| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$190.88 |
$254.50 |
0.2× |
| Amputation metatarsal with toe single (28810) |
$780.75 |
$1,041 |
0.3× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$714.75 |
$953 |
0.3× |
| Anoscopy diagnostic (46600) |
$84.75 |
$113 |
0.7× |
| Application cast elbow finger short arm (29075) |
$110.25 |
$147 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$122.25 |
$163 |
0.5× |
| Application Finger Splint Dynamic (29131) |
$62.25 |
$83 |
1.2× |
| Application finger splint static (29130) |
$54 |
$72 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$77.25 |
$103 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$91.50 |
$122 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$71.25 |
$95 |
0.6× |
| Application short leg splint calf foot (29515) |
$90 |
$120 |
0.6× |
| Arterial puncture (36600) |
$48.38 |
$64.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$69 |
$92 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$160.50 |
$214 |
0.6× |
| Aspiration bladder needle (51100) |
$72 |
$96 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$79.12 |
$105.50 |
0.5× |
| Blood transfusion service (36430) |
$59.25 |
$79 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$611.25 |
$815 |
0.2× |
| Chest tube placement (32551) |
$291 |
$388 |
0.2× |
| Closed Rx Med Malleolus Fx (27760) |
$547.50 |
$730 |
2.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$570 |
$760 |
2.7× |
| Closed Rx Trimalleolar Fx (27816) |
$519 |
$692 |
2.4× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$341.62 |
$455.50 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$408 |
$544 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$539.25 |
$719 |
2.5× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$406.50 |
$542 |
1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$870 |
$1,160 |
4.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$228.75 |
$305 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$615 |
$820 |
2.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$529.50 |
$706 |
2.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$431.25 |
$575 |
2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$58.50 |
$78 |
0.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$472.50 |
$630 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$425.25 |
$567 |
2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$411 |
$548 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$269.25 |
$359 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$725.25 |
$967 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$521.25 |
$695 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$512.25 |
$683 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$233.62 |
$311.50 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$349.50 |
$466 |
1.6× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,231.50 |
$1,642 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$220.50 |
$294 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$255 |
$340 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$213 |
$284 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$236.25 |
$315 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$165 |
$220 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$686.25 |
$915 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$139.50 |
$186 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$240.75 |
$321 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$501 |
$668 |
2.3× |
| Colonoscopy flex w/rem forcep (45384) |
$420.75 |
$561 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$316.50 |
$422 |
0.3× |
| Colonoscopy thru stoma (44388) |
$287.25 |
$383 |
0.4× |
| Colonoscopy w/ablation (45388) |
$500.25 |
$667 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$98.62 |
$131.50 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$105 |
$140 |
0.9× |
| Correction hammertoe (28285) |
$693.75 |
$925 |
0.2× |
Correction of bunion (28298)
likely a partial charge, not the full procedure |
$910.50 |
$1,214 |
0.1× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$943.50 |
$1,258 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$130.88 |
$174.50 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$97.12 |
$129.50 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$407.25 |
$543 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$101.25 |
$135 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$144.75 |
$193 |
0.2× |
| Divisn plantar fascia/muscle (28250) |
$737.25 |
$983 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$247.50 |
$330 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$214.12 |
$285.50 |
0.1× |
| Draw blood off venous device (36591) |
$42 |
$56 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$162 |
$216 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$136.12 |
$181.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$97.50 |
$130 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,395.38 |
$1,860.50 |
0.8× |
| Egd rem tumr/polyp forcep (43250) |
$314.25 |
$419 |
0.2× |
| Egd remove lesion snare (43251) |
$361.50 |
$482 |
0.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$786 |
$1,048 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$58.50 |
$78 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$279.75 |
$373 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$321 |
$428 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$3,645.75 |
$4,861 |
2.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$183.75 |
$245 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$318.75 |
$425 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$197.25 |
$263 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$186 |
$248 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$204.75 |
$273 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$264.75 |
$353 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$408.75 |
$545 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$291.75 |
$389 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$585 |
$780 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$497.25 |
$663 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$444.75 |
$593 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$414 |
$552 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$714.75 |
$953 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$533.25 |
$711 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$578.25 |
$771 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$202.50 |
$270 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$145.50 |
$194 |
0.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$830.25 |
$1,107 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$217.50 |
$290 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$267.75 |
$357 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$292.50 |
$390 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$348.75 |
$465 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$387 |
$516 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$225.75 |
$301 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$281.25 |
$375 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$330 |
$440 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$515.25 |
$687 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$219.75 |
$293 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$269.25 |
$359 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$306 |
$408 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$381 |
$508 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$433.50 |
$578 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$259.50 |
$346 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$684.75 |
$913 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$243.75 |
$325 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$147 |
$196 |
0.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,844.25 |
$6,459 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$147 |
$196 |
0.4× |
| Hemorrhoidectomy (46255) |
$645 |
$860 |
0.3× |
| Hemorrhoidectomy external complete (46250) |
$575.25 |
$767 |
0.2× |
| I&d abscess simple (10060) |
$180 |
$240 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$183.75 |
$245 |
0.3× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$762 |
$1,016 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$327.75 |
$437 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$225.38 |
$300.50 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$159.75 |
$213 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$186 |
