| Acne Surgery (10040) |
$400 |
$500 |
2.2× |
| Application cast elbow finger short arm (29075) |
$547.20 |
$684 |
2.1× |
| Application Cast Finger (29086) |
$89.60 |
$112 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$547.20 |
$684 |
3.7× |
| Application cast shoulder hand long arm (29065) |
$547.20 |
$684 |
2.1× |
| Application finger splint static (29130) |
$228 |
$285 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$292 |
$365 |
2.0× |
| Application long leg splint thigh ankle/toes (29505) |
$292 |
$365 |
2.0× |
| Application of long leg cast (29345) |
$352 |
$440 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$228 |
$285 |
1.9× |
| Application short leg splint calf foot (29515) |
$292 |
$365 |
2.0× |
| Apply short leg cast (29405) |
$352 |
$440 |
1.4× |
| Arterial puncture (36600) |
$58.96 |
$73.70 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$654.80 |
$818.50 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$456 |
$570 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$832 |
$1,040 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$880 |
$1,100 |
3.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$516 |
$645 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$132.80 |
$166 |
0.7× |
| Bladder Scan (51798) |
$82.80 |
$103.50 |
1.5× |
| Blood patch (62273) |
$3,750.40 |
$4,688 |
5.8× |
| Blood transfusion service (36430) |
$506.80 |
$633.50 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$29.60 |
$37 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$80 |
$100 |
0.3× |
| Chemodenerv Musc Migraine (64615) |
$2,072 |
$2,590 |
7.3× |
| Chest tube placement (32551) |
$485.60 |
$607 |
0.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,842.40 |
$2,303 |
8.1× |
| Closed Rx Med Malleolus Fx (27760) |
$1,842.40 |
$2,303 |
8.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,842.40 |
$2,303 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$1,842.40 |
$2,303 |
8.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,842.40 |
$2,303 |
8.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,842.40 |
$2,303 |
8.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,842.40 |
$2,303 |
8.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,024.80 |
$1,281 |
4.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,842.40 |
$2,303 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,842.40 |
$2,303 |
8.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,842.40 |
$2,303 |
8.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,024.80 |
$1,281 |
4.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,024.80 |
$1,281 |
4.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,842.40 |
$2,303 |
8.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,024.80 |
$1,281 |
4.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,024.80 |
$1,281 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,137.60 |
$1,422 |
5.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,842.40 |
$2,303 |
8.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$685.60 |
$857 |
3.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$547.20 |
$684 |
2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,842.40 |
$2,303 |
8.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,816.80 |
$2,271 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,842.40 |
$2,303 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,842.40 |
$2,303 |
8.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$547.20 |
$684 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$547.20 |
$684 |
2.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,842.40 |
$2,303 |
8.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$685.60 |
$857 |
3.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$960 |
$1,200 |
4.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$547.20 |
$684 |
2.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,364.80 |
$1,706 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,440.80 |
$1,801 |
6.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,024.80 |
$1,281 |
4.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$960 |
$1,200 |
4.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,427.20 |
$3,034 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$752 |
$940 |
6.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$619.20 |
$774 |
5.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$448.80 |
$561 |
3.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$266.40 |
$333 |
1.2× |
| Debride nail 1-5 (11720) |
$100 |
$125 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$352.80 |
$441 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$352.80 |
$441 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$352.80 |
$441 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$4,009.60 |
$5,012 |
2.2× |
| Destroy lumb/sac facet jnt (64635) |
$5,644 |
$7,055 |
3.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$3,870.40 |
$4,838 |
4.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$3,225.60 |
$4,032 |
4.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$3,225.60 |
$4,032 |
11.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,485.20 |
$5,606.50 |
2.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$200 |
$250 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$520 |
$650 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$238.40 |
$298 |
0.4× |
| Drainage of gum lesion (41800) |
$78.40 |
$98 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$1,503.20 |
$1,879 |
1.0× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$392.80 |
$491 |
0.1× |
| Draw blood off venous device (36591) |
$20 |
$25 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$471.20 |
$589 |
2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$471.20 |
$589 |
2.6× |
| Dry Needling 3+ Muscles (20561) |
$34 |
$42.50 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$120 |
$150 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$176.80 |
$221 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$176.80 |
$221 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$177.60 |
$222 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$184 |
$230 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$176.80 |
$221 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$176.80 |
$221 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$176.80 |
$221 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$177.60 |
$222 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$177.60 |
$222 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$176.80 |
$221 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$177.60 |
$222 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$286.40 |
$358 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$176.80 |
$221 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$184 |
$230 |
0.1× |
| Excision of nail fold toe (11765) |
$880 |
$1,100 |
2.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$685.60 |
$857 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$80 |
