| Abd paracentesis w/imaging (49083) |
$198.25 |
$305 |
0.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$360.10 |
$554 |
0.4× |
| Anoscopy diagnostic (46600) |
$490.75 |
$755 |
4.1× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$455 |
$700 |
0.5× |
| Application finger splint static (29130) |
$76.05 |
$117 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$144.30 |
$222 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$147.88 |
$227.50 |
1.0× |
| Application of long leg cast (29345) |
$260 |
$400 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$143 |
$220 |
1.2× |
| Application short leg splint calf foot (29515) |
$138.45 |
$213 |
0.9× |
| Apply short leg cast (29405) |
$160.88 |
$247.50 |
0.6× |
| Arterial puncture (36600) |
$89.38 |
$137.50 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$227.50 |
$350 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$287.30 |
$442 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$141.05 |
$217 |
0.5× |
| Aspir/inj thyroid cyst (60300) |
$357.50 |
$550 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$227.50 |
$350 |
0.8× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,300 |
$2,000 |
0.7× |
| Aspiration bladder needle (51100) |
$255.12 |
$392.50 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$158.28 |
$243.50 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$848.25 |
$1,305 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$572 |
$880 |
0.4× |
| Biopsy muscle deep (20205) |
$483.60 |
$744 |
0.2× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$572 |
$880 |
0.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$756.60 |
$1,164 |
0.5× |
| Bladder Scan (51798) |
$149.50 |
$230 |
2.8× |
| Blood transfusion service (36430) |
$279.50 |
$430 |
0.7× |
| Bone marrow aspiration only (38220) |
$295.10 |
$454 |
0.2× |
| Bone Marrow Biopsy (38221) |
$295.10 |
$454 |
0.2× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$661.70 |
$1,018 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$572 |
$880 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$133.25 |
$205 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$195 |
$300 |
0.9× |
| Chest tube placement (32551) |
$230.75 |
$355 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$117.65 |
$181 |
1.0× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$629.20 |
$968 |
2.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$926.25 |
$1,425 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$351.32 |
$540.50 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$590.85 |
$909 |
2.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$498.88 |
$767.50 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$423.48 |
$651.50 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$599.62 |
$922.50 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$209.62 |
$322.50 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$280.15 |
$431 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$794.62 |
$1,222.50 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$367.90 |
$566 |
1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$352.30 |
$542 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$757.25 |
$1,165 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$508.95 |
$783 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$168.35 |
$259 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$325.65 |
$501 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$369.85 |
$569 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$298.68 |
$459.50 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$160.88 |
$247.50 |
0.7× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$420.88 |
$647.50 |
1.9× |
| Colonoscopy flex w/rem forcep (45384) |
$744.25 |
$1,145 |
0.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$615.55 |
$947 |
0.6× |
| Colonoscopy for bleeding (44391) |
$718.90 |
$1,106 |
0.7× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$718.90 |
$1,106 |
0.7× |
| Colonoscopy stoma w/biopsy (44389) |
$674.70 |
$1,038 |
0.6× |
| Colonoscopy stoma w/snare (44394) |
$718.90 |
$1,106 |
0.7× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$718.90 |
$1,106 |
0.8× |
| Colonoscopy thru stoma (44388) |
$601.25 |
$925 |
0.7× |
| Colonoscopy w/ablation (45388) |
$744.25 |
$1,145 |
0.7× |
| Colonoscopy w/fb removal (45379) |
$744.25 |
$1,145 |
0.7× |
| Colonoscopy w/resection (45390) |
$2,333.50 |
$3,590 |
0.9× |
| Colpocentesis (57020) |
$865.48 |
$1,331.50 |
0.2× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,001 |
$1,540 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$744.25 |
$1,145 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,001 |
$1,540 |
0.9× |
| Complex Drainage, Wound (10180) |
$986.70 |
$1,518 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$295.10 |
$454 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$253.50 |
$390 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$178.75 |
$275 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$362.70 |
$558 |
3.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$75.40 |
$116 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$675.35 |
$1,039 |
0.3× |
| Debride nail 1-5 (11720) |
$115.38 |
$177.50 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$207.68 |
$319.50 |
0.6× |
| Delivery placenta separate procedure (59414) |
$133.25 |
$205 |
0.0× |
| Diagnostic sigmoidoscopy (45330) |
$601.25 |
$925 |
0.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$601.25 |
$925 |
0.7× |
| Dilation of anal sphincter (45905) |
$744.25 |
$1,145 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$277.88 |
$427.50 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$378.30 |
$582 |
2.1× |
| Drainage of eyelid abscess (67700) |
$312 |
$480 |
1.1× |
| Drainage of gum lesion (41800) |
$321.75 |
