| Abd paracentesis w/imaging (49083) |
$1,820.50 |
$2,600.50 |
2.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,821 |
$2,601.50 |
2.0× |
| Adding Walker Previously Applied Cast (29440) |
$58 |
$83 |
0.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,968 |
$2,811 |
0.9× |
| Amputation Finger/Thumb (26951) |
$4,857 |
$6,939 |
1.5× |
| Anoscopy diagnostic (46600) |
$207 |
$295.50 |
1.5× |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
$203 |
$290 |
0.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,833 |
$2,618 |
2.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$315 |
$450 |
1.9× |
| Application cast elbow finger short arm (29075) |
$648 |
$926 |
2.3× |
| Application Cast Finger (29086) |
$104 |
$148 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$370 |
$528.50 |
2.3× |
| Application cast shoulder hand long arm (29065) |
$529 |
$756 |
1.9× |
| Application Cast Shoulder Spica (29055) |
$305 |
$436 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$147.50 |
$210.50 |
2.5× |
| Application finger splint static (29130) |
$220 |
$314 |
1.6× |
| Application halo type body cast (29000) |
$485 |
$693 |
1.7× |
| Application Hip Spica Cast 1 Leg (29305) |
$337 |
$482 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$384 |
$549 |
2.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$450.50 |
$643.50 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$315 |
$450 |
1.9× |
| Application Of Body Cast (29015) |
$401 |
$573 |
1.4× |
| Application of body cast, shoulder to hips; including both thighs Other Surgical Services (29046) |
$430 |
$614 |
1.5× |
| Application of body cast, shoulder to hips; including head, Minerva type Other Surgical Services (29040) |
$401 |
$573 |
1.4× |
| Application of body cast, shoulder to hips; Other Surgical Services (29035) |
$352 |
$503 |
1.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$168 |
$240 |
0.6× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$372 |
$532 |
1.3× |
| Application of long leg cast (29345) |
$529 |
$756 |
1.9× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$167 |
$239 |
0.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$538 |
$768 |
1.9× |
| Application of shoulder to hip body cast and thigh (29044) |
$393 |
$562 |
2.4× |
| Application Short Arm Splint Dynamic (29126) |
$384 |
$549 |
2.9× |
| Application short arm splint forearm-hand static (29125) |
$239.50 |
$342 |
1.8× |
| Application short leg splint calf foot (29515) |
$315 |
$450 |
1.9× |
| Application, cast; figure-of-eight (29049) |
$135 |
$193 |
0.5× |
| Apply Body Cast,Risser Jacket (29010) |
$374 |
$534 |
1.3× |
| Apply long leg cast brace (29358) |
$219 |
$313 |
0.8× |
| Apply multlay comprs arm/hand (29584) |
$315 |
$450 |
1.9× |
| Apply of clubfoot cast (29450) |
$255.50 |
$365 |
1.6× |
| Apply patella tendon bearing cast (29435) |
$167 |
$239 |
0.6× |
| Apply short leg cast (29405) |
$529 |
$756 |
1.9× |
| Apply short leg cast (29425) |
$406 |
$579.50 |
1.4× |
| Arterial puncture (36600) |
$278.50 |
$398 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$620 |
$886 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,421 |
$2,030 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$680.50 |
$972.50 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$367 |
$524.50 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$620 |
$886 |
2.0× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$88 |
$126 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$227.50 |
$325 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$741 |
$1,059 |
0.4× |
| Biopsy of tongue (41100) |
$224 |
$320 |
0.4× |
| Biopsy of uterus lining (58100) |
$132 |
$188 |
0.6× |
| Biopsy tongue posterior one-third (41105) |
$408 |
$583 |
0.1× |
| Bladder Irrigation Simple (51700) |
$599 |
$856 |
2.4× |
| Bladder Scan (51798) |
$127 |
$181 |
2.1× |
| Blood patch (62273) |
$1,455.50 |
$2,079 |
2.1× |
| Blood transfusion service (36430) |
$1,068 |
$1,526 |
2.4× |
| Bx breast 1st lesion us imag (19083) |
$1,080 |
$1,543 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$494 |
$706 |
2.0× |
| Chemical Cautery Tissue (17250) |
$258.50 |
$369.50 |
1.3× |
| Chest tube placement (32551) |
$1,691 |
$2,415 |
1.1× |
| Circum 28 days or older (54161) |
$4,302 |
$6,145 |
2.0× |
| Circumcision (54150) |
$4,075 |
$5,822 |
1.9× |
| Circumcision Neonate (54160) |
$1,313 |
$1,876 |
1.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$456 |
$652 |
1.8× |
| Closed Rx Med Malleolus Fx (27760) |
$456 |
$652 |
1.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,163 |
$4,519 |
2.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$3,163 |
$4,519 |
2.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,634 |
$2,334 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$456 |
$652 |
1.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$333 |
$475 |
1.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$456 |
$652 |
1.8× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$3,163 |
$4,519 |
2.0× |
| Closed Rx Trimalleolar Fx (27816) |
$456 |
$652 |
1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$456 |
$652 |
1.8× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$3,163 |
$4,519 |
2.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$456 |
$652 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$464 |
$663 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,163 |
$4,519 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$456 |
$652 |
1.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$456 |
$652 |
1.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,163 |
$4,519 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$456 |
$652 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$456 |
$652 |
1.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$4,701 |
$6,716 |
3.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$456 |
