| Abd paracentesis w/imaging (49083) |
$510 |
$850 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$360 |
$600 |
0.4× |
| Acne Surgery (10040) |
$120 |
$200 |
0.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,044.80 |
$3,408 |
0.7× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,533.80 |
$4,223 |
0.4× |
| Application cast elbow finger short arm (29075) |
$178.50 |
$297.50 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$213 |
$355 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$95.40 |
$159 |
1.8× |
| Application finger splint static (29130) |
$95.40 |
$159 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$95.40 |
$159 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$95.40 |
$159 |
0.6× |
| Application of long leg cast (29345) |
$213 |
$355 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$95.40 |
$159 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$70.20 |
$117 |
0.6× |
| Application short leg splint calf foot (29515) |
$95.40 |
$159 |
0.6× |
| Application, cast; figure-of-eight (29049) |
$95.40 |
$159 |
0.4× |
| Apply short leg cast (29405) |
$213 |
$355 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$112.50 |
$187.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$345 |
$575 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$150 |
$250 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$59.46 |
$99.10 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$103.20 |
$172 |
0.6× |
| Biopsy external ear (69100) |
$117.60 |
$196 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$375 |
$625 |
0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$276 |
$460 |
0.2× |
| Biopsy soft tissue of back (21920) |
$165 |
$275 |
0.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$171 |
$285 |
0.1× |
| Bladder Scan (51798) |
$54 |
$90 |
1.0× |
| Blood transfusion service (36430) |
$271.50 |
$452.50 |
0.7× |
| Bx vulva/perineum 1 lesion (56605) |
$921 |
$1,535 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$152.40 |
$254 |
0.7× |
| Chemical Cautery Tissue (17250) |
$141.90 |
$236.50 |
0.8× |
| Chest tube placement (32551) |
$300 |
$500 |
0.2× |
| Circum 28 days or older (54161) |
$2,673.04 |
$4,455.06 |
1.4× |
| Circumcision (54150) |
$342 |
$570 |
0.2× |
| Circumcision Neonate (54160) |
$342 |
$570 |
0.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,050 |
$1,750 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$471.60 |
$786 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$270 |
$450 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$480 |
$800 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$120 |
$200 |
0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$591 |
$985 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$150 |
$250 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$300 |
$500 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$300 |
$500 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$120 |
$200 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$120 |
$200 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$232.20 |
$387 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$867 |
$1,445 |
0.8× |
| Complex Drainage, Wound (10180) |
$120 |
$200 |
0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$75 |
$125 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$108 |
$180 |
0.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,328.60 |
$3,881 |
1.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$657 |
$1,095 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$342 |
$570 |
0.9× |
| Debride nail 1-5 (11720) |
$72.60 |
$121 |
1.4× |
| Debride nail 6 or more (11721) |
$60 |
$100 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$311.10 |
$518.50 |
0.8× |
| Decompression of leg (27892) |
$3,123 |
$5,205 |
1.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$108.60 |
$181 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$197.88 |
$329.80 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$241.80 |
$403 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$285 |
$475 |
0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$210 |
$350 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$210 |
$350 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$45 |
$75 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$802.80 |
$1,338 |
1.0× |
| Division of fallopian tube (58600) |
$1,886.40 |
$3,144 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$462.30 |
$770.50 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$228 |
$380 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$354 |
$590 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$996 |
$1,660 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$456 |
$760 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$330 |
$550 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$171.60 |
$286 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$86.40 |
$144 |
3.3× |
| Dx gastr intub w/asp spec (43754) |
$358.80 |
$598 |
1.8× |
| Egd rem tumr/polyp forcep (43250) |
$1,281 |
$2,135 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$90 |
$150 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$259.80 |
$433 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$415.20 |
$692 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$288 |
$480 |
0.4× |
| Exc frenum labial/buccal (40819) |
$247.80 |
$413 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$103.20 |
$172 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$67.20 |
$112 |
0.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$116.40 |
$194 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$99 |
$165 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$624 |
$1,040 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$411.90 |
$686.50 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$216 |
$360 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$338.40 |
$564 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$477 |
$795 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$67.20 |
$112 |
0.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$366 |
$610 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$171 |
$285 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$150 |
$250 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$228.60 |
$381 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$258.60 |
$431 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$232.20 |
$387 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$182.40 |
$304 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$150 |
$250 |
0.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$266.40 |
$444 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$145.23 |
$242.05 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$209.40 |
$349 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$165 |
$275 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$127.84 |
$213.06 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$287.40 |
$479 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$105 |
$175 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$333.60 |
$556 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$123 |
$205 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$60 |
$100 |
0.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$249 |
$415 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$1,731.60 |
$2,886 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$774.60 |
$1,291 |
0.5× |
| Fasciotomy palmar open partial (26045) |
$1,777.20 |
$2,962 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$168 |
$280 |
0.5× |
| Frenulotomy of penis (54164) |
$342 |
$570 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$132 |
$220 |
0.7× |
| Hysteroscopy biopsy (58558) |
$2,011.80 |
$3,353 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$2,129.40 |
$3,549 |
0.7× |
| I&d abscess simple (10060) |
$104.40 |
$174 |
0.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$429 |
$715 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,249 |
$5,415 |
1.7× |
| I&d perianal abscess superficial (46050) |
$1,095 |
$1,825 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$360 |
$600 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$188.40 |
$314 |
0.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$770.10 |
$1,283.50 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$74.40 |
$124 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$81 |
$135 |
0.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$147.60 |
$246 |
0.5× |
| Incision of lingual frenum (41010) |
$210 |
$350 |
