| Abd paracentesis w/imaging (49083) |
$540.48 |
$563 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$731.52 |
$762 |
0.8× |
| Acne Surgery (10040) |
$124.80 |
$130 |
0.6× |
| Amputation Finger/Thumb (26951) |
$1,773.12 |
$1,847 |
0.5× |
| Amputation of finger/thumb (26952) |
$1,773.12 |
$1,847 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$2,256 |
$2,350 |
0.7× |
| Anoscopy diagnostic (46600) |
$252.48 |
$263 |
1.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$509.76 |
$531 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$24 |
$25 |
0.1× |
| Application cast elbow finger short arm (29075) |
$173.76 |
$181 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$124.80 |
$130 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$191.04 |
$199 |
0.7× |
| Application finger splint static (29130) |
$93.12 |
$97 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$124.80 |
$130 |
0.7× |
| Application long leg splint thigh ankle/toes (29505) |
$124.80 |
$130 |
0.7× |
| Application of cylinder cast (thigh to ankle) (29365) |
$253.44 |
$264 |
0.9× |
| Application of long leg cast (29345) |
$138.72 |
$144.50 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$120.96 |
$126 |
0.9× |
| Application short leg splint calf foot (29515) |
$124.80 |
$130 |
0.7× |
| Apply short leg cast (29405) |
$163.20 |
$170 |
0.6× |
| Apply short leg cast (29425) |
$253.44 |
$264 |
0.9× |
| Arterial puncture (36600) |
$84.58 |
$88.10 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$132.48 |
$138 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$146.88 |
$153 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$96 |
$100 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$72.48 |
$75.50 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$123.84 |
$129 |
0.6× |
| Biopsy bone open superficial (20240) |
$24 |
$25 |
0.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$119.04 |
$124 |
0.1× |
| Biopsy of nail unit (11755) |
$161.28 |
$168 |
0.2× |
| Biopsy of penis (54100) |
$237.60 |
$247.50 |
0.1× |
| Biopsy of uterus lining (58100) |
$108.48 |
$113 |
0.5× |
| Bladder Scan (51798) |
$203.52 |
$212 |
3.3× |
| Blood transfusion service (36430) |
$965.76 |
$1,006 |
2.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,872.64 |
$4,034 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$1,756.80 |
$1,830 |
1.0× |
| Bx vulva/perineum 1 lesion (56605) |
$1,442.88 |
$1,503 |
1.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$101.76 |
$106 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$254.40 |
$265 |
1.0× |
| Chemical Cautery Tissue (17250) |
$168.96 |
$176 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$139.68 |
$145.50 |
0.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$79.20 |
$82.50 |
0.2× |
| Chest tube placement (32551) |
$364.80 |
$380 |
0.2× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$193.92 |
$202 |
0.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$193.92 |
$202 |
0.8× |
| Closed Rx Med Malleolus Fx (27760) |
$193.92 |
$202 |
0.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$193.92 |
$202 |
0.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$503.04 |
$524 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$193.92 |
$202 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$193.92 |
$202 |
0.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$193.92 |
$202 |
0.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$917.76 |
$956 |
0.3× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$193.92 |
$202 |
0.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$193.92 |
$202 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$193.92 |
$202 |
0.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$591.36 |
$616 |
2.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$193.92 |
$202 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$193.92 |
$202 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$193.92 |
$202 |
0.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$193.92 |
$202 |
0.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$193.92 |
$202 |
0.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$193.92 |
$202 |
0.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$193.92 |
$202 |
0.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,423.68 |
$1,483 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$193.92 |
$202 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$193.92 |
$202 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$236.16 |
$246 |
0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,625.28 |
$1,693 |
6.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$193.92 |
$202 |
0.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$193.92 |
$202 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$193.92 |
$202 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$193.92 |
$202 |
0.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$193.92 |
$202 |
0.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$193.92 |
$202 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$236.16 |
$246 |
0.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$193.92 |
$202 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$193.92 |
$202 |
0.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$193.92 |
$202 |
0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$193.92 |
$202 |
0.8× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$213.12 |
$222 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$193.92 |
