| Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845) |
$955 |
$955 |
0.2× |
| Acne Surgery (10040) |
$165 |
$165 |
0.9× |
| Adding Walker Previously Applied Cast (29440) |
$65 |
$65 |
0.4× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$1,415 |
$1,415 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$390 |
$390 |
2.6× |
| Application cast elbow finger short arm (29075) |
$125 |
$125 |
0.5× |
| Application Cast Finger (29086) |
$110 |
$110 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$115 |
$115 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$745 |
$745 |
2.9× |
| Application Finger Splint Dynamic (29131) |
$325 |
$325 |
6.0× |
| Application finger splint static (29130) |
$195 |
$195 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$120 |
$120 |
0.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$200 |
$200 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$125 |
$125 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$175 |
$175 |
0.7× |
| Application of long leg cast (29345) |
$190 |
$190 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$110 |
$110 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$95 |
$95 |
0.8× |
| Application short leg splint calf foot (29515) |
$105 |
$105 |
0.7× |
| Apply multlay comprs arm/hand (29584) |
$390 |
$390 |
2.6× |
| Apply patella tendon bearing cast (29435) |
$160 |
$160 |
0.6× |
| Apply short leg cast (29405) |
$120 |
$120 |
0.5× |
| Apply short leg cast (29425) |
$110 |
$110 |
0.4× |
| Arterial puncture (36600) |
$97 |
$97 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$271.50 |
$271.50 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$507 |
$507 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$85 |
$85 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$95 |
$95 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$267.50 |
$267.50 |
1.4× |
| Biopsy Breast Open Incisional (19101) |
$455 |
$455 |
0.1× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$220 |
$220 |
0.3× |
| Biopsy external ear (69100) |
$140 |
$140 |
0.6× |
| Biopsy of nail unit (11755) |
$180 |
$180 |
0.3× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$250 |
$250 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$150 |
$150 |
0.2× |
| Bladder Irrigation Simple (51700) |
$263 |
$263 |
1.1× |
| Bladder Scan (51798) |
$119 |
$119 |
2.2× |
| Blood transfusion service (36430) |
$1,693.50 |
$1,693.50 |
4.2× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$220 |
$220 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$140 |
$140 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$965 |
$965 |
4.8× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$280 |
$280 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$240 |
$240 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$215 |
$215 |
0.9× |
| Chemical Cautery Tissue (17250) |
$340 |
$340 |
1.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$205 |
$205 |
1.7× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$520 |
$520 |
0.4× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$705 |
$705 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,125 |
$1,125 |
5.0× |
| Closure of vagina (57120) |
$735 |
$735 |
0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,139 |
$1,139 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,250 |
$1,250 |
5.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$325 |
$325 |
1.4× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$580 |
$580 |
2.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$485 |
$485 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$445 |
$445 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$265 |
$265 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$773 |
$773 |
3.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$400 |
$400 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$465 |
$465 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$420 |
$420 |
1.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$590 |
$590 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$470 |
$470 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$475 |
$475 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$285 |
$285 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,139 |
$1,139 |
5.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,850 |
$1,850 |
1.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$240 |
$240 |
0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$180 |
$180 |
1.0× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$445 |
$445 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$185 |
$185 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$225 |
$225 |
0.8× |
| Complex Drainage, Wound (10180) |
$2,797.50 |
$2,797.50 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$350 |
$350 |
2.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$225 |
$225 |
1.8× |
| Cryotherapy of skin (17340) |
$85 |
$85 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$490 |
$490 |
4.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$400 |
$400 |
0.2× |
| Cystourethroscopy (52000) |
$800 |
$800 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$90 |
$90 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$625 |
$625 |
1.0× |
| Debride nail 1-5 (11720) |
$55 |
$55 |
1.0× |
| Debride nail 6 or more (11721) |
$70 |
$70 |
1.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$110 |
$110 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$394.50 |
$394.50 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$280 |
$280 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,435 |
$1,435 |
0.9× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$240 |
$240 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$190 |
$190 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$165 |
$165 |
0.9× |
| Destruction Lesions Vulva Extensive (56515) |
$390 |
$390 |
0.2× |
| Destruction Lesions Vulva Simple (56501) |
$275 |
$275 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$255 |
$255 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$290 |
$290 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$390 |
$390 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$490 |
$490 |
0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$210 |
$210 |
1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$255 |
$255 |
1.4× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$275 |
$275 |
1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$205 |
$205 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$210 |
$210 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$240 |
$240 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$265 |
$265 |
1.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$145 |
$145 |
0.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$205 |
$205 |
0.5× |
| Destruction of skin lesions (17106) |
$475 |
$475 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$100 |
$100 |
0.5× |
| Destruction vaginal lesions simple (57061) |
$240 |
$240 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$1,125 |
$1,125 |
1.3× |
| Dil urethra,female,subsequent (53661) |
$110 |
$110 |
0.9× |
| Dilate urethra stricture (53620) |
$210 |
$210 |
0.3× |
| Dilate Urethra Stricture (53600) |
$465 |
$465 |
