| Abd paracentesis w/imaging (49083) |
$645.59 |
$2,391.09 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$172.74 |
$639.79 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,884.60 |
$6,980 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$790.69 |
$2,928.48 |
0.2× |
| Amputate Metacarpal Bone (26910) |
$1,026 |
$3,800 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$1,530.90 |
$5,670 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,088.10 |
$4,030 |
0.3× |
| Anal/Urinary Muscle Study (51784) |
$78.84 |
$292 |
0.5× |
| Anoscopy diagnostic (46600) |
$81 |
$300 |
0.5× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$9.72 |
$36 |
0.0× |
| Application cast elbow finger short arm (29075) |
$32.35 |
$119.80 |
0.1× |
| Application Finger Splint Dynamic (29131) |
$63.66 |
$235.79 |
0.9× |
| Application finger splint static (29130) |
$218 |
$807.41 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$137.22 |
$508.24 |
0.7× |
| Application Long Leg Splint (29505) |
$112.73 |
$417.53 |
0.6× |
| Application of long leg cast (29345) |
$305.61 |
$1,131.88 |
0.9× |
| Application of rigid total contact leg cast (29445) |
$407.48 |
$1,509.17 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$63.66 |
$235.79 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$84.82 |
$314.15 |
0.5× |
| Application short leg splint calf foot (29515) |
$57.34 |
$212.37 |
0.3× |
| Apply hand/wrist cast (29085) |
$122.24 |
$452.75 |
0.6× |
| Apply long arm cast (29065) |
$122.24 |
$452.75 |
0.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$86.56 |
$320.61 |
0.4× |
| Apply Short Leg Cast (29405) |
$33.57 |
$124.35 |
0.1× |
| Apply short leg cast (29425) |
$122.24 |
$452.75 |
0.4× |
| Arterial puncture (36600) |
$73.92 |
$273.77 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$39.15 |
$145 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$118.30 |
$438.14 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$141.03 |
$522.34 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$467.48 |
$1,731.42 |
0.6× |
| Aspirate Pleura W/O Imaging (32554) |
$446.85 |
$1,655 |
0.6× |
| Aspirate/Inj Ganglion Cyst (20612) |
$139.05 |
$515 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,021.81 |
$3,784.48 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$53.44 |
$197.94 |
0.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$144.60 |
$535.56 |
0.2× |
| Bladder Irrigation (51700) |
$48.43 |
$179.38 |
0.2× |
| Bladder Scan (51798) |
$35.15 |
$130.17 |
0.5× |
| Blepharotomy drainage abscess eyelid (67700) |
$195.75 |
$725 |
0.5× |
| Blood Transfusion Service (36430) |
$313.42 |
$1,160.81 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$985.50 |
$3,650 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$564.30 |
$2,090 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$267.30 |
$990 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$326.70 |
$1,210 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$196.37 |
$727.31 |
0.6× |
| Change of Windpipe Airway (31502) |
$130.14 |
$482 |
0.4× |
| Chest tube placement (32551) |
$174.69 |
$647 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$47.79 |
$177 |
0.0× |
| Clear outer ear canal (69200) |
$56.37 |
$208.76 |
0.3× |
| Closed Treat Vert Body Fract (22310) |
$90.45 |
$335 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$108 |
$400 |
0.4× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$984.15 |
$3,645 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$207.96 |
$770.24 |
0.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$45.90 |
$170 |
0.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$156.60 |
$580 |
0.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$156.60 |
$580 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$83.97 |
$311 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$75.97 |
$281.37 |
0.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$984.15 |
$3,645 |
0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$84.24 |
$312 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$84.24 |
$312 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$300.51 |
$1,113 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$471.15 |
$1,745 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$84.24 |
$312 |
0.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$65.79 |
$243.65 |
0.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,547 |
$5,729.64 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$199.48 |
$738.80 |
0.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$246.16 |
$911.71 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$92.52 |
$342.68 |
0.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$108 |
$400 |
0.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$300.51 |
$1,113 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$114.75 |
$425 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$37.26 |
$138 |
0.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$84.24 |
$312 |
0.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$175.50 |
$650 |
