| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$460.44 |
$460.44 |
0.6× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$950.73 |
$950.73 |
0.4× |
| Appl finger splint static (29130) |
$329.81 |
$329.81 |
2.4× |
| Application long leg splint thigh ankle/toes (29505) |
$621.27 |
$621.27 |
3.7× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$136.40 |
$136.40 |
0.5× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$260.78 |
$260.78 |
0.9× |
| Apply long arm splint (29105) |
$598.26 |
$598.26 |
3.5× |
| Apply Lower Leg Splint (29515) |
$332.12 |
$332.12 |
2.0× |
| Apply multi-layer compression lower leg (29581) |
$61.36 |
$61.36 |
0.4× |
| Apply short arm splint static (29125) |
$575.25 |
$575.25 |
4.1× |
| Apply Short Leg Cast (29405) |
$630.47 |
$630.47 |
2.2× |
| Arterial puncture (36600) |
$92.04 |
$92.04 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$168.74 |
$168.74 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$280.72 |
$280.72 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$145.73 |
$145.73 |
0.5× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$743.99 |
$743.99 |
0.2× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$486.28 |
$486.28 |
0.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$651.95 |
$651.95 |
3.1× |
| Bladder Scan (51798) |
$651.95 |
$651.95 |
10.6× |
| Blood transfusion service (36430) |
$3,265.89 |
$3,265.89 |
7.1× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Other Surgical Services (28272) |
$1,127.49 |
$1,127.49 |
0.7× |
| Cast short arm (29075) |
$543.04 |
$543.04 |
1.9× |
| Casting/strapping procedure (29799) |
$30.68 |
$30.68 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$180.36 |
$180.36 |
0.7× |
| Chest tube placement (32551) |
$1,014 |
$1,014 |
0.6× |
| Closed Rx Metacarpal Fx (26600) |
$730 |
$730 |
2.8× |
| Closed Rx Toe Fx (28510) |
$552.24 |
$552.24 |
2.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$3,279.69 |
$3,279.69 |
2.0× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$504.69 |
$504.69 |
2.0× |
| Closed treatment of dislocated jaw joint (21480) |
$516.96 |
$516.96 |
2.0× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$567.58 |
$567.58 |
2.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$1,595.36 |
$1,595.36 |
6.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,111.32 |
$1,111.32 |
4.3× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$664.22 |
$664.22 |
2.6× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$504.69 |
$504.69 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$728 |
$728 |
2.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$567.58 |
$567.58 |
2.2× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$664.22 |
$664.22 |
2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$427.16 |
$427.16 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$664.22 |
$664.22 |
2.6× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$679.03 |
$679.03 |
2.6× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$504.69 |
$504.69 |
2.0× |
| Complex Drainage, Wound (10180) |
$1,472.64 |
$1,472.64 |
0.5× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$352.82 |
$352.82 |
2.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$316 |
$316 |
2.3× |
| Deb musc/fascia 20 sq cm/< (11043) |
$651.95 |
$651.95 |
0.8× |
| Debridement nails 1-5 (11720) |
$69.03 |
$69.03 |
1.1× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$122.72 |
$122.72 |
0.3× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$107.38 |
$107.38 |
1.7× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$454.06 |
$454.06 |
1.1× |
| Destruction benign lesions up to 14 (17110) |
$651.95 |
$651.95 |
3.1× |
| Destruction by any method, including laser, with or without surgical curettement, all benign or premalignant lesions… (17000) |
$230.10 |
$230.10 |
1.1× |
| Drain blood under nail (11740) |
$265.38 |
$265.38 |
1.9× |
| Drain shoulder lesion (23030) |
$1,917.50 |
$1,917.50 |
0.6× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$679 |
$679 |
0.9× |
| Drainage of abscess of palate, uvula (42000) |
$386.57 |
$386.57 |
1.6× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$516.96 |
$516.96 |
0.7× |
| Ed proc remve fb nasal- hospital (30300) |
$365.09 |
$365.09 |
2.6× |
| Ed prof burn - large - hospital (16030) |
$592.12 |
$592.12 |
1.4× |
| Ed prof burn medium - hospital (16025) |
$579.85 |
$579.85 |
2.8× |
| Ed prof burn small - hospital (16020) |
$567.58 |
$567.58 |
2.7× |
| Ed prof drain dental abscess-hospital (41800) |
$637.20 |
$637.20 |
4.6× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$932.67 |
$932.67 |
2.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$869.78 |
