| Abd paracentesis w/imaging (49083) |
$1,035.50 |
$1,479.50 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,511 |
$2,159 |
1.7× |
| Acne Surgery (10040) |
$334 |
$477 |
1.7× |
| Amputation Finger/Thumb (26951) |
$5,397 |
$7,710 |
1.6× |
| Amputation of finger/thumb (26952) |
$1,890 |
$2,700 |
0.6× |
| Anoscopy diagnostic (46600) |
$268 |
$383 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,524 |
$2,177 |
1.6× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$4,682 |
$6,688 |
1.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$291 |
$415 |
1.8× |
| Application cast elbow finger short arm (29075) |
$474 |
$677.50 |
1.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$263 |
$375 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$448 |
$640 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$102 |
$146 |
1.7× |
| Application finger splint static (29130) |
$225.50 |
$322 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$277 |
$395 |
1.7× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$448 |
$640 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$277 |
$395 |
1.7× |
| Application of long leg cast (29345) |
$448 |
$640 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$213 |
$304 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$316 |
$451.50 |
2.4× |
| Application short leg splint calf foot (29515) |
$277 |
$395 |
1.7× |
| Apply short leg cast (29405) |
$472.50 |
$675 |
1.7× |
| Apply short leg cast (29425) |
$448 |
$640 |
1.6× |
| Arterial puncture (36600) |
$284 |
$405 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$494 |
$706 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,153 |
$1,647 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$520 |
$743 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$494 |
$706 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$494 |
$706 |
1.6× |
| Aspir/inj thyroid cyst (60300) |
$1,173 |
$1,676 |
1.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$494 |
$706 |
1.6× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,396 |
$4,852 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$455.50 |
$650.50 |
2.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,493 |
$2,132.50 |
1.6× |
| Biopsy of uterus lining (58100) |
$347 |
$495 |
1.7× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,341 |
$1,915 |
1.4× |
| Bladder Irrigation Simple (51700) |
$412 |
$589 |
1.6× |
| Bladder Scan (51798) |
$169 |
$241 |
2.9× |
| Blood patch (62273) |
$2,036 |
$2,908 |
2.9× |
| Blood transfusion service (36430) |
$788 |
$1,125 |
1.8× |
| Bone Marrow Biopsy (38221) |
$2,951 |
$4,215 |
1.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,703 |
$3,862 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$3,633 |
$5,190 |
2.2× |
| Bx/exc lymph node needle superficial (38505) |
$2,703 |
$3,862 |
1.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$356 |
$508 |
1.6× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$539 |
$769.50 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$445 |
$635 |
1.8× |
| Chest tube placement (32551) |
$2,742.50 |
$3,917.50 |
1.7× |
| Circum 28 days or older (54161) |
$3,396 |
$4,852 |
1.6× |
| Circumcision (54150) |
$3,553 |
$5,076 |
1.7× |
| Circumcision Neonate (54160) |
$1,246 |
$1,780 |
1.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$3,639 |
$5,198 |
2.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$393 |
$562 |
1.6× |
| Closed Rx Med Malleolus Fx (27760) |
$393 |
$562 |
1.6× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,680 |
$3,828 |
1.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,680 |
$3,828 |
1.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$3,821 |
$5,458 |
2.4× |
| Closed Rx Radial Shaft Fx (25500) |
$393 |
$562 |
1.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$543 |
$775 |
2.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$393 |
$562 |
1.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$393 |
$562 |
1.6× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$3,638 |
$5,197 |
2.3× |
| Closed Rx Trimalleolar Fx (27816) |
$580 |
$828 |
2.3× |
| Closed Treat Vert Body Fract (22310) |
$393 |
$562 |
1.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$393 |
$562 |
1.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$393 |
$562 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$472 |
$675 |
1.9× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$2,680 |
$3,828 |
1.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$393 |
$562 |
1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$393 |
$562 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,680 |
$3,828 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$500 |
$715 |
2.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$393 |
$562 |
1.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,015 |
$1,450 |
4.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,680 |
$3,828 |
1.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$393 |
$562 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$393 |
$562 |
1.6× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,543 |
$3,633 |
1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,274 |
$1,820 |
5.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$579 |
$827 |
2.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$420 |
$600 |
1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,680 |
$3,828 |
1.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$393 |
$562 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,870 |
$4,100 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$580 |
$828 |
2.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,680 |
$3,828 |
1.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$336 |
$480.50 |
1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$393 |
$562 |
1.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$407 |
$582 |
