| Acne Surgery (10040) |
$184 |
$184 |
0.9× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$309.86 |
$309.86 |
1.9× |
| Application cast elbow finger short arm (29075) |
$539 |
$539 |
1.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$236.50 |
$236.50 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$539 |
$539 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$225 |
$225 |
3.8× |
| Application finger splint static (29130) |
$237 |
$237 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$237 |
$237 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$237 |
$237 |
1.5× |
| Application of cylinder cast (thigh to ankle) (29365) |
$539 |
$539 |
1.9× |
| Application of long leg cast (29345) |
$510.92 |
$510.92 |
1.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$539 |
$539 |
1.9× |
| Application Short Arm Splint Dynamic (29126) |
$237 |
$237 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$237 |
$237 |
1.8× |
| Application short leg splint calf foot (29515) |
$225 |
$225 |
1.4× |
| Apply multlay comprs arm/hand (29584) |
$168 |
$168 |
1.0× |
| Apply short leg cast (29405) |
$539 |
$539 |
1.9× |
| Arterial puncture (36600) |
$20 |
$20 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$295.19 |
$295.19 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$318.94 |
$318.94 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$178 |
$178 |
0.9× |
| Biopsy pleura percutaneous needle (32400) |
$1,954 |
$1,954 |
1.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$669 |
$669 |
1.0× |
| Bladder Irrigation Simple (51700) |
$409 |
$409 |
1.6× |
| Blood transfusion service (36430) |
$702 |
$702 |
1.6× |
| Change Cystostomy Tube Simple (51705) |
$129 |
$129 |
0.5× |
| Chest tube placement (32551) |
$1,156 |
$1,156 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$334 |
$334 |
1.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,068 |
$1,068 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$335 |
$335 |
1.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,041.81 |
$1,041.81 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$335 |
$335 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$334 |
$334 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$334 |
$334 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$335 |
$335 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$969 |
$969 |
0.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$335 |
$335 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$335 |
$335 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$335 |
$335 |
1.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$335.19 |
$335.19 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$335 |
$335 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$462.50 |
$462.50 |
1.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$462.50 |
$462.50 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$227.50 |
$227.50 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$402 |
$402 |
1.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$335 |
$335 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$335 |
$335 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,106 |
$1,106 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$335 |
$335 |
1.4× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$486.81 |
$486.81 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$334.50 |
$334.50 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$335 |
$335 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$325 |
$325 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$365.50 |
$365.50 |
0.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$335 |
$335 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$248 |
$248 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$335 |
$335 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$326 |
$326 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$335 |
$335 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$554 |
$554 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$335 |
$335 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$335 |
$335 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$315 |
$315 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$335 |
$335 |
1.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,422.51 |
$1,422.51 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,069 |
$1,069 |
0.7× |
| Colonoscopy w/ablation (45388) |
$1,923 |
$1,923 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$233 |
$233 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$233 |
$233 |
1.7× |
| Correction hammertoe (28285) |
$4,417.23 |
$4,417.23 |
1.3× |
| Debride nail 1-5 (11720) |
$174.84 |
$174.84 |
3.0× |
| Debride nail 6 or more (11721) |
$174.84 |
$174.84 |
3.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,700 |
$2,700 |
6.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$184 |
$184 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$124.50 |
$124.50 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,340 |
$1,340 |
1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,351.17 |
$1,351.17 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$308 |
$308 |
1.5× |
| Drainage of eyelid abscess (67700) |
$298 |
$298 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$288.99 |
$288.99 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$408.50 |
$408.50 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$641.54 |
$641.54 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$312 |
$312 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$313 |
$313 |
1.6× |
| Dry Needling 3+ Muscles (20561) |
$164 |
$164 |
5.6× |
| Egd place gastrostomy tube (43246) |
$1,768.50 |
$1,768.50 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$89 |
$89 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,538.32 |
$3,538.32 |
2.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$928 |
$928 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,329.38 |
$1,329.38 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$882.18 |
$882.18 |
2.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,000 |
$1,000 |
1.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$3,538.32 |
$3,538.32 |
2.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,000 |
$1,000 |
0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,319.16 |
$2,319.16 |
1.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$300 |
$300 |
0.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,472.41 |
$1,472.41 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$882.18 |
$882.18 |
2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,658.76 |
$1,658.76 |
2.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$553 |
$553 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,658.76 |
$1,658.76 |
2.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,538.32 |
$3,538.32 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,200 |
$1,200 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,000 |
$1,000 |
1.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,000 |
