| Abd paracentesis w/imaging (49083) |
$810 |
$1,080 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$620.25 |
$827 |
0.7× |
| Acne Surgery (10040) |
$187.50 |
$250 |
1.0× |
| Anoscopy diagnostic (46600) |
$96.75 |
$129 |
0.8× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$281.25 |
$375 |
1.9× |
| Application cast elbow finger short arm (29075) |
$363 |
$484 |
1.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$438.75 |
$585 |
2.9× |
| Application cast shoulder hand long arm (29065) |
$321 |
$428 |
1.2× |
| Application finger splint static (29130) |
$244.50 |
$326 |
2.0× |
| Application long arm splint shoulder hand (29105) |
$223.50 |
$298 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$282.75 |
$377 |
1.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$185.25 |
$247 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$184.50 |
$246 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$249.75 |
$333 |
2.0× |
| Application short leg splint calf foot (29515) |
$222.75 |
$297 |
1.5× |
| Apply short leg cast (29405) |
$363 |
$484 |
1.4× |
| Apply short leg cast (29425) |
$354.75 |
$473 |
1.4× |
| Arterial puncture (36600) |
$87.75 |
$117 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$298.12 |
$397.50 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$327.38 |
$436.50 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$472.50 |
$630 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$318.75 |
$425 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$145.12 |
$193.50 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$1,125 |
$1,500 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,125 |
$1,500 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,000 |
$4,000 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$1,125 |
$1,500 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$469.50 |
$626 |
0.7× |
| Bladder Irrigation Simple (51700) |
$234.75 |
$313 |
1.0× |
| Bladder Scan (51798) |
$168.75 |
$225 |
3.1× |
| Blood transfusion service (36430) |
$719.25 |
$959 |
1.8× |
| Canthotomy Separate Procedure (67715) |
$206.25 |
$275 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$204 |
$272 |
0.9× |
| Chemical Cautery Tissue (17250) |
$313.50 |
$418 |
1.7× |
| Chest tube placement (32551) |
$1,158.75 |
$1,545 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$121.50 |
$162 |
1.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$242.25 |
$323 |
1.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$242.25 |
$323 |
1.1× |
| Closed Rx Med Malleolus Fx (27760) |
$242.25 |
$323 |
1.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,147.50 |
$1,530 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,147.50 |
$1,530 |
0.8× |
| Closed Rx Radial Shaft Fx (25500) |
$242.25 |
$323 |
1.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$242.25 |
$323 |
1.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$201.75 |
$269 |
0.9× |
| Closed Rx Trimalleolar Fx (27816) |
$242.25 |
$323 |
1.1× |
| Closed Treat Vert Body Fract (22310) |
$170.25 |
$227 |
0.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$201.75 |
$269 |
0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$242.25 |
$323 |
1.1× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$222 |
$296 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$242.25 |
$323 |
1.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$242.25 |
$323 |
1.1× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$201.75 |
$269 |
0.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$242.25 |
$323 |
1.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$806.25 |
$1,075 |
3.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$170.25 |
$227 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,016 |
$2,688 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,612.50 |
$2,150 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$262.50 |
$350 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,147.50 |
$1,530 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$170.25 |
$227 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$242.25 |
$323 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$403.50 |
$538 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$201.75 |
$269 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$242.25 |
$323 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$242.25 |
$323 |
1.1× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$967.50 |
$1,290 |
2.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$222 |
$296 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,451.25 |
$1,935 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$685.50 |
$914 |
3.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$242.25 |
$323 |
1.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$322.50 |
$430 |
1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$242.25 |
$323 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$242.25 |
$323 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$242.25 |
$323 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$309.75 |
$413 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$242.25 |
$323 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,292.25 |
$1,723 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$298.88 |
$398.50 |
1.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$242.25 |
$323 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$375 |
$500 |
0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$242.25 |
$323 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$242.25 |
$323 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$242.25 |
$323 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$309.75 |
$413 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$242.25 |
$323 |
1.1× |
| Cltx greater trochanteric fx w/o manj (27246) |
$806.25 |
$1,075 |
3.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$242.25 |
$323 |
1.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,147.50 |
$1,530 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$579.75 |
$773 |
2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$242.25 |
$323 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$170.25 |
$227 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$201.75 |
$269 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$242.25 |
$323 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$242.25 |
$323 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$242.25 |
$323 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$201.75 |
$269 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,147.50 |
$1,530 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,147.50 |
$1,530 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$812.25 |
$1,083 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$812.25 |
$1,083 |
0.7× |
| Complete replacement picc rs&i (36584) |
