| Abd paracentesis w/imaging (49083) |
$148.20 |
$247 |
0.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$559.80 |
$933 |
0.6× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$1,047 |
$1,745 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$111 |
$185 |
0.7× |
| Application cast elbow finger short arm (29075) |
$130.50 |
$217.50 |
0.5× |
| Application Cast Finger (29086) |
$87.60 |
$146 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$174.60 |
$291 |
0.6× |
| Application finger splint static (29130) |
$85.80 |
$143 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$105 |
$175 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$67.20 |
$112 |
0.4× |
| Application of long leg cast (29345) |
$161.10 |
$268.50 |
0.6× |
| Application, cast; figure-of-eight (29049) |
$130.50 |
$217.50 |
0.5× |
| Apply multlay comprs arm/hand (29584) |
$111 |
$185 |
0.7× |
| Apply short leg cast (29405) |
$132.60 |
$221 |
0.5× |
| Arterial puncture (36600) |
$87.60 |
$146 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$322.20 |
$537 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$199.80 |
$333 |
0.7× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$270 |
$450 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$168.30 |
$280.50 |
0.9× |
| Bladder Irrigation Simple (51700) |
$174.60 |
$291 |
0.7× |
| Bladder Scan (51798) |
$42 |
$70 |
0.7× |
| Blood transfusion service (36430) |
$476.40 |
$794 |
1.1× |
| Bone marrow aspiration only (38220) |
$980.40 |
$1,634 |
0.6× |
| Bone Marrow Biopsy (38221) |
$980.40 |
$1,634 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$2,022 |
$3,370 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$980.40 |
$1,634 |
0.6× |
| Chest tube placement (32551) |
$745.20 |
$1,242 |
0.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$79.20 |
$132 |
0.6× |
| Circum 28 days or older (54161) |
$360 |
$600 |
0.2× |
| Circumcision (54150) |
$210 |
$350 |
0.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$321 |
$535 |
1.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$309.90 |
$516.50 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$165.60 |
$276 |
0.7× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$840.30 |
$1,400.50 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$159.30 |
$265.50 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$298.80 |
$498 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$134.10 |
$223.50 |
0.6× |
| Closed Rx Trimalleolar Fx (27816) |
$134.70 |
$224.50 |
0.6× |
| Closed Treat Vert Body Fract (22310) |
$294.60 |
$491 |
1.2× |
| Closed Treatment Coccygeal Fracture (27200) |
$201.60 |
$336 |
0.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,960.20 |
$3,267 |
0.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$265.20 |
$442 |
1.1× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$1,290.90 |
$2,151.50 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$112.80 |
$188 |
0.5× |
| Closed Treatment Sternum Fracture (21820) |
$254.40 |
$424 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$255.90 |
$426.50 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$178.20 |
$297 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$916.20 |
$1,527 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$257.10 |
$428.50 |
1.1× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$242.70 |
$404.50 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$316.20 |
$527 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$214.20 |
$357 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$807 |
$1,345 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$855 |
$1,425 |
3.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$219 |
$365 |
0.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$273.60 |
$456 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$980.40 |
$1,634 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$287.40 |
$479 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$974.40 |
$1,624 |
0.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$273 |
$455 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$205.20 |
$342 |
0.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$274.20 |
$457 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$232.50 |
$387.50 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$348.30 |
$580.50 |
1.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$222.30 |
$370.50 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$278.40 |
$464 |
1.2× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$661.80 |
$1,103 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$785.40 |
$1,309 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$293.40 |
$489 |
1.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$246.60 |
$411 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$980.40 |
$1,634 |
0.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$174.60 |
$291 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$174.60 |
$291 |
0.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$170.10 |
$283.50 |
0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$321 |
$535 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$244.80 |
$408 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$333 |
$555 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$980.40 |
$1,634 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$174.60 |
$291 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$405.30 |
$675.50 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$165 |
$275 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$178.20 |
$297 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$169.80 |
$283 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$263.40 |
$439 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$223.50 |
$372.50 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$246 |
$410 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$165.60 |
$276 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$279.30 |
$465.50 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$409.80 |
$683 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$244.50 |
$407.50 |
1.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$980.40 |
$1,634 |
0.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,849.80 |
$3,083 |
