| Abd paracentesis w/imaging (49083) |
$907.60 |
$2,269 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$907.60 |
$2,269 |
1.1× |
| Amputation Finger/Thumb (26951) |
$2,084 |
$5,210 |
0.7× |
| Anoscopy diagnostic (46600) |
$93.20 |
$233 |
0.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$820.40 |
$2,051 |
1.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$64 |
$160 |
0.4× |
| Application cast elbow finger short arm (29075) |
$241.60 |
$604 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$241.60 |
$604 |
0.9× |
| Application finger splint static (29130) |
$139.60 |
$349 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$175.20 |
$438 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$175.20 |
$438 |
1.2× |
| Application of long leg cast (29345) |
$288 |
$720 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$139.60 |
$349 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$139.60 |
$349 |
1.2× |
| Application short leg splint calf foot (29515) |
$175.20 |
$438 |
1.2× |
| Apply short leg cast (29405) |
$241.60 |
$604 |
0.9× |
| Apply short leg cast (29425) |
$241.60 |
$604 |
0.9× |
| Arterial puncture (36600) |
$84.98 |
$212.45 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$230 |
$575 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$645.20 |
$1,613 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$326.40 |
$816 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$270 |
$675 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$230 |
$575 |
0.8× |
| Aspiration bladder needle (51100) |
$210 |
$525 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$216.80 |
$542 |
1.2× |
| Bladder Irrigation Simple (51700) |
$234 |
$585 |
1.0× |
| Bladder Scan (51798) |
$69.20 |
$173 |
1.3× |
| Blood transfusion service (36430) |
$489.60 |
$1,224 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$230 |
$575 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$224.80 |
$562 |
1.0× |
| Chemical Cautery Tissue (17250) |
$82 |
$205 |
0.4× |
| Chest tube placement (32551) |
$1,195.20 |
$2,988 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$114.01 |
$285.02 |
0.9× |
| Clearance of tear duct (68530) |
$285.60 |
$714 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$966 |
$2,415 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$221.60 |
$554 |
1.0× |
| Closed Rx Med Malleolus Fx (27760) |
$221.60 |
$554 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,428 |
$3,570 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,428 |
$3,570 |
1.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,398.80 |
$3,497 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$221.60 |
$554 |
1.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,398.80 |
$3,497 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$248.80 |
$622 |
1.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$221.60 |
$554 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,398.80 |
$3,497 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$221.60 |
$554 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$229.60 |
$574 |
1.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$221.60 |
$554 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$221.60 |
$554 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$248.80 |
$622 |
1.1× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,428 |
$3,570 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$221.60 |
$554 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$289.60 |
$724 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$966 |
$2,415 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$221.60 |
$554 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$217.60 |
$544 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$221.60 |
$554 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,398.80 |
$3,497 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$244.40 |
$611 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$221.60 |
$554 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,292 |
$3,230 |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$304.80 |
$762 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$248.80 |
$622 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,010.80 |
$2,527 |
0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$221.60 |
$554 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,398.80 |
$3,497 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$248.80 |
$622 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$936 |
$2,340 |
0.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$221.60 |
$554 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$221.60 |
$554 |
1.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$202 |
$505 |
0.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$470 |
$1,175 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$236.80 |
$592 |
1.1× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$978.80 |
$2,447 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$212.80 |
$532 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,214.40 |
$3,036 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$248.80 |
$622 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,446 |
$3,615 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$221.60 |
$554 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$241.20 |
$603 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$248.80 |
$622 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$216.40 |
$541 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$248.80 |
$622 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$221.60 |
$554 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$217.60 |
$544 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$965.60 |
$2,414 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,428 |
$3,570 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$221.60 |
