| Abd paracentesis w/imaging (49083) |
$302.40 |
$864 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$50.40 |
$144 |
0.1× |
| Amputation Finger/Thumb (26951) |
$52.50 |
$150 |
0.0× |
| Amputation metatarsal with toe single (28810) |
$1,228.50 |
$3,510 |
0.4× |
| Amputation of finger/thumb (26952) |
$52.50 |
$150 |
0.0× |
| Anoscopy diagnostic (46600) |
$61.25 |
$175 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$173.15 |
$494.72 |
1.2× |
| Application cast elbow finger short arm (29075) |
$61.25 |
$175 |
0.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$61.25 |
$175 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$56 |
$160 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$12.25 |
$35 |
0.2× |
| Application finger splint static (29130) |
$152.60 |
$436 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$122.85 |
$351 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$52.85 |
$151 |
0.4× |
| Application of long leg cast (29345) |
$26.25 |
$75 |
0.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$215.60 |
$616 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$12.25 |
$35 |
0.1× |
| Application short arm splint forearm-hand static (29125) |
$68.95 |
$197 |
0.6× |
| Application short leg splint calf foot (29515) |
$56 |
$160 |
0.4× |
| Application, cast; figure-of-eight (29049) |
$26.25 |
$75 |
0.1× |
| Apply short leg cast (29405) |
$52.50 |
$150 |
0.2× |
| Apply short leg cast (29425) |
$43.75 |
$125 |
0.2× |
| Arterial puncture (36600) |
$39.18 |
$111.95 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$52.50 |
$150 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$50.40 |
$144 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$226.28 |
$646.50 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$50.40 |
$144 |
0.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$52.50 |
$150 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$50.40 |
$144 |
0.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$65.80 |
$188 |
0.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$66.85 |
$191 |
0.4× |
| Biopsy Bone Open Deep (20245) |
$2,113.30 |
$6,038 |
0.8× |
| Biopsy bone open superficial (20240) |
$2,113.30 |
$6,038 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,225.35 |
$3,501 |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$67.20 |
$192 |
0.0× |
| Biopsy of floor of mouth (41108) |
$65.80 |
$188 |
0.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$420 |
$1,200 |
0.3× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$1,225.35 |
$3,501 |
0.8× |
| Bladder Irrigation Simple (51700) |
$65.80 |
$188 |
0.3× |
| Bladder Scan (51798) |
$65.80 |
$188 |
1.3× |
| Blood patch (62273) |
$50.40 |
$144 |
0.1× |
| Blood transfusion service (36430) |
$144.90 |
$414 |
0.4× |
| Bone marrow aspiration only (38220) |
$65.80 |
$188 |
0.0× |
| Bone Marrow Biopsy (38221) |
$52.50 |
$150 |
0.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,228.50 |
$3,510 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$427 |
$1,220 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$52.50 |
$150 |
0.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$71.40 |
$204 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$82.60 |
$236 |
0.4× |
| Chemical Cautery Tissue (17250) |
$134.58 |
$384.50 |
0.8× |
| Chest tube placement (32551) |
$58.10 |
$166 |
0.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$65.80 |
$188 |
0.6× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$58.10 |
$166 |
0.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$58.10 |
$166 |
0.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$65.80 |
$188 |
0.3× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$52.50 |
$150 |
0.0× |
| Closed Rx Med Malleolus Fx (27760) |
$58.10 |
$166 |
0.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$58.10 |
$166 |
0.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$52.50 |
$150 |
0.0× |
| Closed rx prox/neck femur fx,manip (27232) |
$50.40 |
$144 |
0.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$58.10 |
$166 |
0.0× |
| Closed Rx Radial Shaft Fx (25500) |
$58.10 |
$166 |
0.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$280 |
$800 |
0.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$65.80 |
$188 |
0.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$58.10 |
$166 |
0.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$65.80 |
$188 |
0.0× |
| Closed Rx Trimalleolar Fx (27816) |
$58.10 |
$166 |
0.3× |
| Closed treat wrist dislocation (25660) |
$157.50 |
$450 |
0.7× |
| Closed treatment nasal fracture w/stabilization (21320) |
$49 |
$140 |
0.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$50.40 |
$144 |
0.2× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$104.30 |
$298 |
0.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$125.94 |
$359.82 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$45.50 |
$130 |
0.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$52.50 |
$150 |
0.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$58.10 |
$166 |
0.3× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$58.10 |
$166 |
0.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$125.94 |
$359.82 |
