| Acne surgery (10040) |
$303.35 |
$337.05 |
1.4× |
| Application cast elbow finger short arm (29075) |
$240.98 |
$267.75 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$268.38 |
$298.20 |
0.9× |
| Application Cast Shoulder Spica (29055) |
$705.44 |
$783.82 |
2.3× |
| Application Finger Splint Dynamic (29131) |
$230.11 |
$255.68 |
3.5× |
| Application finger splint static (29130) |
$171.52 |
$190.58 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$361.94 |
$402.15 |
2.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$455.02 |
$505.58 |
1.5× |
| Application of long leg cast (29345) |
$508.42 |
$564.90 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$272.16 |
$302.40 |
1.8× |
| Application, cast; figure-of-eight Facility (29049) |
$276.89 |
$307.65 |
0.9× |
| Apply Hand/Wrist Cast (29085) |
$378.48 |
$420.52 |
2.1× |
| Apply long leg splint (29505) |
$328.39 |
$364.88 |
1.8× |
| Apply short leg cast (29405) |
$353.43 |
$392.70 |
1.1× |
| Apply short leg cast (29425) |
$384.14 |
$426.82 |
1.2× |
| Apply short leg splint (29515) |
$282.56 |
$313.95 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$138.92 |
$154.35 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$163.49 |
$181.65 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$133.25 |
$148.05 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$292.95 |
$325.50 |
1.3× |
| Chemical cautery tissue (17250) |
$223.97 |
$248.85 |
1.0× |
| Circumcision (54150) |
$434.70 |
$483 |
0.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$428.56 |
$476.18 |
1.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$932.24 |
$1,035.82 |
3.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,054.62 |
$1,171.80 |
3.8× |
| Closed Rx Radial Shaft Fx (25500) |
$758.84 |
$843.15 |
2.8× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,013.80 |
$2,237.55 |
1.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,006.42 |
$1,118.25 |
3.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,173.22 |
$1,303.58 |
4.3× |
| Closed Treat Vert Body Fract (22310) |
$879.32 |
$977.02 |
3.2× |
| Closed treat wrist dislocation (25660) |
$1,143.45 |
$1,270.50 |
4.2× |
| Closed Treatment Coccygeal Fracture (27200) |
$640.71 |
$711.90 |
2.3× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$844.36 |
$938.18 |
0.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$882.16 |
$980.18 |
3.2× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$1,285.20 |
$1,428 |
2.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,059.34 |
$1,177.05 |
3.9× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,109.90 |
$1,233.22 |
4.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$773.01 |
$858.90 |
2.8× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$751.75 |
$835.28 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$837.27 |
$930.30 |
3.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$673.78 |
$748.65 |
2.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,848.90 |
$2,054.32 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,658 |
$1,842.22 |
6.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$410.14 |
$455.70 |
1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,095.26 |
$1,216.95 |
4.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,445.38 |
$1,605.98 |
5.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,729.35 |
$1,921.50 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,022.02 |
$1,135.58 |
3.7× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,442.07 |
$1,602.30 |
5.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$936.50 |
$1,040.55 |
3.4× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,190.04 |
$2,433.38 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,693.92 |
$1,882.12 |
6.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$533.93 |
$593.25 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$611.42 |
$679.35 |
2.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,972.22 |
$2,191.35 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,684 |
$1,871.10 |
6.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,207.72 |
$1,341.90 |
4.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,502.08 |
$1,668.98 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$726.71 |
$807.45 |
2.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,673.60 |
$1,859.55 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,843.22 |
$2,048.02 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$624.18 |
$693.52 |
2.3× |
| Closed tx septal&nose fx (21337) |
$703.08 |
$781.20 |
0.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,172.75 |
$1,303.05 |
4.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$631.74 |
$701.92 |
2.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,138.73 |
$1,265.25 |
0.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,585.71 |
$1,761.90 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$807.98 |
$897.75 |
2.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$729.54 |
$810.60 |
2.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,074.47 |
$1,193.85 |
3.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$607.64 |
$675.15 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,240.79 |
$1,378.65 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,228.50 |
$1,365 |
4.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,796.92 |
$1,996.58 |
6.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$747.50 |
$830.55 |
0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$413.91 |
$459.90 |
1.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,258.74 |
$1,398.60 |
0.7× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,758.18 |
$1,953.52 |
6.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$928.94 |
$1,032.15 |
3.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$875.07 |
$972.30 |
3.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$643.08 |
$714.52 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$512.19 |
$569.10 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$911.93 |
$1,013.25 |
3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,238.24 |
$2,486.92 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,540.64 |
$2,822.92 |
1.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,823.38 |
$2,025.98 |
6.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,028.16 |
$1,142.40 |
3.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,887.92 |
$3,208.80 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$572.20 |
$635.78 |
2.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$551.88 |
$613.20 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$524 |
$582.22 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$345.87 |
$384.30 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,966.55 |
