| Anoscopy diagnostic (46600) |
$326.95 |
$503 |
2.1× |
| Application cast elbow finger short arm (29075) |
$460.20 |
$708 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$460.20 |
$708 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$185.90 |
$286 |
2.7× |
| Application finger splint static (29130) |
$185.90 |
$286 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$333.45 |
$513 |
1.7× |
| Application of long leg cast (29345) |
$460.20 |
$708 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$333.45 |
$513 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$333.45 |
$513 |
2.1× |
| Application, cast; figure-of-eight Facility (29049) |
$333.45 |
$513 |
1.0× |
| Apply Hand/Wrist Cast (29085) |
$333.45 |
$513 |
1.7× |
| Apply long leg splint (29505) |
$333.45 |
$513 |
1.7× |
| Apply short leg cast (29405) |
$460.20 |
$708 |
1.4× |
| Apply short leg splint (29515) |
$333.45 |
$513 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$672.75 |
$1,035 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$672.75 |
$1,035 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$672.75 |
$1,035 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$490.10 |
$754 |
2.1× |
| Bladder Irrigation Simple (51700) |
$702 |
$1,080 |
2.4× |
| Blood transfusion service (36430) |
$947.05 |
$1,457 |
1.8× |
| Change of cystostomy tube simple (51705) |
$702 |
$1,080 |
2.4× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$360.10 |
$554 |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$360.10 |
$554 |
1.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$576.55 |
$887 |
0.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$576.55 |
$887 |
2.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$4,042.35 |
$6,219 |
2.2× |
| Closed Rx Radial Shaft Fx (25500) |
$360.10 |
$554 |
1.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$576.55 |
$887 |
0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$360.10 |
$554 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$576.55 |
$887 |
2.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$576.55 |
$887 |
2.0× |
| Closed Treat Vert Body Fract (22310) |
$576.55 |
$887 |
2.0× |
| Closed treat wrist dislocation (25660) |
$576.55 |
$887 |
2.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$360.10 |
$554 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$576.55 |
$887 |
2.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$576.55 |
$887 |
2.0× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$4,156.10 |
$6,394 |
2.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$360.10 |
$554 |
1.2× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$4,156.10 |
$6,394 |
1.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$576.55 |
$887 |
2.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$360.10 |
$554 |
1.2× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$4,156.10 |
$6,394 |
2.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$360.10 |
$554 |
1.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$360.10 |
$554 |
1.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,491.10 |
$2,294 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$576.55 |
$887 |
2.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$360.10 |
$554 |
1.2× |
| Closed Treatment Sternum Fracture (21820) |
$360.10 |
$554 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$576.55 |
$887 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$576.55 |
$887 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,491.10 |
$2,294 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$576.55 |
$887 |
2.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,491.10 |
$2,294 |
5.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,491.10 |
$2,294 |
0.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$576.55 |
$887 |
2.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,831.75 |
$5,895 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$576.55 |
$887 |
2.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$4,156.10 |
$6,394 |
2.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$867.75 |
$1,335 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$576.55 |
$887 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,156.10 |
$6,394 |
2.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,809.60 |
$2,784 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,491.10 |
$2,294 |
5.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$360.10 |
$554 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$576.55 |
$887 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$576.55 |
$887 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,491.10 |
$2,294 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$576.55 |
$887 |
0.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$360.10 |
$554 |
1.2× |
| Closed tx septal&nose fx (21337) |
$4,042.35 |
$6,219 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$576.55 |
$887 |
2.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$576.55 |
$887 |
2.0× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$4,156.10 |
$6,394 |
1.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$4,156.10 |
$6,394 |
2.2× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$360.10 |
$554 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$280.80 |
$432 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$576.55 |
$887 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$360.10 |
$554 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$360.10 |
$554 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$867.75 |
$1,335 |
3.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$576.55 |
$887 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$360.10 |
$554 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,831.75 |
$5,895 |
2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$576.55 |
$887 |
2.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$360.10 |
$554 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,831.75 |
$5,895 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$576.55 |
$887 |