0.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$58.10 |
$166 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$78.75 |
$225 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$65.80 |
$188 |
0.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$58.10 |
$166 |
0.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$65.80 |
$188 |
0.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,703.42 |
$4,866.92 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$65.80 |
$188 |
0.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$61.25 |
$175 |
0.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$59.15 |
$169 |
0.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$52.50 |
$150 |
0.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$52.50 |
$150 |
0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$65.80 |
$188 |
0.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$49 |
$140 |
0.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$49 |
$140 |
0.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$69.65 |
$199 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$100.10 |
$286 |
0.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$65.80 |
$188 |
0.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$157.50 |
$450 |
0.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$78.75 |
$225 |
0.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$58.10 |
$166 |
0.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$52.50 |
$150 |
0.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$58.10 |
$166 |
0.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$45.50 |
$130 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$58.10 |
$166 |
0.0× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$42 |
$120 |
0.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$58.10 |
$166 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$101.15 |
$289 |
0.5× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$101.15 |
$289 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$52.50 |
$150 |
0.2× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$69.65 |
$199 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$297.50 |
$850 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$78.75 |
$225 |
0.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$42 |
$120 |
0.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$61.25 |
$175 |
0.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$125.94 |
$359.82 |
0.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$49 |
$140 |
0.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$157.50 |
$450 |
0.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$52.50 |
$150 |
0.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$58.10 |
$166 |
0.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$33.25 |
$95 |
0.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$49 |
$140 |
0.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$58.10 |
$166 |
0.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$58.10 |
$166 |
0.0× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$65.80 |
$188 |
0.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$58.10 |
$166 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$58.10 |
$166 |
0.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$78.75 |
$225 |
0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$45.50 |
$130 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$46.55 |
$133 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$46.55 |
$133 |
0.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$63 |
$180 |
0.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$65.80 |
$188 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$65.80 |
$188 |
0.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$52.50 |
$150 |
0.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$56 |
$160 |
0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$49 |
$140 |
0.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$58.10 |
$166 |
0.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$46.55 |
$133 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$43.75 |
$125 |
0.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$78.75 |
$225 |
0.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$52.50 |
$150 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$58.10 |
$166 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$57.75 |
$165 |
0.3× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$69.65 |
$199 |
0.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$69.65 |
$199 |
0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$88.08 |
$251.67 |
0.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$65.80 |
$188 |
0.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$157.50 |
$450 |
0.7× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$69.65 |
$199 |
0.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$52.50 |
$150 |
0.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$50.75 |
$145 |
0.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$58.10 |
$166 |
0.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$65.80 |
$188 |
0.0× |
| Colonoscopy flex w/rem forcep (45384) |
$499.80 |
$1,428 |
0.5× |
