| Abd paracentesis w/imaging (49083) |
$405.60 |
$507 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$230 |
$287.50 |
0.3× |
| Amputate metacarpal bone (26910) |
$685.60 |
$857 |
0.2× |
| Anoscopy diagnostic (46600) |
$40 |
$50 |
0.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$450.40 |
$563 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$172 |
$215 |
1.2× |
| Application cast elbow finger short arm (29075) |
$144 |
$180 |
0.6× |
| Application Cast Finger (29086) |
$57.20 |
$71.50 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$120 |
$150 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$160 |
$200 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$108.80 |
$136 |
2.0× |
| Application finger splint static (29130) |
$56 |
$70 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$116.40 |
$145.50 |
0.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$224 |
$280 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$180 |
$225 |
1.2× |
| Application of long leg cast (29345) |
$200 |
$250 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$76 |
$95 |
0.3× |
| Application Short Arm Splint Dynamic (29126) |
$121.20 |
$151.50 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$98.80 |
$123.50 |
0.8× |
| Application short leg splint calf foot (29515) |
$200 |
$250 |
1.3× |
| Application, cast; figure-of-eight (29049) |
$102.40 |
$128 |
0.4× |
| Apply long leg cast brace (29358) |
$226.80 |
$283.50 |
0.9× |
| Apply multlay comprs arm/hand (29584) |
$300 |
$375 |
2.0× |
| Apply short leg cast (29405) |
$196.80 |
$246 |
0.8× |
| Apply short leg cast (29425) |
$160 |
$200 |
0.6× |
| Arterial puncture (36600) |
$91.20 |
$114 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$262.40 |
$328 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$228 |
$285 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$470.20 |
$587.75 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$222.40 |
$278 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$136 |
$170 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$112 |
$140 |
0.6× |
| Biopsy bone trocar/needle deep (20225) |
$530 |
$662.50 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$270 |
$337.50 |
0.2× |
| Biopsy of lip (40490) |
$164 |
$205 |
0.8× |
| Bladder Irrigation Simple (51700) |
$95.20 |
$119 |
0.4× |
| Bladder Scan (51798) |
$93.60 |
$117 |
1.7× |
| Blood transfusion service (36430) |
$536.32 |
$670.40 |
1.3× |
| Bone marrow aspiration only (38220) |
$260 |
$325 |
0.2× |
| Bone Marrow Biopsy (38221) |
$320 |
$400 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$216 |
$270 |
0.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$160 |
$200 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$160 |
$200 |
0.7× |
| Chemical Cautery Tissue (17250) |
$56 |
$70 |
0.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$530 |
$662.50 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$198.80 |
$248.50 |
0.7× |
| Chest tube placement (32551) |
$417.60 |
$522 |
0.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$499.20 |
$624 |
2.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$518.80 |
$648.50 |
2.3× |
| Closed Rx Med Malleolus Fx (27760) |
$438.80 |
$548.50 |
1.9× |
| Closed Rx Radial Shaft Fx (25500) |
$543.20 |
$679 |
2.4× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$502.40 |
$628 |
0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$470.40 |
$588 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$607.20 |
$759 |
2.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$677.60 |
$847 |
3.0× |
| Closed Rx Trimalleolar Fx (27816) |
$514.80 |
$643.50 |
2.3× |
| Closed Treat Vert Body Fract (22310) |
$636 |
$795 |
2.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$646.40 |
$808 |
2.8× |
| Closed treatment of broken top of shin bone at knee (27538) |
$596.40 |
$745.50 |
2.6× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$391.20 |
$489 |
1.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$538 |
$672.50 |
2.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$438.80 |
$548.50 |
1.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$409.60 |
$512 |
1.8× |
| Closed Treatment Sesamoid Fracture (28530) |
$480.40 |
$600.50 |
2.1× |
| Closed Treatment Sternum Fracture (21820) |
$472.80 |
$591 |
2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$654.80 |
$818.50 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$416.80 |
$521 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$455.60 |
$569.50 |
2.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$384.80 |
$481 |
1.7× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$622 |
$777.50 |
0.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,030.40 |
$1,288 |
4.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$514.80 |
$643.50 |
2.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$720 |
$900 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$408 |
$510 |
1.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$360.80 |
$451 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$280 |
$350 |
1.2× |
| Closed tx patellar fracture w/o manipulation (27520) |
$684 |
$855 |
3.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$578.80 |
$723.50 |
2.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$488.80 |
$611 |
2.2× |
| Closed tx septal&nose fx (21337) |
$806.40 |
$1,008 |
0.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$494.40 |
$618 |
2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$199.60 |
$249.50 |
0.9× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$558 |
$697.50 |
2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$552.40 |
$690.50 |
2.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$230.40 |
$288 |
1.1× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$496.80 |
$621 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$428 |
$535 |
1.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$132 |
$165 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$235.60 |
$294.50 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$208.80 |
$261 |
0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$611.20 |
$764 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$328.40 |
$410.50 |
1.4× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$664.80 |
$831 |
0.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$696 |
$870 |
3.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$355.60 |
$444.50 |
1.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$272 |
$340 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$241.60 |
$302 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$481.20 |
$601.50 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$428 |
$535 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$379.20 |
$474 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$388.40 |
$485.50 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$800 |
$1,000 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$792.80 |
$991 |
