| Acne Surgery (10040) |
$107.20 |
$134 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$270 |
$337.50 |
1.8× |
| Application cast elbow finger short arm (29075) |
$462.40 |
$578 |
1.8× |
| Application Cast Finger (29086) |
$78.40 |
$98 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$100 |
$125 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$108 |
$135 |
0.4× |
| Application finger splint static (29130) |
$64 |
$80 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$64 |
$80 |
0.5× |
| Apply multlay comprs arm/hand (29584) |
$292 |
$365 |
2.0× |
| Apply short leg cast (29425) |
$300 |
$375 |
1.2× |
| Arterial puncture (36600) |
$85.60 |
$107 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$511.20 |
$639 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$562 |
$702.50 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$366.80 |
$458.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$876 |
$1,095 |
3.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$441.20 |
$551.50 |
1.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$68 |
$85 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$108.80 |
$136 |
0.6× |
| Bladder Irrigation Simple (51700) |
$101.60 |
$127 |
0.4× |
| Bladder Scan (51798) |
$191.60 |
$239.50 |
3.5× |
| Blood patch (62273) |
$2,816 |
$3,520 |
4.3× |
| Blood transfusion service (36430) |
$138 |
$172.50 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$97.20 |
$121.50 |
0.4× |
| Chemical Cautery Tissue (17250) |
$220.80 |
$276 |
1.2× |
| Chemodenerv Musc Migraine (64615) |
$1,550 |
$1,937.50 |
5.5× |
| Chest tube placement (32551) |
$597.60 |
$747 |
0.4× |
| Circumcision (54150) |
$285.60 |
$357 |
0.1× |
| Circumcision Neonate (54160) |
$441.60 |
$552 |
0.7× |
| Closed Rx Radial Shaft Fx (25500) |
$272.80 |
$341 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$341.60 |
$427 |
1.5× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$260 |
$325 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$217.60 |
$272 |
1.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$319.20 |
$399 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$208 |
$260 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$258.40 |
$323 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$216.80 |
$271 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$316.80 |
$396 |
1.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$531.20 |
$664 |
2.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,268.80 |
$1,586 |
5.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$311.20 |
$389 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$182.40 |
$228 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$325.60 |
$407 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$143.20 |
$179 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$122.40 |
$153 |
0.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$290.40 |
$363 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$195.20 |
$244 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$2,072 |
$2,590 |
9.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$119.20 |
$149 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$142.40 |
$178 |
1.2× |
| Cystourethroscopy (52000) |
$1,350.40 |
$1,688 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$55.20 |
$69 |
0.1× |
| Debride nail 1-5 (11720) |
$71.20 |
$89 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$259.20 |
$324 |
0.7× |
| Declot vascular device (36593) |
$362.40 |
$453 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$3,840 |
$4,800 |
2.1× |
| Destroy lumb/sac facet jnt (64635) |
$3,640 |
$4,550 |
2.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$150.40 |
$188 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$128.80 |
$161 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$134.40 |
$168 |
0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$3,142.80 |
$3,928.50 |
3.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,576 |
$3,220 |
3.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$2,576 |
$3,220 |
9.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$176 |
$220 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$280.93 |
$351.16 |
1.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$84 |
$105 |
0.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$83.20 |
$104 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$138.40 |
$173 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$147.20 |
$184 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$180 |
$225 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$185.60 |
$232 |
1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$94.40 |
$118 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,060 |
$3,825 |
1.7× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$108.80 |
$136 |
0.6× |
| Destruction of skin lesions (17106) |
$340.80 |
$426 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$105.60 |
$132 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,340 |
$2,925 |
3.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,209.60 |
$1,512 |
1.4× |
| Drain/inj small joint/bursa w/us (20604) |
$516 |
$645 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$166.40 |
$208 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$155.20 |
$194 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$1,968 |
$2,460 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,200 |
$1,500 |
0.7× |
| Egd place gastrostomy tube (43246) |
$3,192 |
$3,990 |
1.8× |
| Exc abd les sc 3 cm/> (22903) |
$400 |
$500 |
0.1× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,350.40 |
$2,938 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$200.80 |
$251 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$280 |
$350 |
0.2× |
| Exc back tum deep < 5 cm (21932) |
$1,044 |
$1,305 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$589.20 |
$736.50 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$223.20 |
$279 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$4,211.20 |
$5,264 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$924 |
$1,155 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$138.80 |