$202 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,625.28 |
$1,693 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$193.92 |
$202 |
0.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$193.92 |
$202 |
0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$193.92 |
$202 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$193.92 |
$202 |
0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$193.92 |
$202 |
0.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$193.92 |
$202 |
0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$193.92 |
$202 |
0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$193.92 |
$202 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$193.92 |
$202 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$193.92 |
$202 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$193.92 |
$202 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$503.04 |
$524 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$193.92 |
$202 |
0.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$193.92 |
$202 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$193.92 |
$202 |
0.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$193.92 |
$202 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$193.92 |
$202 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$193.92 |
$202 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$193.92 |
$202 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$193.92 |
$202 |
0.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$193.92 |
$202 |
0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$2,424.96 |
$2,526 |
8.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$457.92 |
$477 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$193.92 |
$202 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$193.92 |
$202 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$193.92 |
$202 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$740.16 |
$771 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$193.92 |
$202 |
0.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$657.60 |
$685 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$108.96 |
$113.50 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$193.92 |
$202 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$193.92 |
$202 |
0.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$193.92 |
$202 |
0.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$193.92 |
$202 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$193.92 |
$202 |
0.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$193.92 |
$202 |
0.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$193.92 |
$202 |
0.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,562.88 |
$1,628 |
0.9× |
| Colonoscopy flex w/rem forcep (45384) |
$1,949.76 |
$2,031 |
1.6× |
| Colonoscopy stoma w/biopsy (44389) |
$1,949.76 |
$2,031 |
1.6× |
| Colonoscopy thru stoma (44388) |
$1,949.76 |
$2,031 |
2.0× |
| Complex Drainage, Wound (10180) |
$1,824 |
$1,900 |
0.6× |
| Complex Uroflowmetry (51741) |
$33.12 |
$34.50 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$81.12 |
$84.50 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$138.24 |
$144 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$138.24 |
$144 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$138.24 |
$144 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$108 |
$112.50 |
0.0× |
| Cystometrogram w/vp (51728) |
$28.80 |
$30 |
0.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$24 |
$25 |
0.0× |
| Cystourethroscopy (52000) |
$601.92 |
$627 |
0.8× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$24 |
$25 |
0.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$121.92 |
$127 |
0.3× |
| Debride nail 1-5 (11720) |
$44.16 |
$46 |
0.7× |
| Debride nail 6 or more (11721) |
$24 |
$25 |
0.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$24 |
$25 |
0.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$233.28 |
$243 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$24 |
$25 |
0.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$755.52 |
$787 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$24 |
$25 |
0.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$159.84 |
$166.50 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$24 |
$25 |
0.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$124.32 |
$129.50 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$197.76 |
$206 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$239.52 |
$249.50 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$573.12 |
$597 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$206.40 |
$215 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$220.32 |
$229.50 |
1.1× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$168 |
$175 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$210.24 |
$219 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$221.28 |
$230.50 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$66.24 |
$69 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$533.76 |
$556 |
0.6× |
| Dilate Urethra Stricture (53600) |
$24 |
$25 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$473.28 |
$493 |
0.5× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$24 |
$25 |
0.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$24 |
$25 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$287.04 |
$299 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$109.44 |
