| Abd paracentesis (49082) |
$1,659 |
$2,551 |
1.8× |
| Abd paracentesis w/imaging (49083) |
$1,275.50 |
$2,551 |
1.3× |
| Anoscopy remove for body (46608) |
$3,620.50 |
$2,554 |
3.7× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,566.50 |
$4,498 |
2.0× |
| Appl cast plaster velpeau (29058) |
$247 |
$230 |
0.8× |
| Appl finger splint static (29130) |
$115 |
$230 |
0.8× |
| Appl mltlayr compres sys uparm lwarm hand&finger (29584) |
$197 |
$394 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$115 |
$230 |
1.9× |
| Application long leg splint thigh ankle/toes (29505) |
$115 |
$419 |
0.7× |
| Application of body cast, shoulder to hips; including 1 thigh Other Surgical Services (29044) |
$115 |
$494 |
0.7× |
| Application of body cast, shoulder to hips; including both thighs Other Surgical Services (29046) |
$247 |
$494 |
0.8× |
| Application of body cast, shoulder to hips; including head, Minerva type Other Surgical Services (29040) |
$247 |
$230 |
0.8× |
| Application of body cast, shoulder to hips; Other Surgical Services (29035) |
$247 |
$494 |
0.8× |
| Application of clubfoot cast with molding or manipulation, long or short leg Other Surgical Services (29450) |
$115 |
$230 |
0.7× |
| Application of halo type body cast (see 20661-20663 for insertion) Other Surgical Services (29000) |
$306 |
$230 |
1.0× |
| Application of hip spica cast; 1 and one-half spica or both legs Other Surgical Services (29325) |
$247 |
$494 |
0.8× |
| Application of hip spica cast; 1 leg Other Surgical Services (29305) |
$115 |
$494 |
0.4× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$247 |
$494 |
0.8× |
| Application of long leg cast (thigh to toes); (29345) |
$247 |
$494 |
0.8× |
| Application of Risser jacket, localizer, body; including head Other Surgical Services (29015) |
$247 |
$494 |
0.8× |
| Application of Risser jacket, localizer, body; only Other Surgical Services (29010) |
$115 |
$494 |
0.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$247 |
$494 |
0.8× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$247 |
$494 |
0.8× |
| Application, cast; figure-of-eight Other Surgical Services (29049) |
$247 |
$230 |
0.8× |
| Application, cast; shoulder to hand (long arm) (29065) |
$115 |
$494 |
0.4× |
| Apply hand/wrist cast (29085) |
$247 |
$230 |
1.5× |
| Apply long arm splint (29105) |
$115 |
$419 |
0.7× |
| Apply Lower Leg Splint (29515) |
$209.50 |
$419 |
1.2× |
| Apply multi-layer compression lower leg (29581) |
$197 |
$394 |
1.2× |
| Apply patella tendon bearing cast (29435) |
$247 |
$494 |
0.8× |
| Apply rigid leg cast (29445) |
$247 |
$230 |
0.8× |
| Apply short arm splint static (29125) |
$209.50 |
$230 |
1.5× |
| Apply Short Leg Cast (29405) |
$247 |
$494 |
0.8× |
| Apply shoulder cast,spica (29055) |
$115 |
$494 |
0.4× |
| Apply splint short arm dynamic (29126) |
$115 |
$230 |
0.8× |
| 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× |
| Biopsy muscle percutaneous needle (20206) |
$1,213 |
$3,876.50 |
0.7× |
| Biopsy of salivary gland; needle (42400) |
$732.50 |
$1,921 |
1.0× |
| Biopsy thyroid percutaneous core needle (60100) |
$167 |
$1,538 |
0.2× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services (49180) |
$1,467.25 |
$3,318 |
0.9× |
| Biopsy, soft tissue of shoulder area; superficial Other Surgical Services (23065) |
$1,133.50 |
$4,529 |
0.7× |
| Blood transfusion service (36430) |
$11.50 |
$1,178 |
0.0× |
| Bone Biopsy Deep (20225) |
$2,217.50 |
$4,435 |
1.3× |
| Bone Biopsy Superficial (20220) |
$1,938.25 |
$4,435 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$1,658.50 |
$3,316 |
1.0× |
| Cast short arm (29075) |
$247 |
$494 |
0.8× |
| Casting/strapping procedure (29799) |
$103.50 |
$230 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$143.50 |
$724 |
0.5× |
| Chest tube placement (32551) |
$1,658 |
$4,168 |
1.0× |
| Close Rx Dist Fingr Fx (26750) |
$146.50 |
$612 |
0.6× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$306 |
$293 |
1.2× |
| Closed Rx Dist Fibula Fx (27786) |
$146.50 |
$293 |
0.6× |
| Closed Rx Femur Shaft Fx+Manip (27502) |
$146.50 |
$3,407 |
0.1× |
| Closed Rx Med Malleolus Fx (27760) |
$146.50 |
$293 |
0.6× |
| Closed Rx Prox Humerus Fx,Manip (23605) |
$1,703.50 |
$3,407 |
1.0× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$306 |
$2,828 |
0.2× |
