| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$280 |
$500 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$147.28 |
$263 |
1.0× |
| Application finger splint static (29130) |
$84.84 |
$151.50 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$128.24 |
$229 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$66.08 |
$118 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$93.52 |
$167 |
0.8× |
| Application short leg splint calf foot (29515) |
$68.88 |
$123 |
0.5× |
| Apply short leg cast (29425) |
$117.04 |
$209 |
0.5× |
| Arterial puncture (36600) |
$30.80 |
$55 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$70 |
$125 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$72.24 |
$129 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$268.80 |
$480 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$72.24 |
$129 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$60.48 |
$108 |
0.2× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$302.96 |
$541 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$108.36 |
$193.50 |
0.6× |
| Bladder Irrigation Simple (51700) |
$168 |
$300 |
0.8× |
| Bladder Scan (51798) |
$112 |
$200 |
2.2× |
| Blood transfusion service (36430) |
$259.84 |
$464 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$392 |
$700 |
0.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$560 |
$1,000 |
0.4× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$378 |
$675 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$86.80 |
$155 |
0.4× |
| Chemical Cautery Tissue (17250) |
$283.08 |
$505.50 |
1.6× |
| Chest tube placement (32551) |
$252 |
$450 |
0.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$313.60 |
$560 |
1.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,022 |
$1,825 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$159.60 |
$285 |
0.7× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$429.52 |
$767 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$498.40 |
$890 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$353.36 |
$631 |
1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$351.12 |
$627 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$213.36 |
$381 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$210 |
$375 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$313.60 |
$560 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$239.12 |
$427 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$117.04 |
$209 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$116.48 |
$208 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$87.36 |
$156 |
0.7× |
| Cryotherapy of skin (17340) |
$39.76 |
$71 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$155.12 |
$277 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$692.72 |
$1,237 |
1.9× |
| Debride nail 6 or more (11721) |
$47.60 |
$85 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$336 |
$600 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$616 |
$1,100 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,687 |
$3,012.50 |
1.2× |
| Declot vascular device (36593) |
$45.92 |
$82 |
0.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$68.88 |
$123 |
0.4× |
| Dilate urethra stricture (53620) |
$196 |
$350 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$254.80 |
$455 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$178.64 |
$319 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$278.60 |
$497.50 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$300.44 |
$536.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$288.96 |
$516 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$119.84 |
$214 |
0.7× |
| Egd flexible foreign body removal (43247) |
$252 |
$450 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$29.68 |
$53 |
0.3× |
| Excision of nail fold toe (11765) |
$266.56 |
$476 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$476 |
$850 |
0.8× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$280 |
$500 |
0.1× |
| I&d abscess simple (10060) |
$108.64 |
$194 |
0.6× |
| I&d perianal abscess superficial (46050) |
$115.92 |
$207 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$128.24 |
$229 |
0.2× |
| Incise/drain eyelid lining (68020) |
$210 |
$375 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$217.84 |
$389 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$258.72 |
$462 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$168 |
$300 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$140 |
$250 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$147.28 |
$263 |
0.6× |
| Incision thrombosed hemorrhoid external (46083) |
$131.60 |
$235 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$448 |
$800 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$241.64 |
$431.50 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$71.68 |
$128 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$70 |
$125 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$94.64 |
$169 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$89.60 |
$160 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$429.52 |
$767 |
3.8× |
| Insert non-tunnel cv cath (36556) |
$407.40 |
$727.50 |
0.1× |
| Insert picc cath (36569) |
$544.60 |
$972.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$138.88 |
$248 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$84 |
$150 |
0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$417.20 |
$745 |
0.3× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$672 |
$1,200 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$235.20 |
$420 |
1.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$449.12 |
$802 |
2.6× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$168 |
$300 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$213.92 |
$382 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$224 |
$400 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$95.76 |
$171 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$431.20 |
$770 |
1.2× |
| Removal fb intranasal (30300) |
$161.84 |
$289 |
1.4× |
| Removal foreign body foot deep (28192) |
$478.24 |
$854 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$484.68 |
$865.50 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$84 |
$150 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$48.16 |
$86 |
0.9× |
| Removal of arm foreign body (24200) |
$206.64 |
$369 |
0.1× |
| Removal of nail bed (11750) |
$224 |
$400 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$84 |
$150 |
0.5× |
| Remove foreign body from eye (65210) |
$62.16 |
$111 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$83.72 |
$149.50 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$49.84 |
$89 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$364 |
$650 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$330.40 |
$590 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$502.88 |
$898 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$286.72 |
$512 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$367.92 |
$657 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$362.32 |
$647 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$338.24 |
$604 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$213.92 |
$382 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$228.48 |
$408 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$258.16 |
$461 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$285.04 |
$509 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$331.52 |
$592 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$183.12 |
$327 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$228.48 |
$408 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$265.44 |
$474 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$437.36 |
$781 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$318.08 |
$568 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$166.88 |
$298 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$237.44 |
$424 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$369.60 |
$660 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$243.60 |
$435 |
0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$429.52 |
$767 |
0.2× |
| Repair of nail bed (11760) |
$159.60 |
$285 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$50.40 |
$90 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$399.28 |
$713 |
0.6× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$672 |
$1,200 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$350 |
$625 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$129.92 |
$232 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$167.44 |
$299 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$378 |
$675 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$201.60 |
$360 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$253.68 |
$453 |
1.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$445.20 |
$795 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$125.44 |
$224 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$342.16 |
$611 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$185.36 |
$331 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,582 |
$2,825 |
2.4× |
| Skin sub graft trnk/arm/leg (15271) |
$1,582 |
$2,825 |
2.4× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$904.96 |
$1,616 |
0.5× |
| Skn sub grft f/n/hf/g child (15277) |
$904.96 |
$1,616 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$128.24 |
$229 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$232.96 |
$416 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$297.36 |
$531 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$89.60 |
$160 |
0.1× |
| Strapping hand/finger (29280) |
$48.16 |
$86 |
0.9× |
| Strapping shoulder (29240) |
$118.72 |
$212 |
1.0× |
| Strapping toes (29550) |
$52.64 |
$94 |
1.0× |
| Strapping unna boot (29580) |
$312.20 |
$557.50 |
2.2× |
| Tangential biopsy skin single lesion (11102) |
$417.20 |
$745 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$166.88 |
$298 |
0.3× |
| Thrombolytic Therapy, Stroke (37195) |
$479.36 |
$856 |
1.7× |
| Trach Tube Change (31502) |
$278.88 |
$498 |
1.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$280 |
$500 |
0.2× |
| Treat pleurodesis w/agent (32560) |
$420 |
$750 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$431.20 |
$770 |
2.0× |
| Trim skin lesion (11055) |
$231 |
$412.50 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$261.24 |
$466.50 |
1.5× |
| Trim skin lesions over 4 (11057) |
$417.76 |
$746 |
2.4× |
| Vaginal delivery only (59409) |
$1,135.12 |
$2,027 |
0.4× |
| Venipuncture (36415) |
$7.28 |
$13 |
0.8× |