| Abd paracentesis w/imaging (49083) |
$1,819.20 |
$3,032 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,148.40 |
$1,914 |
1.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$354.90 |
$591.50 |
2.3× |
| Application finger splint static (29130) |
$192.60 |
$321 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$199.20 |
$332 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$192.60 |
$321 |
1.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$454.80 |
$758 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$192.60 |
$321 |
1.5× |
| Application short leg splint calf foot (29515) |
$192.60 |
$321 |
1.3× |
| Arterial puncture (36600) |
$89.70 |
$149.50 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$252.30 |
$420.50 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$145.80 |
$243 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$109.80 |
$183 |
0.4× |
| Aspir/inj thyroid cyst (60300) |
$504 |
$840 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$260.40 |
$434 |
1.4× |
| Biopsy of uterus lining (58100) |
$74.70 |
$124.50 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$78.90 |
$131.50 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$3,774.60 |
$6,291 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$664.20 |
$1,107 |
1.0× |
| Bladder Irrigation Simple (51700) |
$225 |
$375 |
1.0× |
| Bladder Scan (51798) |
$43.80 |
$73 |
0.8× |
| Blood patch (62273) |
$927 |
$1,545 |
1.4× |
| Blood transfusion service (36430) |
$546.60 |
$911 |
1.3× |
| Bone marrow aspiration only (38220) |
$1,954.80 |
$3,258 |
1.3× |
| Bone Marrow Biopsy (38221) |
$1,954.80 |
$3,258 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,041.80 |
$3,403 |
1.3× |
| Bx breast 1st lesion strtctc (19081) |
$4,746.60 |
$7,911 |
3.1× |
| Bx breast 1st lesion us imag (19083) |
$3,211.80 |
$5,353 |
2.1× |
| Bx vulva/perineum 1 lesion (56605) |
$81.60 |
$136 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,944 |
$3,240 |
1.3× |
| Chemical Cautery Tissue (17250) |
$255.60 |
$426 |
1.4× |
| Chest tube placement (32551) |
$1,692.60 |
$2,821 |
1.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$178.80 |
$298 |
1.4× |
| Circumcision Neonate (54160) |
$366 |
$610 |
0.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$295.20 |
$492 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,543.60 |
$5,906 |
2.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$935.40 |
$1,559 |
0.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$935.40 |
$1,559 |
0.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$267.60 |
$446 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$267.60 |
$446 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$957.60 |
$1,596 |
0.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$607.20 |
$1,012 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$182.40 |
$304 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,946 |
$4,910 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$267.60 |
$446 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$200.40 |
$334 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$935.40 |
$1,559 |
0.6× |
| Closed tx septal&nose fx (21337) |
$2,946 |
$4,910 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$303.60 |
$506 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$185.40 |
$309 |
0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$264.60 |
$441 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,643.60 |
$4,406 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$267.60 |
$446 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$267.60 |
$446 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$240.60 |
$401 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$162 |
$270 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$288 |
$480 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,976.40 |
$3,294 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$267.60 |
$446 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$108 |
$180 |
0.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,543.60 |
$5,906 |
2.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$267.60 |
$446 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$267.60 |
$446 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$256.20 |
$427 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$231.60 |
$386 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$267.60 |
$446 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$267.60 |
$446 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$518.40 |
$864 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,543.60 |
$5,906 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$267.60 |
$446 |
1.2× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$935.40 |
$1,559 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,543.60 |
$5,906 |
2.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$90.90 |
$151.50 |
0.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$178.80 |
$298 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$323.40 |
$539 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$568.80 |
$948 |
4.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$261.60 |
$436 |
2.1× |
| Cystourethroscopy (52000) |
$216 |
$360 |
0.3× |
| Debride nail 1-5 (11720) |
$87 |
$145 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$542.40 |
$904 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$542.40 |
$904 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,486.80 |
$2,478 |
1.0× |
| Declot vascular device (36593) |
$452.40 |
$754 |
1.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$156.90 |
$261.50 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$60 |
$100 |
0.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$48.60 |
$81 |
0.3× |
| Destruction premalignant lesion 1st (17000) |
$42 |
$70 |
0.2× |
| Dilate Urethra Stricture (53600) |
$142.20 |
$237 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$265.80 |
$443 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$2,068.80 |
$3,448 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$278.40 |
$464 |
1.5× |
| Drainage of hydrocele (55000) |
$716.40 |
$1,194 |
1.1× |
| Draw blood off venous device (36591) |
$178.80 |
$298 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$426.60 |
$711 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$234 |
$390 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.20 |
$332 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$33.60 |
$56 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$110.40 |
$184 |
0.0× |
| Evacuation of subungual hematoma (11740) |
$126 |
$210 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$120.90 |
$201.50 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$113.70 |
$189.50 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$123.60 |
$206 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$112.80 |
$188 |
0.2× |