$1,000 |
1.4× |
| Excision of nail fold toe (11765) |
$1,059 |
$1,059 |
2.6× |
| Explo/Drain Breast Abscess (19020) |
$750.51 |
$750.51 |
0.5× |
| Explore/treat hand joint (26070) |
$753 |
$753 |
0.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,246.45 |
$3,246.45 |
1.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$223.12 |
$223.12 |
1.0× |
| I&d abscess simple (10060) |
$241.50 |
$241.50 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$298 |
$298 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$294 |
$294 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,124.49 |
$1,124.49 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,179.44 |
$1,179.44 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$434 |
$434 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$160 |
$160 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$332 |
$332 |
1.1× |
| Initial tx 1st degree burn local tx (16000) |
$178 |
$178 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$549 |
$549 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$206.25 |
$206.25 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$225 |
$225 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$778 |
$778 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$137 |
$137 |
1.0× |
| Insert tunneled cv cath (36561) |
$4,103.62 |
$4,103.62 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$187 |
$187 |
1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$778 |
$778 |
0.2× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$233 |
$233 |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$276.24 |
$276.24 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$468 |
$468 |
2.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$344.06 |
$344.06 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$82 |
$82 |
2.8× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,100 |
$1,100 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,829 |
$1,829 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,451.34 |
$2,451.34 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$1,132.71 |
$1,132.71 |
2.5× |
| Puncture Aspiration (10160) |
$298 |
$298 |
0.7× |
| Removal fb intranasal (30300) |
$135 |
$135 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$708 |
$708 |
1.0× |
| Removal foreign body pharynx (42809) |
$135 |
$135 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$172 |
$172 |
2.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$135 |
$135 |
2.3× |
| Removal of heel spur (28119) |
$1,945.28 |
$1,945.28 |
0.6× |
| Removal of nail bed (11750) |
$350.50 |
$350.50 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$592 |
$592 |
2.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$237 |
$237 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$236 |
$236 |
0.8× |
| Remove foreign body from eye (65210) |
$222 |
$222 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$136 |
$136 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$222 |
$222 |
1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$898 |
$898 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$898 |
$898 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$637 |
$637 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,048.67 |
$1,048.67 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$637 |
$637 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$637 |
$637 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$491 |
$491 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$491 |
$491 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$683 |
$683 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$274 |
$274 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$677 |
$677 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$610 |
$610 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$491 |
$491 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$275.43 |
$275.43 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$683 |
$683 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$683 |
$683 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$274 |
$274 |
0.7× |
| Repair Of Foot Tendon (28208) |
$770.91 |
$770.91 |
0.2× |
| Repair of nail bed (11760) |
$273 |
$273 |
0.4× |
| Repair Tongue Laceration (41250) |
$233 |
$233 |
0.5× |
| Reposition gastrostomy tube (43761) |
$500.01 |
$500.01 |
2.0× |
| Rerepair ing hernia reduce (49520) |
$2,154.85 |
$2,154.85 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$193 |
$193 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$558.45 |
$558.45 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$675 |
$675 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$184 |
$184 |
0.9× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$184 |
$184 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$184 |
$184 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$312 |
$312 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,340 |
$1,340 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$274 |
$274 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$274 |
$274 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$250 |
$250 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$350 |
$350 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$274 |
$274 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$255 |
$255 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$274 |
$274 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$274 |
$274 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$465 |
$465 |
0.7× |
| Strapping ankle (29540) |
$237 |
$237 |
1.5× |
| Strapping elbow/wrist (29260) |
$236 |
$236 |
4.0× |
| Strapping hand/finger (29280) |
$236 |
$236 |
4.0× |
| Strapping Hip (29520) |
$237 |
$237 |
1.8× |
| Strapping knee (29530) |
$237 |
$237 |
1.8× |
| Strapping shoulder (29240) |
$236 |
$236 |
1.8× |
| Strapping thorax (29200) |
$237 |
$237 |
1.5× |
| Strapping toes (29550) |
$237 |
$237 |
4.0× |
| Strapping unna boot (29580) |
$236 |
$236 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,583 |
$1,583 |
2.5× |
| Treat Fracture Radius & Ulna (25560) |
$335 |
$335 |
1.4× |
| Treat humerus fracture (24500) |
$326 |
$326 |
1.3× |
| Treat thumb fracture (26665) |
$1,773 |
$1,773 |
0.5× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$523 |
$523 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$335 |
$335 |
1.4× |
| Trim skin lesion (11055) |
$572.25 |
$572.25 |
2.8× |
| Trim skin lesions 2 to 4 (11056) |
$572.25 |
$572.25 |
2.8× |
| Trim skin lesions over 4 (11057) |
$572.25 |
$572.25 |
2.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$174.84 |
$174.84 |
3.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,042 |
$1,042 |
1.4× |
| Unlisted Procedure Casting/Strapping (29799) |
$237 |
$237 |
1.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$235 |
$235 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$826.50 |
$826.50 |
0.9× |
| Vaginal delivery only (59409) |
$3,027 |
$3,027 |
0.9× |
| Venipuncture (36415) |
$8.50 |
$8.50 |
0.9× |