| Anoscopy diagnostic (46600) |
$201.88 |
$237.50 |
1.5× |
| Application cast elbow finger short arm (29075) |
$195.50 |
$230 |
0.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$114.75 |
$135 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$195.50 |
$230 |
0.7× |
| Application finger splint static (29130) |
$54.82 |
$64.50 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$178.50 |
$210 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$178.50 |
$210 |
1.1× |
| Application of long leg cast (29345) |
$195.50 |
$230 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$178.50 |
$210 |
1.3× |
| Application short leg splint calf foot (29515) |
$178.50 |
$210 |
1.1× |
| Apply short leg cast (29405) |
$182.75 |
$215 |
0.7× |
| Arterial puncture (36600) |
$42.50 |
$50 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$85 |
$100 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$136 |
$160 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$102 |
$120 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$150.45 |
$177 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$68 |
$80 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$102 |
$120 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$297.50 |
$350 |
1.5× |
| Bladder Scan (51798) |
$297.50 |
$350 |
5.0× |
| Blood transfusion service (36430) |
$757.35 |
$891 |
1.7× |
| Chest tube placement (32551) |
$1,246.95 |
$1,467 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$637.50 |
$750 |
0.4× |
| Closed Rx Radial Shaft Fx (25500) |
$178.50 |
$210 |
0.7× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,190 |
$1,400 |
0.7× |
| Closed Treat Vert Body Fract (22310) |
$507.02 |
$596.50 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$195.50 |
$230 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$658.32 |
$774.50 |
2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$440.72 |
$518.50 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$488.32 |
$574.50 |
2.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$410.98 |
$483.50 |
1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$192.52 |
$226.50 |
0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$459.42 |
$540.50 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$508.72 |
$598.50 |
2.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$447.52 |
$526.50 |
1.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$554.62 |
$652.50 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$365.92 |
$430.50 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$318.75 |
$375 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$398.22 |
$468.50 |
1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$319.18 |
$375.50 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$391.42 |
$460.50 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$314.92 |
$370.50 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$424.58 |
$499.50 |
1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$106.25 |
$125 |
0.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$498.52 |
$586.50 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$520.62 |
$612.50 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$364.22 |
$428.50 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$521.48 |
$613.50 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$365.92 |
$430.50 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$350.62 |
$412.50 |
1.4× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$430.95 |
$507 |
0.1× |
| Complex Drainage, Wound (10180) |
$402.90 |
$474 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$232.48 |
$273.50 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$216.32 |
$254.50 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$249.48 |
$293.50 |
1.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$221 |
$260 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$248.62 |
$292.50 |
0.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$183.60 |
$216 |
0.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$202.30 |
$238 |
0.3× |
| Debride nail 1-5 (11720) |
$79.48 |
$93.50 |
1.3× |
| Debride skin musc at fx site (11011) |
$202.30 |
$238 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$119.85 |
$141 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$374.85 |
$441 |
0.2× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$246.50 |
$290 |
0.6× |
| Destruction benign lesions 15 or more (17111) |
$215.05 |
$253 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$170 |
$200 |
0.8× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$714 |
$840 |
1.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$1,062.50 |
$1,250 |
0.5× |
| Destruction of skin lesions (17106) |
$565.25 |
$665 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$110.50 |
$130 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$119 |
$140 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$304.72 |
$358.50 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$267.75 |
$315 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$221 |
$260 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$187 |
$220 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$82.45 |
$97 |
0.4× |
| Dry Needling 3+ Muscles (20561) |
$25.50 |
$30 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$93.92 |
$110.50 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$330.65 |
$389 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$384.20 |
$452 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$219.30 |
$258 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$368.05 |
$433 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$255.85 |
$301 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$243.95 |
$287 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$272 |
$320 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$314.50 |
$370 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$463.25 |
$545 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$357 |
$420 |
0.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$644.30 |
$758 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$549.95 |
$647 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$515.95 |
$607 |
0.3× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$837.25 |
$985 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$202.30 |
$238 |
0.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$674.05 |
$793 |
0.2× |
| Excision hidradenitis axillary complex repair (11451) |
$794.75 |
$935 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$608.60 |
$716 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$274.55 |
$323 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$307.70 |
$362 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$653.65 |
$769 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$199.75 |
$235 |
0.1× |
| Excision of nail fold toe (11765) |
$264.35 |
$311 |
0.6× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$805.80 |
$948 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$623.05 |
