| Abd paracentesis w/imaging (49083) |
$1,672.50 |
$1,672.50 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,566 |
$1,566 |
2.0× |
| Amputation Finger/Thumb (26951) |
$3,481.50 |
$3,481.50 |
1.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$380.50 |
$380.50 |
2.7× |
| Application cast shoulder hand long arm (29065) |
$125 |
$125 |
0.5× |
| Application finger splint static (29130) |
$151.50 |
$151.50 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$135 |
$135 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$199.50 |
$199.50 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$195.50 |
$195.50 |
1.7× |
| Application short leg splint calf foot (29515) |
$195 |
$195 |
1.4× |
| Apply short leg cast (29405) |
$378 |
$378 |
1.6× |
| Apply short leg cast (29425) |
$711 |
$711 |
2.9× |
| Arterial puncture (36600) |
$118 |
$118 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$182 |
$182 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$185 |
$185 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$90 |
$90 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$365 |
$365 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$152.50 |
$152.50 |
0.9× |
| Biopsy of mouth lesion (40808) |
$436 |
$436 |
0.9× |
| Blood transfusion service (36430) |
$522 |
$522 |
1.4× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$663 |
$663 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$372 |
$372 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$175 |
$175 |
0.8× |
| Chemical Cautery Tissue (17250) |
$100 |
$100 |
0.6× |
| Chest tube placement (32551) |
$500 |
$500 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$345 |
$345 |
3.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$234 |
$234 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$352 |
$352 |
1.7× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$670 |
$670 |
0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$176 |
$176 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$300 |
$300 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$898 |
$898 |
4.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$100 |
$100 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$894 |
$894 |
4.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$400 |
$400 |
0.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$280 |
$280 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$325 |
$325 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$225 |
$225 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$225 |
$225 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$525 |
$525 |
2.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$725 |
$725 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$630 |
$630 |
3.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$300 |
$300 |
1.4× |
| Complex Drainage, Wound (10180) |
$375 |
$375 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$139 |
$139 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$300 |
$300 |
2.6× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$865 |
$865 |
4.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$177 |
$177 |
1.5× |
| Debride nail 1-5 (11720) |
$157 |
$157 |
3.1× |
| Debride nail 6 or more (11721) |
$196 |
$196 |
3.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$228 |
$228 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$630 |
$630 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,575.50 |
$1,575.50 |
1.1× |
| Declot vascular device (36593) |
$350 |
$350 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$74 |
$74 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$150 |
$150 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$150 |
$150 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$100 |
$100 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$125 |
$125 |
0.7× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$215 |
$215 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$160 |
$160 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$341.50 |
$341.50 |
2.0× |
| Drainage of gum lesion (41800) |
$195 |
$195 |
1.7× |
| Drainage of hematoma/fluid (10140) |
$2,874 |
$2,874 |
2.0× |
| Draw blood off venous device (36591) |
$199 |
$199 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$175 |
$175 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$217.50 |
$217.50 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$145 |
$145 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$111 |
$111 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$230 |
$230 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$356.50 |
$356.50 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$220 |
$220 |
0.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$2,300 |
$2,300 |
0.8× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$1,997 |
$1,997 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$495 |
$495 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$240 |
$240 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$212.50 |
$212.50 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$427.50 |
$427.50 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$298 |
$298 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,240 |
$1,240 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$600 |
$600 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,235 |
$3,235 |
3.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$472.50 |
$472.50 |
0.8× |
| Excise/repair mouth lesion (40812) |
$1,997 |
$1,997 |
1.5× |
| Excision benign tumor/cyst mandible encl & curt (21040) |
$1,997 |
$1,997 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$250 |
$250 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$220 |
$220 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$500 |
$500 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$320 |
$320 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$200 |
$200 |
0.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
$2,300 |
$2,300 |
0.8× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$1,997 |
$1,997 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$640 |