0.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$555.60 |
$694.50 |
2.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$272.40 |
$340.50 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$158.40 |
$198 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$202.40 |
$253 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$621.20 |
$776.50 |
2.7× |
| Cltx greater trochanteric fx w/o manj (27246) |
$972 |
$1,215 |
4.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$579.20 |
$724 |
2.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$954.40 |
$1,193 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$193.20 |
$241.50 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$240 |
$300 |
1.1× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,153.60 |
$1,442 |
0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$292.80 |
$366 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$237.20 |
$296.50 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$269.60 |
$337 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$433.20 |
$541.50 |
1.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$164.80 |
$206 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$363.60 |
$454.50 |
1.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$683.20 |
$854 |
3.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$260.80 |
$326 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$650 |
$812.50 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$173.60 |
$217 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$718 |
$897.50 |
3.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$468.40 |
$585.50 |
2.1× |
| Colonoscopy flex w/rem forcep (45384) |
$520 |
$650 |
0.5× |
| Complex Drainage, Wound (10180) |
$1,700 |
$2,125 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$181.60 |
$227 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$160 |
$200 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$258 |
$322.50 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$287.60 |
$359.50 |
1.3× |
| Curette/treat cornea (65435) |
$120 |
$150 |
0.1× |
| Cystourethroscopy (52000) |
$1,120 |
$1,400 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$88 |
$110 |
0.2× |
| Debride nail 1-5 (11720) |
$72 |
$90 |
1.3× |
| Debride nail 6 or more (11721) |
$88 |
$110 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$208 |
$260 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$306 |
$382.50 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$360 |
$450 |
0.2× |
| Delivery placenta separate procedure (59414) |
$1,531.60 |
$1,914.50 |
0.5× |
| Destroy cerv/thor facet jnt (64633) |
$1,503.20 |
$1,879 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,422.40 |
$1,778 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$200 |
$250 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
$140 |
$175 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$80 |
$100 |
0.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,307.40 |
$1,634.25 |
1.6× |
| Destruction Lesions Vulva Simple (56501) |
$214.40 |
$268 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$100 |
$125 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$389.60 |
$487 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$454.40 |
$568 |
0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$267.20 |
$334 |
1.4× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$288 |
$360 |
0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$325.60 |
$407 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$196 |
$245 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$158 |
$197.50 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$272 |
$340 |
1.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$302.40 |
$378 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$373.60 |
$467 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,136.80 |
$2,671 |
1.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$80 |
$100 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$94 |
$117.50 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$701.60 |
$877 |
1.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$256.40 |
$320.50 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$104 |
$130 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$182.80 |
$228.50 |
1.0× |
| Drainage of gum lesion (41800) |
$190.40 |
$238 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$330 |
$412.50 |
0.2× |
| Drainage of hydrocele (55000) |
$56 |
$70 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$684 |
$855 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$286.40 |
$358 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$252.80 |
$316 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$296 |
$370 |
1.6× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$435.20 |
$544 |
1.2× |
| Egd flexible foreign body removal (43247) |
$400 |
$500 |
0.5× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,020 |
$1,275 |
0.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$990 |
$1,237.50 |
0.5× |
| Escharotomy initial incision (16035) |
$161.60 |
$202 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$100 |
$125 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$91.20 |
$114 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$184 |
$230 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$224 |
$280 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$128 |
$160 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$220 |
$275 |
0.1× |
| Exc shoulder les sc 3 cm/> (23071) |
$600 |
$750 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$112 |
$140 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$104.40 |
$130.50 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$140 |
$175 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$160 |
$200 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$280 |
$350 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$200 |
$250 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$584.80 |
$731 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$207.54 |
$259.43 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$228 |
$285 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$336 |
$420 |
0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$240 |
$300 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$248 |
$310 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$197.60 |
$247 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$84 |
$105 |
0.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$617.20 |
$771.50 |
0.4× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$96 |
$120 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$112 |
$140 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$136.80 |
$171 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$264 |
$330 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$208 |
$260 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$112 |
$140 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$148 |
