| Anoscopy diagnostic (46600) |
$76.50 |
$90 |
0.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$527 |
$620 |
0.5× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$748 |
$880 |
0.3× |
| Application cast elbow finger short arm (29075) |
$286.88 |
$337.50 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$252.88 |
$297.50 |
1.7× |
| Application finger splint static (29130) |
$46.75 |
$55 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$204 |
$240 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$63.75 |
$75 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$102 |
$120 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$127.50 |
$150 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$121.12 |
$142.50 |
1.0× |
| Application short leg splint calf foot (29515) |
$163.62 |
$192.50 |
1.1× |
| Apply multlay comprs arm/hand (29584) |
$297.50 |
$350 |
2.0× |
| Apply short leg cast (29405) |
$148.75 |
$175 |
0.6× |
| Apply short leg cast (29425) |
$148.75 |
$175 |
0.6× |
| Arterial puncture (36600) |
$95.50 |
$112.34 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$93.50 |
$110 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$244.38 |
$287.50 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$76.50 |
$90 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$116.88 |
$137.50 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$131.75 |
$155 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$463.25 |
$545 |
0.3× |
| Bladder Irrigation Simple (51700) |
$165.75 |
$195 |
0.7× |
| Bladder Scan (51798) |
$62.90 |
$74 |
1.2× |
| Blood patch (62273) |
$337.88 |
$397.50 |
0.5× |
| Blood transfusion service (36430) |
$382.50 |
$450 |
0.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$170 |
$200 |
0.8× |
| Chemical Cautery Tissue (17250) |
$55.25 |
$65 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$27.71 |
$32.60 |
0.2× |
| Circum 28 days or older (54161) |
$3,187.50 |
$3,750 |
1.7× |
| Circumcision (54150) |
$2,596.75 |
$3,055 |
1.4× |
| Closed Rx Radial Shaft Fx (25500) |
$365.50 |
$430 |
1.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$467.50 |
$550 |
2.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$510 |
$600 |
2.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$361.25 |
$425 |
1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$399.50 |
$470 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$306 |
$360 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,720 |
$3,200 |
12.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$888.25 |
$1,045 |
3.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$208.25 |
$245 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$340 |
$400 |
1.5× |
| Closure of vagina (57120) |
$12.75 |
$15 |
0.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$297.50 |
$350 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$590.75 |
$695 |
2.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$255 |
$300 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$425 |
$500 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$187 |
$220 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$924.38 |
$1,087.50 |
4.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$357 |
$420 |
0.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$191.25 |
$225 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$259.25 |
$305 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$170 |
$200 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$59.50 |
$70 |
0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$229.50 |
$270 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$323 |
$380 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$212.50 |
$250 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$59.50 |
$70 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$263.50 |
$310 |
1.2× |
| Cltx prox tibfib jt dislc req anes (27831) |
$238 |
$280 |
0.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$467.50 |
$550 |
2.1× |
| Colonoscopy flex w/rem forcep (45384) |
$990.68 |
$1,165.50 |
0.9× |
| Colonoscopy thru stoma (44388) |
$1,147.50 |
$1,350 |
1.3× |
| Colonoscopy w/fb removal (45379) |
$531.25 |
$625 |
0.5× |
| Complex Drainage, Wound (10180) |
$170 |
$200 |
0.1× |
| Complex Uroflowmetry (51741) |
$8.50 |
$10 |
0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$306 |
$360 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$170 |
$200 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170 |
$200 |
1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,125 |
$2,500 |
1.1× |
| Cystoscopy w/biopsy (52204) |
$1,134.75 |
$1,335 |
0.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,700 |
$2,000 |
0.9× |
| Cystoscopy,insert ureteral stent (52332) |
$1,568.25 |
$1,845 |
0.5× |
| Cystourethroscopy (52000) |
$680 |
$800 |
1.1× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,380 |
$2,800 |
1.2× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$2,358.75 |
$2,775 |
0.7× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$2,975 |
$3,500 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$233.75 |
$275 |
0.6× |
| Debride nail 1-5 (11720) |
$51 |
$60 |
0.9× |
| Debride nail 6 or more (11721) |
$72.25 |
$85 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$340 |
$400 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$879.75 |
$1,035 |
0.5× |
| Destroy internal hemorrhoids (46930) |
$55.25 |
$65 |
0.1× |
| Destroy lumb/sac facet jnt (64635) |
$879.75 |
$1,035 |
0.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$161.50 |
$190 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$212.50 |
$250 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$112.62 |
$132.50 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$255 |
$300 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$425.85 |
$501 |
2.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$102 |