$652 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$699 |
$998 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,163 |
$4,519 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$456 |
$652 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,137 |
$4,482 |
1.9× |
| Closed tx septal&nose fx (21337) |
$4,701 |
$6,716 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$472 |
$674 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,163 |
$4,519 |
2.0× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$456 |
$652 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$456 |
$652 |
1.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$942 |
$1,346 |
4.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$3,163 |
$4,519 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$456 |
$652 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,257 |
$6,081 |
2.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$566 |
$809 |
2.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,163 |
$4,519 |
2.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$690 |
$986 |
2.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$456 |
$652 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$456 |
$652 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$456 |
$652 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$456 |
$652 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$333 |
$475 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,626 |
$2,322.50 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,163 |
$4,519 |
2.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$456 |
$652 |
1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,163 |
$4,519 |
2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$456 |
$652 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$456 |
$652 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$547 |
$782 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$456 |
$652 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,163 |
$4,519 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$456 |
$652 |
1.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$456 |
$652 |
1.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$529 |
$756 |
1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$504 |
$720 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$333 |
$475 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$609 |
$870 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$456 |
$652 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,163 |
$4,519 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$606 |
$865 |
2.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,163 |
$4,519 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$456 |
$652 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$456 |
$652 |
1.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$3,163 |
$4,519 |
2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$456 |
$652 |
1.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,163 |
$4,519 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$456 |
$652 |
1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,163 |
$4,519 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$456 |
$652 |
1.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,137 |
$4,481 |
1.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,163 |
$4,519 |
2.0× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,163 |
$4,519 |
2.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$456 |
$652 |
1.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,163 |
$4,519 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,634 |
$2,334 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$361 |
$516 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$272 |
$388 |
1.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$755 |
$1,079 |
0.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$678 |
$968 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$154.50 |
$220 |
0.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$345 |
$493 |
1.1× |
| Colposcopy vulva (56820) |
$268 |
$383 |
1.3× |
| Colposcopy vulva w/biopsy (56821) |
$359 |
$513 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$326 |
$466 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$380 |
$543 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$320 |
$457 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$263.50 |
$376 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$333 |
$475 |
2.5× |
| Curette/treat cornea (65435) |
$1,924 |
$2,749 |
1.9× |
| Cystourethroscopy (52000) |
$138 |
$197 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$860 |
$1,228 |
2.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$5,685 |
$8,122 |
1.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,408 |
$2,011 |
2.0× |
| Debride nail 1-5 (11720) |
$127 |
$181 |
2.1× |
| Debride skin musc at fx site (11011) |
$1,408 |
$2,011 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$798 |
$1,140 |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,269 |
$1,812.50 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,244 |
$4,634 |
2.0× |
| Delivery placenta separate procedure (59414) |
$6,235 |
$8,907 |
1.9× |
| Destroy cerv/thor facet jnt (64633) |
$4,101 |
$5,858 |
2.1× |
| Destroy lumb/sac facet jnt (64635) |
$4,101 |
$5,858 |
2.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$289 |
$413 |
1.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,870 |
$2,671 |
2.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,101 |
$5,858 |
2.1× |
| Destruction premalignant lesion 1st (17000) |
$76 |
$109 |
0.4× |
| Drain shoulder bursa (23031) |
$15 |
$22 |
0.0× |
| Drain/inj small joint/bursa w/us (20604) |
$600 |
$857 |
1.9× |
| Drainage Finger Abscess Simple (26010) |
$581 |
$830 |
2.9× |
