| Anoscopy diagnostic (46600) |
$307.80 |
$513 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,131.80 |
$3,553 |
1.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$3,741.60 |
$6,236 |
2.0× |
| Application cast elbow finger short arm (29075) |
$634.20 |
$1,057 |
1.9× |
| Application Cast Finger (29086) |
$369 |
$615 |
1.9× |
| Application cast shoulder hand long arm (29065) |
$634.20 |
$1,057 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$141.60 |
$236 |
2.0× |
| Application finger splint static (29130) |
$415.80 |
$693 |
2.6× |
| Application long arm splint shoulder hand (29105) |
$376.80 |
$628 |
2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$621 |
$1,035 |
1.9× |
| Application of long leg cast (29345) |
$634.20 |
$1,057 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$307.80 |
$513 |
2.0× |
| Apply Hand/Wrist Cast (29085) |
$376.80 |
$628 |
2.0× |
| Apply long leg splint (29505) |
$376.80 |
$628 |
2.0× |
| Apply short leg cast (29405) |
$634.20 |
$1,057 |
1.9× |
| Apply short leg cast (29425) |
$634.20 |
$1,057 |
1.9× |
| Apply short leg splint (29515) |
$376.80 |
$628 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,653.60 |
$2,756 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$705 |
$1,175 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$705 |
$1,175 |
1.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$705 |
$1,175 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,891.20 |
$8,152 |
2.0× |
| Aspiration bladder needle (51100) |
$568.80 |
$948 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$474.60 |
$791 |
2.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,032 |
$6,720 |
1.9× |
| Change Cystostomy Tube Complicated (51710) |
$1,593.60 |
$2,656 |
1.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$573 |
$955 |
2.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$561 |
$935 |
1.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$561 |
$935 |
1.9× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$561 |
$935 |
1.9× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Rx Radial Shaft Fx (25500) |
$573 |
$955 |
2.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$3,741.60 |
$6,236 |
2.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$561 |
$935 |
1.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$561 |
$935 |
1.9× |
| Closed Treat Vert Body Fract (22310) |
$561 |
$935 |
1.9× |
| Closed treat wrist dislocation (25660) |
$573 |
$955 |
2.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$561 |
$935 |
1.9× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$7,582.20 |
$12,637 |
1.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$573 |
$955 |
2.0× |
| Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint… (21431) |
$7,582.20 |
$12,637 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$573 |
$955 |
2.0× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$1,190.40 |
$1,984 |
1.9× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$3,741.60 |
$6,236 |
2.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,821.40 |
$6,369 |
2.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$561 |
$935 |
1.9× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$573 |
$955 |
2.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$573 |
$955 |
2.0× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$3,741.60 |
$6,236 |
2.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$561 |
$935 |
1.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$561 |
$935 |
1.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$3,821.40 |
$6,369 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$573 |
$955 |
2.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$561 |
$935 |
1.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$561 |
$935 |
1.9× |
| Closed Treatment Sternum Fracture (21820) |
$561 |
$935 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$573 |
$955 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$573 |
$955 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$561 |
$935 |
1.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$561 |
$935 |
1.9× |
| Closed tx femoral fracture prox head w manip (27268) |
$561 |
$935 |
0.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$7,585.80 |
$12,643 |
2.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$573 |
$955 |
2.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,821.40 |
$6,369 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$573 |
$955 |
2.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$3,741.60 |
$6,236 |
2.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,216.20 |
$2,027 |
1.9× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure |
$3,463.20 |
$5,772 |
0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$7,582.20 |
$12,637 |
1.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$573 |
$955 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$573 |
$955 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$561 |
$935 |
1.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$561 |
$935 |
1.9× |
| Closed tx septal&nose fx (21337) |
$7,743.60 |
$12,906 |
2.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$561 |
$935 |
1.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$561 |
$935 |
1.9× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$7,585.80 |
$12,643 |
2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$561 |
$935 |
1.9× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$561 |
$935 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$573 |
$955 |
2.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$554.40 |
$924 |
2.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$573 |
$955 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$573 |
$955 |
2.0× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$561 |
$935 |
1.9× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$561 |
$935 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$573 |
$955 |
2.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$561 |
$935 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$561 |
$935 |
1.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$561 |
$935 |
1.9× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$573 |
$955 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$573 |
$955 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$573 |
