| Abd paracentesis w/imaging (49083) |
$1,041 |
$2,603 |
1.1× |
| Acne Surgery (10040) |
$78 |
$195 |
0.4× |
| Amputation thigh through femur any level (27590) |
$200 |
$500 |
0.1× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,301 |
$3,252 |
0.2× |
| Application cast elbow finger short arm (29075) |
$199 |
$498.50 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$88 |
$221 |
0.3× |
| Application finger splint static (29130) |
$145 |
$363 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$182 |
$455 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$182 |
$455 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$145 |
$363 |
1.1× |
| Application short leg splint calf foot (29515) |
$182 |
$455 |
1.1× |
| Application, cast; figure-of-eight (29049) |
$310 |
$776 |
1.1× |
| Apply short leg cast (29405) |
$88 |
$221 |
0.3× |
| Arterial puncture (36600) |
$111.50 |
$279 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$218 |
$545.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$218 |
$545.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$336 |
$841 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$218 |
$545.50 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$148.50 |
$372 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$258 |
$646 |
0.3× |
| Biopsy external ear (69100) |
$76 |
$191 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$551 |
$1,377 |
0.3× |
| Biopsy of lip (40490) |
$76 |
$191 |
0.3× |
| Biopsy of uterus lining (58100) |
$139.50 |
$348.50 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,364 |
$3,411 |
0.3× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$551 |
$1,377 |
0.3× |
| Bladder Irrigation Simple (51700) |
$342 |
$856 |
1.4× |
| Blood patch (62273) |
$564 |
$1,410 |
0.8× |
| Blood transfusion service (36430) |
$646.50 |
$1,616 |
1.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$86 |
$216 |
0.4× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$189 |
$472.50 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$342 |
$856 |
1.4× |
| Chest tube placement (32551) |
$404 |
$1,011 |
0.3× |
| Circum 28 days or older (54161) |
$1,493 |
$3,733 |
0.7× |
| Circumcision (54150) |
$1,492.50 |
$3,731.50 |
0.7× |
| Circumcision Neonate (54160) |
$991 |
$2,477.50 |
1.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,104 |
$2,759 |
0.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$180 |
$450 |
0.7× |
| Closed Rx Trimalleolar Fx (27816) |
$126 |
$315 |
0.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$265 |
$663 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$317 |
$792 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$90 |
$225 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$277 |
$693 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$265 |
$663 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$76 |
$191 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$121.50 |
$304.50 |
0.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$338 |
$846 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$172.50 |
$432 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,125 |
$2,812 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$272 |
$679 |
1.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$115.50 |
$289 |
0.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$112 |
$280 |
0.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$272 |
$679 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$172.50 |
$431.50 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$117 |
$293 |
0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$534.50 |
$1,337 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,507 |
$3,767 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$265 |
$663 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$113 |
$282 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$265 |
$663 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$160 |
$400 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$265 |
$663 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$272 |
$679 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$174 |
$434.50 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$81 |
$203 |
0.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$265 |
$663 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$265 |
$663 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$172.50 |
$431.50 |
0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$112 |
$280 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$272 |
$679 |
1.1× |
| Colonoscopy flex w/rem forcep (45384) |
$737 |
$1,842 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$225.50 |
$564 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$208 |
$520 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$268 |
$670 |
0.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$189.50 |
$473.50 |
0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$260 |
$650.50 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$145 |
$363 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$145 |
$363 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$148 |
$371 |
1.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$272 |
$681 |
1.1× |
| Curettage postpartum (59160) |
$1,813 |
$4,532 |
0.6× |
| Cystometrogram w/vp (51728) |
$332 |
$830.50 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$674 |
$1,685 |
1.7× |
| Debride nail 1-5 (11720) |
$72 |
$179 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$272.50 |
$681 |
0.7× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$137 |
$343 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$66 |
$166 |
0.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$66 |
$166 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$66 |
$166 |
0.3× |
| Destruction vaginal lesions simple (57061) |
$1,038 |
$2,596 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$325 |
$812 |
0.3× |
| Dilation & curettage cervical stump (57558) |
$1,446 |
$3,614 |
0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$1,038 |
$2,596 |
0.3× |
| Division of fallopian tube (58600) |
$1,038 |
$2,596 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$801 |
$2,002 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$69 |
$172 |
0.3× |
| Drainage of gum lesion (41800) |
$145 |
$363 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$773 |
$1,933 |
