| Abd paracentesis w/imaging (49083) |
$1,530 |
$1,800 |
1.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$12,144.80 |
$14,288 |
1.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$467.50 |
$550 |
2.9× |
| Application cast elbow finger short arm (29075) |
$297.50 |
$350 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$166.60 |
$196 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$102 |
$120 |
1.7× |
| Application finger splint static (29130) |
$127.50 |
$150 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$127.50 |
$150 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$127.50 |
$150 |
0.8× |
| Application of long leg cast (29345) |
$391 |
$460 |
1.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$637.50 |
$750 |
2.3× |
| Application Short Arm Splint Dynamic (29126) |
$420.75 |
$495 |
3.2× |
| Application short arm splint forearm-hand static (29125) |
$127.50 |
$150 |
1.0× |
| Application short leg splint calf foot (29515) |
$127.50 |
$150 |
0.8× |
| Apply short leg cast (29405) |
$391 |
$460 |
1.4× |
| Arterial puncture (36600) |
$170 |
$200 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$637.50 |
$750 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,105 |
$1,300 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,105 |
$1,300 |
3.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,105 |
$1,300 |
3.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$637.50 |
$750 |
2.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$1,190 |
$1,400 |
3.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$276.25 |
$325 |
1.4× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$3,123.75 |
$3,675 |
2.6× |
| Biopsy of nail unit (11755) |
$1,020 |
$1,200 |
1.4× |
| Biopsy of uterus lining (58100) |
$255 |
$300 |
1.3× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$382.50 |
$450 |
0.2× |
| Bladder Irrigation Simple (51700) |
$552.50 |
$650 |
2.2× |
| Bladder Scan (51798) |
$212.50 |
$250 |
3.6× |
| Blood patch (62273) |
$1,530 |
$1,800 |
2.2× |
| Blood transfusion service (36430) |
$850 |
$1,000 |
1.9× |
| Bx anorectal wall anal approach (45100) |
$2,805 |
$3,300 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$3,315 |
$3,900 |
2.0× |
| Bx vulva/perineum 1 lesion (56605) |
$1,190 |
$1,400 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$195.50 |
$230 |
0.9× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$255 |
$300 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$195.50 |
$230 |
0.8× |
| Change g-tube to g-j perc (49446) |
$2,125 |
$2,500 |
1.1× |
| Chemical Cautery Tissue (17250) |
$233.75 |
$275 |
1.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$510 |
$600 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,700 |
$2,000 |
2.4× |
| Chemodenerv Musc Migraine (64615) |
$276.25 |
$325 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$595 |
$700 |
1.9× |
| Chemodenerv trunk musc 1-5 (64646) |
$850 |
$1,000 |
1.2× |
| Chemodenerv trunk musc 6/> (64647) |
$1,785 |
$2,100 |
2.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$680 |
$800 |
2.2× |
| Chest tube placement (32551) |
$2,720 |
$3,200 |
1.7× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$106.25 |
$125 |
0.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$340 |
$400 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$408 |
$480 |
1.7× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,105 |
$1,300 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$340 |
$400 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$340 |
$400 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$382.50 |
$450 |
1.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$382.50 |
$450 |
1.6× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$807.50 |
$950 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$340 |
$400 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$807.50 |
$950 |
3.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$318.75 |
$375 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,700 |
$2,000 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$297.50 |
$350 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$340 |
$400 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$382.50 |
$450 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$365.50 |
$430 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$323 |
$380 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$340 |
$400 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$340 |
$400 |
1.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$340 |
$400 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$340 |
$400 |
0.2× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$4,037.50 |
$4,750 |
3.4× |
| Colonoscopy through stoma with decompression (44408) |
$1,487.50 |
$1,750 |
1.6× |
| Colonoscopy w/ablation (45388) |
$1,360 |
$1,600 |
1.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$1,190 |
$1,400 |
3.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,360 |
$1,600 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$425 |
$500 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$425 |
$500 |
3.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$191.25 |
$225 |
1.4× |
| Debride nail 1-5 (11720) |
$170 |
$200 |
2.9× |
| Debride nail 6 or more (11721) |
$127.50 |
$150 |
2.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$765 |
$900 |
1.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,275 |
$1,500 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,465 |
$2,900 |
1.5× |
| Declot vascular device (36593) |
$488.75 |
$575 |
1.5× |
| Destroy internal hemorrhoids (46930) |
$1,105 |
$1,300 |
0.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$255 |
$300 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,402.50 |
$1,650 |
1.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$233.75 |
$275 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$148.75 |
$175 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$361.25 |
$425 |
1.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$212.50 |
$250 |
1.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$191.25 |
$225 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$212.50 |
$250 |
1.1× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$3,145 |
$3,700 |
2.6× |
| Dilation of anal sphincter (45905) |
$2,868.75 |
$3,375 |
2.4× |
| Drain/inj small joint/bursa w/us (20604) |
$637.50 |
$750 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$935 |
