| Acne surgery (10040) |
$406 |
$406 |
2.0× |
| Amputate metacarpal bone (26910) |
$3,296 |
$3,296 |
1.0× |
| Anoscopy diagnostic (46600) |
$332.50 |
$332.50 |
2.4× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$516 |
$516 |
3.1× |
| Application cast elbow finger short arm (29075) |
$409.50 |
$409.50 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$450.50 |
$450.50 |
1.6× |
| Application finger splint static (29130) |
$194.50 |
$194.50 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$354 |
$354 |
2.1× |
| Application of long leg cast (29345) |
$538.50 |
$538.50 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$302.50 |
$302.50 |
2.2× |
| Apply Hand/Wrist Cast (29085) |
$398.50 |
$398.50 |
2.4× |
| Apply long leg splint (29505) |
$298.50 |
$298.50 |
1.8× |
| Apply short leg cast (29405) |
$374.50 |
$374.50 |
1.3× |
| Apply short leg splint (29515) |
$283 |
$283 |
1.7× |
| Arterial puncture (36600) |
$158 |
$158 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$287.50 |
$287.50 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$386.50 |
$386.50 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$264 |
$264 |
0.8× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$3,476 |
$3,476 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$1,949.50 |
$1,949.50 |
0.6× |
| Aspirate/Inj Ganglion Cyst (20612) |
$286 |
$286 |
0.9× |
| Aspiration and injection for treatment of bone cyst (20615) |
$1,038.50 |
$1,038.50 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$438.50 |
$438.50 |
2.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$800 |
$800 |
0.5× |
| Biopsy of tongue (41100) |
$679.50 |
$679.50 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,723 |
$1,723 |
0.4× |
| Bladder Irrigation Simple (51700) |
$332 |
$332 |
1.3× |
| Blood patch (62273) |
$2,291 |
$2,291 |
3.1× |
| Blood transfusion service (36430) |
$1,058.50 |
$1,058.50 |
2.3× |
| Circum 28 days or older (54161) |
$1,698.50 |
$1,698.50 |
0.8× |
| Circumcision (54150) |
$625 |
$625 |
0.3× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$755.50 |
$755.50 |
3.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$3,296 |
$3,296 |
2.1× |
| Closed Rx Radial Shaft Fx (25500) |
$1,184 |
$1,184 |
4.7× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,523.50 |
$2,523.50 |
1.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,017 |
$1,017 |
4.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,257 |
$1,257 |
4.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,034 |
$2,034 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,361 |
$1,361 |
5.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,139 |
$1,139 |
4.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,622 |
$1,622 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,228.50 |
$1,228.50 |
4.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,236.50 |
$1,236.50 |
4.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,326 |
$1,326 |
5.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,931 |
$1,931 |
7.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$483 |
$483 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,031 |
$1,031 |
4.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,034 |
$2,034 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,077 |
$1,077 |
4.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$912 |
$912 |
3.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$552.50 |
$552.50 |
2.2× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$2,046.50 |
$2,046.50 |
8.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,259.50 |
$1,259.50 |
4.9× |
| Colonoscopy flex w/inj submuc (45381) |
$1,489.50 |
$1,489.50 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$1,485 |
$1,485 |
1.2× |
| Colonoscopy w/fb removal (45379) |
$1,644 |
$1,644 |
1.3× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,812 |
$1,812 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$791 |
$791 |
5.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$422.50 |
$422.50 |
3.1× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$2,429 |
$2,429 |
1.1× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$1,801 |
$1,801 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$280 |
$280 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,098.50 |
$2,098.50 |
2.9× |
| Debride nail 1-5 (11720) |
$142.50 |
$142.50 |
2.3× |
| Debride nail 6 or more (11721) |
$191 |
$191 |
3.1× |
| Destruction Benign Lesions 15/> (17111) |
$659 |
$659 |
3.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$429.50 |
$429.50 |
2.1× |
| Destruction Lesions Vulva Simple (56501) |
$518 |
$518 |
0.2× |
| Destruction Premalignant Lesion 15/> (17004) |
$756 |
$756 |
1.8× |
| Destruction premalignant lesion 1st (17000) |
$328.50 |
$328.50 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$930 |
$930 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$911.50 |
$911.50 |
1.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$370.50 |
$370.50 |
2.8× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$365 |
$365 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$753.50 |
$753.50 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$710.50 |
$710.50 |
0.4× |
| Drainage of hydrocele (55000) |
$618.50 |
$618.50 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,342 |
$1,342 |
3.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$673 |
$673 |
3.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$427.50 |
$427.50 |
2.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$337 |
$337 |
0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$577 |
$577 |
2.8× |
| Dstrj lesion penis simple surg excision (54060) |
$1,140.50 |
$1,140.50 |
0.5× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$2,049 |
$2,049 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,354 |
$1,354 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,208.50 |
$2,208.50 |
1.1× |
| Egd band ligation esophgeal/gastric varices (43244) |
$1,360 |
$1,360 |
0.7× |
| Egd control bleeding any (43255) |
$1,728 |
$1,728 |
0.9× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$1,218 |
$1,218 |
0.3× |
| Egd dilate stricture (43245) |
$1,721.50 |
$1,721.50 |
0.9× |
| Egd endo mucosal resection (43254) |
$1,182 |
$1,182 |
0.6× |
Egd endoscopic stent place (43266)
likely a partial charge, not the full procedure |