| Colporrhaphy suture injury vagina (57200) |
$58.10 |
$166 |
0.0× |
| Colposcopy vulva (56820) |
$65.80 |
$188 |
0.4× |
| Complete replacement picc rs&i (36584) |
$69.65 |
$199 |
0.1× |
| Complex Drainage, Wound (10180) |
$69.65 |
$199 |
0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$59.50 |
$170 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$50.40 |
$144 |
0.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$52.50 |
$150 |
0.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$50.40 |
$144 |
0.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$50.40 |
$144 |
0.2× |
| Curette/treat cornea (65435) |
$65.80 |
$188 |
0.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$58.10 |
$166 |
0.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$43.75 |
$125 |
0.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$65.80 |
$188 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$58.10 |
$166 |
0.1× |
| Debride nail 1-5 (11720) |
$47.25 |
$135 |
0.9× |
| Debride nail 6 or more (11721) |
$65.80 |
$188 |
1.3× |
| Debride skin musc at fx site (11011) |
$58.10 |
$166 |
0.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$133 |
$380 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$58.10 |
$166 |
0.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,176.34 |
$166 |
0.8× |
| Declot vascular device (36593) |
$169.40 |
$484 |
0.6× |
| Delivery placenta separate procedure (59414) |
$65.80 |
$188 |
0.0× |
| Destruction benign lesions 15 or more (17111) |
$94.85 |
$271 |
0.5× |
| Destruction Benign Lesions Up To 14 (17110) |
$50.40 |
$144 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,338.75 |
$3,825 |
1.6× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$49 |
$140 |
0.0× |
| Dilate urethra stricture (53620) |
$65.80 |
$188 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,228.50 |
$3,510 |
1.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$57.75 |
$165 |
0.1× |
| Drain outer ear canal lesion (69020) |
$57.75 |
$165 |
0.1× |
| Drain/inj small joint/bursa w/us (20604) |
$50.40 |
$144 |
0.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$58.10 |
$166 |
0.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$69.65 |
$199 |
0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$57.75 |
$165 |
0.1× |
| Drainage Finger Abscess Complicated (26011) |
$65.80 |
$188 |
0.0× |
| Drainage Finger Abscess Simple (26010) |
$66.85 |
$191 |
0.4× |
| Drainage mouth roof lesion (42000) |
$58.10 |
$166 |
0.3× |
| Drainage of eyelid abscess (67700) |
$61.25 |
$175 |
0.2× |
| Drainage of gum lesion (41800) |
$65.80 |
$188 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$69.65 |
$199 |
0.0× |
| Drainage of scrotal wall abscess (55100) |
$58.10 |
$166 |
0.0× |
| Draw blood off venous device (36591) |
$5.25 |
$15 |
0.0× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$43.75 |
$125 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$50.40 |
$144 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$43.75 |
$125 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$105.70 |
$302 |
0.6× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$614.25 |
$1,755 |
0.3× |
| Dx gastr intub w/asp spec (43754) |
$52.50 |
$150 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$245 |
$700 |
0.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,338.75 |
$3,825 |
0.8× |
| Egd flexible foreign body removal (43247) |
$1,338.75 |
$3,825 |
1.7× |
| Egd place gastrostomy tube (43246) |
$477.40 |
$1,364 |
0.3× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,425.55 |
$4,073 |
0.8× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,425.55 |
$4,073 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$63 |
$180 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$50.40 |
$144 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$50.40 |
$144 |
0.0× |
| Exc hand les sc < 1.5 cm (26115) |
$57.75 |
$165 |
0.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$50.40 |
$144 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$282.45 |
$807 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$50.40 |
$144 |
0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$338.98 |
$968.50 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,225.35 |
$3,501 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$52.50 |
$150 |
0.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$42 |
$120 |
0.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$234.85 |
$671 |
0.4× |
| Excision Chalazion Single (67800) |
$58.10 |
$166 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$234.85 |
$671 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,225.35 |
$3,501 |
0.8× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$65.80 |
$188 |
0.0× |
| Excision of nail fold toe (11765) |
$133 |
$380 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$131.25 |
$375 |
0.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$65.80 |
$188 |
0.0× |
| Explo/Drain Breast Abscess (19020) |
$65.80 |
$188 |
0.0× |
| Exploration penetrating wound spx extremity (20103) |
$43.75 |
$125 |
0.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$50.40 |
$144 |
0.1× |
| Eye surgery procedure (66999) |
$58.10 |
$166 |
0.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$58.10 |
