| Abd paracentesis w/imaging (49083) |
$1,124.40 |
$1,874 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,101.60 |
$1,836 |
1.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$379.20 |
$632 |
2.5× |
| Application cast elbow finger short arm (29075) |
$64.20 |
$107 |
0.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$86.40 |
$144 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$145.80 |
$243 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$33 |
$55 |
0.6× |
| Application finger splint static (29130) |
$203.40 |
$339 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$154.50 |
$257.50 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$140.40 |
$234 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$78.60 |
$131 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$126.60 |
$211 |
1.0× |
| Application short leg splint calf foot (29515) |
$147 |
$245 |
1.0× |
| Arterial puncture (36600) |
$88.50 |
$147.50 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$183 |
$305 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$489.60 |
$816 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$200.70 |
$334.50 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$127.80 |
$213 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,492.60 |
$5,821 |
0.2× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
unusually low: confirm this is the full procedure |
$3,287.40 |
$5,479 |
0.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,685.40 |
$2,809 |
0.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,567.20 |
$2,612 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$2,224.80 |
$3,708 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,184.60 |
$3,641 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
unusually low: confirm this is the full procedure |
$2,421 |
$4,035 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,812.60 |
$3,021 |
0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,603.20 |
$2,672 |
0.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,543.80 |
$2,573 |
0.5× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,064 |
$3,440 |
0.3× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$1,362 |
$2,270 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$71.40 |
$119 |
0.4× |
| Bladder Irrigation Simple (51700) |
$369.60 |
$616 |
1.6× |
| Bladder Scan (51798) |
$50.40 |
$84 |
0.9× |
| Blood transfusion service (36430) |
$511.20 |
$852 |
1.2× |
| Bone marrow aspiration only (38220) |
$118.20 |
$197 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$417.60 |
$696 |
1.8× |
| Chemical Cautery Tissue (17250) |
$249.60 |
$416 |
1.3× |
| Chest tube placement (32551) |
$1,953.60 |
$3,256 |
1.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$155.40 |
$259 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,788.40 |
$6,314 |
2.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,000.80 |
$1,668 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$287.40 |
$479 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$975 |
$1,625 |
0.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$648 |
$1,080 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$243.30 |
$405.50 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$3,151.20 |
$5,252 |
2.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,827.20 |
$4,712 |
12.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,000.80 |
$1,668 |
0.7× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$423 |
$705 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,827.20 |
$4,712 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$287.40 |
$479 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,827.20 |
$4,712 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$287.40 |
$479 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$216.60 |
$361 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$240 |
$400 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,976.40 |
$3,294 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$287.40 |
$479 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$287.40 |
$479 |
1.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,827.20 |
$4,712 |
1.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$290.40 |
$484 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$287.40 |
$479 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,000.80 |
$1,668 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$155.40 |
$259 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$233.40 |
$389 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$155.40 |
$259 |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$293.40 |
$489 |
1.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$692.40 |
$1,154 |
1.0× |
| Debride nail 1-5 (11720) |
$96 |
$160 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$361.80 |
$603 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$727.80 |
$1,213 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,954.80 |
$3,258 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$77.70 |
$129.50 |
0.4× |
| Drain outer ear canal lesion (69020) |
$258.60 |
$431 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$307.80 |
$513 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$2,052.60 |
$3,421 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$1,526.40 |
$2,544 |
1.0× |
| Draw blood off venous device (36591) |
$155.40 |
$259 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$438 |
$730 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$246.60 |
$411 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.60 |
$326 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$145.20 |
$242 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$498.60 |
$831 |
0.3× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$236.40 |
$394 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$144 |
$240 |
0.1× |
| Excision olecranon bursa (24105) |
$644.40 |
$1,074 |
0.2× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$1,204.20 |
$2,007 |
0.4× |
| Fixation of knee joint (27570) |
$367.20 |
$612 |
0.2× |
| Fluoro exam of g/colon tube (49465) |
$319.80 |
$533 |
1.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$463.20 |
$772 |
2.3× |
| I&d abscess simple (10060) |
$321.60 |
$536 |
1.7× |
| Incise finger tendon sheath (26055) |
$661.20 |
$1,102 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$524.40 |
$874 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$2,368.80 |
$3,948 |
3.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$100.20 |
$167 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$195.60 |
$326 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,177.20 |
$1,962 |
1.4× |
| Inj tendon sheath/ligament (20550) |
$67.80 |
$113 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$41.70 |
$69.50 |
0.1× |
| Injection anes other peripheral nerve/branch (64450) |
$255 |
$425 |
0.4× |
| Injection for identification of sentinel node (38792) |