0.5× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$1,038 |
$2,596 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$445 |
$1,112 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$231 |
$578 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$231 |
$578 |
1.1× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$1,045 |
$2,612 |
0.3× |
| Egd place gastrostomy tube (43246) |
$959.50 |
$2,398 |
0.5× |
| Egd rem tumr/polyp forcep (43250) |
$640 |
$1,599 |
0.3× |
| Egd remove lesion snare (43251) |
$1,236 |
$3,089 |
0.6× |
Endometrial abltj thermal w/o hysteroscopic guid (58353)
unusually low: confirm this is the full procedure |
$1,702 |
$4,255 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,334 |
$3,336 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$145 |
$363 |
1.1× |
| Exc arm/elbow les sc < 3 cm (24075) |
$788.50 |
$1,970.50 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$551 |
$1,377 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$551 |
$1,377 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$238 |
$596 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$551 |
$1,377 |
0.3× |
| Exc forearm les sc < 3 cm (25075) |
$551 |
$1,377 |
0.3× |
| Exc hand les sc < 1.5 cm (26115) |
$551 |
$1,377 |
0.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,519 |
$3,797 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$1,344 |
$3,361 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$411.50 |
$1,029 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$216.50 |
$541 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$666 |
$1,665.50 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,573 |
$3,933 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$848.50 |
$2,121.50 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$294 |
$736 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,040 |
$2,600 |
0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$949 |
$2,372 |
0.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$527 |
$1,317 |
0.3× |
| Excision hidradenitis axillary complex repair (11451) |
$949 |
$2,372 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$238 |
$596 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$265.50 |
$664.50 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$137 |
$343 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$238 |
$596 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$707 |
$1,767 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$551 |
$1,377 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$274 |
$685 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$411.50 |
$1,029 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$775.50 |
$1,938.50 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$551 |
$1,377 |
0.3× |
| Excision of mouth lesion (40816) |
$1,045 |
$2,612 |
0.3× |
| Excision of nail fold toe (11765) |
$137 |
$343 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$949 |
$2,372 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$1,324 |
$3,309 |
0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$551 |
$1,377 |
0.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$1,093 |
$2,733 |
0.3× |
| Fetal Contraction Stress Test (59020) |
$187 |
$467 |
0.9× |
| Fetal non-stress test (59025) |
$219 |
$548 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$140 |
$350 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$102 |
$256 |
0.5× |
| I&d abscess simple (10060) |
$152.50 |
$381.50 |
0.8× |
| I&d perianal abscess superficial (46050) |
$633.50 |
$1,584.50 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$576 |
$1,441 |
0.8× |
| Incise inner ear (69801) |
$510 |
$1,275 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$402 |
$1,006 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,063.50 |
$2,658.50 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$231 |
$578 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$115 |
$288.50 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$341 |
$853 |
1.1× |
| Incision of rectal abscess (46040) |
$1,692 |
$4,231 |
1.4× |
| Incision thrombosed hemorrhoid external (46083) |
$108.50 |
$271.50 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$231 |
$578 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$100 |
$250 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$192 |
$479 |
0.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$573 |
$1,433 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$212 |
$531 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$255.50 |
$638.50 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$173 |
$432 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$100 |
$250 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$70 |
$175 |
0.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,622 |
$4,055 |
1.8× |
| Insert Bladder Cath Complex (51703) |
$81 |
$202 |
0.6× |
| Insert Drug Implant Device (11981) |
$131 |
$327 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$768 |
$1,919 |
0.2× |
| Insert picc cath (36569) |
$822 |
$2,056 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,810 |
$4,524 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$145 |
$363 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$137 |
$343 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,650 |
$11,624 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$268.50 |
$672 |
1.1× |
Lap ing hernia repair init (49650)
unusually low: confirm this is the full procedure |
$1,914 |
$4,785 |
0.3× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,479.50 |
$6,199 |
0.4× |
Laparoscopy w/lysis of adhesions (58660)
unusually low: confirm this is the full procedure |
$1,914 |
$4,785 |
0.3× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
unusually low: confirm this is the full procedure |
$1,914 |
$4,785 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure |
$2,900 |
$7,250 |
0.5× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
unusually low: confirm this is the full procedure |
$1,914 |
$4,785 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low: confirm this is the full procedure |
$1,914 |
$4,785 |
0.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$73 |
$183 |
0.4× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,520 |
$3,799 |
0.9× |
| Mastectomy partial (19301) |
$2,105 |
$5,262 |
0.5× |
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure |
$2,020 |
$5,050 |
