| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$6,399.70 |
$9,142.43 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$208.81 |
$298.30 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$208.81 |
$298.30 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$165.17 |
$235.95 |
1.2× |
| Arterial puncture (36600) |
$165.17 |
$235.95 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$383.87 |
$548.39 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$406 |
$580 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$273.70 |
$391 |
1.4× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$865.59 |
$1,236.56 |
0.9× |
| Biopsy/removal lymph nodes (38525) |
$1,411.09 |
$2,015.84 |
0.4× |
| Bladder Irrigation Simple (51700) |
$358.96 |
$512.80 |
1.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$6,080.20 |
$8,686 |
1.9× |
| Chemical Cautery Tissue (17250) |
$200.20 |
$286 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,833.38 |
$2,619.11 |
0.5× |
| Circum 28 days or older (54161) |
$2,698.58 |
$3,855.11 |
1.3× |
| Circumcision (54150) |
$2,698.58 |
$3,855.11 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$429.80 |
$614 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$534.80 |
$764 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$349.15 |
$498.78 |
1.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$423.46 |
$604.94 |
1.4× |
| Conization of cervix (57520) |
$3,662.64 |
$5,232.34 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$165.17 |
$235.95 |
1.2× |
| Curettage postpartum (59160) |
$3,662.64 |
$5,232.34 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$487.18 |
$695.97 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$749.03 |
$1,070.04 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$117.60 |
$168 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$273.70 |
$391 |
1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,662.64 |
$5,232.34 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$2,133.58 |
$3,047.97 |
1.3× |
| Exc abd les sc 3 cm/> (22903) |
$96.64 |
$138.05 |
0.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,706.87 |
$2,438.38 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$898.63 |
$1,283.76 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$487.18 |
$695.97 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$898.63 |
$1,283.76 |
1.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,706.87 |
$2,438.38 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,951.23 |
$4,216.04 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,689.04 |
$5,270.05 |
1.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$898.63 |
$1,283.76 |
1.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$297.50 |
$425 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$898.63 |
$1,283.76 |
1.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$718.91 |
$1,027.01 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,706.87 |
$2,438.38 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$96.64 |
$138.05 |
0.0× |
| Fetal non-stress test (59025) |
$257.38 |
$367.68 |
1.3× |
| Hysteroscopy ablation (58563) |
$6,399.70 |
$9,142.43 |
1.3× |
| Hysteroscopy biopsy (58558) |
$3,662.64 |
$5,232.34 |
1.1× |
| I&d abscess simple (10060) |
$273.70 |
$391 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$487.18 |
$695.97 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$487.18 |
$695.97 |
1.2× |
| Incision of lingual frenum (41010) |
$1,984.05 |
$2,834.36 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$383.87 |
$548.39 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$383.87 |
$548.39 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$383.87 |
$548.39 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$273.70 |
$391 |
1.4× |
| Insert cervical dilator (59200) |
$431.90 |
$617 |
1.4× |
| Insert Drug Implant Device (11981) |
$165.17 |
$235.95 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$1,696.37 |
$2,423.38 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$165.17 |
$235.95 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$165.17 |
$235.95 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$319.75 |
$456.79 |
1.3× |
| Laparoscopy appendectomy (44970) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy Remove Adnexa (58661) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$12,008.28 |
$17,154.68 |
1.1× |
| Laparoscopy tubal block (58671) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy Tubal Cautery (58670) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy w/lysis of adhesions (58660) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$12,008.28 |
$17,154.68 |
1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$12,008.28 |
$17,154.68 |
1.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$12,008.28 |
$17,154.68 |
1.1× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$267.40 |
$382 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$540.04 |
$771.49 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$1,833.38 |
$2,619.11 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$270.90 |
$387 |
0.7× |
| Puncture Aspiration (10160) |
$487.18 |
$695.97 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$96.64 |
$138.05 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$174.52 |
$249.31 |
2.9× |
| Removal of intrauterine device (iud) (58301) |
$257.38 |
$367.68 |
0.8× |
| Removal of nail bed (11750) |
$487.18 |
$695.97 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$174.52 |
$249.31 |
0.9× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$5,453.65 |
$7,790.93 |
1.7× |
| Remove drug implant device (11982) |
$540.04 |
$771.49 |
1.2× |
| Remv Ext Canal Foreign Body (69200) |
$165.17 |
$235.95 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$487.18 |
$695.97 |
1.2× |
| Repair rectum & vagina (57250) |
$6,399.70 |
$9,142.43 |
1.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$540.04 |
$771.49 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$82.60 |
$118 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$273.70 |
$391 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$174.52 |
$249.31 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$109.20 |
$156 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$273.70 |
$391 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$273.70 |
$391 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$273.70 |
$391 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$273.70 |
$391 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$270.90 |
$387 |
0.7× |
| Treat ectopic pregnancy (59151) |
$7,128.76 |
$10,183.94 |
1.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,662.64 |
$5,232.34 |
1.1× |
| Vaginal delivery only (59409) |
$4,069.10 |
$5,813 |
1.3× |
| Venipuncture (36415) |
$21 |
$30 |
2.2× |