| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$335.65 |
$671.30 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$134.62 |
$269.24 |
1.0× |
| Application finger splint static (29130) |
$65.56 |
$131.12 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$129.82 |
$259.62 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$129.06 |
$258.12 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$235.58 |
$471.16 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$117.32 |
$234.62 |
1.0× |
| Application short leg splint calf foot (29515) |
$116.56 |
$233.12 |
0.8× |
| Arterial puncture (36600) |
$56.50 |
$113 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$286.50 |
$573 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$286.50 |
$573 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$286.50 |
$573 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$138.38 |
$276.75 |
0.8× |
| Bladder Irrigation Simple (51700) |
$268.50 |
$537 |
1.2× |
| Bladder Scan (51798) |
$47.83 |
$95.66 |
0.9× |
| Blood transfusion service (36430) |
$568.75 |
$1,137.50 |
1.5× |
| Chemical Cautery Tissue (17250) |
$176.45 |
$352.90 |
1.0× |
| Chest tube placement (32551) |
$454.63 |
$909.25 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$163.75 |
$327.50 |
1.4× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$269.88 |
$539.75 |
1.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$213.75 |
$427.50 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$213.75 |
$427.50 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,849.13 |
$3,698.25 |
8.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$427.50 |
$855 |
2.0× |
| Closed tx septal&nose fx (21337) |
$50.50 |
$101 |
0.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$310.50 |
$621 |
1.5× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,350.63 |
$4,701.25 |
1.7× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$122.13 |
$244.25 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$427.50 |
$855 |
2.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$213.75 |
$427.50 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,032.50 |
$4,065 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$213.75 |
$427.50 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$213.75 |
$427.50 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$240.75 |
$481.50 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$427.50 |
$855 |
2.0× |
| Complete replacement picc rs&i (36584) |
$1,732 |
$3,464 |
1.3× |
| Complex Drainage, Wound (10180) |
$2,378.29 |
$4,756.58 |
1.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$201.50 |
$403 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$148 |
$296 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$148 |
$296 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$148 |
$296 |
1.3× |
| Debride nail 1-5 (11720) |
$55.90 |
$111.80 |
1.1× |
| Debride nail 6 or more (11721) |
$55.90 |
$111.80 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$314.08 |
$628.16 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$345.14 |
$690.26 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$784 |
$1,568 |
0.6× |
| Declot vascular device (36593) |
$461.75 |
$923.50 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$1,375.50 |
$2,751 |
1.0× |
| Draw blood off venous device (36591) |
$57.44 |
$114.88 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$314.08 |
$628.16 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$176.45 |
$352.90 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$176.45 |
$352.90 |
1.0× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,548.96 |
$3,097.92 |
0.9× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,548.96 |
$3,097.92 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$928.75 |
$1,857.50 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$65.19 |
$130.38 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$494.16 |
$988.32 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$190 |
$380 |
1.0× |
| I&d abscess simple (10060) |
$275.72 |
$551.45 |
1.6× |
| I&d perianal abscess superficial (46050) |
$636.88 |
$1,273.75 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$380.67 |
$761.34 |
0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,798.24 |
$3,596.48 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$261.54 |
$523.08 |
0.7× |
| Incision & drainage pilonidal cyst complicated (10081) |
$579.34 |
$1,158.68 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,375.50 |
$2,751 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$182 |
$364 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$161.88 |
$323.75 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$363.25 |
$726.50 |
1.4× |
| Incision of rectal abscess (46040) |
$2,793.50 |
$5,587 |
2.7× |
| Incision thrombosed hemorrhoid external (46083) |
$268.50 |
$537 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$314.08 |
$628.16 |
0.5× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$450 |
$900 |
1.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,128.63 |
$2,257.26 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$567.63 |
$1,135.25 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$870.84 |
$1,741.68 |
1.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$283.75 |
$567.50 |
1.1× |
| Injection anes other peripheral nerve/branch (64450) |
$1,306.26 |
$2,612.52 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$336.38 |
$672.75 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$136.50 |
$273 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$1,112.75 |
