| Anterior colporraphy rpr cystocele w/cysto (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 (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× |
| Bladder Irrigation (51700) |
$358.96 |
$512.80 |
1.4× |
| Bx Cervix (57500) |
$865.59 |
$1,236.56 |
0.9× |
| Bx/exc lymph node open deep axillary node (38525) |
$1,411.09 |
$2,015.84 |
0.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$6,080.20 |
$8,686 |
1.9× |
| Chemical Cautery Tissue (17250) |
$200.20 |
$286 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$1,833.38 |
$2,619.11 |
0.5× |
| Circumcision 28 days or older (54161) |
$2,698.58 |
$3,855.11 |
1.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,698.58 |
$3,855.11 |
1.3× |
| Clear outer ear canal (69200) |
$165.17 |
$235.95 |
1.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (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× |
| Collection of venous blood by venipuncture (36415) |
$21 |
$30 |
2.2× |
| 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× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$749.03 |
$1,070.04 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$487.18 |
$695.97 |
1.2× |
| Destruct B9 Lesion 1-14 (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× |
| Dx Laryngoscopy Excl Nb (31525) |
$267.40 |
$382 |
0.1× |
| 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 F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$898.63 |
$1,283.76 |
1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$898.63 |
$1,283.76 |
1.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$898.63 |
$1,283.76 |
1.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$718.91 |
$1,027.01 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$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 Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$487.18 |
$695.97 |
1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$898.63 |
$1,283.76 |
1.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,706.87 |
$2,438.38 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,689.04 |
$5,270.05 |
1.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$297.50 |
$425 |
0.4× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$96.64 |
$138.05 |
0.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$96.64 |
$138.05 |
0.0× |
| Fetal non-stress test (59025) |
$257.38 |
$367.68 |
1.3× |
| Hysteroscopy Biopsy (58558) |
$3,662.64 |
$5,232.34 |
1.1× |
| Hysteroscopy Endometrial Ablation (58563) |
$6,399.70 |
$9,142.43 |
1.3× |
| 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 (frenotomy) (41010) |
$1,984.05 |
$2,834.36 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (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 aspiration (49322) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy fulguration oviducts (58670) |
$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 w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$12,008.28 |
$17,154.68 |
1.1× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laparoscopy, surgical, appendectomy (44970) |
$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× |
| Laparoscopy, Tubal Block (58671) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,128.76 |
$10,183.94 |
1.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,128.76 |
$10,183.94 |
1.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$540.04 |
$771.49 |
1.2× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$6,399.70 |
$9,142.43 |
1.3× |
| 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 abscess hematoma bulla/cyst (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 nail bed (11750) |
$487.18 |
$695.97 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$174.52 |
$249.31 |
0.9× |
| Remove drug implant device (11982) |
$540.04 |
$771.49 |
1.2× |
| Remove Intrauterine Device (58301) |
$257.38 |
$367.68 |
0.8× |
| Remove/Insert Drug Implant (11983) |
$540.04 |
$771.49 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$487.18 |
$695.97 |
1.2× |
| Rmvl/revj sling stress incontinence (57287) |
$5,453.65 |
$7,790.93 |
1.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$273.70 |
$391 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$82.60 |
$118 |
0.4× |
| 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× |