| Abd paracentesis (49082) |
$1,857.80 |
$2,654 |
1.9× |
| Acne surgery (10040) |
$156 |
$156 |
0.7× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,630.40 |
$2,038 |
0.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,467.20 |
$1,834 |
0.4× |
| Application finger splint static (29130) |
$165 |
$165 |
1.2× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$364.50 |
$364.50 |
2.1× |
| Application of short arm splint (forearm to hand); static (29125) |
$137 |
$137 |
1.0× |
| Application of short leg cast (below knee to toes); (29405) |
$206 |
$206 |
0.7× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$191 |
$191 |
0.6× |
| Application of short leg splint (calf to foot) (29515) |
$269 |
$269 |
1.6× |
| Application, cast; shoulder to hand (long arm) (29065) |
$152 |
$152 |
0.5× |
| Apply long arm splint (29105) |
$324.50 |
$324.50 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$186 |
$186 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$186 |
$186 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$186 |
$186 |
0.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$937.60 |
$1,172 |
0.6× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$165 |
$165 |
0.5× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$282.50 |
$282.50 |
1.3× |
| Biopsy floor of mouth (41108) |
$224 |
$224 |
0.1× |
| Biopsy lip (40490) |
$229 |
$229 |
0.9× |
| Biopsy of cervix (57500) |
$410 |
$410 |
0.4× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$362 |
$362 |
0.4× |
| Biopsy of uterus lining (58100) |
$264 |
$264 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,156.10 |
$2,938.50 |
0.5× |
| Biopsy roof of mouth (42100) |
$1,000 |
$1,250 |
0.6× |
| Biopsy/removal lymph nodes (38510) |
$1,586.40 |
$1,983 |
0.4× |
| Bladder irrigation (51700) |
$200 |
$200 |
0.8× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$755 |
$755 |
2.3× |
| Cast short arm (29075) |
$137 |
$137 |
0.5× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$182 |
$182 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$388 |
$388 |
1.5× |
| Chest tube placement (32551) |
$855.40 |
$1,021 |
0.5× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,024.80 |
$1,281 |
3.9× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$864.80 |
$991.50 |
0.5× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$641 |
$641 |
2.5× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$801 |
$801 |
3.1× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$905 |
$905 |
3.5× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$627 |
$627 |
2.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$835.50 |
$835.50 |
3.2× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$735.50 |
$735.50 |
2.8× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$582 |
$582 |
2.2× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$521.50 |
$521.50 |
2.0× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$310 |
$310 |
1.2× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$864 |
$864 |
3.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$769.50 |
$769.50 |
3.0× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$731 |
$731 |
2.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$847 |
$847 |
3.3× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$782.50 |
$782.50 |
3.0× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$599 |
$599 |
2.3× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$741.50 |
$741.50 |
2.8× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$773 |
$773 |
3.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$716.50 |
$716.50 |
2.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$682 |
$682 |
2.6× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$474 |
$474 |
1.8× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$709.50 |
$709.50 |
2.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$761.50 |
$761.50 |
2.9× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$385 |
$385 |
1.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$624 |
$624 |
2.4× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$763 |
$763 |
2.9× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$682 |
$682 |
2.6× |
| Closed treatment of ulnar styloid fracture (25650) |
$859 |
$859 |
3.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$980 |
$980 |
3.8× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$633 |
$633 |
0.4× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$872.90 |
$1,006.50 |
3.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$621 |
$621 |
2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,044 |
$1,305 |
0.6× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,133.40 |
$2,952 |
1.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$610 |
$610 |
2.3× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$835 |
$835 |
3.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$912 |
$912 |
3.5× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$1,748.90 |
$2,414 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,018.20 |
$2,808 |
1.2× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$871.20 |
$1,089 |
3.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$780.50 |
$780.50 |
3.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,153.80 |
$2,977.50 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$499.50 |
$499.50 |
1.9× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$705 |
$705 |
2.7× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$917 |
$917 |
3.5× |
| Cltx metar fx w/manj (28475) |
$667 |
$667 |
2.6× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,100.80 |
$1,376 |
0.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$902 |
$902 |
3.5× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,859.90 |
$2,657 |
1.5× |
| Colposcopy cervix (57452) |
$182 |
$182 |
0.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$365 |
$365 |
1.1× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$391 |
$391 |
2.8× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$133 |
$133 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$640 |
$640 |
4.6× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$150 |
$150 |
0.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$547.50 |
$547.50 |