$2,185.05 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$959.65 |
$1,066.28 |
3.5× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$1,332.45 |
$1,480.50 |
4.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,866.85 |
$2,074.28 |
1.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,026.56 |
$2,251.72 |
1.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,272.92 |
$1,414.35 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$400.68 |
$445.20 |
1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,055.57 |
$1,172.85 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$806.08 |
$895.65 |
2.9× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$926.10 |
$1,029 |
3.4× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,686.36 |
$1,873.72 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$689.38 |
$765.98 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$816.48 |
$907.20 |
3.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,143.45 |
$1,270.50 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$893.97 |
$993.30 |
3.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$589.21 |
$654.68 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,002.65 |
$1,114.05 |
3.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$764.51 |
$849.45 |
2.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,470.42 |
$1,633.80 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,195.42 |
$1,328.25 |
4.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,897.56 |
$2,108.40 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,237.96 |
$1,375.50 |
4.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$378.94 |
$421.05 |
1.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,893.78 |
$2,104.20 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,427.90 |
$1,586.55 |
0.8× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,445.85 |
$1,606.50 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,819.13 |
$2,021.25 |
6.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$598.66 |
$665.18 |
2.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,170.67 |
$2,411.85 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,110.38 |
$1,233.75 |
4.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$376.11 |
$417.90 |
2.5× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$145.53 |
$161.70 |
2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$517.86 |
$575.40 |
3.5× |
| Debride nail 1-5 (11720) |
$92.61 |
$102.90 |
1.4× |
| Debride tissue/muscle (11043) |
$630.32 |
$700.35 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$216.88 |
$240.98 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$364.77 |
$405.30 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$309.96 |
$344.40 |
1.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$486.68 |
$540.75 |
2.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$639.77 |
$710.85 |
1.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$397.85 |
$442.05 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$183.33 |
$203.70 |
0.8× |
| Drainage of gum lesion (41800) |
$491.88 |
$546.52 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$532.04 |
$591.15 |
0.3× |
| Draw blood off venous device (36591) |
$152.62 |
$169.58 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$347.29 |
$385.88 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$364.77 |
$405.30 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$229.64 |
$255.15 |
1.0× |
| Egd tube/cath insertion (43241) |
$402.57 |
$447.30 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$96.86 |
$107.62 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$347.76 |
$386.40 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$340.20 |
$378 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$556.61 |
$618.45 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$461.16 |
$512.40 |
0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$377.06 |
$418.95 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$617.09 |
$685.65 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$435.65 |
$484.05 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$413.91 |
$459.90 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$532.98 |
$592.20 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$535.82 |
$595.35 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$634.10 |
$704.55 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$687.02 |
$763.35 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$784.35 |
$871.50 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$870.35 |
$967.05 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$556.61 |
$618.45 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$656.78 |
$729.75 |
0.8× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$749.39 |
$832.65 |
0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$880.74 |
$978.60 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$539.60 |
$599.55 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$635.99 |
$706.65 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$708.75 |
$787.50 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$830.66 |
$922.95 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$464.94 |
$516.60 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$519.75 |
$577.50 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$489.51 |
$543.90 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,296.07 |
$1,440.08 |
0.7× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$921.38 |
$1,023.75 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$336.42 |
$373.80 |
0.7× |
| Fixation of shoulder (23700) |
$775.85 |
$862.05 |
0.4× |
| I&d abscess simple (10060) |
$329.81 |
$366.45 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$498.02 |
$553.35 |
0.6× |
| Incise external hemorrhoid (46083) |
$497.07 |
$552.30 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$567.95 |
$631.05 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$568.89 |
$632.10 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$427.14 |
$474.60 |
0.9× |
| Incision and drainage perianal abscess superficial (46050) |
$567 |
$630 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$189.95 |
$211.05 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$81.27 |
$90.30 |
0.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$223.02 |
$247.80 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$361.94 |
$402.15 |
1.1× |
| Injection into skin lesions (11900) |
$154.98 |
$172.20 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$152.15 |
$169.05 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$189 |
$210 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$133.25 |
$148.05 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$67.10 |
