| Abd paracentesis w/imaging (49083) |
$1,168.80 |
$1,461 |
1.3× |
| Application cast elbow finger short arm (29075) |
$509.60 |
$637 |
1.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$309.60 |
$387 |
1.9× |
| Application finger splint static (29130) |
$247.20 |
$309 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$309.60 |
$387 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$309.60 |
$387 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$247.20 |
$309 |
1.9× |
| Application short leg splint calf foot (29515) |
$309.60 |
$387 |
1.9× |
| Apply short leg cast (29405) |
$509.60 |
$637 |
1.8× |
| Arterial puncture (36600) |
$45.82 |
$57.28 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$231.20 |
$289 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$277.60 |
$347 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$192.80 |
$241 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$117.60 |
$147 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,313.60 |
$1,642 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$88.60 |
$110.75 |
0.4× |
| Blood transfusion service (36430) |
$495.37 |
$619.22 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$89.62 |
$112.03 |
0.4× |
| Chemodenerv Musc Neck Dyston (64616) |
$120 |
$150 |
0.4× |
| Chest tube placement (32551) |
$1,053.60 |
$1,317 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$440 |
$550 |
1.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$107.44 |
$134.30 |
0.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$440 |
$550 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$440 |
$550 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$440 |
$550 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$159.60 |
$199.50 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$440 |
$550 |
1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$440 |
$550 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,016 |
$1,270 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$440 |
$550 |
1.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$440 |
$550 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$440 |
$550 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$440 |
$550 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$440 |
$550 |
1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$440 |
$550 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$440 |
$550 |
1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$440 |
$550 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$440 |
$550 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$440 |
$550 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$440 |
$550 |
1.8× |
| Complex Drainage, Wound (10180) |
$1,828.80 |
$2,286 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$296 |
$370 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$247.20 |
$309 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$296 |
$370 |
2.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$412 |
$515 |
1.0× |
| Debride nail 1-5 (11720) |
$122.40 |
$153 |
2.1× |
| Debride nail 6 or more (11721) |
$147.20 |
$184 |
2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$240 |
$300 |
0.6× |
| Delivery placenta separate procedure (59414) |
$2,001.60 |
$2,502 |
0.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$151.46 |
$189.32 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$64.43 |
$80.54 |
0.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$49.76 |
$62.20 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$48 |
$60 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$460 |
$575 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,061.60 |
$1,327 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$384 |
$480 |
1.9× |
| Drainage of hematoma/fluid (10140) |
$1,061.60 |
$1,327 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$110 |
$137.50 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$153.60 |
$192 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$128 |
$160 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$95.60 |
$119.50 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,300 |
$2,875 |
1.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,084.49 |
$1,355.61 |
0.4× |
| Excision of nail fold toe (11765) |
$264.80 |
$331 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$48.40 |
$60.50 |
0.0× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,016.80 |
$1,271 |
0.3× |
| Explore/treat hand joint (26070) |
$264.20 |
$330.25 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$198.40 |
$248 |
0.9× |
| I&d abscess simple (10060) |
$128 |
$160 |
0.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,828.80 |
$2,286 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$460 |
$575 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,828.80 |
$2,286 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$264.80 |
$331 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,061.60 |
$1,327 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$264.80 |
$331 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$378.40 |
$473 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$248.80 |
$311 |
0.8× |
| Incision of rectal abscess (46040) |
$2,300 |
$2,875 |
1.9× |
| Incision thrombosed hemorrhoid external (46083) |
$456.80 |
$571 |
1.8× |
| Initial tx 1st degree burn local tx (16000) |
$128 |
$160 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$125.58 |
$156.98 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$104 |
$130 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$296 |
$370 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$2,108.80 |
$2,636 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$247.20 |
$309 |
1.9× |
| Insert tunneled cv cath (36561) |
$2,108.80 |
$2,636 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$247.20 |
$309 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$399.20 |
$499 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$268 |
$335 |
0.6× |
| Puncture Aspiration (10160) |
$264.80 |
$331 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$728.74 |
$910.92 |
1.0× |
| Removal fb intranasal (30300) |
$247.20 |
$309 |
1.9× |
| Removal foreign body foot deep (28192) |
$1,061.60 |
$1,327 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$919.20 |
$1,149 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$241.46 |
$301.83 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$122.40 |
$153 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$122.40 |
$153 |
2.1× |
| Removal of nail bed (11750) |
$264.80 |
$331 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$55.20 |
$69 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$62.59 |
$78.24 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$247.20 |
$309 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$247.20 |
$309 |
1.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$412 |
$515 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$493.60 |
$617 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$264.80 |
$331 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$317.60 |
$397 |
0.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$412 |
$515 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$493.60 |
$617 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$412 |
$515 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$493.60 |
$617 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$548 |
$685 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$264.80 |
$331 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$317.60 |
$397 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$657.60 |
$822 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$380.80 |
$476 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$456.80 |
$571 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$788.80 |
$986 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$456.80 |
$571 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$264.80 |
$331 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$317.60 |
$397 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$380.80 |
$476 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$657.60 |
$822 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$456.80 |
$571 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$264.80 |
$331 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$317.60 |
$397 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$548 |
$685 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$380.80 |
$476 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$657.60 |
$822 |
0.3× |
| Repair of nail bed (11760) |
$112 |
$140 |
0.2× |
| Repair Tongue Laceration (41250) |
$268 |
$335 |
0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$584.80 |
$731 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$268 |
$335 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$247.20 |
$309 |
1.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$548 |
$685 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$160 |
$200 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$341.60 |
$427 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$164.80 |
$206 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$198.40 |
$248 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$294.20 |
$367.75 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$237.60 |
$297 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$284.80 |
$356 |
1.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$492 |
$615 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$154.40 |
$193 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$383.20 |
$479 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$221.60 |
$277 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$184.80 |
$231 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$266.40 |
$333 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$319.20 |
$399 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$294.40 |
$368 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$409.60 |
$512 |
0.7× |
| Trach Tube Change (31502) |
$441.60 |
$552 |
1.9× |
| Treat Fracture Radius & Ulna (25560) |
$440 |
$550 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$440 |
$550 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$412 |
$515 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$264.80 |
$331 |
0.7× |
| Vaginal delivery only (59409) |
$2,543.20 |
$3,179 |
0.8× |
| Venipuncture (36415) |
$6 |
$7.50 |
0.6× |