| Application short arm splint forearm-hand static (29125) |
$177.13 |
$295.22 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$120.98 |
$201.63 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$163.20 |
$272.02 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$116.65 |
$194.42 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$204.68 |
$341.13 |
1.0× |
| Bladder Scan (51798) |
$40.66 |
$67.77 |
0.7× |
| Blood transfusion service (36430) |
$482.62 |
$804.38 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$242.15 |
$403.59 |
0.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$213.66 |
$356.10 |
0.3× |
| Chemodenerv Musc Migraine (64615) |
$206.98 |
$344.97 |
0.6× |
| Chemodenerv Musc Neck Dyston (64616) |
$195.18 |
$325.30 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$229.98 |
$383.30 |
0.3× |
| Chemodenerv trunk musc 6/> (64647) |
$266.14 |
$443.57 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$69 |
$115 |
0.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$281.24 |
$468.73 |
1.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$189.43 |
$315.71 |
0.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$452.65 |
$754.41 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$206.62 |
$344.36 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$368.28 |
$613.80 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$447.74 |
$746.24 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,377.61 |
$2,296.01 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$1,161.13 |
$1,935.21 |
0.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,377.61 |
$2,296.01 |
1.1× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,377.61 |
$2,296.01 |
1.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,180.81 |
$1,968.02 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$980.82 |
$1,634.70 |
2.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,098.77 |
$1,831.29 |
1.5× |
| Debride nail 1-5 (11720) |
$79.04 |
$131.72 |
1.3× |
| Debride nail 6 or more (11721) |
$63.97 |
$106.61 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$646.73 |
$1,077.88 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$980.82 |
$1,634.70 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,626.04 |
$4,376.73 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$792.52 |
$1,320.87 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$777.58 |
$1,295.97 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$229.89 |
$383.15 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$193.67 |
$322.79 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$235.87 |
$393.12 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$154.82 |
$258.04 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$295.21 |
$492.01 |
0.3× |
| Drainage of hematoma/fluid (10140) |
$2,531.97 |
$4,219.95 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$196.80 |
$328 |
0.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,886.45 |
$3,144.08 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,105.85 |
$1,843.08 |
0.6× |
| Egd flexible foreign body removal (43247) |
$729.59 |
$1,215.99 |
0.8× |
| Egd guide wire insertion (43248) |
$740.68 |
$1,234.47 |
0.8× |
| Egd injection varices (43243) |
$497.54 |
$829.23 |
0.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$444.23 |
$740.38 |
0.2× |
| Egd place gastrostomy tube (43246) |
$515.30 |
$858.84 |
0.3× |
| Egd rem tumr/polyp forcep (43250) |
$820.52 |
$1,367.53 |
0.4× |
| Egd remove lesion snare (43251) |
$904.04 |
$1,506.74 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$885.61 |
$1,476.01 |
0.4× |
| Egd tube/cath insertion (43241) |
$319.85 |
$533.08 |
0.2× |
| Egd us exam duodenum/jejunum (43259) |
$787.21 |
$1,312.01 |
0.4× |
| Egd us fine needle bx/aspir (43242) |
$515.30 |
$858.84 |
0.3× |
| Egd Varices Ligation (43244) |
$497.54 |
$829.23 |
0.2× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$1,016.81 |
$1,694.68 |
0.2× |
| Endoscopic us exam esoph (43237) |
$688.81 |
$1,148.02 |
0.3× |
| Esoph endoscopy dilation (43226) |
$685.25 |
$1,142.08 |
0.3× |
| Esoph scope w/submucous inj (43201) |
$833.14 |
$1,388.56 |
0.4× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,003.69 |
$1,672.81 |
1.1× |
| Esophagoscopy flex biopsy (43202) |
$787.21 |
$1,312.01 |
0.4× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$984.01 |
$1,640.02 |
0.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$728.86 |
$1,214.76 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$688.81 |
$1,148.02 |
0.7× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$728.86 |
$1,214.76 |
0.4× |
| Esophagoscopy w/us needle bx (43232) |
$858.95 |
$1,431.59 |
0.4× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$721.60 |
$1,202.67 |
0.4× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$426.46 |
$710.77 |
0.2× |
| Esophagus endoscopy/ligation (43205) |
$426.46 |
$710.77 |
0.2× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,805.13 |
$3,008.55 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$199.49 |
$332.49 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,531.97 |
$4,219.95 |
1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,531.97 |
$4,219.95 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$426.02 |
$710.04 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$726.50 |
$1,210.84 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,437.56 |
$7,395.93 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,531.97 |
$4,219.95 |
1.5× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,531.97 |
$4,219.95 |
1.5× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$4,437.56 |
$7,395.93 |
1.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,437.56 |
$7,395.93 |
1.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,531.97 |
$4,219.95 |
1.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,098.77 |
$1,831.29 |
1.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,129.86 |
$1,883.10 |
0.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$230.54 |
$384.24 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$529.06 |
$881.76 |
1.3× |
| Excision of nail fold toe (11765) |
$459.94 |
$766.57 |
1.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,437.56 |
$7,395.93 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,098.77 |
$1,831.29 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$212.50 |
$354.17 |
0.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,098.77 |
$1,831.29 |
1.5× |
| I&d abscess simple (10060) |
$212.50 |
$354.17 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$1,098.77 |
$1,831.29 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$494.32 |
$823.86 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,531.97 |
$4,219.95 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$376.74 |
$627.90 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$980.82 |
