| Abd paracentesis w/imaging (49083) |
$659.75 |
$942.50 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$448.35 |
$640.50 |
0.5× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$700 |
$1,000 |
0.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$215.60 |
$308 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$522.20 |
$746 |
3.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$74.20 |
$106 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$74.20 |
$106 |
0.3× |
| Application finger splint static (29130) |
$33.60 |
$48 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$77 |
$110 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$50.40 |
$72 |
0.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$273.96 |
$391.38 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$38.50 |
$55 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$41.30 |
$59 |
0.3× |
| Application short leg splint calf foot (29515) |
$54.95 |
$78.50 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$147 |
$210 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$105 |
$150 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$219.80 |
$314 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$210.58 |
$300.83 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$106.05 |
$151.50 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$172.13 |
$245.90 |
0.9× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$159.60 |
$228 |
0.3× |
| Bladder Irrigation Simple (51700) |
$116.90 |
$167 |
0.5× |
| Bladder Scan (51798) |
$59.50 |
$85 |
1.1× |
| Blood patch (62273) |
$513.10 |
$733 |
0.8× |
| Blood transfusion service (36430) |
$1,222.20 |
$1,746 |
3.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$268.76 |
$383.94 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$151.20 |
$216 |
0.7× |
| Chemical Cautery Tissue (17250) |
$127.40 |
$182 |
0.7× |
| Chemodenerv Musc Migraine (64615) |
$264.48 |
$377.83 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$251.65 |
$359.50 |
0.9× |
| Chest tube placement (32551) |
$287 |
$410 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$26.60 |
$38 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$490 |
$700 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$455 |
$650 |
2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$70 |
$100 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$175 |
$250 |
0.8× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$322 |
$460 |
0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$350 |
$500 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$175 |
$250 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$427 |
$610 |
1.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$455 |
$650 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$409.50 |
$585 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$280 |
$400 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$175 |
$250 |
0.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$140 |
$200 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$350 |
$500 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$80.50 |
$115 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$636.30 |
$909 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$630 |
$900 |
0.6× |
| Colonoscopy w/ablation (45388) |
$630 |
$900 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$411.25 |
$587.50 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$630 |
$900 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,038.84 |
$1,484.06 |
1.0× |
| Complex Drainage, Wound (10180) |
$414.75 |
$592.50 |
0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$115.50 |
$165 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$490 |
$700 |
4.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$347.90 |
$497 |
0.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$42.70 |
$61 |
0.0× |
| Cystourethroscopy (52000) |
$276.50 |
$395 |
0.4× |
| Debride nail 1-5 (11720) |
$79.59 |
$113.70 |
1.5× |
| Debride nail 6 or more (11721) |
$79.59 |
$113.70 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$103.25 |
$147.50 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$287.70 |
$411 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$918.05 |
$1,311.50 |
0.6× |
| Declot vascular device (36593) |
$52.50 |
$75 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$1,351.70 |
$1,931 |
0.8× |
| Destroy lumb/sac facet jnt (64635) |
$1,349.95 |
$1,928.50 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$140 |
$200 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$154.63 |
$220.90 |
0.8× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$666.21 |
$951.73 |
0.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,300.60 |
$1,858 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$56 |
$80 |
0.3× |
| Diagnostic sigmoidoscopy (45330) |
$696.48 |
$994.98 |
0.8× |
| Dil urethra,female,subsequent (53661) |
$89.60 |
$128 |
0.7× |
| Dilate Urethra Stricture (53600) |
$118.30 |
$169 |
0.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$532.70 |
$761 |
0.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$112.70 |
$161 |
0.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$175 |
$250 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$490 |
$700 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$262.50 |
$375 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$875 |
$1,250 |
0.6× |
| Drainage of scrotal wall abscess (55100) |
$291.20 |
$416 |
0.2× |
| Draw blood off venous device (36591) |
$161.22 |
$230.32 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$156.10 |
$223 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$125.30 |
$179 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$65.10 |
$93 |
0.4× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$875 |
$1,250 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$675.50 |
$965 |
0.4× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$553 |
$790 |
0.3× |
| Egd guide wire insertion (43248) |
$675.50 |
$965 |
0.8× |
| Egd injection varices (43243) |
$420 |
$600 |
0.2× |
| Egd place gastrostomy tube (43246) |
$347.20 |
$496 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$490 |
$700 |
0.3× |
| Egd remove lesion snare (43251) |
$675.50 |
$965 |
0.4× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$875 |
$1,250 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$420 |
$600 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$38.85 |
$55.50 |
0.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$507.50 |
$725 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$525 |
$750 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$205.80 |
$294 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$140 |
$200 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$514.85 |
$735.50 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$175 |
$250 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$302.05 |
$431.50 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$186.20 |
$266 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$505.75 |
$722.50 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$283.50 |
$405 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$130.90 |
$187 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$259 |
$370 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$234.50 |
$335 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$175 |
$250 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$106.40 |
$152 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$266 |
$380 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$227.50 |
$325 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$245 |
$350 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$176.05 |
$251.50 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$142.80 |
$204 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$234.50 |
$335 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$234.50 |
$335 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$175 |
$250 |
0.1× |
| Excision olecranon bursa (24105) |
$647.50 |
$925 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$357 |
$510 |
0.2× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$491.40 |
$702 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$42 |
$60 |
0.2× |
| I&d abscess simple (10060) |
$119.70 |
$171 |
0.7× |
| I&d perianal abscess superficial (46050) |
$147 |
$210 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$119 |
