
3.9× |
| Debride nail 1-5 (11720) |
$167.88 |
$335.76 |
2.8× |
| Debride skin musc at fx site (11011) |
$1,718.55 |
$3,437.10 |
2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$932.40 |
$1,864.80 |
2.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,464.60 |
$2,929.20 |
2.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$321.12 |
$642.24 |
1.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,016.54 |
$4,033.08 |
2.3× |
| Destruction premalignant lesion 1st (17000) |
$190.89 |
$381.78 |
0.9× |
Division of scalenus anticus; with resection of cervical rib (21705)
likely a partial charge, not the full procedure |
$382.65 |
$765.30 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,788.26 |
$5,576.51 |
1.7× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$657.45 |
$1,314.90 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,718.55 |
$3,437.10 |
2.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,126.92 |
$2,253.84 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$506.85 |
$1,013.70 |
2.5× |
| Drainage of deep rectal abscess (45020) |
$5,928.71 |
$11,857.42 |
2.1× |
| Drainage of eyelid abscess (67700) |
$802.98 |
$1,605.96 |
2.5× |
| Drainage of gum lesion (41800) |
$315.12 |
$630.24 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$4,044.09 |
$8,088.18 |
2.4× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$4,044.09 |
$8,088.18 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$4,044.09 |
$8,088.18 |
2.4× |
| Draw blood off venous device (36591) |
$315.12 |
$630.24 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$932.40 |
$1,864.80 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$506.85 |
$1,013.70 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$506.85 |
$1,013.70 |
2.5× |
| Evacuation of subungual hematoma (11740) |
$315.12 |
$630.24 |
2.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$4,044.09 |
$8,088.18 |
2.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$538.02 |
$1,076.04 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$361.98 |
$723.96 |
0.5× |
| Excision of nail fold toe (11765) |
$483.21 |
$966.42 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$4,044.09 |
$8,088.18 |
2.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,695.15 |
$3,390.30 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$353.07 |
$706.14 |
0.9× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,658.86 |
$7,317.72 |
1.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$65.28 |
$130.56 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$546.66 |
$1,093.32 |
2.3× |
| I&d abscess simple (10060) |
$506.85 |
$1,013.70 |
2.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,974.61 |
$13,949.22 |
2.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,514.15 |
$11,028.30 |
2.6× |
| I&d perianal abscess superficial (46050) |
$2,129.94 |
$4,259.88 |
2.3× |
| I&d pilonidal cyst simple (10080) |
$1,718.55 |
$3,437.10 |
2.4× |
| I&d submucosal abscess rectum (45005) |
$1,129.80 |
$2,259.60 |
0.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$4,044.09 |
$8,088.18 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,547.50 |
$3,095 |
3.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,718.55 |
$3,437.10 |
2.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,044.09 |
$8,088.18 |
2.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$932.40 |
$1,864.80 |
2.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$482.10 |
$964.20 |
2.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$805.05 |
$1,610.10 |
2.6× |
| Incision of rectal abscess (46040) |
$1,566.87 |
$3,133.74 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$518.28 |
$1,036.56 |
2.1× |
| Infectious disease (bacterial and/or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA),… (0563U) |
$647.50 |
$1,295 |
1.6× |
| Initial tx 1st degree burn local tx (16000) |
$506.85 |
$1,013.70 |
2.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,530.04 |
$7,060.07 |
4.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$734.10 |
$1,468.20 |
2.4× |
| Injection anes other peripheral nerve/branch (64450) |
$1,630.14 |
$3,260.28 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,070.46 |
$2,140.92 |
3.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$499.05 |
$998.10 |
1.6× |
| Insert and remove bone pin (20650) |
$7,935.69 |
$15,871.38 |
2.4× |
| Insert Bladder Cath Complex (51703) |
$408.96 |
$817.92 |
3.2× |
| Insert non-tunnel cv cath (36556) |
$605.43 |
$1,210.86 |
0.2× |
| Insert picc cath (36569) |
$1,508.59 |
$3,017.17 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$1,233.50 |
$2,467 |
9.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$1,207.84 |
$2,415.67 |
9.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,102.12 |
$10,204.24 |
1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$7,478.22 |
$14,956.44 |
2.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,478.22 |
$14,956.44 |
2.4× |
| Intubation endotracheal emergency procedure (31500) |
$421.71 |
$843.42 |
1.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$688.59 |
$1,377.18 |
2.7× |
| Laryngoscopy Direct Aspiration (31515) |
$1,126.41 |
$2,252.82 |
2.9× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$471.24 |
$942.48 |
2.4× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$606.24 |
$1,212.48 |
3.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,971.10 |
$7,942.20 |
2.2× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,971.10 |
$7,942.20 |
2.2× |
| Late closure of wound (13160) |
$2,353.05 |
$4,706.10 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$990.03 |
$1,980.06 |
2.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$869.98 |
$1,739.95 |
2.1× |
| Open tx rib fx w/fixj thoracoscopic vis 4-6 ribs (21812) |
$4,049.82 |
$8,099.64 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,387.93 |
$2,775.86 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$640.44 |
$1,280.88 |
2.6× |
| Placement of needle for intraosseous infusion (36680) |
$381.98 |
$763.95 |
0.9× |
| Preputial Stretching (54450) |
$688.59 |
$1,377.18 |
2.7× |
| Puncture Aspiration (10160) |
$932.40 |
$1,864.80 |
2.3× |
| Removal fb intranasal (30300) |