0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$576.55 |
$887 |
2.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$576.55 |
$887 |
0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$360.10 |
$554 |
1.2× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$360.10 |
$554 |
1.2× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$576.55 |
$887 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$576.55 |
$887 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$576.55 |
$887 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$576.55 |
$887 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$360.10 |
$554 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$576.55 |
$887 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,491.10 |
$2,294 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$576.55 |
$887 |
0.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$576.55 |
$887 |
2.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$576.55 |
$887 |
2.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$576.55 |
$887 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$360.10 |
$554 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$576.55 |
$887 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$360.10 |
$554 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$576.55 |
$887 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$576.55 |
$887 |
2.0× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$576.55 |
$887 |
2.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$576.55 |
$887 |
0.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$576.55 |
$887 |
0.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$576.55 |
$887 |
0.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$460.20 |
$708 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$360.10 |
$554 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$360.10 |
$554 |
1.2× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$576.55 |
$887 |
2.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$576.55 |
$887 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$360.10 |
$554 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$576.55 |
$887 |
2.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$576.55 |
$887 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$576.55 |
$887 |
2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$576.55 |
$887 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,491.10 |
$2,294 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$576.55 |
$887 |
2.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,491.10 |
$2,294 |
0.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$360.10 |
$554 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$576.55 |
$887 |
2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,491.10 |
$2,294 |
0.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$576.55 |
$887 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$576.55 |
$887 |
0.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$576.55 |
$887 |
0.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$576.55 |
$887 |
2.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$6,678.75 |
$10,275 |
1.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$360.10 |
$554 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$4,156.10 |
$6,394 |
2.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$360.10 |
$554 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$576.55 |
$887 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$280.80 |
$432 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$280.80 |
$432 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$280.80 |
$432 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$195.65 |
$301 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,126.80 |
$3,272 |
2.5× |
| Debride nail 1-5 (11720) |
$202.15 |
$311 |
2.9× |
| Debride tissue/muscle (11043) |
$913.25 |
$1,405 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$913.25 |
$1,405 |
1.9× |
| Decompressive fasciotomy hand (26037) |
$4,151.55 |
$6,387 |
1.1× |
| Delivery placenta separate procedure (59414) |
$4,563.65 |
$7,021 |
1.2× |
| Drain lower leg bursa (27604) |
$8,548.15 |
$13,151 |
2.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$530.40 |
$816 |
0.6× |
| Drainage external auditory canal abscess (69020) |
$530.40 |
$816 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$530.40 |
$816 |
0.6× |
| Drainage Finger Abscess Complicated (26011) |
$2,804.10 |
$4,314 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$530.40 |
$816 |
2.2× |
| Drainage of gum lesion (41800) |
$530.40 |
$816 |
3.4× |
| Drainage of hematoma/fluid (10140) |
$2,804.10 |
$4,314 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$490.10 |
$754 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$490.10 |
$754 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$490.10 |
$754 |
2.1× |
| Dx gastr intub w/asp spec (43754) |
$326.95 |
$503 |
1.3× |
| Dx gastr intub w/asp specs (43755) |
$435.50 |
$670 |
2.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$4,037.15 |
$6,211 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$202.15 |
$311 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,804.45 |
$5,853 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,058.20 |
$1,628 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,058.20 |
$1,628 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,058.20 |
$1,628 |
2.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$4,713.15 |
$7,251 |
3.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,804.10 |
$4,314 |
1.4× |
| Explore/treat hand joint (26070) |
$4,151.55 |
$6,387 |
2.2× |
| Fluid pressure muscle (20950) |
$530.40 |
$816 |
0.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$433.55 |
$667 |
1.7× |
| I&D Abscess Peritonsillar (42700) |
$867.75 |
$1,335 |
3.1× |
| I&d abscess simple (10060) |
$530.40 |
$816 |
2.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,208.45 |
$8,013 |
1.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$5,759.65 |
$8,861 |
2.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,441.15 |