$955 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$561 |
$935 |
1.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$561 |
$935 |
0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$561 |
$935 |
1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$573 |
$955 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$573 |
$955 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$561 |
$935 |
1.9× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$561 |
$935 |
1.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$634.20 |
$1,057 |
1.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$561 |
$935 |
0.3× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$7,582.20 |
$12,637 |
1.9× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$573 |
$955 |
2.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$573 |
$955 |
2.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx post ankle fx w/mnpj (27768) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$561 |
$935 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$7,585.80 |
$12,643 |
2.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$561 |
$935 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$573 |
$955 |
2.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$561 |
$935 |
1.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$7,585.80 |
$12,643 |
2.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$561 |
$935 |
1.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$561 |
$935 |
1.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$561 |
$935 |
1.9× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$7,747.20 |
$12,912 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$307.80 |
$513 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$307.80 |
$513 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$307.80 |
$513 |
2.0× |
| Debride tissue/muscle (11043) |
$1,461.60 |
$2,436 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$954 |
$1,590 |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$3,868.80 |
$6,448 |
2.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$2,191.80 |
$3,653 |
2.0× |
| Drain bladder by trocar/cath (51101) |
$2,379 |
$3,965 |
2.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$3,868.80 |
$6,448 |
2.0× |
| Drain/inj small joint/bursa w/us (20604) |
$705 |
$1,175 |
1.9× |
| Drainage abscess/hematoma nasal int approach (30000) |
$554.40 |
$924 |
2.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,216.20 |
$2,027 |
1.9× |
| Drainage external auditory canal abscess (69020) |
$1,680 |
$2,800 |
2.0× |
| Drainage Finger Abscess Complicated (26011) |
$3,868.80 |
$6,448 |
2.0× |
| Drainage of gum lesion (41800) |
$307.80 |
$513 |
2.0× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$1,190.40 |
$1,984 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$954 |
$1,590 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$474.60 |
$791 |
2.0× |
| Escharotomy initial incision (16035) |
$954 |
$1,590 |
2.0× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$3,821.40 |
$6,369 |
2.0× |
| Explo/Drain Breast Abscess (19020) |
$3,868.80 |
$6,448 |
2.0× |
| I&D Abscess Peritonsillar (42700) |
$554.40 |
$924 |
2.0× |
| I&d abscess simple (10060) |
$474.60 |
$791 |
2.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,834 |
$11,390 |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$4,891.20 |
$8,152 |
2.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$7,747.20 |
$12,912 |
2.0× |
| I&d forearm/wrist bursa (25031) |
$3,741.60 |
$6,236 |
2.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$7,747.20 |
$12,912 |
2.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$6,834 |
$11,390 |
2.0× |
| I&d submucosal abscess rectum (45005) |
$2,815.20 |
$4,692 |
2.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$3,868.80 |
$6,448 |
2.0× |
| I&d vulva/perineal abscess (56405) |
$726.60 |
$1,211 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,868.80 |
$6,448 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$954 |
$1,590 |
2.0× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$6,834 |
$11,390 |
2.0× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$6,691.80 |
$11,153 |
2.0× |
| Incision of conjunctiva, drainage of cyst (68020) |
$2,264.40 |
$3,774 |
1.9× |
| Incision&drainage bursa foot (28001) |
$3,788.40 |
$6,314 |
1.9× |
| Initial tx 1st degree burn local tx (16000) |
$474.60 |
$791 |
2.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,125.80 |
$3,543 |
2.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,125.80 |
$3,543 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,125.80 |
$3,543 |
2.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,081.40 |
$3,469 |
2.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,653.60 |
$2,756 |
2.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,653.60 |
$2,756 |
2.0× |
| Injection aa&/strd pudendal nerve (64430) |
$2,081.40 |
$3,469 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$705 |
$1,175 |
1.9× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,653.60 |
$2,756 |
2.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,653.60 |
$2,756 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$705 |
$1,175 |
1.9× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$1,619.40 |
$2,699 |
1.9× |
| Injection, anesthetic agent; vagus nerve (64408) |
$690 |
$1,150 |
1.9× |
| Insert and remove bone pin (20650) |
$7,585.80 |
$12,643 |
2.0× |
| Insert Bladder Cath Complex (51703) |
$373.80 |
$623 |
2.5× |
| Insert non-tunnel cv cath (36556) |
$7,515.60 |
$12,526 |
2.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$7,515.60 |
$12,526 |
2.0× |
| Insert Temp Bladder Cath (51702) |
$307.80 |
$513 |
2.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,216.20 |
$2,027 |
1.9× |
| Intraoral i&d tongue/floor masticator space (41009) |
$1,190.40 |
$1,984 |
1.9× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$543 |
$905 |
1.9× |
| Intraoral i&d tongue/floor submental space (41007) |
$3,463.20 |
$5,772 |
1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$7,582.20 |
$12,637 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$554.40 |
$924 |
2.0× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$927 |
$1,545 |
2.0× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$453.60 |
$756 |
1.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,117.80 |