$1,674 |
$2,232 |
1.2× |
| Complex Drainage, Wound (10180) |
$1,938 |
$2,584 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$161.25 |
$215 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$366.75 |
$489 |
3.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$222 |
$296 |
1.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$162.75 |
$217 |
0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,400 |
$3,200 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$257.25 |
$343 |
0.7× |
| Debride nail 1-5 (11720) |
$140.62 |
$187.50 |
2.6× |
| Debride nail 6 or more (11721) |
$256.88 |
$342.50 |
4.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$490.50 |
$654 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$525.75 |
$701 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$917.25 |
$1,223 |
0.6× |
| Destroy internal hemorrhoids (46930) |
$1,125 |
$1,500 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$255 |
$340 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$322.50 |
$430 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$187.50 |
$250 |
1.0× |
| Drainage abscess/hematoma nasal int approach (30000) |
$187.50 |
$250 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$513 |
$684 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$1,158.75 |
$1,545 |
0.8× |
| Drainage of hydrocele (55000) |
$513 |
$684 |
0.8× |
| Draw blood off venous device (36591) |
$97.50 |
$130 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$281.25 |
$375 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$360 |
$480 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$276 |
$368 |
1.5× |
| Egd place gastrostomy tube (43246) |
$1,306.50 |
$1,742 |
0.7× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,837.50 |
$2,450 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,837.50 |
$2,450 |
1.0× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$723 |
$964 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$97.50 |
$130 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,125 |
$1,500 |
0.7× |
| Exc back les sc < 3 cm (21930) |
$2,625 |
$3,500 |
1.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$477 |
$636 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,158.75 |
$1,545 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$900 |
$1,200 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$272.62 |
$363.50 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$477 |
$636 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$900 |
$1,200 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,125 |
$1,500 |
0.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,125 |
$1,500 |
0.7× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,938 |
$2,584 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,953 |
$2,604 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,125 |
$1,500 |
0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,125 |
$1,500 |
0.7× |
| Excise cutaneous neurofibroma (64788) |
$2,418.75 |
$3,225 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$513 |
$684 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$525 |
$700 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$486.75 |
$649 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$513 |
$684 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$513 |
$684 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$513 |
$684 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,125 |
$1,500 |
0.7× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$486.75 |
$649 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$513 |
$684 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,125 |
$1,500 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$513 |
$684 |
0.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$477 |
$636 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,125 |
$1,500 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,158.75 |
$1,545 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,209.75 |
$1,613 |
0.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$806.25 |
$1,075 |
1.6× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,332.50 |
$3,110 |
0.8× |
| Explore/treat hand joint (26070) |
$1,612.50 |
$2,150 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$285 |
$380 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$282.75 |
$377 |
1.4× |
| I&d abscess simple (10060) |
$411 |
$548 |
2.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,250 |
$3,000 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$719.62 |
$959.50 |
1.1× |
| I&d submucosal abscess rectum (45005) |
$1,612.50 |
$2,150 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$506.25 |
$675 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$667.12 |
$889.50 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$444 |
$592 |
1.6× |
| Incision thrombosed hemorrhoid external (46083) |
$282.75 |
$377 |
1.2× |
| Incision&drainage bursa foot (28001) |
$1,125 |
$1,500 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$449.25 |
$599 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$168 |
$224 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$200.25 |
$267 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$242.25 |
$323 |
0.9× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$486.75 |
$649 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$326.25 |
$435 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$523.50 |
$698 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$248.25 |
$331 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$262.50 |
$350 |
2.2× |
| Insert picc cath (36569) |
$1,116 |
$1,488 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,116 |
$1,488 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$149.25 |
$199 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$108.75 |
$145 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,902.75 |
$2,537 |
1.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$700.50 |
$934 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,234.25 |
$2,979 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$384 |
$512 |
1.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,232.25 |
$1,643 |
0.8× |
| Late closure of wound (13160) |
$1,312.50 |
$1,750 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$1,237.50 |
$1,650 |
1.4× |
| Lip Surgery Procedure (40799) |
$175.50 |
$234 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$285 |
$380 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$486.75 |
$649 |
0.7× |
| Obstructive material removal from gi tube (49460) |
$620.25 |
$827 |
0.7× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
likely a partial charge, not the full procedure |
$242.25 |
$323 |
0.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,225 |
$4,300 |
1.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,225 |