2.0× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$245 |
$245 |
2.1× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$130 |
$130 |
1.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$305 |
$305 |
0.2× |
| Drain outer ear canal lesion (69020) |
$330 |
$330 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$260 |
$260 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$675 |
$675 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$485 |
$485 |
2.6× |
| Drainage of eyelid abscess (67700) |
$400 |
$400 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$942.50 |
$942.50 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$325 |
$325 |
0.2× |
| Draw blood off venous device (36591) |
$180 |
$180 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$520 |
$520 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$520 |
$520 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$520 |
$520 |
2.8× |
| Dry Needling 3+ Muscles (20561) |
$47.50 |
$47.50 |
1.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,423 |
$1,423 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,183 |
$2,183 |
1.2× |
| Egd flexible foreign body removal (43247) |
$1,820 |
$1,820 |
2.2× |
| Egd rem tumr/polyp forcep (43250) |
$1,637 |
$1,637 |
0.9× |
| Egd remove lesion snare (43251) |
$1,886 |
$1,886 |
1.1× |
| Endocervical Curettage (57505) |
$220 |
$220 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$92.50 |
$92.50 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,280 |
$1,280 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,410 |
$1,410 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$645 |
$645 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,135 |
$1,135 |
0.7× |
| Exc forearm les sc < 3 cm (25075) |
$720 |
$720 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$655 |
$655 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$422.50 |
$422.50 |
1.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,085 |
$1,085 |
1.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,085 |
$1,085 |
1.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,525 |
$1,525 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,205 |
$1,205 |
0.8× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,267.50 |
$2,267.50 |
0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,532.50 |
$1,532.50 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,655 |
$1,655 |
1.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$935 |
$935 |
0.6× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$1,660 |
$1,660 |
0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,410 |
$2,410 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,690 |
$1,690 |
1.1× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$750 |
$750 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$637.50 |
$637.50 |
1.0× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$710 |
$710 |
0.5× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$855 |
$855 |
0.6× |
| Excision Breast Lesion (19125) |
$895 |
$895 |
0.2× |
| Excision Chalazion Single (67800) |
$185 |
$185 |
0.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$630 |
$630 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,085 |
$1,085 |
1.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$702.50 |
$702.50 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$482.50 |
$482.50 |
1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$737.50 |
$737.50 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$757.50 |
$757.50 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$515 |
$515 |
0.8× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$620 |
$620 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,187.50 |
$1,187.50 |
1.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,177.50 |
$1,177.50 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,387.50 |
$1,387.50 |
0.9× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$702.50 |
$702.50 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$717.50 |
$717.50 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,452.50 |
$1,452.50 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,480 |
$1,480 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$665 |
$665 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$985 |
$985 |
1.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,095 |
$1,095 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,340 |
$1,340 |
0.9× |
| Excision of nail fold toe (11765) |
$235 |
$235 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$500 |
$500 |
0.2× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$600 |
$600 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$350 |
$350 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,065 |
$1,065 |
0.4× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$480 |
$480 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$580 |
$580 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$645 |
$645 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$458 |
$458 |
0.3× |
| Fetal non-stress test (59025) |
$35 |
$35 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$145 |
$145 |
0.4× |
| Fitting of diaphragm/cap (57170) |
$120 |
$120 |
0.6× |
| I&d abscess simple (10060) |
$180 |
$180 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$360 |
$360 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,177.50 |
$1,177.50 |
3.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$485 |
$485 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$370 |
$370 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$315 |
$315 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$265 |
$265 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$210 |
$210 |
0.7× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$260 |
$260 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$225 |
$225 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$400 |
$400 |
2.2× |
| Inj dupuytren cord w/enzyme (20527) |
$130 |
$130 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$512.50 |
$512.50 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$90 |
$90 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$75 |
$75 |
0.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$145 |
$145 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$90 |
$90 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$180 |
$180 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$160 |
$160 |
0.6× |
| Injection anes other peripheral nerve/branch (64450) |
$110 |
$110 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$85 |
$85 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$95 |
$95 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$120 |
$120 |
0.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$105 |
$105 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$85 |
$85 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$180 |
$180 |
1.5× |
| Insert Drug Implant Device (11981) |
$224 |
$224 |
1.8× |
| Insert pessary/other device (57160) |
$110 |
$110 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$137 |
$137 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$157 |
$157 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,360 |
$2,360 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,250 |
$4,250 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$345 |