1.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$171.90 |
$286.50 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$138.60 |
$231 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$165 |
$275 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$103.80 |
$173 |
0.8× |
Cryosurgical ablation prostate w/us & monitori (55873)
likely a partial charge, not the full procedure |
$1,389 |
$2,315 |
0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$227.40 |
$379 |
1.8× |
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure |
$720 |
$1,200 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$267.60 |
$446 |
0.1× |
| Cysto w/ureter stricture tx (52341) |
$507 |
$845 |
0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$660 |
$1,100 |
0.2× |
Cystolithotomy w rem stone wo vn res (51050)
likely a partial charge, not the full procedure |
$870 |
$1,450 |
0.2× |
| Cystoscopy and treatment (52290) |
$450 |
$750 |
0.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$285 |
$475 |
0.1× |
| Cystoscopy,insert ureteral stent (52332) |
$276 |
$460 |
0.1× |
| Cystourethroscopy (52000) |
$147 |
$245 |
0.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$360 |
$600 |
0.5× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$450 |
$750 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$468 |
$780 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$555 |
$925 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$760.80 |
$1,268 |
1.9× |
| Debride nail 1-5 (11720) |
$48.30 |
$80.50 |
0.9× |
| Destruction anal lesion(s) (46924) |
$330 |
$550 |
0.1× |
| Destruction benign lesions 15 or more (17111) |
$150 |
$250 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$165 |
$275 |
0.2× |
| Destruction of multiple growths of penis (54065) |
$309 |
$515 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$652.20 |
$1,087 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$168 |
$280 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$869.10 |
$1,448.50 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$1,400.40 |
$2,334 |
0.9× |
| Draw blood off venous device (36591) |
$83.40 |
$139 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$140.40 |
$234 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$75.60 |
$126 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,852.20 |
$3,087 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,973.40 |
$3,289 |
1.2× |
| Exc forearm les sc < 3 cm (25075) |
$828 |
$1,380 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$828 |
$1,380 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,908 |
$3,180 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$736.50 |
$1,227.50 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$980.40 |
$1,634 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,908 |
$3,180 |
1.2× |
| Excision of nail fold toe (11765) |
$245.40 |
$409 |
0.6× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$840 |
$1,400 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$235.80 |
$393 |
0.1× |
| Fetal non-stress test (59025) |
$149.40 |
$249 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$211.80 |
$353 |
1.0× |
| I&d abscess simple (10060) |
$166.20 |
$277 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,750.80 |
$2,918 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,680.60 |
$2,801 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$277.50 |
$462.50 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$330 |
$550 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$832.20 |
$1,387 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$226.80 |
$378 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$125.10 |
$208.50 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$200.40 |
$334 |
0.7× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
likely a partial charge, not the full procedure |
$1,260 |
$2,100 |
0.2× |
| Incision of rectal abscess (46040) |
$1,514.40 |
$2,524 |
1.3× |
| Incision of urethra (53020) |
$201 |
$335 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$105 |
$175 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$420.60 |
$701 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$420.60 |
$701 |
0.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$420.60 |
$701 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$420.60 |
$701 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$420.60 |
$701 |
0.6× |
| Injection for identification of sentinel node (38792) |
$205.61 |
$342.69 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$316.20 |
$527 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$316.20 |
$527 |
1.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$271.80 |
$453 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$157.80 |
$263 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$1,260 |
$2,100 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$720.90 |
$1,201.50 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$87.60 |
$146 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$87.60 |
$146 |
0.7× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$300 |
$500 |
0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,750.80 |
$2,918 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$204.90 |
$341.50 |
0.9× |
| Lithotripsy (50590) |
$1,256.25 |
$2,093.75 |
0.4× |
| Lysis of labial adhesions (56441) |
$255 |
$425 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$360 |
$600 |
0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$454.80 |
$758 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,960.20 |
$3,267 |
0.6× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,199.10 |
$1,998.50 |
0.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$918 |
$1,530 |
0.3× |
| Peritoneal Lavage (49084) |
$559.80 |
$933 |
0.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,190.40 |
$1,984 |
0.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,155 |
$1,925 |
0.6× |
| Pin finger fracture each (26756) |
$2,725.20 |
$4,542 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$453 |
$755 |
1.1× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$525 |
$875 |
0.2× |
Prostatectomy (turp) (52601)
likely a partial charge, not the full procedure |
$1,290 |
$2,150 |
0.3× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