1.3× |
| Destruct lesion 15 or more (17111) |
$345 |
$345 |
1.6× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$200 |
$200 |
0.9× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$383 |
$383 |
0.9× |
| Destruction benign lesions up to 14 (17110) |
$178 |
$178 |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$156 |
$156 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$156 |
$156 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$156 |
$156 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$156 |
$156 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$362 |
$362 |
0.4× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$202 |
$202 |
0.9× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$328 |
$328 |
0.2× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$488 |
$488 |
0.7× |
| Ed proc remve fb nasal- hospital (30300) |
$462 |
$462 |
3.3× |
| Ed prof arthrocentesis sm - hospital (20551) |
$113 |
$113 |
0.3× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$125.50 |
$125.50 |
0.9× |
| Ed prof burn - large - hospital (16030) |
$298 |
$298 |
0.7× |
| Ed prof burn medium - hospital (16025) |
$496.50 |
$496.50 |
2.3× |
| Ed prof burn small - hospital (16020) |
$403.50 |
$403.50 |
1.9× |
| Ed prof catheterization/straight (51701) |
$114 |
$114 |
0.8× |
| Ed prof drain dental abscess-hospital (41800) |
$819 |
$819 |
5.8× |
| Ed prof insert foley cath simple (51702) |
$162 |
$162 |
1.2× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$653 |
$653 |
0.2× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$857.20 |
$1,071.50 |
2.0× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$402 |
$402 |
0.9× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$710.50 |
$710.50 |
2.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,006.40 |
$1,258 |
0.5× |
| Evac subungual hematoma (11740) |
$148 |
$148 |
1.1× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$510 |
$510 |
0.7× |
| Exc face les sbq 2 cm/> (21012) |
$962 |
$962 |
0.6× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$328 |
$328 |
0.2× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$328 |
$328 |
0.4× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$328 |
$328 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$2,807 |
$4,010 |
0.9× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$334 |
$334 |
0.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$328 |
$328 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$460.50 |
$460.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$480 |
$480 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$550 |
$550 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$383 |
$383 |
0.5× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$383 |
$383 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$517 |
$517 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$328 |
$328 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$652 |
$652 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$572.50 |
$572.50 |
0.3× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$524 |
$524 |
0.5× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$2,214.80 |
$3,164 |
1.4× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$1,041.60 |
$1,302 |
0.3× |
| Excision of lip; transverse wedge excision with primary closure Age Under 21 (40510) |
$996.80 |
$1,246 |
0.3× |
| Excision of sublingual salivary cyst (ranula) Age Under 21 (42408) |
$1,142.40 |
$1,428 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$562 |
$562 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$529 |
$529 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$605 |
$605 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$328 |
$328 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$580 |
$580 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$511 |
$511 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$818 |
$818 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$328 |
$328 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$328 |
$328 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$383 |
$383 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$996 |
$996 |
0.6× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$832.80 |
$1,041 |
0.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$516 |
$516 |
0.7× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$914.40 |
$1,143 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$691.70 |
$802 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$614.80 |
$727.50 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$711.60 |
$848.50 |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$1,202.80 |
$1,430 |
0.7× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$328 |
$328 |
0.2× |
| Explore/treat hand joint (26070) |
$823 |
$823 |
0.5× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$269 |
$269 |
0.6× |
| I&d abscess simple/single (10060) |
$589 |
$589 |
2.8× |
| I&d hematoma/seroma/fluid (10140) |
$671 |
$671 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$1,154.60 |
$1,358.50 |
1.5× |
| Incise external hemorrhoid (46083) |
$713.50 |
$713.50 |
2.7× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$845.70 |
$989 |
2.0× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$491 |
$491 |
2.3× |
| Incision and drainage, perianal abscess, superficial (46050) |
$630 |
$630 |
0.6× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,955.70 |
$2,647.50 |
1.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$648.10 |
$761.50 |
1.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$578 |
$578 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$412 |
$412 |
0.5× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$194 |
$194 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$874 |
$874 |
2.7× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$137 |
$137 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$158 |
$158 |
0.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$146 |
$146 |
0.5× |
| Insert drug implant device (11981) |
$266 |
$266 |
1.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$790.20 |
$938.50 |
1.4× |
| Intubation endotracheal (31500) |
$521 |
$521 |
2.1× |
| Laryngoscopy flex diagnostic (31575) |