$869.78 |
2.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$504.69 |
$504.69 |
2.0× |
| Exc face-mm b9 (11440) |
$353.33 |
$353.33 |
0.5× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$320.61 |
$320.61 |
0.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$447.30 |
$447.30 |
0.3× |
| Exc Skin Benig 0.6-1cm Remaindr Body (11421) |
$398.30 |
$398.30 |
0.5× |
| Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) |
$388.58 |
$388.58 |
0.9× |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
$494.08 |
$494.08 |
0.7× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$376 |
$376 |
0.5× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$426.50 |
$426.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$383.50 |
$383.50 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$837.33 |
$837.33 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$590.78 |
$590.78 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$2,506 |
$2,506 |
1.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$806.55 |
$806.55 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$1,506.39 |
$1,506.39 |
2.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$432.50 |
$432.50 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$711.38 |
$711.38 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$570.83 |
$570.83 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$965.15 |
$965.15 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$504.69 |
$504.69 |
0.3× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$743.99 |
$743.99 |
0.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,592.63 |
$3,592.63 |
1.2× |
| I&d bartholins gland abscess (56420) |
$727.12 |
$727.12 |
3.4× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,777.91 |
$1,777.91 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$1,130.56 |
$1,130.56 |
0.7× |
| I&d perianal abscess superficial (46050) |
$562.98 |
$562.98 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$567.58 |
$567.58 |
0.8× |
| Incise external hemorrhoid (46083) |
$719.45 |
$719.45 |
2.8× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$1,550.87 |
$1,550.87 |
3.7× |
| Incision & Drainage Abscess Simple/Single (10060) |
$554.60 |
$554.60 |
2.6× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,592.29 |
$1,592.29 |
0.9× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$489.35 |
$489.35 |
1.2× |
| Incision of windpipe (31603) |
$2,736.66 |
$2,736.66 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$442.50 |
$442.50 |
0.6× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$543.04 |
$543.04 |
2.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,343.78 |
$1,343.78 |
1.5× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$207.09 |
$207.09 |
0.3× |
| Inject Nerv Blck,Suprascap N. (64418) |
$1,343.78 |
$1,343.78 |
1.8× |
| Inject Tendon Origin/Insert (20551) |
$877.45 |
$877.45 |
2.7× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,343.78 |
$1,343.78 |
1.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$342.20 |
$342.20 |
1.1× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$443.33 |
$443.33 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$88.90 |
$88.90 |
0.6× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$277.65 |
$277.65 |
2.0× |
| Intubation endotracheal (31500) |
$582.92 |
$582.92 |
2.4× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$743.99 |
$743.99 |
1.8× |
| Nasotracheal suctioning (31720) |
$212.99 |
$212.99 |
0.9× |
| Njx aa&/strd plantar common digital nerves (64455) |
$153.40 |
$153.40 |
0.5× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$946.36 |
$946.36 |
0.3× |
| Place cath subclavian art (36225) |
$585.28 |
$585.28 |
0.2× |
| Placement Needle Intraosseous Infusion (36680) |
$515.46 |
$515.46 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$126.26 |
$126.26 |
0.3× |
| Puncture Aspiration (10160) |
$767 |
$767 |
1.8× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$987.90 |
$987.90 |
1.3× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$251.58 |
$251.58 |
4.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$251.58 |
$251.58 |
4.1× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$736.32 |
$736.32 |
0.4× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$969.49 |
$969.49 |
7.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$363.56 |
$363.56 |
0.8× |
| Removal of nail bed (11750) |
$978.69 |
$978.69 |
2.3× |
| Removal of skin lesion (11423) |
$511.13 |
$511.13 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$334.41 |
$334.41 |
1.6× |
| Remove eyelid foreign body,embedded (67938) |
$493.95 |
$493.95 |
1.5× |
| Remove fb upper arm/elbow subq (24200) |
