| Anoscopy diagnostic (46600) |
$307.80 |
$513 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,131.80 |
$3,553 |
1.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$3,741.60 |
$6,236 |
2.0× |
| Application cast elbow finger short arm (29075) |
$634.20 |
$1,057 |
1.9× |
| Application Cast Finger (29086) |
$369 |
$615 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$141.60 |
$236 |
2.0× |
| Application finger splint static (29130) |
$415.80 |
$693 |
2.6× |
| Application long arm splint shoulder hand (29105) |
$376.80 |
$628 |
2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$621 |
$1,035 |
1.9× |
| Application of long leg cast (29345) |
$634.20 |
$1,057 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$307.80 |
$513 |
2.0× |
| Application short leg splint calf foot (29515) |
$376.80 |
$628 |
2.0× |
| Apply hand/wrist cast (29085) |
$376.80 |
$628 |
2.0× |
| Apply long arm cast (29065) |
$634.20 |
$1,057 |
1.9× |
| Apply Short Leg Cast (29405) |
$634.20 |
$1,057 |
1.9× |
| Apply short leg cast (29425) |
$634.20 |
$1,057 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,653.60 |
$2,756 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$705 |
$1,175 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$705 |
$1,175 |
1.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$705 |
$1,175 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,891.20 |
$8,152 |
2.0× |
| Aspiration Bladder Needle (51100) |
$568.80 |
$948 |
1.9× |
| Aspiration bladder trocar/intracatheter (51101) |
$2,379 |
$3,965 |
2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$474.60 |
$791 |
2.0× |
| Bladder Scan (51798) |
$141.60 |
$236 |
2.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,032 |
$6,720 |
1.9× |
| Change Cystostomy Tube Complicated (51710) |
$1,593.60 |
$2,656 |
1.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,821.40 |
$6,369 |
2.0× |
| Clear outer ear canal (69200) |
$307.80 |
$513 |
2.0× |
| Closed rx talotarsal disloc,anesth (28575) |
$7,585.80 |
$12,643 |
2.0× |
| Closed Treat Vert Body Fract (22310) |
$561 |
$935 |
1.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$573 |
$955 |
2.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$3,821.40 |
$6,369 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$573 |
$955 |
2.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$561 |
$935 |
1.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$561 |
$935 |
1.9× |
| Closed Treatment Sternum Fracture (21820) |
$561 |
$935 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$573 |
$955 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$573 |
$955 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$561 |
$935 |
1.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$561 |
$935 |
1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$573 |
$955 |
2.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$580.80 |
$968 |
2.0× |
| Closed Tx Craniofacial Separation (21431) |
$7,582.20 |
$12,637 |
1.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$561 |
$935 |
0.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$7,585.80 |
$12,643 |
2.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$573 |
$955 |
2.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$3,821.40 |
$6,369 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$573 |
$955 |
2.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,741.60 |
$6,236 |
2.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,216.20 |
$2,027 |
1.9× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453) unusually low: confirm this is the full procedure |
$3,463.20 |
$5,772 |
0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,537 |
$5,895 |
1.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$7,582.20 |
$12,637 |
1.9× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$7,582.20 |
$12,637 |
1.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$573 |
$955 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$573 |
$955 |
2.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$573 |
$955 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$561 |
$935 |
1.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$573 |
$955 |
2.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$573 |
$955 |
2.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$561 |
$935 |
1.9× |
| Closed tx septal&nose fx (21337) |
$7,743.60 |
$12,906 |
2.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$561 |
$935 |
1.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$561 |
$935 |
1.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,821.40 |
$6,369 |
2.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$561 |
$935 |
1.9× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$561 |
$935 |
1.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$561 |
$935 |
1.9× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$561 |
$935 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$573 |
$955 |
2.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$554.40 |
$924 |
2.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,190.40 |
$1,984 |
1.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$573 |
$955 |
2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$561 |
$935 |
1.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$3,741.60 |
$6,236 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$573 |
$955 |
2.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,190.40 |
$1,984 |
1.9× |
| Clsd Tx Pelvic Ring Fx (27198) |
$561 |
$935 |
1.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$561 |
$935 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$573 |
$955 |
2.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$561 |
$935 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$561 |
$935 |
1.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$561 |
$935 |
1.9× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$561 |
$935 |
1.9× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$573 |
$955 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$573 |
$955 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$573 |
$955 |
2.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$561 |