$1,561.50 |
$1,561.50 |
0.2× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,485 |
$1,485 |
0.7× |
| Egd flexible foreign body removal (43247) |
$1,477 |
$1,477 |
1.6× |
| Egd guide wire insertion (43248) |
$1,429.50 |
$1,429.50 |
1.5× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,287.50 |
$1,287.50 |
0.7× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,444 |
$1,444 |
0.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,418.50 |
$1,418.50 |
0.7× |
| Egd place gastrostomy tube (43246) |
$1,529.50 |
$1,529.50 |
0.8× |
| Egd remove lesion snare (43251) |
$1,607 |
$1,607 |
0.8× |
| Egd tube/cath insertion (43241) |
$1,133.50 |
$1,133.50 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,341 |
$1,341 |
0.7× |
| Egd us transmural injxn/mark (43253) |
$1,459.50 |
$1,459.50 |
0.7× |
Egd w/transmural drain cyst (43240)
likely a partial charge, not the full procedure |
$1,466 |
$1,466 |
0.2× |
| Endometrial Biopsy (58100) |
$520 |
$520 |
2.5× |
| Endoscopic us exam esoph (43237) |
$1,319.50 |
$1,319.50 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,378 |
$1,378 |
1.5× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,383.50 |
$1,383.50 |
0.7× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$1,931 |
$1,931 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$216.50 |
$216.50 |
1.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$552.50 |
$552.50 |
0.8× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$552.50 |
$552.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$940 |
$940 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,055.50 |
$1,055.50 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$751 |
$751 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$593.50 |
$593.50 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,080.50 |
$1,080.50 |
0.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,023.50 |
$2,023.50 |
0.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$786.50 |
$786.50 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$705 |
$705 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$664.50 |
$664.50 |
1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$908.50 |
$908.50 |
1.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,348 |
$1,348 |
0.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,815 |
$1,815 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,613.50 |
$1,613.50 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,508.50 |
$1,508.50 |
0.9× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,188.50 |
$2,188.50 |
0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,763.50 |
$1,763.50 |
0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,881.50 |
$1,881.50 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,041 |
$1,041 |
0.6× |
| Excision Aural Polyp (69540) |
$908.50 |
$908.50 |
0.6× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,011 |
$1,011 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$857 |
$857 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$988.50 |
$988.50 |
1.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,098 |
$1,098 |
2.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,253 |
$1,253 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,480.50 |
$1,480.50 |
2.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$892 |
$892 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,077.50 |
$1,077.50 |
1.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,264.50 |
$1,264.50 |
1.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,480.50 |
$1,480.50 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,695 |
$1,695 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$857 |
$857 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$997.50 |
$997.50 |
1.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,150 |
$1,150 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,333.50 |
$1,333.50 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,587.50 |
$1,587.50 |
0.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$748.50 |
$748.50 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$894.50 |
$894.50 |
1.2× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) |
$5,871 |
$5,871 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$815 |
$815 |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$944.50 |
$944.50 |
0.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,046.50 |
$2,046.50 |
0.6× |
| Explore/treat hand joint (26070) |
$2,046.50 |
$2,046.50 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$653.50 |
$653.50 |
1.6× |
| Fit/Insert Intravag Support Device (57160) |
$271 |
$271 |
1.3× |
| I&d abscess simple (10060) |
$507 |
$507 |
2.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,420.50 |
$2,420.50 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$747.50 |
$747.50 |
1.0× |
| I&d vulva/perineal abscess (56405) |
$543 |
$543 |
1.7× |
| Incise external hemorrhoid (46083) |
$611 |
$611 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$893 |
$893 |
2.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,217.50 |
$1,217.50 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$616 |
$616 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$367 |
$367 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$333 |
$333 |
1.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,245 |
$2,245 |
2.5× |
| Inj tendon sheath/ligament (20550) |
$283.50 |
$283.50 |
0.9× |
| Inj therapeutic carpal tunnel (20526) |
$361 |
$361 |
1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,420 |
$2,420 |
2.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,757 |
$1,757 |
1.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,494 |
$1,494 |
2.1× |
| Inject Tendon Origin/Insert (20551) |
$283.50 |
$283.50 |
0.9× |
| Injection into skin lesions (11900) |
$165 |
$165 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$347 |
$347 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$447 |
$447 |
1.4× |
| Injection(s) spider veins (36468) |
$713.50 |
$713.50 |
1.7× |
| Insert Temp Bladder Cath (51702) |
$441 |
$441 |
3.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$365 |
$365 |
2.7× |
| Intubation endotracheal emergency procedure (31500) |
$766 |
$766 |
3.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$650 |
$650 |