0.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$112.05 |
$415 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$42.66 |
$158 |
0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$806.40 |
$2,986.65 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$101.01 |
$374.12 |
0.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$724.95 |
$2,685 |
0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$156.60 |
$580 |
0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$46.44 |
$172 |
0.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$84.24 |
$312 |
0.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$66.63 |
$246.79 |
0.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$57.51 |
$213 |
0.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,010.07 |
$3,740.99 |
0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$169.77 |
$628.77 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$132.42 |
$490.44 |
0.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$984.15 |
$3,645 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$84.24 |
$312 |
0.3× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$718.20 |
$2,660 |
0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$176.13 |
$652.35 |
0.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$84.24 |
$312 |
0.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$724.68 |
$2,684 |
0.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$13.50 |
$50 |
0.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$156.60 |
$580 |
0.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$108.65 |
$402.41 |
0.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$61.12 |
$226.36 |
0.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$59.42 |
$220.07 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$132.42 |
$490.44 |
0.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$246.16 |
$911.71 |
0.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$132.42 |
$490.44 |
0.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$517.05 |
$1,915 |
0.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$806.40 |
$2,986.65 |
0.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$156.60 |
$580 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$77.67 |
$287.66 |
0.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$39.69 |
$147 |
0.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$513 |
$1,900 |
0.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$84.24 |
$312 |
0.3× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$84.24 |
$312 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,547 |
$5,729.64 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$114.75 |
$425 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$26.82 |
$99.33 |
0.2× |
| Collection of venous blood by venipuncture (36415) |
$9.19 |
$34.02 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$442.80 |
$1,640 |
0.3× |
| Complex Cystometrogram (51726) |
$135 |
$500 |
0.4× |
| Complex drainage wound (10180) |
— |
$39 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$130.82 |
$484.53 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$85.73 |
$317.52 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$109.50 |
$405.56 |
0.7× |
| Curette/treat cornea (65435) |
$190.08 |
$704 |
0.2× |
| Cysto w/complex removal stone & stent (52315) |
$691.20 |
$2,560 |
0.3× |
| Cystometrogram W/Vp (51728) |
$145.80 |
$540 |
0.2× |
| Cystometrogram W/Vp&Up (51729) |
$222.39 |
$823.66 |
0.3× |
| Cystourethroscopy (52000) |
$297 |
$1,100 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$13.50 |
$50 |
0.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$93 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$340.20 |
$1,260 |
0.4× |
| Debride nail 1-5 (11720) |
$29.70 |
$110 |
0.4× |
| Debride nail 6 or more (11721) |
$24.57 |
$91 |
0.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$982.80 |
$3,640 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$179.82 |
$666 |
0.4× |
| Declot vascular device (36593) |
$487.39 |
$1,805.13 |
1.2× |
| Dilate Urethra Stricture (53620) |
$230.85 |
$855 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$226.80 |
$840 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$511.65 |
$1,895 |
0.2× |
| Drainage Mouth Roof Lesion (42000) |
$130.14 |
$482 |
0.4× |
| Drainage of finger abscess simple (26010) |
$30.51 |
$113 |
0.1× |
| Drainage of gum lesion (41800) |
$90.40 |
$334.82 |
0.5× |
| Drainage of hematoma/fluid (10140) |
$819.13 |
$3,033.80 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$982.80 |
$3,640 |
0.5× |
| Drainage of scrotum (54700) |
$693.90 |
$2,570 |
0.3× |
| Draw Blood Off Venous Device (36591) |
$39.53 |
$146.39 |
0.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$38.34 |
$142 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$186.84 |
$692 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$122.85 |
$455 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$49.66 |
$183.91 |
0.2× |
| Egd Flexible Foreign Body Removal (43247) |
$741.48 |
$2,746.23 |
0.7× |
| Egd place gastrostomy tube (43246) |