$8,371 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$530.40 |
$816 |
0.6× |
| I&d shoulder deep abscess/hematoma (23030) |
$5,208.45 |
$8,013 |
1.5× |
| I&d submucosal abscess rectum (45005) |
$4,713.15 |
$7,251 |
3.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,804.10 |
$4,314 |
1.4× |
| I&d vulva/perineal abscess (56405) |
$629.85 |
$969 |
1.7× |
| Incise external hemorrhoid (46083) |
$702 |
$1,080 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$530.40 |
$816 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,208.45 |
$8,013 |
1.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,804.10 |
$4,314 |
3.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,804.45 |
$5,853 |
1.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$913.25 |
$1,405 |
1.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$421.20 |
$648 |
1.8× |
| Incision and drainage perianal abscess superficial (46050) |
$1,571.05 |
$2,417 |
1.4× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$5,441.15 |
$8,371 |
2.9× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$5,208.45 |
$8,013 |
1.5× |
| Incision of rectal abscess (46040) |
$4,713.15 |
$7,251 |
3.3× |
| Incision&drainage bursa foot (28001) |
$2,804.10 |
$4,314 |
1.4× |
| Initial tx 1st degree burn local tx (16000) |
$202.15 |
$311 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$672.75 |
$1,035 |
1.9× |
| Inj therapeutic carpal tunnel (20526) |
$672.75 |
$1,035 |
1.9× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,175.85 |
$1,809 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$672.75 |
$1,035 |
1.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$672.75 |
$1,035 |
1.9× |
| Insert Bladder Cath Complex (51703) |
$702 |
$1,080 |
4.6× |
| Insert non-tunnel cv cath (36556) |
$2,115.75 |
$3,255 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,820.35 |
$4,339 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,820.35 |
$4,339 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$245.05 |
$377 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$245.05 |
$377 |
1.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$15,272.40 |
$23,496 |
1.6× |
| Intro Gastrointestinal Tube (44500) |
$1,548.95 |
$2,383 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$547.95 |
$843 |
2.0× |
| Laryngoscopy diagnostic (31505) |
$499.85 |
$769 |
2.1× |
| Laryngoscopy Direct Aspiration (31515) |
$4,037.15 |
$6,211 |
8.7× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$499.85 |
$769 |
2.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$502.45 |
$773 |
1.0× |
| Occipital Nerve Block (64405) |
$1,175.85 |
$1,809 |
3.2× |
| Open nasoethmoid fx w/o fixj (21338) |
$11,829.35 |
$18,199 |
1.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$13,689 |
$21,060 |
1.6× |
| Open treatment interphalangeal joint dislocation (28675) |
$6,678.75 |
$10,275 |
1.7× |
| Open Treatment Medial Malleolus Fracture (27766) |
$13,689 |
$21,060 |
1.6× |
| Open treatment metacarpophalangeal dislocation (26715) |
$6,678.75 |
$10,275 |
1.7× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$6,171.10 |
$9,494 |
1.6× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$6,678.75 |
$10,275 |
1.7× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$6,678.75 |
$10,275 |
0.8× |
| Open treatment of sternoclavicular dislocation, acute or chronic; Facility (23530) |
$13,689 |
$21,060 |
1.6× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$6,678.75 |
$10,275 |
0.8× |
| Open treatment of temporomandibular dislocation Facility (21490) |
$11,829.35 |
$18,199 |
3.0× |
| Open treatment talus fracture (28445) |
$13,689 |
$21,060 |
1.6× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$13,689 |
$21,060 |
1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,678.75 |
$10,275 |
1.7× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$13,689 |
$21,060 |
1.6× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$6,678.75 |
$10,275 |
1.7× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$6,678.75 |
$10,275 |
1.7× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$13,689 |
$21,060 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$178.75 |
$275 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$530.40 |
$816 |
1.1× |
| Reconstruction of nail bed with graft (11762) |
$4,550 |
$7,000 |
1.9× |
| Removal Foreign Body Foot Complicated (28193) |
$2,126.80 |
$3,272 |
1.1× |
| Removal foreign body foot deep (28192) |
$3,804.45 |
$5,853 |
1.9× |
| Removal foreign body foot subcutaneous (28190) |
$2,126.80 |
$3,272 |
2.5× |
| Removal foreign body intranasal (30300) |
$326.95 |
$503 |
2.1× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,126.80 |
$3,272 |
1.1× |
| Removal foreign body pharynx (42809) |
$326.95 |
$503 |
0.6× |
| Removal foreign body shoulder subcutaneous (23330) |
$2,126.80 |
$3,272 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$178.75 |
$275 |
2.6× |
| Removal of arm foreign body (24200) |
$2,126.80 |
$3,272 |
1.1× |
| Removal of embedded foreign body, eyelid (67938) |
$605.15 |
$931 |
1.6× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$4,713.15 |
$7,251 |
3.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$258.05 |
$397 |
0.5× |
| Removal of nail bed (11750) |
$1,058.20 |
$1,628 |
2.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$278.85 |
$429 |
1.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$333.45 |
$513 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$333.45 |
$513 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$178.75 |
$275 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$258.05 |
$397 |
1.6× |
| Remv/revisn shldr/hip spica cast (29710) |
$460.20 |
$708 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,359.15 |
$2,091 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,359.15 |
$2,091 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$661.05 |
$1,017 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,359.15 |
$2,091 |
2.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$661.05 |
$1,017 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,359.15 |
