| Abd paracentesis w/imaging (49083) |
$433.80 |
$723 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$224.40 |
$374 |
0.2× |
| Anoscopy control bleeding (46614) |
$472.20 |
$787 |
0.4× |
| Anoscopy diagnostic (46600) |
$190.20 |
$317 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$418.80 |
$698 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$26.40 |
$44 |
0.2× |
| Application finger splint static (29130) |
$89.10 |
$148.50 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$249 |
$415 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$249 |
$415 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$190.20 |
$317 |
1.3× |
| Application short leg splint calf foot (29515) |
$178.80 |
$298 |
1.0× |
| Apply multlay comprs arm/hand (29584) |
$26.40 |
$44 |
0.2× |
| Arterial puncture (36600) |
$120.60 |
$201 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$466.80 |
$778 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$466.80 |
$778 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$466.80 |
$778 |
1.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$91.20 |
$152 |
0.3× |
| Aspiration bladder needle (51100) |
$343.20 |
$572 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$183.30 |
$305.50 |
0.9× |
| Biopsy external ear (69100) |
$107.40 |
$179 |
0.4× |
| Bladder Irrigation Simple (51700) |
$430.80 |
$718 |
1.6× |
| Bladder Scan (51798) |
$116.40 |
$194 |
1.8× |
| Blood transfusion service (36430) |
$496.20 |
$827 |
1.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$584.10 |
$973.50 |
0.3× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,156.20 |
$1,927 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$712.44 |
$1,187.40 |
0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$797.31 |
$1,328.85 |
0.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$801.45 |
$1,335.75 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$472.32 |
$787.20 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$124.80 |
$208 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$124.80 |
$208 |
0.5× |
| Chest tube placement (32551) |
$1,006.20 |
$1,677 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$190.20 |
$317 |
1.3× |
| Circumcision (54150) |
$430.20 |
$717 |
0.2× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$936.60 |
$1,561 |
0.5× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$924 |
$1,540 |
0.5× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$317.40 |
$529 |
0.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$185.40 |
$309 |
0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$220.20 |
$367 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$111 |
$185 |
0.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$160.20 |
$267 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$336 |
$560 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$359.40 |
$599 |
1.4× |
| Closed tx femoral fracture prox head w manip (27268) |
$250.20 |
$417 |
0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$495 |
$825 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$359.40 |
$599 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$500.40 |
$834 |
0.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$715.80 |
$1,193 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$277.20 |
$462 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$168 |
$280 |
0.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$846 |
$1,410 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$96.60 |
$161 |
0.4× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,284.80 |
$3,808 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$359.40 |
$599 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,284.80 |
$3,808 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$359.40 |
$599 |
1.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$570.60 |
$951 |
0.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$495 |
$825 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$495 |
$825 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$359.40 |
$599 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$495 |
$825 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$349.80 |
$583 |
0.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$569.40 |
$949 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$267 |
$445 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$359.40 |
$599 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$410.40 |
$684 |
0.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$359.40 |
$599 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$359.40 |
$599 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$359.40 |
$599 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$495 |
$825 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$359.40 |
$599 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$495 |
$825 |
1.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$359.40 |
$599 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$132.60 |
$221 |
0.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$500.40 |
$834 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$495 |
$825 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$492 |
$820 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$495 |
$825 |
1.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$903 |
$1,505 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$569.40 |
$949 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$1,288.80 |
$2,148 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,219.20 |
$2,032 |
1.0× |
| Colonoscopy thru stoma (44388) |
$927.60 |
$1,546 |
0.9× |
| Colonoscopy w/ablation (45388) |
$1,288.80 |
$2,148 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$212.34 |
$353.90 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$148.17 |
$246.95 |
0.7× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,219.20 |
$2,032 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,219.20 |
$2,032 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$269.40 |
$449 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$190.20 |
$317 |
1.3× |
| Cryotherapy of skin (17340) |
$54 |
$90 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$269.40 |
$449 |
1.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$269.40 |
$449 |
1.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$619.20 |
$1,032 |
0.8× |
| Debride nail 1-5 (11720) |
$31.80 |
$53 |
0.5× |
| Debride nail 6 or more (11721) |
$54 |
$90 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$302.10 |
$503.50 |
0.7× |
