| Abd paracentesis w/imaging (49083) |
$1,445.64 |
$1,445.64 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,399.96 |
$1,399.96 |
1.5× |
| Application cast elbow finger short arm (29075) |
$473.55 |
$473.55 |
1.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$193.89 |
$193.89 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$481.70 |
$481.70 |
1.7× |
| Application finger splint static (29130) |
$83.37 |
$83.37 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$300.20 |
$300.20 |
1.8× |
| Application long leg splint thigh ankle/toes (29505) |
$150.27 |
$150.27 |
0.9× |
| Application of long leg cast (29345) |
$525.78 |
$525.78 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$241.56 |
$241.56 |
1.8× |
| Application short leg splint calf foot (29515) |
$143.07 |
$143.07 |
0.9× |
| Apply short leg cast (29405) |
$468.06 |
$468.06 |
1.7× |
| Apply short leg cast (29425) |
$470 |
$470 |
1.7× |
| Arterial puncture (36600) |
$365.13 |
$365.13 |
2.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$846.60 |
$846.60 |
2.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,062.93 |
$1,062.93 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$493.30 |
$493.30 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$508.30 |
$508.30 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$846.60 |
$846.60 |
2.7× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$4,593.99 |
$4,593.99 |
2.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$363.62 |
$363.62 |
1.8× |
| Bladder Irrigation Simple (51700) |
$706.44 |
$706.44 |
2.8× |
| Bladder Scan (51798) |
$174.84 |
$174.84 |
3.0× |
| Blood transfusion service (36430) |
$1,240.83 |
$1,240.83 |
2.8× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$609.66 |
$609.66 |
2.8× |
| Change Cystostomy Tube Simple (51705) |
$706.44 |
$706.44 |
2.8× |
| Chest tube placement (32551) |
$441.93 |
$441.93 |
0.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$674.07 |
$674.07 |
2.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$856.71 |
$856.71 |
3.5× |
| Closed Rx Med Malleolus Fx (27760) |
$791.91 |
$791.91 |
3.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,945.19 |
$2,945.19 |
1.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,962.14 |
$2,962.14 |
1.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$4,500 |
$4,500 |
2.8× |
| Closed Rx Radial Shaft Fx (25500) |
$720.21 |
$720.21 |
2.9× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$685.53 |
$685.53 |
2.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$814.56 |
$814.56 |
3.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$674.07 |
$674.07 |
2.7× |
| Closed Rx Trimalleolar Fx (27816) |
$870.90 |
$870.90 |
3.5× |
| Closed treatment nasal fracture w/stabilization (21320) |
$2,636.46 |
$2,636.46 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,010.02 |
$1,010.02 |
4.1× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$2,954.54 |
$2,954.54 |
1.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$764.43 |
$764.43 |
3.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$906.38 |
$906.38 |
3.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,926.70 |
$2,926.70 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$789.10 |
$789.10 |
3.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,037.52 |
$1,037.52 |
4.2× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,219.10 |
$3,219.10 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$674.07 |
$674.07 |
2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$674.07 |
$674.07 |
2.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,053.39 |
$1,053.39 |
4.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,008.39 |
$1,008.39 |
4.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
$782.14 |
$782.14 |
3.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,896.58 |
$2,896.58 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$702.28 |
$702.28 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,929.24 |
$2,929.24 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$674.07 |
$674.07 |
2.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,911.72 |
$2,911.72 |
1.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$733.90 |
$733.90 |
3.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$697.94 |
$697.94 |
2.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$688.02 |
$688.02 |
2.8× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$988.08 |
$988.08 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$676.02 |
$676.02 |
2.7× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$674.07 |
$674.07 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,647 |
$2,647 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$697.54 |
$697.54 |
2.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$4,593.99 |
$4,593.99 |
2.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$900.99 |
$900.99 |
3.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$674.07 |
$674.07 |
2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$903.74 |
$903.74 |
3.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$761.25 |
$761.25 |
3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$743.19 |
$743.19 |
3.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$620.20 |
$620.20 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$816.75 |
$816.75 |
3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,047.48 |
$3,047.48 |
1.9× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,285.94 |
$3,285.94 |
2.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,064.66 |
$1,064.66 |
4.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,035.76 |
$1,035.76 |
4.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,180.01 |
$2,180.01 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$555.92 |
$555.92 |
2.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$519.74 |
$519.74 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$587.50 |
$587.50 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$361 |
$361 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,016.60 |
$3,016.60 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$787.05 |
$787.05 |
3.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$596.18 |
$596.18 |
2.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$567.27 |
$567.27 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$514.54 |
$514.54 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$728.13 |
$728.13 |
2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$879.99 |
$879.99 |
3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$762.45 |
$762.45 |
3.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,881.56 |
$2,881.56 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$929.61 |
