| Abd paracentesis w/imaging (49083) |
$1,275.50 |
$2,551 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,659 |
$2,551 |
1.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$3,620.50 |
$2,554 |
3.7× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$115 |
$230 |
0.7× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$197 |
$394 |
1.2× |
| Appl Multlay Comprs Arm/Hand (29584) |
$197 |
$394 |
1.2× |
| Application Body Cast Shoulder Hips (29035) |
$247 |
$494 |
0.8× |
| Application Body Cast Shoulder Hips Both Thighs (29046) |
$247 |
$494 |
0.8× |
| Application cast elbow finger short arm (29075) |
$247 |
$494 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$115 |
$494 |
0.4× |
| Application Cast Shoulder Spica (29055) |
$115 |
$494 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$115 |
$230 |
1.9× |
| Application finger splint static (29130) |
$115 |
$230 |
0.8× |
| Application Halo Type Body Cast (29000) |
$306 |
$230 |
1.0× |
| Application Hip Spica Cast 1 Leg (29305) |
$115 |
$494 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$115 |
$419 |
0.7× |
| Application Long Leg Cast Brace (29358) |
$247 |
$494 |
0.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$247 |
$494 |
0.8× |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
$115 |
$494 |
0.7× |
| Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) |
$247 |
$230 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$247 |
$494 |
0.8× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$247 |
$494 |
0.8× |
| Application of long leg cast (29345) |
$247 |
$494 |
0.8× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$247 |
$230 |
0.8× |
| Application of rigid total contact leg cast (29445) |
$247 |
$230 |
0.8× |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
$247 |
$494 |
0.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$247 |
$494 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$115 |
$230 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$209.50 |
$230 |
1.5× |
| Application, cast; figure-of-eight Facility (29049) |
$247 |
$230 |
0.8× |
| Apply Body Cast,Risser Jacket (29010) |
$115 |
$494 |
0.4× |
| Apply Hand/Wrist Cast (29085) |
$247 |
$230 |
1.5× |
| Apply long leg splint (29505) |
$115 |
$419 |
0.7× |
| Apply short leg cast (29405) |
$247 |
$494 |
0.8× |
| Apply short leg cast (29425) |
$247 |
$494 |
0.8× |
| Apply short leg splint (29515) |
$209.50 |
$419 |
1.2× |
| Arterial puncture (36600) |
$308 |
$52 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$760.50 |
$775 |
2.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,133.50 |
$2,267 |
3.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,133.50 |
$2,267 |
3.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$760.50 |
$2,267 |
2.4× |
| Aspirate pleura w/ imaging (32555) |
$968.25 |
$2,267 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,217.50 |
$4,435 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,938.25 |
$4,435 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$1,213 |
$3,876.50 |
0.7× |
| Biopsy Salivary Gland,Needle (42400) |
$732.50 |
$1,921 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,133.50 |
$4,529 |
0.7× |
| Blepharotomy drain absc eyelid (67700) |
$175 |
$607 |
0.5× |
| Blood transfusion service (36430) |
$11.50 |
$1,178 |
0.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,467.25 |
$3,318 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,658.50 |
$3,316 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$2,625 |
$4,433 |
1.5× |
| Casting/strapping procedure (29799) |
$103.50 |
$230 |
0.6× |
| Change of cystostomy tube simple (51705) |
$143.50 |
$724 |
0.5× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$306 |
$293 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$4,299.50 |
$293 |
16.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$146.50 |
$293 |
0.6× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,414 |
$293 |
5.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$146.50 |
$293 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$146.50 |
$293 |
0.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$306 |
$293 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$146.50 |
$293 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$146.50 |
$293 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,134 |
$910 |
8.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$146.50 |
$2,828 |
0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$146.50 |
$293 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$377 |
$293 |
1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$146.50 |
$1,019 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,414 |
$293 |
5.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$146.50 |
$293 |
0.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$146.50 |
$754 |
0.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$545 |
$1,028 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,134.50 |
$543 |
4.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$306 |
$2,828 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,703.50 |
$612 |
6.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$146.50 |
$2,828 |
0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$306 |
$293 |
1.2× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$455 |
$293 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$146.50 |
$293 |
0.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$146.50 |
$612 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,953.50 |
$4,127 |
1.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$146.50 |
$910 |
0.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$146.50 |
$293 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$146.50 |
$3,407 |
0.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$306 |
$612 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$146.50 |
$612 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$146.50 |
$293 |
0.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,918 |
$1,090 |
1.1× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$172.50 |
$1,089 |
0.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$146.50 |
$612 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$306 |
$612 |
1.2× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$146.50 |
$293 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$2,063.50 |
$612 |
8.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$146.50 |
$293 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$146.50 |
$612 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$146.50 |
$293 |
0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,703.50 |
$3,407 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$146.50 |
$293 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$544.50 |
$3,836 |
0.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,703.50 |
$293 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$455 |
$293 |
