| Abd paracentesis w/imaging (49083) |
$1,406.40 |
$1,758 |
1.7× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,625.60 |
$3,282 |
1.4× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$5,157.60 |
$6,447 |
1.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$346.40 |
$433 |
2.3× |
| Application cast elbow finger short arm (29075) |
$302 |
$377.50 |
1.2× |
| Application finger splint static (29130) |
$179.20 |
$224 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$192.40 |
$240.50 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$208.80 |
$261 |
1.4× |
| Application of long leg cast (29345) |
$333.60 |
$417 |
1.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$330.40 |
$413 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$276.80 |
$346 |
2.3× |
| Application short arm splint forearm-hand static (29125) |
$272 |
$340 |
2.2× |
| Application short leg splint calf foot (29515) |
$202.40 |
$253 |
1.4× |
| Apply short leg cast (29405) |
$325.60 |
$407 |
1.3× |
| Arterial puncture (36600) |
$80.80 |
$101 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$702.40 |
$878 |
2.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$548.80 |
$686 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$825.20 |
$1,031.50 |
2.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$886.40 |
$1,108 |
3.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$141.20 |
$176.50 |
0.8× |
| Biopsy Muscle Superficial (20200) |
$742.40 |
$928 |
0.5× |
| Biopsy soft tissue of back (21920) |
$400 |
$500 |
0.3× |
| Bladder Irrigation Simple (51700) |
$374.40 |
$468 |
1.6× |
| Bladder Scan (51798) |
$80.80 |
$101 |
1.5× |
| Blood transfusion service (36430) |
$619.20 |
$774 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$2,430.40 |
$3,038 |
1.6× |
| Change Cystostomy Tube Simple (51705) |
$365.60 |
$457 |
1.6× |
| Chemical Cautery Tissue (17250) |
$308.80 |
$386 |
1.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$999.60 |
$1,249.50 |
1.5× |
| Chest tube placement (32551) |
$440 |
$550 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$173.60 |
$217 |
1.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$3,019.20 |
$3,774 |
2.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$956 |
$1,195 |
0.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,400.80 |
$3,001 |
1.6× |
| Closed Rx Radial Shaft Fx (25500) |
$1,745.60 |
$2,182 |
7.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,745.60 |
$2,182 |
7.7× |
| Closed Rx Trimalleolar Fx (27816) |
$1,745.60 |
$2,182 |
7.7× |
| Closed treat wrist dislocation (25660) |
$748.80 |
$936 |
3.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$2,342.40 |
$2,928 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$971.20 |
$1,214 |
4.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,400.80 |
$3,001 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$971.20 |
$1,214 |
4.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,745.60 |
$2,182 |
7.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,601.60 |
$3,252 |
1.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,323.20 |
$2,904 |
1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$3,032 |
$3,790 |
13.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$971.20 |
$1,214 |
4.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$1,745.60 |
$2,182 |
7.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$971.20 |
$1,214 |
4.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$918.40 |
$1,148 |
0.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$971.20 |
$1,214 |
4.3× |
| Closed tx septal&nose fx (21337) |
$742.40 |
$928 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$680 |
$850 |
3.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,745.60 |
$2,182 |
7.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$971.20 |
$1,214 |
4.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$971.20 |
$1,214 |
4.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$679.20 |
$849 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,016.80 |
$1,271 |
4.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,745.60 |
$2,182 |
7.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,745.60 |
$2,182 |
7.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$519.20 |
$649 |
2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,184 |
$1,480 |
5.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,708.80 |
$2,136 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$543.20 |
$679 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$717.60 |
$897 |
3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$284 |
$355 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$607.20 |
$759 |
2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$519.20 |
$649 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,364.80 |
$1,706 |
6.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$349.60 |
$437 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,293.60 |
$1,617 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$858.40 |
$1,073 |
3.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,745.60 |
$2,182 |
7.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$971.20 |
$1,214 |
4.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,745.60 |
$2,182 |
1.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$971.20 |
$1,214 |
4.3× |
| Colonoscopy flex w/rem forcep (45384) |
$1,768.80 |
$2,211 |
1.6× |
| Colonoscopy w/band ligation (45398) |
$1,768.80 |
$2,211 |
1.6× |
| Complex Drainage, Wound (10180) |
$4,541.60 |
$5,677 |
1.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$712.80 |
$891 |
5.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$906 |
$1,132.50 |
7.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$361.60 |
$452 |
3.0× |
| Debride nail 1-5 (11720) |
$83.60 |
$104.50 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$380.80 |
$476 |
1.0× |
| Delivery placenta separate procedure (59414) |
$2,464 |
$3,080 |
0.8× |
| Destroy cerv/thor facet jnt (64633) |
$1,944.80 |
$2,431 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$1,512.40 |
$1,890.50 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$960 |
$1,200 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,811.20 |
$2,264 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$360 |
$450 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,368 |
$1,710 |
1.6× |
| Division of fallopian tube (58600) |