$554 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,428 |
$3,570 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$248.80 |
$622 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$221.60 |
$554 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$248.80 |
$622 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$221.60 |
$554 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,427.60 |
$3,569 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$221.60 |
$554 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$221.60 |
$554 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$246 |
$615 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$212.80 |
$532 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$248.80 |
$622 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$218.80 |
$547 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$212.80 |
$532 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,428 |
$3,570 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$248.80 |
$622 |
1.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,428 |
$3,570 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$212.80 |
$532 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$246.80 |
$617 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$221.60 |
$554 |
1.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,446 |
$3,615 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$320.24 |
$800.60 |
1.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,428 |
$3,570 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$221.60 |
$554 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,428 |
$3,570 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$248.80 |
$622 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,428 |
$3,570 |
1.0× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,428 |
$3,570 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$221.60 |
$554 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,428 |
$3,570 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,427.60 |
$3,569 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$139.60 |
$349 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$139.60 |
$349 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$139.60 |
$349 |
1.2× |
| Curette/treat cornea (65435) |
$1,047.20 |
$2,618 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$549.20 |
$1,373 |
1.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$628 |
$1,570 |
1.0× |
| Debride nail 1-5 (11720) |
$58.80 |
$147 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$116 |
$290 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$248 |
$620 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$344 |
$860 |
0.2× |
| Delivery placenta separate procedure (59414) |
$1,968 |
$4,920 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$176.40 |
$441 |
1.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$459.60 |
$1,149 |
0.7× |
| Drain shoulder lesion (23030) |
$2,145.20 |
$5,363 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$270 |
$675 |
1.0× |
| Drainage abscess/hematoma nasal int approach (30000) |
$203.20 |
$508 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$536.80 |
$1,342 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$1,236.80 |
$3,092 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$183.60 |
$459 |
1.0× |
| Drainage of eyelid abscess (67700) |
$277.60 |
$694 |
1.0× |
| Drainage of gum lesion (41800) |
$116 |
$290 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$170 |
$425 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$1,236.80 |
$3,092 |
0.8× |
| Draw blood off venous device (36591) |
$139.60 |
$349 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$192 |
$480 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$156 |
$390 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$86 |
$215 |
0.5× |
| Dx gastr intub w/asp specs (43755) |
$167.60 |
$419 |
1.4× |
| Egd place gastrostomy tube (43246) |
$1,296 |
$3,240 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$1,968 |
$4,920 |
0.7× |
| Esophagus Surg Procedure Unlisted (43499) |
$804.80 |
$2,012 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$139.60 |
$349 |
1.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,072.80 |
$2,682 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,021.60 |
$2,554 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,430.80 |
$3,577 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,446.40 |
$3,616 |
1.0× |
| Exploration of knee joint (27310) |
$2,516.40 |
$6,291 |
0.8× |
| Exploration penetrating wound spx chest (20101) |
$1,242.80 |
$3,107 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,167.20 |
$2,918 |
0.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$610 |
$1,525 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$353.20 |
$883 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$270.80 |
$677 |
1.4× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$1,635.20 |
$4,088 |
0.9× |
| I&D Abscess Peritonsillar (42700) |
$276 |
$690 |
1.3× |
| I&d abscess simple (10060) |
$122 |
$305 |
0.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,147.60 |
$5,369 |
0.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,447.20 |
$6,118 |
0.8× |
| I&d perianal abscess superficial (46050) |
$678.80 |
$1,697 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$536 |
$1,340 |
0.8× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,448.40 |
$3,621 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,096.80 |
$5,242 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$448 |
$1,120 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,446.40 |
$3,616 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$448 |
$1,120 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$214 |
$535 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$350.40 |
$876 |
1.3× |
