| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,600 |
$1,600 |
1.8× |
| Application cast elbow finger short arm (29075) |
$350 |
$350 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$500 |
$500 |
1.8× |
| Application finger splint static (29130) |
$225 |
$225 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$161 |
$161 |
1.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$500 |
$500 |
1.8× |
| Application long leg splint thigh ankle/toes (29505) |
$146.50 |
$146.50 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$149 |
$149 |
1.1× |
| Application short leg splint calf foot (29515) |
$149 |
$149 |
0.9× |
| Apply short leg cast (29405) |
$480 |
$480 |
1.7× |
| Arterial puncture (36600) |
$250 |
$250 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$371 |
$371 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$532.50 |
$532.50 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$979 |
$979 |
3.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$550 |
$550 |
1.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$273.50 |
$273.50 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$240.50 |
$240.50 |
1.2× |
| Bladder Irrigation Simple (51700) |
$272 |
$272 |
1.1× |
| Bladder Scan (51798) |
$86 |
$86 |
1.5× |
| Blood transfusion service (36430) |
$850 |
$850 |
1.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,800 |
$2,800 |
1.7× |
| Change Cystostomy Tube Simple (51705) |
$108 |
$108 |
0.4× |
| Chemical Cautery Tissue (17250) |
$256.50 |
$256.50 |
1.3× |
| Chest tube placement (32551) |
$1,780 |
$1,780 |
1.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$31 |
$31 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$450 |
$450 |
1.8× |
| Closed Rx Med Malleolus Fx (27760) |
$380 |
$380 |
1.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,000 |
$2,000 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$425 |
$425 |
1.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$392 |
$392 |
1.6× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$2,446.50 |
$2,446.50 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$425 |
$425 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$425 |
$425 |
1.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,382 |
$1,382 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$407 |
$407 |
1.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,700 |
$1,700 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,000 |
$2,000 |
1.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$493 |
$493 |
2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$245 |
$245 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$425 |
$425 |
1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$250 |
$250 |
1.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,750 |
$1,750 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$328 |
$328 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,000 |
$2,000 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$384 |
$384 |
1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$450 |
$450 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$214 |
$214 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$425 |
$425 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$225 |
$225 |
0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$474.50 |
$474.50 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$211 |
$211 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$263 |
$263 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$400 |
$400 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$425 |
$425 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$400 |
$400 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$399 |
$399 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$257 |
$257 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,000 |
$2,000 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$425 |
$425 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$425 |
$425 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$331 |
$331 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$310.50 |
$310.50 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$331 |
$331 |
1.3× |
| Cltx prox tibfib jt dislc req anes (27831) |
$4,791 |
$4,791 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$299.50 |
$299.50 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,750 |
$1,750 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$135 |
$135 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$129 |
$129 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$169 |
$169 |
1.3× |
| Cystourethroscopy (52000) |
$680 |
$680 |
1.0× |
| Debride nail 1-5 (11720) |
$93 |
$93 |
1.6× |
| Debride nail 6 or more (11721) |
$139 |
$139 |
2.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$168 |
$168 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,600 |
$1,600 |
1.7× |
| Dilation of vagina (57400) |
$15 |
$15 |
0.0× |
| Drainage Finger Abscess Complicated (26011) |
$275 |
$275 |
0.2× |
| Drainage of gum lesion (41800) |
$540 |
$540 |
4.0× |
| Drainage of hematoma/fluid (10140) |
$1,942 |
$1,942 |
1.2× |
| Draw blood off venous device (36591) |
$28 |
$28 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$650 |
$650 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$360 |
$360 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$120 |
$120 |
0.6× |
| Dx gastr intub w/asp spec (43754) |
$375 |
$375 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$123 |
$123 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$365 |
$365 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$414 |
$414 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$417 |
$417 |
0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$321 |
$321 |
0.2× |
| Exc shoulder les sc 3 cm/> (23071) |
$424 |
$424 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$192 |
$192 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$256 |
$256 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$205 |
$205 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$290 |
$290 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$238 |
$238 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$384 |
$384 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$365 |
$365 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$212 |
$212 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$321 |
$321 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$278 |
$278 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$400 |
$400 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$225 |
$225 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$270 |
$270 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$321 |
$321 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$365 |
$365 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$397 |
$397 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$289 |
$289 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$321 |
$321 |
0.2× |
| Excision of nail fold toe (11765) |
$351.50 |
$351.50 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,750 |
$2,750 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$850 |
$850 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$450 |
$450 |
2.1× |
| I&d abscess simple (10060) |