$166 |
0.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$302.05 |
$863 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$133 |
$380 |
0.4× |
| Fluid pressure muscle (20950) |
$43.75 |
$125 |
0.1× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$50.40 |
$144 |
0.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$52.50 |
$150 |
0.3× |
| I&D Abscess Peritonsillar (42700) |
$58.80 |
$168 |
0.3× |
| I&d abscess simple (10060) |
$239.05 |
$683 |
1.4× |
| I&d below fascia foot 1 bursal space (28002) |
$1,227.10 |
$3,506 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$45.50 |
$130 |
0.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$65.80 |
$188 |
0.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$65.80 |
$188 |
0.0× |
| I&d perianal abscess superficial (46050) |
$304.85 |
$871 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$234.85 |
$671 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$65.80 |
$188 |
0.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$207.72 |
$593.50 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$66.50 |
$190 |
0.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$43.75 |
$125 |
0.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$133 |
$380 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$66.50 |
$190 |
0.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$107.10 |
$306 |
0.4× |
| Incision of rectal abscess (46040) |
$393.75 |
$1,125 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$65.80 |
$188 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$282.45 |
$807 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$66.85 |
$191 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$65.80 |
$188 |
0.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$65.80 |
$188 |
0.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$42.70 |
$122 |
0.2× |
| Injection anes other peripheral nerve/branch (64450) |
$230.65 |
$659 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$50.40 |
$144 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$50.40 |
$144 |
0.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$42.70 |
$122 |
0.2× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$50.40 |
$144 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$65.80 |
$188 |
0.6× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$52.50 |
$150 |
0.0× |
| Insert non-tunnel cv cath (36556) |
$58.10 |
$166 |
0.0× |
| Insert picc cath (36569) |
$52.50 |
$150 |
0.0× |
| Insert Temp Bladder Cath (51702) |
$52.50 |
$150 |
0.5× |
| Insert tunneled cv cath (36561) |
$392.70 |
$1,122 |
0.1× |
| Insert Tunneled Cv Cath With Pump (36563) |
$431.55 |
$1,233 |
0.1× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$43.75 |
$125 |
0.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$52.50 |
$150 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$52.50 |
$150 |
0.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$91.88 |
$262.50 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$368.90 |
$1,054 |
0.1× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$87.50 |
$250 |
0.0× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$422.80 |
$1,208 |
0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$52.50 |
$150 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$168 |
$480 |
0.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$65.80 |
$188 |
0.3× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,228.50 |
$3,510 |
0.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$52.50 |
$150 |
0.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$52.50 |
$150 |
0.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$65.80 |
$188 |
0.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$65.80 |
$188 |
0.0× |
| Late closure of wound (13160) |
$122.50 |
$350 |
0.0× |
| Ligation or biopsy temporal artery (37609) |
$42 |
$120 |
0.0× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$63 |
$180 |
0.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$192.68 |
$550.50 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$65.80 |
$188 |
0.3× |
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure |
$1,228.50 |
$3,510 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$58.10 |
$166 |
0.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$42 |
$120 |
0.0× |
| Peritoneal Lavage (49084) |
$58.10 |
$166 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$272.65 |
$779 |
0.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$59.50 |
$170 |
0.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$82.60 |
$236 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$58.10 |
$166 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$282.45 |
$807 |
0.8× |
| Puncture Aspiration (10160) |
$133 |
$380 |
0.4× |
| Reconstruction of nail bed with graft (11762) |
$50.40 |
$144 |
0.0× |
| Reduction of rectal prolapse (45900) |
$49 |
$140 |
0.1× |
| Removal fb intranasal (30300) |
$59.50 |
$170 |
0.5× |
| Removal Foreign Body Foot Complicated (28193) |
$49 |
$140 |
0.0× |
| Removal foreign body foot deep (28192) |
$58.10 |
$166 |
0.0× |
| Removal foreign body foot subcutaneous (28190) |
$42 |
$120 |
0.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$42 |