1.7× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$918 |
$1,311 |
1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$393 |
$562 |
1.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$393 |
$562 |
1.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,680 |
$3,828 |
1.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$393 |
$562 |
1.6× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$393 |
$562 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,821 |
$5,458 |
2.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$648 |
$925 |
2.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,775 |
$3,964 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$393 |
$562 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$580 |
$828 |
2.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$393 |
$562 |
1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$648 |
$925 |
2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$393 |
$562 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$477.50 |
$682.50 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,821 |
$5,458 |
2.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,680 |
$3,828 |
1.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$597 |
$853 |
2.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,680 |
$3,828 |
1.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$401 |
$573 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$393 |
$562 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$393 |
$562 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$393 |
$562 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,680 |
$3,828 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$580 |
$828 |
2.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$393 |
$562 |
1.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$676 |
$966 |
2.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$441 |
$630 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$580 |
$828 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$648 |
$925 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$393 |
$562 |
1.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,680 |
$3,828 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$441 |
$630 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$401 |
$573 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$393 |
$562 |
1.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$3,638 |
$5,197 |
2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,450 |
$3,500 |
9.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,680 |
$3,828 |
1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$393 |
$562 |
1.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,680 |
$3,828 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$441 |
$630 |
1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,638 |
$5,197 |
2.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$2,680 |
$3,828 |
1.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,015 |
$1,450 |
4.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,680 |
$3,828 |
1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,680 |
$3,828 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$2,100 |
$3,000 |
1.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$539 |
$769.50 |
1.8× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$347 |
$495 |
1.7× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$5,213 |
$7,447 |
1.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$535 |
$764 |
1.7× |
| Complete replacement picc rs&i (36584) |
$2,671 |
$3,815 |
1.7× |
| Complex Drainage, Wound (10180) |
$4,738 |
$6,768 |
1.6× |
| Conization of cervix (57522) |
$1,037 |
$1,482 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$238 |
$340 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$316 |
$451.50 |
2.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,703 |
$3,862 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$284 |
$405 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$407 |
$582 |
1.7× |
| Curette/treat cornea (65435) |
$1,688 |
$2,412 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,047 |
$1,496 |
2.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,738 |
$6,768 |
1.6× |
| Debride nail 1-5 (11720) |
$102 |
$146 |
1.7× |
| Debride skin musc at fx site (11011) |
$1,173 |
$1,676 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$665 |
$950 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,047 |
$1,496 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,703 |
$3,862 |
1.6× |
| Delivery placenta separate procedure (59414) |
$5,213 |
$7,447 |
1.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$665 |
$950 |
1.6× |
| Destruction benign lesions 15 or more (17111) |
$334 |
$477 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$345.50 |
$493.50 |
1.7× |
| Destruction Lesions Vulva Simple (56501) |
$3,041 |
$4,344 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$345.50 |
$493.50 |
1.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,153 |
$1,647 |
1.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,665 |
$3,807 |
0.8× |
| Drain outer ear canal lesion (69020) |
$1,173 |
$858.50 |
1.6× |
| Drain shoulder lesion (23030) |
$4,738 |
$6,768 |
1.6× |
| Drain/inj small joint/bursa w/us (20604) |
$494 |
$706 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,173 |
$1,676 |
1.6× |
| Drainage Finger Abscess Simple (26010) |
$334 |
$477 |
1.7× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$917 |
$1,310 |
1.7× |
| Drainage of deep rectal abscess (45020) |
$1,470 |
$2,100 |
0.5× |
| Drainage of gum lesion (41800) |
$213 |
$304 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$2,703 |
$3,862 |
1.6× |
| Drainage of scrotal wall abscess (55100) |
$2,940 |
$4,200 |
1.8× |
| Dressing change under anesthesia (15852) |
$1,047 |
$1,496 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$858 |
