| Abd paracentesis w/imaging (49083) |
$646.40 |
$808 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$528.80 |
$661 |
0.6× |
| Acne Surgery (10040) |
$164 |
$205 |
0.8× |
| Amputation Finger/Thumb (26951) |
$1,616 |
$2,020 |
0.5× |
| Application cast elbow finger short arm (29075) |
$266.40 |
$333 |
0.9× |
| Application finger splint static (29130) |
$139.20 |
$174 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$265.60 |
$332 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$262.40 |
$328 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$204.80 |
$256 |
1.5× |
| Application short leg splint calf foot (29515) |
$192 |
$240 |
1.2× |
| Arterial puncture (36600) |
$84 |
$105 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$177.60 |
$222 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$222.40 |
$278 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$172 |
$215 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$160 |
$200 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,456.80 |
$3,071 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$200.80 |
$251 |
1.0× |
| Biopsy external ear (69100) |
$168.80 |
$211 |
0.7× |
| Bladder Irrigation Simple (51700) |
$244.80 |
$306 |
1.0× |
| Blood transfusion service (36430) |
$558 |
$697.50 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$201.60 |
$252 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$340 |
$425 |
1.3× |
| Chest tube placement (32551) |
$1,098.40 |
$1,373 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$659.20 |
$824 |
2.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,446.40 |
$4,308 |
2.2× |
| Closed Rx Med Malleolus Fx (27760) |
$1,096 |
$1,370 |
4.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,569.60 |
$1,962 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,418 |
$1,772.50 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,776 |
$2,220 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$755.20 |
$944 |
3.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$896 |
$1,120 |
3.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,256.80 |
$1,571 |
5.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$3,600 |
$4,500 |
2.2× |
| Closed Rx Trimalleolar Fx (27816) |
$664 |
$830 |
2.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$660.80 |
$826 |
2.6× |
| Closed treatment nasal fracture w/stabilization (21320) |
$642.40 |
$803 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$710.40 |
$888 |
2.8× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$704 |
$880 |
2.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,705.60 |
$2,132 |
6.8× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,208.80 |
$1,511 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$760 |
$950 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,382.40 |
$1,728 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$932 |
$1,165 |
3.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,350.40 |
$1,688 |
5.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$664.80 |
$831 |
2.6× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,368 |
$1,710 |
0.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,656.80 |
$3,321 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$2,736 |
$3,420 |
10.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$2,410.40 |
$3,013 |
4.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$680 |
$850 |
2.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$544.80 |
$681 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,053.60 |
$1,317 |
4.2× |
| Closed tx patellar fracture w/o manipulation (27520) |
$704.80 |
$881 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,323.20 |
$1,654 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$744.80 |
$931 |
3.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,717.60 |
$2,147 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$416 |
$520 |
1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$936.80 |
$1,171 |
0.6× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,360.80 |
$1,701 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$369.60 |
$462 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,569.60 |
$1,962 |
1.0× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$487.20 |
$609 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$799.20 |
$999 |
3.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,314.40 |
$1,643 |
5.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$451.20 |
$564 |
1.8× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,048 |
$1,310 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$689.60 |
$862 |
2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,096.80 |
$1,371 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$792 |
$990 |
3.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,455.20 |
$1,819 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$540 |
$675 |
2.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$850.40 |
$1,063 |
3.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,216 |
$1,520 |
4.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$840 |
$1,050 |
3.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$858.40 |
$1,073 |
3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$287.20 |
$359 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$864.80 |
$1,081 |
3.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,712 |
$2,140 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,104 |
$3,880 |
1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,729.60 |
$3,412 |
1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$483.20 |
$604 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$404 |
$505 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$407.20 |
$509 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$312 |
$390 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,037.20 |
$1,296.50 |
4.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,342.40 |
$1,678 |
5.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,626.40 |
$2,033 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$859.20 |
$1,074 |
3.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$896 |
$1,120 |
3.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$446.40 |
$558 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,266.40 |
$1,583 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$824 |