$929.61 |
3.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,486.44 |
$2,486.44 |
1.5× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$674.07 |
$674.07 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$788.40 |
$788.40 |
3.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$618.69 |
$618.69 |
2.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$3,142.88 |
$3,142.88 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$949.35 |
$949.35 |
3.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,890.94 |
$2,890.94 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$758.42 |
$758.42 |
3.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,925.56 |
$2,925.56 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$452.68 |
$452.68 |
1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,136.04 |
$3,136.04 |
1.9× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,452.68 |
$3,452.68 |
2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,061.58 |
$1,061.58 |
4.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,014.10 |
$3,014.10 |
1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,944.36 |
$2,944.36 |
1.8× |
| Complex Drainage, Wound (10180) |
$512.22 |
$512.22 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$293.06 |
$293.06 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$259.06 |
$259.06 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$345.06 |
$345.06 |
2.6× |
| Curette/treat cornea (65435) |
$2,893.92 |
$2,893.92 |
2.9× |
| Debride nail 1-5 (11720) |
$190 |
$190 |
3.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$629.88 |
$629.88 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,117.26 |
$1,117.26 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,639.74 |
$2,639.74 |
1.6× |
| Delivery placenta separate procedure (59414) |
$3,000 |
$3,000 |
0.9× |
| Drain/inj small joint/bursa w/us (20604) |
$488.78 |
$488.78 |
1.6× |
| Drainage Finger Abscess Complicated (26011) |
$534.30 |
$534.30 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$407.46 |
$407.46 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$339.72 |
$339.72 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$483.48 |
$483.48 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$758.61 |
$758.61 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$445.70 |
$445.70 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$365.96 |
$365.96 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$223.56 |
$223.56 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$450.84 |
$450.84 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$519.84 |
$519.84 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$306.33 |
$306.33 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$313.17 |
$313.17 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$302.88 |
$302.88 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$331.59 |
$331.59 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$429.24 |
$429.24 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$713.61 |
$713.61 |
0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$830.76 |
$830.76 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,850.01 |
$1,850.01 |
1.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$241.44 |
$241.44 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$424.02 |
$424.02 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$460.35 |
$460.35 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$550.50 |
$550.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$606.15 |
$606.15 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$362.49 |
$362.49 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$444.03 |
$444.03 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$483.36 |
$483.36 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$382.14 |
$382.14 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$421.47 |
$421.47 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$389.46 |
$389.46 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$235.68 |
$235.68 |
0.1× |
| Excision of nail fold toe (11765) |
$266.40 |
$266.40 |
0.7× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$988.53 |
$988.53 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$897.18 |
$897.18 |
4.1× |
| I&d abscess simple (10060) |
$406.12 |
$406.12 |
2.0× |
| I&d perianal abscess superficial (46050) |
$1,451.92 |
$1,451.92 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$2,011.08 |
$2,011.08 |
2.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$707.38 |
$707.38 |
1.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,580.52 |
$2,580.52 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$698.88 |
$698.88 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$444.04 |
$444.04 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$365.16 |
$365.16 |
1.2× |
| Incision of rectal abscess (46040) |
$2,299.17 |
$2,299.17 |
1.9× |
| Incision thrombosed hemorrhoid external (46083) |
$316.68 |
$316.68 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$351.58 |
$351.58 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,453.23 |
$1,453.23 |
1.6× |
| Inject Nerv Blck,Pudendal (64430) |
$2,605.35 |
$2,605.35 |
2.9× |
| Inject Tendon Origin/Insert (20551) |
$478.65 |
$478.65 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$846.60 |
$846.60 |
2.7× |
| Injection anes other peripheral nerve/branch (64450) |
$1,065.85 |
$1,065.85 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$504.80 |
$504.80 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$483.30 |
$483.30 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$4,670.18 |
$4,670.18 |
1.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$4,670.24 |
$4,670.24 |
1.5× |
| Insert picc cath (36569) |
$300 |
$300 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$110 |
$110 |
0.8× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$916.23 |
$916.23 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$365.13 |
$365.13 |
2.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$9,111.03 |
$9,111.03 |
2.9× |
| Intro Gastrointestinal Tube (44500) |
$2,591.07 |
$2,591.07 |
2.8× |
| Intubation endotracheal emergency procedure (31500) |
$517.60 |
$517.60 |
2.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$1,138.89 |
$1,138.89 |
2.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,432.02 |
$1,432.02 |
1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,467.45 |
$1,467.45 |
0.4× |
| Peritoneal Lavage (49084) |
$1,447.83 |
$1,447.83 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$654.72 |
$654.72 |
1.5× |
| Puncture Aspiration (10160) |
$708.24 |
$708.24 |
1.7× |
| Removal fb intranasal (30300) |