1.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$146.50 |
$293 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$146.50 |
$293 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$192 |
$384 |
1.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$2,297.50 |
$616 |
10.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$111.50 |
$407 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,291 |
$3,316 |
1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,512 |
$1,157 |
1.2× |
| Declot vascular device (36593) |
$312.50 |
$888 |
0.9× |
| Dilate Urethra Stricture (53620) |
$245 |
$3,681 |
0.3× |
| Dilate urethra stricture (53600) |
$1,895.50 |
$490 |
7.3× |
| Drainage of hydrocele (55000) |
$730 |
$2,269 |
1.0× |
| Drainage of skene's gland abscess or cyst (53060) |
$362 |
$3,791 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$311 |
$711 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$266.50 |
$533 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$266.50 |
$533 |
1.3× |
| Dx bone marrow bx & aspir (38222) |
$26 |
$5,250 |
0.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,300.50 |
$1,698 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$785 |
$1,570 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$849 |
$1,570 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$461 |
$310 |
0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$785 |
$4,268 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$155 |
$2,601 |
0.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,134 |
$1,844 |
2.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$922 |
$3,133 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$1,134.50 |
$4,326 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$679.25 |
$2,267 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$415.50 |
$305 |
1.8× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$325 |
$3,083 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$960.50 |
$650 |
3.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,701.50 |
$1,626 |
0.6× |
| I&d submucosal abscess rectum (45005) |
$365 |
$4,456 |
0.3× |
| I&d vulva/perineal abscess (56405) |
$1,134.50 |
$835 |
3.6× |
| Image Cath Fluid Colxn Visc (49405) |
$2,010.50 |
$4,724 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,133.50 |
$566 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$283 |
$7,024 |
0.1× |
| Incision of rectal abscess (46045) |
$2,228 |
$7,241 |
0.8× |
| Incision of rectal abscess (46040) |
$2,228 |
$4,456 |
1.8× |
| Initial tx 1st degree burn local tx (16000) |
$2,249 |
$533 |
10.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$353 |
$1,881 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,133.50 |
$706 |
3.5× |
| Injection for identification of sentinel node (38792) |
$2,216.50 |
$1,458 |
5.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$2,217.50 |
$775 |
6.9× |
| Insert Bladder Cath Complex (51703) |
$166 |
$287 |
1.2× |
| Insert cath pleura w/ image (32557) |
$506.50 |
$3,360 |
0.3× |
| Insert cath pleura w/o image (32556) |
$1,133.50 |
$1,013 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$589 |
$8,480 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$51.50 |
$332 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$167 |
$103 |
1.2× |
| Insj picc rs&i 5 yr+ (36573) |
$4,240 |
$4,595 |
2.6× |
| Intubation endotracheal emergency procedure (31500) |
$203.50 |
$569 |
0.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,840.50 |
$651 |
7.1× |
| Laryngoscopy diagnostic (31505) |
$156.50 |
$684 |
0.8× |
| Liver Biopsy (47000) |
$1,468 |
$3,318 |
0.9× |
| Myelography Lumbar Injection (62304) |
$1,051.25 |
$2,267 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,133.50 |
$1,938 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$165 |
$831 |
0.4× |
| Needle biopsy of pancreas (48102) |
$5,580 |
$3,318 |
3.2× |
| Pericardiocentesis W/Imaging (33016) |
$423 |
$1,013 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$922 |
$417 |
1.2× |
| Perq device breast 1st imag (19281) |
$194 |
$1,844 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$152.50 |
$730 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$1,659 |
$11,160 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$241.50 |
$922 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$355.50 |
$2,269 |
0.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,134.50 |
$4,268 |
0.4× |
| Removal foreign body intranasal (30300) |
$115 |
$223 |
0.8× |
| Removal foreign body pharynx (42809) |
$1,541.50 |
$330 |
3.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$166 |
$229 |
2.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$417.50 |
$3,787 |
0.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$175 |
$802 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$103.50 |
$207 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$197 |
$207 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$303.50 |
$332 |
2.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$940.50 |
$332 |
6.8× |
| Remv/revisn shldr/hip spica cast (29710) |
$103.50 |
$494 |
0.4× |
| Renal Biopsy Percutaneous (50200) |
$2,010.50 |
$3,318 |
1.2× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$130.50 |
$8,599 |
0.0× |
| Repair forearm tendon/muscle (25260) |
$1,134.50 |
$5,907 |
0.3× |
| Repair Spica Body Cast/Jacket (29720) |
$247 |
$207 |
1.5× |
| Reposition cv cath w/fluoro (36597) |
$455 |
$4,595 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$401 |
$350 |
2.9× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$166 |
$350 |
0.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,297 |
$4,593 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$729 |
$1,465 |
1.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,566.50 |
$4,498 |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$769 |
$2,267 |
1.0× |
| Strapping elbow or wrist (29260) |
$115 |
$230 |
1.9× |
| Strapping hand/finger (29280) |
$115 |
$230 |
1.9× |
| Strapping shoulder (29240) |
$115 |
$230 |
0.8× |
| Strapping thorax (29200) |
$115 |
$230 |
0.7× |
| Strapping unna boot (29580) |
$197 |
$394 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$2,084 |
$1,606 |
3.2× |
| Thyroid biopsy (60100) |
$167 |
$1,538 |
0.2× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$732.50 |
$4,582 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$342 |
$1,465 |
1.4× |
| Tracheotomy tube change (31502) |
$284.50 |
$313 |
1.2× |
| Treat clavicle fracture (23505) |
$271.50 |
$3,407 |
0.2× |
| Treat Knee Fracture(S) (27538) |
$146.50 |
$293 |
0.6× |
| Trim skin lesion (11055) |
$578.50 |
$483 |
2.8× |
| Tube thoracostomy includes water seal (32551) |
$1,658 |
$4,168 |
1.0× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,680 |
$846 |
2.6× |
| Venipuncture (36415) |
$506.50 |
$23 |
54.2× |
| Wedging of cast (29740) |
$103.50 |
$207 |
0.4× |
| Wedging of clubfoot cast (29750) |
$103.50 |
$207 |
0.4× |
| Windowing of cast (29730) |
$103.50 |
$207 |
0.6× |