| Excision Breast Lesion (19125) |
$3,675.60 |
$6,126 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$168 |
$280 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$150.60 |
$251 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$138 |
$230 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$91.20 |
$152 |
0.1× |
| Fetal non-stress test (59025) |
$236.40 |
$394 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$933 |
$1,555 |
1.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$405 |
$675 |
2.0× |
| I&d abscess simple (10060) |
$205.80 |
$343 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$524.40 |
$874 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$586.20 |
$977 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$394.80 |
$658 |
1.4× |
| Initial tx 1st degree burn local tx (16000) |
$171 |
$285 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$67.80 |
$113 |
0.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$112.80 |
$188 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$49.80 |
$83 |
0.2× |
| Injection for identification of sentinel node (38792) |
$616.80 |
$1,028 |
1.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$36 |
$60 |
0.2× |
| Ins cath ren art 1st bilat (36252) |
$3,353.70 |
$5,589.50 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$197.40 |
$329 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$3,976.20 |
$6,627 |
1.3× |
| Insert picc cath (36569) |
$1,759.20 |
$2,932 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$132.30 |
$220.50 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$159 |
$265 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,497.80 |
$4,163 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$759.60 |
$1,266 |
3.4× |
| Ligation Of Neck Artery (37615) |
$925.20 |
$1,542 |
0.3× |
| Mastectomy partial (19301) |
$1,122.60 |
$1,871 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.60 |
$56 |
1.2× |
| Perc sk fix metatarsal fx w manip (28476) |
$4,515 |
$7,525 |
1.5× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$4,515 |
$7,525 |
1.5× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,515 |
$7,525 |
1.5× |
| Perq dev breast 1st us imag (19285) |
$1,099.80 |
$1,833 |
1.7× |
| Perq device breast 1st imag (19281) |
$861.60 |
$1,436 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$378 |
$630 |
1.6× |
| Place Cath Subclavian Art (36225) |
$4,611.60 |
$7,686 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$397.80 |
$663 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$211.80 |
$353 |
0.6× |
| Puncture Aspiration (10160) |
$348.90 |
$581.50 |
0.9× |
| Removal fb intranasal (30300) |
$315.60 |
$526 |
2.5× |
| Removal foreign body foot subcutaneous (28190) |
$864 |
$1,440 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$107.40 |
$179 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$110.40 |
$184 |
2.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$267 |
$445 |
0.1× |
| Removal of arm foreign body (24200) |
$1,954.80 |
$3,258 |
1.3× |
| Removal of nail bed (11750) |
$490.20 |
$817 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$82.80 |
$138 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$376.20 |
$627 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$45.60 |
$76 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$184.80 |
$308 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$394.20 |
$657 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$394.20 |
$657 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$267.60 |
$446 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$267.60 |
$446 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$267.60 |
$446 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$287.40 |
$479 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$267.60 |
$446 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$267.60 |
$446 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$255 |
$425 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$255 |
$425 |
2.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$607.20 |
$1,012 |
2.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$56.70 |
$94.50 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$110.70 |
$184.50 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$46.20 |
$77 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$59.10 |
$98.50 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$86.10 |
$143.50 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$99 |
$165 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$42.30 |
$70.50 |
0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$78.60 |
$131 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$78.90 |
$131.50 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$54.30 |
$90.50 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$91.20 |
$152 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$90 |
$150 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$267.60 |
$446 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$287.40 |
$479 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$287.40 |
$479 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$287.40 |
$479 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$267.60 |
$446 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$287.40 |
$479 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$1,358.40 |
$2,264 |
2.0× |
| Skin sub graft trnk/arm/leg (15271) |
$860.40 |
$1,434 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$9,222.60 |
$15,371 |
3.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$267.60 |
$446 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$287.40 |
$479 |
0.8× |
| Strapping unna boot (29580) |
$196.20 |
$327 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$204 |
$340 |
0.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,608 |
$2,680 |
2.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,294.80 |
$2,158 |
2.2× |
| Thrombolytic Therapy, Stroke (37195) |
$398.40 |
$664 |
1.3× |
| Thyroid biopsy (60100) |
$986.40 |
$1,644 |
1.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,347.60 |
$2,246 |
0.9× |
| Treat finger dislocation (26775) |
$2,643.60 |
$4,406 |
10.1× |
| Treat Fracture Radius & Ulna (25560) |
$213 |
$355 |
0.9× |
| Treat humerus fracture (23600) |
$278.40 |
$464 |
1.2× |
| Treat Metatarsal Fracture (28475) |
$267.60 |
$446 |
1.2× |
| Treat wrist bone fracture (25622) |
$232.80 |
$388 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$326.40 |
$544 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$267.60 |
$446 |
1.2× |
| Trim skin lesion (11055) |
$36 |
$60 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$67.50 |
$112.50 |
0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,643.60 |
$4,406 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$738.60 |
$1,231 |
1.1× |
| Vasectomy (55250) |
$1,316.88 |
$2,194.80 |
0.7× |
| Venipuncture (36415) |
$15 |
$25 |
1.6× |