$495 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$334.10 |
$514 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$552.50 |
$850 |
0.4× |
| Draw blood off venous device (36591) |
$87.75 |
$135 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$223.28 |
$343.50 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$153.08 |
$235.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$120.25 |
$185 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,550.25 |
$2,385 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,079 |
$1,660 |
0.6× |
| Egd flexible foreign body removal (43247) |
$601.25 |
$925 |
0.7× |
| Egd guide wire insertion (43248) |
$601.25 |
$925 |
0.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,023.75 |
$1,575 |
0.6× |
| Egd place gastrostomy tube (43246) |
$744.90 |
$1,146 |
0.4× |
| Egd rem tumr/polyp forcep (43250) |
$1,079 |
$1,660 |
0.6× |
| Egd remove lesion snare (43251) |
$1,079 |
$1,660 |
0.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,550.25 |
$2,385 |
0.9× |
| Egd tube/cath insertion (43241) |
$1,023.75 |
$1,575 |
0.6× |
| Egd Varices Ligation (43244) |
$1,023.75 |
$1,575 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,023.75 |
$1,575 |
0.6× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,023.75 |
$1,575 |
0.6× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,023.75 |
$1,575 |
0.6× |
| Esoph scope w/submucous inj (43201) |
$1,023.75 |
$1,575 |
0.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$601.25 |
$925 |
0.7× |
| Esophagoscopy flex biopsy (43202) |
$1,023.75 |
$1,575 |
0.6× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$1,023.75 |
$1,575 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,023.75 |
$1,575 |
0.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$533 |
$820 |
0.6× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,023.75 |
$1,575 |
0.6× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$1,023.75 |
$1,575 |
0.6× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,023.75 |
$1,575 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$127.72 |
$196.50 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$774.15 |
$1,191 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$286 |
$440 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$657.48 |
$1,011.50 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,202.50 |
$1,850 |
0.8× |
| Excision of nail fold toe (11765) |
$198.25 |
$305 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$624 |
$960 |
0.4× |
| Fine needle aspiration without imaging guidance (10021) |
$149.18 |
$229.50 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$227.50 |
$350 |
1.2× |
| I&d abscess simple (10060) |
$185.25 |
$285 |
1.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,764.75 |
$2,715 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$362.05 |
$557 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$227.50 |
$350 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$678.60 |
$1,044 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$299 |
$460 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$157.62 |
$242.50 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$211.25 |
$325 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$240.50 |
$370 |
1.1× |
| Initial tx 1st degree burn local tx (16000) |
$185.25 |
$285 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$146.25 |
$225 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$295.10 |
$454 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$179.40 |
$276 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$492.38 |
$757.50 |
0.8× |
| Injection for identification of sentinel node (38792) |
$357.50 |
$550 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$143.32 |
$220.50 |
0.5× |
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206)
likely a partial charge, not the full procedure |
$103.35 |
$159 |
0.0× |
| Insert Bladder Cath Complex (51703) |
$195 |
$300 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$438.75 |
$675 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$195 |
$300 |
1.6× |
| Insert tunneled cv cath (36561) |
$2,408.25 |
$3,705 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$195 |
$300 |
1.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,664.98 |
$2,561.50 |
0.6× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$1,951.62 |
$3,002.50 |
0.3× |
| Intro Gastrointestinal Tube (44500) |
$295.10 |
$454 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$230.75 |
$355 |
1.1× |
| Irrigate corpora cavernosa for priapism (54220) |
$234 |
$360 |
1.0× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$221.65 |
$341 |
1.2× |
| Ligation of hemorrhoid(s) (46221) |
$487.50 |
$750 |
0.6× |
| Liver Biopsy (47000) |
$683.15 |
$1,051 |
0.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$144.62 |
$222.50 |
0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$542.75 |
$835 |
1.3× |
| Pericardiocentesis W/Imaging (33016) |
$407.88 |
$627.50 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$282.75 |
$435 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$321.75 |
$495 |
0.8× |
| Puncture Aspiration (10160) |
$208 |
$320 |
0.6× |
| Removal fb intranasal (30300) |
$197.60 |
$304 |
1.6× |
| Removal foreign body foot deep (28192) |
$794.95 |
$1,223 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$601.25 |
$925 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$559.65 |
$861 |
0.4× |
| Removal foreign body pharynx (42809) |
$229.12 |
$352.50 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$120.25 |
$185 |
2.2× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$817.38 |
$1,257.50 |
0.3× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$1,023.75 |
$1,575 |
0.6× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$1,023.75 |