$170 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$339.50 |
$485 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$183.75 |
$262.50 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$101.85 |
$145.50 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$210 |
$300 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$219.80 |
$314 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$117.25 |
$167.50 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$66.50 |
$95 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$658.51 |
$940.73 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$89.60 |
$128 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$473.20 |
$676 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$655.20 |
$936 |
0.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$269.50 |
$385 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$609.35 |
$870.50 |
0.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$630 |
$900 |
0.8× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$490.72 |
$701.02 |
0.8× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,136.80 |
$836.50 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$477.40 |
$682 |
0.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$623 |
$890 |
0.8× |
| Inject Tendon Origin/Insert (20551) |
$112 |
$160 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$508.56 |
$726.52 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$490.70 |
$701 |
0.8× |
| Injection aa&/strd suprascapular nerve (64418) |
$475.65 |
$679.50 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$218.98 |
$312.83 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$482.32 |
$689.02 |
0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$651.70 |
$931 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$212.33 |
$303.33 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$215.48 |
$307.83 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$220.50 |
$315 |
0.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$217.70 |
$311 |
0.8× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$249.08 |
$355.83 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$87.50 |
$125 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$423.50 |
$605 |
0.1× |
| Insert picc cath (36569) |
$439.25 |
$627.50 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$161.22 |
$230.32 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$52.50 |
$75 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$203.75 |
$291.07 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$98 |
$140 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$618.10 |
$883 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$627.90 |
$897 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$508.90 |
$727 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$520.12 |
$743.02 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$297.50 |
$425 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$245 |
$350 |
0.6× |
| Preputial Stretching (54450) |
$104.30 |
$149 |
0.5× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,134.67 |
$1,620.96 |
1.3× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$2,908.80 |
$4,155.42 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$77.70 |
$111 |
0.2× |
| Puncture Aspiration (10160) |
$99.05 |
$141.50 |
0.3× |
| Pvb thoracic single inj site (64461) |
$508.92 |
$727.02 |
0.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,332.10 |
$1,903 |
0.7× |
| Removal fb intranasal (30300) |
$151.20 |
$216 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$198.10 |
$283 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$52.50 |
$75 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$79.59 |
$113.70 |
1.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$240.10 |
$343 |
0.4× |
| Removal of nail bed (11750) |
$191.10 |
$273 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$59.50 |
$85 |
0.3× |
| Remove by ligat int hem grp (46945) |
$455 |
$650 |
0.2× |
| Remove wrist tendon lesion (25111) |
$491.40 |
$702 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$71.40 |
$102 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$168 |
$240 |
1.4× |
| Remv&replc pm gen dual lead (33228) |
$14,352.80 |
$10,627 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$308 |
$440 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520.10 |
$743 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$367.50 |
$525 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$235.20 |
$336 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$293.30 |
$419 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$227.50 |
$325 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$233.80 |
$334 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$261.80 |
$374 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$307.30 |
$439 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$201.60 |
$288 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$226.10 |
$323 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$260.40 |
$372 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$388.50 |
$555 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$180.60 |
$258 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$203.70 |
$291 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$245.70 |
$351 |
0.7× |
| Repair of nail bed (11760) |
$105 |
$150 |
0.2× |
| Repair of vagina (57260) |
$850.50 |
$1,215 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$77 |
$110 |
0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$341.60 |
$488 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$473.20 |
$676 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$140 |
$200 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$595 |
$850 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$105 |
$150 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$582.05 |
$831.50 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$255.50 |
$365 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$157.50 |
$225 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$217.63 |
$310.90 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$212.80 |
$304 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$235.20 |
$336 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$141.75 |
$202.50 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$194.60 |
$278 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,131.20 |
$1,616 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,131.20 |
$1,616 |
1.7× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,131.20 |
$1,616 |
0.6× |
| Skin tissue rearrangement (14040) |
$630 |
$900 |
0.3× |
| Skn sub grft f/n/hf/g child (15277) |
$1,131.20 |
$1,616 |
0.6× |
| Slitting of prepuce (54001) |
$612.50 |
$875 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$155.75 |
$222.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$241.50 |
$345 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$245.70 |
$351 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$150.50 |
$215 |
0.2× |
| Strapping ankle (29540) |
$30.80 |
$44 |
0.2× |
| Strapping elbow/wrist (29260) |
$33.60 |
$48 |
0.6× |
| Strapping hand/finger (29280) |
$49.70 |
$71 |
0.9× |
| Strapping knee (29530) |
$32.20 |
$46 |
0.3× |
| Strapping toes (29550) |
$79.59 |
$113.70 |
1.5× |
| Strapping unna boot (29580) |
$296.10 |
$423 |
2.0× |
| Tangential biopsy skin single lesion (11102) |
$169.75 |
$242.50 |
0.5× |
| Tenolysis flexor foot single tendon (28220) |
$1,295 |
$1,850 |
0.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$2,240 |
$3,200 |
1.5× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$528.50 |
$755 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$184.10 |
$263 |
0.3× |
| Thyroid biopsy (60100) |
$70.70 |
$101 |
0.1× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$630 |
$900 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$175 |
$250 |
0.8× |
| Trim skin lesion (11055) |
$256.76 |
$366.80 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$256.76 |
$366.80 |
1.4× |
| Trim skin lesions over 4 (11057) |
$220.50 |
$315 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$129.50 |
$185 |
0.2× |
| Unlisted Procedure Nervous System (64999) |
$525 |
$750 |
1.9× |
| Vaginal delivery only (59409) |
$1,221.50 |
$1,745 |
0.4× |
| Vasectomy (55250) |
$730.45 |
$1,043.50 |
0.4× |
| Vasotomy cannulization w/wo vas inc uni/bi spx (55200) |
$350 |
$500 |
0.1× |
| Venipuncture (36415) |
$10.50 |
$15 |
1.1× |