$878.04 |
$3,252 |
0.4× |
| Electro-Uroflowmetry First (51741) |
$31.59 |
$117 |
0.1× |
| Endometrial Biopsy (58100) |
$64.80 |
$240 |
0.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$220.05 |
$815 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$34.80 |
$128.90 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$338.85 |
$1,255 |
0.4× |
| Fetal non-stress test (59025) |
$49.75 |
$184.27 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$18.63 |
$69 |
0.0× |
| Fluid Pressure Muscle (20950) |
$45.09 |
$167 |
0.1× |
| Fluoro exam of g/colon tube (49465) |
$302.67 |
$1,121 |
1.0× |
| Foreskin manipulation (54450) |
$263.14 |
$974.59 |
0.8× |
| I&d abscess peritonsillar (42700) |
$55.89 |
$207 |
0.2× |
| I&d abscess simple (10060) |
$65.41 |
$242.26 |
0.3× |
| I&d perianal abscess superficial (46050) |
$111.20 |
$411.84 |
0.1× |
| I&d pilonidal cyst complicated (10081) |
$47.52 |
$176 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$61.97 |
$229.50 |
0.1× |
| Incise external hemorrhoid (46083) |
$106.65 |
$395 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$69.18 |
$256.22 |
0.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$39.05 |
$144.62 |
0.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$241.60 |
$894.83 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$101.86 |
$377.26 |
0.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$123.93 |
$459 |
0.3× |
| Incision of rectal abscess (46040) |
$1,073.78 |
$3,976.95 |
0.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$732.24 |
$2,712 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$64.53 |
$239 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$71.82 |
$266 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$452.03 |
$1,674.20 |
0.5× |
Insert 1 Electrode Pm-Defib (33216)
likely a partial charge, not the full procedure |
$173.55 |
$642.77 |
0.0× |
| Insert Bladder Cath Complex (51703) |
$132.30 |
$490 |
0.8× |
Insert Heart Pm Atrial (33206)
likely a partial charge, not the full procedure |
$74.36 |
$275.39 |
0.0× |
Insert Heart Pm Ventricular (33207)
likely a partial charge, not the full procedure |
$1,041.28 |
$3,856.61 |
0.1× |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$87.75–$196.02 |
$325–$726 |
varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$486 |
$1,800 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$64.30 |
$238.14 |
0.4× |
| Insert tunneled cv cath (36561) |
$484.65 |
$1,795 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$46.76 |
$173.19 |
0.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$496.26 |
$1,838 |
0.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$353.70 |
$1,310 |
0.1× |
| Insj Picc Rs&I <5 Yr (36572) |
$774.09 |
$2,867 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$486 |
$1,800 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,854.90 |
$6,870 |
0.5× |
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure |
$945 |
$3,500 |
0.0× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$529.31 |
$1,960.41 |
0.1× |
Insrt heart pm atrial & vent (33208)
likely a partial charge, not the full procedure |
$3,829.49 |
$14,183.30 |
0.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$51.84 |
$192 |
0.1× |
| Intro Gastrointestinal Tube (44500) |
$205.20 |
$760 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$350.44 |
$1,297.92 |
1.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$304.56 |
$1,128 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$114.75 |
$425 |
0.5× |
| Laryngoscopy flexible diagnostic (31575) |
$90.45 |
$335 |
0.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$90.45 |
$335 |
0.2× |
| Nasal Endoscopy Dx (31231) |
$63.45 |
$235 |
0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$10.19 |
$37.73 |
0.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$116.28 |
$430.67 |
0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$116.35 |
$430.92 |
0.3× |
| Obstructive material removal from gi tube (49460) |
$1,173.96 |
$4,348 |
1.0× |
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines |
$243–$267.30 |
$900–$990 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$47.52 |
$176 |
0.1× |
| Pseudoaneurysm Injection Trt (36002) |
$774.09 |
$2,867 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$93.15 |
$345 |
0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$60.69 |
$224.78 |
0.1× |
| Puncture Aspiration Cyst Breast (19000) |
$881.01 |
$3,263 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$143.88 |
$532.88 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$16.20 |
$60 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$22.96 |
$85.02 |
0.3× |
| Removal of foreign body from pharynx (42809) |
$38.88 |
$144 |
0.1× |
| Removal of nail bed (11750) |
$124.20 |
$460 |
0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$18.90 |
$70 |
0.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$33.75 |
$125 |
0.1× |
| Remove foreign body from eye (65205) |
$57.30 |
$212.21 |
0.3× |
| Remove Intrauterine Device (58301) |
$94.50 |
$350 |
0.2× |
| Remove Nasal Foreign Body (30300) |
