| Abd paracentesis w/imaging (49083) |
$638 |
$638 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$811 |
$811 |
0.9× |
| Amputation follow-up surgery (23921) |
$833 |
$833 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$318 |
$318 |
1.9× |
| Application cast elbow finger short arm (29075) |
$129 |
$129 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$323 |
$323 |
2.0× |
| Application cast shoulder hand long arm (29065) |
$306 |
$306 |
1.1× |
| Application finger splint static (29130) |
$69 |
$69 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$210 |
$210 |
1.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$839 |
$839 |
3.0× |
| Application short arm splint forearm-hand static (29125) |
$98 |
$98 |
0.7× |
| Application short leg splint calf foot (29515) |
$200 |
$200 |
1.2× |
| Apply multlay comprs arm/hand (29584) |
$132.50 |
$132.50 |
0.8× |
| Arterial puncture (36600) |
$294 |
$294 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$450 |
$450 |
1.5× |
| Arthrotomy Wrist Joint With Biopsy (25100) |
$5 |
$5 |
0.0× |
| Aspir/inj thyroid cyst (60300) |
$215 |
$215 |
0.3× |
| Bladder Irrigation Simple (51700) |
$12 |
$12 |
0.0× |
| Bladder Scan (51798) |
$47 |
$47 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$570 |
$570 |
2.3× |
| Chest tube placement (32551) |
$627 |
$627 |
0.4× |
| Circumcision (54150) |
$212 |
$212 |
0.1× |
| Closed Rx Med Malleolus Fx (27760) |
$660 |
$660 |
2.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,664 |
$1,664 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$958 |
$958 |
3.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$766 |
$766 |
3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,544 |
$1,544 |
1.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$777 |
$777 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$981 |
$981 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$766 |
$766 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,465 |
$2,465 |
1.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$117 |
$117 |
0.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$3,182 |
$3,182 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$604 |
$604 |
2.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$583 |
$583 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,003 |
$1,003 |
4.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$500 |
$500 |
2.0× |
| Complex Cystometrogram (51726) |
$8 |
$8 |
0.0× |
| Cystoscopy & duct catheter (52010) |
$5 |
$5 |
0.0× |
| Debride nail 1-5 (11720) |
$72 |
$72 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$468.50 |
$468.50 |
1.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$256 |
$256 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$202 |
$202 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$186.50 |
$186.50 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$102 |
$102 |
0.5× |
| Dilation of vagina (57400) |
$5 |
$5 |
0.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$266 |
$266 |
0.4× |
| Drain shoulder bursa (23031) |
$5 |
$5 |
0.0× |
| Drainage Finger Abscess Simple (26010) |
$784 |
$784 |
3.9× |
| Drainage of deep rectal abscess (45020) |
$808 |
$808 |
0.3× |
| Drainage of hematoma/fluid (10140) |
$424 |
$424 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$398 |
$398 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$121 |
$121 |
0.6× |
| Dry Needling 3+ Muscles (20561) |
$99 |
$99 |
3.4× |
| Evacuation of subungual hematoma (11740) |
$112 |
$112 |
0.8× |
| Exc frenum labial/buccal (40819) |
$384 |
$384 |
0.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,000 |
$1,000 |
0.3× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$335 |
$335 |
0.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$332 |
$332 |
0.5× |
| Guide Cathet Fluid Drainage (10030) |
$615 |
$615 |
0.9× |
| I&d abscess simple (10060) |
$421 |
$421 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$344 |
$344 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$725 |
$725 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$604 |
$604 |
3.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$211 |
$211 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$266 |
$266 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$114 |
$114 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$149 |
$149 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$94 |
$94 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$361 |
$361 |
2.8× |
| Insert Drug Implant Device (11981) |
$195 |
$195 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$300 |
$300 |
2.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$250 |
$250 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$707 |
$707 |
3.0× |
| Lavage by cannulation; sphenoid sinus (31002) |
$27 |
$27 |
0.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28 |
$28 |
1.0× |
| Partial Excision Bone Radius (25151) |
$27 |
$27 |
0.0× |
| Placement of needle for intraosseous infusion (36680) |
$305 |
$305 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$194 |
$194 |
0.5× |
| Removal fb intranasal (30300) |
$301 |
$301 |
2.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$309 |
$309 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22 |
$22 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$85 |
$85 |
1.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$217 |
$217 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$158 |
$158 |
0.5× |
| Removal of nail bed (11750) |
$244 |
$244 |
0.6× |
| Removal of sesamoid bone (28315) |
$186 |
$186 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$137 |
$137 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$63 |
$63 |
0.2× |
| Remove drug implant device (11982) |
$225 |
$225 |
0.5× |
| Remove foreign body from eye (65235) |
$690 |
$690 |
0.3× |
Remove/graft bone lesion (24115)
likely a partial charge, not the full procedure |
$36 |
$36 |
0.0× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$300 |
$300 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$111.50 |
$111.50 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$707 |
$707 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$707 |
$707 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$758 |
$758 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$758 |
$758 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$505 |
$505 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$682 |
$682 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$732 |
$732 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$455 |
$455 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$556 |
$556 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$606 |
$606 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$657 |
$657 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,010 |
$1,010 |
0.5× |
| Reposition gastrostomy tube (43761) |
$386 |
$386 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$129 |
$129 |
0.3× |
Rpr hern preemie reduc (49491)
likely a partial charge, not the full procedure |
$758 |
$758 |
0.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,108 |
$1,108 |
2.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,063 |
$1,063 |
2.0× |
Sequestrectomy Shaft/Distal Humerus (24134)
likely a partial charge, not the full procedure |
$5 |
$5 |
0.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$41 |
$41 |
0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$206 |
$206 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$235 |
$235 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$266 |
$266 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$525 |
$525 |
2.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$459 |
$459 |
2.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$657 |
$657 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$556 |
$556 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$404 |
$404 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$354 |
$354 |
1.8× |
| Slitting of prepuce (54001) |
$7 |
$7 |
0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$800 |
$800 |
4.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$606 |
$606 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$657 |
$657 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$188 |
$188 |
0.3× |
| Strapping ankle (29540) |
$134 |
$134 |
0.8× |
| Strapping elbow/wrist (29260) |
$86 |
$86 |
1.5× |
| Strapping hand/finger (29280) |
$88 |
$88 |
1.5× |
| Strapping knee (29530) |
$141.50 |
$141.50 |
1.1× |
| Strapping shoulder (29240) |
$158.50 |
$158.50 |
1.2× |
| Strapping thorax (29200) |
$219 |
$219 |
1.3× |
| Strapping unna boot (29580) |
$515 |
$515 |
3.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$300 |
$300 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$156 |
$156 |
0.4× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$11 |
$11 |
0.0× |
| Treat humerus fracture (24500) |
$5 |
$5 |
0.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$606 |
$606 |
2.4× |
| Unlisted Procedure Casting/Strapping (29799) |
$280 |
$280 |
1.7× |
| Vaginal delivery only (59409) |
$1,693 |
$1,693 |
0.5× |
| Venipuncture (36415) |
$24 |
$24 |
2.6× |