$1,100 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$255 |
$300 |
1.3× |
| Drainage mouth roof lesion (42000) |
$1,190 |
$1,400 |
5.0× |
| Drainage of gum lesion (41800) |
$425 |
$500 |
3.2× |
| Drainage of scrotal wall abscess (55100) |
$2,550 |
$3,000 |
1.5× |
| Draw blood off venous device (36591) |
$238 |
$280 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$552.50 |
$650 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$361.25 |
$425 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$399.50 |
$470 |
2.0× |
| Dry Needling 3+ Muscles (20561) |
$116.45 |
$137 |
4.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$144.50 |
$170 |
0.7× |
| Dx duod intub w/asp specs (43757) |
$2,890 |
$3,400 |
3.2× |
| Egd Endo Mucosal Resection (43254) |
$2,635 |
$3,100 |
1.4× |
| Egd tube/cath insertion (43241) |
$2,465 |
$2,900 |
1.3× |
| Esophagoscopy Transoral Stent Placement (43212) |
$3,400 |
$4,000 |
0.6× |
| Esophagus Surg Procedure Unlisted (43499) |
$2,125 |
$2,500 |
2.3× |
| Evacuation of subungual hematoma (11740) |
$136 |
$160 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,754 |
$3,240 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,700 |
$2,000 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,550 |
$3,000 |
1.5× |
| Exc back les sc < 3 cm (21930) |
$2,754 |
$3,240 |
1.7× |
| Exc face les sbq 2 cm/> (21012) |
$2,754 |
$3,240 |
1.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,105 |
$1,300 |
1.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,700 |
$2,000 |
1.0× |
| Exc forearm les sc < 3 cm (25075) |
$2,754 |
$3,240 |
1.7× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,720 |
$3,200 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,700 |
$2,000 |
2.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,275 |
$1,500 |
3.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,020 |
$1,200 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,785 |
$2,100 |
2.5× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,754 |
$3,240 |
1.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,785 |
$2,100 |
1.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$4,865.40 |
$5,724 |
1.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,380 |
$2,800 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,805 |
$3,300 |
1.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,870 |
$2,200 |
1.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,499 |
$2,940 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,550 |
$3,000 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,720 |
$3,200 |
1.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,190 |
$1,400 |
1.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,975 |
$3,500 |
1.8× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,865.40 |
$5,724 |
1.7× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,615 |
$1,900 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,275 |
$1,500 |
1.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,275 |
$1,500 |
3.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,615 |
$1,900 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,700 |
$2,000 |
2.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,190 |
$1,400 |
1.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$680 |
$800 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,870 |
$2,200 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,700 |
$2,000 |
1.0× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,700 |
$2,000 |
2.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,275 |
$1,500 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,275 |
$1,500 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,870 |
$2,200 |
1.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,190 |
$1,400 |
1.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,020 |
$1,200 |
1.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,870 |
$2,200 |
1.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,615 |
$1,900 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,975 |
$3,500 |
1.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,145 |
$3,700 |
1.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,550 |
$3,000 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$425 |
$500 |
2.0× |
| I&d abscess simple (10060) |
$510 |
$600 |
2.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,550 |
$3,000 |
0.9× |
| I&d perianal abscess superficial (46050) |
$1,105 |
$1,300 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$1,003 |
$1,180 |
1.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$425 |
$500 |
0.3× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,125 |
$2,500 |
1.1× |
| Incise finger tendon sheath (26055) |
$2,805 |
$3,300 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$871.25 |
$1,025 |
2.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,275 |
$1,500 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$595 |
$700 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$223.55 |
$263 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,105 |
$1,300 |
3.6× |
| Incision of lingual frenum (41010) |
$1,275 |
$1,500 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,955 |
$2,300 |
2.2× |
| Inj tendon sheath/ligament (20550) |
$371.88 |
$437.50 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,445 |
$1,700 |
1.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$476 |
$560 |
1.5× |
| Inject Rx Celiac Plexus Nerve (64680) |
$3,995 |
$4,700 |
4.5× |
| Inject scleros soln in hemorrhoids (46500) |
$595 |
$700 |
0.6× |
| Inject Tendon Origin/Insert (20551) |
$850 |
$1,000 |
2.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,020 |
$1,200 |
1.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,593.75 |
$1,875 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$680 |
$800 |
2.2× |
| Injection anes other peripheral nerve/branch (64450) |
$1,020 |
$1,200 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,105 |
$1,300 |
3.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$680 |
$800 |
2.2× |
| Insert Drug Implant Device (11981) |
$255 |
$300 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$1,700 |
$2,000 |
0.5× |
| Insert pessary/other device (57160) |
$170 |
$200 |
0.8× |
| Insert picc cath (36569) |
$1,105 |
$1,300 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$306 |
$360 |
2.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$212.50 |
$250 |
1.6× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$2,380 |