$315.12 |
$630.24 |
2.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$6,974.61 |
$13,949.22 |
2.4× |
| Removal foreign body foot deep (28192) |
$4,277.49 |
$8,554.97 |
2.6× |
| Removal foreign body foot subcutaneous (28190) |
$437.98 |
$875.95 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$4,044.09 |
$8,088.18 |
2.4× |
| Removal foreign body pharynx (42809) |
$584.67 |
$1,169.34 |
1.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$6,974.61 |
$13,949.22 |
2.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$167.88 |
$335.76 |
2.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$167.88 |
$335.76 |
2.8× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$6,818.31 |
$13,636.62 |
2.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,088.04 |
$2,176.08 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$276.42 |
$552.84 |
0.9× |
| Removal of nail bed (11750) |
$932.40 |
$1,864.80 |
2.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$258.87 |
$517.74 |
1.3× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,498.80 |
$2,997.60 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$704.82 |
$1,409.64 |
2.2× |
| Remove foreign body from eye (65210) |
$990.03 |
$1,980.06 |
2.2× |
| Remove Pilonidal Cyst Exten (11771) |
$6,974.61 |
$13,949.22 |
2.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$290.91 |
$581.82 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$315.12 |
$630.24 |
2.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$315.12 |
$630.24 |
2.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,464.60 |
$2,929.20 |
2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,464.60 |
$2,929.20 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$932.40 |
$1,864.80 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,464.60 |
$2,929.20 |
3.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,464.60 |
$2,929.20 |
3.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,464.60 |
$2,929.20 |
3.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,464.60 |
$2,929.20 |
2.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,464.60 |
$2,929.20 |
2.0× |
| Repair hand tendon (26410) |
$3,225.95 |
$6,451.89 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,347.45 |
$2,694.90 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,043.13 |
$2,086.26 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$655.43 |
$1,310.85 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,464.60 |
$2,929.20 |
2.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,100.37 |
$2,200.74 |
2.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,464.60 |
$2,929.20 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$932.40 |
$1,864.80 |
2.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,140.18 |
$6,280.35 |
1.5× |
| Repair of nail bed (11760) |
$1,464.60 |
$2,929.20 |
2.0× |
| Repair Tongue Laceration (41250) |
$315.12 |
$630.24 |
0.7× |
| Replace g/c tube perc (49450) |
$1,897.80 |
$3,795.60 |
2.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$172.59 |
$345.18 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$315.12 |
$630.24 |
2.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,809.17 |
$5,618.34 |
2.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$6,974.61 |
$13,949.22 |
2.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,583.34 |
$5,166.68 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$865.11 |
$1,730.22 |
3.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,379.61 |
$2,759.22 |
5.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,274.97 |
$4,549.93 |
4.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,379.61 |
$2,759.22 |
2.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,681.09 |
$5,362.18 |
1.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$932.40 |
$1,864.80 |
2.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,309.50 |
$2,619 |
6.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$506.85 |
$1,013.70 |
2.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,488.36 |
$2,976.72 |
3.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$506.85 |
$1,013.70 |
2.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$506.85 |
$1,013.70 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$1,305.67 |
$2,611.34 |
6.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$506.85 |
$1,013.70 |
2.5× |
| Skin Tissue Procedure (17999) |
$506.85 |
$1,013.70 |
2.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$1,349.50 |
$2,699 |
6.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$932.40 |
$1,864.80 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$561.48 |
$1,122.96 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,630.14 |
$3,260.28 |
2.3× |
| Strapping ankle (29540) |
$81.58 |
$163.15 |
0.5× |
| Strapping knee (29530) |
$193.35 |
$386.70 |
1.4× |
| Strapping shoulder (29240) |
$322.25 |
$644.50 |
2.4× |
| Strapping toes (29550) |
$77.62 |
$155.23 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,837.71 |
$3,675.42 |
2.9× |
| Thrombolytic Therapy, Stroke (37195) |
$892.71 |
$1,785.42 |
2.7× |
| Trach Tube Change (31502) |
$535.50 |
$1,071 |
2.3× |
| Treat finger dislocation (26775) |
$1,109.34 |
$2,218.68 |
3.9× |
| Treat Fracture Radius & Ulna (25560) |
$809.46 |
$1,618.92 |
3.3× |
| Treat humerus fracture (24500) |
$644.70 |
$1,289.40 |
2.6× |
| Treat humerus fracture (24577) |
$1,408.70 |
$2,817.40 |
0.9× |
| Treat humerus fracture (23600) |
$948.75 |
$1,897.50 |
3.8× |
| Treat knee fracture (27532) |
$1,800.36 |
$3,600.72 |
0.5× |
| Treat wrist bone fracture (25635) |
$4,049.82 |
$8,099.64 |
2.5× |
| Treat wrist bone fracture (25622) |
$888.15 |
$1,776.30 |
3.6× |
| Treat Wrist Bone Fracture (25630) |
$890.34 |
$1,780.68 |
3.6× |
| Treatment closed elbow dislocation req anes (24605) |
$4,049.82 |
$8,099.64 |
2.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$644.70 |
$1,289.40 |
2.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$359.82 |
$719.64 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$812.25 |
$1,624.50 |
1.1× |
| Vaginal delivery only (59409) |
$6,818.31 |
$13,636.62 |
2.1× |
| Venipuncture (36415) |
$24.72 |
$49.43 |
2.6× |