0.1× |
| Incision of rectal abscess (46040) |
$1,122.15 |
$1,870.25 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$87 |
$145 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$165 |
$275 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$50.40 |
$84 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,042.20 |
$1,737 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$790.80 |
$1,318 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$225 |
$375 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$165 |
$275 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$781.20 |
$1,302 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$150 |
$250 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$225 |
$375 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$96.60 |
$161 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$1,560 |
$2,600 |
0.5× |
| Insert picc cath (36569) |
$919.20 |
$1,532 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$87 |
$145 |
0.7× |
| Insert tunneled cv cath (36561) |
$585 |
$975 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$87 |
$145 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$211.20 |
$352 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$4,173 |
$6,955 |
0.8× |
| Late closure of wound (13160) |
$2,167.20 |
$3,612 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$351.60 |
$586 |
0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$360 |
$600 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$453 |
$755 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$48 |
$80 |
1.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$37.20 |
$62 |
0.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$459 |
$765 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$402 |
$670 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$125.40 |
$209 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$78 |
$130 |
0.2× |
| Puncture Aspiration (10160) |
$195 |
$325 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$345 |
$575 |
0.5× |
| Removal fb intranasal (30300) |
$111 |
$185 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$721.80 |
$1,203 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$365.40 |
$609 |
0.2× |
| Removal foreign body pharynx (42809) |
$139.80 |
$233 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$60 |
$100 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$42 |
$70 |
0.8× |
| Removal of arm foreign body (24200) |
$391.20 |
$652 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$124.80 |
$208 |
0.5× |
| Removal of nail bed (11750) |
$200.40 |
$334 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$133.20 |
$222 |
0.7× |
| Remove Eyelid Foreign Body (67938) |
$135 |
$225 |
0.5× |
| Remove knee cyst (27347) |
$807.60 |
$1,346 |
0.3× |
| Remove shoulder foreign body (23330) |
$336.60 |
$561 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$66.30 |
$110.50 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$39 |
$65 |
0.3× |
| Remv for.body deep penile tiss (54115) |
$2,328.60 |
$3,881 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$781.20 |
$1,302 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$961.20 |
$1,602 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$671.40 |
$1,119 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$860.40 |
$1,434 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$581.40 |
$969 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$720 |
$1,200 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$382.50 |
$637.50 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$630 |
$1,050 |
0.9× |
| Repair incomplete circumcision (54163) |
$390 |
$650 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$810 |
$1,350 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$308.70 |
$514.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$516.60 |
$861 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$954 |
$1,590 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$570.60 |
$951 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$630 |
$1,050 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,080 |
$1,800 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$675 |
$1,125 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$380.10 |
$633.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$502.20 |
$837 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$574.20 |
$957 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$891 |
$1,485 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$630 |
$1,050 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$180 |
$300 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$301.50 |
$502.50 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$761.40 |
$1,269 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$534.60 |
$891 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$900 |
$1,500 |
0.5× |
| Repair of nail bed (11760) |
$309 |
$515 |
0.5× |
| Reposition gastrostomy tube (43761) |
$756.60 |
$1,261 |
3.3× |
| Rerepair ing hernia reduce (49520) |
$3,436.20 |
$5,727 |
1.1× |
| Revise median n/carpal tunnel surg (64721) |
$1,747.20 |
$2,912 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$60.60 |
$101 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$82.20 |
$137 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,906.80 |
$3,178 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$774 |
$1,290 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$630 |
$1,050 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$67.20 |
$112 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$120 |
$200 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$67.20 |
$112 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$100.20 |
$167 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$133.20 |
$222 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$219 |
$365 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$33.04 |
$55.06 |
0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$100.20 |
$167 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$133.20 |
$222 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$93.60 |
$156 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$133.20 |
$222 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$67.20 |
$112 |
0.4× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$741 |
$1,235 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$482.40 |
$804 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$87 |
$145 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$250.80 |
$418 |
1.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$572.40 |
$954 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$282.60 |
$471 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$356.40 |
$594 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$649.80 |
$1,083 |
3.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$97.50 |
$162.50 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$522 |
$870 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$259.20 |
$432 |
1.4× |
| Skin Tissue Procedure (17999) |
$150 |
$250 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$94.20 |
$157 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$354.60 |
$591 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$430.20 |
$717 |
1.2× |
| Strapping ankle (29540) |
$95.40 |
$159 |
0.6× |
| Strapping elbow/wrist (29260) |
$95.40 |
$159 |
1.8× |
| Strapping knee (29530) |
$95.40 |
$159 |
0.8× |
| Strapping shoulder (29240) |
$95.40 |
$159 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$55.50 |
$92.50 |
0.2× |
| Thrombolytic Therapy, Stroke (37195) |
$387 |
$645 |
1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$1,200 |
$2,000 |
0.4× |
| Trach Tube Change (31502) |
$123 |
$205 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$270 |
$450 |
1.2× |
| Trim skin lesion (11055) |
$165.60 |
$276 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$133.20 |
$222 |
0.7× |
| Trim skin lesions over 4 (11057) |
$72 |
$120 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$18.60 |
$31 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$480.60 |
$801 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$340.20 |
$567 |
0.9× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$103.20 |
$172 |
0.5× |
| Vaginal delivery only (59409) |
$1,370.40 |
$2,284 |
0.5× |
| Vasectomy (55250) |
$1,411.20 |
$2,352 |
0.7× |
| Venipuncture (36415) |
$6.61 |
$11.01 |
0.7× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$81 |
$135 |
0.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$81 |
$135 |
0.2× |