| Drainage of eyelid abscess (67700) |
$623 |
$890 |
2.0× |
| Drainage of gum lesion (41800) |
$244 |
$348 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$1,548 |
$2,211.50 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$3,307 |
$4,724 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$618.50 |
$883.50 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$399 |
$570.50 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$419.50 |
$599.50 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$224.50 |
$320.50 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$348 |
$497 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$323 |
$461 |
0.2× |
| Exc face les sbq 2 cm/> (21012) |
$443 |
$633 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$193 |
$276 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$309 |
$441 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$216 |
$309 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$335 |
$478 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$232 |
$332 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$268 |
$383 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$384 |
$549 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$303 |
$433 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$522 |
$745 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$446 |
$637 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$433 |
$618 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$426 |
$609 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$684 |
$977 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$549 |
$784 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$606 |
$866 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$5,240 |
$7,485 |
4.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$183 |
$262 |
0.3× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$725 |
$1,036 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$613 |
$876 |
0.2× |
| Excision hand/finger tendon (26415) |
$11 |
$15 |
0.0× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$266 |
$380 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$309 |
$441 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$330 |
$472 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$377 |
$538 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$420 |
$600 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$274 |
$392 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$320 |
$457 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$363 |
$518 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$526 |
$752 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$267 |
$382 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$309 |
$442 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$342 |
$489 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$400 |
$572 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$456 |
$651 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$235 |
$336 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$262 |
$374 |
0.4× |
| Excision of hydrocele; unilateral (55040) |
$7,438 |
$10,626 |
2.1× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$207 |
$296 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$242 |
$346 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$171 |
$244 |
0.1× |
| Excision of nail fold toe (11765) |
$258.50 |
$369.50 |
0.6× |
| Excision soft tissue lesion, external auditory canal (69145) |
$553 |
$790 |
0.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$713 |
$1,018 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$505 |
$722 |
0.3× |
| Fetal non-stress test (59025) |
$293 |
$418 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$122 |
$175 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$900.50 |
$1,286.50 |
2.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,649 |
$5,213 |
1.8× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,649 |
$5,213 |
1.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,649 |
$5,213 |
1.8× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$3,649 |
$5,213 |
1.8× |
| Fusion of foot bones (28715) |
— |
$2 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$635.50 |
$908 |
2.9× |
| Harvest cultured skin graft (15040) |
$3,649 |
$5,213 |
1.8× |
| I&D Abscess Peritonsillar (42700) |
$942 |
$1,346 |
4.0× |
| I&d abscess simple (10060) |
$400 |
$572 |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$4,032 |
$5,760 |
1.9× |
| I&d perianal abscess superficial (46050) |
$1,800 |
$2,572 |
1.9× |
| I&d pilonidal cyst simple (10080) |
$1,368 |
$1,954.50 |
1.9× |
| Implant neuroelectrodes (63650) |
$13,782 |
$19,689 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$515 |
$735 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,597 |
$6,567 |
2.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$542 |
$774.50 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$382 |
$545 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$475.50 |
$679 |
1.6× |
| Incision of rectal abscess (46040) |
$2,388 |
$3,411 |
2.0× |
| Incision thrombosed hemorrhoid external (46083) |
$627 |
$896 |
2.5× |
| Initial tx 1st degree burn local tx (16000) |
$398 |
$569 |
2.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,874.50 |
$2,677.50 |
2.1× |
| Inj tendon sheath/ligament (20550) |
$348.50 |
$498 |
1.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,869 |
$2,670 |
2.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,455.50 |
$2,079 |
2.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,870 |
$2,671 |
2.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,869 |
$2,670 |
2.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,455 |
$2,078 |
2.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,870 |
$2,671 |
2.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,455 |
$2,078 |