$342.06 |
$342.06 |
2.6× |
| Removal Foreign Body Foot Complicated (28193) |
$2,845.20 |
$2,845.20 |
1.7× |
| Removal foreign body foot deep (28192) |
$2,765.16 |
$2,765.16 |
1.7× |
| Removal foreign body foot subcutaneous (28190) |
$1,175.04 |
$1,175.04 |
1.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$424.89 |
$424.89 |
0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$5,515.83 |
$5,515.83 |
1.7× |
| Removal foreign body pharynx (42809) |
$366.18 |
$366.18 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$4,642.71 |
$4,642.71 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$93 |
$93 |
1.6× |
| Removal of arm foreign body (24200) |
$2,521.42 |
$2,521.42 |
1.5× |
| Removal of intrauterine device (iud) (58301) |
$190.44 |
$190.44 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$218.76 |
$218.76 |
1.1× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$4,749.12 |
$4,749.12 |
1.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$431.25 |
$431.25 |
1.5× |
| Remove foreign body from eye (65210) |
$1,138.89 |
$1,138.89 |
2.5× |
| Remove shoulder foreign body (23330) |
$2,559.22 |
$2,559.22 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$256.56 |
$256.56 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$240.56 |
$240.56 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,293.34 |
$1,293.34 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,374.88 |
$1,374.88 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$794.88 |
$794.88 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,795.20 |
$1,795.20 |
4.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,226.84 |
$1,226.84 |
3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,234.10 |
$1,234.10 |
3.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,183.06 |
$1,183.06 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,248.44 |
$1,248.44 |
1.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,192.34 |
$3,192.34 |
2.0× |
| Repair hand tendon (26410) |
$1,724.49 |
$1,724.49 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,001.66 |
$1,001.66 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$810.38 |
$810.38 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$854.54 |
$854.54 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,118.37 |
$1,118.37 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$877.14 |
$877.14 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$884.92 |
$884.92 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,198.08 |
$1,198.08 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,288.89 |
$1,288.89 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$765.88 |
$765.88 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,139.76 |
$1,139.76 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,203.96 |
$1,203.96 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$3,111.90 |
$3,111.90 |
1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$915.04 |
$915.04 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$785.86 |
$785.86 |
1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$813.88 |
$813.88 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,301.68 |
$1,301.68 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$866.38 |
$866.38 |
2.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,075.94 |
$3,075.94 |
1.5× |
| Repair of nail bed (11760) |
$1,054.60 |
$1,054.60 |
1.4× |
| Repair Spica/Body/Jacket Cast (29720) |
$450.39 |
$450.39 |
2.8× |
| Repair Tongue Laceration (41250) |
$789.90 |
$789.90 |
1.8× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,069.44 |
$1,069.44 |
2.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,458.63 |
$1,458.63 |
1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$694.44 |
$694.44 |
1.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$709.98 |
$709.98 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$4,305.03 |
$4,305.03 |
1.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,795.65 |
$1,795.65 |
2.8× |
| Rplc gtube revj gstrst trc (43763) |
$706.44 |
$706.44 |
2.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,353.27 |
$1,353.27 |
1.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$612.24 |
$612.24 |
2.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$648.93 |
$648.93 |
2.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$753.68 |
$753.68 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$376.62 |
$376.62 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$385.12 |
$385.12 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$791.61 |
$791.61 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$216.09 |
$216.09 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$421.68 |
$421.68 |
2.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$499.53 |
$499.53 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$572.25 |
$572.25 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$493.23 |
$493.23 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$211.68 |
$211.68 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$572.25 |
$572.25 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$706.34 |
$706.34 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,139.76 |
$1,139.76 |
2.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,175.85 |
$1,175.85 |
1.7× |
| Spinal Puncture Therapeutic (62272) |
$1,976.70 |
$1,976.70 |
2.8× |
| Strapping ankle (29540) |
$257.70 |
$257.70 |
1.6× |
| Strapping elbow/wrist (29260) |
$221 |
$221 |
3.7× |
| Strapping hand/finger (29280) |
$132.42 |
$132.42 |
2.2× |
| Strapping knee (29530) |
$365.13 |
$365.13 |
2.7× |
| Strapping shoulder (29240) |
$365.13 |
$365.13 |
2.7× |
| Strapping thorax (29200) |
$450.39 |
$450.39 |
2.8× |
| Strapping toes (29550) |
$135.50 |
$135.50 |
2.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$309.09 |
$309.09 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,795.65 |
$1,795.65 |
2.8× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$942.30 |
$942.30 |
4.0× |
| Treat Fracture Radius & Ulna (25560) |
$722.04 |
$722.04 |
2.9× |
| Treat humerus fracture (24500) |
$832.30 |
$832.30 |
3.4× |
| Treat humerus fracture (23600) |
$935.52 |
$935.52 |
3.8× |
| Treat Metatarsal Fracture (28475) |
$562.04 |
$562.04 |
2.3× |
| Treat wrist bone fracture (25622) |
$842.55 |
$842.55 |
3.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,397.52 |
$1,397.52 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$843.14 |
$843.14 |
3.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$562.08 |
$562.08 |
2.3× |
| Unlisted procedure neck or thorax (21899) |
$698.19 |
$698.19 |
2.9× |
| Vaginal delivery only (59409) |
$5,718.16 |
$5,718.16 |
1.8× |
| Venipuncture (36415) |
$26 |
$26 |
2.8× |