$120 |
0.0× |
| Removal foreign body pharynx (42809) |
$58.10 |
$166 |
0.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$50.40 |
$144 |
0.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$58.10 |
$166 |
0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$57.75 |
$165 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$49 |
$140 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$58.10 |
$166 |
0.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$49 |
$140 |
0.1× |
| Removal of arm foreign body (24200) |
$58.10 |
$166 |
0.0× |
| Removal of foreign body in scrotum (55120) |
$65.80 |
$188 |
0.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$209.65 |
$599 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$57.75 |
$165 |
0.2× |
| Removal of nail bed (11750) |
$133 |
$380 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$43.75 |
$125 |
0.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$42 |
$120 |
0.2× |
| Remove drug implant device (11982) |
$88.55 |
$253 |
0.2× |
| Remove Eyelid Foreign Body (67938) |
$52.50 |
$150 |
0.2× |
| Remove foreign body from eye (65235) |
$65.80 |
$188 |
0.0× |
| Remove foreign body from eye (65210) |
$50.75 |
$145 |
0.1× |
| Remove shoulder foreign body (23330) |
$58.10 |
$166 |
0.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$52.50 |
$150 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$49 |
$140 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$50.75 |
$145 |
0.4× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$52.50 |
$150 |
0.0× |
| Repair blood vessel direct neck (35201) |
$50.40 |
$144 |
0.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$101.15 |
$289 |
0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$209.65 |
$599 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$133 |
$380 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$209.65 |
$599 |
0.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$157.85 |
$451 |
0.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$209.65 |
$599 |
0.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$209.65 |
$599 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$209.65 |
$599 |
0.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$42 |
$120 |
0.0× |
| Repair finger/hand tendon (26350) |
$50.40 |
$144 |
0.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$122.50 |
$350 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$101.15 |
$289 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$133 |
$380 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$101.15 |
$289 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$101.15 |
$289 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$101.15 |
$289 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$101.15 |
$289 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$122.50 |
$350 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$101.15 |
$289 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$157.50 |
$450 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$122.50 |
$350 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$101.15 |
$289 |
0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$133 |
$380 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$133 |
$380 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$282.45 |
$807 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$101.15 |
$289 |
0.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$133 |
$380 |
0.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$101.15 |
$289 |
0.1× |
| Repair of eye socket wound (65290) |
$65.80 |
$188 |
0.0× |
| Repair of nail bed (11760) |
$56 |
$160 |
0.1× |
| Repair Tongue Laceration (41250) |
$101.15 |
$289 |
0.3× |
| Replace duod/jej tube perc (49451) |
$43.75 |
$125 |
0.1× |
| Replace g/c tube perc (49450) |
$43.75 |
$125 |
0.1× |
| Revise median n/carpal tunnel surg (64721) |
$1,228.50 |
$3,510 |
0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$49 |
$140 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$56 |
$160 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$61.25 |
$175 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$58.10 |
$166 |
0.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$65.80 |
$188 |
0.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$534.10 |
$1,526 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$50.40 |
$144 |
0.1× |
| Rplc gtube revj gstrst trc (43763) |
$52.50 |
$150 |
0.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$240.10 |
$686 |
0.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$78.05 |
$223 |
0.1× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$331.10 |
$946 |
0.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$214.90 |
$614 |
0.1× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,228.50 |
$3,510 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$42 |
$120 |
0.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$101.15 |
$289 |
0.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$101.15 |
$289 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$101.15 |
$289 |
0.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$42.52 |
$121.50 |
0.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$50.40 |
