| Abd paracentesis w/imaging (49083) |
$1,074.36 |
$1,534.80 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$219.10 |
$313 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$69.48 |
$99.26 |
1.1× |
| Application finger splint static (29130) |
$53.90 |
$77 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$103.60 |
$148 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$82.60 |
$118 |
0.6× |
| Apply long leg splint (29505) |
$156.80 |
$224 |
0.9× |
| Apply short leg splint (29515) |
$145.60 |
$208 |
0.9× |
| Arterial puncture (36600) |
$23.80 |
$34 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$67.20 |
$96 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$74.90 |
$107 |
0.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$152.60 |
$218 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$74.90 |
$107 |
0.4× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,733.70 |
$2,476.72 |
1.0× |
| Blepharotomy drain absc eyelid (67700) |
$156.80 |
$224 |
0.5× |
| Blood transfusion service (36430) |
$226.80 |
$324 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$117.60 |
$168 |
0.5× |
| Chemical cautery tissue (17250) |
$220.70 |
$315.28 |
1.1× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$196.70 |
$281 |
0.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,711.97 |
$2,445.67 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$333.20 |
$476 |
1.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$352.80 |
$504 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$256.20 |
$366 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$376.60 |
$538 |
0.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$235.20 |
$336 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$117.60 |
$168 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$470.40 |
$672 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$231.70 |
$331 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$426.30 |
$609 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$125.30 |
$179 |
0.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$274.40 |
$392 |
1.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$224 |
$320 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$117.60 |
$168 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,658.85 |
$2,369.79 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$203.70 |
$291 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$156.80 |
$224 |
0.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$297.50 |
$425 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$215.60 |
$308 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$93.80 |
$134 |
0.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$152.60 |
$218 |
0.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$272.37 |
$389.10 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$156.80 |
$224 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$168.70 |
$241 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$213.19 |
$304.56 |
0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$219.10 |
$313 |
0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$290.28 |
$414.69 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$196.70 |
$281 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$274.40 |
$392 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$274.40 |
$392 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,758.65 |
$2,512.36 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$387.80 |
$554 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$180.60 |
$258 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$352.80 |
$504 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$488.60 |
$698 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$255.50 |
$365 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$207.90 |
$297 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$106.40 |
$152 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$106.40 |
$152 |
0.8× |
| Cross intrinsic transfer, each tendon Facility (26510) |
$196.70 |
$281 |
0.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$278.60 |
$398 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$38.50 |
$55 |
0.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$186.90 |
$267 |
0.3× |
| Debride nail 1-5 (11720) |
$69.48 |
$99.26 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$74.90 |
$107 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$98 |
$140 |
0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$137.90 |
$197 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$255.50 |
$365 |
0.1× |
| Drainage Finger Abscess Simple (26010) |
$180.60 |
$258 |
0.9× |
| Drainage of gum lesion (41800) |
$137.71 |
$196.73 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$156.80 |
$224 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$217.70 |
$311 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$152.60 |
$218 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$196.70 |
$281 |
0.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,729.53 |
$2,470.75 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$63 |
$90 |
0.5× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$172.20 |
$246 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$107.10 |
$153 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$303.80 |
$434 |
0.2× |
| Foreskin manipulation (54450) |
$292.30 |
$417.57 |
1.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,956.46 |
$2,794.94 |
0.9× |
| I&d abscess simple (10060) |
$121.80 |
$174 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$266.70 |
$381 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$137.90 |
$197 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$196.70 |
$281 |
0.6× |
| Incise external hemorrhoid (46083) |
$152.60 |
$218 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$224 |
$320 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$145.60 |
$208 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$117.60 |
$168 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$137.90 |
$197 |
0.7× |
| Incision and drainage perianal abscess superficial (46050) |
$125.30 |
$179 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$39.90 |
$57 |
0.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$966.06 |
$1,380.08 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$801.54 |
$1,145.06 |
1.1× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$93.80 |
$134 |
0.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$110.60 |
$158 |
0.3× |
| Injection anesthetic agent femoral nerve single (64447) |
$114.80 |
$164 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$133.70 |
$191 |
0.4× |
| Insert cath pleura w/o image (32556) |
$1,873.59 |
$2,676.56 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$196.70 |
$281 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$134.50 |
$192.14 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$47.60 |