$185 |
0.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$188 |
$235 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$288 |
$360 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$108 |
$135 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$120 |
$150 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$152 |
$190 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$192.65 |
$240.82 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$217.36 |
$271.70 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$140 |
$175 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$180 |
$225 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$184 |
$230 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$100 |
$125 |
0.1× |
| Excision of nail fold toe (11765) |
$112.80 |
$141 |
0.3× |
| Excision olecranon bursa (24105) |
$789.60 |
$987 |
0.3× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$682 |
$852.50 |
0.2× |
| Explore/treat hand joint (26070) |
$636.40 |
$795.50 |
0.4× |
| I&d abscess simple (10060) |
$200 |
$250 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$329.60 |
$412 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$428 |
$535 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$327.60 |
$409.50 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$330 |
$412.50 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$182.80 |
$228.50 |
0.7× |
| Incision&drainage bursa foot (28001) |
$712 |
$890 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$410 |
$512.50 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$123.20 |
$154 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,459 |
$1,823.75 |
1.8× |
| Inj tendon sheath/ligament (20550) |
$269.60 |
$337 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$428 |
$535 |
0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$732.48 |
$915.60 |
0.9× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$256 |
$320 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$518.40 |
$648 |
0.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,422.20 |
$1,777.75 |
1.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,005.40 |
$1,256.75 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$653.80 |
$817.25 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$793.40 |
$991.75 |
1.0× |
| Inject Nerv Blck,Pudendal (64430) |
$1,221.60 |
$1,527 |
1.5× |
| Inject Tendon Origin/Insert (20551) |
$182.40 |
$228 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,404.40 |
$1,755.50 |
2.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,424 |
$1,780 |
2.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$660.60 |
$825.75 |
1.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$740.40 |
$925.50 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$915.20 |
$1,144 |
3.2× |
| Injection anes other peripheral nerve/branch (64450) |
$235.20 |
$294 |
0.4× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,411 |
$1,763.75 |
1.7× |
| Injection for identification of sentinel node (38792) |
$1,941.60 |
$2,427 |
5.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$147.20 |
$184 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$255.60 |
$319.50 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$222 |
$277.50 |
0.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$673.20 |
$841.50 |
2.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$891.60 |
$1,114.50 |
3.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$67.20 |
$84 |
0.4× |
| Insert Drug Implant Device (11981) |
$160 |
$200 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$258 |
$322.50 |
0.1× |
| Insert pessary/other device (57160) |
$40 |
$50 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$140.80 |
$176 |
1.2× |
| Insert tunneled cv cath (36561) |
$300 |
$375 |
0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$80 |
$100 |
0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$320 |
$400 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$188.40 |
$235.50 |
0.9× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$97.20 |
$121.50 |
0.5× |
| Late closure of wound (13160) |
$560 |
$700 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$1,566.40 |
$1,958 |
1.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,329.60 |
$1,662 |
3.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,348.80 |
$1,686 |
1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,030.60 |
$1,288.25 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,129.80 |
$1,412.25 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$999.40 |
$1,249.25 |
1.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,030.80 |
$1,288.50 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$169.60 |
$212 |
0.4× |
| Preputial Stretching (54450) |
$349.20 |
$436.50 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$180 |
$225 |
0.5× |
| Puncture Aspiration (10160) |
$168 |
$210 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,150 |
$1,437.50 |
0.6× |
| Reconstruction of nail bed with graft (11762) |
$304 |
$380 |
0.2× |
| Removal fb intranasal (30300) |
$139.20 |
$174 |
1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$493.60 |
$617 |
0.2× |
| Removal Foreign Body Foot Complicated (28193) |
$658.80 |
$823.50 |
0.4× |
| Removal foreign body foot deep (28192) |
$502 |
$627.50 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$394.40 |
$493 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$275.60 |
$344.50 |
0.2× |
| Removal foreign body pharynx (42809) |
$189.20 |
$236.50 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56 |
$70 |
1.0× |
| Removal of arm foreign body (24200) |
$270 |
$337.50 |
0.2× |
| Removal of foreign body in scrotum (55120) |
$779.20 |
$974 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$60 |
$75 |
0.2× |
| Removal of nail bed (11750) |
$252 |
$315 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$200 |
$250 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$65.60 |
$82 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$186 |
$232.50 |
0.7× |
| Remove drug implant device (11982) |
$140 |
$175 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$134.40 |
$168 |
0.5× |
| Remove foreign body from eye (65210) |
$112 |
$140 |
0.3× |
| Remove in/ex hem groups 2+ (46260) |
$400 |
$500 |
0.2× |
| Remove shoulder foreign body (23330) |
$308.80 |
$386 |
0.2× |
| Remove wrist tendon lesion (25111) |
$424 |
$530 |
0.3× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$380.40 |
$475.50 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$76 |
$95 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$100.40 |
$125.50 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$466.80 |
$583.50 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$731.60 |
$914.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$332.40 |
$415.50 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$566.40 |
$708 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$310.80 |
$388.50 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$466.80 |