$640 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$342.50 |
$342.50 |
0.2× |
| Excision of nail fold toe (11765) |
$175 |
$175 |
0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$300 |
$300 |
0.1× |
| Excision torus mandibularis (21031) |
$1,997 |
$1,997 |
0.7× |
| Exploration maxillary sinus (31030) |
$3,500 |
$3,500 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,440 |
$1,440 |
2.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$240 |
$240 |
1.3× |
| Gingivectomy, excision gingiva, each quadrant (41820) |
$176 |
$176 |
0.1× |
| I&d abscess simple (10060) |
$246.50 |
$246.50 |
1.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,484 |
$5,484 |
3.0× |
| I&d pilonidal cyst simple (10080) |
$146 |
$146 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$282.50 |
$282.50 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$375 |
$375 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$203.50 |
$203.50 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$100 |
$100 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$275 |
$275 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$1,944 |
$1,944 |
3.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$379.50 |
$379.50 |
1.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$150 |
$150 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$354 |
$354 |
0.1× |
| Insert picc cath (36569) |
$4,308 |
$4,308 |
3.2× |
| Insert Temp Bladder Cath (51702) |
$183 |
$183 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$655 |
$655 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$247.50 |
$247.50 |
1.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$186 |
$186 |
1.1× |
| Open rx mandible fx+extern fix (21454) |
$3,980.50 |
$3,980.50 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$250 |
$250 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$339 |
$339 |
0.9× |
| Puncture Aspiration (10160) |
$250 |
$250 |
0.7× |
| Removal fb intranasal (30300) |
$214 |
$214 |
1.9× |
| Removal foreign body foot subcutaneous (28190) |
$170 |
$170 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$200 |
$200 |
0.1× |
| Removal foreign body pharynx (42809) |
$60 |
$60 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$52.50 |
$52.50 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$105 |
$105 |
2.1× |
| Removal of arm foreign body (24200) |
$100 |
$100 |
0.1× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,488 |
$1,488 |
1.1× |
| Removal of nail bed (11750) |
$170 |
$170 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$160 |
$160 |
0.9× |
| Remove drug implant device (11982) |
$288 |
$288 |
0.7× |
| Remove shoulder foreign body (23330) |
$640 |
$640 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$142.50 |
$142.50 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$112.50 |
$112.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$176.50 |
$176.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$200 |
$200 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$175 |
$175 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$230 |
$230 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$323 |
$323 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$172 |
$172 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$198.50 |
$198.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$175 |
$175 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$304 |
$304 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$162 |
$162 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$186.50 |
$186.50 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$282.50 |
$282.50 |
0.8× |
| Repair Tongue Laceration (41250) |
$170 |
$170 |
0.4× |
| Repair tooth socket (41874) |
$2,300 |
$2,300 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$831 |
$831 |
2.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$640 |
$640 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$600 |
$600 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$4,308 |
$4,308 |
3.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$160 |
$160 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$139 |
$139 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$165 |
$165 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$155 |
$155 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$165 |
$165 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$196 |
$196 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$195 |
$195 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$198.50 |
$198.50 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$186 |
$186 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$630 |
$630 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$595 |
$595 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$167.50 |
$167.50 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$411 |
$411 |
0.7× |
| Strapping ankle (29540) |
$120 |
$120 |
0.9× |
| Strapping knee (29530) |
$100 |
$100 |
0.9× |
| Strapping shoulder (29240) |
$185 |
$185 |
1.6× |
| Strapping toes (29550) |
$95 |
$95 |
1.9× |
| Strapping unna boot (29580) |
$172.50 |
$172.50 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$500 |
$500 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,446 |
$1,446 |
2.7× |
| Trach Tube Change (31502) |
$80 |
$80 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,300 |
$1,300 |
6.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,320 |
$1,320 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$225 |
$225 |
1.1× |
| Trim skin lesion (11055) |
$174 |
$174 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$198.50 |
$198.50 |
1.1× |
| Trim skin lesions over 4 (11057) |
$103 |
$103 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$103 |
$103 |
2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$400 |
$400 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$290 |
$290 |
0.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$502 |
$502 |
2.5× |
| Venipuncture (36415) |
$10 |
$10 |
1.1× |
| Venipuncture, cutdown; age 1 or over (36425) |
$20 |
$20 |
0.1× |