| Incision of rectal abscess (46040) |
$1,038 |
$2,595 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$224.80 |
$562 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$478 |
$1,195 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$74 |
$185 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$841.60 |
$2,104 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,042.40 |
$2,606 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,042.40 |
$2,606 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$790.80 |
$1,977 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,042.40 |
$2,606 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,042.40 |
$2,606 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$270 |
$675 |
1.0× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,042.40 |
$2,606 |
1.3× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,042.40 |
$2,606 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$790.80 |
$1,977 |
1.2× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,042.40 |
$2,606 |
1.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$790.80 |
$1,977 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$326.40 |
$816 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$782.20 |
$1,955.50 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$326.40 |
$816 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$270 |
$675 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$270 |
$675 |
1.0× |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
$3,914 |
$9,785 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$174.80 |
$437 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$1,671.40 |
$4,178.50 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,259.60 |
$5,649 |
0.8× |
| Insert picc cath (36569) |
$1,252.80 |
$3,132 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$139.60 |
$349 |
1.2× |
| Insert tunneled cv cath (36561) |
$2,830.80 |
$7,077 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$139.60 |
$349 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,116.40 |
$5,291 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,845.60 |
$7,114 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$249.60 |
$624 |
1.2× |
| Irrigate corpora cavernosa for priapism (54220) |
$229.20 |
$573 |
1.0× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$172 |
$430 |
0.9× |
| Ligation or biopsy temporal artery (37609) |
$1,446.40 |
$3,616 |
1.0× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$2,863.60 |
$7,159 |
1.0× |
| Lip Surgery Procedure (40799) |
$203.20 |
$508 |
0.9× |
| Marsup Bartholin Gland Cyst (56440) |
$1,968 |
$4,920 |
0.7× |
| Nasal surgery procedure (30999) |
$203.20 |
$508 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$288 |
$720 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$628 |
$1,570 |
1.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$229.20 |
$573 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,250.40 |
$10,626 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$841.60 |
$2,104 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$2,086.80 |
$5,217 |
0.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,341.60 |
$5,854 |
0.8× |
| Peritoneal Lavage (49084) |
$824.40 |
$2,061 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,661.20 |
$4,153 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$258 |
$645 |
1.1× |
| Pin knuckle dislocation (26706) |
$2,867.60 |
$7,169 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$343.20 |
$858 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$110 |
$275 |
0.3× |
| Puncture Aspiration (10160) |
$448 |
$1,120 |
1.2× |
| Removal fb intranasal (30300) |
$139.60 |
$349 |
1.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,062 |
$5,155 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$1,493.60 |
$3,734 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,493.60 |
$3,734 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$778.80 |
$1,947 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,021.60 |
$2,554 |
0.7× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$2,918.80 |
$7,297 |
1.0× |
| Removal foreign body pharynx (42809) |
$377.20 |
$943 |
0.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,576.80 |
$6,442 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$69.20 |
$173 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$69.20 |
$173 |
1.3× |
| Removal of arm foreign body (24200) |
$1,446.40 |
$3,616 |
1.0× |
| Removal of nail bed (11750) |
$448 |
$1,120 |
1.2× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$2,144 |
$5,360 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$277.60 |
$694 |
1.0× |
| Remove foreign body from eye (65235) |
$1,553.60 |
$3,884 |
0.7× |
| Remove foreign body from eye (65210) |
$251.60 |
$629 |
0.6× |
| Remove shoulder foreign body (23330) |
$1,138 |
$2,845 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$139.60 |
$349 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$139.60 |
$349 |
1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,864 |
$7,160 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,830.80 |
$7,077 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$697.20 |
$1,743 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$697.20 |
$1,743 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$448 |
$1,120 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$697.20 |
$1,743 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$697.20 |
$1,743 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$697.20 |
$1,743 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$697.20 |
$1,743 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$549.20 |
$1,373 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,428 |
$3,570 |
1.0× |
| Repair forearm tendon/muscle (25270) |
$2,864 |
$7,160 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$2,864 |
$7,160 |
1.0× |