$583.50 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$308 |
$385 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$390.40 |
$488 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,088.40 |
$1,360.50 |
0.7× |
| Repair hand tendon (26410) |
$1,303.20 |
$1,629 |
0.9× |
| Repair initial femoral hernia, any age; reducible (49550) |
$500 |
$625 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$609.60 |
$762 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$200 |
$250 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$294 |
$367.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$328.40 |
$410.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$250 |
$312.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$260 |
$325 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$4,686.40 |
$5,858 |
12.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$549.20 |
$686.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$180 |
$225 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$226 |
$282.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$260 |
$325 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$602 |
$752.50 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$361.60 |
$452 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$180 |
$225 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$240 |
$300 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$474.80 |
$593.50 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$240 |
$300 |
0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$509.60 |
$637 |
0.3× |
| Repair of nail bed (11760) |
$180.40 |
$225.50 |
0.3× |
| Repair Tongue Laceration (41250) |
$190.40 |
$238 |
0.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$230.80 |
$288.50 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$152.40 |
$190.50 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$120 |
$150 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$106 |
$132.50 |
0.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$654.80 |
$818.50 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$240 |
$300 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$220 |
$275 |
0.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$280 |
$350 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$498.40 |
$623 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$308 |
$385 |
1.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$552.80 |
$691 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$656 |
$820 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$75.20 |
$94 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$132 |
$165 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$76.96 |
$96.20 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$76.96 |
$96.20 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$74.48 |
$93.10 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$120 |
$150 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$62.40 |
$78 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$76.08 |
$95.10 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$88.48 |
$110.60 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$68 |
$85 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$120 |
$150 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$72.80 |
$91 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$430 |
$537.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$170 |
$212.50 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$182 |
$227.50 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$505.20 |
$631.50 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$215.20 |
$269 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$220 |
$275 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,184 |
$1,480 |
6.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$160 |
$200 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$418.80 |
$523.50 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$220 |
$275 |
1.2× |
| Skin splt grft trnk/arm/leg (15100) |
$1,730 |
$2,162.50 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$400 |
$500 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$395.60 |
$494.50 |
0.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$710.60 |
$888.25 |
0.4× |
| Skin Tissue Procedure (17999) |
$150 |
$187.50 |
0.8× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$1,866 |
$2,332.50 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$700 |
$875 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$176 |
$220 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$240 |
$300 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$279.60 |
$349.50 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$389.40 |
$486.75 |
0.6× |
| Spinal Puncture Therapeutic (62272) |
$659.20 |
$824 |
1.0× |
| Strapping ankle (29540) |
$82.80 |
$103.50 |
0.6× |
| Strapping elbow/wrist (29260) |
$112.40 |
$140.50 |
2.1× |
| Strapping hand/finger (29280) |
$80.80 |
$101 |
1.5× |
| Strapping Hip (29520) |
$113.60 |
$142 |
0.9× |
| Strapping knee (29530) |
$78 |
$97.50 |
0.6× |
| Strapping shoulder (29240) |
$64 |
$80 |
0.5× |
| Strapping thorax (29200) |
$287.60 |
$359.50 |
1.9× |
| Strapping toes (29550) |
$78.40 |
$98 |
1.4× |
| Strapping unna boot (29580) |
$98.80 |
$123.50 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$176 |
$220 |
0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$780 |
$975 |
0.5× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$761 |
$951.25 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$496 |
$620 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$556.80 |
$696 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$774.40 |
$968 |
3.6× |
| Treat Fracture Radius & Ulna (25560) |
$582.80 |
$728.50 |
2.6× |
| Treat humerus fracture (24500) |
$260.80 |
$326 |
1.1× |
| Treat humerus fracture (23600) |
$386.80 |
$483.50 |
1.7× |
| Treat Metatarsal Fracture (28475) |
$444.40 |
$555.50 |
2.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$796 |
$995 |
0.5× |
| Treat wrist bone fracture (25635) |
$564 |
$705 |
0.4× |
| Treat wrist bone fracture (25622) |
$470.80 |
$588.50 |
2.1× |
| Treat Wrist Bone Fracture (25630) |
$273.20 |
$341.50 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$339.60 |
$424.50 |
1.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$709.60 |
$887 |
3.1× |
| Trim skin lesion (11055) |
$100 |
$125 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$120 |
$150 |
0.7× |
| Trim skin lesions over 4 (11057) |
$128 |
$160 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$72 |
$90 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$240 |
$300 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$262 |
$327.50 |
0.7× |
| Vaginal delivery only (59409) |
$3,418.40 |
$4,273 |
1.1× |
| Venipuncture (36415) |
$24 |
$30 |
2.6× |
| Wound Prep F/N/Hf/G (15004) |
$620 |
$775 |
1.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$480 |
$600 |
0.7× |