| Application cast elbow finger short arm (29075) |
$168 |
$168 |
0.7× |
| Application Cast Finger (29086) |
$84 |
$84 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$341.50 |
$341.50 |
2.3× |
| Application cast shoulder hand long arm (29065) |
$379 |
$379 |
1.5× |
| Application finger splint static (29130) |
$57 |
$57 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$186.50 |
$186.50 |
1.2× |
| Application of long leg cast (29345) |
$175 |
$175 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$80 |
$80 |
0.7× |
| Application short leg splint calf foot (29515) |
$308 |
$308 |
2.1× |
| Apply short leg cast (29405) |
$336.50 |
$336.50 |
1.3× |
| Apply short leg cast (29425) |
$65 |
$65 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$284 |
$284 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$225 |
$225 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$636.25 |
$636.25 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$131.25 |
$131.25 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$118 |
$118 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$156 |
$156 |
0.8× |
| Biopsy of uterus lining (58100) |
$238 |
$238 |
1.3× |
| Bladder Scan (51798) |
$95 |
$95 |
1.8× |
| Blood transfusion service (36430) |
$300 |
$300 |
0.7× |
| Chest tube placement (32551) |
$190 |
$190 |
0.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$198 |
$198 |
1.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$400 |
$400 |
1.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$412 |
$412 |
1.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$315 |
$315 |
1.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,136 |
$1,136 |
5.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$400 |
$400 |
1.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$200 |
$200 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$417 |
$417 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$510 |
$510 |
2.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$372 |
$372 |
1.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$572 |
$572 |
2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$483 |
$483 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$521 |
$521 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$360 |
$360 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$547 |
$547 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$414 |
$414 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$195 |
$195 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$555 |
$555 |
2.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$185 |
$185 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$380 |
$380 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$200 |
$200 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$300 |
$300 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$563 |
$563 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$250 |
$250 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$435 |
$435 |
1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,565.50 |
$1,565.50 |
1.1× |
| Complex Drainage, Wound (10180) |
$5,000 |
$5,000 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$440 |
$440 |
3.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$110 |
$110 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$276 |
$276 |
0.7× |
| Destroy cerv/thor facet jnt (64633) |
$1,811.25 |
$1,811.25 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,696.25 |
$1,696.25 |
0.9× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$270 |
$270 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$221 |
$221 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$190 |
$190 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$382.50 |
$382.50 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,614.38 |
$1,614.38 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$142 |
$142 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$696.88 |
$696.88 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$266 |
$266 |
0.2× |
| Draw blood off venous device (36591) |
$175 |
$175 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$250 |
$250 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$373 |
$373 |
2.0× |
| Evacuation of subungual hematoma (11740) |
$93 |
$93 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$310 |
$310 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$254 |
$254 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$455 |
$455 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$252 |
$252 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$268 |
$268 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$295 |
$295 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$364 |
$364 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,432.50 |
$1,432.50 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$375 |
$375 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$585 |
$585 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$226 |
$226 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$315 |
$315 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$463 |
$463 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$503 |
$503 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$463 |
$463 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$405 |
$405 |
0.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$269 |
$269 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$301 |
$301 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$300 |
$300 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$225 |
$225 |
0.1× |
| Excision of nail fold toe (11765) |
$260 |
$260 |
0.7× |
| I&d abscess simple (10060) |
$203 |
$203 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$335 |
$335 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,143 |
$1,143 |
3.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$263 |
$263 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$230 |
$230 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$785.62 |
$785.62 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$138 |
$138 |
0.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$311.25 |
$311.25 |
1.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$364.38 |
$364.38 |
0.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$882.50 |
$882.50 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$756.88 |
$756.88 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$349.38 |
$349.38 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$543.75 |
$543.75 |
0.7× |
| Inject Nerv Blck,Pudendal (64430) |
$1,596.25 |
$1,596.25 |
2.0× |
| Inject Tendon Origin/Insert (20551) |
$93 |
$93 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$896.25 |
$896.25 |
1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,019.38 |
$1,019.38 |
1.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$366.25 |
$366.25 |
0.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$643.75 |
$643.75 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$816.25 |
$816.25 |
2.9× |
| Injection anes other peripheral nerve/branch (64450) |
$813.75 |
$813.75 |
1.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,180 |
$1,180 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$135 |
$135 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$150 |
$150 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$141.25 |
$141.25 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$456.88 |
$456.88 |
1.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$981.88 |
$981.88 |
3.5× |
| Insert Drug Implant Device (11981) |
$163 |
$163 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$87 |
$87 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$45 |
$45 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$202.50 |
$202.50 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$881.88 |
$881.88 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$855.62 |
$855.62 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$941.88 |
$941.88 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$930 |
$930 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$220 |
$220 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$150 |
$150 |
0.4× |
| Puncture Aspiration (10160) |
$236 |
$236 |
0.6× |
| Removal fb intranasal (30300) |
$275 |
$275 |
2.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$527.50 |
$527.50 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$25 |
$25 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80 |
$80 |
1.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$248 |
$248 |
0.4× |
| Removal of arm foreign body (24200) |
$1,300 |
$1,300 |
0.9× |
| Removal of intrauterine device (iud) (58301) |
$125 |
$125 |
0.4× |
| Removal of nail bed (11750) |
$690 |
$690 |
1.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$150 |
$150 |
0.8× |
| Remove drug implant device (11982) |
$200 |
$200 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$120 |
$120 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$40 |
$40 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$337.49 |
$337.49 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$834 |
$834 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$491 |
$491 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$761 |
$761 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$428 |
$428 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$535 |
$535 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$800 |
$800 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,330 |
$1,330 |
3.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$82 |
$82 |
0.2× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$330 |
$330 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$175 |
$175 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$140 |
$140 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$193 |
$193 |
1.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$140 |
$140 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$247 |
$247 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$193 |
$193 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$261 |
$261 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$194.50 |
$194.50 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$220 |
$220 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$407 |
$407 |
2.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$451 |
$451 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$296 |
$296 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$272.50 |
$272.50 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$3,115 |
$3,115 |
4.6× |
| Skin sub graft trnk/arm/leg (15271) |
$2,127.50 |
$2,127.50 |
3.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,872.50 |
$1,872.50 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$783.50 |
$783.50 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$190.75 |
$190.75 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$278 |
$278 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$573 |
$573 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$461.88 |
$461.88 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$453.75 |
$453.75 |
0.7× |
| Strapping elbow/wrist (29260) |
$265 |
$265 |
4.9× |
| Strapping hand/finger (29280) |
$205 |
$205 |
3.8× |
| Strapping unna boot (29580) |
$88 |
$88 |
0.6× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$130 |
$130 |
0.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$698.12 |
$698.12 |
1.1× |
| Treat wrist bone fracture (25622) |
$496 |
$496 |
2.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$250 |
$250 |
1.1× |
| Trim skin lesion (11055) |
$200 |
$200 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$330 |
$330 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$290 |
$290 |
0.8× |
| Venipuncture (36415) |
$21.50 |
$21.50 |
2.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,737.53 |
$1,737.53 |
2.6× |