$2,800 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,125 |
$2,500 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$425 |
$500 |
1.8× |
| Laryngoscopy Flexible Diagnostic (31575) |
$510 |
$600 |
2.6× |
| Ligation of hemorrhoid(s) (46221) |
$1,105 |
$1,300 |
1.2× |
| Musculoskeletal surgery (20999) |
$127.50 |
$150 |
0.5× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,020 |
$1,200 |
5.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$170 |
$200 |
0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,550 |
$3,000 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$80.75 |
$95 |
2.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$459 |
$540 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,125 |
$2,500 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,530 |
$1,800 |
2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,190 |
$1,400 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,530 |
$1,800 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,700 |
$2,000 |
1.9× |
| Peritoneal Lavage (49084) |
$1,275 |
$1,500 |
1.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$582.25 |
$685 |
2.3× |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$6,120 |
$7,200 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$297.50 |
$350 |
0.7× |
| Puncture Aspiration (10160) |
$1,275 |
$1,500 |
3.1× |
| Removal fb intranasal (30300) |
$191.25 |
$225 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,550 |
$3,000 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$110.50 |
$130 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$148.75 |
$175 |
2.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$255 |
$300 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$680 |
$800 |
2.2× |
| Removal of nail bed (11750) |
$850 |
$1,000 |
2.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$340 |
$400 |
1.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$106.25 |
$125 |
0.4× |
| Remove foreign body from eye (65210) |
$573.75 |
$675 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$212.50 |
$250 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$191.25 |
$225 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,020 |
$1,200 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,275 |
$1,500 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$850 |
$1,000 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$935 |
$1,100 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,275 |
$1,500 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,275 |
$1,500 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,020 |
$1,200 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,020 |
$1,200 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,105 |
$1,300 |
1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,275 |
$1,500 |
3.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$935 |
$1,100 |
2.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,020 |
$1,200 |
2.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,105 |
$1,300 |
2.7× |
| Repair Tongue Laceration (41250) |
$1,190 |
$1,400 |
2.7× |
| Repair tympanic membrane (69610) |
$3,740 |
$4,400 |
2.4× |
| Replace duod/jej tube perc (49451) |
$1,020 |
$1,200 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$191.25 |
$225 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$1,275 |
$1,500 |
9.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$425 |
$500 |
1.8× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,975 |
$3,500 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$212.50 |
$250 |
1.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$255 |
$300 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$212.50 |
$250 |
0.5× |
| Sigmoidoscopy & decompress (45337) |
$4,250 |
$5,000 |
4.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$233.75 |
$275 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$255 |
$300 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$255 |
$300 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$425 |
$500 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$425 |
$500 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$255 |
$300 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$221 |
$260 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$255 |
$300 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$2,975 |
$3,500 |
4.0× |
| Skin sub graft trnk/arm/leg (15271) |
$3,400 |
$4,000 |
4.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$4,930 |
$5,800 |
2.4× |
| Skin Tissue Procedure (17999) |
$1,275 |
$1,500 |
6.3× |
| Skn sub grft f/n/hf/g child (15277) |
$2,805 |
$3,300 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$255 |
$300 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$425 |
$500 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$255 |
$300 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,530 |
$1,800 |
2.2× |
| Strapping ankle (29540) |
$59.50 |
$70 |
0.4× |
| Strapping elbow/wrist (29260) |
$63.75 |
$75 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$414.38 |
$487.50 |
1.0× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,720 |
$3,200 |
1.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,105 |
$1,300 |
1.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,275 |
$1,500 |
2.0× |
| Transoral Lower Esophageal Myotomy (43497) |
$6,800 |
$8,000 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$340 |
$400 |
1.4× |
| Trim skin lesion (11055) |
$297.50 |
$350 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$212.50 |
$250 |
1.1× |
| Trim skin lesions over 4 (11057) |
$637.50 |
$750 |
3.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,100 |
$6,000 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$467.50 |
$550 |
0.6× |
| Unlisted procedure anus (46999) |
$1,105 |
$1,300 |
1.2× |
| Unlisted Procedure Biliary Tract (47999) |
$3,111 |
$3,660 |
3.4× |
| Unlisted procedure colon (45399) |
$1,870 |
$2,200 |
2.0× |
| Unlisted Procedure Nervous System (64999) |
$1,275 |
$1,500 |
4.1× |
| Unlisted procedure pancreas (48999) |
$3,697.50 |
$4,350 |
5.2× |
| Unlisted Procedure Rectum (45999) |
$1,105 |
$1,300 |
1.2× |
| Unlisted Procedure Small Intestine (44799) |
$1,955 |
$2,300 |
2.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$148.75 |
$175 |
0.2× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$2,295 |
$2,700 |
0.6× |
| Uppr gi opticl endomicrscopy (43252) |
$3,400 |
$4,000 |
1.8× |
| Vasectomy (55250) |
$2,805 |
$3,300 |
1.3× |
| Venipuncture (36415) |
$17 |
$20 |
1.8× |