$616.80 |
$1,028 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$87.30 |
$145.50 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$53.40 |
$89 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$60 |
$100 |
0.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$144 |
$240 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$193.80 |
$323 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$3,974.40 |
$6,624 |
1.3× |
| Insert picc cath (36569) |
$1,953.60 |
$3,256 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$155.40 |
$259 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$155.40 |
$259 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,497.80 |
$4,163 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$415.80 |
$693 |
1.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,087.20 |
$1,812 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$881.40 |
$1,469 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$881.40 |
$1,469 |
1.3× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,179.60 |
$1,966 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,483.20 |
$2,472 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$1,103.40 |
$1,839 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
unusually low: confirm this is the full procedure |
$2,464.20 |
$4,107 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,141.20 |
$1,902 |
0.4× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,208.40 |
$2,014 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,247.40 |
$2,079 |
0.4× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$4,828.20 |
$8,047 |
1.6× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,828.20 |
$8,047 |
1.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$369.60 |
$616 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$375 |
$625 |
0.9× |
| Puncture Aspiration (10160) |
$496.20 |
$827 |
1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,438.40 |
$4,064 |
1.3× |
| Removal fb intranasal (30300) |
$315.60 |
$526 |
2.5× |
| Removal foreign body foot deep (28192) |
$1,954.80 |
$3,258 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$594 |
$990 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$72.90 |
$121.50 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$56.70 |
$94.50 |
1.0× |
| Removal Implant Deep (20680) |
$980.40 |
$1,634 |
0.4× |
| Removal of nail bed (11750) |
$551.40 |
$919 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$61.20 |
$102 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$37.80 |
$63 |
0.1× |
| Remove femur lesion/bursa (27062) |
$658.20 |
$1,097 |
0.2× |
| Remove wrist tendon lesion (25111) |
$699 |
$1,165 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$129.90 |
$216.50 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$178.20 |
$297 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$942.60 |
$1,571 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$442.20 |
$737 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$301.20 |
$502 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$301.20 |
$502 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$327.60 |
$546 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$327.60 |
$546 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$301.20 |
$502 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$301.20 |
$502 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$327.60 |
$546 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$889.20 |
$1,482 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$384 |
$640 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$301.20 |
$502 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$1,347.60 |
$2,246 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,492.80 |
$2,488 |
0.2× |
| Reposition gastrostomy tube (43761) |
$1,614.60 |
$2,691 |
6.9× |
| Revise median n/carpal tunnel surg (64721) |
$1,185 |
$1,975 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$1,549.80 |
$2,583 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$292.20 |
$487 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$292.20 |
$487 |
2.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,138.20 |
$1,897 |
5.1× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$67.80 |
$113 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$108.60 |
$181 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$301.20 |
$502 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$327.60 |
$546 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$327.60 |
$546 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$327.60 |
$546 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$301.20 |
$502 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$327.60 |
$546 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$327.60 |
$546 |
1.7× |
| Skin sub graft face/nk/hf/g (15275) |
$1,570.80 |
$2,618 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,731.60 |
$2,886 |
2.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$301.20 |
$502 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$327.60 |
$546 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$327.60 |
$546 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$881.40 |
$1,469 |
1.3× |
| Strapping unna boot (29580) |
$294 |
$490 |
1.9× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,606.80 |
$2,678 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$752.40 |
$1,254 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,128.30 |
$1,880.50 |
1.9× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$4,007.40 |
$6,679 |
0.3× |
Total knee arthroplasty (27447)
unusually low: confirm this is the full procedure |
$3,774.60 |
$6,291 |
0.3× |
| Treat finger dislocation (26775) |
$2,827.20 |
$4,712 |
10.8× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,672.20 |
$2,787 |
0.2× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,179.60 |
$1,966 |
0.2× |
Treat humerus fracture (23630)
likely a partial charge, not the full procedure |
$1,126.20 |
$1,877 |
0.2× |
| Treat humerus fracture (23600) |
$464.40 |
$774 |
2.0× |
| Treat knee fracture (27532) |
$3,931.20 |
$6,552 |
1.3× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$1,941 |
$3,235 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$287.40 |
$479 |
1.2× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,146.60 |
$1,911 |
0.2× |
| Treatment of heel fracture (28406) |
$4,828.20 |
$8,047 |
0.7× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$2,601 |
$4,335 |
0.4× |
| Trim skin lesion (11055) |
$306.60 |
$511 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$303 |
$505 |
1.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$145.20 |
$242 |
2.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,827.20 |
$4,712 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$775.80 |
$1,293 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$327.60 |
$546 |
0.9× |
| Venipuncture (36415) |
$14.70 |
$24.50 |
1.6× |