$1,226 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$334 |
$477 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$394.50 |
$563.50 |
2.0× |
| Dx gastr intub w/asp spec (43754) |
$524 |
$748 |
2.4× |
| Egd flexible foreign body removal (43247) |
$1,511 |
$2,159 |
1.7× |
| Egd place gastrostomy tube (43246) |
$3,173 |
$4,533 |
1.6× |
| Endocervical Curettage (57505) |
$1,341 |
$1,915 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$225.50 |
$322 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,821.50 |
$4,031 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,821.50 |
$4,031 |
1.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$978 |
$1,397 |
1.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,703 |
$3,862 |
1.6× |
| Exc frenum labial/buccal (40819) |
$2,543 |
$3,633 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,173 |
$1,676 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$691.50 |
$987.50 |
1.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,173 |
$1,676 |
1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,260 |
$1,800 |
1.8× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,703 |
$3,862 |
1.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,821.50 |
$4,031 |
1.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$4,738 |
$6,768 |
1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,738 |
$6,768 |
1.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,703 |
$3,862 |
1.6× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$2,703 |
$3,862 |
1.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,738 |
$6,768 |
1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,968 |
$2,811 |
1.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,173 |
$1,676 |
1.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$665 |
$950 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,173 |
$1,676 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,173 |
$1,676 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,173 |
$1,676 |
1.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,216.50 |
$1,738 |
1.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,173 |
$1,676 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,703 |
$3,862 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,703 |
$3,862 |
1.6× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,216.50 |
$1,738 |
1.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,216.50 |
$1,738 |
1.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,821.50 |
$4,031 |
1.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,703 |
$3,862 |
1.6× |
| Excision of nail fold toe (11765) |
$665 |
$950 |
1.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,244 |
$4,634 |
1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,703 |
$3,862 |
1.6× |
| Exploration penetrating wound spx extremity (20103) |
$2,703 |
$3,862 |
1.6× |
| Fetal non-stress test (59025) |
$361 |
$515 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,173 |
$1,676 |
1.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,173 |
$1,676 |
1.6× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$524 |
$748 |
2.4× |
| Guide Cathet Fluid Drainage (10030) |
$1,173 |
$1,676 |
1.6× |
| Hemorrhoidectomy (46255) |
$1,400 |
$2,000 |
0.5× |
| I&D Abscess Peritonsillar (42700) |
$496 |
$708 |
2.1× |
| I&d abscess simple (10060) |
$345.50 |
$493.50 |
1.7× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,738 |
$6,768 |
1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$5,397 |
$7,710 |
1.6× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$5,397 |
$7,710 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,524 |
$2,177 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$1,173 |
$1,676 |
1.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,738 |
$6,768 |
1.6× |
| Image Cath Fluid Colxn Visc (49405) |
$2,703 |
$3,862 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$725 |
$1,035 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,738 |
$6,768 |
1.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,173 |
$1,676 |
1.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,703 |
$3,862 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$725 |
$1,035 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$529 |
$755 |
2.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$566 |
$809 |
1.8× |
| Incision of lingual frenum (41010) |
$2,543 |
$3,633 |
1.6× |
| Incision of rectal abscess (46045) |
$4,682 |
$6,688 |
1.7× |
| Incision of rectal abscess (46040) |
$1,421.50 |
$2,030.50 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$822.50 |
$1,175 |
3.3× |
| Incision&drainage bursa foot (28001) |
$2,703 |
$3,862 |
1.6× |
| Initial tx 1st degree burn local tx (16000) |
$455 |
$650 |
2.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,520 |
$2,171 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$547.50 |
$782 |
1.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,260 |
$1,800 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,050 |
$1,500 |
1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,520 |
$2,171 |
1.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,153 |
$1,647 |
1.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,520 |
$2,171 |
1.7× |
| Inject Tendon Origin/Insert (20551) |
$494 |
$706 |
1.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,575 |
$2,250 |
1.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,206.50 |
$1,723.50 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$494 |
$706 |
1.6× |
| Injection anes other peripheral nerve/branch (64450) |
$1,260 |
$1,800 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$520 |
$743 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$494 |
$706 |
1.6× |
| Injection therapeutic carpal tunnel (20526) |
$521.50 |
$745 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$494 |
$706 |
