| Abd paracentesis w/imaging (49083) |
$1,180 |
$1,180 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$442 |
$442 |
0.5× |
| Acne Surgery (10040) |
$189 |
$189 |
0.9× |
| Amniocentesis diagnostic (59000) |
$489 |
$489 |
0.5× |
| Amputation Finger/Thumb (26951) |
$2,383 |
$2,383 |
0.7× |
| Anoscopy diagnostic (46600) |
$193 |
$193 |
1.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,125 |
$1,125 |
1.2× |
| Application cast elbow finger short arm (29075) |
$302 |
$302 |
1.0× |
| Application Cast Finger (29086) |
$183 |
$183 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$386 |
$386 |
2.3× |
| Application cast shoulder hand long arm (29065) |
$346.50 |
$346.50 |
1.2× |
| Application finger splint static (29130) |
$178 |
$178 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$307.50 |
$307.50 |
1.8× |
| Application long leg splint thigh ankle/toes (29505) |
$230.50 |
$230.50 |
1.4× |
| Application of long leg cast (29345) |
$456 |
$456 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$280.50 |
$280.50 |
2.0× |
| Application short leg splint calf foot (29515) |
$248.50 |
$248.50 |
1.5× |
| Apply short leg cast (29405) |
$262.50 |
$262.50 |
0.9× |
| Arterial puncture (36600) |
$136 |
$136 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$172 |
$172 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$314 |
$314 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$214.50 |
$214.50 |
0.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$176 |
$176 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$213 |
$213 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$963 |
$963 |
1.0× |
| Biopsy of uterus lining (58100) |
$317 |
$317 |
1.5× |
| Bladder Irrigation Simple (51700) |
$298.50 |
$298.50 |
1.2× |
| Bladder Scan (51798) |
$202 |
$202 |
3.3× |
| Blood transfusion service (36430) |
$940 |
$940 |
2.1× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$374 |
$374 |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$2,990 |
$2,990 |
4.1× |
| Change Cystostomy Tube Simple (51705) |
$417 |
$417 |
1.6× |
| Chemical Cautery Tissue (17250) |
$205 |
$205 |
1.0× |
| Chest tube placement (32551) |
$531.50 |
$531.50 |
0.3× |
| Circum 28 days or older (54161) |
$624 |
$624 |
0.3× |
| Circumcision (54150) |
$675 |
$675 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$545 |
$545 |
0.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$731 |
$731 |
2.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$880 |
$880 |
3.4× |
| Closed Rx Med Malleolus Fx (27760) |
$867.50 |
$867.50 |
3.4× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,377 |
$3,377 |
2.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$749 |
$749 |
0.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$772 |
$772 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$379 |
$379 |
1.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$593 |
$593 |
2.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$349 |
$349 |
1.4× |
| Closed Rx Trimalleolar Fx (27816) |
$755 |
$755 |
2.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$596 |
$596 |
0.2× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$562 |
$562 |
2.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$503.50 |
$503.50 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$598 |
$598 |
2.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$753 |
$753 |
2.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$352 |
$352 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$870 |
$870 |
3.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$241 |
$241 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$843 |
$843 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$490 |
$490 |
1.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$618 |
$618 |
2.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$730 |
$730 |
0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$529 |
$529 |
2.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$720 |
$720 |
0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$441 |
$441 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$481 |
$481 |
1.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$290 |
$290 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$684 |
$684 |
2.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$427 |
$427 |
1.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$502 |
$502 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$571 |
$571 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$626 |
$626 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$639 |
$639 |
2.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$561 |
$561 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$412 |
$412 |
1.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$739 |
$739 |
2.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$388 |
$388 |
1.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$563 |
$563 |
0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$553 |
$553 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,643 |
$1,643 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$784 |
$784 |
3.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$426 |
$426 |
1.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$447 |
$447 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$511 |
$511 |
2.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$628 |
$628 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$598 |
$598 |
2.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$620 |
$620 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$474 |
$474 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$302 |
$302 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$505 |
$505 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,253 |
$1,253 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,034 |
$1,034 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$752 |
$752 |
2.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$708 |
$708 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$368 |
$368 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$312 |
$312 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$409 |
$409 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$360 |
$360 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,038 |
$1,038 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$530 |
$530 |
2.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$602 |
$602 |
2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$402 |
$402 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$599 |
$599 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$435 |