$4,769.60 |
$5,962 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,056 |
$1,320 |
1.6× |
| Drainage Finger Abscess Simple (26010) |
$356 |
$445 |
1.9× |
| Drainage mouth roof lesion (42000) |
$349.60 |
$437 |
1.6× |
| Drainage of gum lesion (41800) |
$264 |
$330 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$2,430.40 |
$3,038 |
1.6× |
| Draw blood off venous device (36591) |
$152.80 |
$191 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$408 |
$510 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$446.40 |
$558 |
2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$412.80 |
$516 |
2.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,845.60 |
$3,557 |
1.6× |
| Egd flexible foreign body removal (43247) |
$1,571.20 |
$1,964 |
1.9× |
| Egd place gastrostomy tube (43246) |
$2,845.60 |
$3,557 |
1.6× |
| Egd remove lesion snare (43251) |
$2,845.60 |
$3,557 |
1.6× |
| Episiotomy or vaginal repair (59300) |
$4,769.60 |
$5,962 |
1.6× |
| Esophagoscopy flex biopsy (43202) |
$1,097.60 |
$1,372 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,097.60 |
$1,372 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$52.80 |
$66 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,398 |
$1,747.50 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,430.40 |
$3,038 |
1.6× |
| Exc face les sbq 2 cm/> (21012) |
$1,618.40 |
$2,023 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,638.40 |
$2,048 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,456 |
$1,820 |
2.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$995.20 |
$1,244 |
2.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,055.20 |
$1,319 |
1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,016.40 |
$1,270.50 |
1.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$3,095.20 |
$3,869 |
2.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,430.40 |
$3,038 |
1.6× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,468.80 |
$4,336 |
1.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,292.80 |
$5,366 |
1.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,492.80 |
$3,116 |
1.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,645.60 |
$2,057 |
1.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,744 |
$2,180 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,701.60 |
$4,627 |
1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,560 |
$3,200 |
1.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,055.20 |
$1,319 |
1.6× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,489.60 |
$3,112 |
1.7× |
| Excision Breast Lesion (19125) |
$5,744 |
$7,180 |
1.6× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$960 |
$1,200 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$978.40 |
$1,223 |
1.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$706.40 |
$883 |
1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$836.40 |
$1,045.50 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,409.60 |
$3,012 |
3.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$568.80 |
$711 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$742.40 |
$928 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,101.20 |
$1,376.50 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$940 |
$1,175 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,166.40 |
$2,708 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,342 |
$1,677.50 |
0.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$940 |
$1,175 |
1.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,672.80 |
$2,091 |
2.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,430.40 |
$3,038 |
1.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,430.40 |
$3,038 |
1.6× |
| Excision of nail fold toe (11765) |
$831.20 |
$1,039 |
2.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,058.40 |
$2,573 |
0.8× |
| Excision, nasal polyp(s), simple (30110) |
$328 |
$410 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$372.80 |
$466 |
0.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,400.80 |
$3,001 |
1.6× |
| Fetal non-stress test (59025) |
$432 |
$540 |
2.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$2,845.60 |
$3,557 |
14.3× |
| I&d abscess simple (10060) |
$562.80 |
$703.50 |
3.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,403.20 |
$5,504 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,368 |
$1,710 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,764 |
$2,205 |
4.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$755.20 |
$944 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$352 |
$440 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$456.80 |
$571 |
1.6× |
| Incision thrombosed hemorrhoid external (46083) |
$365.60 |
$457 |
1.6× |
| Initial tx 1st degree burn local tx (16000) |
$298.40 |
$373 |
1.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,073.60 |
$1,342 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$339.20 |
$424 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$701.20 |
$876.50 |
2.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$666.40 |
$833 |
0.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$666.40 |
$833 |
0.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$934.80 |
$1,168.50 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$666.40 |
$833 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$764.40 |
$955.50 |
0.9× |
| Inject scleros soln in hemorrhoids (46500) |
$180.80 |
$226 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$565.60 |
$707 |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,414.40 |
$1,768 |
2.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$960 |
$1,200 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$701.20 |
$876.50 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$737.60 |
$922 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$697.20 |
$871.50 |
2.5× |
| Injection anes other peripheral nerve/branch (64450) |
$996 |
$1,245 |
1.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$960 |
$1,200 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$413.60 |
$517 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$686.80 |
$858.50 |
2.4× |
| Injection therapeutic carpal tunnel (20526) |
$544 |
$680 |
1.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$792 |
$990 |
2.8× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,180.80 |
$1,476 |
4.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$188.40 |
