| Abd paracentesis w/imaging (49083) |
$1,448.49 |
$1,448.49 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,237.17 |
$1,237.17 |
1.6× |
| Amputation Finger/Thumb (26951) |
$2,047 |
$2,047 |
0.7× |
| Application cast elbow finger short arm (29075) |
$147.85 |
$147.85 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$155 |
$155 |
3.0× |
| Application finger splint static (29130) |
$155 |
$155 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$149 |
$149 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$155 |
$155 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$150.15 |
$150.15 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$155 |
$155 |
1.4× |
| Application short leg splint calf foot (29515) |
$155 |
$155 |
1.1× |
| Application, cast; figure-of-eight (29049) |
$193 |
$193 |
0.8× |
| Apply short leg cast (29405) |
$350.78 |
$350.78 |
1.5× |
| Arterial puncture (36600) |
$55.26 |
$55.26 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$311.85 |
$311.85 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$311.85 |
$311.85 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$305.80 |
$305.80 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$147.40 |
$147.40 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,805 |
$2,805 |
0.8× |
| Bladder Irrigation Simple (51700) |
$290.40 |
$290.40 |
1.3× |
| Blood transfusion service (36430) |
$508.20 |
$508.20 |
1.3× |
| Bone marrow aspiration only (38220) |
$325.60 |
$325.60 |
0.2× |
| Bone Marrow Biopsy (38221) |
$325.60 |
$325.60 |
0.2× |
| Chest tube placement (32551) |
$421.30 |
$421.30 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$69.65 |
$69.65 |
0.6× |
| Closed Rx Med Malleolus Fx (27760) |
$228.80 |
$228.80 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$760 |
$760 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$228 |
$228 |
1.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$228.80 |
$228.80 |
1.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$228 |
$228 |
1.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,973 |
$1,973 |
1.4× |
| Closed Rx Trimalleolar Fx (27816) |
$236.80 |
$236.80 |
1.1× |
| Closed Treat Vert Body Fract (22310) |
$228.80 |
$228.80 |
1.1× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$225.50 |
$225.50 |
1.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$210.75 |
$210.75 |
1.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$228.80 |
$228.80 |
1.1× |
| Closed Treatment Sternum Fracture (21820) |
$228.80 |
$228.80 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$228.80 |
$228.80 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,289.35 |
$3,289.35 |
2.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$227.15 |
$227.15 |
1.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,683.10 |
$2,683.10 |
1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$332.20 |
$332.20 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$227.15 |
$227.15 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$228.80 |
$228.80 |
1.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
$218 |
$218 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$225.50 |
$225.50 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$228.80 |
$228.80 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$332.20 |
$332.20 |
1.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$228.80 |
$228.80 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$228.80 |
$228.80 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$228.80 |
$228.80 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,187.50 |
$1,187.50 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$228.80 |
$228.80 |
1.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$228.80 |
$228.80 |
0.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$228.80 |
$228.80 |
1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$203.50 |
$203.50 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$228 |
$228 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$228 |
$228 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$227.15 |
$227.15 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$228 |
$228 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$226.75 |
$226.75 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$760 |
$760 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$228.80 |
$228.80 |
1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$228.80 |
$228.80 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$228.80 |
$228.80 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$520.20 |
$520.20 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$228.80 |
$228.80 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$228.80 |
$228.80 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$362.62 |
$362.62 |
1.7× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$225.50 |
$225.50 |
0.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$3,117.21 |
$3,117.21 |
12.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$227.15 |
$227.15 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$232.42 |
$232.42 |
1.1× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,154.80 |
$3,154.80 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$228 |
$228 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$227.15 |
$227.15 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$228 |
$228 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$228.80 |
$228.80 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$203.50 |
$203.50 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$228.80 |
$228.80 |
1.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,754.92 |
$1,754.92 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$228 |
$228 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$228.80 |
$228.80 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$228.80 |
$228.80 |
1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$228.80 |
$228.80 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$158.40 |
$158.40 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$173.50 |
$173.50 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$158.40 |
$158.40 |
1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$158.40 |
$158.40 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$138.60 |
$138.60 |
0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,281.82 |
$1,281.82 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$213.95 |
$213.95 |
0.6× |
| Delivery placenta separate procedure (59414) |
$2,008.60 |
$2,008.60 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$325.14 |
$325.14 |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$565.40 |
$565.40 |
0.7× |
| Drain outer ear canal lesion (69020) |
$193.60 |
$193.60 |
0.3× |
| Drain shoulder lesion (23030) |
$2,367.20 |
$2,367.20 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$205 |
$205 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,509 |
$1,509 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$220 |
$220 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$206 |
$206 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$206 |
$206 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$105.60 |
$105.60 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$543.40 |
$543.40 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$543.40 |
