| Abd paracentesis (49082) |
$219.10 |
$313 |
0.2× |
| Abd paracentesis w/imaging (49083) |
$1,074.36 |
$1,534.80 |
1.1× |
| Appl finger splint static (29130) |
$53.90 |
$77 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$69.48 |
$99.26 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$156.80 |
$224 |
0.9× |
| Apply long arm splint (29105) |
$103.60 |
$148 |
0.6× |
| Apply Lower Leg Splint (29515) |
$145.60 |
$208 |
0.9× |
| Apply short arm splint static (29125) |
$82.60 |
$118 |
0.6× |
| 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 of nail plate, partial or complete, simple; single (11730) |
$74.90 |
$107 |
0.4× |
| Biopsy soft tissue of upper arm or elbow area superficial (24065) |
$1,733.70 |
$2,476.72 |
1.0× |
| Bladder Scan (51798) |
$70.61 |
$100.87 |
1.1× |
| Blood transfusion service (36430) |
$226.80 |
$324 |
0.5× |
| Chemical cauterization of granulation tissue (17250) |
$220.70 |
$315.28 |
1.1× |
| Chest tube placement (32551) |
$274.40 |
$392 |
0.2× |
| Close Rx Dist Fingr Fx (26750) |
$215.60 |
$308 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$196.70 |
$281 |
0.8× |
| Closed Rx Big Toe Fx,Manip (28495) |
$272.37 |
$389.10 |
1.1× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,711.97 |
$2,445.67 |
1.0× |
| Closed Rx Metacarpal Fx (26600) |
$274.40 |
$392 |
1.1× |
| Closed Rx Tib Plat Fx+Manip (27532) |
$176.40 |
$252 |
0.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$352.80 |
$504 |
1.4× |
| Closed Rx Toe Fx (28510) |
$213.19 |
$304.56 |
0.8× |
| Closed Rx Ulna Shaft Fx (25530) |
$274.40 |
$392 |
1.1× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$333.20 |
$476 |
1.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$117.60 |
$168 |
0.5× |
| Closed treatment of dislocated jaw joint (21480) |
$125.30 |
$179 |
0.5× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$156.80 |
$224 |
0.6× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$306.60 |
$438 |
1.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$274.40 |
$392 |
1.1× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$352.80 |
$504 |
1.4× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$255.50 |
$365 |
1.0× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$313.60 |
$448 |
1.2× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$231.70 |
$331 |
0.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$207.90 |
$297 |
0.8× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$333.20 |
$476 |
1.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$203.70 |
$291 |
0.8× |
| 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 patellar dislocation w/o anesthesia (27560) |
$470.40 |
$672 |
1.8× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$426.30 |
$609 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$224 |
$320 |
0.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$309.40 |
$442 |
0.5× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$117.60 |
$168 |
0.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$156.80 |
$224 |
0.1× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$297.50 |
$425 |
1.2× |
| 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 phlx/phlg oth/thn grt toe w/manj (28515) |
$168.70 |
$241 |
0.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$219.10 |
$313 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,758.65 |
$2,512.36 |
1.0× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$387.80 |
$554 |
1.5× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$106.40 |
$152 |
0.8× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$106.40 |
$152 |
0.8× |
| Cross intrinsic transfer, each tendon Other Surgical Services (26510) |
$196.70 |
$281 |
0.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$278.60 |
$398 |
2.0× |
| Debride skin at fx site (11010) |
$186.90 |
$267 |
0.3× |
| Debridement nails 1-5 (11720) |
$69.48 |
$99.26 |
1.1× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$38.50 |
$55 |
0.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$74.90 |
$107 |
0.2× |
| Drain blood under nail (11740) |
$63 |
$90 |
0.5× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$137.90 |
$197 |
0.2× |
| Drainage finger abscess simple (26010) |
$180.60 |
$258 |
0.9× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$98 |
$140 |
0.1× |
| Drainage of eyelid abscess (67700) |
$156.80 |
$224 |
0.5× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$255.50 |
$365 |
0.1× |
| Drainage of scrotum (54700) |
$266.70 |
$381 |
0.1× |
| Drainage scrotal wall abscess (55100) |
$217.70 |
$311 |
0.1× |
| Ed proc remve fb nasal- hospital (30300) |
$165.20 |
$236 |
1.2× |
| Ed prof burn medium - hospital (16025) |
$152.60 |
$218 |
0.7× |
| Ed prof burn small - hospital (16020) |
$196.70 |
$281 |
0.9× |
| Ed prof closed tx post hip arthroplasty (27265) |
$488.60 |
$698 |
1.9× |
| Ed prof drain dental abscess-hospital (41800) |
$137.71 |
$196.73 |
1.0× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$196.70 |
$281 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$203.70 |
$291 |
0.5× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$203.70 |
$291 |
0.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$196.70 |
$281 |
0.8× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$28 |
$40 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.5/< (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× |
| Fth/gft fr dir clsr f/c/c/m/n/ax/g/h/f 20sqcm/< (15240) |
$1,956.46 |
$2,794.94 |
0.9× |
| I&d bartholins gland abscess (56420) |
$137.90 |
$197 |
0.7× |
| I&d hematoma/seroma/fluid (10140) |
$156.80 |
$224 |
0.1× |
| I&d perianal abscess superficial (46050) |
$125.30 |
$179 |
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 TechFee (10061) |
$224 |
$320 |
0.5× |
| Incision & Drainage Abscess Simple/Single (10060) |
$121.80 |
$174 |
0.6× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$145.60 |
$208 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$117.60 |
$168 |
0.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$39.90 |
$57 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$114.80 |
$164 |
0.2× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$93.80 |
$134 |
0.1× |
| 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 sciatic nerve w/img gdn (64445) |
$114.80 |
$164 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$110.60 |
