| Application cast elbow finger short arm (29075) |
$131.25 |
$175 |
0.5× |
| Application Cast Finger (29086) |
$120 |
$160 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$174.56 |
$232.75 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$81 |
$108 |
1.4× |
| Application finger splint static (29130) |
$53.44 |
$71.25 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$181.12 |
$241.50 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$118.12 |
$157.50 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$82.59 |
$110.12 |
0.6× |
| Application short leg splint calf foot (29515) |
$136.50 |
$182 |
0.8× |
| Apply short leg cast (29405) |
$198.75 |
$265 |
0.7× |
| Apply short leg cast (29425) |
$87 |
$116 |
0.3× |
| Arterial puncture (36600) |
$107.62 |
$143.50 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$87 |
$116 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$165.56 |
$220.75 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$69 |
$92 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$165.75 |
$221 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$131.25 |
$175 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$170.25 |
$227 |
0.2× |
| Biopsy of uterus lining (58100) |
$236.25 |
$315 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$414 |
$552 |
0.1× |
| Bladder Scan (51798) |
$159.19 |
$212.25 |
2.7× |
| Blood patch (62273) |
$646.69 |
$862.25 |
0.9× |
| Blood transfusion service (36430) |
$264.47 |
$352.62 |
0.6× |
| Bx vulva/perineum 1 lesion (56605) |
$150 |
$200 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$232.12 |
$309.50 |
0.9× |
| Chemical Cautery Tissue (17250) |
$116.25 |
$155 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$283.50 |
$378 |
0.9× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$108.84 |
$145.12 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$521.25 |
$695 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$521.25 |
$695 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$962.81 |
$1,283.75 |
0.6× |
| Colonoscopy flex w/rem forcep (45384) |
$702.94 |
$937.25 |
0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$702.94 |
$937.25 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$702.94 |
$937.25 |
0.6× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$164.25 |
$219 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$143.44 |
$191.25 |
1.1× |
| Cystourethroscopy (52000) |
$1,033.69 |
$1,378.25 |
1.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$66 |
$88 |
0.2× |
| Debride nail 1-5 (11720) |
$39.75 |
$53 |
0.7× |
| Debride nail 6 or more (11721) |
$78.75 |
$105 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$178.50 |
$238 |
0.4× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$240 |
$320 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$75 |
$100 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$93.75 |
$125 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$174 |
$232 |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$228 |
$304 |
1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$165.75 |
$221 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$128.25 |
$171 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$248.25 |
$331 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$66 |
$88 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$325.03 |
$433.38 |
0.3× |
| Dilate Urethra Stricture (53600) |
$165.38 |
$220.50 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$688.12 |
$917.50 |
0.8× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$165.38 |
$220.50 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$256.50 |
$342 |
0.2× |
| Draw blood off venous device (36591) |
$115.31 |
$153.75 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$291.56 |
$388.75 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$87 |
$116 |
0.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$688.12 |
$917.50 |
0.4× |
| Egd flexible foreign body removal (43247) |
$688.12 |
$917.50 |
0.8× |
| Egd guide wire insertion (43248) |
$688.12 |
$917.50 |
0.8× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$688.12 |
$917.50 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$688.12 |
$917.50 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$44.25 |
$59 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$306 |
$408 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$318.75 |
$425 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$131.25 |
$175 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$360 |
$480 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$645 |
$860 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$240 |
$320 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$131.25 |
$175 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$131.25 |
$175 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$289.50 |
$386 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$426 |
$568 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$376.50 |
$502 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$426 |
$568 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$261 |
$348 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$562.50 |
$750 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$261 |
$348 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$87 |
$116 |
0.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$9 |
$12 |
0.0× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$342.75 |
$457 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$152.25 |
$203 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$174 |
$232 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$426 |
$568 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$218.25 |
$291 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$356.25 |
$475 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$196.50 |
$262 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$239.25 |
$319 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$732 |
$976 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$294 |
$392 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$348 |
$464 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$426 |
$568 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$463.50 |
$618 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$513 |
$684 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$256.50 |
$342 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$314.25 |
$419 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$131.25 |
$175 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$186.75 |
$249 |
0.1× |