$733 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$72.25 |
$85 |
0.3× |
| I&d abscess simple (10060) |
$176.38 |
$207.50 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$291.98 |
$343.50 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$144.50 |
$170 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$382.50 |
$450 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$225.25 |
$265 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$243.10 |
$286 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$378.25 |
$445 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$115.60 |
$136 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$212.50 |
$250 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$95.62 |
$112.50 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$87.55 |
$103 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$180.20 |
$212 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$91.80 |
$108 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$105.40 |
$124 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$56.10 |
$66 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$1,178.52 |
$1,386.50 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,175.12 |
$1,382.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$191.25 |
$225 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$49.30 |
$58 |
0.4× |
| Intro Gastrointestinal Tube (44500) |
$1,243.55 |
$756.50 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$210.80 |
$248 |
0.9× |
| Laryngoscopy Direct Aspiration (31515) |
$1,698.72 |
$1,998.50 |
4.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$232.48 |
$273.50 |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$314.50 |
$370 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$17 |
$20 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,015.38 |
$3,547.50 |
0.9× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,233.35 |
$1,451 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$280.50 |
$330 |
0.6× |
| Puncture Aspiration (10160) |
$212.50 |
$250 |
0.5× |
| Reconstruction of nail bed with graft (11762) |
$1,949.05 |
$2,293 |
0.9× |
| Removal fb intranasal (30300) |
$270.72 |
$318.50 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$21.25 |
$25 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80.75 |
$95 |
1.4× |
| Removal of intrauterine device (iud) (58301) |
$110.50 |
$130 |
0.4× |
| Removal of nail bed (11750) |
$340 |
$400 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$212.50 |
$250 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$195.50 |
$230 |
0.7× |
| Remove foreign body from eye (65210) |
$172.55 |
$203 |
0.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$168.30 |
$198 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$136 |
$160 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$165.75 |
$195 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$787.52 |
$926.50 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$838.52 |
$986.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$488.32 |
$574.50 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$809.62 |
$952.50 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$476.42 |
$560.50 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$770.52 |
$906.50 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$719.52 |
$846.50 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$757.78 |
$891.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$560.15 |
$659 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$422.45 |
$497 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$482.80 |
$568 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$581.40 |
$684 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$560.15 |
$659 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$560.15 |
$659 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$632.40 |
$744 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$560.15 |
$659 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$388.45 |
$457 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$474.30 |
$558 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$560.15 |
$659 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$898.45 |
$1,057 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$623.05 |
$733 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$388.45 |
$457 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$496.40 |
$584 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$690.20 |
$812 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$510.85 |
$601 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$790.50 |
$930 |
0.4× |
| Repair of nail bed (11760) |
$388.88 |
$457.50 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$163.20 |
$192 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$171.70 |
$202 |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$632.40 |
$744 |
0.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$560.15 |
$659 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$336.60 |
$396 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$178.50 |
$210 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$187 |
$220 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$263.50 |
$310 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$219.30 |
$258 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$266.05 |
$313 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$299.20 |
$352 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$146.20 |
$172 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$361.25 |
$425 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$124.95 |
$147 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$178.50 |
$210 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$265.20 |
$312 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$313.65 |
$369 |
0.8× |
| Strapping ankle (29540) |
$133.45 |
$157 |
0.8× |
| Strapping elbow/wrist (29260) |
$133.45 |
$157 |
2.3× |
| Strapping hand/finger (29280) |
$133.45 |
$157 |
2.3× |
| Strapping knee (29530) |
$133.45 |
$157 |
1.0× |
| Strapping toes (29550) |
$85 |
$100 |
1.4× |
| Strapping unna boot (29580) |
$133.45 |
$157 |
0.8× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$456.88 |
$537.50 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$108.80 |
$128 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$63.75 |
$75 |
0.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$979.62 |
$1,152.50 |
4.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,105 |
$1,300 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$276.25 |
$325 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$318.75 |
$375 |
1.3× |
| Treatment of bone cyst (20615) |
$399.50 |
$470 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$459 |
$540 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$267.75 |
$315 |
0.7× |
| Unlisted px female genital system nonobstetrical (58999) |
$2.13 |
$2.50 |
0.0× |
| Venipuncture (36415) |
$18.28 |
$21.50 |
2.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$201.88 |
$237.50 |
0.4× |