| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$788 |
$788 |
0.8× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$941 |
$941 |
0.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$705 |
$705 |
0.3× |
| Application cast elbow finger short arm (29075) |
$95 |
$95 |
0.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$103 |
$103 |
0.6× |
| Application finger splint static (29130) |
$104 |
$104 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$146 |
$146 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$212 |
$212 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$114 |
$114 |
0.8× |
| Application short leg splint calf foot (29515) |
$183 |
$183 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$135 |
$135 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$99 |
$99 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$97 |
$97 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$203 |
$203 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$165 |
$165 |
0.8× |
| Biopsy external ear (69100) |
$109 |
$109 |
0.4× |
| Biopsy of mouth lesion (40808) |
$214 |
$214 |
0.4× |
| Biopsy of palate, uvula (42100) |
$159 |
$159 |
0.1× |
| Biopsy of tongue (41100) |
$222 |
$222 |
0.4× |
| Biopsy of uterus lining (58100) |
$231.50 |
$231.50 |
1.1× |
| Bladder Scan (51798) |
$37 |
$37 |
0.6× |
| Blood transfusion service (36430) |
$861.50 |
$861.50 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$2,513 |
$2,513 |
1.5× |
| Bx/exc lymph node needle superficial (38505) |
$3,163 |
$3,163 |
1.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$310 |
$310 |
0.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$674 |
$674 |
0.9× |
| Chemodenerv Musc Migraine (64615) |
$390 |
$390 |
1.2× |
| Chemodenerv Musc Neck Dyston (64616) |
$355.50 |
$355.50 |
1.1× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$135 |
$135 |
0.4× |
| Chest tube placement (32551) |
$546 |
$546 |
0.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,727 |
$1,727 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,591 |
$1,591 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$216 |
$216 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,281 |
$1,281 |
5.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,517 |
$1,517 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,131 |
$1,131 |
4.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,442 |
$1,442 |
5.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,900 |
$1,900 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$556 |
$556 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$996 |
$996 |
3.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,152 |
$1,152 |
4.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,353 |
$1,353 |
5.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$308 |
$308 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,809 |
$1,809 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,633 |
$1,633 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$132 |
$132 |
0.4× |
| Conization of cervix (57522) |
$271 |
$271 |
0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$195 |
$195 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$376 |
$376 |
2.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$63 |
$63 |
0.1× |
| Debride nail 1-5 (11720) |
$36 |
$36 |
0.6× |
| Debride nail 6 or more (11721) |
$42 |
$42 |
0.7× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$110 |
$110 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$158 |
$158 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$305 |
$305 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$358 |
$358 |
0.2× |
| Declot vascular device (36593) |
$675 |
$675 |
2.0× |
| Destroy cerv/thor facet jnt (64633) |
$4,473 |
$4,473 |
2.2× |
| Destroy lumb/sac facet jnt (64635) |
$5,125 |
$5,125 |
2.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$147 |
$147 |
0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$445 |
$445 |
0.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,711 |
$1,711 |
1.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,492 |
$2,492 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$76 |
$76 |
0.4× |
| Drainage of eyelid abscess (67700) |
$439 |
$439 |
1.3× |
| Draw blood off venous device (36591) |
$96 |
$96 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$81 |
$81 |
0.4× |
| Endovenous rf 1st vein (36475) |
$6,451 |
$6,451 |
2.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$290.50 |
$290.50 |
0.4× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$276 |
$276 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$309 |
$309 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$437 |
$437 |
0.1× |
| Excise/repair mouth lesion (40812) |
$314 |
$314 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$260 |
$260 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$272 |
$272 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$298 |
$298 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$195 |
$195 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$211 |
$211 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$189 |
$189 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$311 |
$311 |
0.3× |
| Fetal non-stress test (59025) |
$282 |
$282 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,632 |
$1,632 |
2.2× |
Glossectomy; less than one-half tongue (41120)
likely a partial charge, not the full procedure |
$1,042 |
$1,042 |
0.2× |
| Glycine receptor alpha1 igg serum/csf lcba qual (0431U) |
$375 |
$375 |
10.3× |
| I&d abscess simple (10060) |
$403 |
$403 |
1.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,844 |
$1,844 |
0.6× |
| I&d perianal abscess superficial (46050) |
$371 |
$371 |
0.4× |
| Implant neuroelectrodes (63650) |
$4,487 |
$4,487 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$436 |
$436 |
1.0× |
