| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,985 |
$1,985 |
2.3× |
| Acne Surgery (10040) |
$367 |
$367 |
1.9× |
| Application cast elbow finger short arm (29075) |
$564.50 |
$564.50 |
2.1× |
| Application Cast Finger (29086) |
$296 |
$296 |
1.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$256.25 |
$256.25 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$476.50 |
$476.50 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$122 |
$122 |
2.2× |
| Application finger splint static (29130) |
$128.50 |
$128.50 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$252 |
$252 |
1.6× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$509 |
$509 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$309 |
$309 |
2.0× |
| Application of long leg cast (29345) |
$412.49 |
$412.49 |
1.5× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$509 |
$509 |
1.9× |
| Application Short Arm Splint Dynamic (29126) |
$242 |
$242 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$279.90 |
$279.90 |
2.2× |
| Application short leg splint calf foot (29515) |
$344.50 |
$344.50 |
2.2× |
| Apply long leg cast brace (29358) |
$509 |
$509 |
1.9× |
| Apply short leg cast (29405) |
$514 |
$514 |
1.9× |
| Apply short leg cast (29425) |
$509 |
$509 |
1.9× |
| Arterial puncture (36600) |
$229.75 |
$229.75 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$920 |
$920 |
3.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$452 |
$452 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$211.76 |
$211.76 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$920 |
$920 |
3.1× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,680 |
$4,680 |
1.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$276 |
$276 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$448.90 |
$448.90 |
2.3× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$3,308 |
$3,308 |
2.1× |
| Blood transfusion service (36430) |
$1,003 |
$1,003 |
2.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$450 |
$450 |
2.1× |
| Change Cystostomy Tube Simple (51705) |
$665 |
$665 |
2.8× |
| Chest tube placement (32551) |
$2,211.25 |
$2,211.25 |
1.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$3,002 |
$3,002 |
1.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,944 |
$1,944 |
8.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,643.50 |
$1,643.50 |
6.9× |
| Closed Rx Med Malleolus Fx (27760) |
$1,731 |
$1,731 |
7.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,128 |
$2,128 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$3,002 |
$3,002 |
1.9× |
| Closed Rx Radial Shaft Fx (25500) |
$1,295.26 |
$1,295.26 |
5.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,002 |
$3,002 |
1.9× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$2,251 |
$2,251 |
1.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,396.24 |
$1,396.24 |
5.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,619 |
$1,619 |
6.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$949.50 |
$949.50 |
4.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$790 |
$790 |
3.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,985 |
$1,985 |
8.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,356.35 |
$1,356.35 |
5.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,985 |
$1,985 |
8.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,328 |
$2,328 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,589.86 |
$1,589.86 |
6.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$1,985 |
$1,985 |
8.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,439 |
$1,439 |
6.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,985 |
$1,985 |
8.4× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,301 |
$2,301 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,616 |
$1,616 |
6.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,985 |
$1,985 |
8.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,002 |
$3,002 |
1.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,847 |
$1,847 |
7.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,002 |
$3,002 |
1.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$1,323 |
$1,323 |
5.6× |
| Closed tx septal&nose fx (21337) |
$5,801 |
$5,801 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$2,288.50 |
$2,288.50 |
9.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,301 |
$2,301 |
1.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$1,310.48 |
$1,310.48 |
5.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,278.66 |
$1,278.66 |
5.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,575 |
$1,575 |
6.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$3,308 |
$3,308 |
6.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$1,323 |
$1,323 |
5.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,211 |
$1,211 |
5.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,382.50 |
$1,382.50 |
5.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$3,002 |
$3,002 |
1.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,323 |
$1,323 |
5.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,985 |
$1,985 |
8.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,985 |
$1,985 |
8.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,571.84 |
$1,571.84 |
6.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$992.18 |
$992.18 |
4.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,189 |
$1,189 |
5.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,468 |
$1,468 |
6.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,120.88 |
$2,120.88 |
1.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,985 |
$1,985 |
8.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,001 |
$3,001 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,434 |
$1,434 |
6.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$939.50 |
$939.50 |
4.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$925 |
$925 |
3.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$908 |
$908 |
3.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,890 |
$1,890 |
8.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,875 |
$1,875 |
7.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$876 |
$876 |
3.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,165 |
$1,165 |
4.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,444.86 |
$1,444.86 |
6.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,427.14 |
$1,427.14 |
6.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,002 |
$3,002 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,502.50 |
$1,502.50 |
6.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,520 |