$345 |
1.6× |
| Mastectomy partial (19301) |
$895 |
$895 |
0.2× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,285 |
$1,285 |
0.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$310 |
$310 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$25 |
$25 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$610 |
$610 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,910 |
$2,910 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$379 |
$379 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$405 |
$405 |
1.1× |
| Puncture Aspiration (10160) |
$750 |
$750 |
2.0× |
| Puncture Aspiration Cyst Breast (19000) |
$150 |
$150 |
0.2× |
| Reconstruction of nail bed with graft (11762) |
$405 |
$405 |
0.2× |
| Removal fb intranasal (30300) |
$295 |
$295 |
2.4× |
| Removal foreign body foot deep (28192) |
$1,735 |
$1,735 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$2,755 |
$2,755 |
4.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$845 |
$845 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30 |
$30 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$70 |
$70 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$205 |
$205 |
0.3× |
| Removal of finger lesion (26210) |
$620 |
$620 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$160 |
$160 |
0.6× |
| Removal of nail bed (11750) |
$430 |
$430 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$130 |
$130 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$95 |
$95 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$95 |
$95 |
0.4× |
| Remove drug implant device (11982) |
$160 |
$160 |
0.4× |
| Remove foreign body from eye (65210) |
$60 |
$60 |
0.1× |
| Remove wrist tendon lesion (25111) |
$450 |
$450 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$140 |
$140 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$120 |
$120 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$50 |
$50 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$590 |
$590 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$690 |
$690 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$540 |
$540 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$655 |
$655 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$495 |
$495 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$590 |
$590 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$475 |
$475 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$555 |
$555 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$695 |
$695 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$395 |
$395 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$595 |
$595 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$795 |
$795 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$505 |
$505 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$535 |
$535 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$840 |
$840 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$565 |
$565 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$370 |
$370 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$435 |
$435 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$530 |
$530 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$750 |
$750 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$535 |
$535 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$370 |
$370 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$420 |
$420 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$595 |
$595 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$465 |
$465 |
1.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$665 |
$665 |
0.4× |
| Repair of nail bed (11760) |
$265 |
$265 |
0.4× |
| Revise Eyelashes,Forceps (67820) |
$35 |
$35 |
0.3× |
| Revise ulnar nerve at wrist (64719) |
$560 |
$560 |
0.3× |
| Revision of urethra (57220) |
$485 |
$485 |
0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$90 |
$90 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$100 |
$100 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,335 |
$1,335 |
2.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$200 |
$200 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$685 |
$685 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$237.50 |
$237.50 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$387.50 |
$387.50 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$230 |
$230 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$140 |
$140 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$155 |
$155 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$365 |
$365 |
1.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$390 |
$390 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$150 |
$150 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$162.50 |
$162.50 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$240 |
$240 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$367.50 |
$367.50 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$252.50 |
$252.50 |
1.4× |
| Simple destruction of growth of penis using electric current (54055) |
$155 |
$155 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$305 |
$305 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$160 |
$160 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$165 |
$165 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$210 |
$210 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$205 |
$205 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$240 |
$240 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$240 |
$240 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$135 |
$135 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$325 |
$325 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$185 |
$185 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$6,190 |
$6,190 |
9.1× |
| Skin sub graft trnk/arm/leg (15271) |
$4,165 |
$4,165 |
6.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,415 |
$3,415 |
1.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,120 |
$1,120 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$160 |
$160 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$245 |
$245 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$290 |
$290 |
0.8× |
| Strapping elbow/wrist (29260) |
$50 |
$50 |
0.9× |
| Strapping hand/finger (29280) |
$50 |
$50 |
0.9× |
| Strapping shoulder (29240) |
$55 |
$55 |
0.4× |
| Strapping unna boot (29580) |
$195 |
$195 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$230 |
$230 |
0.6× |
| Thrombolytic Therapy, Stroke (37195) |
$400 |
$400 |
1.3× |
| Treat finger dislocation (26775) |
$1,125 |
$1,125 |
4.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$600 |
$600 |
0.4× |
| Treat Vaginal Bleeding (57180) |
$285 |
$285 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,125 |
$1,125 |
5.0× |
| Treatment of bone cyst (20615) |
$360 |
$360 |
0.6× |
| Trim skin lesion (11055) |
$207.50 |
$207.50 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$120 |
$120 |
0.7× |
| Trim skin lesions over 4 (11057) |
$135 |
$135 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$70 |
$70 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$420 |
$420 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$250 |
$250 |
0.7× |
| Vasectomy (55250) |
$470 |
$470 |
0.2× |
| Venipuncture (36415) |
$16 |
$16 |
1.7× |