$6,863 |
2.0× |
| Marsupialization Bartholins Gland Cyst (56440) |
$7,434 |
$12,390 |
1.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,619.40 |
$2,699 |
1.9× |
| Njx aa&/strd sciatic nerve (64445) |
$1,619.40 |
$2,699 |
1.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,125.80 |
$3,543 |
2.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$6,411.60 |
$10,686 |
2.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$954 |
$1,590 |
2.0× |
| Removal Foreign Body Foot Complicated (28193) |
$3,868.80 |
$6,448 |
2.0× |
| Removal foreign body foot deep (28192) |
$3,868.80 |
$6,448 |
2.0× |
| Removal foreign body intranasal (30300) |
$307.80 |
$513 |
2.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$3,868.80 |
$6,448 |
2.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$7,585.80 |
$12,643 |
2.0× |
| Removal foreign body shoulder subcutaneous (23330) |
$3,868.80 |
$6,448 |
2.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$6,691.80 |
$11,153 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$141.60 |
$236 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$141.60 |
$236 |
2.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$7,591.80 |
$12,653 |
2.0× |
| Removal of arm foreign body (24200) |
$3,868.80 |
$6,448 |
2.0× |
| Removal of embedded foreign body, eyelid (67938) |
$714 |
$1,190 |
1.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,815.20 |
$4,692 |
2.0× |
| Removal of foreign body in scrotum (55120) |
$4,789.20 |
$7,982 |
1.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$952.80 |
$1,588 |
1.8× |
| Removal of nail bed (11750) |
$954 |
$1,590 |
2.0× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$6,691.80 |
$11,153 |
2.0× |
| Remv Ext Canal Foreign Body (69200) |
$307.80 |
$513 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,431 |
$2,385 |
1.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,821.40 |
$6,369 |
2.0× |
| Repair Eyelid Wound (67935) |
$5,454.60 |
$9,091 |
1.9× |
| Repair eyelid wound (67930) |
$5,454.60 |
$9,091 |
1.9× |
| Repair forearm tendon/muscle (25260) |
$7,747.20 |
$12,912 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$954 |
$1,590 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$954 |
$1,590 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$934.20 |
$1,557 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,461.60 |
$2,436 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$4,276.80 |
$7,128 |
1.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,461.60 |
$2,436 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$4,368 |
$7,280 |
1.8× |
| Repair Laceration Palate </2 Cm (42180) |
$1,190.40 |
$1,984 |
1.9× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$13,831.20 |
$23,052 |
2.0× |
| Repair Mouth Laceration (40831) |
$1,190.40 |
$1,984 |
1.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$16,702.20 |
$27,837 |
1.9× |
| Repeat control of nosebleed (30906) |
$554.40 |
$924 |
2.0× |
| Reposition gastric feeding tube thru duodenum (43761) |
$580.80 |
$968 |
2.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,463.20 |
$5,772 |
1.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,190.40 |
$1,984 |
1.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$2,238.60 |
$3,731 |
2.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$307.80 |
$513 |
2.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$952.80 |
$1,588 |
1.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$6,834 |
$11,390 |
2.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$6,691.80 |
$11,153 |
2.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,461.60 |
$2,436 |
1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$554.40 |
$924 |
2.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,216.20 |
$2,027 |
1.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$3,463.20 |
$5,772 |
1.9× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$7,585.80 |
$12,643 |
2.0× |
| Sigmoidoscopy w/fb removal (45332) |
$2,757 |
$4,595 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$474.60 |
$791 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$474.60 |
$791 |
2.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$954 |
$1,590 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$474.60 |
$791 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$474.60 |
$791 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$474.60 |
$791 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$474.60 |
$791 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$474.60 |
$791 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$474.60 |
$791 |
2.0× |
| Strapping elbow or wrist (29260) |
$141.60 |
$236 |
2.0× |
| Strapping hand/finger (29280) |
$141.60 |
$236 |
2.0× |
| Strapping Hip (29520) |
$307.80 |
$513 |
2.0× |
| Strapping shoulder (29240) |
$307.80 |
$513 |
2.0× |
| Strapping toes (29550) |
$141.60 |
$236 |
2.0× |
| Strapping unna boot (29580) |
$376.80 |
$628 |
2.0× |
| Treat clavicle dislocation (23540) |
$561 |
$935 |
1.9× |
| Treat clavicle fracture (23505) |
$3,741.60 |
$6,236 |
2.0× |
| Treat humerus fracture (24500) |
$573 |
$955 |
2.0× |
| Treat humerus fracture (23600) |
$573 |
$955 |
2.0× |
| Treat knee fracture (27532) |
$7,747.20 |
$12,912 |
2.0× |
| Treat Knee Fracture(S) (27538) |
$561 |
$935 |
1.9× |
| Treat Metatarsal Fracture (28475) |
$573 |
$955 |
2.0× |
| Treat Thigh Fracture (27246) |
$561 |
$935 |
1.9× |
| Treat Thumb Dislocation (26641) |
$573 |
$955 |
2.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$3,741.60 |
$6,236 |
2.0× |
| Treat wrist bone fracture (25622) |
$580.80 |
$968 |
2.0× |
| Treat Wrist Bone Fracture (25630) |
$561 |
$935 |
1.9× |
| Treatment closed elbow dislocation req anes (24605) |
$3,821.40 |
$6,369 |
2.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$573 |
$955 |
2.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$141.60 |
$236 |
2.0× |
| Tube thoracostomy includes water seal (32551) |
$3,709.20 |
$6,182 |
2.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$954 |
$1,590 |
2.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,741.60 |
$6,236 |
2.0× |
| Unlisted procedure nervous system (64999) |
$705 |
$1,175 |
1.9× |
| Unlisted procedure rectum (45999) |
$2,176.80 |
$3,628 |
2.0× |
| Us urine capacity measure (51798) |
$141.60 |
$236 |
2.0× |
| Venipuncture (36415) |
$45.60 |
$76 |
4.9× |