$1,520 |
6.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$948.92 |
$948.92 |
4.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,875 |
$1,875 |
7.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,564.08 |
$1,564.08 |
6.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,200.50 |
$1,200.50 |
5.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,002 |
$3,002 |
1.9× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$1,269.92 |
$1,269.92 |
5.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,401 |
$2,401 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$260.70 |
$260.70 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$279.90 |
$279.90 |
2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$260.95 |
$260.95 |
2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$540.50 |
$540.50 |
2.4× |
| Debride nail 1-5 (11720) |
$390 |
$390 |
6.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$473 |
$473 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,128 |
$1,128 |
1.6× |
| Delivery placenta separate procedure (59414) |
$5,532.50 |
$5,532.50 |
1.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$691.70 |
$691.70 |
1.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$273 |
$273 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$359.10 |
$359.10 |
1.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$3,198 |
$3,198 |
4.7× |
| Drain shoulder lesion (23030) |
$586 |
$586 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$821.72 |
$821.72 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$3,040 |
$3,040 |
1.9× |
| Drainage Finger Abscess Simple (26010) |
$1,089 |
$1,089 |
5.6× |
| Drainage of hematoma/fluid (10140) |
$5,000 |
$5,000 |
3.1× |
| Draw blood off venous device (36591) |
$241.50 |
$241.50 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$707 |
$707 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$385.82 |
$385.82 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$373.05 |
$373.05 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$340.50 |
$340.50 |
2.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,243.95 |
$1,243.95 |
1.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$835 |
$835 |
0.5× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,552 |
$1,552 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,150 |
$1,150 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,257.85 |
$2,257.85 |
5.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$556 |
$556 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,026.97 |
$1,026.97 |
1.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$985 |
$985 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$810 |
$810 |
0.5× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,302 |
$1,302 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,932 |
$1,932 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,340 |
$1,340 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$985 |
$985 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,685 |
$1,685 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,302 |
$1,302 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$1,348 |
$1,348 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$329 |
$329 |
0.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,872 |
$1,872 |
1.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,243.95 |
$1,243.95 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,243.95 |
$1,243.95 |
1.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$691.70 |
$691.70 |
1.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,243.95 |
$1,243.95 |
1.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,243.95 |
$1,243.95 |
1.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,302 |
$1,302 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,814 |
$2,814 |
1.8× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,243.95 |
$1,243.95 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$835 |
$835 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,656 |
$1,656 |
2.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$500 |
$500 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,986 |
$1,986 |
1.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$866 |
$866 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,128 |
$1,128 |
0.7× |
| Exploration Penetrating Wound Spx Neck (20100) |
$3,308 |
$3,308 |
6.4× |
| Fine needle aspiration without imaging guidance (10021) |
$276 |
$276 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$882 |
$882 |
4.2× |
| I&d abscess simple (10060) |
$359.10 |
$359.10 |
1.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,135.50 |
$5,135.50 |
1.8× |
| I&d perianal abscess superficial (46050) |
$3,749 |
$3,749 |
4.2× |
| I&d pilonidal cyst simple (10080) |
$866.50 |
$866.50 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,126 |
$1,126 |
2.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$3,528 |
$3,528 |
5.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,129 |
$2,129 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$882.50 |
$882.50 |
2.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$882 |
$882 |
4.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$734.58 |
$734.58 |
2.5× |
| Incision thrombosed hemorrhoid external (46083) |
$828 |
$828 |
3.4× |
| Initial tx 1st degree burn local tx (16000) |
$350.50 |
$350.50 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$882 |
$882 |
3.0× |
| Injection anes other peripheral nerve/branch (64450) |
$1,410.50 |
$1,410.50 |
2.1× |
| Injection therapeutic carpal tunnel (20526) |
$284 |
$284 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$360.50 |
$360.50 |
2.9× |
| Insert non-tunnel cv cath (36556) |
$3,546 |
$3,546 |
1.2× |
| Insert picc cath (36569) |
$3,612.50 |
$3,612.50 |
2.4× |
| Insert Temp Bladder Cath (51702) |
$242 |
$242 |
1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$242 |
$242 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$1,059.50 |
$1,059.50 |
4.7× |
| Irrigate corpora cavernosa for priapism (54220) |
$1,460.50 |
$1,460.50 |
6.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$873 |
$873 |
2.0× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$3,000 |
$3,000 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$805.25 |
$805.25 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$93.50 |
$93.50 |
0.2× |
| Puncture Aspiration (10160) |
$580 |
$580 |
1.5× |
| Rad resect tumor soft tiss neck/ant thorax <5cm (21557) |
$2,350.92 |
$2,350.92 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$3,298.30 |