| Closed Rx Talus Fx,Manipulatn (28435) |
$146.50 |
$754 |
0.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$4,299.50 |
$293 |
16.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$146.50 |
$293 |
0.6× |
| Closed Rx Toe Fx (28510) |
$146.50 |
$612 |
0.6× |
| Closed Rx Trimalleolar Fx (27816) |
$146.50 |
$293 |
0.6× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$306 |
$293 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,414 |
$293 |
5.5× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$1,134.50 |
$543 |
4.4× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Other Surgical Services (27510) |
$146.50 |
$910 |
0.1× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$146.50 |
$293 |
0.6× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$146.50 |
$293 |
0.6× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$146.50 |
$612 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$146.50 |
$293 |
0.6× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,703.50 |
$612 |
6.6× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,703.50 |
$293 |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$146.50 |
$293 |
0.6× |
| 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 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× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$271.50 |
$3,407 |
0.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$146.50 |
$2,828 |
0.1× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$455 |
$293 |
1.8× |
| 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/o manj (27508) |
$146.50 |
$293 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$306 |
$612 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$146.50 |
$293 |
0.6× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$172.50 |
$1,089 |
0.1× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$146.50 |
$293 |
0.6× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$146.50 |
$612 |
0.6× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$2,063.50 |
$612 |
8.0× |
| 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/o manj (27501) |
$455 |
$293 |
1.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$146.50 |
$293 |
0.6× |
| Collect blood from catheter venous nos (36592) |
$192 |
$384 |
1.4× |
| Complete replacement picc rs&i (36584) |
$2,297 |
$4,593 |
1.4× |
| Complex Drainage, Wound (10180) |
$283 |
$7,024 |
0.1× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$2,297.50 |
$616 |
10.3× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$111.50 |
$407 |
0.8× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,291 |
$3,316 |
1.3× |
| CT Biopsy Lymph Node (38505) |
$2,625 |
$4,433 |
1.5× |
| Cylinder cast (29365) |
$247 |
$494 |
0.8× |
| Debride Assoc Open Fx/Dislo Skin/Mus/Bone (11012) |
$3,512 |
$1,157 |
1.2× |
| Declot vascular device (36593) |
$312.50 |
$888 |
0.9× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$26 |
$5,250 |
0.0× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$245 |
$3,681 |
0.3× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Other Surgical Services (53600) |
$1,895.50 |
$490 |
7.3× |
| Drainage of eyelid abscess (67700) |
$175 |
$607 |
0.5× |
| Drainage of hydrocele (55000) |
$730 |
$2,269 |
1.0× |
| Drainage of Skene's gland abscess or cyst Other Surgical Services (53060) |
$362 |
$3,791 |
0.2× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$166 |
$287 |
1.2× |
| Ed proc remve fb nasal- hospital (30300) |
$115 |
$223 |
0.8× |
| Ed prof burn - large - hospital (16030) |
$311 |
$711 |
0.7× |
| Ed prof burn medium - hospital (16025) |
$266.50 |
$533 |
1.3× |
| Ed prof burn small - hospital (16020) |
$266.50 |
$533 |
1.3× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$589 |
$8,480 |
0.2× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$306 |
$612 |
1.2× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$165 |
$831 |
0.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,300.50 |
$1,698 |
0.8× |
| Exc Skin Benig 0.6-1cm Remaindr Body (11421) |
$849 |
$1,570 |
1.1× |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
$461 |
$310 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$922 |
$3,133 |
0.5× |
| Excision malignant lesion trunk/arm/leg > 4.0 cm (11606) |
$785 |
$4,268 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$155 |
$2,601 |