$1,030 |
3.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$495.20 |
$619 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,189.20 |
$1,486.50 |
4.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$559.20 |
$699 |
2.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,843.20 |
$2,304 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,378.40 |
$1,723 |
5.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,531.20 |
$3,164 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$549.60 |
$687 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,849.60 |
$2,312 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$552.80 |
$691 |
2.2× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,559.20 |
$1,949 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,730.40 |
$2,163 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,202.40 |
$1,503 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,608 |
$2,010 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$524 |
$655 |
3.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$314.80 |
$393.50 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$693.60 |
$867 |
5.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$667.20 |
$834 |
2.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$143.60 |
$179.50 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,178.40 |
$2,723 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,133.60 |
$1,417 |
1.6× |
| Debride nail 6 or more (11721) |
$84 |
$105 |
1.4× |
| Debride skin musc at fx site (11011) |
$1,464 |
$1,830 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$374.60 |
$468.25 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$520 |
$650 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$263.20 |
$329 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$182.40 |
$228 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$134.40 |
$168 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$435.20 |
$544 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$665.60 |
$832 |
3.2× |
| Drainage of gum lesion (41800) |
$744.80 |
$931 |
5.5× |
| Drainage of hematoma/fluid (10140) |
$393.60 |
$492 |
0.2× |
| Draw blood off venous device (36591) |
$59.20 |
$74 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$515.20 |
$644 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$364.80 |
$456 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$292.80 |
$366 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$109.60 |
$137 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$273.60 |
$342 |
0.4× |
| Exc shoulder les sc 3 cm/> (23071) |
$680 |
$850 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$354.40 |
$443 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$251.20 |
$314 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$279.20 |
$349 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$376.80 |
$471 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$449.60 |
$562 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$762.40 |
$953 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,126.40 |
$2,658 |
1.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$215.20 |
$269 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$416 |
$520 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$432 |
$540 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$475.20 |
$594 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$512 |
$640 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$892 |
$1,115 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$342.40 |
$428 |
0.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$199.20 |
$249 |
0.1× |
| Excision of nail fold toe (11765) |
$318.80 |
$398.50 |
0.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,411.20 |
$1,764 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,144.80 |
$1,431 |
0.7× |
| Fetal non-stress test (59025) |
$228 |
$285 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$360.80 |
$451 |
0.9× |
| Hemorrhoidectomy external complete (46250) |
$1,160 |
$1,450 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$572.80 |
$716 |
2.4× |
| I&d abscess simple (10060) |
$290.40 |
$363 |
1.4× |
| I&d perianal abscess superficial (46050) |
$550.40 |
$688 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$949.60 |
$1,187 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$468.80 |
$586 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$590.40 |
$738 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$315.20 |
$394 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$389.60 |
$487 |
1.9× |
| Incision thrombosed hemorrhoid external (46083) |
$370.40 |
$463 |
1.5× |
| Initial tx 1st degree burn local tx (16000) |
$228.80 |
$286 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$180 |
$225 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$513.60 |
$642 |
1.6× |
| Injection anes other peripheral nerve/branch (64450) |
$422 |
$527.50 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$180 |
$225 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$280 |
$350 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$100 |
$125 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$607.20 |
$759 |
4.6× |
| Insert Drug Implant Device (11981) |
$296.40 |
$370.50 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$635.60 |
$794.50 |
0.2× |
| Insert pessary/other device (57160) |
$218.40 |
$273 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$250.40 |
$313 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$165.60 |
$207 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$631.20 |
$789 |
2.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$240 |
$300 |
1.2× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$708.80 |
$886 |
3.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$236 |
$295 |
0.5× |
| Open tx nose fx uncomplicatd (21325) |
$1,855.20 |
$2,319 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$923.20 |
$1,154 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$290 |
$362.50 |
0.6× |
| Puncture Aspiration (10160) |
$320 |
$400 |
0.8× |
| Removal fb intranasal (30300) |
$505.60 |
$632 |
3.7× |
| Removal foreign body foot subcutaneous (28190) |
$630.40 |
$788 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$521.60 |
$652 |
0.3× |
| Removal foreign body pharynx (42809) |
$491.20 |