$435 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$849.50 |
$849.50 |
3.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$557 |
$557 |
0.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$678 |
$678 |
2.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$587 |
$587 |
0.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$370 |
$370 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$420 |
$420 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$373 |
$373 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,691 |
$1,691 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$737 |
$737 |
0.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$628.50 |
$628.50 |
2.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$524 |
$524 |
2.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,523 |
$2,523 |
1.5× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$721.50 |
$721.50 |
2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$821 |
$821 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$3,004 |
$3,004 |
2.4× |
| Colonoscopy stoma w/biopsy (44389) |
$2,660 |
$2,660 |
2.1× |
| Colonoscopy stoma w/snare (44394) |
$3,789 |
$3,789 |
3.0× |
| Colonoscopy thru stoma (44388) |
$2,695 |
$2,695 |
2.8× |
| Colonoscopy w/ablation (45388) |
$2,390 |
$2,390 |
1.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$402 |
$402 |
1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$404 |
$404 |
0.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$2,160 |
$2,160 |
1.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,165 |
$1,165 |
0.9× |
| Complex Drainage, Wound (10180) |
$861 |
$861 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$448.50 |
$448.50 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$370 |
$370 |
2.7× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
$974 |
$974 |
4.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$454.50 |
$454.50 |
3.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$290 |
$290 |
1.2× |
| Cysto w/ureter stricture tx (52341) |
$882 |
$882 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$209 |
$209 |
0.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,867 |
$1,867 |
0.6× |
| Debride nail 1-5 (11720) |
$77 |
$77 |
1.3× |
| Debride nail 6 or more (11721) |
$79 |
$79 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$373.50 |
$373.50 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,793 |
$1,793 |
2.3× |
| Destruction benign lesions 15 or more (17111) |
$622 |
$622 |
3.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$180.50 |
$180.50 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,436 |
$1,436 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$344 |
$344 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$349 |
$349 |
1.7× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$368 |
$368 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$409 |
$409 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$604 |
$604 |
0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$295 |
$295 |
1.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$355 |
$355 |
1.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$362 |
$362 |
1.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$372 |
$372 |
0.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$405 |
$405 |
1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$206 |
$206 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$208 |
$208 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$238 |
$238 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$270 |
$270 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$366 |
$366 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$181 |
$181 |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$434 |
$434 |
2.1× |
| Destruction premalignant lesion 1st (17000) |
$181 |
$181 |
0.9× |
| Destruction vaginal lesions simple (57061) |
$313 |
$313 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$433 |
$433 |
0.4× |
| Dil urethra,female,subsequent (53661) |
$212 |
$212 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$954 |
$954 |
0.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,983 |
$1,983 |
2.1× |
| Dilation of cervical canal (57800) |
$176 |
$176 |
0.1× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$209 |
$209 |
1.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$260 |
$260 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$337 |
$337 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$624 |
$624 |
3.0× |
| Drainage of eyelid abscess (67700) |
$779 |
$779 |
2.4× |
| Drainage of gum lesion (41800) |
$487 |
$487 |
3.5× |
| Drainage of hematoma/fluid (10140) |
$615.50 |
$615.50 |
0.4× |
| Drainage of hydrocele (55000) |
$289 |
$289 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$357 |
$357 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$329 |
$329 |
1.6× |
| Dry Needling 3+ Muscles (20561) |
$74 |
$74 |
2.5× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$483 |
$483 |
1.1× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$4,143 |
$4,143 |
2.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,619 |
$2,619 |
1.3× |
| Egd flexible foreign body removal (43247) |
$2,764 |
$2,764 |
2.9× |
| Egd place gastrostomy tube (43246) |
$2,228 |
$2,228 |
1.1× |
| Egd rem tumr/polyp forcep (43250) |
$1,943 |
$1,943 |
1.0× |
| Egd remove lesion snare (43251) |
$2,526 |
$2,526 |
1.3× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,149 |
$1,149 |
0.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$3,149 |
$3,149 |
3.3× |
| Esophagoscopy flex biopsy (43202) |
$3,599 |
$3,599 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$124.50 |
$124.50 |
0.9× |
| Exc abd les sc 3 cm/> (22903) |
$3,282 |
$3,282 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,007 |
$1,007 |
0.6× |
| Exc back tum deep < 5 cm (21932) |
$4,201 |
$4,201 |
1.4× |
| Exc face les sbq 2 cm/> (21012) |
$783 |
$783 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,404 |
$1,404 |
1.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$448 |
$448 |
0.3× |
| Exc forearm les sc 3 cm/> (25071) |
$1,688 |
$1,688 |
1.0× |
| Exc forearm les sc < 3 cm (25075) |
$1,738 |
$1,738 |
1.0× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$440 |
$440 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,106 |
$2,106 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,948 |
$1,948 |
2.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,275 |
$1,275 |
3.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$724 |
$724 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$724 |
$724 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,723 |