$935 |
1.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$561 |
$935 |
0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$561 |
$935 |
1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$573 |
$955 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$573 |
$955 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$561 |
$935 |
1.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$561 |
$935 |
1.9× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$561 |
$935 |
1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$561 |
$935 |
1.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$561 |
$935 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$634.20 |
$1,057 |
1.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$561 |
$935 |
0.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Medial Ankle Fx (27760) |
$573 |
$955 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$573 |
$955 |
2.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$573 |
$955 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$561 |
$935 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$7,585.80 |
$12,643 |
2.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$561 |
$935 |
1.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$573 |
$955 |
2.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$561 |
$935 |
1.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$561 |
$935 |
1.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$7,585.80 |
$12,643 |
2.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$561 |
$935 |
1.9× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$561 |
$935 |
1.9× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$561 |
$935 |
1.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$561 |
$935 |
1.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$561 |
$935 |
1.9× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$7,747.20 |
$12,912 |
2.0× |
| Collection of venous blood by venipuncture (36415) |
$45.60 |
$76 |
4.9× |
| Complex drainage wound (10180) |
$6,834 |
$11,390 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$307.80 |
$513 |
2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$554.40 |
$924 |
2.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,461.60 |
$2,436 |
1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,868.80 |
$6,448 |
2.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,191.80 |
$3,653 |
2.0× |
| Drain/inj small joint/bursa w/us (20604) |
$705 |
$1,175 |
1.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,216.20 |
$2,027 |
1.9× |
| Drainage external auditory canal abscess (69020) |
$1,680 |
$2,800 |
2.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$3,868.80 |
$6,448 |
2.0× |
| Drainage Finger Abscess Complicated (26011) |
$3,868.80 |
$6,448 |
2.0× |
| Drainage of finger abscess simple (26010) |
$474.60 |
$791 |
2.0× |
| Drainage of gum lesion (41800) |
$307.80 |
$513 |
2.0× |
| Drainage of nose lesion (30000) |
$554.40 |
$924 |
2.0× |
| Drainage of rectal abscess (45005) |
$2,815.20 |
$4,692 |
2.0× |
| Drainage of scrotum (54700) |
$4,891.20 |
$8,152 |
2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,190.40 |
$1,984 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$954 |
$1,590 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$474.60 |
$791 |
2.0× |
| Escharotomy; initial incision (16035) |
$954 |
$1,590 |
2.0× |
| Explo/Drain Breast Abscess (19020) |
$3,868.80 |
$6,448 |
2.0× |
| I&d abscess simple (10060) |
$474.60 |
$791 |
2.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,834 |
$11,390 |
2.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$7,747.20 |
$12,912 |
2.0× |
| I&d forearm/wrist bursa (25031) |
$3,741.60 |
$6,236 |
2.0× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$1,190.40 |
$1,984 |
1.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$7,747.20 |
$12,912 |
2.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$6,834 |
$11,390 |
2.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$6,691.80 |
$11,153 |
2.0× |
| Incise/Drain Conjunctiva (68020) |
$2,264.40 |
$3,774 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$954 |
$1,590 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,868.80 |
$6,448 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$954 |
$1,590 |
2.0× |
| Incision of rectal abscess (46040) |
$2,815.20 |
$4,692 |
2.0× |
| Incision&drainage bursa foot (28001) |
$3,788.40 |
$6,314 |
1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,868.80 |
$6,448 |
2.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$474.60 |
$791 |
2.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,125.80 |
$3,543 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,125.80 |
$3,543 |
2.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,081.40 |
$3,469 |
2.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,619.40 |
$2,699 |
1.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,653.60 |
$2,756 |
2.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,125.80 |
$3,543 |
2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,653.60 |
$2,756 |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,653.60 |
$2,756 |
2.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$690 |
$1,150 |
1.9× |
| Insert and remove bone pin (20650) |
$7,585.80 |
$12,643 |
2.0× |
| Insert Bladder Cath Complex (51703) |
$373.80 |
$623 |
2.5× |
| Insert Temp Bladder Cath (51702) |
$307.80 |
$513 |
2.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$7,515.60 |
$12,526 |
2.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$954 |
$1,590 |
2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$934.20 |
$1,557 |
1.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,216.20 |
$2,027 |
1.9× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$543 |
$905 |
1.9× |
| Intraoral i&d tongue/floor submental space (41007) |
$3,463.20 |
$5,772 |
1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$7,582.20 |
$12,637 |
1.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$927 |
$1,545 |
2.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$453.60 |
$756 |
1.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,117.80 |
$6,863 |
