| Acne Surgery (10040) |
$199.80 |
$333 |
1.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$265.20 |
$442 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$188.40 |
$314 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$472.80 |
$788 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$157.80 |
$263 |
1.2× |
| Application short leg splint calf foot (29515) |
$188.40 |
$314 |
1.2× |
| Apply multlay comprs arm/hand (29584) |
$176.40 |
$294 |
1.1× |
| Arterial puncture (36600) |
$107.40 |
$179 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$397.80 |
$663 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$534.60 |
$891 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$339 |
$565 |
1.7× |
| Biopsy Bone Open Deep (20245) |
$4,224.60 |
$7,041 |
1.4× |
| Biopsy bone open superficial (20240) |
$4,287.60 |
$7,146 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,594.80 |
$2,658 |
1.0× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$1,943.40 |
$3,239 |
1.2× |
| Blood patch (62273) |
$1,069.20 |
$1,782 |
1.5× |
| Blood transfusion service (36430) |
$1,530 |
$2,550 |
3.5× |
| Chemical Cautery Tissue (17250) |
$339 |
$565 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,878.60 |
$3,131 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$286.80 |
$478 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,937.40 |
$3,229 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$275.40 |
$459 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$275.40 |
$459 |
1.1× |
| Complex Drainage, Wound (10180) |
$3,140.40 |
$5,234 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$157.80 |
$263 |
1.2× |
| Debride nail 1-5 (11720) |
$199.80 |
$333 |
3.4× |
| Debride nail 6 or more (11721) |
$247.20 |
$412 |
4.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$822.60 |
$1,371 |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,030.20 |
$1,717 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,279.40 |
$3,799 |
1.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,053 |
$1,755 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$249.60 |
$416 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,594.80 |
$2,658 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$517.80 |
$863 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$360.60 |
$601 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$270.60 |
$451 |
1.3× |
| Dry Needling 3+ Muscles (20561) |
$49.09 |
$81.82 |
1.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,200.80 |
$3,668 |
1.1× |
| I&d abscess simple (10060) |
$249.60 |
$416 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$705 |
$1,175 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$700.20 |
$1,167 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$822.60 |
$1,371 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$276 |
$460 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$465.60 |
$776 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$228.60 |
$381 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$342 |
$570 |
1.4× |
| Myelography Lumbar Injection (62305) |
$2,637 |
$4,395 |
3.3× |
| Myelography Lumbar Injection (62304) |
$2,172.60 |
$3,621 |
2.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,286 |
$3,810 |
2.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,229.60 |
$3,716 |
2.8× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$549.60 |
$916 |
2.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$49.09 |
$81.82 |
1.7× |
| Punch biopsy skin single lesion (11104) |
$371.40 |
$619 |
0.9× |
| Puncture Aspiration (10160) |
$477.60 |
$796 |
1.2× |
| Removal fb intranasal (30300) |
$157.80 |
$263 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,329.60 |
$2,216 |
1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$157.80 |
$263 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$206.40 |
$344 |
3.5× |
| Removal Implant Deep (20680) |
$3,228.60 |
$5,381 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$157.80 |
$263 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$733.80 |
$1,223 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$733.80 |
$1,223 |
1.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$753 |
$1,255 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$552 |
$920 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$552 |
$920 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$552 |
$920 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$552 |
$920 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$552 |
$920 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$552 |
$920 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$249.60 |
$416 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$249.60 |
$416 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$249.60 |
$416 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$249.60 |
$416 |
1.2× |
| Skin splt grft trnk/arm/leg (15100) |
$6,833.40 |
$11,389 |
3.3× |
| Skin sub graft face/nk/hf/g (15275) |
$2,295.60 |
$3,826 |
3.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,295.60 |
$3,826 |
3.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,658 |
$4,430 |
1.3× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$6,833.40 |
$11,389 |
1.9× |
| Skn sub grft f/n/hf/g child (15277) |
$2,295.60 |
$3,826 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$249.60 |
$416 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$549 |
$915 |
0.8× |
| Strapping ankle (29540) |
$183 |
$305 |
1.1× |
| Strapping unna boot (29580) |
$280.50 |
$467.50 |
1.7× |
| Tangential biopsy skin single lesion (11102) |
$371.40 |
$619 |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,531.20 |
$2,552 |
0.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$3,698.40 |
$6,164 |
5.9× |
| Trim skin lesion (11055) |
$247.20 |
$412 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$305.40 |
$509 |
1.5× |
| Trim skin lesions over 4 (11057) |
$371.40 |
$619 |
1.8× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$112.80 |
$188 |
1.9× |
| Venipuncture (36415) |
$10.20 |
$17 |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$1,836.60 |
$3,061 |
4.5× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,836.60 |
$3,061 |
2.5× |