| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$356.50 |
$356.50 |
2.1× |
| Application cast elbow finger short arm (29075) |
$174 |
$174 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$170 |
$170 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$524 |
$524 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$150 |
$150 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$174 |
$174 |
1.3× |
| Application short leg splint calf foot (29515) |
$306.50 |
$306.50 |
1.8× |
| Arterial puncture (36600) |
$107 |
$107 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$144 |
$144 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$255 |
$255 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$140 |
$140 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$139 |
$139 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$201.75 |
$201.75 |
1.0× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,650 |
$1,650 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$700 |
$700 |
1.0× |
| Bladder Irrigation Simple (51700) |
$500 |
$500 |
1.9× |
| Bladder Scan (51798) |
$357 |
$357 |
5.8× |
| Blood transfusion service (36430) |
$950 |
$950 |
2.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$342.50 |
$342.50 |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$500 |
$500 |
1.9× |
| Chemical Cautery Tissue (17250) |
$383.50 |
$383.50 |
1.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$270 |
$270 |
2.0× |
| Closed Rx Radial Shaft Fx (25500) |
$750 |
$750 |
2.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$450 |
$450 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$302 |
$302 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$750 |
$750 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$250 |
$250 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$240.50 |
$240.50 |
1.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,105 |
$2,105 |
1.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,500 |
$1,500 |
0.7× |
| Cystourethroscopy (52000) |
$1,400 |
$1,400 |
1.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$207.50 |
$207.50 |
0.5× |
| Debride nail 1-5 (11720) |
$122 |
$122 |
2.0× |
| Debride nail 6 or more (11721) |
$110 |
$110 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$254.50 |
$254.50 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,147 |
$1,147 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,733 |
$2,733 |
1.6× |
| Declot vascular device (36593) |
$300 |
$300 |
0.9× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$296 |
$296 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$198 |
$198 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$189 |
$189 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$159 |
$159 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$300 |
$300 |
0.2× |
| Draw blood off venous device (36591) |
$270 |
$270 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$787 |
$787 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$449 |
$449 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199 |
$199 |
1.0× |
| Dry Needling 3+ Muscles (20561) |
$80 |
$80 |
2.7× |
| Egd guide wire insertion (43248) |
$2,300 |
$2,300 |
2.4× |
| Egd remove lesion snare (43251) |
$5,135 |
$5,135 |
2.6× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$3,517.50 |
$3,517.50 |
1.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,540.50 |
$3,540.50 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$90 |
$90 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$454.50 |
$454.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$563 |
$563 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$250 |
$250 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$268 |
$268 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$325.50 |
$325.50 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$394 |
$394 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$406 |
$406 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$641.50 |
$641.50 |
0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$790 |
$790 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$712 |
$712 |
0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$960 |
$960 |
0.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$296 |
$296 |
0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$370 |
$370 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$750 |
$750 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$822.50 |
$822.50 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$438 |
$438 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$326 |
$326 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$434 |
$434 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$336 |
$336 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$207 |
$207 |
0.1× |
| Excision of nail fold toe (11765) |
$322 |
$322 |
0.8× |
| I&d abscess simple (10060) |
$385 |
$385 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$265 |
$265 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$511 |
$511 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$242 |
$242 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$130 |
$130 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$305 |
$305 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$374.50 |
$374.50 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$132 |
$132 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,900 |
$1,900 |
2.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$217.50 |
$217.50 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$388.25 |
$388.25 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$350 |
$350 |
2.6× |
| Insert Drug Implant Device (11981) |
$250 |
$250 |
1.8× |
| Insert picc cath (36569) |
$480 |
$480 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$205 |
$205 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$147 |
$147 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$80 |
$80 |
2.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$592.50 |
$592.50 |
1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,340 |
$2,340 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,635 |
$1,635 |
2.2× |
| Placement of needle for intraosseous infusion (36680) |
$900 |
$900 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$292 |
$292 |
0.7× |
| Puncture Aspiration (10160) |
$333.50 |
$333.50 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$576 |
$576 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72 |
$72 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$107 |
$107 |
1.7× |
| Removal of nail bed (11750) |
$268 |
$268 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$165 |
$165 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$115 |
$115 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$253 |
$253 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$112 |
$112 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$822.50 |
$822.50 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$596 |
$596 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$564 |
$564 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$509 |
$509 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,213 |
$1,213 |
1.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,650 |
$1,650 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$541 |
$541 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$650 |
$650 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$550 |
$550 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$638.50 |
$638.50 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$378 |
$378 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$542.75 |
$542.75 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$165 |
$165 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,375 |
$1,375 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$2,185 |
$2,185 |
3.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$201.50 |
$201.50 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$305 |
$305 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$181 |
$181 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$214 |
$214 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$220 |
$220 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$254 |
$254 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$186 |
$186 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$207 |
$207 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$243 |
$243 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$177 |
$177 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$251 |
$251 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$210 |
$210 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$892 |
$892 |
2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$396.50 |
$396.50 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$438 |
$438 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$425 |
$425 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$520 |
$520 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$309.50 |
$309.50 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$452.50 |
$452.50 |
2.2× |
| Skin splt grft trnk/arm/leg (15100) |
$3,575.50 |
$3,575.50 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$2,904 |
$2,904 |
3.8× |
| Skin sub graft trnk/arm/leg (15271) |
$2,897.50 |
$2,897.50 |
3.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$5,796 |
$5,796 |
2.7× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$6,308.50 |
$6,308.50 |
1.7× |
| Skn sub grft f/n/hf/g child (15277) |
$3,078.50 |
$3,078.50 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$396.50 |
$396.50 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$424.50 |
$424.50 |
1.0× |
| Strapping ankle (29540) |
$143.50 |
$143.50 |
0.9× |
| Strapping unna boot (29580) |
$412.50 |
$412.50 |
2.4× |
| Tangential biopsy skin single lesion (11102) |
$232 |
$232 |
0.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$2,065 |
$2,065 |
3.2× |
| Trim skin lesion (11055) |
$139 |
$139 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$161 |
$161 |
0.8× |
| Trim skin lesions over 4 (11057) |
$387 |
$387 |
1.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$50 |
$50 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$515.50 |
$515.50 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$427.50 |
$427.50 |
1.0× |
| Vasectomy (55250) |
$2,300 |
$2,300 |
1.1× |
| Venipuncture (36415) |
$18 |
$18 |
1.9× |
| Wound Prep F/N/Hf/G (15004) |
$533.50 |
$533.50 |
1.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,254.50 |
$1,254.50 |
1.6× |