1.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$494 |
$706 |
1.6× |
| Insert Bladder Cath Complex (51703) |
$260 |
$372 |
2.0× |
| Insert Drug Implant Device (11981) |
$238 |
$340 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$5,635 |
$8,050 |
1.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$5,315 |
$7,593 |
1.7× |
| Insert picc cath (36569) |
$2,814 |
$4,020 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$399 |
$570 |
3.0× |
| Insert tunneled cv cath (36561) |
$2,800 |
$4,000 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$225.50 |
$322 |
1.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,814 |
$4,020 |
1.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,315 |
$7,593 |
1.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$14,166 |
$20,237 |
1.7× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$14,166 |
$20,237 |
1.7× |
| Intro Gastrointestinal Tube (44500) |
$1,566 |
$2,237 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$492 |
$703 |
2.1× |
| Ligation of hemorrhoid(s) (46221) |
$1,524 |
$2,177 |
1.6× |
| Liver Biopsy (47000) |
$2,703 |
$3,862 |
1.6× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,396 |
$4,852 |
1.6× |
| Myelography Lumbar Injection (62305) |
$1,579 |
$2,256 |
2.0× |
| Myelography Lumbar Injection (62304) |
$1,335 |
$1,907 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,335 |
$1,907 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$890 |
$1,271 |
2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,520 |
$2,171 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$3,150 |
$4,500 |
4.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,582 |
$2,260 |
1.8× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$1,330 |
$1,900 |
1.8× |
| Pericardiocentesis W/Imaging (33016) |
$2,671 |
$3,815 |
1.7× |
| Peritoneal Lavage (49084) |
$1,511 |
$2,159 |
1.7× |
| Perq device breast 1st imag (19281) |
$2,703 |
$3,862 |
1.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$3,847 |
$5,496 |
2.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$445 |
$635 |
1.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,173 |
$1,676 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$664 |
$949 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$446.50 |
$637.50 |
1.1× |
| Puncture Aspiration (10160) |
$665 |
$950 |
1.6× |
| Puncture Aspiration Cyst Breast (19000) |
$1,173 |
$1,676 |
1.6× |
| Removal fb intranasal (30300) |
$341 |
$487 |
2.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$4,738 |
$6,768 |
1.6× |
| Removal Foreign Body Foot Complicated (28193) |
$2,703 |
$3,862 |
1.6× |
| Removal foreign body foot deep (28192) |
$2,703 |
$3,862 |
1.6× |
| Removal foreign body foot subcutaneous (28190) |
$1,361 |
$1,944.50 |
1.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,703 |
$3,862 |
1.6× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$5,397 |
$7,710 |
1.6× |
| Removal foreign body pharynx (42809) |
$664 |
$949 |
1.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$4,738 |
$6,768 |
1.6× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,368 |
$7,669 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$103.50 |
$148 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$126.50 |
$181 |
2.1× |
| Removal Implant Deep (20680) |
$3,150 |
$4,500 |
1.1× |
| Removal of arm foreign body (24200) |
$2,703 |
$3,862 |
1.6× |
| Removal of heel spur (28119) |
$2,170 |
$3,100 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$535 |
$764 |
1.7× |
| Removal of nail bed (11750) |
$695 |
$992.50 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$345.50 |
$493.50 |
1.7× |
Removal of tonsils (42825)
unusually low: confirm this is the full procedure |
$2,105 |
$3,007 |
0.4× |
| Removal of tonsils (42826) |
$2,105 |
$3,007 |
0.6× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$4,738 |
$6,768 |
1.6× |
| Remove Eyelid Foreign Body (67938) |
$448 |
$640 |
1.4× |
| Remove foreign body from eye (65210) |
$731 |
$1,044.50 |
1.6× |
| Remove shoulder foreign body (23330) |
$2,703 |
$3,862 |
1.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,940 |
$4,200 |
1.8× |
| Remv Ext Canal Foreign Body (69200) |
$283.50 |
$404.50 |
2.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$234 |
$335 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,320 |
$1,885 |
1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,047 |
$1,496 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$725 |
$1,035 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,047 |
$1,496 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,047 |
$1,496 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,047 |
$1,496 |
2.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,047 |
$1,496 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$786 |
$1,123 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,680 |
$3,828 |
1.7× |
| Repair forearm tendon/muscle (25260) |
$5,397 |
$7,710 |
1.6× |
| Repair hand tendon (26410) |
$2,680 |
$3,828 |
1.7× |
| Repair incomplete circumcision (54163) |
$3,396 |
$4,852 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$665 |
$950 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$725 |
$1,035 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$725 |
$1,035 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$665 |
$950 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$665 |
$950 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$665 |
$950 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$665 |
$950 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,047 |
$1,496 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$665 |
$950 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$725 |
$1,035 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,316 |
$1,880 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$3,041 |
$4,344 |
1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$665 |