$114 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$198.72 |
$207 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$24 |
$25 |
0.1× |
| Drainage of eyelid abscess (67700) |
$295.68 |
$308 |
0.9× |
| Drainage of gum lesion (41800) |
$236.16 |
$246 |
1.7× |
| Drainage of hematoma/fluid (10140) |
$817.92 |
$852 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$184.32 |
$192 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$123.84 |
$129 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$123.84 |
$129 |
0.6× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$673.92 |
$702 |
0.2× |
| Egd flexible foreign body removal (43247) |
$1,754.88 |
$1,828 |
1.9× |
| Egd place gastrostomy tube (43246) |
$2,049.60 |
$2,135 |
1.0× |
| Egd rem tumr/polyp forcep (43250) |
$1,754.88 |
$1,828 |
0.9× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$120.96 |
$126 |
0.0× |
| Evacuation of subungual hematoma (11740) |
$87.36 |
$91 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$223.68 |
$233 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$499.20 |
$520 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$192.96 |
$201 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$483.84 |
$504 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$974.40 |
$1,015 |
0.6× |
| Exc forearm les sc < 3 cm (25075) |
$1,039.68 |
$1,083 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$182.40 |
$190 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$171.84 |
$179 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$190.08 |
$198 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$216.48 |
$225.50 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$518.40 |
$540 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$728.64 |
$759 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$639.36 |
$666 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,409.28 |
$1,468 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,302.24 |
$1,356.50 |
1.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$144.96 |
$151 |
0.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$24 |
$25 |
0.0× |
| Excise/repair mouth lesion (40812) |
$592.32 |
$617 |
0.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$212.16 |
$221 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$499.20 |
$520 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$298.56 |
$311 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$651.84 |
$679 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$660.48 |
$688 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$244.80 |
$255 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$518.40 |
$540 |
0.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$578.88 |
$603 |
0.8× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$489.60 |
$510 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$24 |
$25 |
0.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$799.68 |
$833 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$811.20 |
$845 |
0.5× |
| Excision of bartholin's gland or cyst (56740) |
$506.88 |
$528 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$192.96 |
$201 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$212.64 |
$221.50 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$197.76 |
$206 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$158.40 |
$165 |
0.1× |
| Excision of nail fold toe (11765) |
$176.16 |
$183.50 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$24 |
$25 |
0.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,218.56 |
$2,311 |
0.7× |
| Excision of tongue lesion (41112) |
$991.68 |
$1,033 |
0.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$913.92 |
$952 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$993.60 |
$1,035 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$541.44 |
$564 |
0.3× |
| Fetal Contraction Stress Test (59020) |
$383.04 |
$399 |
1.8× |
| Fetal non-stress test (59025) |
$383.04 |
$399 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$898.56 |
$936 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$143.04 |
$149 |
0.3× |
| Fluid pressure muscle (20950) |
$173.76 |
$181 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$164.16 |
$171 |
0.7× |
| Hemorrhoidectomy (46255) |
$24 |
$25 |
0.0× |
| I&d abscess simple (10060) |
$171.84 |
$179 |
0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,789.44 |
$1,864 |
0.6× |
| I&d perianal abscess superficial (46050) |
$211.20 |
$220 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$171.84 |
$179 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$142.08 |
$148 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,307.52 |
$1,362 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$816.96 |
$851 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$171.84 |
$179 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$270.72 |
$282 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$232.32 |
$242 |
0.7× |
| Incision of eardrum (69420) |
$236.16 |
$246 |
1.0× |
| Incision of lingual frenum (41010) |
$251.04 |
$261.50 |
0.2× |
| Incision of rectal abscess (46040) |
$2,045.76 |
$2,131 |
1.6× |
| Incision thrombosed hemorrhoid external (46083) |
$357.12 |
$372 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$1,680 |
$1,750 |
2.2× |
| Initial tx 1st degree burn local tx (16000) |
$96 |
$100 |
0.5× |
| Inj dupuytren cord w/enzyme (20527) |
$74.88 |
$78 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$140.16 |
$146 |