$2,091 |
2.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,359.15 |
$2,091 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,359.15 |
$2,091 |
1.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,151.55 |
$6,387 |
2.2× |
| Repair hand tendon (26410) |
$4,151.55 |
$6,387 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$766.35 |
$1,179 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$661.05 |
$1,017 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$661.05 |
$1,017 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,359.15 |
$2,091 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,359.15 |
$2,091 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,359.15 |
$2,091 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$661.05 |
$1,017 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,359.15 |
$2,091 |
0.6× |
| Repair Mouth Laceration (40831) |
$1,809.60 |
$2,784 |
2.8× |
| Repair of nail bed (11760) |
$661.05 |
$1,017 |
0.8× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$5,205.20 |
$8,008 |
1.2× |
| Repair Spica Body Cast/Jacket (29720) |
$333.45 |
$513 |
1.7× |
| Repair tongue laceration (41252) |
$1,809.60 |
$2,784 |
6.5× |
| Repair Tongue Laceration (41250) |
$280.80 |
$432 |
0.5× |
| Repeat control of nosebleed (30906) |
$280.80 |
$432 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$326.95 |
$503 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$258.05 |
$397 |
1.6× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$258.05 |
$397 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$5,763.55 |
$8,867 |
1.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,126.80 |
$3,272 |
0.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,820.35 |
$4,339 |
1.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$661.05 |
$1,017 |
0.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,809.60 |
$2,784 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,809.60 |
$2,784 |
2.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,809.60 |
$2,784 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,548.95 |
$2,383 |
2.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$278.85 |
$429 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$278.85 |
$429 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$278.85 |
$429 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$278.85 |
$429 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$440.70 |
$678 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$811.20 |
$1,248 |
3.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$278.85 |
$429 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$278.85 |
$429 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$278.85 |
$429 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$278.85 |
$429 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$403 |
$620 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$278.85 |
$429 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$605.15 |
$931 |
2.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$521.30 |
$802 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$820.95 |
$1,263 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$661.05 |
$1,017 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,175.85 |
$1,809 |
1.4× |
| Strapping ankle (29540) |
$185.90 |
$286 |
1.0× |
| Strapping elbow or wrist (29260) |
$185.90 |
$286 |
2.7× |
| Strapping hand/finger (29280) |
$185.90 |
$286 |
2.7× |
| Strapping knee (29530) |
$185.90 |
$286 |
1.2× |
| Strapping shoulder (29240) |
$185.90 |
$286 |
1.2× |
| Strapping thorax (29200) |
$185.90 |
$286 |
1.0× |
| Strapping toes (29550) |
$185.90 |
$286 |
2.7× |
| Strapping unna boot (29580) |
$460.20 |
$708 |
2.4× |
| Tenotomy shoulder area single tendon (23405) |
$8,548.15 |
$13,151 |
1.0× |
| Therapeutic pneumothorax (32960) |
$1,329.90 |
$2,046 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$611 |
$940 |
1.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,809.60 |
$2,784 |
6.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,809.60 |
$2,784 |
1.0× |
| Treat Big Toe Fracture (28505) |
$6,678.75 |
$10,275 |
1.7× |
| Treat clavicle dislocation (23540) |
$576.55 |
$887 |
2.0× |
| Treat clavicle fracture (23505) |
$1,491.10 |
$2,294 |
0.8× |
| Treat elbow dislocation (24615) |
$17,865.90 |
$27,486 |
2.1× |
| Treat Elbow Fracture (24635) |
$17,865.90 |
$27,486 |
2.1× |
| Treat humerus fracture (24500) |
$576.55 |
$887 |
2.0× |
| Treat humerus fracture (23600) |
$576.55 |
$887 |
2.0× |
| Treat knee fracture (27532) |
$4,156.10 |
$6,394 |
1.1× |
| Treat Knee Fracture(S) (27538) |
$576.55 |
$887 |
2.0× |
| Treat Metatarsal Fracture (28475) |
$576.55 |
$887 |
2.0× |
| Treat shoulder blade fx (23575) |
$576.55 |
$887 |
0.3× |
| Treat Thigh Fracture (27246) |
$576.55 |
$887 |
2.0× |
| Treat Thumb Dislocation (26641) |
$576.55 |
$887 |
2.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$576.55 |
$887 |
0.3× |
| Treat wrist bone fracture (25622) |
$576.55 |
$887 |
2.0× |
| Treat Wrist Bone Fracture (25630) |
$576.55 |
$887 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$576.55 |
$887 |
2.0× |
| Treatment of fibula fracture (27784) |
$13,689 |
$21,060 |
1.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$360.10 |
$554 |
1.2× |
| Tube thoracostomy includes water seal (32551) |
$1,208.35 |
$1,859 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,359.15 |
$2,091 |
1.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$360.10 |
$554 |
0.2× |
| Us urine capacity measure (51798) |
$141.70 |
$218 |
2.0× |
| Vaginal delivery only (59409) |
$4,563.65 |
$7,021 |
1.2× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$4,563.65 |
$7,021 |
1.2× |
| Venipuncture (36415) |
$12.02 |
$18.50 |
1.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$74.10 |
$114 |
0.1× |
| Wedge excision skin nail fold (11765) |
$278.85 |
$429 |
0.6× |
| Wedging of cast (29740) |
$333.45 |
$513 |
1.0× |
| Wedging of clubfoot cast (29750) |
$333.45 |
$513 |
1.0× |
| Windowing of cast (29730) |
$333.45 |
$513 |
1.7× |