| Abd paracentesis w/imaging (49083) |
$951 |
$951 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$951 |
$951 |
0.8× |
| Acne surgery (10040) |
$227 |
$227 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,034 |
$1,034 |
0.9× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$173 |
$173 |
0.9× |
| Application cast elbow finger short arm (29075) |
$322 |
$322 |
0.9× |
Application finger splint static (29130) range across 2 matching MRF lines |
$145–$146 |
$145–$146 |
varies |
Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$180–$292 |
$180–$292 |
varies |
| Application Long Leg Splint (29505) |
$243 |
$243 |
1.2× |
| Application of long leg cast (29345) |
$317 |
$317 |
0.9× |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$134–$235 |
$134–$235 |
varies |
| Application short leg splint calf foot (29515) |
$165 |
$165 |
0.8× |
| Apply hand/wrist cast (29085) |
$191 |
$191 |
0.9× |
| Apply long arm cast (29065) |
$312 |
$312 |
0.9× |
| Apply Short Leg Cast (29405) |
$282 |
$282 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$311 |
$311 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$849 |
$849 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$595 |
$595 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$328 |
$328 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$391 |
$391 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$925 |
$925 |
1.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$340 |
$340 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$283 |
$283 |
1.1× |
| Bladder Irrigation (51700) |
$499 |
$499 |
1.6× |
| Bladder Scan (51798) |
$78 |
$78 |
1.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$530 |
$530 |
1.3× |
| Blood Transfusion Service (36430) |
$1,161 |
$1,161 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$1,701 |
$1,701 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$279 |
$279 |
0.9× |
| Change of Windpipe Airway (31502) |
$545 |
$545 |
1.8× |
| Chemical Cautery Tissue (17250) |
$227 |
$227 |
0.9× |
| Chest tube placement (32551) |
$1,680 |
$1,680 |
0.9× |
| Clear outer ear canal (69200) |
$207 |
$207 |
1.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$571 |
$571 |
1.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,098 |
$1,098 |
3.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$807 |
$807 |
2.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,686 |
$1,686 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$258 |
$258 |
0.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,686 |
$1,686 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,018 |
$1,018 |
3.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,773 |
$1,773 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,686 |
$1,686 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,789 |
$1,789 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$584 |
$584 |
1.9× |
| Closed tx septal&nose fx (21337) |
$7,438 |
$7,438 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$550 |
$550 |
1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$259 |
$259 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$659 |
$659 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,821 |
$1,821 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$878 |
$878 |
2.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,878 |
$1,878 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$267 |
$267 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$271 |
$271 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$829 |
$829 |
2.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$584 |
$584 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,686 |
$1,686 |
0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$4,317 |
$4,317 |
2.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$6,082 |
$6,082 |
3.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$271 |
$271 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$470 |
$470 |
1.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$297 |
$297 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$752 |
$752 |
2.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$4,619 |
$4,619 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$940 |
$940 |
3.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,730 |
$1,730 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$829 |
$829 |
2.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,686 |
$1,686 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$258 |
$258 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$807 |
$807 |
2.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$528 |
$528 |
1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,818 |
$1,818 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$606 |
$606 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,789 |
$1,789 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$363 |
$363 |
2.2× |
| Collection of venous blood by venipuncture (36415) |
$50 |
$50 |
5.4× |
| Colonoscopy w/ablation (45388) |
$2,907 |
$2,907 |
1.9× |
| Colonoscopy W/Resection (45390) |
$2,946 |
$2,946 |
0.9× |
| Colonoscopy w/submucosal inj (45381) |
$3,641 |
$3,641 |
2.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$3,666 |
$3,666 |
2.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,943 |
$2,943 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$613 |
$613 |
3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$299 |
$299 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$567 |
$567 |
3.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,756 |
$3,756 |
1.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$771 |
$771 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$418 |
$418 |
0.8× |
| Declot vascular device (36593) |
$1,004 |
$1,004 |
2.4× |
| Delivery of placenta (59414) |
$3,280 |
$3,280 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$2,207 |
$2,207 |
1.9× |
| Drain Cerebro Spinal Fluid (62272) |
$803 |
$803 |
0.9× |
| Drain/inj small joint/bursa w/us (20604) |
$335 |
$335 |
0.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$577 |
$577 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$809 |
$809 |
0.9× |
| Drainage Mouth Roof Lesion (42000) |
$256 |
$256 |
0.9× |
| Drainage of finger abscess simple (26010) |
$285 |
$285 |
1.1× |
| Drainage of gum lesion (41800) |
$458 |
$458 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$1,870 |
$1,870 |
0.9× |
| Drainage of nose lesion (30000) |
$277 |
$277 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,701 |
$1,701 |
0.8× |
| Drainage of scrotum (54700) |
$2,305 |
$2,305 |
0.9× |
| Draw Blood Off Venous Device (36591) |
$363 |
$363 |
2.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$2,155 |
$2,155 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$452 |
$452 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$210 |
$210 |
0.8× |
| Dx Bronchoscope/Wash (31622) |
$2,093 |
$2,093 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$3,324 |
$3,324 |
1.4× |
| Egd cautery tumor polyp (43250) |
$3,330 |
$3,330 |
1.4× |