$543.40 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,964 |
$1,964 |
1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,964 |
$1,964 |
1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,355 |
$3,355 |
3.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$672.76 |
$672.76 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$3,322.16 |
$3,322.16 |
1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$956.37 |
$956.37 |
2.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$909.70 |
$909.70 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$908.60 |
$908.60 |
1.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$909.10 |
$909.10 |
1.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$908.60 |
$908.60 |
1.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$908.60 |
$908.60 |
1.5× |
| Excision of nail fold toe (11765) |
$189.98 |
$189.98 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$568.70 |
$568.70 |
0.4× |
| Explore limb vessels (35860) |
$5,026 |
$5,026 |
1.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$364 |
$364 |
2.0× |
| I&d abscess simple (10060) |
$255.57 |
$255.57 |
1.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,181 |
$3,181 |
1.8× |
| I&d perianal abscess superficial (46050) |
$686.40 |
$686.40 |
0.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,367.20 |
$2,367.20 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$205 |
$205 |
0.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,133.45 |
$2,133.45 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,038.30 |
$2,038.30 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$378 |
$378 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$173.80 |
$173.80 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$391.60 |
$391.60 |
1.5× |
| Incision thrombosed hemorrhoid external (46083) |
$686.40 |
$686.40 |
3.2× |
| Initial tx 1st degree burn local tx (16000) |
$125 |
$125 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$671.28 |
$671.28 |
2.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$226.55 |
$226.55 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$367 |
$367 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$305.80 |
$305.80 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$147.40 |
$147.40 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$1,950.50 |
$1,950.50 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$91.55 |
$91.55 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$93 |
$93 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$352.50 |
$352.50 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$364 |
$364 |
0.9× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$490.60 |
$490.60 |
0.3× |
| Puncture Aspiration (10160) |
$222.20 |
$222.20 |
0.6× |
| Removal fb intranasal (30300) |
$83.60 |
$83.60 |
0.7× |
| Removal foreign body foot deep (28192) |
$2,042 |
$2,042 |
1.4× |
| Removal foreign body foot subcutaneous (28190) |
$228.80 |
$228.80 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$554.40 |
$554.40 |
0.4× |
| Removal foreign body pharynx (42809) |
$83.60 |
$83.60 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80.30 |
$80.30 |
1.6× |
| Removal of nail bed (11750) |
$495 |
$495 |
1.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$143 |
$143 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$143 |
$143 |
0.6× |
| Remove foreign body from eye (65210) |
$156.20 |
$156.20 |
0.4× |
| Remove shoulder foreign body (23330) |
$919.60 |
$919.60 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$93 |
$93 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$156.20 |
$156.20 |
1.4× |
| Remv/revisn shldr/hip spica cast (29710) |
$308 |
$308 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$715.95 |
$715.95 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$637.33 |
$637.33 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$765.57 |
$765.57 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$436 |
$436 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$213.70 |
$213.70 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$213.70 |
$213.70 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$203.50 |
$203.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$203.50 |
$203.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$203.50 |
$203.50 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$203.50 |
$203.50 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$213.70 |
$213.70 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$436 |
$436 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$203.50 |
$203.50 |
0.6× |
| Repair of nail bed (11760) |
$185 |
$185 |
0.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,154.80 |
$3,154.80 |
2.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$83.60 |
$83.60 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$156.75 |
$156.75 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$157.30 |
$157.30 |
1.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,714 |
$2,714 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$370.41 |
$370.41 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$213.70 |
$213.70 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$213.70 |
$213.70 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$215.58 |
$215.58 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$271.89 |
$271.89 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$213.70 |
$213.70 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$421.56 |
$421.56 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$213.70 |
$213.70 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$213.70 |
$213.70 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$274.62 |
$274.62 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$337.41 |
$337.41 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$305.80 |
$305.80 |
0.5× |
| Strapping ankle (29540) |
$143 |
$143 |
1.0× |
| Strapping elbow/wrist (29260) |
$143 |
$143 |
2.8× |
| Strapping hand/finger (29280) |
$143 |
$143 |
2.8× |
| Strapping Hip (29520) |
$143 |
$143 |
1.2× |
| Strapping knee (29530) |
$143 |
$143 |
1.2× |
| Strapping shoulder (29240) |
$155 |
$155 |
1.4× |
| Strapping thorax (29200) |
$143 |
$143 |
1.0× |
| Strapping toes (29550) |
$143 |
$143 |
2.8× |
| Strapping unna boot (29580) |
$155 |
$155 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$490.60 |
$490.60 |
0.9× |
| Trach Tube Change (31502) |
$319 |
$319 |
1.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,090.28 |
$1,090.28 |
5.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,020.30 |
$1,020.30 |
0.8× |
| Treat finger dislocation (26775) |
$2,145 |
$2,145 |
8.9× |
| Treat Fracture Radius & Ulna (25560) |
$228.80 |
$228.80 |
1.1× |
| Treat humerus fracture (24500) |
$226.75 |
$226.75 |
1.1× |
| Treat humerus fracture (23600) |
$223.40 |
$223.40 |
1.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$228 |
$228 |
0.2× |
| Treatment closed elbow dislocation req anes (24605) |
$2,145 |
$2,145 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$225.50 |
$225.50 |
1.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$228.80 |
$228.80 |
1.1× |
| Trim skin lesion (11055) |
$213.95 |
$213.95 |
1.2× |
| Vaginal delivery only (59409) |
$2,739.38 |
$2,739.38 |
1.0× |
| Venipuncture (36415) |
$16.32 |
$16.32 |
1.7× |