$614 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$64.80 |
$81 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$126.40 |
$158 |
2.1× |
| Removal of intrauterine device (iud) (58301) |
$240.80 |
$301 |
0.8× |
| Removal of nail bed (11750) |
$476.80 |
$596 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$172 |
$215 |
0.8× |
| Remove drug implant device (11982) |
$298.40 |
$373 |
0.7× |
| Remove foreign body from eye (65210) |
$191.20 |
$239 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$260.80 |
$326 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$169.20 |
$211.50 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$840 |
$1,050 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,173.60 |
$1,467 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$836.80 |
$1,046 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,093.60 |
$1,367 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$735.20 |
$919 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,009.20 |
$1,261.50 |
2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$906.40 |
$1,133 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$870.40 |
$1,088 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,080 |
$1,350 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$615.60 |
$769.50 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$702.40 |
$878 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,644 |
$2,055 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$743.20 |
$929 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$994.40 |
$1,243 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,672 |
$2,090 |
4.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$991.60 |
$1,239.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$549.60 |
$687 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$641.60 |
$802 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$680.80 |
$851 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,541.60 |
$1,927 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$952.40 |
$1,190.50 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$513.60 |
$642 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$544 |
$680 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,102.40 |
$1,378 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$687.60 |
$859.50 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,200 |
$1,500 |
0.6× |
| Repair of nail bed (11760) |
$672 |
$840 |
0.9× |
| Repair Tongue Laceration (41250) |
$690.40 |
$863 |
1.5× |
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure |
$3,434.40 |
$4,293 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$217.20 |
$271.50 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$228 |
$285 |
1.7× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$852 |
$1,065 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,217.60 |
$1,522 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$724.80 |
$906 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$492 |
$615 |
0.8× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$513.60 |
$642 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,077.60 |
$1,347 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,036 |
$1,295 |
1.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$175.20 |
$219 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$243.20 |
$304 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$285.60 |
$357 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$240 |
$300 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$162.40 |
$203 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$221.60 |
$277 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$180 |
$225 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$264.80 |
$331 |
1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$574.40 |
$718 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$414 |
$517.50 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$440 |
$550 |
2.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$720 |
$900 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$444.40 |
$555.50 |
2.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$573.60 |
$717 |
2.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$760 |
$950 |
3.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$288 |
$360 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$720.80 |
$901 |
3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$585.60 |
$732 |
2.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$396 |
$495 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$647.20 |
$809 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$700 |
$875 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$436.80 |
$546 |
0.6× |
| Strapping ankle (29540) |
$60 |
$75 |
0.4× |
| Strapping toes (29550) |
$43.20 |
$54 |
0.7× |
| Strapping unna boot (29580) |
$220 |
$275 |
1.3× |
| Treat finger dislocation (26775) |
$773.60 |
$967 |
2.7× |
| Treat Fracture Radius & Ulna (25560) |
$865.60 |
$1,082 |
3.4× |
| Treat fx distal radial (25606) |
$2,000 |
$2,500 |
0.6× |
| Treat humerus fracture (24500) |
$409.60 |
$512 |
1.6× |
| Treat humerus fracture (23600) |
$539.20 |
$674 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$766.40 |
$958 |
3.0× |
| Treat wrist bone fracture (25635) |
$1,450.40 |
$1,813 |
0.9× |
| Treat wrist bone fracture (25622) |
$900 |
$1,125 |
3.6× |
| Treat Wrist Bone Fracture (25630) |
$1,096 |
$1,370 |
4.3× |
| Treatment closed elbow dislocation req anes (24605) |
$880.80 |
$1,101 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,033.60 |
$1,292 |
4.1× |
Treatment of nose fracture (21330)
unusually low: confirm this is the full procedure |
$2,923.20 |
$3,654 |
0.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$676.80 |
$846 |
2.7× |
| Trim skin lesion (11055) |
$81.60 |
$102 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$121.60 |
$152 |
0.6× |
| Trim skin lesions over 4 (11057) |
$108 |
$135 |
0.5× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$34.40 |
$43 |
0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,468 |
$1,835 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$654.40 |
$818 |
0.9× |
| Vaginal delivery only (59409) |
$3,644 |
$4,555 |
1.1× |
| Vbac delivery only (59612) |
$3,892.40 |
$4,865.50 |
1.2× |
| Venipuncture (36415) |
$26 |
$32.50 |
2.8× |