| Application Cast Finger (29086) |
$45 |
$150 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$136.35 |
$454.50 |
2.6× |
| Application finger splint static (29130) |
$81.90 |
$273 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$87.08 |
$290.25 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$48.15 |
$160.50 |
0.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$143.55 |
$478.50 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$147.45 |
$491.50 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$110.55 |
$368.50 |
0.9× |
| Application short leg splint calf foot (29515) |
$121.50 |
$405 |
0.8× |
| Arterial puncture (36600) |
$102 |
$340 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$89.70 |
$299 |
0.3× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$1,133.85 |
$3,779.50 |
0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$977.92 |
$3,259.75 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure |
$1,133.85 |
$3,779.50 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$59.55 |
$198.50 |
0.3× |
| Bladder Irrigation Simple (51700) |
$240.60 |
$802 |
1.1× |
| Bladder Scan (51798) |
$130.65 |
$435.50 |
2.4× |
| Blood patch (62273) |
$1,320 |
$4,400 |
2.1× |
| Blood transfusion service (36430) |
$690.30 |
$2,301 |
1.7× |
| Bx breast 1st lesion mr imag (19085) |
$2,485.95 |
$8,286.50 |
1.7× |
| Cessj Therapy Cath Removal (37214) |
$3,249.60 |
$10,832 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$495 |
$1,650 |
2.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$68.25 |
$227.50 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$217.20 |
$724 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$38.25 |
$127.50 |
0.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$38.25 |
$127.50 |
0.3× |
| Create eardrum opening (69436) |
$916.80 |
$3,056 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$38.25 |
$127.50 |
0.3× |
| Curette/treat cornea (65435) |
$288 |
$960 |
0.3× |
| Debride nail 1-5 (11720) |
$18.90 |
$63 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$123.15 |
$410.50 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$191.70 |
$639 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$59.55 |
$198.50 |
0.3× |
| Draw blood off venous device (36591) |
$99 |
$330 |
0.8× |
| Dry Needling 3+ Muscles (20561) |
$88.50 |
$295 |
3.4× |
| Endovenous rf 1st vein (36475) |
$3,600 |
$12,000 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$38.25 |
$127.50 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$747.82 |
$2,492.75 |
0.5× |
| External Cephalic Version (59412) |
$1,746.30 |
$5,821 |
0.6× |
| Fetal Contraction Stress Test (59020) |
$178.80 |
$596 |
1.0× |
| Fetal non-stress test (59025) |
$178.80 |
$596 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$204.60 |
$682 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$128.25 |
$427.50 |
0.7× |
| I&d abscess simple (10060) |
$59.55 |
$198.50 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$214.20 |
$714 |
0.3× |
| Image Cath Fluid Peri/Retro (49406) |
$3,956.70 |
$13,189 |
2.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$123.15 |
$410.50 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$59.55 |
$198.50 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$89.70 |
$299 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$89.70 |
$299 |
0.3× |
| Injection for identification of sentinel node (38792) |
$349.95 |
$1,166.50 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$89.70 |
$299 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$89.70 |
$299 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$122.10 |
$407 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$248.25 |
$827.50 |
1.2× |
| Knee arthroscopy/surgery (29876) |
$977.92 |
$3,259.75 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$84 |
$280 |
3.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$672.75 |
$2,242.50 |
0.2× |
| Perq device breast 1st imag (19281) |
$2,485.95 |
$8,286.50 |
1.7× |
| Removal fb intranasal (30300) |
$38.25 |
$127.50 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$214.20 |
$714 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$18.90 |
$63 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$44.25 |
$147.50 |
0.8× |
| Removal of arm foreign body (24200) |
$494.85 |
$1,649.50 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$87.30 |
$291 |
0.3× |
| Remove foreign body from eye (65210) |
$124.65 |
$415.50 |
0.3× |
| Remove shoulder foreign body (23330) |
$494.85 |
$1,649.50 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$63.08 |
$210.25 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$71.85 |
$239.50 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$191.70 |
$639 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$191.70 |
$639 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$123.15 |
$410.50 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$191.70 |
$639 |
0.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$191.70 |
$639 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$191.70 |
$639 |
0.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$191.70 |
$639 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$191.70 |
$639 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$191.70 |
$639 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$191.70 |
$639 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$569.55 |
$1,898.50 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$191.70 |
$639 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$123.15 |
$410.50 |
0.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$569.55 |
$1,898.50 |
0.3× |
| Repair of nail bed (11760) |
$191.70 |
$639 |
0.3× |
| Repair of nasal septum (30520) |
$916.80 |
$3,056 |
0.3× |
| Repair Tongue Laceration (41250) |
$124.65 |
$415.50 |
0.3× |
| Revise median n/carpal tunnel surg (64721) |
$747.82 |
$2,492.75 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$185.02 |
$616.75 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$38.25 |
$127.50 |
0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$852.45 |
$2,841.50 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$191.70 |
$639 |
0.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$68.55 |
$228.50 |
0.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$68.55 |
$228.50 |
0.3× |
| Shldr arthroscop,lyse adhesns (29825) |
$977.92 |
$3,259.75 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$123.15 |
$410.50 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$59.55 |
$198.50 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$59.55 |
$198.50 |
0.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$123.15 |
$410.50 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$59.55 |
$198.50 |
0.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$59.55 |
$198.50 |
0.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$59.55 |
$198.50 |
0.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$59.55 |
$198.50 |
0.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$59.55 |
$198.50 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$59.55 |
$198.50 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$59.55 |
$198.50 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$123.15 |
$410.50 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$123.15 |
$410.50 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$574.05 |
$1,913.50 |
0.9× |
| Strapping ankle (29540) |
$54.60 |
$182 |
0.4× |
| Strapping elbow/wrist (29260) |
$57.15 |
$190.50 |
1.1× |
| Strapping hand/finger (29280) |
$91.80 |
$306 |
1.7× |
| Strapping knee (29530) |
$101.70 |
$339 |
0.8× |
| Strapping shoulder (29240) |
$75.08 |
$250.25 |
0.6× |
| Strapping thorax (29200) |
$48.15 |
$160.50 |
0.3× |
| Strapping toes (29550) |
$18.90 |
$63 |
0.4× |
| Strapping unna boot (29580) |
$120.15 |
$400.50 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$535.35 |
$1,784.50 |
0.9× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,203 |
$14,010 |
1.5× |
| Thrombolytic Art Therapy (37211) |
$4,203 |
$7,191.06 |
0.8× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$1,133.85 |
$3,779.50 |
0.1× |
| Treat Finger Fracture Each (26727) |
$916.80 |
$3,056 |
0.3× |
| Unlisted Procedure Casting/Strapping (29799) |
$48.15 |
$160.50 |
0.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$118.80 |
$396 |
0.6× |
| Venipuncture (36415) |
$7.72 |
$25.75 |
0.8× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$38.25 |
$127.50 |
0.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$124.65 |
$415.50 |
0.3× |