$2,723 |
1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,292 |
$1,292 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,688 |
$1,688 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,688 |
$1,688 |
1.0× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,248 |
$1,248 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,968 |
$2,968 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,352 |
$1,352 |
0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,967 |
$2,967 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$898 |
$898 |
0.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,269 |
$1,269 |
1.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$416 |
$416 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$911 |
$911 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$579 |
$579 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,320 |
$1,320 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,548 |
$2,548 |
3.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$416 |
$416 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$572 |
$572 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$650 |
$650 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$858 |
$858 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,976 |
$1,976 |
1.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$2,117 |
$2,117 |
2.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,040 |
$1,040 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,184 |
$2,184 |
1.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$350 |
$350 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$352 |
$352 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$287 |
$287 |
0.2× |
| Excision of nail fold toe (11765) |
$402 |
$402 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,688 |
$1,688 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,052 |
$4,052 |
1.9× |
| Exploration penetrating wound spx chest (20101) |
$3,466 |
$3,466 |
1.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,688 |
$1,688 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$2,233 |
$2,233 |
4.0× |
| Fine needle aspiration without imaging guidance (10021) |
$341 |
$341 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$472 |
$472 |
2.1× |
| I&d abscess simple (10060) |
$1,071 |
$1,071 |
5.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$479 |
$479 |
0.2× |
| I&d perianal abscess superficial (46050) |
$1,422 |
$1,422 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$457 |
$457 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$482 |
$482 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$535 |
$535 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$371.50 |
$371.50 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$531 |
$531 |
2.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$913 |
$913 |
2.9× |
| Incision of lingual frenum (41010) |
$390 |
$390 |
0.2× |
| Incision of rectal abscess (46040) |
$1,144 |
$1,144 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$428.50 |
$428.50 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$209 |
$209 |
0.3× |
| Induced abortion by d&c (59840) |
$1,147 |
$1,147 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$185 |
$185 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$244 |
$244 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$790 |
$790 |
1.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$254 |
$254 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$620 |
$620 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$235 |
$235 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$506 |
$506 |
1.6× |
| Injection therapeutic carpal tunnel (20526) |
$279 |
$279 |
0.9× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$94 |
$94 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$116 |
$116 |
0.6× |
| Insert Drug Implant Device (11981) |
$318 |
$318 |
2.3× |
| Insert non-tunnel cv cath (36556) |
$881 |
$881 |
0.3× |
| Insert pessary/other device (57160) |
$207 |
$207 |
1.0× |
| Insert picc cath (36569) |
$1,609 |
$1,609 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$189 |
$189 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$193 |
$193 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$713 |
$713 |
2.9× |
| Irrigate vagina w meds (57150) |
$188 |
$188 |
3.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$301 |
$301 |
1.5× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$727 |
$727 |
0.1× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$204 |
$204 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$441 |
$441 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$61 |
$61 |
2.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$276 |
$276 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,203 |
$1,203 |
1.3× |
| Open tx nose fx uncomplicatd (21325) |
$671 |
$671 |
0.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,802 |
$1,802 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$820 |
$820 |
3.2× |
| Placement of needle for intraosseous infusion (36680) |
$292 |
$292 |
0.6× |
| Proctosigmoidoscopy (45303) |
$1,063 |
$1,063 |
0.9× |
| Proctosigmoidoscopy w/bx (45305) |
$1,341 |
$1,341 |
1.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$2,228 |
$2,228 |
2.3× |
Prq impltj neurostim eltrd sacral nrve w/imaging (64561)
unusually low: confirm this is the full procedure |
$2,884 |
$2,884 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$293 |
$293 |
0.7× |
| Puncture Aspiration (10160) |
$290 |
$290 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$364 |
$364 |
0.5× |
| Reconstruction tongue fold (41520) |
$677 |
$677 |
0.2× |
| Removal fb intranasal (30300) |
$292.50 |
$292.50 |
2.1× |
| Removal foreign body foot subcutaneous (28190) |
$303 |
$303 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$397 |
$397 |
0.2× |
| Removal foreign body pharynx (42809) |
$673 |
$673 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$68.50 |
$68.50 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$331 |
$331 |
5.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$571 |
$571 |
0.8× |
| Removal of arm foreign body (24200) |
$2,548 |
$2,548 |
1.5× |
| Removal of intrauterine device (iud) (58301) |
$411 |
$411 |
1.3× |
| Removal of nail bed (11750) |
$443.50 |
$443.50 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$210 |
$210 |
1.0× |
| Removal of tonsils (42826) |
$996 |
$996 |
0.3× |
| Remove drug implant device (11982) |
$357 |
$357 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$212 |
$212 |
0.6× |
| Remove foreign body from eye (65210) |
$232 |