$950 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$695 |
$992.50 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$665 |
$950 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,047 |
$1,496 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$751.50 |
$1,073.50 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,041 |
$4,344 |
1.5× |
| Repair of nail bed (11760) |
$1,320 |
$1,885 |
1.8× |
| Repair Tongue Laceration (41250) |
$664 |
$949 |
1.5× |
| Reposition gastrostomy tube (43761) |
$412 |
$589 |
1.6× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,543 |
$3,633 |
1.6× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$918 |
$1,311 |
1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,511 |
$2,159 |
1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$934 |
$1,335 |
2.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$238 |
$340 |
1.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,968 |
$2,811 |
1.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,738 |
$6,768 |
1.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$4,738 |
$6,768 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,120 |
$1,600 |
1.8× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$798 |
$1,140 |
1.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,047 |
$1,496 |
1.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$407 |
$582 |
1.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$918 |
$1,311 |
1.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$5,397 |
$7,710 |
1.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$345.50 |
$493.50 |
1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$691.50 |
$987.50 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$334 |
$477 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$334 |
$477 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$345.50 |
$493.50 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$665 |
$950 |
1.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$665 |
$950 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$345.50 |
$493.50 |
1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$691.50 |
$987.50 |
1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$345.50 |
$493.50 |
1.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$695 |
$992.50 |
1.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$345.50 |
$493.50 |
1.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$838 |
$1,197 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$357 |
$510 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$455.50 |
$650.50 |
2.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$665 |
$950 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$394.50 |
$563.50 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$394.50 |
$563.50 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$349 |
$499 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$357 |
$510 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$334 |
$477 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$395 |
$564 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$466.50 |
$666.50 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$751.50 |
$1,073.50 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$838 |
$1,197 |
2.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,206.50 |
$1,723.50 |
1.7× |
| Spinal Puncture Therapeutic (62272) |
$1,153 |
$1,647 |
1.6× |
| Strapping ankle (29540) |
$291 |
$415 |
1.8× |
| Strapping elbow/wrist (29260) |
$105 |
$150 |
1.8× |
| Strapping hand/finger (29280) |
$314 |
$448 |
5.3× |
| Strapping Hip (29520) |
$239 |
$342 |
1.8× |
| Strapping knee (29530) |
$225.50 |
$322 |
1.7× |
| Strapping shoulder (29240) |
$225.50 |
$322 |
1.7× |
| Strapping thorax (29200) |
$263 |
$375 |
1.6× |
| Strapping toes (29550) |
$162 |
$231 |
2.7× |
| Strapping unna boot (29580) |
$263 |
$375 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$334 |
$477 |
0.8× |
| Therapeutic pneumothorax (32960) |
$1,047 |
$1,496 |
1.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,353 |
$1,932.50 |
2.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$2,650 |
$3,785 |
4.2× |
| Thrombolytic Therapy, Stroke (37195) |
$802 |
$1,146 |
2.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,105 |
$3,007 |
0.6× |
| Trach Tube Change (31502) |
$407 |
$582 |
1.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$593 |
$847 |
2.5× |
| Treat finger dislocation (26775) |
$448 |
$640 |
1.6× |
| Treat Fracture Radius & Ulna (25560) |
$393 |
$562 |
1.6× |
| Treat humerus fracture (24500) |
$521 |
$744.50 |
2.1× |
| Treat humerus fracture (23600) |
$393 |
$562 |
1.6× |
| Treat Metatarsal Fracture (28475) |
$440 |
$628 |
1.8× |
| Treat wrist bone fracture (25635) |
$2,680 |
$3,828 |
1.7× |
| Treat wrist bone fracture (25622) |
$393 |
$562 |
1.6× |
| Treat Wrist Bone Fracture (25630) |
$393 |
$562 |
1.6× |
| Treatment closed elbow dislocation req anes (24605) |
$2,680 |
$3,828 |
1.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$579 |
$827 |
2.3× |
| Trim skin lesion (11055) |
$346 |
$494.50 |
1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,665 |
$3,807 |
0.8× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,050 |
$1,500 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,680 |
$3,828 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$914 |
$1,305.50 |
1.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$263 |
$375 |
1.6× |
| Unlisted Procedure Nervous System (64999) |
$494 |
$706 |
1.6× |
| Vaginal delivery only (59409) |
$6,432 |
$9,188 |
2.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$18,344 |
$26,205 |
1.6× |
| Vbac delivery only (59612) |
$5,213 |
$7,447 |
1.6× |
| Venipuncture (36415) |
$15 |
$22 |
1.6× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$213 |
$304 |
1.6× |
| Venipuncture, cutdown; age 1 or over (36425) |
$664 |
$949 |
1.5× |