| Egd endo mucosal resection (43254) |
$2,280 |
$2,280 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,822 |
$2,822 |
1.2× |
| Egd remove lesion snare (43251) |
$3,442 |
$3,442 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$147 |
$147 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$738 |
$738 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$418 |
$418 |
0.8× |
| Hysterotomy Abdominal (59100) |
$4,739 |
$4,739 |
0.8× |
| I&d abscess peritonsillar (42700) |
$442 |
$442 |
1.5× |
| I&d abscess simple (10060) |
$294 |
$294 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,220 |
$3,220 |
0.9× |
| I&d perianal abscess superficial (46050) |
$959 |
$959 |
0.8× |
| I&d pilonidal cyst complicated (10081) |
$738 |
$738 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$738 |
$738 |
0.8× |
| Incise external hemorrhoid (46083) |
$259 |
$259 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$568 |
$568 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,701 |
$1,701 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$418 |
$418 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$437 |
$437 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$392 |
$392 |
1.0× |
| Incision of rectal abscess (46040) |
$1,238 |
$1,238 |
0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,701 |
$1,701 |
0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$243 |
$243 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$624 |
$624 |
1.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$803 |
$803 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$634 |
$634 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$311 |
$311 |
0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$3,715 |
$3,715 |
3.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$803 |
$803 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$726 |
$726 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$180 |
$180 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$3,344 |
$3,344 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$247 |
$247 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$214 |
$214 |
1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,855 |
$1,855 |
0.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,546 |
$3,546 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$545 |
$545 |
1.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$268 |
$268 |
0.9× |
| Laryngoscopy flexible diagnostic (31575) |
$224 |
$224 |
0.9× |
| N block inj intercost sng (64420) |
$60 |
$60 |
0.1× |
| N Block Lumbar/Thoracic (64520) |
$956 |
$956 |
0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$604 |
$604 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$360 |
$360 |
0.9× |
| Occipital Nerve Block (64405) |
$311 |
$311 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$418 |
$418 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$418 |
$418 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$1,701 |
$1,701 |
0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$738 |
$738 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$234 |
$234 |
3.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$229 |
$229 |
3.1× |
| Removal of nail bed (11750) |
$634 |
$634 |
1.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$282 |
$282 |
0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$213 |
$213 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$299 |
$299 |
0.9× |
| Remove foreign body from eye (65205) |
$281 |
$281 |
1.7× |
| Remove Intrauterine Device (58301) |
$658 |
$658 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$381 |
$381 |
2.3× |
| Remove Shoulder Foreign Body (23330) |
$1,701 |
$1,701 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,167 |
$1,167 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,910 |
$1,910 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$924 |
$924 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,257 |
$1,257 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,098 |
$1,098 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,167 |
$1,167 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$988 |
$988 |
1.1× |
| Repair Eyelid Wound (67935) |
$2,643 |
$2,643 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$663 |
$663 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$748 |
$748 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,018 |
$1,018 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,350 |
$1,350 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$418 |
$418 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$666 |
$666 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$842 |
$842 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,117 |
$1,117 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$657 |
$657 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$418 |
$418 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$854 |
$854 |
1.7× |
| Repair of nail bed (11760) |
$659 |
$659 |
0.7× |
| Repair tongue laceration (41250) |
$646 |
$646 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$418 |
$418 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$351 |
$351 |
2.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$451 |
$451 |
0.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,067 |
$3,067 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$659 |
$659 |
0.8× |
| Rplc Gtube No Revj Trc (43762) |
$845 |
$845 |
2.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$490 |
$490 |
2.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$577 |
$577 |
0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,725 |
$1,725 |
0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,448 |
$2,448 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$315 |
$315 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$369 |
$369 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$495 |
$495 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$259 |
$259 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$388 |
$388 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$413 |
$413 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$617 |
$617 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$726 |
$726 |
0.8× |
| Strapping ankle (29540) |
$265 |
$265 |
1.3× |
| Strapping elbow or wrist (29260) |
$229 |
$229 |
3.1× |
| Strapping hand/finger (29280) |
$229 |
$229 |
3.1× |
| Strapping knee (29530) |
$266 |
$266 |
1.6× |
| Strapping shoulder (29240) |
$217 |
$217 |
1.3× |
| Strapping toes (29550) |
$166 |
$166 |
2.3× |
| Strapping Unna Boot (29580) |
$420 |
$420 |
2.1× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$2,452 |
$2,452 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$792 |
$792 |
2.6× |
| Treat Thumb Dislocation (26641) |
$1,161 |
$1,161 |
3.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$4,331 |
$4,331 |
2.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,092 |
$1,092 |
3.5× |
| Vaginal delivery only (59409) |
$3,280 |
$3,280 |
0.8× |
| Wedge excision skin nail fold (11765) |
$418 |
$418 |
0.8× |