| Incision of eardrum (69420) |
$231 |
$231 |
0.9× |
| Incision of lingual frenum (41010) |
$289 |
$289 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$195 |
$195 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,310.50 |
$2,310.50 |
2.5× |
| Inj tendon sheath/ligament (20550) |
$113.50 |
$113.50 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,014 |
$2,014 |
2.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$163 |
$163 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,647 |
$2,647 |
2.9× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,239 |
$1,239 |
1.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,284 |
$1,284 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,150 |
$1,150 |
1.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,100 |
$2,100 |
2.3× |
| Inject Tendon Origin/Insert (20551) |
$210 |
$210 |
0.7× |
| Injection aa&/strd suprascapular nerve (64418) |
$917 |
$917 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$680 |
$680 |
2.1× |
| Injection anes other peripheral nerve/branch (64450) |
$155 |
$155 |
0.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,210 |
$2,210 |
2.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$136 |
$136 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$155 |
$155 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$327 |
$327 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$692 |
$692 |
2.2× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$569 |
$569 |
1.8× |
| Insert picc cath (36569) |
$1,854 |
$1,854 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$139 |
$139 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$148.50 |
$148.50 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$753 |
$753 |
0.5× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,597 |
$1,597 |
2.5× |
| Intubation endotracheal emergency procedure (31500) |
$505 |
$505 |
2.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$155 |
$155 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$310 |
$310 |
0.2× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$241 |
$241 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,360 |
$1,360 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$990 |
$990 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,628.50 |
$2,628.50 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,066 |
$1,066 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$968 |
$968 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,066 |
$1,066 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$209 |
$209 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$157 |
$157 |
0.4× |
| Removal fb intranasal (30300) |
$460 |
$460 |
3.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$45.50 |
$45.50 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80.50 |
$80.50 |
1.3× |
| Removal of arm foreign body (24200) |
$520 |
$520 |
0.3× |
| Removal of salivary stone (42330) |
$245 |
$245 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$289 |
$289 |
1.4× |
| Remove foreign body from eye (65235) |
$2,755 |
$2,755 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$85 |
$85 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,024 |
$1,024 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$841.50 |
$841.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,118 |
$1,118 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$953 |
$953 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$914 |
$914 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$759 |
$759 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$740 |
$740 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$796 |
$796 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$539 |
$539 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$728 |
$728 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$800 |
$800 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$871 |
$871 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$562 |
$562 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$710 |
$710 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,003 |
$1,003 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$757 |
$757 |
1.8× |
| Repair tympanic membrane (69610) |
$345 |
$345 |
0.2× |
| Revise median n/carpal tunnel surg (64721) |
$3,226 |
$3,226 |
1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$152 |
$152 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,184 |
$2,184 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,406 |
$1,406 |
2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$155.50 |
$155.50 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$202 |
$202 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$260 |
$260 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$159 |
$159 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$258 |
$258 |
1.2× |
| Skin tissue rearrangement (14040) |
$727 |
$727 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$207 |
$207 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$246.50 |
$246.50 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$936 |
$936 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$247 |
$247 |
0.6× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
unusually low: confirm this is the full procedure |
$4,223 |
$4,223 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,773 |
$1,773 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,276 |
$1,276 |
5.0× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$495 |
$495 |
0.1× |
| Trim skin lesion (11055) |
$98 |
$98 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$107 |
$107 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$15 |
$15 |
0.2× |
| Tympanostomy (69433) |
$238 |
$238 |
0.4× |
| Unlisted Procedure Nervous System (64999) |
$102 |
$102 |
0.3× |
| Vasectomy (55250) |
$1,393 |
$1,393 |
0.6× |