$3,298.30 |
1.2× |
| Removal fb intranasal (30300) |
$241.50 |
$241.50 |
1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$5,135.50 |
$5,135.50 |
1.8× |
| Removal foreign body foot deep (28192) |
$4,410 |
$4,410 |
2.8× |
| Removal foreign body foot subcutaneous (28190) |
$3,198 |
$3,198 |
4.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,087 |
$3,087 |
1.9× |
| Removal foreign body pharynx (42809) |
$3,087 |
$3,087 |
7.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$139.15 |
$139.15 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$166 |
$166 |
2.9× |
| Removal Implantable Contraceptive Capsules (11976) |
$268 |
$268 |
0.4× |
| Removal of arm foreign body (24200) |
$1,940 |
$1,940 |
1.2× |
| Removal of nail bed (11750) |
$495.85 |
$495.85 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$212 |
$212 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$336 |
$336 |
1.2× |
| Remove drug implant device (11982) |
$755.14 |
$755.14 |
1.8× |
| Remove Eyelid Foreign Body (67938) |
$2,205 |
$2,205 |
7.2× |
| Remove foreign body from eye (65210) |
$855.25 |
$855.25 |
2.0× |
| Remv Ext Canal Foreign Body (69200) |
$221.75 |
$221.75 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$241.50 |
$241.50 |
1.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,279.22 |
$1,279.22 |
1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,310.45 |
$1,310.45 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$864.60 |
$864.60 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,310.45 |
$1,310.45 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$890 |
$890 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,240 |
$1,240 |
3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,310.45 |
$1,310.45 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,310.45 |
$1,310.45 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,544 |
$1,544 |
3.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$575.60 |
$575.60 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$688.92 |
$688.92 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,654 |
$1,654 |
4.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$955 |
$955 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$956 |
$956 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,423 |
$1,423 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$771.50 |
$771.50 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,041.50 |
$1,041.50 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,202.50 |
$1,202.50 |
1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,654 |
$1,654 |
4.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$801 |
$801 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,100 |
$1,100 |
2.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,241 |
$1,241 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,575 |
$1,575 |
4.0× |
| Repair of nail bed (11760) |
$1,000.38 |
$1,000.38 |
1.4× |
| Repair Tongue Laceration (41250) |
$242 |
$242 |
0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,740.50 |
$1,740.50 |
2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$805.25 |
$805.25 |
1.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$241.50 |
$241.50 |
1.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,624.82 |
$4,624.82 |
1.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$3,413.75 |
$3,413.75 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,612.50 |
$2,612.50 |
1.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,649.50 |
$1,649.50 |
2.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$864.60 |
$864.60 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$448.90 |
$448.90 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$554 |
$554 |
2.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$864.60 |
$864.60 |
2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$676 |
$676 |
3.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$790 |
$790 |
4.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$448.90 |
$448.90 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$448.90 |
$448.90 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$448.90 |
$448.90 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$706 |
$706 |
3.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$522 |
$522 |
2.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$864.60 |
$864.60 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$864.60 |
$864.60 |
2.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,544 |
$1,544 |
2.3× |
| Spinal Puncture Therapeutic (62272) |
$1,544 |
$1,544 |
2.3× |
| Strapping ankle (29540) |
$296 |
$296 |
1.9× |
| Strapping elbow/wrist (29260) |
$141 |
$141 |
2.5× |
| Strapping hand/finger (29280) |
$176 |
$176 |
3.1× |
| Strapping Hip (29520) |
$122 |
$122 |
1.0× |
| Strapping knee (29530) |
$171.75 |
$171.75 |
1.3× |
| Strapping shoulder (29240) |
$243.75 |
$243.75 |
1.9× |
| Strapping thorax (29200) |
$296 |
$296 |
1.9× |
| Strapping toes (29550) |
$122 |
$122 |
2.2× |
| Strapping unna boot (29580) |
$306 |
$306 |
2.0× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$325 |
$325 |
0.8× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$4,300 |
$4,300 |
18.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$4,300 |
$4,300 |
2.9× |
| Treat finger dislocation (26775) |
$2,706 |
$2,706 |
10.1× |
| Treat Fracture Radius & Ulna (25560) |
$1,659 |
$1,659 |
7.0× |
| Treat humerus fracture (24500) |
$1,360.12 |
$1,360.12 |
5.7× |
| Treat humerus fracture (23600) |
$1,598.48 |
$1,598.48 |
6.7× |
| Treat knee fracture (27532) |
$4,153.25 |
$4,153.25 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$1,985 |
$1,985 |
8.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$3,002 |
$3,002 |
1.9× |
| Treat wrist bone fracture (25622) |
$1,793 |
$1,793 |
7.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,726.50 |
$1,726.50 |
7.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,221.35 |
$1,221.35 |
5.1× |
| Trim skin lesion (11055) |
$217.05 |
$217.05 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$85 |
$85 |
0.4× |
| Trim skin lesions over 4 (11057) |
$90 |
$90 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$15 |
$15 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,544 |
$1,544 |
2.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$708 |
$708 |
1.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,002 |
$3,002 |
1.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,396.50 |
$1,396.50 |
2.3× |
| Vaginal delivery only (59409) |
$5,532.50 |
$5,532.50 |
1.8× |
| Venipuncture (36415) |
$19 |
$19 |
2.0× |