2.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,870 |
$2,671 |
2.1× |
| Inject Tendon Origin/Insert (20551) |
$339 |
$484.50 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,455 |
$2,078 |
2.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,455 |
$2,078 |
2.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,455 |
$2,078 |
2.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$600 |
$857 |
1.9× |
| Injection anes other peripheral nerve/branch (64450) |
$1,326 |
$1,894 |
1.9× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$99 |
$141 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$610 |
$871.50 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$600 |
$857 |
1.9× |
| Injection therapeutic carpal tunnel (20526) |
$620 |
$886 |
2.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$610 |
$871.50 |
2.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$620 |
$886 |
2.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$417 |
$596 |
2.1× |
| Insert Bladder Cath Complex (51703) |
$337 |
$481 |
2.6× |
| Insert cervical dilator (59200) |
$644 |
$920 |
2.1× |
| Insert Drug Implant Device (11981) |
$214 |
$306 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$6,447 |
$9,210 |
2.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$6,569 |
$9,384 |
2.1× |
| Insert picc cath (36569) |
$3,167 |
$4,524 |
2.0× |
| Insert Temp Bladder Cath (51702) |
$199.50 |
$285 |
1.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,579 |
$9,398 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$204 |
$292 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,579 |
$9,398 |
2.1× |
| Insrt/redo spine n generator (63685) |
$63,995 |
$91,421 |
2.1× |
| Intubation endotracheal emergency procedure (31500) |
$660 |
$943 |
2.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$599 |
$856 |
2.4× |
| Laryngoscopy Direct Aspiration (31515) |
$5,539 |
$7,913 |
14.1× |
| Lengthening of hand tendon (26478) |
$34 |
$48.50 |
0.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$832 |
$1,189 |
1.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,870 |
$2,671 |
2.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,874.50 |
$2,677.50 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,455 |
$2,078 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,455 |
$2,078 |
2.1× |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
— |
$2 |
— |
| Open tx interphalangeal joint dislocation (26785) |
$7,820 |
$11,171 |
2.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,476 |
$9,252 |
2.0× |
| Osteoplasty, tibia and fibula, lengthening or shortening Other Surgical Services (27715) |
— |
$2 |
— |
| Pericardiocentesis W/Imaging (33016) |
$3,281 |
$4,687 |
2.1× |
| Peritoneal Lavage (49084) |
$1,820 |
$2,600 |
2.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$3,583 |
$5,119 |
1.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$701 |
$1,001 |
2.8× |
| Placement of needle for intraosseous infusion (36680) |
$503 |
$719 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$741 |
$1,059 |
1.8× |
| Puncture Aspiration (10160) |
$392 |
$560 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,101 |
$5,858 |
2.1× |
| Reconstruction of urethra (54312) |
$41 |
$59 |
0.0× |
| Removal fb intranasal (30300) |
$322 |
$459.50 |
2.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$6,805 |
$9,722 |
2.3× |
| Removal Foreign Body Foot Complicated (28193) |
$3,307 |
$4,724 |
2.0× |
| Removal foreign body foot deep (28192) |
$3,307 |
$4,724 |
2.0× |
| Removal foreign body foot subcutaneous (28190) |
$971.50 |
$1,387.50 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,379 |
$1,970 |
0.8× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$6,564 |
$9,377 |
2.0× |
| Removal foreign body pharynx (42809) |
$289 |
$413 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$5,696 |
$8,137 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$163 |
$233.50 |
2.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$158.50 |
$227 |
2.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,262 |
$1,803 |
1.8× |
| Removal of arm foreign body (24200) |
$3,162 |
$4,517 |
1.9× |
| Removal of intrauterine device (iud) (58301) |
$237 |
$338 |
0.8× |
| Removal of nail bed (11750) |
$497.50 |
$711 |
1.2× |
| Removal of sesamoid bone (28315) |
— |
$2 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$122 |
$175 |
0.6× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$5,696 |
$8,137 |
2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$356 |
$508 |
1.3× |
| Remove drug implant device (11982) |
$240 |
$343 |
0.5× |
| Remove Eyelid Foreign Body (67938) |
$584 |
$834 |
1.8× |
| Remove foreign body from eye (65210) |
$832 |
$1,189 |
1.9× |
| Remove shoulder foreign body (23330) |
$3,307 |
$4,724 |
2.0× |
| Remove wrist tendon lesion (25111) |
$2,988 |
$4,268 |
1.8× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$10 |
$14 |
0.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,169 |
$4,527 |
1.9× |
| Remv Ext Canal Foreign Body (69200) |
$252.50 |
$360 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$305 |
$435 |
2.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,613 |
$2,304 |
2.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,180 |
$1,685 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,030 |
$1,472 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,612 |
$2,303 |
3.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,281 |
$1,830 |
3.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,030 |
$1,472 |
2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,613 |
$2,304 |
2.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,613 |
$2,304 |
2.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,163 |
$4,519 |
2.0× |
| Repair hand tendon (26410) |
$3,163 |
$4,519 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,030 |