| Repair hand tendon (26410) |
$2,155.28 |
$5,388.20 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$360.80 |
$902 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$448 |
$1,120 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$448 |
$1,120 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$359.60 |
$899 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$448 |
$1,120 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$353.20 |
$883 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$359.60 |
$899 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$557.20 |
$1,393 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$448 |
$1,120 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$448 |
$1,120 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$697.20 |
$1,743 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,704.40 |
$4,261 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$448 |
$1,120 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$448 |
$1,120 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$448 |
$1,120 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$412 |
$1,030 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$448 |
$1,120 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,704.40 |
$4,261 |
0.9× |
| Repair Of Foot Tendon (28208) |
$2,928 |
$7,320 |
1.0× |
| Repair of nail bed (11760) |
$549.20 |
$1,373 |
0.8× |
| Repair Tongue Laceration (41250) |
$512.40 |
$1,281 |
1.3× |
| Revise leg vein (37700) |
$2,106.80 |
$5,267 |
0.7× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$484.40 |
$1,211 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$612 |
$1,530 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$453.20 |
$1,133 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$139.60 |
$349 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,770 |
$6,925 |
1.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,144 |
$5,360 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,785.60 |
$4,464 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$606.40 |
$1,516 |
1.1× |
| Rpr blood vessel direct lower extremity (35226) |
$628 |
$1,570 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$484.40 |
$1,211 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$320 |
$800 |
1.5× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$214 |
$535 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$328.40 |
$821 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$216.80 |
$542 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$216.80 |
$542 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$359.60 |
$899 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$216.80 |
$542 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$216.80 |
$542 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$184.80 |
$462 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$216.80 |
$542 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$184.80 |
$462 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$216.80 |
$542 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$166 |
$415 |
0.2× |
| Skin sub graft trnk/arm/leg (15271) |
$154 |
$385 |
0.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$316 |
$790 |
0.2× |
| Skin Tissue Procedure (17999) |
$176.40 |
$441 |
1.0× |
| Skin tissue rearrangement (14040) |
$1,244.80 |
$3,112 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$322 |
$805 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$176.40 |
$441 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$448 |
$1,120 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$353.20 |
$883 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$610.80 |
$1,527 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$646 |
$1,615 |
1.0× |
| Strapping ankle (29540) |
$142.80 |
$357 |
1.0× |
| Strapping elbow/wrist (29260) |
$52.80 |
$132 |
1.0× |
| Strapping hand/finger (29280) |
$48.80 |
$122 |
0.9× |
| Strapping knee (29530) |
$94 |
$235 |
0.8× |
| Strapping shoulder (29240) |
$139.60 |
$349 |
1.2× |
| Strapping thorax (29200) |
$142.80 |
$357 |
1.0× |
| Strapping toes (29550) |
$58.80 |
$147 |
1.1× |
| Strapping unna boot (29580) |
$56 |
$140 |
0.4× |
| Temporary Closure Eyelids Suture (67875) |
$866 |
$2,165 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$614.80 |
$1,537 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$617.20 |
$1,543 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$399.20 |
$998 |
1.3× |
| Trach Tube Change (31502) |
$203.20 |
$508 |
0.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$214 |
$535 |
1.0× |
| Treat finger dislocation (26775) |
$241.60 |
$604 |
0.9× |
| Treat Fracture Radius & Ulna (25560) |
$221.60 |
$554 |
1.0× |
| Treat humerus fracture (24500) |
$221.60 |
$554 |
1.0× |
| Treat humerus fracture (23600) |
$229.60 |
$574 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$221.60 |
$554 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,398.80 |
$3,497 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$248.80 |
$622 |
1.1× |
| Treatment of bone cyst (20615) |
$637.60 |
$1,594 |
1.0× |
| Trim skin lesion (11055) |
$220 |
$550 |
1.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,446 |
$3,615 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$549.20 |
$1,373 |
0.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$143.20 |
$358 |
1.0× |
| Unlisted Procedure Small Intestine (44799) |
$990.80 |
$2,477 |
1.2× |
| Unlisted procedure, hands or fingers (26989) |
$212.80 |
$532 |
0.9× |
| Unlisted procedure, male genital system (55899) |
$326 |
$815 |
1.4× |
| Urology Surgery Procedure (53899) |
$224.80 |
$562 |
1.0× |
| Vaginal delivery only (59409) |
$2,618.40 |
$6,546 |
0.9× |
| Venipuncture (36415) |
$7.55 |
$18.88 |
0.8× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$94 |
$235 |
0.8× |
| Venipuncture, cutdown; age 1 or over (36425) |
$377.20 |
$943 |
0.9× |