$215 |
$215 |
1.1× |
| I&d perianal abscess superficial (46050) |
$251 |
$251 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$271 |
$271 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$359.50 |
$359.50 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,108 |
$1,108 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$341 |
$341 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$350 |
$350 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$550 |
$550 |
1.8× |
| Incision thrombosed hemorrhoid external (46083) |
$398 |
$398 |
1.6× |
| Initial tx 1st degree burn local tx (16000) |
$750 |
$750 |
3.7× |
| Inj tendon sheath/ligament (20550) |
$550 |
$550 |
1.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$649 |
$649 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$850 |
$850 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$850 |
$850 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$540 |
$540 |
1.8× |
| Injection anes other peripheral nerve/branch (64450) |
$599.50 |
$599.50 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$365 |
$365 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$180 |
$180 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$123 |
$123 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,750 |
$3,750 |
1.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,750 |
$3,750 |
1.2× |
| Insert picc cath (36569) |
$2,000 |
$2,000 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$129 |
$129 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$230 |
$230 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,386 |
$4,386 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$257 |
$257 |
1.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$286 |
$286 |
1.4× |
| Lengthening of hand tendon (26478) |
$27 |
$27 |
0.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$217 |
$217 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,200 |
$1,200 |
2.9× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$208 |
$208 |
0.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,659 |
$1,659 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$556 |
$556 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$220 |
$220 |
0.5× |
| Puncture Aspiration (10160) |
$630 |
$630 |
1.5× |
| Pvb thoracic single inj site (64461) |
$1,000 |
$1,000 |
1.4× |
| Removal fb intranasal (30300) |
$129 |
$129 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$850 |
$850 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111 |
$111 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$111 |
$111 |
1.9× |
| Removal of arm foreign body (24200) |
$1,850 |
$1,850 |
1.1× |
| Removal of nail bed (11750) |
$350 |
$350 |
0.9× |
| Remove drug implant device (11982) |
$331 |
$331 |
0.7× |
| Remove foreign body from eye (65210) |
$221 |
$221 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$161 |
$161 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$180.50 |
$180.50 |
1.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$7,550 |
$7,550 |
2.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$850 |
$850 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,690 |
$1,690 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$700 |
$700 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$800 |
$800 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$802 |
$802 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$850 |
$850 |
1.1× |
| Repair forearm tendon/muscle (25260) |
$3,400 |
$3,400 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$445 |
$445 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$680 |
$680 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$550 |
$550 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$700 |
$700 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$400 |
$400 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$650 |
$650 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$660 |
$660 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$550 |
$550 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$750 |
$750 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$700 |
$700 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$650 |
$650 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$550 |
$550 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$780 |
$780 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$700 |
$700 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,500 |
$2,500 |
1.2× |
| Repair Spica/Body/Jacket Cast (29720) |
$300 |
$300 |
1.8× |
| Repair Tongue Laceration (41250) |
$550 |
$550 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$550 |
$550 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$487 |
$487 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$210 |
$210 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$221 |
$221 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$245 |
$245 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$285 |
$285 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$128 |
$128 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$331 |
$331 |
1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$145 |
$145 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$192 |
$192 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$165 |
$165 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$850 |
$850 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$700 |
$700 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$219 |
$219 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$233 |
$233 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$219 |
$219 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$219 |
$219 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$219 |
$219 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$349 |
$349 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$289 |
$289 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$257 |
$257 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$700 |
$700 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$700 |
$700 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,250 |
$1,250 |
1.8× |
| Strapping ankle (29540) |
$250 |
$250 |
1.5× |
| Strapping elbow/wrist (29260) |
$112 |
$112 |
1.9× |
| Strapping hand/finger (29280) |
$112 |
$112 |
1.9× |
| Strapping knee (29530) |
$117 |
$117 |
0.9× |
| Strapping shoulder (29240) |
$210 |
$210 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$168 |
$168 |
0.4× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$10 |
$10 |
0.0× |
| Thrombolytic Art Therapy (37211) |
$7,306 |
$7,306 |
1.3× |
| Thrombolytic Therapy, Stroke (37195) |
$489 |
$489 |
1.5× |
| Thrombolytic Venous Therapy (37212) |
$4,386 |
$4,386 |
1.4× |
| Treat Fracture Radius & Ulna (25560) |
$258 |
$258 |
1.0× |
| Treat humerus fracture (24500) |
$339 |
$339 |
1.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,750 |
$1,750 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$250 |
$250 |
1.0× |
| Trim skin lesion (11055) |
$162 |
$162 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$202 |
$202 |
1.0× |
| Unlisted Procedure Breast (19499) |
$388.50 |
$388.50 |
0.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$300 |
$300 |
1.8× |
| Venipuncture (36415) |
$10 |
$10 |
1.1× |