$173.50 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$570.80 |
$713.50 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,084 |
$1,355 |
1.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,102.80 |
$1,378.50 |
0.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$388.80 |
$486 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$333.60 |
$417 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,156 |
$1,445 |
0.8× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$316 |
$395 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$509.60 |
$637 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$404 |
$505 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,330 |
$1,662.50 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$960 |
$1,200 |
0.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$122.40 |
$153 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,068.80 |
$2,586 |
0.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$453.60 |
$567 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,596 |
$1,995 |
1.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$580.80 |
$726 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$226.40 |
$283 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$459.20 |
$574 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$280.80 |
$351 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$776.80 |
$971 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$185.60 |
$232 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$466.40 |
$583 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$256 |
$320 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$227.20 |
$284 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$253.60 |
$317 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,484.80 |
$1,856 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$360 |
$450 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,628 |
$4,535 |
1.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$168 |
$210 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$748.40 |
$935.50 |
1.1× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,995.20 |
$2,494 |
1.3× |
| Excision of hydrocele; unilateral (55040) |
$1,512 |
$1,890 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$962 |
$1,202.50 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$148 |
$185 |
0.1× |
| Excision of nail fold toe (11765) |
$167.20 |
$209 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$1,580 |
$1,975 |
1.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,720 |
$2,150 |
1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$698.40 |
$873 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$309.60 |
$387 |
0.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$390.40 |
$488 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$520 |
$650 |
2.6× |
| Hemorrhoidectomy (46255) |
$3,404 |
$4,255 |
1.3× |
| Hemorrhoidectomy external complete (46250) |
$1,680 |
$2,100 |
0.7× |
| I&d abscess simple (10060) |
$734.80 |
$918.50 |
4.0× |
| I&d perianal abscess superficial (46050) |
$1,020 |
$1,275 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$180.80 |
$226 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$205.60 |
$257 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$270.40 |
$338 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$150.40 |
$188 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$183.20 |
$229 |
0.8× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$320 |
$400 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$70.40 |
$88 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,410 |
$4,262.50 |
4.2× |
| Inj tendon sheath/ligament (20550) |
$336.80 |
$421 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,000 |
$1,250 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,180 |
$1,475 |
1.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,940 |
$2,425 |
2.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$1,110 |
$1,387.50 |
3.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,000 |
$1,250 |
1.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$5,240 |
$6,550 |
6.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,470 |
$1,837.50 |
2.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,420 |
$1,775 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$3,000 |
$3,750 |
4.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,990 |
$3,737.50 |
3.7× |
| Inject Nerv Blck,Pudendal (64430) |
$1,610 |
$2,012.50 |
2.0× |
| Inject Tendon Origin/Insert (20551) |
$448 |
$560 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,568 |
$3,210 |
4.0× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,180 |
$1,475 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$3,128 |
$3,910 |
4.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,420 |
$1,775 |
2.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$760 |
$950 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$4,840 |
$6,050 |
17.1× |
| Injection anes other peripheral nerve/branch (64450) |
$668 |
$835 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$3,150 |
$3,937.50 |
3.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$407.20 |
$509 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$516 |
$645 |
1.8× |
| Injection therapeutic carpal tunnel (20526) |
$336.80 |
$421 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$2,120 |
$2,650 |
7.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$1,280 |
$1,600 |
4.5× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$578 |
$722.50 |
3.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$82.40 |
$103 |
0.4× |
| Insert Drug Implant Device (11981) |
$154.40 |
$193 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$1,035.20 |
$1,294 |
0.4× |
| Insert picc cath (36569) |
$867.20 |
$1,084 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$132 |
$165 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$99.20 |
$124 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$101.60 |
$127 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$873.60 |