$291 |
$291 |
1.4× |
| Laryngoscopy w stroboscopy (31579) |
$291 |
$291 |
0.7× |
| Ligation or biopsy, temporal artery (37609) |
$908 |
$908 |
0.5× |
| Lumbar puncture (62270) |
$1,664.80 |
$2,081 |
2.2× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$291 |
$291 |
0.2× |
| Open tx distal phalangeal fracture each (26765) |
$2,833.50 |
$5,281.50 |
0.8× |
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
unusually low — confirm this is the full procedure |
$1,976 |
$2,470 |
0.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$217 |
$217 |
1.0× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$190 |
$190 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$332 |
$332 |
0.8× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$334 |
$334 |
0.8× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$631 |
$631 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$40 |
$40 |
0.6× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$74 |
$74 |
1.2× |
| Removal implant superficial (20670) |
$950 |
$950 |
0.5× |
| Removal implantable contraceptive capsules (11976) |
$368 |
$368 |
0.5× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$565 |
$565 |
0.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$328.50 |
$328.50 |
2.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$519 |
$519 |
1.1× |
| Removal of iud (58301) |
$286 |
$286 |
0.9× |
| Removal of nail bed (11750) |
$376.50 |
$376.50 |
0.9× |
| Removal of salivary stone (42330) |
$605 |
$605 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$288.50 |
$288.50 |
1.4× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$300 |
$300 |
0.6× |
| Removal, non-biodegradable drug delivery implant (11982) |
$300 |
$300 |
0.6× |
| Remove pharynx foreign body (42809) |
$706.50 |
$706.50 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$856.80 |
$1,071 |
2.0× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,176.80 |
$1,471 |
2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$955.20 |
$1,194 |
2.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$824.60 |
$938 |
1.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$864.10 |
$977.50 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$854.40 |
$1,068 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$800.10 |
$913.50 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$857.60 |
$971 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,183.60 |
$1,355.50 |
1.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$798.60 |
$912 |
1.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$847.60 |
$961 |
2.0× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,135.60 |
$1,419.50 |
1.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$928.60 |
$1,042 |
2.2× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$2,185.70 |
$3,435 |
1.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,218.80 |
$1,523.50 |
1.6× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$926 |
$926 |
2.2× |
| Reset dislocated jaw (21480) |
$372 |
$372 |
1.4× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$287 |
$287 |
2.0× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$172 |
$172 |
1.2× |
| Rmvl of access device (36589) |
$369 |
$369 |
0.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,208.80 |
$1,511 |
1.6× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,601.60 |
$2,002 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$156 |
$156 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$156 |
$156 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$156 |
$156 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$156 |
$156 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$156 |
$156 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$322 |
$322 |
1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$156 |
$156 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$156 |
$156 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$156 |
$156 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$156 |
$156 |
0.7× |
| Sigmoidoscopy & polypectomy (45333) |
$931 |
$931 |
0.9× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$862 |
$862 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$439 |
$439 |
2.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$444.50 |
$444.50 |
2.1× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$478.50 |
$478.50 |
2.3× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$514.50 |
$514.50 |
2.4× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$415.50 |
$415.50 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$463 |
$463 |
2.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$439.50 |
$439.50 |
2.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$680.10 |
$793.50 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$718.10 |
$831.50 |
1.7× |
| Strapping elbow or wrist (29260) |
$76 |
$76 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$268 |
$268 |
0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$1,524.80 |
$1,906 |
0.4× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$1,524.80 |
$1,906 |
0.4× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
likely a partial charge — not the full procedure |
$1,524.80 |
$1,906 |
0.2× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220) |
$4,377 |
$7,295 |
0.7× |
| Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Age Under 21 (31612) |
$1,497.60 |
$1,872 |
0.4× |
| Transfusion, blood or blood components (36430) |
$932 |
$1,165 |
2.0× |
| Treat finger dislocation (26775) |
$816.80 |
$1,021 |
2.8× |
| Treat tail bone fracture (27200) |
$486 |
$486 |
1.9× |
| Treat thumb fracture (26645) |
$898.40 |
$1,123 |
0.5× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,088.60 |
$2,896 |
1.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$965 |
$965 |
3.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$612 |
$612 |
2.4× |
| Tx superficial wound dehiscence simple closure (12020) |
$780 |
$780 |
1.0× |
| Vasectomy (55250) |
$1,945.30 |
$2,779 |
0.9× |
| Venipuncture (36415) |
$35 |
$35 |
3.7× |
| Vermilionectomy (lip shave), with mucosal advancement Age Under 21 (40500) |
$1,531.95 |
$2,095.50 |
0.4× |
| Wedge excision skin nail fold (11765) |
$434 |
$434 |
1.0× |