| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$655.50 |
$771.50 |
0.7× |
| Acne Surgery (10040) |
$55 |
$65 |
0.3× |
| Amputation follow-up surgery (23921) |
$206 |
$242 |
0.1× |
| Application cast elbow finger short arm (29075) |
$143 |
$168 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$143.50 |
$168.50 |
0.9× |
| Application finger splint static (29130) |
$146 |
$172 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$137.50 |
$161.50 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$136 |
$159.50 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$101 |
$119 |
0.8× |
| Application short leg splint calf foot (29515) |
$125 |
$147 |
0.8× |
| Apply short leg cast (29405) |
$223.50 |
$263 |
0.8× |
| Apply short leg cast (29425) |
$314 |
$369 |
1.1× |
| Arterial puncture (36600) |
$146 |
$172 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$71 |
$83 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$340 |
$400 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$69 |
$81 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$68 |
$80 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$167 |
$196.50 |
0.8× |
| Bladder Irrigation Simple (51700) |
$347 |
$408 |
1.4× |
| Blood transfusion service (36430) |
$516 |
$607 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$347 |
$408 |
1.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$340 |
$400 |
0.2× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$268 |
$315 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$268 |
$315 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$242.50 |
$285 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$268 |
$315 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$268 |
$315 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$268 |
$315 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$362 |
$426 |
0.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,813 |
$2,133 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$268 |
$315 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$268 |
$315 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$268 |
$315 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$395 |
$465 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$268 |
$315 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$268 |
$315 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$195 |
$229 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,813 |
$2,133 |
1.1× |
| Complex Drainage, Wound (10180) |
$2,059 |
$2,422 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$150 |
$177 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$133 |
$156.50 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$150 |
$177 |
1.1× |
| Cystourethroscopy (52000) |
$337 |
$396 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$91 |
$107 |
0.2× |
| Debride nail 1-5 (11720) |
$63 |
$74 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$272 |
$320 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$255 |
$300 |
0.2× |
| Declot vascular device (36593) |
$263 |
$309 |
0.8× |
| Destruction benign lesions 15 or more (17111) |
$162 |
$190 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$136 |
$160 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$221 |
$260 |
1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$173 |
$204 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$135 |
$159 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$193 |
$227 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$214 |
$252 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$77 |
$91 |
0.4× |
| Dilation of vagina (57400) |
$14 |
$16 |
0.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$20 |
$23 |
0.0× |
| Drainage Finger Abscess Simple (26010) |
$128 |
$150 |
0.6× |
| Drainage of gum lesion (41800) |
$213 |
$250 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$667.50 |
$785.50 |
0.4× |
| Draw blood off venous device (36591) |
$146 |
$172 |
1.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$34 |
$40 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$234 |
$275 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$153 |
$180 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$104 |
$122.50 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$562 |
$661 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$289 |
$340 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$289 |
$340 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$144 |
$169 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$761 |
$895.50 |
0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2 |
$2 |
0.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$153 |
$180 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$137 |
$161 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$192 |
$226 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$241 |
$283 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$255 |
$300 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$422 |
$497 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$431 |
$507 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$176 |
$207 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$461.50 |
$543 |
0.6× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$183 |
$215 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$289 |
$340 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$459 |
$540 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$493 |
$580 |
0.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$478 |
$562 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$725 |
$853 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$254 |
$299 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,221 |
$1,436 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$236 |
$278 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$245 |
$288 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$692 |
$814.50 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$128 |
$150 |
0.1× |
| Excision of nail fold toe (11765) |
$310 |
$364.50 |
0.8× |
| Excision Prepatellar Bursa (27340) |
$634 |
$746 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$645 |
$759 |
0.2× |
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure |
$41 |
$48 |
0.0× |
| Exploration penetrating wound spx extremity (20103) |
$810 |
$953 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$64 |
$75 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$344 |
$405 |
1.6× |
| I&d abscess simple (10060) |
$165.50 |
$194.50 |
0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$638 |
$750 |
0.2× |
| I&d perianal abscess superficial (46050) |
$1,033 |
$1,215 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$540 |