$117.99 |
$436.99 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$40.23 |
$149 |
0.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$38.61 |
$143 |
0.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$222.40 |
$823.69 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$413.07 |
$1,529.88 |
0.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$355.05 |
$1,315 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$369.64 |
$1,369.05 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$190.89 |
$707 |
0.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,655.23 |
$6,130.48 |
0.8× |
| Repair Finger/Hand Tendon (26350) |
$1,080 |
$4,000 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$230.76 |
$854.67 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$335.78 |
$1,243.62 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$61.29 |
$227 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$673.03 |
$2,492.70 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$48.60 |
$180 |
0.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$114.21 |
$422.99 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$55.89 |
$207 |
0.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$50.49 |
$187 |
0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$57.24 |
$212 |
0.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$172.87 |
$640.26 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$224.37 |
$831 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$270 |
$1,000 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$263.69 |
$976.64 |
0.5× |
| Repair of nail bed (11760) |
$60.69 |
$224.78 |
0.1× |
| Repair tongue laceration (41252) |
$19.44 |
$72 |
0.1× |
| Repair tongue laceration (41250) |
$58.05 |
$215 |
0.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$540 |
$2,000 |
0.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$726.30 |
$2,690 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$176.13 |
$652.35 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$45.41 |
$168.20 |
0.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$21.60 |
$80 |
0.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$79.38 |
$294 |
0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$479.25 |
$1,775 |
0.2× |
| Rplc Gtube No Revj Trc (43762) |
$208.48 |
$772.15 |
0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$135 |
$500 |
0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$66.15 |
$245 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$410.84 |
$1,521.62 |
0.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$271.35 |
$1,005 |
0.1× |
| Simple Cystometrogram (51725) |
$40.50 |
$150 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$49.41 |
$183 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$146.83 |
$543.81 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$150.87 |
$558.76 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$159.31 |
$590.05 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$142.79 |
$528.86 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$93.15 |
$345 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$162.23 |
$600.86 |
0.6× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,290.14 |
$8,482 |
0.9× |
| Slitting of prepuce (54001) |
$540 |
$2,000 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$152.85 |
$566.10 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$172.20 |
$637.76 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$226.80 |
$840 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$636.44 |
$2,357.18 |
0.7× |
| Strapping ankle (29540) |
$193.55 |
$716.85 |
1.0× |
| Strapping elbow or wrist (29260) |
$21.55 |
$79.80 |
0.3× |
| Strapping knee (29530) |
$76.95 |
$285 |
0.5× |
| Strapping toes (29550) |
$74.52 |
$276 |
1.0× |
| Strapping Unna Boot (29580) |
$54 |
$200 |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$62.64 |
$232 |
0.2× |
| Treat humerus fracture (24500) |
$38.88 |
$144 |
0.1× |
| Treat Humerus Fracture (24505) |
$89.10 |
$330 |
0.0× |
| Treat humerus fracture (23600) |
$70.20 |
$260 |
0.2× |
| Treat Knee Fracture(S) (27538) |
$86.40 |
$320 |
0.3× |
| Treat Knuckle Dislocation (26700) |
$51.30 |
$190 |
0.2× |
| Treat Thumb Dislocation (26641) |
$84.24 |
$312 |
0.3× |
| Treat toe dislocation (28630) |
$84.24 |
$312 |
0.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$403.20 |
$1,493.32 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$51.30 |
$190 |
0.2× |
| Trim skin lesion (11055) |
$60.75 |
$225 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$60.75 |
$225 |
0.2× |
| Trim skin lesions over 4 (11057) |
$60.75 |
$225 |
0.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$24.57 |
$91 |
0.3× |
| Tx Gastro Intub W/Asp (43753) |
$90.40 |
$334.82 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$180.90 |
$670 |
0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$84.24 |
$312 |
0.3× |
| Wedge excision skin nail fold (11765) |
$226.80 |
$840 |
0.4× |
| Windowing of cast (29730) |
$10.53 |
$39 |
0.1× |
| Wound Prep F/N/Hf/G (15004) |
$766.53 |
$2,839 |
1.5× |