| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$318.38 |
$424.50 |
0.2× |
| Application cast elbow finger short arm (29075) |
$121.88 |
$162.50 |
0.5× |
| Application Finger Splint Dynamic (29131) |
$63.75 |
$85 |
1.3× |
| Application finger splint static (29130) |
$72.75 |
$97 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$160.50 |
$214 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$147 |
$196 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$75 |
$100 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$99.75 |
$133 |
0.9× |
| Application short leg splint calf foot (29515) |
$112.50 |
$150 |
0.8× |
| Apply short leg cast (29405) |
$120 |
$160 |
0.5× |
| Arterial puncture (36600) |
$125.25 |
$167 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$96.75 |
$129 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$117 |
$156 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$213.38 |
$284.50 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$101.25 |
$135 |
0.6× |
| Blood transfusion service (36430) |
$506.25 |
$675 |
1.3× |
| Chemical Cautery Tissue (17250) |
$63.75 |
$85 |
0.4× |
| Chest tube placement (32551) |
$531.38 |
$708.50 |
0.4× |
| Closed Rx Med Malleolus Fx (27760) |
$187.50 |
$250 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$225 |
$300 |
1.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$300 |
$400 |
1.4× |
| Closed treat wrist dislocation (25660) |
$292.12 |
$389.50 |
1.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$206.25 |
$275 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$204 |
$272 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$284.62 |
$379.50 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$225 |
$300 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,222.94 |
$1,630.59 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$416.25 |
$555 |
2.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$337.50 |
$450 |
1.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$300 |
$400 |
1.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$375 |
$500 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$139.88 |
$186.50 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$225 |
$300 |
1.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$135.38 |
$180.50 |
0.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$345.38 |
$460.50 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$150 |
$200 |
0.7× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$317.25 |
$423 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$445.50 |
$594 |
2.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$240 |
$320 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$198 |
$264 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$101.25 |
$135 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$243.75 |
$325 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$987 |
$1,316 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$101.25 |
$135 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$131.25 |
$175 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$375 |
$500 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$376.88 |
$502.50 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$243.75 |
$325 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$163.50 |
$218 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$194.25 |
$259 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$112.50 |
$150 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$121.12 |
$161.50 |
0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$172.88 |
$230.50 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$321.75 |
$429 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$276.75 |
$369 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$189.75 |
$253 |
1.7× |
| Debride nail 1-5 (11720) |
$63.75 |
$85 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$221.25 |
$295 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$225 |
$300 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$388.12 |
$517.50 |
0.3× |
| Delivery placenta separate procedure (59414) |
$3,352.50 |
$2,343 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$247.88 |
$330.50 |
1.4× |
| Drainage of gum lesion (41800) |
$118.12 |
$157.50 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$781.88 |
$1,042.50 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$82.50 |
$110 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$295.88 |
$394.50 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$160.12 |
$213.50 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$71.25 |
$95 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$168.75 |
$225 |
0.5× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$187.50 |
$250 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$491.25 |
$655 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$114.38 |
$152.50 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$750 |
$1,000 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$858 |
$1,144 |
0.5× |
| Exploration penetrating wound spx chest (20101) |
$837.75 |
$1,117 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$316.88 |
$422.50 |
0.2× |
| Exploration Penetrating Wound Spx Neck (20100) |
$439.88 |
$586.50 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$115.12 |
$153.50 |
0.6× |
| I&d abscess simple (10060) |
$178.12 |
$237.50 |
1.0× |
| I&d perianal abscess superficial (46050) |
$565.50 |
$754 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$255 |
$340 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$225 |
$300 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,145.62 |
$1,527.50 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$281.25 |
$375 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$222 |
$296 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$264.38 |
$352.50 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$200.62 |
$267.50 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$138.38 |
$184.50 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$219 |
$292 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$351.75 |
$469 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$89.25 |
$119 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$48.75 |
$65 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$792.38 |
$1,056.50 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$369.38 |
$492.50 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$160.50 |
$214 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$140.25 |
$187 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$192.38 |
$256.50 |
0.9× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure |
$79.50 |
$106 |
0.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$225 |
$300 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$266.25 |
$355 |
0.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$338.62 |
$451.50 |
1.6× |
| Puncture Aspiration (10160) |
$183.75 |
$245 |
0.5× |
| Removal fb intranasal (30300) |
$205.88 |
$274.50 |
1.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$197.62 |
$263.50 |
0.1× |
| Removal foreign body pharynx (42809) |
$225.38 |
$300.50 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$78.75 |
$105 |
1.5× |
| Removal of nail bed (11750) |
$457.50 |
$610 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$168.38 |
$224.50 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$126 |
$168 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$707.62 |
$943.50 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$781.50 |
$1,042 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$660.75 |
$881 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$748.12 |
$997.50 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$640.88 |
$854.50 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$681.75 |
$909 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$724.12 |
$965.50 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$665.62 |
$887.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$396 |
$528 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$306 |
$408 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$312.38 |
$416.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$449.62 |
$599.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$329.25 |
$439 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$347.25 |
$463 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$536.25 |
$715 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$351.38 |
$468.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$288 |
$384 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$312.75 |
$417 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$327.75 |
$437 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$438 |
$584 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$337.12 |
$449.50 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$278.62 |
$371.50 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$301.88 |
$402.50 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$347.62 |
$463.50 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$319.12 |
$425.50 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$409.50 |
$546 |
0.2× |
| Repair Tongue Laceration (41250) |
$137.25 |
$183 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$143.62 |
$191.50 |
0.4× |
| Rpr blood vessel direct lower extremity (35226) |
$108.75 |
$145 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$328.88 |
$438.50 |
0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$150 |
$200 |
0.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$373.50 |
$498 |
1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$284.25 |
$379 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$192 |
$256 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$199.88 |
$266.50 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$288.38 |
$384.50 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$213.75 |
$285 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$256.12 |
$341.50 |
1.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$342.38 |
$456.50 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$161.62 |
$215.50 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$309.75 |
$413 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$186 |
$248 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$173.25 |
$231 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$253.88 |
$338.50 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$270.38 |
$360.50 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$393 |
$524 |
0.6× |
| Strapping ankle (29540) |
$118.50 |
$158 |
0.8× |
| Strapping elbow/wrist (29260) |
$83.25 |
$111 |
1.6× |
| Strapping hand/finger (29280) |
$83.25 |
$111 |
1.6× |
| Strapping Hip (29520) |
$90 |
$120 |
0.8× |
| Strapping knee (29530) |
$80.62 |
$107.50 |
0.7× |
| Strapping shoulder (29240) |
$86.62 |
$115.50 |
0.8× |
| Strapping thorax (29200) |
$81.75 |
$109 |
0.6× |
| Strapping toes (29550) |
$67.50 |
$90 |
1.3× |
| Strapping unna boot (29580) |
$187.50 |
$250 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$450.75 |
$601 |
0.8× |
| Trach Tube Change (31502) |
$75 |
$100 |
0.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$414.75 |
$553 |
0.3× |
| Treat humerus fracture (24500) |
$337.50 |
$450 |
1.6× |
| Treat Wrist Bone Fracture (25630) |
$173.62 |
$231.50 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$477 |
$636 |
2.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$447.38 |
$596.50 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$412.50 |
$550 |
1.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$112.50 |
$150 |
0.6× |
| Vaginal delivery only (59409) |
$2,296.12 |
$3,061.50 |
0.8× |
| Venipuncture (36415) |
$7.50 |
$10 |
0.8× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$168.75 |
$225 |
1.5× |
| Venipuncture, cutdown; age 1 or over (36425) |
$112.50 |
$150 |
0.3× |