| Delivery placenta separate procedure (59414) |
$906.60 |
$1,511 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$271.20 |
$452 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$313.20 |
$522 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$392.40 |
$654 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$199.20 |
$332 |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$253.80 |
$423 |
1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$281.40 |
$469 |
1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$198.60 |
$331 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$218.40 |
$364 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$241.80 |
$403 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$277.80 |
$463 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$315 |
$525 |
0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$153 |
$255 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$927.60 |
$1,546 |
0.9× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$972.60 |
$1,621 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$149.40 |
$249 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$1,962.60 |
$3,271 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$475.80 |
$793 |
2.2× |
| Drainage of gum lesion (41800) |
$190.20 |
$317 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$1,962.60 |
$3,271 |
1.1× |
| Draw blood off venous device (36591) |
$73.20 |
$122 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$76.80 |
$128 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$215.40 |
$359 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$181.50 |
$302.50 |
0.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,854 |
$3,090 |
0.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,854 |
$3,090 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,212 |
$2,020 |
1.3× |
| Egd guide wire insertion (43248) |
$972.60 |
$1,621 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,670.40 |
$2,784 |
0.8× |
| Egd remove lesion snare (43251) |
$1,854 |
$3,090 |
0.9× |
| Egd Varices Ligation (43244) |
$1,854 |
$3,090 |
0.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$951.60 |
$1,586 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$116.40 |
$194 |
0.8× |
| Exc back les sc < 3 cm (21930) |
$145.80 |
$243 |
0.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,919.40 |
$3,199 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$642 |
$1,070 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$697.80 |
$1,163 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$281.40 |
$469 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$621.60 |
$1,036 |
0.4× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$327.60 |
$546 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$385.80 |
$643 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$525 |
$875 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$284.40 |
$474 |
0.4× |
| Excision of nail fold toe (11765) |
$245.40 |
$409 |
0.6× |
| Explo/Drain Breast Abscess (19020) |
$916.20 |
$1,527 |
0.5× |
| Fetal non-stress test (59025) |
$169.20 |
$282 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$310.80 |
$518 |
0.7× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$547.80 |
$913 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$459 |
$765 |
2.0× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$1,597.80 |
$2,663 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$652.20 |
$1,087 |
2.6× |
| I&d abscess simple (10060) |
$245.40 |
$409 |
1.1× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,206 |
$2,010 |
0.5× |
| I&d perianal abscess superficial (46050) |
$145.20 |
$242 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$475.80 |
$793 |
0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,250.40 |
$2,084 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$475.80 |
$793 |
1.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,001.40 |
$1,669 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$469.20 |
$782 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$379.80 |
$633 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$292.80 |
$488 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$522.60 |
$871 |
1.6× |
| Incision of rectal abscess (46040) |
$1,063.80 |
$1,773 |
0.8× |
| Incision thrombosed hemorrhoid external (46083) |
$145.20 |
$242 |
0.5× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$382.80 |
$638 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$140.70 |
$234.50 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$58.20 |
$97 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$242.70 |
$404.50 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$79.80 |
$133 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$59.40 |
$99 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$90.60 |
$151 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$82.20 |
$137 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$466.80 |
$778 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$264.90 |
$441.50 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$120 |
$200 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$270.60 |
$451 |
2.0× |
| Insert non-tunnel cv cath (36556) |
$1,797.60 |
$2,996 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,797.60 |
$2,996 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,797.60 |
$2,996 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$127.80 |
$213 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$192.90 |
$321.50 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$108 |
$180 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$269.40 |
$449 |
1.1× |
| Late closure of wound (13160) |
$1,744.20 |
$2,907 |
0.5× |
| Ligation of hemorrhoid(s) (46221) |
$741 |
$1,235 |
0.7× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$99.60 |
$166 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$547.80 |
$913 |
1.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$219 |
$365 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$54 |
$90 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$190.20 |
$317 |
0.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$927.60 |
$1,546 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$111.60 |
$186 |
0.3× |
| Puncture Aspiration (10160) |
$215.10 |
$358.50 |
0.5× |
| Removal fb intranasal (30300) |
$190.20 |
$317 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$1,962.60 |
$3,271 |
2.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$757.80 |
$1,263 |
0.4× |
| Removal foreign body pharynx (42809) |
$190.20 |