$2,225.50 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,102 |
$2,204 |
0.4× |
| Insert picc cath (36569) |
$626.50 |
$1,253 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$86.82 |
$173.62 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$155.75 |
$311.50 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$195.25 |
$390.50 |
1.0× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$123.13 |
$246.25 |
0.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$391 |
$782 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$454.63 |
$909.25 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$221.25 |
$442.50 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$137.88 |
$275.75 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$176.45 |
$352.90 |
0.5× |
| Puncture Aspiration (10160) |
$248.04 |
$496.08 |
0.7× |
| Removal fb intranasal (30300) |
$92.88 |
$185.75 |
0.8× |
| Removal foreign body pharynx (42809) |
$76.63 |
$153.25 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$37.50 |
$75 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$76.63 |
$153.25 |
1.5× |
| Removal of nail bed (11750) |
$314.08 |
$628.16 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$179.39 |
$358.77 |
1.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$133.13 |
$266.25 |
0.6× |
| Remove foreign body from eye (65210) |
$81.13 |
$162.25 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$76.63 |
$153.25 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$165.78 |
$331.55 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$659.75 |
$1,319.50 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$659.75 |
$1,319.50 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$186.13 |
$372.25 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$491.73 |
$983.45 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,037.50 |
$2,075 |
3.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$659.75 |
$1,319.50 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$659.75 |
$1,319.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$659.75 |
$1,319.50 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$186.13 |
$372.25 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$186.13 |
$372.25 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$659.75 |
$1,319.50 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$186.13 |
$372.25 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$186.13 |
$372.25 |
0.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$659.75 |
$1,319.50 |
0.4× |
| Repair Tongue Laceration (41250) |
$93.75 |
$187.50 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$103.76 |
$207.50 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,081.44 |
$2,162.88 |
2.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$186.13 |
$372.25 |
0.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$327.50 |
$655 |
1.6× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$653 |
$1,306 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$653 |
$1,306 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$186.13 |
$372.25 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$186.13 |
$372.25 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$186.13 |
$372.25 |
1.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$186.13 |
$372.25 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$188.25 |
$376.50 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$186.13 |
$372.25 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$186.13 |
$372.25 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$186.13 |
$372.25 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$186.13 |
$372.25 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$186.13 |
$372.25 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$551.58 |
$1,103.16 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$551.58 |
$1,103.16 |
0.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,508.59 |
$3,017.18 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$626.58 |
$1,253.16 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$186.13 |
$372.25 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$186.13 |
$372.25 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$186.13 |
$372.25 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$98.50 |
$197 |
0.2× |
| Strapping elbow/wrist (29260) |
$78.63 |
$157.25 |
1.5× |
| Strapping knee (29530) |
$125.50 |
$251 |
1.1× |
| Strapping shoulder (29240) |
$126.88 |
$253.75 |
1.1× |
| Strapping unna boot (29580) |
$134.62 |
$269.24 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$176.45 |
$352.90 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$454.63 |
$909.25 |
0.8× |
| Trach Tube Change (31502) |
$170.69 |
$341.38 |
0.8× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$947.38 |
$1,894.75 |
4.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$390 |
$780 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$213.75 |
$427.50 |
1.0× |
| Trim skin lesion (11055) |
$176.45 |
$352.90 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$176.45 |
$352.90 |
1.0× |
| Trim skin lesions over 4 (11057) |
$176.45 |
$352.90 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$55.90 |
$111.80 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$434.54 |
$869.08 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$284.75 |
$569.50 |
0.8× |
| Vaginal delivery only (59409) |
$1,176.13 |
$2,352.25 |
0.4× |
| Venipuncture (36415) |
$7.50 |
$15 |
0.8× |
| Windowing of cast (29730) |
$190.22 |
$380.43 |
1.4× |