$232 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$262.50 |
$262.50 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$232 |
$232 |
1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,012 |
$1,012 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,236 |
$1,236 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,704 |
$1,704 |
4.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,986 |
$1,986 |
4.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,406 |
$1,406 |
3.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,544 |
$1,544 |
3.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$516 |
$516 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$954 |
$954 |
1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$424 |
$424 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$937 |
$937 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$458 |
$458 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$564 |
$564 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$372 |
$372 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$649 |
$649 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$210 |
$210 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$330 |
$330 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$358 |
$358 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$408 |
$408 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$336 |
$336 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$499 |
$499 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$731 |
$731 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$525 |
$525 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$854 |
$854 |
0.4× |
| Repair of nail bed (11760) |
$461 |
$461 |
0.6× |
| Repair Tongue Laceration (41250) |
$348 |
$348 |
0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$540 |
$540 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$333.50 |
$333.50 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,477 |
$2,477 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,747 |
$1,747 |
1.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$573 |
$573 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,088 |
$1,088 |
1.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,061 |
$2,061 |
2.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,840 |
$1,840 |
1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$218 |
$218 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$244 |
$244 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$290 |
$290 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$259 |
$259 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$276 |
$276 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$207 |
$207 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$274 |
$274 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$292 |
$292 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$234 |
$234 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$305 |
$305 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$278 |
$278 |
1.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,245 |
$3,245 |
2.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,678 |
$1,678 |
1.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$2,731 |
$2,731 |
2.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$623.50 |
$623.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$306 |
$306 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$441.50 |
$441.50 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$380 |
$380 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$584.50 |
$584.50 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$286 |
$286 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$629 |
$629 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$455 |
$455 |
2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$313.50 |
$313.50 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$416 |
$416 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$569 |
$569 |
1.3× |
| Strapping ankle (29540) |
$136 |
$136 |
0.8× |
| Strapping elbow/wrist (29260) |
$145 |
$145 |
2.4× |
| Strapping hand/finger (29280) |
$157 |
$157 |
2.6× |
| Strapping knee (29530) |
$156 |
$156 |
1.1× |
| Strapping shoulder (29240) |
$172 |
$172 |
1.2× |
| Strapping thorax (29200) |
$171 |
$171 |
1.0× |
| Strapping toes (29550) |
$106 |
$106 |
1.7× |
| Tangential biopsy skin single lesion (11102) |
$209 |
$209 |
0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,236 |
$1,236 |
0.7× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,627 |
$1,627 |
1.0× |
| Therapeutic pneumothorax (32960) |
$251 |
$251 |
0.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$691 |
$691 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$985 |
$985 |
2.9× |
| Thrombolytic Venous Therapy (37212) |
$1,004 |
$1,004 |
0.3× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$5,174 |
$5,174 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$712 |
$712 |
2.8× |
| Treat humerus fracture (24500) |
$733.50 |
$733.50 |
2.9× |
| Treat humerus fracture (23600) |
$420 |
$420 |
1.6× |
| Treat knee fracture (27532) |
$557 |
$557 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$453 |
$453 |
1.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,146 |
$1,146 |
0.7× |
| Treat wrist bone fracture (25635) |
$1,217 |
$1,217 |
0.7× |
| Treat wrist bone fracture (25622) |
$773 |
$773 |
3.0× |
| Treat Wrist Bone Fracture (25630) |
$835 |
$835 |
3.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,345 |
$1,345 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$327 |
$327 |
1.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$411 |
$411 |
1.6× |
| Trim skin lesion (11055) |
$205 |
$205 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$205 |
$205 |
1.0× |
| Trim skin lesions over 4 (11057) |
$205 |
$205 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$55 |
$55 |
0.9× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,005 |
$1,005 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$540 |
$540 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$811 |
$811 |
1.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$432 |
$432 |
0.3× |
| Tympanostomy (69433) |
$418 |
$418 |
0.7× |
| Unlisted Procedure Breast (19499) |
$4,001 |
$4,001 |
1.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$2,059 |
$2,059 |
8.4× |
| Vaginal delivery only (59409) |
$2,919 |
$2,919 |
0.9× |
| Vasectomy (55250) |
$1,177 |
$1,177 |
0.5× |
| Venipuncture (36415) |
$42 |
$42 |
4.5× |
| Windowing of cast (29730) |
$147 |
$147 |
0.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$895 |
$895 |
1.2× |