$317 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$116.40 |
$194 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$116.40 |
$194 |
1.8× |
| Removal of intrauterine device (iud) (58301) |
$392.10 |
$653.50 |
1.2× |
| Removal of nail bed (11750) |
$361.20 |
$602 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$192 |
$320 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$157.80 |
$263 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$253.20 |
$422 |
0.8× |
| Remove drug implant device (11982) |
$151.20 |
$252 |
0.3× |
| Remove foreign body from eye (65210) |
$190.20 |
$317 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$190.20 |
$317 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$190.20 |
$317 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$892.80 |
$1,488 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$892.80 |
$1,488 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$892.80 |
$1,488 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$791.40 |
$1,319 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$892.80 |
$1,488 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$739.20 |
$1,232 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$856.80 |
$1,428 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$723.60 |
$1,206 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$469.80 |
$783 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$422.10 |
$703.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$457.80 |
$763 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$245.40 |
$409 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$472.80 |
$788 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$245.40 |
$409 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$469.80 |
$783 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$469.80 |
$783 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$313.50 |
$522.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$454.20 |
$757 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$469.80 |
$783 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$892.80 |
$1,488 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$356.70 |
$594.50 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$402 |
$670 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$447.90 |
$746.50 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$892.80 |
$1,488 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$469.80 |
$783 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$24 |
$40 |
0.0× |
| Repair of nail bed (11760) |
$892.80 |
$1,488 |
1.1× |
| Repair Tongue Laceration (41250) |
$145.80 |
$243 |
0.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,369 |
$5,615 |
2.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$190.20 |
$317 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$190.20 |
$317 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$172.80 |
$288 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$469.80 |
$783 |
0.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$652.20 |
$1,087 |
2.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$489.60 |
$816 |
1.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,437 |
$2,395 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$573 |
$955 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,437 |
$2,395 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,288.80 |
$2,148 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,288.80 |
$2,148 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$1,219.20 |
$2,032 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$927.60 |
$1,546 |
0.9× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$927.60 |
$1,546 |
0.9× |
| Sigmoidoscopy w/fb removal (45332) |
$1,219.20 |
$2,032 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$245.40 |
$409 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$245.40 |
$409 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$185.40 |
$309 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$245.40 |
$409 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$203.70 |
$339.50 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$245.40 |
$409 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$245.40 |
$409 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$245.40 |
$409 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$469.80 |
$783 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$245.40 |
$409 |
1.1× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,854 |
$3,090 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$245.40 |
$409 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$245.40 |
$409 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$245.40 |
$409 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,219.20 |
$2,032 |
1.6× |
| Strapping ankle (29540) |
$38.40 |
$64 |
0.2× |
| Strapping elbow/wrist (29260) |
$41.40 |
$69 |
0.7× |
| Strapping hand/finger (29280) |
$41.40 |
$69 |
0.7× |
| Strapping Hip (29520) |
$19.20 |
$32 |
0.1× |
| Strapping knee (29530) |
$67.80 |
$113 |
0.5× |
| Strapping shoulder (29240) |
$67.80 |
$113 |
0.5× |
| Strapping thorax (29200) |
$141 |
$235 |
0.8× |
| Strapping toes (29550) |
$67.80 |
$113 |
1.1× |
| Strapping unna boot (29580) |
$149.40 |
$249 |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$456.60 |
$761 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$430.80 |
$718 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,006.20 |
$1,677 |
1.5× |
| Tongue and mouth surg unlisted (41599) |
$123.60 |
$206 |
0.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$228 |
$380 |
0.9× |
| Treat humerus fracture (23600) |
$359.40 |
$599 |
1.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$192 |
$320 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$359.40 |
$599 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$52.20 |
$87 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$17.40 |
$29 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$291.60 |
$486 |
0.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$409.80 |
$683 |
0.5× |
| Tying of external neck artery (37600) |
$261.60 |
$436 |
0.1× |
| Unlisted procedure anus (46999) |
$1,074 |
$1,790 |
1.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$225.60 |
$376 |
1.3× |
| Unlisted Procedure Rectum (45999) |
$1,632.60 |
$2,721 |
1.6× |
| Unlisted procedure, stomach (43999) |
$972.60 |
$1,621 |
1.0× |
| Vaginal delivery only (59409) |
$906.60 |
$1,511 |
0.3× |
| Vbac delivery only (59612) |
$1,639.80 |
$2,733 |
0.5× |
| Venipuncture (36415) |
$10.80 |
$18 |
1.2× |