| Excision of nail fold toe (11765) |
$131.25 |
$175 |
0.3× |
| I&d abscess simple (10060) |
$131.25 |
$175 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$231.75 |
$309 |
0.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$702.94 |
$937.25 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,430.06 |
$1,906.75 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$152.25 |
$203 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$231.75 |
$309 |
0.6× |
| Incision thrombosed hemorrhoid external (46083) |
$376.50 |
$502 |
1.5× |
| Initial tx 1st degree burn local tx (16000) |
$99.75 |
$133 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$109.50 |
$146 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$646.69 |
$862.25 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$565.69 |
$754.25 |
0.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$109.50 |
$146 |
0.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$646.69 |
$862.25 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$87 |
$116 |
0.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$646.69 |
$862.25 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$357.84 |
$477.12 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$172.50 |
$230 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$87 |
$116 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$69 |
$92 |
0.3× |
| Insert Drug Implant Device (11981) |
$289.50 |
$386 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$704.16 |
$938.88 |
0.2× |
| Insert pessary/other device (57160) |
$138.75 |
$185 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$142.22 |
$189.62 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$103.31 |
$137.75 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$281.16 |
$374.88 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$162.19 |
$216.25 |
0.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$835.50 |
$1,114 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$131.25 |
$175 |
0.3× |
| Removal fb intranasal (30300) |
$131.25 |
$175 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$131.25 |
$175 |
0.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$131.25 |
$175 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$80.25 |
$107 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$40.50 |
$54 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$152.25 |
$203 |
0.2× |
| Removal of intrauterine device (iud) (58301) |
$149.25 |
$199 |
0.5× |
| Removal of nail bed (11750) |
$174 |
$232 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$66 |
$88 |
0.3× |
| Remove drug implant device (11982) |
$152.25 |
$203 |
0.3× |
| Remove foreign body from eye (65210) |
$108 |
$144 |
0.2× |
| Remove wrist tendon lesion (25111) |
$840 |
$1,120 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$211.50 |
$282 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$699 |
$932 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$475.50 |
$634 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$802.50 |
$1,070 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$653.25 |
$871 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$401.25 |
$535 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$442.50 |
$590 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$261 |
$348 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$294 |
$392 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$348 |
$464 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$339.75 |
$453 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$438.75 |
$585 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$360 |
$480 |
0.9× |
| Replace g/c tube perc (49450) |
$140.06 |
$186.75 |
0.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$781.50 |
$1,042 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$252.75 |
$337 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$99.75 |
$133 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$365.62 |
$487.50 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$264.38 |
$352.50 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$109.50 |
$146 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$66 |
$88 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$182.25 |
$243 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$141 |
$188 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$168.75 |
$225 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$66 |
$88 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$109.50 |
$146 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$153 |
$204 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$178.50 |
$238 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$168.75 |
$225 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$136.50 |
$182 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$337.50 |
$450 |
0.4× |
| Simple destruction of growth of penis using electric current (54055) |
$213.56 |
$284.75 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$109.50 |
$146 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$131.25 |
$175 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$112.50 |
$150 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$438.75 |
$585 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$152.25 |
$203 |
0.8× |
| Small bowel endoscopy/biopsy (44377) |
$702.94 |
$937.25 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$131.25 |
$175 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$314.25 |
$419 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$404.44 |
$539.25 |
0.6× |
| Strapping ankle (29540) |
$41.25 |
$55 |
0.3× |
| Strapping elbow/wrist (29260) |
$46.31 |
$61.75 |
0.8× |
| Strapping hand/finger (29280) |
$46.88 |
$62.50 |
0.8× |
| Strapping Hip (29520) |
$178.88 |
$238.50 |
1.3× |
| Strapping knee (29530) |
$46.31 |
$61.75 |
0.3× |
| Strapping shoulder (29240) |
$144.94 |
$193.25 |
1.1× |
| Strapping thorax (29200) |
$48.38 |
$64.50 |
0.3× |
| Strapping toes (29550) |
$29.62 |
$39.50 |
0.5× |
| Strapping unna boot (29580) |
$93.75 |
$125 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$112.50 |
$150 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$243.75 |
$325 |
0.2× |
| Trim skin lesion (11055) |
$66 |
$88 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$87 |
$116 |
0.4× |
| Trim skin lesions over 4 (11057) |
$91.50 |
$122 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$23.25 |
$31 |
0.4× |
| Unlisted Procedure Casting/Strapping (29799) |
$188.81 |
$251.75 |
1.2× |
| Vasectomy (55250) |
$835.50 |
$1,114 |
0.4× |
| Venipuncture (36415) |
$12.56 |
$16.75 |
1.3× |