0.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$438 |
$1,094 |
1.1× |
| Peritoneal Lavage (49084) |
$348 |
$870 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$458 |
$1,145 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$40 |
$100 |
0.1× |
| Puncture Aspiration (10160) |
$292.50 |
$731 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$238 |
$596 |
0.3× |
| Removal fb intranasal (30300) |
$145 |
$363 |
1.1× |
| Removal foreign body foot deep (28192) |
$551 |
$1,377 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$288 |
$719 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$897.50 |
$2,243.50 |
0.5× |
| Removal foreign body pharynx (42809) |
$119 |
$298 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72 |
$179 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$47.50 |
$119 |
0.8× |
| Removal Implantable Contraceptive Capsules (11976) |
$238 |
$596 |
0.3× |
| Removal of adenoids (42835) |
$1,509 |
$3,772 |
0.5× |
| Removal of adenoids (42831) |
$1,418 |
$3,544 |
0.4× |
| Removal of adenoids (42830) |
$3,692 |
$9,229 |
1.1× |
| Removal of adenoids (42836) |
$1,509 |
$3,772 |
0.5× |
| Removal of arm foreign body (24200) |
$551 |
$1,377 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$107 |
$268 |
0.3× |
| Removal of nail bed (11750) |
$137 |
$343 |
0.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$120.50 |
$301.50 |
0.6× |
| Removal of tonsils (42825) |
$3,565 |
$8,912 |
0.6× |
| Removal of tonsils (42826) |
$1,418 |
$3,544 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$73 |
$183 |
0.3× |
| Remove drug implant device (11982) |
$249 |
$622 |
0.6× |
| Remove knee cyst (27347) |
$1,093 |
$2,733 |
0.3× |
| Remove Peritoneal Foreign Body (49402) |
$2,783 |
$6,957 |
0.8× |
| Remove wrist tendon lesion (25111) |
$1,662 |
$4,154 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$97.50 |
$244 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$96.50 |
$242 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$430 |
$1,075 |
1.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$264 |
$660 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$264 |
$660 |
0.6× |
| Repair incomplete circumcision (54163) |
$1,493 |
$3,733 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$231 |
$578 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$445 |
$1,112 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$402 |
$1,006 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$336 |
$840 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$141 |
$352.50 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$153 |
$383 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$430 |
$1,075 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$184 |
$460.50 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$178.50 |
$446.50 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$96 |
$239 |
0.2× |
| Repair of nail bed (11760) |
$449 |
$1,122 |
0.6× |
| Repair Tongue Laceration (41250) |
$167 |
$418 |
0.4× |
| Revise eyelashes (67825) |
$97 |
$243 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$458 |
$1,145 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$75 |
$187 |
0.6× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$447 |
$1,118 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$168 |
$420 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$180 |
$450 |
0.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$510 |
$1,275 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$66 |
$166 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$137 |
$343 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$66 |
$166 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$66 |
$166 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$137 |
$343 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$325 |
$812 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$96 |
$239 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$148.50 |
$372 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$148.50 |
$372 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$231 |
$578 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$220 |
$550 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$148.50 |
$372 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$175 |
$437 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$231 |
$578 |
1.1× |
| Skin Tissue Procedure (17999) |
$64 |
$161 |
0.3× |
| Small bowel endoscopy/biopsy (44377) |
$702 |
$1,754 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$148.50 |
$372 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$156 |
$389 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$209 |
$522 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$350 |
$875.50 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$817 |
$2,043 |
1.2× |
| Strapping ankle (29540) |
$122 |
$304 |
0.7× |
| Strapping hand/finger (29280) |
$83 |
$207 |
1.4× |
| Strapping knee (29530) |
$73 |
$183 |
0.5× |
| Strapping shoulder (29240) |
$73 |
$183 |
0.5× |
| Strapping toes (29550) |
$83 |
$208 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$66 |
$166 |
0.2× |
| Therapeutic pneumothorax (32960) |
$212 |
$531 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$258.50 |
$646.50 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$271 |
$678 |
0.8× |
| Trach Tube Change (31502) |
$272 |
$681 |
1.1× |
| Tracheostomy planned (31600) |
$1,762 |
$4,406 |
0.5× |
| Treat finger dislocation (26775) |
$187 |
$467 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$96 |
$240 |
0.4× |
| Treat humerus fracture (24500) |
$120 |
$300 |
0.5× |
| Treat wrist bone fracture (25622) |
$100 |
$250 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$294 |
$736 |
1.2× |
| Trim skin lesion (11055) |
$68 |
$170 |
0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,145 |
$2,862.50 |
0.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,145 |
$2,862.50 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$197 |
$492 |
0.5× |
| Unlisted Procedure Nervous System (64999) |
$100 |
$250 |
0.3× |
| Unlisted Procedure Trachea Bronchi (31899) |
$822 |
$2,056 |
4.1× |
| Vaginal delivery only (59409) |
$2,207 |
$5,518.50 |
0.7× |
| Vasectomy (55250) |
$420 |
$1,050 |
0.2× |
| Venipuncture (36415) |
$6 |
$15.50 |
0.6× |
| Venipuncture, cutdown; age 1 or over (36425) |
$110 |
$276 |
0.2× |
| Wedging of cast (29740) |
$310 |
$776 |
1.1× |