0.1× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Other… (11640) |
$2,134 |
$1,844 |
2.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$785 |
$1,570 |
0.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$679.25 |
$2,267 |
0.9× |
| Gastric lavage (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 TechFee (27301) |
$1,701.50 |
$1,626 |
0.6× |
| I&d perirectal abscess (46040) |
$2,228 |
$4,456 |
1.8× |
| 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 and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Other Surgical… (46045) |
$2,228 |
$7,241 |
0.8× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,133.50 |
$566 |
1.5× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$2,249 |
$533 |
10.7× |
| Inject Nerv Blck,Othr Periph Nerv (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(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$2,217.50 |
$775 |
6.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$167 |
$103 |
1.2× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$51.50 |
$332 |
0.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$4,240 |
$4,595 |
2.6× |
| Intubation endotracheal (31500) |
$203.50 |
$569 |
0.8× |
| Irrigat Corpus Cavern,Priapism (54220) |
$1,840.50 |
$651 |
7.1× |
| Laryngoscopy indirect diagnostic (31505) |
$156.50 |
$684 |
0.8× |
| Lumbar puncture (62270) |
$769 |
$2,267 |
1.0× |
| Mastotomy expl drg absc dp (19020) |
$1,134.50 |
$4,326 |
0.7× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,680 |
$846 |
2.6× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,051.25 |
$2,267 |
1.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,133.50 |
$1,938 |
1.4× |
| Needle Biopsy Liver (47000) |
$1,468 |
$3,318 |
0.9× |
| Needle biopsy, pancreas (48102) |
$5,580 |
$3,318 |
3.2× |
| Ot strapping hand or finger (29280) |
$115 |
$230 |
1.9× |
| Pericardiocentesis w/img guidance when performed (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 drainage pleura insert cath w/imaging (32557) |
$506.50 |
$3,360 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,133.50 |
$1,013 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$152.50 |
$730 |
0.6× |
| Pr closed treatment sesamoid fracture (28530) |
$306 |
$293 |
1.2× |
| 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 of cyst of breast (19000) |
$355.50 |
$2,269 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$166 |
$229 |
2.7× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$940.50 |
$332 |
6.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$175 |
$802 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$197 |
$207 |
0.7× |
| Removal/revision of cast (29710) |
$103.50 |
$494 |
0.4× |
| Remove foreign body from eye (65210) |
$166 |
$350 |
0.4× |
| Remove pharynx foreign body (42809) |
$1,541.50 |
$330 |
3.3× |
| Remove vaginal foreign body (57415) |
$417.50 |
$3,787 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$303.50 |
$332 |
2.2× |
| Remv foreign body,knee/thigh,deep (27372) |
$1,134.50 |
$4,268 |
0.4× |
| Remv/Revisn Full Arm/Leg Cast (29705) |
$103.50 |
$207 |
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 Lip,Full Thick,Vermilion (40650) |
$729 |
$1,465 |
1.3× |
| Repair of spica, body cast or jacket Other Surgical Services (29720) |
$247 |
$207 |
1.5× |
| Reposition central venous cath (36597) |
$455 |
$4,595 |
0.3× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$401 |
$350 |
2.9× |
| Strapping elbow or wrist (29260) |
$115 |
$230 |
1.9× |
| Strapping of chest (29200) |
$115 |
$230 |
0.7× |
| Strapping of shoulder (29240) |
$115 |
$230 |
0.8× |
| Strapping unna boot (29580) |
$197 |
$394 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$968.25 |
$2,267 |
1.5× |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
$2,084 |
$1,606 |
3.2× |
| Tracheostoma revision; simple, without flap rotation Other Surgical Services (31613) |
$732.50 |
$4,582 |
0.2× |
| Tracheostomy emerg cricothyroid (31605) |
$342 |
$1,465 |
1.4× |
| Tracheotomy tube change (31502) |
$284.50 |
$313 |
1.2× |
| Treat humerus fracture (24577) |
$1,918 |
$1,090 |
1.1× |
| Treat toe dislocation (28630) |
$146.50 |
$293 |
0.6× |
| Treat ulnar fracture (24675) |
$545 |
$1,028 |
0.3× |
| Trim skin lesion (11055) |
$578.50 |
$483 |
2.8× |
| 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× |