| Abd paracentesis (49082) |
$528.80 |
$661 |
0.6× |
| Abd paracentesis w/imaging (49083) |
$646.40 |
$808 |
0.7× |
| Acne surgery (10040) |
$164 |
$205 |
0.8× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,616 |
$2,020 |
0.5× |
| Application finger splint static (29130) |
$139.20 |
$174 |
1.0× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$262.40 |
$328 |
1.6× |
| Application of short arm splint (forearm to hand); static (29125) |
$204.80 |
$256 |
1.5× |
| Application of short leg splint (calf to foot) (29515) |
$192 |
$240 |
1.2× |
| Apply long arm splint (29105) |
$265.60 |
$332 |
1.6× |
| 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× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$160 |
$200 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,456.80 |
$3,071 |
1.2× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$200.80 |
$251 |
1.0× |
| Biopsy external ear (69100) |
$168.80 |
$211 |
0.7× |
| Bladder irrigation (51700) |
$244.80 |
$306 |
1.0× |
| Cast short arm (29075) |
$266.40 |
$333 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$340 |
$425 |
1.3× |
| Chest tube placement (32551) |
$1,098.40 |
$1,373 |
0.7× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,705.60 |
$2,132 |
6.8× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$451.20 |
$564 |
1.8× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,455.20 |
$1,819 |
0.9× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$540 |
$675 |
2.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$664.80 |
$831 |
2.6× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$1,096 |
$1,370 |
4.3× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$900 |
$1,125 |
3.6× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$1,048 |
$1,310 |
0.6× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$689.60 |
$862 |
2.7× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,216 |
$1,520 |
4.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$840 |
$1,050 |
3.3× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$287.20 |
$359 |
1.1× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$3,104 |
$3,880 |
1.9× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,729.60 |
$3,412 |
1.7× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$404 |
$505 |
1.6× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$312 |
$390 |
1.2× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,600 |
$4,500 |
2.2× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$409.60 |
$512 |
1.6× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$1,626.40 |
$2,033 |
1.0× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$2,656.80 |
$3,321 |
1.6× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$2,736 |
$3,420 |
10.9× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,569.60 |
$1,962 |
1.0× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$1,096 |
$1,370 |
4.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$896 |
$1,120 |
3.6× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$446.40 |
$558 |
1.8× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$1,266.40 |
$1,583 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$704.80 |
$881 |
2.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,189.20 |
$1,486.50 |
4.7× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$559.20 |
$699 |
2.2× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,843.20 |
$2,304 |
1.1× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$2,531.20 |
$3,164 |
1.5× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$549.60 |
$687 |
2.2× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,849.60 |
$2,312 |
1.1× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$539.20 |
$674 |
2.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$865.60 |
$1,082 |
3.4× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$744.80 |
$931 |
3.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$552.80 |
$691 |
2.2× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$755.20 |
$944 |
3.0× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$792 |
$990 |
3.1× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$936.80 |
$1,171 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$710.40 |
$888 |
2.8× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$487.20 |
$609 |
1.9× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$799.20 |
$999 |
3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$760 |
$950 |
3.0× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,382.40 |
$1,728 |
0.8× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$932 |
$1,165 |
3.7× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,446.40 |
$4,308 |
2.2× |
| 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 patellar dislocation w/o anesthesia (27560) |
$1,053.60 |
$1,317 |
4.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,717.60 |
$2,147 |
1.0× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,776 |
$2,220 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$416 |
$520 |
1.7× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$659.20 |
$824 |
2.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$704 |
$880 |
2.8× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,360.80 |
$1,701 |
0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,314.40 |
$1,643 |
5.2× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$544.80 |
$681 |
0.3× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$642.40 |
$803 |
0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,096.80 |
$1,371 |
0.7× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$850.40 |
$1,063 |
3.4× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$858.40 |
$1,073 |
3.4× |
| 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 fx phlx/phlg oth/thn grt toe w/manj (28515) |
$407.20 |
$509 |
1.6× |
| 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 HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,418 |
$1,772.50 |
0.9× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$824 |