$1,575 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$149.82 |
$230.50 |
0.6× |
| Remove foreign body from eye (65210) |
$149.50 |
$230 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$139.75 |
$215 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$152.75 |
$235 |
1.3× |
| Renal biopsy (50200) |
$572 |
$880 |
0.4× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,264.90 |
$1,946 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$418.60 |
$644 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$521.30 |
$802 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$413.40 |
$636 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$458.25 |
$705 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$397.15 |
$611 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$414.38 |
$637.50 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$350.68 |
$539.50 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$418.92 |
$644.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$459.22 |
$706.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$299 |
$460 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$331.50 |
$510 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$603.85 |
$929 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$380.90 |
$586 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$401.05 |
$617 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$632.45 |
$973 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$431.60 |
$664 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$299 |
$460 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$325.65 |
$501 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$448.50 |
$690 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$769.92 |
$1,184.50 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$406.25 |
$625 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$277.55 |
$427 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$319.15 |
$491 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$451.75 |
$695 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$351 |
$540 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$692.25 |
$1,065 |
0.4× |
| Repair of rectum (45505) |
$379.60 |
$584 |
0.2× |
| Repair Tongue Laceration (41250) |
$311.35 |
$479 |
0.8× |
| Replace g/c tube perc (49450) |
$638.95 |
$983 |
0.8× |
| Reposition gastrostomy tube (43761) |
$718.90 |
$1,106 |
3.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$203.45 |
$313 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$147.88 |
$227.50 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$151.12 |
$232.50 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,093.62 |
$1,682.50 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$455.32 |
$700.50 |
0.7× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$1,023.75 |
$1,575 |
0.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$674.70 |
$1,038 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$744.25 |
$1,145 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$167.70 |
$258 |
0.9× |
| Sigmoidoscopy & decompress (45337) |
$718.90 |
$1,106 |
0.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$744.25 |
$1,145 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$601.25 |
$925 |
0.7× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$510.25 |
$785 |
0.6× |
| Sigmoidoscopy w/fb removal (45332) |
$669.50 |
$1,030 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$227.82 |
$350.50 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$185.25 |
$285 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$158.60 |
$244 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$273 |
$420 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$171.92 |
$264.50 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$187.52 |
$288.50 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$185.25 |
$285 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$237.20 |
$364.92 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$185.25 |
$285 |
1.0× |
| Slitting of prepuce (54001) |
$223.92 |
$344.50 |
0.1× |
| Small Bowel Endoscopy (44373) |
$1,023.75 |
$1,575 |
0.6× |
| Small bowel endoscopy (44364) |
$1,023.75 |
$1,575 |
0.6× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,023.75 |
$1,575 |
0.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,023.75 |
$1,575 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$157.30 |
$242 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$206.38 |
$317.50 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$223.92 |
$344.50 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$286 |
$440 |
0.4× |
| Strapping shoulder (29240) |
$68.25 |
$105 |
0.6× |
| Strapping unna boot (29580) |
$175.50 |
$270 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$572 |
$880 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$244.40 |
$376 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$362.05 |
$557 |
1.2× |
| Thyroid biopsy (60100) |
$295.10 |
$454 |
0.5× |
| Trach Tube Change (31502) |
$102.05 |
$157 |
0.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$519.02 |
$798.50 |
2.4× |
| Treat pleurodesis w/agent (32560) |
$572 |
$880 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$189.80 |
$292 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$425.42 |
$654.50 |
1.9× |
| Trim skin lesion (11055) |
$234 |
$360 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$329.22 |
$506.50 |
0.5× |
| Unlisted procedure colon (45399) |
$866.45 |
$1,333 |
1.0× |
| Unlisted Procedure Small Intestine (44799) |
$889.52 |
$1,368.50 |
1.1× |
| Vaginal delivery only (59409) |
$2,486.25 |
$3,825 |
0.8× |
| Venipuncture (36415) |
$8.78 |
$13.50 |
0.9× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$104 |
$160 |
0.9× |
| Ventricular puncture previous burr hole w/inj (61026) |
$357.50 |
$550 |
0.6× |