0.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$24 |
$25 |
0.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$612.48 |
$638 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$72 |
$75 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$192 |
$200 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$177.60 |
$185 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$150.72 |
$157 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$173.76 |
$181 |
0.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$140.64 |
$146.50 |
0.4× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$112.32 |
$117 |
0.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$73.44 |
$76.50 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$229.44 |
$239 |
1.7× |
| Insert Drug Implant Device (11981) |
$147.36 |
$153.50 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$1,042.56 |
$1,086 |
0.3× |
| Insert picc cath (36569) |
$935.04 |
$974 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$209.28 |
$218 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$177.60 |
$185 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$364.80 |
$380 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$229.44 |
$239 |
0.9× |
| Laryngoscopy Flexible Diagnostic (31575) |
$24 |
$25 |
0.1× |
| Ligation of hemorrhoid(s) (46221) |
$1,448.64 |
$1,509 |
1.5× |
| Liver Biopsy (47000) |
$580.80 |
$605 |
0.3× |
| Lysis of labial adhesions (56441) |
$92.64 |
$96.50 |
0.0× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$24 |
$25 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$149.76 |
$156 |
0.3× |
| Neuroeltrd stim post tibial (64566) |
$171.84 |
$179 |
0.5× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,289.28 |
$4,468 |
1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,289.28 |
$4,468 |
1.3× |
| Open tx nose fx uncomplicatd (21325) |
$2,638.08 |
$2,748 |
0.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,773.12 |
$1,847 |
1.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$24 |
$25 |
0.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$145.44 |
$151.50 |
0.0× |
| Perq dev breast 1st strtctc (19283) |
$713.28 |
$743 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$151.20 |
$157.50 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$237.12 |
$247 |
0.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$1,458.24 |
$1,519 |
0.4× |
| Proctosigmoidoscopy w/bx (45305) |
$901.44 |
$939 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$533.76 |
$556 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$24 |
$25 |
0.1× |
| Puncture Aspiration (10160) |
$125.76 |
$131 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$1,148.16 |
$1,196 |
1.6× |
| Reattachment of part of cutoff finger (20822) |
$2,844.48 |
$2,963 |
1.7× |
| Removal fb intranasal (30300) |
$70.08 |
$73 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$470.40 |
$490 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$471.36 |
$491 |
0.3× |
| Removal foreign body pharynx (42809) |
$525.12 |
$547 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$44.16 |
$46 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$70.08 |
$73 |
1.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$24 |
$25 |
0.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$143.04 |
$149 |
0.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$24 |
$25 |
0.0× |
| Removal of infusion pump (36262) |
$1,038.72 |
$1,082 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$217.92 |
$227 |
0.7× |
| Removal of nail bed (11750) |
$450.24 |
$469 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$108.96 |
$113.50 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$66.72 |
$69.50 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$124.80 |
$130 |
0.4× |
| Remove drug implant device (11982) |
$167.04 |
$174 |
0.4× |
| Remove stent via transureth (50386) |
$216 |
$225 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$70.08 |
$73 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$141.12 |
$147 |
1.0× |
| Remv/revisn shldr/hip spica cast (29710) |
$253.44 |
$264 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$572.16 |
$596 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$604.80 |
$630 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$572.16 |
$596 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$572.16 |
$596 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$572.16 |
$596 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$572.16 |
$596 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$604.80 |
$630 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$693.60 |
$722.50 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,773.12 |
$1,847 |
1.1× |
| Repair forearm tendon/muscle (25260) |
$2,708.16 |
$2,821 |
0.8× |
| Repair hand tendon (26410) |
$1,454.40 |
$1,515 |
0.9× |
| Repair incomplete circumcision (54163) |
$1,075.20 |
$1,120 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$381.12 |
$397 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$202.56 |
$211 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$381.12 |
$397 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$381.12 |
$397 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$381.12 |
$397 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$381.12 |
$397 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$381.12 |
$397 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$381.12 |