$1,030 |
3.3× |
| Cltx metar fx w/manj (28475) |
$766.40 |
$958 |
3.0× |
| 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 TechFee (27752) |
$1,202.40 |
$1,503 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,256.80 |
$1,571 |
5.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,608 |
$2,010 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$664 |
$830 |
2.6× |
| Collect blood from implant venous access device (36591) |
$59.20 |
$74 |
0.4× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$524 |
$655 |
3.9× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (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 w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$1,464 |
$1,830 |
2.0× |
| Deb skin bone at fx site (11012) |
$2,178.40 |
$2,723 |
0.7× |
| Debride skin at fx site (11010) |
$1,133.60 |
$1,417 |
1.6× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$143.60 |
$179.50 |
0.3× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$84 |
$105 |
1.4× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$374.60 |
$468.25 |
0.9× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$520 |
$650 |
0.7× |
| Destruct lesion 15 or more (17111) |
$263.20 |
$329 |
1.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$134.40 |
$168 |
0.7× |
| Destruction benign lesions up to 14 (17110) |
$182.40 |
$228 |
0.9× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$435.20 |
$544 |
0.6× |
| Drainage finger abscess simple (26010) |
$665.60 |
$832 |
3.2× |
| Drainage of tonsil abscess (42700) |
$572.80 |
$716 |
2.4× |
| Ed proc insert intraosseous IV (36680) |
$290 |
$362.50 |
0.6× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$607.20 |
$759 |
4.6× |
| Ed proc remve fb nasal- hospital (30300) |
$505.60 |
$632 |
3.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$84 |
$105 |
0.6× |
| Ed prof burn - large - hospital (16030) |
$515.20 |
$644 |
1.2× |
| Ed prof burn medium - hospital (16025) |
$364.80 |
$456 |
1.8× |
| Ed prof burn small - hospital (16020) |
$292.80 |
$366 |
1.4× |
| Ed prof catheterization/straight (51701) |
$165.60 |
$207 |
1.2× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,378.40 |
$1,723 |
5.5× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,208.80 |
$1,511 |
0.7× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,323.20 |
$1,654 |
0.8× |
| Ed prof drain dental abscess-hospital (41800) |
$744.80 |
$931 |
5.5× |
| Ed prof insert foley cath simple (51702) |
$250.40 |
$313 |
1.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$635.60 |
$794.50 |
0.2× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$952.40 |
$1,190.50 |
2.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$687.60 |
$859.50 |
1.7× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$859.20 |
$1,074 |
3.4× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$236 |
$295 |
0.5× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$422 |
$527.50 |
0.6× |
| Evac subungual hematoma (11740) |
$109.60 |
$137 |
0.8× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$199.20 |
$249 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$354.40 |
$443 |
0.5× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$215.20 |
$269 |
0.3× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$279.20 |
$349 |
0.4× |
| 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 of thrombosed hemorrhoid, external (46320) |
$2,126.40 |
$2,658 |
1.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$680 |
$850 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,411.20 |
$1,764 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$251.20 |
$314 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$449.60 |
$562 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$376.80 |
$471 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$892 |
$1,115 |
0.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$762.40 |
$953 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$342.40 |
$428 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$273.60 |
$342 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,144.80 |
$1,431 |
0.7× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$360.80 |
$451 |
0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,160 |
$1,450 |
0.4× |
| I&d abscess simple/single (10060) |
$290.40 |
$363 |
1.4× |
| I&d hematoma/seroma/fluid (10140) |
$393.60 |
$492 |
0.2× |
| Incise external hemorrhoid (46083) |
$370.40 |
$463 |
1.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$468.80 |
$586 |
1.1× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$389.60 |
$487 |
1.9× |
| Incision and drainage, perianal abscess, superficial (46050) |
$550.40 |
$688 |
0.6× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$949.60 |
$1,187 |
0.6× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$590.40 |
$738 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$315.20 |
$394 |
0.8× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$228.80 |
$286 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$513.60 |
$642 |
1.6× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$180 |
$225 |
0.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$280 |
$350 |
0.9× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$180 |
$225 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$100 |
$125 |
0.5× |
| Insert drug implant device (11981) |
$296.40 |
$370.50 |
2.2× |
| Insert pessary/other device (57160) |
$218.40 |
$273 |
1.1× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$201.60 |
$252 |
0.9× |
| Intubation endotracheal (31500) |
$631.20 |
$789 |
2.6× |
| Laryngoscopy flex diagnostic (31575) |
$240 |
$300 |
1.2× |
| Lumbar puncture (62270) |
$436.80 |
$546 |
0.6× |
| Non stress test (59025) |
$228 |
$285 |
1.1× |
Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Age Under 21 (21330)
unusually low — confirm this is the full procedure |
$2,923.20 |
$3,654 |
0.5× |
| Open treatment of nasal fracture; uncomplicated Age Under 21 (21325) |
$1,855.20 |
$2,319 |