$1,472 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,030 |
$1,472 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$841 |
$1,201.50 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,206 |
$3,151 |
5.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,030 |
$1,472 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$500 |
$714 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$823 |
$1,175 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,030 |
$1,472 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$467 |
$667 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$846 |
$1,209 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,030 |
$1,472 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$3,806 |
$5,437 |
1.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$777 |
$1,110.50 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$797 |
$1,138.50 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$719.50 |
$1,028 |
1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,030 |
$1,472 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$740.50 |
$1,058 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,806 |
$5,437 |
1.8× |
| Repair of nail bed (11760) |
$1,180 |
$1,685 |
1.6× |
| Repair Tongue Laceration (41250) |
$333 |
$475 |
0.7× |
| Replace g/c tube perc (49450) |
$1,969 |
$2,813 |
2.2× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$1,045 |
$1,493 |
0.4× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$7,222 |
$10,317 |
2.1× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,007 |
$1,439 |
1.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,820 |
$2,600 |
2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$611 |
$873 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$256 |
$366 |
1.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,361 |
$3,373 |
2.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$5,696 |
$8,137 |
2.0× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$303 |
$433 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,030 |
$1,472 |
1.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$458 |
$655 |
1.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$2,043 |
$2,918 |
8.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,737 |
$2,481 |
3.2× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$205 |
$293 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$183 |
$262 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$224 |
$320 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$498 |
$711 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$349 |
$498 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$213.50 |
$304.50 |
1.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$823 |
$1,175 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$333 |
$475 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$407 |
$581 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$398 |
$569 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$376 |
$537.50 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$399 |
$570.50 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$366.50 |
$523.50 |
1.8× |
| Skin pinch graft (15050) |
$1,257 |
$1,795 |
1.7× |
| Skin splt grft trnk/arm/leg (15100) |
$3,649 |
$5,213 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$3,649 |
$5,213 |
4.9× |
| Skin sub graft trnk/arm/leg (15271) |
$3,649 |
$5,213 |
4.9× |
| Slitting of prepuce (54001) |
$18 |
$26 |
0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$365.50 |
$522 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$741 |
$1,059 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$788 |
$1,126 |
1.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,438 |
$2,054 |
2.0× |
| Spinal Puncture Therapeutic (62272) |
$1,095 |
$1,564 |
1.5× |
| Strapping ankle (29540) |
$315 |
$450 |
1.9× |
| Strapping elbow/wrist (29260) |
$83 |
$118 |
1.4× |
| Strapping hand/finger (29280) |
$131 |
$187 |
2.2× |
| Strapping Hip (29520) |
$150.50 |
$215.50 |
1.1× |
| Strapping knee (29530) |
$238.50 |
$341 |
1.8× |
| Strapping shoulder (29240) |
$130.50 |
$186.50 |
1.0× |
| Strapping thorax (29200) |
$220 |
$314 |
1.3× |
| Strapping toes (29550) |
$122 |
$175 |
2.1× |
| Strapping unna boot (29580) |
$315 |
$450 |
1.9× |
| Tangential biopsy skin single lesion (11102) |
$385 |
$550 |
0.9× |
| Tendon lengthening (26476) |
$11 |
$16 |
0.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,275 |
$1,822 |
2.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,217 |
$1,739 |
1.9× |
| Thrombolytic Therapy, Stroke (37195) |
$734 |
$1,048 |
2.2× |
| Trach Tube Change (31502) |
$414 |
$592 |
1.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$458 |
$655 |
1.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,870 |
$2,672 |
1.2× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$4 |
$6 |
0.0× |
| Treat finger dislocation (26775) |
$538 |
$768 |
1.9× |
| Treat Fracture Radius & Ulna (25560) |
$456 |
$652 |
1.8× |
| Treat humerus fracture (24500) |
$456 |
$652 |
1.8× |
| Treat humerus fracture (23600) |
$456 |
$652 |
1.8× |
| Treat Metatarsal Fracture (28475) |
$456 |
$652 |
1.8× |
| Treatment closed elbow dislocation req anes (24605) |
$4,257 |
$6,081 |
2.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$701 |
$1,001 |
2.8× |
| Trim skin lesion (11055) |
$144 |
$205 |
0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$4,257 |
$6,081 |
2.6× |
| Unlisted Procedure Nervous System (64999) |
$100 |
$143 |
0.3× |
| Unlisted Procedure Rectum (45999) |
$1,800 |
$2,572 |
1.9× |
| Vaginal delivery only (59409) |
$6,235 |
$8,907 |
1.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$23,407 |
$33,438 |
2.0× |
| Venipuncture (36415) |
$14 |
$20 |
1.5× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$256 |
$366 |
1.9× |
| Venipuncture, cutdown; age 1 or over (36425) |
$832 |
$1,189 |
1.9× |