$235.50 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$4,721.60 |
$5,902 |
1.6× |
| Insert picc cath (36569) |
$2,816 |
$3,520 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$174.40 |
$218 |
1.4× |
| Insert tunneled cv cath (36561) |
$4,721.60 |
$5,902 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$174.40 |
$218 |
1.4× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$4,944.80 |
$6,181 |
1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,200 |
$4,000 |
2.2× |
| Intubation endotracheal emergency procedure (31500) |
$271.20 |
$339 |
1.2× |
| Laparoscopy Remove Adnexa (58661) |
$7,500 |
$9,375 |
1.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,752 |
$10,940 |
1.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,988.80 |
$6,236 |
3.0× |
| Ligation of hemorrhoid(s) (46221) |
$1,958.40 |
$2,448 |
2.3× |
| Musculoskeletal surgery (20999) |
$356.80 |
$446 |
1.6× |
| Nasal surgery procedure (30999) |
$135.60 |
$169.50 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$2,845.60 |
$3,557 |
6.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,678.40 |
$2,098 |
4.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$909.20 |
$1,136.50 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,684.80 |
$3,356 |
3.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,165.20 |
$1,456.50 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$840.80 |
$1,051 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$560 |
$700 |
2.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,716 |
$13,395 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$599.20 |
$749 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$466 |
$582.50 |
1.2× |
| Puncture Aspiration (10160) |
$1,136.80 |
$1,421 |
3.0× |
| Pvb thoracic single inj site (64461) |
$750.80 |
$938.50 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,007.60 |
$1,259.50 |
0.6× |
| Removal fb intranasal (30300) |
$1,115.20 |
$1,394 |
9.1× |
| Removal foreign body foot subcutaneous (28190) |
$322.40 |
$403 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$587.20 |
$734 |
10.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$100 |
$125 |
1.8× |
| Removal of nail bed (11750) |
$613.60 |
$767 |
1.6× |
| Remove Eyelid Foreign Body (67938) |
$416 |
$520 |
1.4× |
| Remove foreign body from eye (65210) |
$372.80 |
$466 |
0.9× |
| Remv Ext Canal Foreign Body (69200) |
$234 |
$292.50 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$89.60 |
$112 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$543.20 |
$679 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$652 |
$815 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$575.20 |
$719 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$403.60 |
$504.50 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,621.60 |
$4,527 |
2.4× |
| Repair hand tendon (26410) |
$2,376.80 |
$2,971 |
1.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$5,293.60 |
$6,617 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$320 |
$400 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$495.20 |
$619 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,168.80 |
$1,461 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$335.20 |
$419 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$424.80 |
$531 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$971.20 |
$1,214 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$356.80 |
$446 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$416 |
$520 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,169.60 |
$1,462 |
3.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,128.80 |
$3,911 |
1.6× |
| Rerepair ing hernia reduce (49520) |
$5,329.60 |
$6,662 |
1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$650.40 |
$813 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$626.40 |
$783 |
5.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,768.80 |
$2,211 |
1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,330.40 |
$2,913 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$715.60 |
$894.50 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$446.40 |
$558 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$89.60 |
$112 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$261.60 |
$327 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$296.80 |
$371 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$332.80 |
$416 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$368 |
$460 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$216 |
$270 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$314.40 |
$393 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$2,844.80 |
$3,556 |
4.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,943.20 |
$2,429 |
2.9× |
| Skin Tissue Procedure (17999) |
$352 |
$440 |
1.9× |
| Skin tissue rearrangement (14040) |
$1,666.80 |
$2,083.50 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$280.80 |
$351 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$412 |
$515 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$543.20 |
$679 |
0.8× |
| Strapping ankle (29540) |
$333.60 |
$417 |
2.2× |
| Strapping elbow/wrist (29260) |
$333.60 |
$417 |
6.1× |
| Strapping unna boot (29580) |
$333.60 |
$417 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$606.40 |
$758 |
1.1× |
| Throat Surgery Procedure (42999) |
$317.60 |
$397 |
1.5× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$5,352.80 |
$6,691 |
2.8× |
| Treat Fracture Radius & Ulna (25560) |
$1,745.60 |
$2,182 |
7.7× |
| Treat humerus fracture (24500) |
$647.20 |
$809 |
2.9× |
| Treat Metatarsal Fracture (28475) |
$1,940.80 |
$2,426 |
8.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$971.20 |
$1,214 |
0.7× |
| Treatment closed elbow dislocation req anes (24605) |
$1,198.40 |
$1,498 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$858.80 |
$1,073.50 |
3.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$85.60 |
$107 |
0.6× |
| Unlisted procedure humerus/elbow (24999) |
$132 |
$165 |
0.6× |
| Unlisted procedure leg/ankle (27899) |
$264 |
$330 |
1.2× |
| Unlisted procedure maternity care & delivery (59899) |
$74.40 |
$93 |
0.4× |
| Unlisted procedure, hands or fingers (26989) |
$136 |
$170 |
0.6× |
| Urology Surgery Procedure (53899) |
$88 |
$110 |
0.4× |
| Venipuncture (36415) |
$20.80 |
$26 |
2.2× |
| Windowing of cast (29730) |
$111.20 |
$139 |
0.7× |