$120 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$212.50 |
$250 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$839.38 |
$987.50 |
0.5× |
| Destruction of skin lesions (17106) |
$340 |
$400 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$97.75 |
$115 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$539.75 |
$635 |
0.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$582.25 |
$685 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$80.75 |
$95 |
0.1× |
| Drainage Finger Abscess Simple (26010) |
$408 |
$480 |
2.2× |
| Drainage of eyelid abscess (67700) |
$221 |
$260 |
0.8× |
| Drainage of gum lesion (41800) |
$348.50 |
$410 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$193.38 |
$227.50 |
0.1× |
| Draw blood off venous device (36591) |
$27.71 |
$32.60 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$204 |
$240 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$48.45 |
$57 |
0.3× |
| Dry Needling 3+ Muscles (20561) |
$29.75 |
$35 |
1.1× |
| Egd place gastrostomy tube (43246) |
$1,814.75 |
$2,135 |
1.0× |
| Egd rem tumr/polyp forcep (43250) |
$856.38 |
$1,007.50 |
0.5× |
| Egd remove lesion snare (43251) |
$965.60 |
$1,136 |
0.5× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,147.50 |
$1,350 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$1,517.25 |
$1,785 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$63.75 |
$75 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$314.50 |
$370 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$444.12 |
$522.50 |
0.7× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$4,683.50 |
$5,510 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$201.88 |
$237.50 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$191.25 |
$225 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$221 |
$260 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$255 |
$300 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$255 |
$300 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$327.25 |
$385 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,530 |
$1,800 |
0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,279.25 |
$1,505 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,963.50 |
$2,310 |
1.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$161.50 |
$190 |
0.2× |
| Excision hydrocele bilateral (55041) |
$2,805 |
$3,300 |
0.9× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$204 |
$240 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$246.50 |
$290 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$218.88 |
$257.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$420.75 |
$495 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$463.25 |
$545 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$346.38 |
$407.50 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$246.50 |
$290 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$595 |
$700 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$484.50 |
$570 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$212.50 |
$250 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$340 |
$400 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$340 |
$400 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$225.25 |
$265 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$255 |
$300 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$2,805 |
$3,300 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$127.50 |
$150 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$140.25 |
$165 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,422.50 |
$2,850 |
1.6× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$1,700 |
$2,000 |
0.9× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$340 |
$400 |
0.2× |
| I&d abscess simple (10060) |
$174.25 |
$205 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$680 |
$800 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$238 |
$280 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$255 |
$300 |
0.2× |
| Incise/drain eyelid lining (68020) |
$127.50 |
$150 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$278.38 |
$327.50 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,678.75 |
$1,975 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$743.75 |
$875 |
2.0× |
| Incision of lingual frenum (41010) |
$170 |
$200 |
0.1× |
| Incision of rectal abscess (46040) |
$1,077.38 |
$1,267.50 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$743.75 |
$875 |
1.1× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$386.75 |
$455 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$59.50 |
$70 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$365.50 |
$430 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$93.50 |
$110 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$119 |
$140 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$359.12 |
$422.50 |
0.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$344.25 |
$405 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$399.50 |
$470 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$178.50 |
$210 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$89.25 |
$105 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$46.75 |
$55 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$55.25 |
$65 |
0.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$272 |
$320 |
1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$43.35 |
$51 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$144.50 |
$170 |
1.2× |
| Insert picc cath (36569) |
$510 |
$600 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$72.25 |
$85 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$63.75 |
$75 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,049.75 |
$1,235 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$178.50 |
$210 |
0.8× |
| Ligation of hemorrhoid(s) (46221) |
$1,829.62 |
$2,152.50 |
2.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,700 |
