| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$818.40 |
$1,023 |
1.0× |
| Anoscopy diagnostic (46600) |
$140 |
$175 |
1.1× |
| Application cast elbow finger short arm (29075) |
$420 |
$525 |
1.6× |
| Application Cast Finger (29086) |
$200 |
$250 |
1.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$280 |
$350 |
1.9× |
| Application cast shoulder hand long arm (29065) |
$420.80 |
$526 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$197.60 |
$247 |
3.6× |
| Application finger splint static (29130) |
$163.20 |
$204 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$220 |
$275 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$116 |
$145 |
0.9× |
| Application short leg splint calf foot (29515) |
$140 |
$175 |
0.9× |
| Apply short leg cast (29405) |
$420.80 |
$526 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$68 |
$85 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$76 |
$95 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$128 |
$160 |
0.7× |
| Bladder Irrigation Simple (51700) |
$284 |
$355 |
1.2× |
| Bladder Scan (51798) |
$116 |
$145 |
2.1× |
| Blood transfusion service (36430) |
$680 |
$850 |
1.7× |
| Change Cystostomy Tube Simple (51705) |
$340 |
$425 |
1.5× |
| Chemical Cautery Tissue (17250) |
$220 |
$275 |
1.2× |
| Chest tube placement (32551) |
$967.20 |
$1,209 |
0.7× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$108.80 |
$136 |
0.9× |
| Closed Rx Med Malleolus Fx (27760) |
$280 |
$350 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$264 |
$330 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$276 |
$345 |
1.2× |
| Closed Rx Trimalleolar Fx (27816) |
$320 |
$400 |
1.4× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$240 |
$300 |
1.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$288 |
$360 |
1.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$192 |
$240 |
0.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$288 |
$360 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$262.40 |
$328 |
1.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$174.40 |
$218 |
0.8× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$3,893.60 |
$4,867 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$226.40 |
$283 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$312 |
$390 |
1.4× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$276.80 |
$346 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$243.20 |
$304 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$245.60 |
$307 |
1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$288 |
$360 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$264 |
$330 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$273.60 |
$342 |
1.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$288 |
$360 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$204 |
$255 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$252 |
$315 |
1.1× |
| Cltx greater trochanteric fx w/o manj (27246) |
$180 |
$225 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$360 |
$450 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$361.20 |
$451.50 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$760 |
$950 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$244.80 |
$306 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$288 |
$360 |
1.3× |
| Complete replacement picc rs&i (36584) |
$1,840 |
$2,300 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$272 |
$340 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$148 |
$185 |
1.2× |
| Cryotherapy of skin (17340) |
$100 |
$125 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$302.40 |
$378 |
0.8× |
| Debride nail 1-5 (11720) |
$88 |
$110 |
1.6× |
| Debride nail 6 or more (11721) |
$88 |
$110 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$220 |
$275 |
0.6× |
| Declot vascular device (36593) |
$387.20 |
$484 |
1.3× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$28 |
$35 |
0.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$200 |
$250 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$140 |
$175 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$100 |
$125 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$76 |
$95 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$1,803.20 |
$2,254 |
1.2× |
| Draw blood off venous device (36591) |
$112 |
$140 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$380 |
$475 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$300 |
$375 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$68 |
$85 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$260 |
$325 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$360 |
$450 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$120 |
$150 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$200 |
$250 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$140 |
$175 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$100 |
$125 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$120 |
$150 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$120 |
$150 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$480 |
$600 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$380 |
$475 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$400 |
$500 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$100 |
$125 |
0.2× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$120 |
$150 |
0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$200 |
$250 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$220 |
$275 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$100 |
$125 |
0.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$124 |
$155 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$100 |
$125 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$200 |
$250 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$220 |
$275 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$100 |
$125 |
0.1× |
| Excision of nail fold toe (11765) |
$340 |
$425 |
0.9× |
| I&d abscess simple (10060) |
$260 |
$325 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$344.80 |
$431 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$384 |
$480 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$220 |
$275 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$124 |
$155 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$72 |
$90 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$200 |
$250 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$684.80 |
$856 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$148 |
$185 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$331.20 |
$414 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$220.80 |
$276 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$134 |
$167.50 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$142.40 |
$178 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$467.20 |
$584 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$279.20 |
$349 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$180 |
$225 |
0.5× |
| Puncture Aspiration (10160) |
$260 |
$325 |
0.7× |
| Removal fb intranasal (30300) |
$124 |
$155 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$140 |
$175 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$120 |
$150 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$110 |
$137.50 |
2.0× |
| Removal of nail bed (11750) |
$340 |
$425 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$280 |
$350 |
1.5× |
| Remove foreign body from eye (65210) |
$200 |
$250 |
0.5× |
| Remove wrist tendon lesion (25111) |
$280 |
$350 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$140 |
$175 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$140 |
$175 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$618.40 |
$773 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$747.20 |
$934 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$421.20 |
$526.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$360 |
$450 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$586.40 |
$733 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$360 |
$450 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$712.80 |
$891 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$420.80 |
$526 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$325.20 |
$406.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$380 |
$475 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$440 |
$550 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$464.80 |
$581 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$260 |
$325 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$380 |
$475 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$440 |
$550 |
1.2× |
| Repair of nail bed (11760) |
$380 |
$475 |
0.6× |
| Repair Spica/Body/Jacket Cast (29720) |
$140 |
$175 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$320 |
$400 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,120 |
$1,400 |
1.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$120 |
$150 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$100 |
$125 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$100 |
$125 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$100 |
$125 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$140 |
$175 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$140 |
$175 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$361.60 |
$452 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$204 |
$255 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$254 |
$317.50 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$290 |
$362.50 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$337.20 |
$421.50 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$291.60 |
$364.50 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$376 |
$470 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$264.80 |
$331 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$460 |
$575 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$460 |
$575 |
1.2× |
| Strapping ankle (29540) |
$127.20 |
$159 |
0.9× |
| Strapping elbow/wrist (29260) |
$125.60 |
$157 |
2.3× |
| Strapping hand/finger (29280) |
$85.60 |
$107 |
1.6× |
| Strapping Hip (29520) |
$154.40 |
$193 |
1.3× |
| Strapping knee (29530) |
$158.40 |
$198 |
1.3× |
| Strapping shoulder (29240) |
$169.60 |
$212 |
1.4× |
| Strapping unna boot (29580) |
$280 |
$350 |
1.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$620 |
$775 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$509.60 |
$637 |
1.7× |
| Treat Fracture Radius & Ulna (25560) |
$168 |
$210 |
0.7× |
| Treat humerus fracture (24500) |
$272.80 |
$341 |
1.2× |
| Treat wrist bone fracture (25622) |
$240 |
$300 |
1.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$305.60 |
$382 |
1.3× |
| Trim skin lesion (11055) |
$100 |
$125 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$120 |
$150 |
0.7× |
| Trim skin lesions over 4 (11057) |
$140 |
$175 |
0.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$88 |
$110 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$724.80 |
$906 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$272 |
$340 |
0.7× |
| Venipuncture (36415) |
$28 |
$35 |
3.0× |