$68 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,500.35 |
$5,000.50 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$367.85 |
$525.50 |
1.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$292.30 |
$417.57 |
1.1× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,729.53 |
$2,470.75 |
0.9× |
| Late closure of wound (13160) |
$203.70 |
$291 |
0.1× |
| Manipulation Tmj Therapeutic Require Anesthesia (21073) |
$224 |
$320 |
0.1× |
| Nasal surgery procedure (30999) |
$290.81 |
$415.44 |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$28 |
$40 |
0.1× |
| Njx aa&/strd sciatic nerve (64445) |
$114.80 |
$164 |
0.2× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$161.70 |
$231 |
0.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$215.60 |
$308 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$296.70 |
$423.85 |
1.1× |
| Picc line placement (36569) |
$844.20 |
$1,206 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$145.60 |
$208 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$121.80 |
$174 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$333.20 |
$476 |
0.5× |
| Removal foreign body intranasal (30300) |
$165.20 |
$236 |
1.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$196.70 |
$281 |
0.1× |
| Removal foreign body pharynx (42809) |
$180.60 |
$258 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$70.60 |
$100.86 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$51.10 |
$73 |
0.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$62.30 |
$89 |
0.1× |
| Removal of nail bed (11750) |
$403.56 |
$576.52 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$65.80 |
$94 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$78.40 |
$112 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$65.10 |
$93 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$451.50 |
$645 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$587.30 |
$839 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$392.70 |
$561 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$667.10 |
$953 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$352.80 |
$504 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$466.90 |
$667 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$333.20 |
$476 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$371.70 |
$531 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$255.50 |
$365 |
0.2× |
| Repair hand tendon (26410) |
$309.40 |
$442 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$392.70 |
$561 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$255.50 |
$365 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$274.40 |
$392 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$451.50 |
$645 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$302.40 |
$432 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$250.60 |
$358 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$509.60 |
$728 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$203.70 |
$291 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$224 |
$320 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$281.40 |
$402 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$203.70 |
$291 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$203.70 |
$291 |
0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$203.70 |
$291 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$203.70 |
$291 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$203.70 |
$291 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$203.70 |
$291 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$203.70 |
$291 |
0.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$203.70 |
$291 |
0.1× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$203.70 |
$291 |
0.0× |
| Repair Mouth Laceration (40831) |
$309.40 |
$442 |
0.5× |
| Repair of nail bed (11760) |
$81.20 |
$116 |
0.1× |
| Repair tongue laceration (41252) |
$378.70 |
$541 |
1.5× |
| Repair Tongue Laceration (41250) |
$137.72 |
$196.74 |
0.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$961.90 |
$1,374.14 |
1.0× |
| Replace tunneled cv cath (36578) |
$3,336.45 |
$4,766.36 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$78.40 |
$112 |
0.6× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$78.40 |
$112 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$352.80 |
$504 |
0.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$92.40 |
$132 |
0.1× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$770.49 |
$1,100.70 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$203.70 |
$291 |
0.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$490 |
$700 |
0.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$392.70 |
$561 |
0.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$607.60 |
$868 |
0.4× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$647.50 |
$925 |
0.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$42 |
$60 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$203.70 |
$291 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$203.70 |
$291 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$203.70 |
$291 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$203.70 |
$291 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$203.70 |
$291 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$203.70 |
$291 |
1.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$203.70 |
$291 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$203.70 |
$291 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$203.70 |
$291 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$203.70 |
$291 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$203.70 |
$291 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$203.70 |
$291 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$203.70 |
$291 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$191.80 |
$274 |
0.3× |
| Spinal Puncture Therapeutic (62272) |
$231.70 |
$331 |
0.3× |
| Strapping ankle (29540) |
$168.92 |
$241.32 |
1.0× |
| Strapping elbow or wrist (29260) |
$40.57 |
$57.96 |
0.7× |
| Strapping hand/finger (29280) |
$40.57 |
$57.96 |
0.7× |
| Strapping knee (29530) |
$134.49 |
$192.13 |
1.0× |
| Strapping shoulder (29240) |
$134.49 |
$192.13 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$294 |
$420 |
0.4× |
| Throat Surgery Procedure (42999) |
$257.22 |
$367.45 |
1.0× |
| Treat humerus fracture (24500) |
$306.60 |
$438 |
1.2× |
| Treat humerus fracture (23600) |
$313.60 |
$448 |
1.2× |
| Treat knee fracture (27532) |
$176.40 |
$252 |
0.1× |
| Treat wrist bone fracture (25622) |
$333.20 |
$476 |
1.3× |
| Tube thoracostomy includes water seal (32551) |
$274.40 |
$392 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$255.50 |
$365 |
0.3× |
| Us urine capacity measure (51798) |
$70.61 |
$100.87 |
1.1× |
| Vaginal delivery only (59409) |
$470.40 |
$672 |
0.1× |
| Venipuncture (36415) |
$7 |
$10 |
0.7× |
| Wedge excision skin nail fold (11765) |
$72.10 |
$103 |
0.2× |