$158 |
0.3× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$133.70 |
$191 |
0.4× |
| Ins tunn cv cath no pump 5yrs (36558) |
$3,500.35 |
$5,000.50 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$47.60 |
$68 |
0.3× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$134.50 |
$192.14 |
1.0× |
| Intubation endotracheal (31500) |
$367.85 |
$525.50 |
1.5× |
| Irrigat Corpus Cavern,Priapism (54220) |
$292.30 |
$417.57 |
1.1× |
| Laryngoscopy w/foreign body removal (31530) |
$1,729.53 |
$2,470.75 |
0.9× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,729.53 |
$2,470.75 |
0.9× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$224 |
$320 |
0.5× |
| Lumbar puncture (62270) |
$191.80 |
$274 |
0.3× |
| Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or… (21073) |
$224 |
$320 |
0.1× |
| Nasal surg proc unlisted (30999) |
$290.81 |
$415.44 |
1.2× |
| Nasotracheal suctioning (31720) |
$117.60 |
$168 |
0.5× |
| Open treatment of nasal fracture; uncomplicated Other Surgical Services (21325) |
$161.70 |
$231 |
0.0× |
| Open tx distal phalangeal fracture each (26765) |
$215.60 |
$308 |
0.1× |
| Ot strapping hand or finger (29280) |
$40.57 |
$57.96 |
0.7× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,873.59 |
$2,676.56 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$296.70 |
$423.85 |
1.1× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$844.20 |
$1,206 |
0.5× |
| Placement Needle Intraosseous Infusion (36680) |
$145.60 |
$208 |
0.3× |
| Preputial stretching (54450) |
$292.30 |
$417.57 |
1.1× |
| Puncture Aspiration (10160) |
$121.80 |
$174 |
0.3× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$333.20 |
$476 |
0.5× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$51.10 |
$73 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$70.60 |
$100.86 |
1.1× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$196.70 |
$281 |
0.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$65.10 |
$93 |
0.5× |
| 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 of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$65.80 |
$94 |
0.3× |
| Remove foreign body from eye (65210) |
$78.40 |
$112 |
0.2× |
| Remove pharynx foreign body (42809) |
$180.60 |
$258 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$78.40 |
$112 |
0.6× |
| Repair blood vessel, direct; lower extremity (35226) |
$770.49 |
$1,100.70 |
1.0× |
| 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 TechFee (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 2.6-7.5 cm (13101) |
$371.70 |
$531 |
0.5× |
| Repair Exten Tendon,Dorsum Fingr,Ea (26418) |
$255.50 |
$365 |
0.2× |
| Repair extensor tendon hand w/o graft each (26410) |
$309.40 |
$442 |
0.2× |
| Repair finger/hand tendon (26350) |
$647.50 |
$925 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$255.50 |
$365 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$274.40 |
$392 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$250.60 |
$358 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$392.70 |
$561 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$203.70 |
$291 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 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 S/A/T/E 2.5 CM/< TechFee (12031) |
$203.70 |
$291 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$203.70 |
$291 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$203.70 |
$291 |
0.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$302.40 |
$432 |
0.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$451.50 |
$645 |
1.1× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$509.60 |
$728 |
1.2× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$203.70 |
$291 |
0.1× |
| Repair Lip,Full Thick,Vermilion (40650) |
$392.70 |
$561 |
0.7× |
| Repair nail bed (11760) |
$81.20 |
$116 |
0.1× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$137.72 |
$196.74 |
0.3× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$378.70 |
$541 |
1.5× |
| Repair of vertical lip wound extending to half of lip (40652) |
$490 |
$700 |
0.9× |
Repair palate (42182)
likely a partial charge, not the full procedure |
$203.70 |
$291 |
0.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$451.50 |
$645 |
0.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$587.30 |
$839 |
0.8× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$333.20 |
$476 |
0.4× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$203.70 |
$291 |
0.1× |
| 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× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$203.70 |
$291 |
1.0× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$203.70 |
$291 |
1.0× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$78.40 |
$112 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$352.80 |
$504 |
0.1× |
| Rmvl of access device (36589) |
$92.40 |
$132 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$203.70 |
$291 |
0.3× |
| Rpr lip full thkns >one-half vert height/comple (40654) |
$607.60 |
$868 |
0.4× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$203.70 |
$291 |
0.1× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less Other… (11300) |
$42 |
$60 |
0.1× |
| 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 >30.0 cm (12018) |
$203.70 |
$291 |
1.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$203.70 |
$291 |
1.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$203.70 |
$291 |
1.0× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$203.70 |
$291 |
0.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$203.70 |
$291 |
0.5× |
| 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 TechFee (12002) |
$203.70 |
$291 |
1.0× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$203.70 |
$291 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$203.70 |
$291 |
0.5× |
| Strapping of ankle (29540) |
$168.92 |
$241.32 |
1.0× |
| Therapeutic spinal puncture drainage csf (62272) |
$231.70 |
$331 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
$294 |
$420 |
0.4× |
| Throat surgery procedure (42999) |
$257.22 |
$367.45 |
1.0× |
| Treat finger dislocation (26775) |
$290.28 |
$414.69 |
1.0× |
| Treat toe dislocation (28630) |
$180.60 |
$258 |
0.7× |
| Tx superficial wound dehiscence simple closure (12020) |
$255.50 |
$365 |
0.3× |
| 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× |