$4,300 |
1.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,275 |
$1,700 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$534 |
$712 |
2.3× |
| Placement of needle for intraosseous infusion (36680) |
$283.50 |
$378 |
0.7× |
| Proctosigmoidoscopy (45303) |
$1,275 |
$1,700 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$352.50 |
$470 |
0.9× |
| Puncture Aspiration (10160) |
$280.50 |
$374 |
0.8× |
| Removal fb intranasal (30300) |
$96.75 |
$129 |
0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,418.75 |
$3,225 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,158.75 |
$1,545 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$971.25 |
$1,295 |
1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,158.75 |
$1,545 |
0.8× |
| Removal foreign body pharynx (42809) |
$283.50 |
$378 |
0.7× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,953 |
$2,604 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$81 |
$108 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$100 |
1.4× |
| Removal of arm foreign body (24200) |
$1,158.75 |
$1,545 |
0.8× |
| Removal of nail bed (11750) |
$280.50 |
$374 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$262.50 |
$350 |
1.0× |
| Remove drug implant device (11982) |
$283.50 |
$378 |
0.7× |
| Remove foreign body from eye (65210) |
$283.50 |
$378 |
0.7× |
| Remove spine infusion device (62365) |
$4,634.25 |
$6,179 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$96.75 |
$129 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$233.25 |
$311 |
1.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$435.75 |
$581 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$483.75 |
$645 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$285 |
$380 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$435.75 |
$581 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$435.75 |
$581 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$435.75 |
$581 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$483.75 |
$645 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$435.75 |
$581 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,612.50 |
$2,150 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$295.88 |
$394.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$339 |
$452 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$285 |
$380 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$285 |
$380 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$435.75 |
$581 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$286.12 |
$381.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$309 |
$412 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$435.75 |
$581 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$285 |
$380 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$275.62 |
$367.50 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$306.75 |
$409 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$285 |
$380 |
0.8× |
| Repair of nail bed (11760) |
$435.75 |
$581 |
0.6× |
| Repair Tongue Laceration (41250) |
$283.50 |
$378 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$283.50 |
$378 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$121.50 |
$162 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,953 |
$2,604 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,430.25 |
$1,907 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$434.25 |
$579 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$624 |
$832 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$138 |
$184 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$272.25 |
$363 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$357 |
$476 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$184.50 |
$246 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$201.75 |
$269 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$201.75 |
$269 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$187.50 |
$250 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,154.25 |
$1,539 |
6.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$433.50 |
$578 |
2.3× |
| Skin splt grft trnk/arm/leg (15100) |
$1,837.50 |
$2,450 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$1,170 |
$1,560 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,278 |
$1,704 |
1.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,488.75 |
$1,985 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,697.75 |
$3,597 |
0.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,278.75 |
$1,705 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$193.12 |
$257.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$607.50 |
$810 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$303 |
$404 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$513.75 |
$685 |
0.8× |
| Stimulus evoked response (51792) |
$75 |
$100 |
1.4× |
| Strapping ankle (29540) |
$293.25 |
$391 |
2.0× |
| Strapping elbow/wrist (29260) |
$208.50 |
$278 |
3.8× |
| Strapping hand/finger (29280) |
$262.50 |
$350 |
4.8× |
| Strapping knee (29530) |
$282.75 |
$377 |
2.3× |
| Strapping shoulder (29240) |
$208.50 |
$278 |
1.7× |
| Strapping thorax (29200) |
$222 |
$296 |
1.5× |
| Strapping unna boot (29580) |
$262.50 |
$350 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$315 |
$420 |
0.8× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$435.75 |
$581 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,076.25 |
$1,435 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$910.50 |
$1,214 |
1.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$712.50 |
$950 |
1.2× |
| Thrombolytic Art Therapy (37211) |
$3,862.50 |
$5,150 |
0.8× |
| Thrombolytic Therapy, Stroke (37195) |
$495 |
$660 |
1.6× |
| Thrombolytic Venous Therapy (37212) |
$2,343.75 |
$3,125 |
0.8× |
| Treat Fracture Radius & Ulna (25560) |
$242.25 |
$323 |
1.1× |
| Treat humerus fracture (24500) |
$242.25 |
$323 |
1.1× |
| Treat humerus fracture (23600) |
$225 |
$300 |
1.0× |
| Treat wrist bone fracture (25622) |
$242.25 |
$323 |
1.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,076.25 |
$1,435 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$242.25 |
$323 |
1.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,213.50 |
$1,618 |
5.3× |
| Trim skin lesion (11055) |
$183 |
$244 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$219 |
$292 |
1.2× |
| Trim skin lesions over 4 (11057) |
$300 |
$400 |
1.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$82.88 |
$110.50 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$435.75 |
$581 |
0.6× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$175.50 |
$234 |
0.8× |
| Vasectomy (55250) |
$3,000 |
$4,000 |
1.6× |
| Venipuncture (36415) |
$27.75 |
$37 |
3.0× |
| Wound Prep F/N/Hf/G (15004) |
$525 |
$700 |
1.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,312.50 |
$1,750 |
1.9× |