$100 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$46.40 |
$58 |
0.2× |
| I&d abscess simple (10060) |
$1,004.80 |
$1,256 |
5.4× |
| I&d pilonidal cyst simple (10080) |
$1,244.80 |
$1,556 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,880.80 |
$2,351 |
5.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,921.60 |
$2,402 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,362.40 |
$1,703 |
3.6× |
| Incisional biopsy skin single lesion (11106) |
$216 |
$270 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$200 |
$250 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$5,583.20 |
$6,979 |
6.9× |
| Inj tendon sheath/ligament (20550) |
$424.40 |
$530.50 |
1.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,400 |
$1,750 |
1.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,495.20 |
$3,119 |
3.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,552 |
$3,190 |
3.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$1,540.80 |
$1,926 |
5.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,400 |
$1,750 |
1.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$6,450.40 |
$8,063 |
7.9× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$2,450 |
$3,062.50 |
3.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,890.40 |
$2,363 |
2.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$5,133.20 |
$6,416.50 |
7.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$4,923.20 |
$6,154 |
6.1× |
| Inject Nerv Blck,Pudendal (64430) |
$2,626 |
$3,282.50 |
3.2× |
| Inject Tendon Origin/Insert (20551) |
$500 |
$625 |
1.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$4,063.20 |
$5,079 |
6.3× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,663.20 |
$2,079 |
2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$4,368 |
$5,460 |
6.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,376 |
$2,970 |
3.7× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,225.20 |
$1,531.50 |
1.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$6,000 |
$7,500 |
21.3× |
| Injection anes other peripheral nerve/branch (64450) |
$808 |
$1,010 |
1.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$3,870.40 |
$4,838 |
4.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$610 |
$762.50 |
2.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$690 |
$862.50 |
2.4× |
| Injection therapeutic carpal tunnel (20526) |
$438 |
$547.50 |
1.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$3,500 |
$4,375 |
12.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$2,100 |
$2,625 |
7.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$448 |
$560 |
2.4× |
| Insert picc cath (36569) |
$308 |
$385 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$131.60 |
$164.50 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$131.60 |
$164.50 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$198.40 |
$248 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28 |
$35 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$3,870.40 |
$4,838 |
4.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$4,493.20 |
$5,616.50 |
5.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$4,375.20 |
$5,469 |
6.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,500.80 |
$4,376 |
5.4× |
| Open tx interphalangeal joint dislocation (26785) |
$4,863.20 |
$6,079 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$302.40 |
$378 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$216 |
$270 |
0.6× |
| Puncture Aspiration (10160) |
$1,200 |
$1,500 |
3.2× |
| Pvb thoracic single inj site (64461) |
$2,298 |
$2,872.50 |
3.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$7,120 |
$8,900 |
4.0× |
| Removal fb intranasal (30300) |
$1,188.80 |
$1,486 |
9.7× |
| Removal foreign body foot deep (28192) |
$1,578.40 |
$1,973 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$2,523.20 |
$3,154 |
3.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$768 |
$960 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$96 |
$120 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$579.20 |
$724 |
10.7× |
| Removal of nail bed (11750) |
$653.60 |
$817 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$216 |
$270 |
1.2× |
| Remove drug implant device (11982) |
$3,026.40 |
$3,783 |
7.4× |
| Remove Eyelid Foreign Body (67938) |
$439.20 |
$549 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$305.60 |
$382 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,200 |
$1,500 |
3.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$683.20 |
$854 |
1.8× |
| Repair forearm tendon/muscle (25260) |
$2,800 |
$3,500 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$905.60 |
$1,132 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,116.80 |
$1,396 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$880 |
$1,100 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,320 |
$1,650 |
3.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,664.80 |
$2,081 |
4.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,961.60 |
$2,452 |
5.2× |
| Repair of nail bed (11760) |
$420 |
$525 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$59.20 |
$74 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$52 |
$65 |
0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$59.20 |
$74 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$602.40 |
$753 |
3.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$602.40 |
$753 |
3.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$602.40 |
$753 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$484.80 |
$606 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$732 |
$915 |
4.0× |
| Skin sub graft face/nk/hf/g (15275) |
$5,679.20 |
$7,099 |
8.4× |
| Skin sub graft trnk/arm/leg (15271) |
$2,000 |
$2,500 |
2.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,640 |
$3,300 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$1,024.80 |
$1,281 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$579.20 |
$724 |
3.1× |
| Spinal puncture lumbar diagnostic (62270) |
$2,836 |
$3,545 |
4.4× |
| Spinal Puncture Therapeutic (62272) |
$2,002.40 |
$2,503 |
3.1× |
| Strapping unna boot (29580) |
$321.60 |
$402 |
2.2× |
| Tangential biopsy skin single lesion (11102) |
$216 |
$270 |
0.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,800 |
$3,500 |
4.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$940 |
$1,175 |
1.6× |
| Thrombolytic Therapy, Stroke (37195) |
$134.40 |
$168 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$1,842.40 |
$2,303 |
8.1× |
| Treat humerus fracture (24500) |
$1,842.40 |
$2,303 |
8.1× |
| Treat humerus fracture (23600) |
$1,842.40 |
$2,303 |
8.1× |
| Treat Wrist Bone Fracture (25630) |
$685.60 |
$857 |
3.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,024.80 |
$1,281 |
4.5× |
| Trim skin lesion (11055) |
$299.20 |
$374 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$400 |
$500 |
2.2× |
| Trim skin lesions over 4 (11057) |
$400 |
$500 |
2.2× |
| Unlisted procedure foot or toes (28899) |
$700 |
$875 |
3.1× |
| Venipuncture (36415) |
$16 |
$20 |
1.7× |