$1,634.70 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$442.59 |
$737.65 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$140.86 |
$234.77 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$590.12 |
$983.54 |
0.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$184.41 |
$307.35 |
0.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$590.12 |
$983.54 |
0.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$295.07 |
$491.78 |
0.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$590.12 |
$983.54 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$442.59 |
$737.65 |
0.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$590.12 |
$983.54 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$116.65 |
$194.42 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$327.75 |
$546.25 |
0.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$295.07 |
$491.78 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$313.50 |
$522.50 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$221.30 |
$368.83 |
0.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$442.59 |
$737.65 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$116.65 |
$194.42 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$137.24 |
$228.74 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$221.30 |
$368.83 |
0.7× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$387.27 |
$645.45 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$184.70 |
$307.84 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$135.02 |
$225.04 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$262.41 |
$437.35 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$131.50 |
$219.16 |
0.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$491.27 |
$818.79 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$331.94 |
$553.23 |
0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$442.59 |
$737.65 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$807.11 |
$1,345.18 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$773.89 |
$1,289.82 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$669.92 |
$1,116.54 |
1.4× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$452.65 |
$754.41 |
0.4× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$399.91 |
$666.52 |
0.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$411.74 |
$686.23 |
0.1× |
| Proctosigmoidoscopy (45303) |
$1,686.12 |
$2,810.20 |
1.4× |
| Proctosigmoidoscopy ablate (45320) |
$492.01 |
$820.01 |
0.2× |
| Proctosigmoidoscopy removal (45308) |
$389.56 |
$649.27 |
0.1× |
| Proctosigmoidoscopy removal (45315) |
$465.76 |
$776.27 |
0.4× |
| Proctosigmoidoscopy w/bx (45305) |
$350.38 |
$583.97 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$321.45 |
$535.75 |
0.1× |
Proctosigmoidoscopy,Transendo Stent (45327)
likely a partial charge, not the full procedure |
$229.60 |
$382.66 |
0.0× |
| Punch biopsy skin single lesion (11104) |
$406.24 |
$677.06 |
1.0× |
| Puncture Aspiration (10160) |
$622.73 |
$1,037.88 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$20.51 |
$34.18 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$114.15 |
$190.25 |
1.9× |
| Removal of nail bed (11750) |
$512.06 |
$853.43 |
1.2× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$753.99 |
$1,256.65 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$238.33 |
$397.22 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$169.06 |
$281.76 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$142.15 |
$236.92 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$415.16 |
$691.92 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$622.73 |
$1,037.88 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$519.45 |
$865.75 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$556.66 |
$927.76 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$622.73 |
$1,037.88 |
1.5× |
| Repair of nail bed (11760) |
$706.90 |
$1,178.16 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$622.24 |
$1,037.07 |
1.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$583.85 |
$973.08 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$774.09 |
$1,290.15 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$312.66 |
$521.10 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$213.63 |
$356.05 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$312.66 |
$521.10 |
1.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$622.73 |
$1,037.88 |
1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$224.69 |
$374.48 |
1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$312.66 |
$521.10 |
1.5× |
| Sigmoidoscopy & decompress (45337) |
$284.31 |
$473.85 |
0.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$309.18 |
$515.30 |
0.2× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$380.48 |
$634.13 |
0.4× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$872.26 |
$1,453.76 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$393.61 |
$656.02 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$721.60 |
$1,202.67 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$564.17 |
$940.29 |
0.5× |
| Sigmoidoscopy w/us guide bx (45342) |
$485.44 |
$809.07 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$622.73 |
$1,037.88 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$333.45 |
$555.75 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$271.83 |
$453.05 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$622.73 |
$1,037.88 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$312.66 |
$521.10 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$312.66 |
$521.10 |
1.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$312.66 |
$521.10 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$243.76 |
$406.26 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$312.66 |
$521.10 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$312.66 |
$521.10 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$257.62 |
$429.36 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$622.73 |
$1,037.88 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$613.78 |
$1,022.98 |
1.5× |
| Strapping ankle (29540) |
$69.54 |
$115.90 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$148.35 |
$247.25 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,037.95 |
$1,729.92 |
1.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$552.36 |
$920.60 |
0.3× |
| Trim skin lesion (11055) |
$85.01 |
$141.68 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$104.23 |
$173.72 |
0.5× |
| Trim skin lesions over 4 (11057) |
$117.53 |
$195.89 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$39.09 |
$65.15 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$980.82 |
$1,634.70 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$622.73 |
$1,037.88 |
1.5× |
| Vaginal delivery only (59409) |
$1,066.16 |
$1,776.93 |
0.3× |
| Venipuncture (36415) |
$20.61 |
$34.35 |
2.2× |