$397 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$381.12 |
$397 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$381.12 |
$397 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$381.12 |
$397 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$381.12 |
$397 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$381.12 |
$397 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$381.12 |
$397 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$381.12 |
$397 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$604.80 |
$630 |
0.3× |
Repair kneecap tendon (27380)
unusually low: confirm this is the full procedure |
$3,135.36 |
$3,266 |
0.4× |
| Repair Of Foot Tendon (28208) |
$2,256 |
$2,350 |
0.7× |
| Repair of nail bed (11760) |
$482.88 |
$503 |
0.6× |
| Repair shoulder capsule (23450) |
$4,929.60 |
$5,135 |
0.7× |
| Repair Tongue Laceration (41250) |
$226.56 |
$236 |
0.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$2,256 |
$2,350 |
0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$70.08 |
$73 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$141.12 |
$147 |
0.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,218.56 |
$2,311 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$190.56 |
$198.50 |
0.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$226.08 |
$235.50 |
0.5× |
| Rplc gtube revj gstrst trc (43763) |
$24 |
$25 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$127.20 |
$132.50 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$123.84 |
$129 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$143.52 |
$149.50 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$177.12 |
$184.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$180.96 |
$188.50 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$117.12 |
$122 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$131.52 |
$137 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$203.52 |
$212 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$142.56 |
$148.50 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$194.40 |
$202.50 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$160.32 |
$167 |
0.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,447.68 |
$1,508 |
1.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,793.28 |
$1,868 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$287.04 |
$299 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$287.04 |
$299 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$287.04 |
$299 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$287.04 |
$299 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$287.04 |
$299 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$287.04 |
$299 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$287.04 |
$299 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$287.04 |
$299 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$124.80 |
$130 |
0.2× |
| Skin sub graft trnk/arm/leg (15271) |
$114.24 |
$119 |
0.1× |
| Skin Tissue Procedure (17999) |
$482.88 |
$503 |
2.3× |
| Slitting of prepuce (54001) |
$514.56 |
$536 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$287.04 |
$299 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$287.04 |
$299 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$287.04 |
$299 |
0.7× |
| Strapping ankle (29540) |
$124.80 |
$130 |
0.7× |
| Strapping elbow/wrist (29260) |
$124.80 |
$130 |
2.0× |
| Strapping hand/finger (29280) |
$124.80 |
$130 |
2.0× |
| Strapping knee (29530) |
$124.80 |
$130 |
0.9× |
| Strapping shoulder (29240) |
$124.80 |
$130 |
0.9× |
| Strapping thorax (29200) |
$226.56 |
$236 |
1.3× |
| Strapping toes (29550) |
$74.40 |
$77.50 |
1.2× |
| Strapping unna boot (29580) |
$109.44 |
$114 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$115.68 |
$120.50 |
0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$24 |
$25 |
0.0× |
| Therapeutic pneumothorax (32960) |
$364.80 |
$380 |
0.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$24 |
$25 |
0.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$887.04 |
$924 |
1.4× |
| Treat Fracture Radius & Ulna (25560) |
$193.92 |
$202 |
0.8× |
| Treat humerus fracture (24500) |
$193.92 |
$202 |
0.8× |
| Treat humerus fracture (23600) |
$193.92 |
$202 |
0.8× |
| Treat knee fracture (27532) |
$193.92 |
$202 |
0.1× |
| Treat Metatarsal Fracture (28475) |
$193.92 |
$202 |
0.8× |
| Treat Vaginal Bleeding (57180) |
$270.72 |
$282 |
1.3× |
| Treat wrist bone fracture (25635) |
$193.92 |
$202 |
0.1× |
| Treat wrist bone fracture (25622) |
$193.92 |
$202 |
0.8× |
| Treat Wrist Bone Fracture (25630) |
$193.92 |
$202 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,625.28 |
$1,693 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$193.92 |
$202 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$193.92 |
$202 |
0.8× |
| Trim skin lesion (11055) |
$96 |
$100 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$70.56 |
$73.50 |
0.3× |
| Trim skin lesions over 4 (11057) |
$24 |
$25 |
0.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$24 |
$25 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$472.32 |
$492 |
0.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$193.92 |
$202 |
0.1× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$236.16 |
$246 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$24 |
$25 |
0.1× |
| Vasectomy (55250) |
$1,075.20 |
$1,120 |
0.5× |
| Venipuncture (36415) |
$23.42 |
$24.40 |
2.5× |
| Vulvectomy simple partial (56620) |
$552 |
$575 |
0.2× |