likely a partial charge, not the full procedure |
$570 |
$950 |
0.1× |
| Puncture Aspiration (10160) |
$175.80 |
$293 |
0.4× |
| Reconstruction of urethra (54324) |
$1,710 |
$2,850 |
0.5× |
| Reduce testis torsion (54600) |
$1,200 |
$2,000 |
0.4× |
| Removal fb intranasal (30300) |
$113.10 |
$188.50 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$442.20 |
$737 |
0.6× |
| Removal foreign body pharynx (42809) |
$219 |
$365 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$69.60 |
$116 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$60.60 |
$101 |
1.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$1,960.20 |
$3,267 |
0.6× |
| Removal of fascia for graft (20922) |
$900 |
$1,500 |
0.5× |
| Removal of intrauterine device (iud) (58301) |
$162.90 |
$271.50 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$116.40 |
$194 |
0.6× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$1,206 |
$2,010 |
0.4× |
| Remove bladder stone (52318) |
$900 |
$1,500 |
0.3× |
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure |
$720 |
$1,200 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$85.20 |
$142 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$88.50 |
$147.50 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$438.60 |
$731 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$441 |
$735 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$315 |
$525 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$350.40 |
$584 |
0.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$340.20 |
$567 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$392.40 |
$654 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$681.30 |
$1,135.50 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$373.20 |
$622 |
0.5× |
| Repair incomplete circumcision (54163) |
$391.20 |
$652 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$316.50 |
$527.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$231 |
$385 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$249.30 |
$415.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$383.70 |
$639.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$258.30 |
$430.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$270.90 |
$451.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$540.30 |
$900.50 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$351.30 |
$585.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$300.60 |
$501 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$245.40 |
$409 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$319.80 |
$533 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$823.50 |
$1,372.50 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$282.60 |
$471 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$199.80 |
$333 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$260.40 |
$434 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$372 |
$620 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$238.20 |
$397 |
0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$822.90 |
$1,371.50 |
0.4× |
| Repair of hydrocele (55060) |
$720 |
$1,200 |
0.2× |
| Repair of nail bed (11760) |
$196.20 |
$327 |
0.3× |
| Repair of vagina (57260) |
$1,410 |
$2,350 |
0.3× |
| Repair rectum & vagina (57250) |
$1,050 |
$1,750 |
0.2× |
| Revision of urethra (53450) |
$750 |
$1,250 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$169.20 |
$282 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$537.60 |
$896 |
0.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$135 |
$225 |
0.1× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$780 |
$1,300 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$322.80 |
$538 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$146.70 |
$244.50 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$155.70 |
$259.50 |
0.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$393 |
$655 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$179.10 |
$298.50 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$220.20 |
$367 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$329.70 |
$549.50 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$144.60 |
$241 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$260.10 |
$433.50 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$163.80 |
$273 |
0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,278 |
$2,130 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$153.30 |
$255.50 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$237.90 |
$396.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$270 |
$450 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$291.60 |
$486 |
0.4× |
| Strapping ankle (29540) |
$77.10 |
$128.50 |
0.5× |
| Strapping elbow/wrist (29260) |
$69.90 |
$116.50 |
1.2× |
| Strapping hand/finger (29280) |
$66.60 |
$111 |
1.2× |
| Strapping knee (29530) |
$112.20 |
$187 |
0.9× |
| Strapping shoulder (29240) |
$76.20 |
$127 |
0.6× |
| Strapping toes (29550) |
$51.30 |
$85.50 |
0.9× |
| Strapping unna boot (29580) |
$105 |
$175 |
0.7× |
| Suspension of testis (54640) |
$870 |
$1,450 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$235.80 |
$393 |
0.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$454.80 |
$758 |
0.8× |
| Transurethral incision of prostate (52450) |
$900 |
$1,500 |
0.3× |
| Transurethral resection of bladder neck (52500) |
$870 |
$1,450 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
$221.70 |
$369.50 |
0.9× |
| Treat humerus fracture (23600) |
$268.50 |
$447.50 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$243 |
$405 |
1.0× |
Treat radius fracture (24665)
likely a partial charge, not the full procedure |
$548.40 |
$914 |
0.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$747 |
$1,245 |
0.5× |
| Treat wrist bone fracture (25622) |
$236.70 |
$394.50 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$174 |
$290 |
0.7× |
| Treatment closed elbow dislocation req anes (24605) |
$980.40 |
$1,634 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$391.50 |
$652.50 |
1.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$120.90 |
$201.50 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$310.50 |
$517.50 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$254.70 |
$424.50 |
0.7× |
| Venipuncture (36415) |
$16.20 |
$27 |
1.7× |