$144 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,228.50 |
$3,510 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$133 |
$380 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$153.30 |
$438 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$68.95 |
$197 |
0.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$66.50 |
$190 |
0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$66.85 |
$191 |
0.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$56.70 |
$162 |
0.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$57.05 |
$163 |
0.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$215.39 |
$615.39 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$56.70 |
$162 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$152.95 |
$437 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,835.17 |
$5,243.34 |
2.8× |
| Skin sub graft trnk/arm/leg (15271) |
$978.50 |
$2,795.71 |
1.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,463.65 |
$7,039 |
1.4× |
| Skin tissue rearrangement (14040) |
$58.10 |
$166 |
0.0× |
| Skn sub grft f/n/hf/g child (15277) |
$1,425.55 |
$4,073 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$153.30 |
$438 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$133 |
$380 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$101.15 |
$289 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$65.80 |
$188 |
0.1× |
| Strapping ankle (29540) |
$22.75 |
$65 |
0.2× |
| Strapping elbow/wrist (29260) |
$55.07 |
$157.35 |
1.1× |
| Strapping hand/finger (29280) |
$12.25 |
$35 |
0.2× |
| Strapping Hip (29520) |
$67.67 |
$193.35 |
0.6× |
| Strapping knee (29530) |
$26.25 |
$75 |
0.2× |
| Strapping shoulder (29240) |
$15.75 |
$45 |
0.1× |
| Strapping toes (29550) |
$15.75 |
$45 |
0.3× |
| Strapping unna boot (29580) |
$26.25 |
$75 |
0.2× |
| Tendon lengthening (26476) |
$1,227.10 |
$3,506 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,227.10 |
$3,506 |
0.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$209.65 |
$599 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$66.50 |
$190 |
0.1× |
| Throat Surgery Procedure (42999) |
$43.75 |
$125 |
0.2× |
| Thrombolytic Therapy, Stroke (37195) |
$52.50 |
$150 |
0.2× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$420 |
$1,200 |
0.2× |
| Tongue and mouth surg unlisted (41599) |
$65.80 |
$188 |
0.3× |
| Trach Tube Change (31502) |
$81.55 |
$233 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$52.50 |
$150 |
0.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$63 |
$180 |
0.0× |
| Treat finger dislocation (26775) |
$52.50 |
$150 |
0.2× |
| Treat Finger Fracture Each (26727) |
$58.10 |
$166 |
0.0× |
| Treat Fracture Radius & Ulna (25560) |
$58.10 |
$166 |
0.3× |
| Treat humerus fracture (24500) |
$45.50 |
$130 |
0.2× |
| Treat humerus fracture (24577) |
$65.80 |
$188 |
0.0× |
| Treat humerus fracture (23600) |
$43.75 |
$125 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$58.10 |
$166 |
0.3× |
| Treat pleurodesis w/agent (32560) |
$58.10 |
$166 |
0.1× |
| Treat wrist bone fracture (25622) |
$58.10 |
$166 |
0.3× |
| Treat Wrist Bone Fracture (25630) |
$58.10 |
$166 |
0.3× |
| Treatment closed elbow dislocation req anes (24605) |
$157.50 |
$450 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$157.50 |
$450 |
0.7× |
| Treatment of bone cyst (20615) |
$58.10 |
$166 |
0.1× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure |
$52.50 |
$150 |
0.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$133.70 |
$382 |
0.6× |
| Trim skin lesion (11055) |
$107.10 |
$306 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$50.40 |
$144 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$65.80 |
$188 |
1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$43.75 |
$125 |
0.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$56 |
$160 |
0.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$57.05 |
$163 |
0.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$42 |
$120 |
0.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$43.75 |
$125 |
0.2× |
| Unlisted procedure femur or knee (27599) |
$42 |
$120 |
0.2× |
| Unlisted procedure humerus/elbow (24999) |
$43.75 |
$125 |
0.2× |
| Unlisted Procedure Lungs & Pleura (32999) |
$42 |
$120 |
0.1× |
| Unlisted Procedure Nervous System (64999) |
$58.10 |
$166 |
0.2× |
| Unlisted Procedure Trachea Bronchi (31899) |
$42 |
$120 |
0.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$80.50 |
$230 |
0.1× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$1,338.75 |
$3,825 |
6.2× |
| Unlisted procedure, hands or fingers (26989) |
$42 |
$120 |
0.2× |
| Unlisted procedure, male genital system (55899) |
$58.10 |
$166 |
0.3× |
| Urology Surgery Procedure (53899) |
$38.50 |
$110 |
0.2× |
| Vaginal delivery only (59409) |
$65.80 |
$188 |
0.0× |
| Venipuncture (36415) |
$1.64 |
$4.68 |
0.2× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$42 |
$120 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$1,425.55 |
$4,073 |
4.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,425.55 |
$4,073 |
2.2× |
Xtroral i&d absc cst/hmtma floor mouth subment (41016)
likely a partial charge, not the full procedure |
$42 |
$120 |
0.0× |