$2,000 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$21.25 |
$25 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$448.38 |
$527.50 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$716.12 |
$842.50 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$711.88 |
$837.50 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$510 |
$600 |
2.2× |
| Placement of needle for intraosseous infusion (36680) |
$110.50 |
$130 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$527 |
$620 |
0.6× |
| Prostatectomy (turp) (52601) |
$4,194.75 |
$4,935 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$410.12 |
$482.50 |
1.1× |
| Puncture Aspiration (10160) |
$153 |
$180 |
0.4× |
| Removal fb intranasal (30300) |
$170 |
$200 |
1.4× |
| Removal foreign body foot subcutaneous (28190) |
$89.25 |
$105 |
0.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$170 |
$200 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$25.50 |
$30 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$119 |
$140 |
2.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$102 |
$120 |
0.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$89.25 |
$105 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$63.75 |
$75 |
0.2× |
| Remove foreign body from eye (65210) |
$106.25 |
$125 |
0.3× |
| Remove shoulder foreign body (23330) |
$255 |
$300 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$110.50 |
$130 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$85 |
$100 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$272 |
$320 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$591.60 |
$696 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$216.75 |
$255 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$429.25 |
$505 |
1.1× |
| Repair incomplete circumcision (54163) |
$1,343 |
$1,580 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$935 |
$1,100 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$289 |
$340 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$255 |
$300 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,066.75 |
$1,255 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$680.85 |
$801 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$674.05 |
$793 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$212.50 |
$250 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$331.50 |
$390 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$493 |
$580 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$255 |
$300 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$361.25 |
$425 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$110.50 |
$130 |
0.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,530 |
$1,800 |
0.8× |
| Repair of hydrocele (55060) |
$2,826.25 |
$3,325 |
0.9× |
| Repair of nail bed (11760) |
$276.25 |
$325 |
0.4× |
| Repair Tongue Laceration (41250) |
$561 |
$660 |
1.4× |
| Respir iadna 18 viral&2 bact (0115U) |
$195.50 |
$230 |
0.7× |
| Revise Eyelashes,Forceps (67820) |
$89.25 |
$105 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$62.90 |
$74 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$93.50 |
$110 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$408 |
$480 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$87.12 |
$102.50 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$79.90 |
$94 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$170 |
$200 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$97.75 |
$115 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$123.25 |
$145 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$89.25 |
$105 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$110.50 |
$130 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$80.75 |
$95 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$78.62 |
$92.50 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$567.38 |
$667.50 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$684.25 |
$805 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$221 |
$260 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$218.88 |
$257.50 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$297.50 |
$350 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$382.50 |
$450 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$182.75 |
$215 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.25 |
$325 |
1.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$7,611.75 |
$8,955 |
1.7× |
| Slitting of prepuce (54001) |
$1,700 |
$2,000 |
0.9× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,147.50 |
$1,350 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$221 |
$260 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$318.75 |
$375 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$357 |
$420 |
1.0× |
| Strapping ankle (29540) |
$297.50 |
$350 |
2.0× |
| Strapping knee (29530) |
$297.50 |
$350 |
2.4× |
| Strapping shoulder (29240) |
$297.50 |
$350 |
2.4× |
| Strapping toes (29550) |
$233.75 |
$275 |
4.3× |
| Strapping unna boot (29580) |
$297.50 |
$350 |
2.0× |
| Tangential biopsy skin single lesion (11102) |
$433.50 |
$510 |
1.2× |
| Treat finger dislocation (26775) |
$212.50 |
$250 |
0.8× |
| Treat Fracture Radius & Ulna (25560) |
$233.75 |
$275 |
1.0× |
| Treat humerus fracture (23600) |
$323 |
$380 |
1.4× |
| Treat Wrist Bone Fracture (25630) |
$212.50 |
$250 |
0.9× |
| Treatment of anal fissure (46940) |
$55.25 |
$65 |
0.0× |
| Trim skin lesion (11055) |
$46.75 |
$55 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$38.25 |
$45 |
0.2× |
| Trim skin lesions over 4 (11057) |
$93.50 |
$110 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$21.25 |
$25 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$127.50 |
$150 |
0.2× |
| Vaginal delivery only (59409) |
$1,870 |
$2,200 |
0.6× |
| Vasectomy (55250) |
$2,596.75 |
$3,055 |
1.4× |
| Venipuncture (36415) |
$17.90 |
$21.06 |
1.9× |