$635 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$334 |
$392.50 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$282 |
$331.50 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$367 |
$432 |
1.2× |
| Incision of rectal abscess (46040) |
$1,350 |
$1,588 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$347 |
$408 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$185 |
$218 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$234 |
$275 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$204 |
$240 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$72 |
$85 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$204 |
$240 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$797 |
$938 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$206 |
$242.50 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$206 |
$242.50 |
0.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$214.50 |
$252.50 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$47 |
$55 |
0.2× |
| Insert Drug Implant Device (11981) |
$314 |
$369 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$3,872 |
$4,555 |
1.2× |
| Insert picc cath (36569) |
$1,831 |
$2,154 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$96 |
$113 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$96 |
$113 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$308 |
$362 |
1.3× |
| Laryngoscopy Direct Aspiration (31515) |
$490 |
$576 |
1.2× |
| Lengthening of hand tendon (26478) |
$15 |
$18 |
0.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$20 |
$24 |
0.7× |
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure |
$20.50 |
$24 |
0.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,114 |
$2,487 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$347 |
$408 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$353 |
$415 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$149 |
$175 |
0.4× |
| Puncture Aspiration (10160) |
$274 |
$322 |
0.7× |
| Removal fb intranasal (30300) |
$113.50 |
$133.50 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$442 |
$520 |
0.3× |
| Removal foreign body foot deep (28192) |
$391 |
$460 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$511 |
$601 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$47 |
$55.50 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$60 |
$71 |
1.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$314 |
$369 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$170 |
$200 |
0.6× |
| Removal of nail bed (11750) |
$373.50 |
$439 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$91 |
$107 |
0.5× |
| Remove drug implant device (11982) |
$333.50 |
$392 |
0.7× |
| Remove foreign body from eye (65210) |
$221 |
$260 |
0.5× |
| Remove/graft foot lesion (28103) |
$3,915 |
$4,606 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$146 |
$172 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$108 |
$127 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$682 |
$802 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$682 |
$802 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$763 |
$898 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$682 |
$802 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$682 |
$802 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$327 |
$384.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$450 |
$529 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$450 |
$529 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$450 |
$529 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$450 |
$529 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$450 |
$529 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$450 |
$529 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$311.50 |
$366 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$450 |
$529 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$682 |
$802 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$450 |
$529 |
1.1× |
| Repair of nail bed (11760) |
$682 |
$802 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,687 |
$4,338 |
1.1× |
Repair/graft radius & ulna (25420)
likely a partial charge, not the full procedure |
$18 |
$21 |
0.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$353 |
$415 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$146 |
$172 |
1.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$399 |
$469 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$103 |
$121 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$91 |
$107 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$116 |
$137 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$136 |
$160 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$273 |
$321 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$122 |
$144 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$106 |
$125 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$128 |
$150 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$188.50 |
$221.50 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$181 |
$212.50 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$234 |
$275 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$234 |
$275 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$175 |
$206 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$234 |
$275 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$234 |
$275 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$198 |
$232.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$358.50 |
$421.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$450 |
$529 |
1.1× |
| Strapping ankle (29540) |
$184 |
$216 |
1.1× |
| Strapping elbow/wrist (29260) |
$54 |
$64 |
0.9× |
| Strapping hand/finger (29280) |
$63 |
$74.50 |
1.1× |
| Strapping knee (29530) |
$146 |
$172 |
1.1× |
| Strapping shoulder (29240) |
$146 |
$172 |
1.1× |
| Strapping unna boot (29580) |
$184 |
$216 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$92 |
$108 |
0.2× |
| Tendon lengthening (26476) |
$12 |
$14 |
0.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$275 |
$324 |
1.2× |
| Treat humerus fracture (23600) |
$268 |
$315 |
1.1× |
| Treat knee fracture (27532) |
$3,687 |
$4,338 |
1.1× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$5 |
$6 |
0.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$268 |
$315 |
1.1× |
| Trim skin lesion (11055) |
$42 |
$49.50 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$102 |
$120 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$55 |
$65 |
0.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$184 |
$216 |
1.1× |
| Vaginal delivery only (59409) |
$3,415 |
$4,018 |
1.1× |
| Venipuncture (36415) |
$7.50 |
$9 |
0.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$353 |
$415 |
0.8× |