2.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$7,434 |
$12,390 |
1.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,619.40 |
$2,699 |
1.9× |
| N block inj intercost sng (64420) |
$1,653.60 |
$2,756 |
2.0× |
| N Block Inj Paracervical (64435) |
$1,619.40 |
$2,699 |
1.9× |
| N Block Inj Pudendal (64430) |
$2,081.40 |
$3,469 |
2.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$705 |
$1,175 |
1.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,125.80 |
$3,543 |
2.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$6,411.60 |
$10,686 |
2.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$954 |
$1,590 |
2.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$714 |
$1,190 |
1.9× |
| Removal Foreign Body Foot Complicated (28193) |
$3,868.80 |
$6,448 |
2.0× |
| Removal foreign body foot deep (28192) |
$3,868.80 |
$6,448 |
2.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,868.80 |
$6,448 |
2.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$7,585.80 |
$12,643 |
2.0× |
| Removal Foreign Body Scrotum (55120) |
$4,789.20 |
$7,982 |
1.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$6,691.80 |
$11,153 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$141.60 |
$236 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$141.60 |
$236 |
2.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$7,591.80 |
$12,653 |
2.0× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$6,691.80 |
$11,153 |
2.0× |
| Remove Forearm Foreign Body (25248) |
$3,821.40 |
$6,369 |
2.0× |
| Remove foreign body from eye (65205) |
$307.80 |
$513 |
2.0× |
| Remove Shoulder Foreign Body (23330) |
$3,868.80 |
$6,448 |
2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,461.60 |
$2,436 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$954 |
$1,590 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,431 |
$2,385 |
1.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,821.40 |
$6,369 |
2.0× |
| Repair Eyelid Wound (67935) |
$5,454.60 |
$9,091 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$954 |
$1,590 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,461.60 |
$2,436 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$954 |
$1,590 |
2.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$4,276.80 |
$7,128 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,461.60 |
$2,436 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$4,368 |
$7,280 |
1.8× |
| Repair Laceration Palate </2 Cm (42180) |
$1,190.40 |
$1,984 |
1.9× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$13,831.20 |
$23,052 |
2.0× |
| Repair of nail bed (11760) |
$1,461.60 |
$2,436 |
1.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$16,702.20 |
$27,837 |
1.9× |
| Reposition Gastrostomy Tube (43761) |
$580.80 |
$968 |
2.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,463.20 |
$5,772 |
1.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,190.40 |
$1,984 |
1.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$2,238.60 |
$3,731 |
2.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$952.80 |
$1,588 |
1.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$307.80 |
$513 |
2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$952.80 |
$1,588 |
1.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,815.20 |
$4,692 |
2.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$6,834 |
$11,390 |
2.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$6,691.80 |
$11,153 |
2.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$3,868.80 |
$6,448 |
2.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,461.60 |
$2,436 |
1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$554.40 |
$924 |
2.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,216.20 |
$2,027 |
1.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$3,463.20 |
$5,772 |
1.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$7,747.20 |
$12,912 |
2.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$7,585.80 |
$12,643 |
2.0× |
| Sigmoidoscopy w/fb removal (45332) |
$2,757 |
$4,595 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$474.60 |
$791 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$474.60 |
$791 |
2.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$954 |
$1,590 |
2.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$474.60 |
$791 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$474.60 |
$791 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$474.60 |
$791 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$474.60 |
$791 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$474.60 |
$791 |
2.0× |
| Strapping ankle (29540) |
$376.80 |
$628 |
2.0× |
| Strapping elbow or wrist (29260) |
$141.60 |
$236 |
2.0× |
| Strapping hand/finger (29280) |
$141.60 |
$236 |
2.0× |
| Strapping Hip (29520) |
$307.80 |
$513 |
2.0× |
| Strapping shoulder (29240) |
$307.80 |
$513 |
2.0× |
| Strapping toes (29550) |
$141.60 |
$236 |
2.0× |
| Strapping Unna Boot (29580) |
$376.80 |
$628 |
2.0× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$5,454.60 |
$9,091 |
1.9× |
| Treat Dental Ridge Fracture (21440) |
$7,582.20 |
$12,637 |
1.9× |
| Treat Hip Socket Fracture (27222) |
$561 |
$935 |
1.9× |
| Treat humerus fracture (24500) |
$573 |
$955 |
2.0× |
| Treat Humerus Fracture (24505) |
$3,821.40 |
$6,369 |
2.0× |
| Treat humerus fracture (23600) |
$573 |
$955 |
2.0× |
| Treat knee fracture (27532) |
$7,747.20 |
$12,912 |
2.0× |
| Treat Knee Fracture(S) (27538) |
$561 |
$935 |
1.9× |
| Treat Metatarsal Fracture (28475) |
$573 |
$955 |
2.0× |
| Treat Tail Bone Fracture (27200) |
$561 |
$935 |
1.9× |
| Treat Thumb Dislocation (26641) |
$573 |
$955 |
2.0× |
| Treat Thumb Fracture (26645) |
$3,741.60 |
$6,236 |
2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,821.40 |
$6,369 |
2.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$141.60 |
$236 |
2.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$954 |
$1,590 |
2.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,741.60 |
$6,236 |
2.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$573 |
$955 |
2.0× |
| Unlisted procedure nervous system (64999) |
$705 |
$1,175 |
1.9× |
| Unlisted Procedure Rectum (45999) |
$2,176.80 |
$3,628 |
2.0× |