$997.10 |
$997.10 |
0.6× |
| Remove foreign body from eye (65210) |
$662.68 |
$662.68 |
1.4× |
| Remove pharynx foreign body (42809) |
$971.02 |
$971.02 |
2.1× |
| Remv Ext Canal Foreign Body (69200) |
$254.64 |
$254.64 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,159.70 |
$1,159.70 |
2.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,198.05 |
$1,198.05 |
2.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,198.05 |
$1,198.05 |
2.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,185.78 |
$1,185.78 |
1.5× |
| Repair extensor tendon hand w/o graft each (26410) |
$3,773.64 |
$3,773.64 |
2.2× |
| Repair forearm tendon/muscle (25260) |
$5,818.46 |
$5,818.46 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$743.99 |
$743.99 |
1.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$806.88 |
$806.88 |
1.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$932.67 |
$932.67 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,009.37 |
$1,009.37 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$2,946.81 |
$2,946.81 |
3.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$806.88 |
$806.88 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$869.78 |
$869.78 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$743.99 |
$743.99 |
1.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$806.88 |
$806.88 |
1.9× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,009.37 |
$1,009.37 |
1.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$869.78 |
$869.78 |
2.0× |
| Repair Lip,Full Thick,Vermilion (40650) |
$2,940.68 |
$2,940.68 |
5.2× |
| Repair nail bed (11760) |
$595.19 |
$595.19 |
0.8× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$859.04 |
$859.04 |
1.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$2,913.07 |
$2,913.07 |
3.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$2,926.87 |
$2,926.87 |
3.8× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$1,147.43 |
$1,147.43 |
1.5× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$806.88 |
$806.88 |
3.9× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$869.78 |
$869.78 |
4.2× |
| Rmvl embedded fb vestibule mouth smpl (40804) |
$651.95 |
$651.95 |
0.7× |
| Rmvl of access device (36589) |
$574.94 |
$574.94 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,009.37 |
$1,009.37 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$743.99 |
$743.99 |
3.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$770.07 |
$770.07 |
3.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$743.99 |
$743.99 |
3.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,383.67 |
$1,383.67 |
6.6× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$932.67 |
$932.67 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$869.78 |
$869.78 |
4.2× |
| Skin Tissue Procedure (17999) |
$478.61 |
$478.61 |
2.3× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$847.24 |
$847.24 |
4.0× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$932.67 |
$932.67 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,009.37 |
$1,009.37 |
2.4× |
| Strapping of ankle (29540) |
$378.90 |
$378.90 |
2.2× |
| Strapping of knee (29530) |
$403.44 |
$403.44 |
2.9× |
| Strapping of toes (29550) |
$365.09 |
$365.09 |
5.9× |
| Strapping unna boot (29580) |
$168.74 |
$168.74 |
1.0× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$476.96 |
$476.96 |
0.6× |
| Sub grft f/s/n/h/f/g/m/d >/= 100scm 1st 100sq cm (15277) |
$1,042.29 |
$1,042.29 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$291.46 |
$291.46 |
0.7× |
| Tenotomy percutaneous toe single tendon (28010) |
$935.74 |
$935.74 |
0.6× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Other Surgical Services (15150) |
$1,949.89 |
$1,949.89 |
0.9× |
| Tracheotomy tube change (31502) |
$151.04 |
$151.04 |
0.6× |
| Treat finger dislocation (26775) |
$3,279.69 |
$3,279.69 |
11.2× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$983.29 |
$983.29 |
0.6× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$664.22 |
$664.22 |
2.6× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$664.22 |
$664.22 |
2.6× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$3,279.69 |
$3,279.69 |
2.0× |
| Trim Benign Hyperkeratotic Skin Lesion,2-4 (11056) |
$99.71 |
$99.71 |
0.5× |
| Trim skin lesion (11055) |
$76.70 |
$76.70 |
0.4× |
| Trim skin lesion 4 or more (11057) |
$130.39 |
$130.39 |
0.6× |
| Trimming of nondystrophic nails, any number (11719) |
$88.50 |
$88.50 |
1.4× |
| Tx superficial wound dehiscence simple closure (12020) |
$555 |
$555 |
0.7× |
| Venipuncture (36415) |
$32.87 |
$32.87 |
3.5× |
| Wedge excision skin nail fold (11765) |
$513.89 |
$513.89 |
1.2× |