$1,092 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,824 |
$4,780 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$145.60 |
$182 |
0.7× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$2,253.60 |
$2,817 |
0.4× |
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553)
unusually low: confirm this is the full procedure |
$4,868 |
$6,085 |
0.5× |
| Laparoscopy appendectomy (44970) |
$4,632.80 |
$5,791 |
0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,868 |
$6,085 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,720 |
$8,400 |
0.7× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure |
$2,019.20 |
$2,524 |
0.4× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$4,868 |
$6,085 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$714.40 |
$893 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$3,150 |
$3,937.50 |
3.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,032 |
$2,540 |
2.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$3,320 |
$4,150 |
5.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,640 |
$3,300 |
4.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,146.40 |
$2,683 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$132 |
$165 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$295.20 |
$369 |
0.8× |
| Puncture Aspiration (10160) |
$199.20 |
$249 |
0.5× |
| Pvb thoracic single inj site (64461) |
$1,350 |
$1,687.50 |
2.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$6,160 |
$7,700 |
3.4× |
| Removal fb intranasal (30300) |
$182.40 |
$228 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$48 |
$60 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$47.20 |
$59 |
0.9× |
| Removal of nail bed (11750) |
$193.60 |
$242 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$1,304 |
$1,630 |
7.1× |
| Removal of sperm cord lesion (55520) |
$2,616.80 |
$3,271 |
0.8× |
| Remove by ligat int hem grps (46946) |
$3,654 |
$4,567.50 |
1.4× |
| Remove drug implant device (11982) |
$160 |
$200 |
0.4× |
| Remove foreign body from eye (65210) |
$56.80 |
$71 |
0.1× |
| Remove Pilonidal Cyst Exten (11771) |
$3,276.80 |
$4,096 |
1.2× |
| Remove wrist tendon lesion (25111) |
$1,995.20 |
$2,494 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$80.80 |
$101 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$73.60 |
$92 |
0.6× |
| Repair incomplete circumcision (54163) |
$1,168 |
$1,460 |
0.6× |
| Repair inguinal hernia, sliding, any age (49525) |
$574.40 |
$718 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$431.20 |
$539 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$242.40 |
$303 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$294.40 |
$368 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$614.40 |
$768 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$378.40 |
$473 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$241.60 |
$302 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,132.80 |
$1,416 |
3.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$419.20 |
$524 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$315.20 |
$394 |
0.8× |
| Revise median n/carpal tunnel surg (64721) |
$1,625.60 |
$2,032 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$600 |
$750 |
1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,093.60 |
$2,617 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$956.80 |
$1,196 |
1.7× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$104 |
$130 |
0.3× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$2,997.60 |
$3,747 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$112 |
$140 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$184 |
$230 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$101.60 |
$127 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$120 |
$150 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$142.40 |
$178 |
0.8× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$96 |
$120 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$134.40 |
$168 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$156.80 |
$196 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$118.40 |
$148 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$152.80 |
$191 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$138.40 |
$173 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,209.60 |
$1,512 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$280 |
$350 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$143.20 |
$179 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$112.80 |
$141 |
0.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$257.60 |
$322 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$136 |
$170 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$214.40 |
$268 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$174.40 |
$218 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$104 |
$130 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$126.40 |
$158 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$2,464 |
$3,080 |
3.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$120 |
$150 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$193.60 |
$242 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,528 |
$1,910 |
2.4× |
| Spinal Puncture Therapeutic (62272) |
$1,940 |
$2,425 |
3.0× |
| Strapping hand/finger (29280) |
$436 |
$545 |
8.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,120 |
$2,650 |
3.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$261.60 |
$327 |
0.5× |
| Trach Tube Change (31502) |
$255.20 |
$319 |
1.2× |
| Treat Fracture Radius & Ulna (25560) |
$278.40 |
$348 |
1.2× |
| Treat wrist bone fracture (25622) |
$301.60 |
$377 |
1.3× |
| Treat Wrist Bone Fracture (25630) |
$301.60 |
$377 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$368 |
$460 |
1.6× |
| Trim skin lesion (11055) |
$56 |
$70 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$66.40 |
$83 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$308.80 |
$386 |
0.5× |
| Unlisted procedure foot or toes (28899) |
$578 |
$722.50 |
2.5× |
| Vaginal delivery only (59409) |
$1,383.41 |
$1,729.26 |
0.5× |
| Venipuncture (36415) |
$40 |
$50 |
4.3× |