$74.55 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$70.88 |
$78.75 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$444.62 |
$494.02 |
1.7× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$113.40 |
$126 |
0.2× |
| Occipital Nerve Block (64405) |
$284.45 |
$316.05 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$669.54 |
$743.92 |
2.4× |
| Placement of needle for intraosseous infusion (36680) |
$257.04 |
$285.60 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$157.82 |
$175.35 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$359.10 |
$399 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$507 |
$563.32 |
0.6× |
| Removal foreign body intranasal (30300) |
$489.51 |
$543.90 |
3.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$39.69 |
$44.10 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$229.64 |
$255.15 |
3.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$229.64 |
$255.15 |
0.5× |
| Removal of iud (58301) |
$260.82 |
$289.80 |
0.8× |
| Removal of nail bed (11750) |
$423.36 |
$470.40 |
0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$248.54 |
$276.15 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$457.86 |
$508.72 |
3.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$228.69 |
$254.10 |
1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$898.22 |
$998.02 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,191.18 |
$1,323.52 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$803.26 |
$892.50 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,044.70 |
$1,160.78 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,177.47 |
$1,308.30 |
2.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$676.15 |
$751.28 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$825.94 |
$917.70 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$988 |
$1,097.78 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$539.12 |
$599.02 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$618.50 |
$687.22 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,201.57 |
$1,335.08 |
2.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$713.95 |
$793.28 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$779.16 |
$865.72 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,306 |
$1,451.10 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$796.16 |
$884.62 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$655.83 |
$728.70 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$767.34 |
$852.60 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$706.86 |
$785.40 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,072.58 |
$1,191.75 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$781.04 |
$867.82 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$656.78 |
$729.75 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$743.24 |
$825.82 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$879.32 |
$977.02 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$649.69 |
$721.88 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,013.52 |
$1,126.12 |
0.4× |
| Repair of nail bed (11760) |
$499.44 |
$554.92 |
0.6× |
| Reposition gastric feeding tube thru duodenum (43761) |
$326.03 |
$362.25 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$180.50 |
$200.55 |
1.2× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$257.98 |
$286.65 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$984.69 |
$1,094.10 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$273.11 |
$303.45 |
0.6× |
| Shave skin lesion 0.5 cm/< (11305) |
$275.94 |
$306.60 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$315.63 |
$350.70 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$338.31 |
$375.90 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$401.63 |
$446.25 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$333.59 |
$370.65 |
1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$433.76 |
$481.95 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$392.18 |
$435.75 |
1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$541.02 |
$601.12 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$306.18 |
$340.20 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$320.36 |
$355.95 |
1.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$531.56 |
$590.62 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$358.16 |
$397.95 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$436.12 |
$484.58 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$697.88 |
$775.42 |
3.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$252.32 |
$280.35 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$584.02 |
$648.90 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$356.27 |
$395.85 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$305.24 |
$339.15 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$419.11 |
$465.68 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$499.91 |
$555.45 |
1.1× |
| Strapping ankle (29540) |
$117.66 |
$130.72 |
0.6× |
| Strapping elbow or wrist (29260) |
$83.16 |
$92.40 |
1.3× |
| Strapping hand/finger (29280) |
$83.16 |
$92.40 |
1.3× |
| Strapping knee (29530) |
$189 |
$210 |
1.3× |
| Strapping shoulder (29240) |
$84.11 |
$93.45 |
0.6× |
| Strapping unna boot (29580) |
$259.40 |
$288.22 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$99.23 |
$110.25 |
0.2× |
| Treat clavicle dislocation (23540) |
$764.98 |
$849.98 |
2.8× |
| Treat clavicle fracture (23505) |
$1,079.19 |
$1,199.10 |
0.6× |
| Treat humerus fracture (24500) |
$1,407.10 |
$1,563.45 |
5.1× |
| Treat humerus fracture (23600) |
$969.57 |
$1,077.30 |
3.5× |
| Treat knee fracture (27532) |
$2,174.92 |
$2,416.58 |
0.6× |
| Treat Knee Fracture(S) (27538) |
$1,618.78 |
$1,798.65 |
5.9× |
| Treat Metatarsal Fracture (28475) |
$963.90 |
$1,071 |
3.5× |
| Treat shoulder blade fx (23575) |
$1,319.70 |
$1,466.32 |
0.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,188.81 |
$1,320.90 |
0.7× |
| Treat wrist bone fracture (25622) |
$848.61 |
$942.90 |
3.1× |
| Treat Wrist Bone Fracture (25630) |
$573.62 |
$637.35 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,887.64 |
$2,097.38 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,096.20 |
$1,218 |
4.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$756 |
$840 |
2.8× |
| Trim skin lesion (11055) |
$134.19 |
$149.10 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$47.25 |
$52.50 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$83.16 |
$92.40 |
1.3× |
| Tube thoracostomy includes water seal (32551) |
$458.80 |
$509.78 |
0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,001.70 |
$1,113 |
0.6× |
| Vaginal delivery only (59409) |
$1,803.06 |
$2,003.40 |
0.5× |
| Venipuncture (36415) |
$30.72 |
$34.12 |
3.3× |
| Wedge excision skin nail fold (11765) |
$464 |
$515.55 |
1.0× |