$248 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$213.75 |
$285 |
0.8× |
| Incision of metatarsal (28308) |
$693.75 |
$925 |
0.2× |
| Incision thrombosed hemorrhoid external (46083) |
$189.38 |
$252.50 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$64.12 |
$85.50 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$72.75 |
$97 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$117 |
$156 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$99 |
$132 |
0.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$110.25 |
$147 |
0.2× |
| Inject Nerv Blck,Pudendal (64430) |
$102 |
$136 |
0.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$99.75 |
$133 |
0.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$105.75 |
$141 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$90 |
$120 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$78.75 |
$105 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$70.50 |
$94 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$79.50 |
$106 |
0.3× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$174.75 |
$233 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$142.50 |
$190 |
1.3× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$381.75 |
$509 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$159.75 |
$213 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$47.25 |
$63 |
0.4× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$650.25 |
$867 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$189 |
$252 |
0.9× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$87 |
$116 |
0.5× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$362.25 |
$483 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$345.75 |
$461 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$334.31 |
$445.75 |
0.2× |
| Mastectomy gynecomastia (19300) |
$756 |
$1,008 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$138 |
$184 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$165 |
$220 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$198 |
$264 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$183 |
$244 |
0.3× |
| Obstructive material removal from gi tube (49460) |
$90.75 |
$121 |
0.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$543 |
$724 |
0.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$570 |
$760 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$528.75 |
$705 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$787.50 |
$1,050 |
0.3× |
| Partial Removal Foot Fascia (28060) |
$656.25 |
$875 |
0.2× |
| Percutaneous diskectomy (62287) |
$1,062 |
$1,416 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$229.50 |
$306 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$124.12 |
$165.50 |
0.3× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$402 |
$536 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$898.94 |
$1,198.59 |
2.5× |
| Puncture Aspiration (10160) |
$170.25 |
$227 |
0.5× |
| Removal fb intranasal (30300) |
$125.62 |
$167.50 |
1.1× |
| Removal Foreign Body Foot Complicated (28193) |
$677.25 |
$903 |
0.5× |
| Removal foreign body foot deep (28192) |
$572.25 |
$763 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$165.75 |
$221 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$264.75 |
$353 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$61.50 |
$82 |
1.2× |
| Removal Implant Deep (20680) |
$762 |
$1,016 |
0.3× |
| Removal of nail bed (11750) |
$185.25 |
$247 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$131.25 |
$175 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$83.25 |
$111 |
0.3× |
| Remove foreign body from eye (65210) |
$66.75 |
$89 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$76.88 |
$102.50 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$45.75 |
$61 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$366.38 |
$488.50 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$385.50 |
$514 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$452.62 |
$603.50 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$283.88 |
$378.50 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$416.62 |
$555.50 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$367.50 |
$490 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$451.50 |
$602 |
0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,068.75 |
$1,425 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$545.25 |
$727 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$247.88 |
$330.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$264 |
$352 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$294.75 |
$393 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$401.25 |
$535 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$487.50 |
$650 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$250.50 |
$334 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$293.25 |
$391 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$373.88 |
$498.50 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$324.38 |
$432.50 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$189.38 |
$252.50 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$303.38 |
$404.50 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$287.25 |
$383 |
0.8× |
| Repair Of Foot Tendon (28208) |
$575.25 |
$767 |
0.2× |
| Replace g/c tube perc (49450) |
$123.75 |
$165 |
0.2× |
Rerepair ing hernia blocked (49521)
likely a partial charge, not the full procedure |
$1,308.75 |
$1,745 |
0.2× |
| Rerepair ing hernia reduce (49520) |
$1,152.75 |
$1,537 |
0.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$450.75 |
$601 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$51.75 |
$69 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$93.75 |
$125 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$337.12 |
$449.50 |
0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$221.25 |
$295 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$85.50 |
$114 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$72.75 |
$97 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$93.75 |
$125 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$120 |
$160 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$63.75 |
$85 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$117 |
$156 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$138.75 |
$185 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$96 |
$128 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$132.75 |
$177 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$112.50 |
$150 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$669.38 |
$892.50 |
0.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$172.50 |
$230 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$240 |
$320 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$148.50 |
$198 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$137.25 |
$183 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$169.12 |
$225.50 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$193.50 |
$258 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$82.50 |
$110 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$136.50 |
$182 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$176.25 |
$235 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$156 |
$208 |
0.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$369 |
$492 |
0.2× |
| Skn sub grft f/n/hf/g child (15277) |
$418.50 |
$558 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$110.25 |
$147 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$178.50 |
$238 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$122.62 |
$163.50 |
0.2× |
| Strapping ankle (29540) |
$33.75 |
$45 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$87.75 |
$117 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$440.25 |
$587 |
0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$514.50 |
$686 |
0.4× |
| Ther Apheresis,Platelets (36513) |
$201.75 |
$269 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$167.25 |
$223 |
0.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$545.25 |
$727 |
2.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$592.50 |
$790 |
0.4× |
| Tracheostomy planned (31600) |
$564 |
$752 |
0.2× |
| Treat humerus fracture (24500) |
$446.62 |
$595.50 |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$606 |
$808 |
2.8× |
| Unlisted Procedure Nervous System (64999) |
$147 |
$196 |
0.6× |
| Vaginal delivery only (59409) |
$1,479.75 |
$1,973 |
0.5× |
| Venipuncture (36415) |
$6 |
$8 |
0.6× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$115.88 |
$154.50 |
1.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$108.38 |
$144.50 |
0.3× |