0.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$121.60 |
$152 |
0.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$108 |
$135 |
0.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$81.60 |
$102 |
0.4× |
| Pericardiocentesis w/img guidance when performed (33016) |
$923.20 |
$1,154 |
0.6× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$320 |
$400 |
0.8× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$630.40 |
$788 |
0.9× |
| 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 fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$852 |
$1,065 |
0.7× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$521.60 |
$652 |
0.3× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$708.80 |
$886 |
3.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$169.20 |
$211.50 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$217.20 |
$271.50 |
0.5× |
| Removal of 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× |
| Removal tunneled cv cath (36590) |
$724.80 |
$906 |
0.5× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$513.60 |
$642 |
1.1× |
| Removal, non-biodegradable drug delivery implant (11982) |
$298.40 |
$373 |
0.7× |
| Remove foreign body from eye (65210) |
$191.20 |
$239 |
0.4× |
| Remove pharynx foreign body (42809) |
$491.20 |
$614 |
1.1× |
| 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 TechFee (13132) |
$1,093.60 |
$1,367 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,009.20 |
$1,261.50 |
2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$870.40 |
$1,088 |
1.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$615.60 |
$769.50 |
1.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$702.40 |
$878 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$994.40 |
$1,243 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,080 |
$1,350 |
2.6× |
| 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 S/A/T/E 2.5 CM/< TechFee (12031) |
$513.60 |
$642 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$544 |
$680 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,102.40 |
$1,378 |
1.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$743.20 |
$929 |
1.8× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,644 |
$2,055 |
4.0× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,672 |
$2,090 |
4.0× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,200 |
$1,500 |
0.6× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,036 |
$1,295 |
1.9× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$690.40 |
$863 |
1.5× |
| Repair of nail bed (11760) |
$672 |
$840 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$840 |
$1,050 |
1.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,173.60 |
$1,467 |
1.6× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$735.20 |
$919 |
1.8× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$906.40 |
$1,133 |
1.2× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,541.60 |
$1,927 |
0.7× |
Repair/graft achilles tendon (27652)
unusually low — confirm this is the full procedure |
$3,434.40 |
$4,293 |
0.5× |
| Reset dislocated jaw (21480) |
$369.60 |
$462 |
1.5× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$260.80 |
$326 |
1.9× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$228 |
$285 |
1.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,217.60 |
$1,522 |
0.4× |
| Rmvl of access device (36589) |
$492 |
$615 |
0.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,077.60 |
$1,347 |
1.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$162.40 |
$203 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$221.60 |
$277 |
1.1× |
| 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× |
| 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 2.5CM/< TechFee (12011) |
$414 |
$517.50 |
2.0× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$440 |
$550 |
2.1× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$444.40 |
$555.50 |
2.2× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (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/< TechFee (12001) |
$288 |
$360 |
1.4× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$720.80 |
$901 |
3.5× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$720 |
$900 |
1.7× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$574.40 |
$718 |
1.4× |
| 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 TechFee (12002) |
$396 |
$495 |
1.9× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$647.20 |
$809 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$700 |
$875 |
1.7× |
| Strapping ankle (29540) |
$60 |
$75 |
0.4× |
| Strapping of toes (29550) |
$43.20 |
$54 |
0.7× |
| Strapping unna boot (29580) |
$220 |
$275 |
1.3× |
| Transfusion, blood or blood components (36430) |
$558 |
$697.50 |
1.2× |
| Treat big toe fracture (28495) |
$483.20 |
$604 |
1.9× |
| Treat finger dislocation (26775) |
$773.60 |
$967 |
2.7× |
| Treat fx distal radial (25606) |
$2,000 |
$2,500 |
0.6× |
| Treat tail bone fracture (27200) |
$660.80 |
$826 |
2.6× |
| Treat toe dislocation (28630) |
$495.20 |
$619 |
2.0× |
| Treat ulnar fracture (24675) |
$1,569.60 |
$1,962 |
1.0× |
| Treat wrist bone fracture (25635) |
$1,450.40 |
$1,813 |
0.9× |
| Treat wrist bone fracture (25624) |
$1,368 |
$1,710 |
0.8× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$880.80 |
$1,101 |
0.5× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,033.60 |
$1,292 |
4.1× |
| Treatment of heel fracture (28405) |
$1,350.40 |
$1,688 |
5.4× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$896 |
$1,120 |
3.6× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,468 |
$1,835 |
0.9× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$676.80 |
$846 |
2.7× |
| Trimming of nondystrophic nails, any number (11719) |
$34.40 |
$43 |
0.6× |
| Tx superficial wound dehiscence simple closure (12020) |
$654.40 |
$818 |
0.9× |
| Vaginal delivery (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× |
| Wedge excision skin nail fold (11765) |
$318.80 |
$398.50 |
0.8× |