1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,184 |
$2,184 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,049 |
$2,049 |
2.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,460 |
$1,460 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,049 |
$2,049 |
2.8× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182)
unusually low: confirm this is the full procedure |
$2,781 |
$2,781 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$439 |
$439 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$257 |
$257 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$302 |
$302 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$596.50 |
$596.50 |
1.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,278.50 |
$2,278.50 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$1,111 |
$1,111 |
1.5× |
| Removal foreign body intranasal (30300) |
$860 |
$860 |
6.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$785.50 |
$785.50 |
0.5× |
| Removal foreign body pharynx (42809) |
$759 |
$759 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$96 |
$96 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$205 |
$205 |
3.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$617.50 |
$617.50 |
0.8× |
| Removal of arm foreign body (24200) |
$873 |
$873 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$227.50 |
$227.50 |
0.5× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
$3,527 |
$3,527 |
1.5× |
| Removal of iud (58301) |
$418 |
$418 |
1.3× |
| Removal of nail bed (11750) |
$922.50 |
$922.50 |
2.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$343 |
$343 |
1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$255 |
$255 |
0.9× |
| Remove Tendon Sheath Lesion (26160) |
$2,111 |
$2,111 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$489.50 |
$489.50 |
3.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$227.50 |
$227.50 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,982 |
$1,982 |
4.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,416.50 |
$1,416.50 |
3.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,945.50 |
$1,945.50 |
4.6× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,211.50 |
$2,211.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$2,046.50 |
$2,046.50 |
4.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,184 |
$1,184 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,312.50 |
$1,312.50 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,342.50 |
$2,342.50 |
5.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,484.50 |
$1,484.50 |
3.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,683.50 |
$1,683.50 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,549 |
$2,549 |
6.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,683.50 |
$1,683.50 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,003 |
$1,003 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,181 |
$1,181 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,385 |
$1,385 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,175.50 |
$2,175.50 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,544 |
$1,544 |
3.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$934 |
$934 |
2.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,150 |
$1,150 |
2.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,815 |
$1,815 |
2.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,206.50 |
$1,206.50 |
2.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,962.50 |
$1,962.50 |
0.9× |
| Repair oval window fistula Facility (69666) |
$6,978 |
$6,978 |
2.0× |
| Reposition gastric feeding tube thru duodenum (43761) |
$533 |
$533 |
2.1× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,033.50 |
$2,033.50 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,903 |
$1,903 |
2.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$811 |
$811 |
0.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$320.50 |
$320.50 |
0.8× |
| Shave skin lesion 0.5 cm/< (11305) |
$348.50 |
$348.50 |
1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$394.50 |
$394.50 |
1.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$678.50 |
$678.50 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$411.50 |
$411.50 |
2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$491.50 |
$491.50 |
2.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$561 |
$561 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$460 |
$460 |
2.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$543.50 |
$543.50 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$394.50 |
$394.50 |
1.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$561 |
$561 |
1.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$475 |
$475 |
2.3× |
| Sigmoidoscopy w/biopsy (45331) |
$1,318.50 |
$1,318.50 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,162 |
$1,162 |
2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$698 |
$698 |
3.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$788 |
$788 |
3.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,328.50 |
$1,328.50 |
3.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$872.50 |
$872.50 |
4.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$997.50 |
$997.50 |
4.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,312.50 |
$1,312.50 |
6.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$604 |
$604 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,375 |
$1,375 |
6.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$883 |
$883 |
4.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$698 |
$698 |
3.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$906 |
$906 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,061 |
$1,061 |
2.5× |
| Spinal puncture lumbar diagnostic (62270) |
$651 |
$651 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$237 |
$237 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$707 |
$707 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,310 |
$1,310 |
5.1× |
| Trim skin lesion (11055) |
$188.50 |
$188.50 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$241 |
$241 |
1.2× |
| Trim skin lesions over 4 (11057) |
$266 |
$266 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$94 |
$94 |
1.5× |
| Uppr gi opticl endomicrscopy (43252) |
$1,327.50 |
$1,327.50 |
0.7× |
| Venipuncture (36415) |
$26 |
$26 |
2.8× |