| Application cast elbow finger short arm (29075) |
$169.50 |
$282 |
0.6× |
| Application finger splint static (29130) |
$125 |
$209 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$198 |
$330 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$198 |
$330 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$154 |
$256 |
1.2× |
| Application short leg splint calf foot (29515) |
$125 |
$208 |
0.8× |
| Arterial puncture (36600) |
$124 |
$206 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$92 |
$154 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$236 |
$393.50 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$85 |
$142 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$243 |
$405 |
1.2× |
| Blood transfusion service (36430) |
$556 |
$927 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$78.50 |
$130.50 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$397 |
$662 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$358 |
$597 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$433 |
$721 |
1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$149.50 |
$249.50 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$314 |
$523 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$379 |
$631 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$392 |
$654 |
1.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$120 |
$200 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$347 |
$578 |
1.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$6 |
$10 |
0.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$325 |
$541 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$154 |
$256 |
1.2× |
| Cryotherapy of skin (17340) |
$44 |
$73 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$464 |
$773 |
3.5× |
| Cystourethroscopy (52000) |
$483 |
$805 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$300 |
$500 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$454 |
$756 |
1.1× |
| Delivery placenta separate procedure (59414) |
$170 |
$283 |
0.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$239 |
$399 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$239 |
$399 |
1.2× |
| Dilation of vagina (57400) |
$6 |
$10 |
0.0× |
| Drainage Finger Abscess Complicated (26011) |
$660 |
$1,100 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$295 |
$492 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$122 |
$204 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$247 |
$411 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$65 |
$109 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$206 |
$344 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$230 |
$384 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$268 |
$446 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$424 |
$707 |
0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$165 |
$275 |
0.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$3 |
$5 |
0.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$269 |
$449 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$173 |
$289 |
0.1× |
| I&d abscess simple (10060) |
$243 |
$405 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$197 |
$329 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$284 |
$474 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$454 |
$756 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$306.50 |
$510.50 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$86 |
$144 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$103 |
$172 |
0.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$195 |
$325 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$266 |
$443 |
0.4× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$164 |
$274 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$135 |
$225 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$36 |
$60 |
0.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$58 |
$97 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$102 |
$170 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$904 |
$1,506 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$130 |
$217 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$154 |
$256 |
1.2× |
| Insertion of vascular pedicle into carpal bone (eg, harii procedure) (25430) |
$8 |
$14 |
0.0× |
| Intubation endotracheal emergency procedure (31500) |
$330 |
$549.50 |
1.4× |
| Lengthening of hand tendon (26478) |
$46 |
$77 |
0.0× |
| Placement of needle for intraosseous infusion (36680) |
$179 |
$298 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$89 |
$149 |
0.2× |
| Removal fb intranasal (30300) |
$205 |
$341 |
1.5× |
| Removal foreign body foot deep (28192) |
$300 |
$500 |
0.2× |
| Removal foreign body foot subcutaneous (28190) |
$246 |
$410 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$31 |
$52 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$76.50 |
$127.50 |
1.3× |
| Removal of nail bed (11750) |
$440 |
$734 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$239 |
$399 |
1.2× |
| Remove drug implant device (11982) |
$78 |
$130 |
0.2× |
| Remove foreign body from eye (65210) |
$101 |
$169 |
0.2× |
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure |
$5 |
$8 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$154 |
$256 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$105.50 |
$176 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$466 |
$777 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$898 |
$1,497 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$356 |
$593 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$615 |
$1,025 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$437 |
$728 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$454 |
$756 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$454 |
$756 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$351.50 |
$586 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$309 |
$515 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$301 |
$501 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$261 |
$435 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$454 |
$756 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$326 |
$544 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$123 |
$204.50 |
0.3× |
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500)
likely a partial charge, not the full procedure |
$304 |
$506 |
0.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$360 |
$600 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$95 |
$159 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$153 |
$255 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$245.50 |
$408.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$247 |
$411 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$266 |
$444 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$243 |
$405 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$247 |
$412 |
1.2× |
| Slitting of prepuce (54001) |
$3 |
$5 |
0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$247 |
$411 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$440 |
$734 |
1.1× |
| Strapping ankle (29540) |
$125 |
$209 |
0.8× |
| Strapping elbow/wrist (29260) |
$125 |
$209 |
2.1× |
| Strapping hand/finger (29280) |
$44 |
$73 |
0.7× |
| Strapping knee (29530) |
$106 |
$177 |
0.8× |
| Strapping shoulder (29240) |
$125 |
$209 |
0.9× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$70 |
$116 |
0.0× |
| Tendon lengthening (26476) |
$46 |
$77 |
0.0× |
| Tendon shortening (26477) |
$46 |
$77 |
0.0× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$7 |
$12 |
0.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$868 |
$1,447 |
1.4× |
| Thrombolytic Therapy, Stroke (37195) |
$742 |
$1,236 |
2.2× |
| Vaginal delivery only (59409) |
$1,483 |
$2,472 |
0.5× |
| Venipuncture (36415) |
$13 |
$21 |
1.4× |