| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,619 |
$2,159 |
1.8× |
| Acne Surgery (10040) |
$68 |
$91 |
0.3× |
| Amputation Finger/Thumb (26951) |
$2,608 |
$3,477 |
0.8× |
| Amputation of finger/thumb (26952) |
$1,239 |
$1,652 |
0.4× |
| Application cast elbow finger short arm (29075) |
$146.50 |
$195 |
0.5× |
| Application Cast Finger (29086) |
$134 |
$178 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$173 |
$231 |
2.9× |
| Application finger splint static (29130) |
$67 |
$89 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$281 |
$375 |
1.7× |
| Application long leg splint thigh ankle/toes (29505) |
$281 |
$375 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$173 |
$231 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$72 |
$96 |
0.5× |
| Application short leg splint calf foot (29515) |
$170 |
$226.50 |
1.0× |
| Apply short leg cast (29405) |
$156 |
$208 |
0.6× |
| Arterial puncture (36600) |
$228 |
$304 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$365.50 |
$487 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,033 |
$2,711 |
2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$373 |
$497 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$974 |
$1,298.50 |
3.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$186 |
$248 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$74 |
$99 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$228 |
$303.50 |
1.1× |
| Biopsy of uterus lining (58100) |
$98 |
$130 |
0.5× |
| Bladder Irrigation Simple (51700) |
$442 |
$589 |
1.8× |
| Bladder Scan (51798) |
$110 |
$146 |
1.9× |
| Blood patch (62273) |
$1,235 |
$1,647 |
1.7× |
| Blood transfusion service (36430) |
$776 |
$1,034 |
1.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$801 |
$1,068 |
0.5× |
| Chemical exfoliation for acne (17360) |
$146 |
$195 |
0.7× |
| Chemodenerv Musc Migraine (64615) |
$554 |
$738 |
1.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$794 |
$1,058.50 |
2.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$1,058 |
$1,411 |
3.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$78 |
$104 |
0.6× |
| Closed Rx Med Malleolus Fx (27760) |
$342 |
$456 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,331 |
$1,774 |
0.8× |
| Closed Rx Radial Shaft Fx (25500) |
$300.50 |
$400.50 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$710 |
$946 |
2.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$336.50 |
$448.50 |
1.4× |
| Closed Rx Trimalleolar Fx (27816) |
$380 |
$507 |
1.5× |
| Closed Treat Vert Body Fract (22310) |
$444 |
$592 |
1.8× |
| Closed Treatment Coccygeal Fracture (27200) |
$228 |
$304 |
0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$761 |
$1,014 |
3.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$290 |
$387 |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$342 |
$456 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$507 |
$676 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$735 |
$980 |
3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$422 |
$562 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$757 |
$1,009 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$380 |
$507 |
1.5× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$291.50 |
$388.50 |
1.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$454 |
$605 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$269.50 |
$359 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,122 |
$1,496 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$329 |
$439 |
1.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$325.50 |
$433.50 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,331 |
$1,774 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$247 |
$329 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,331 |
$1,774 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$203 |
$270 |
0.8× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$422 |
$562 |
1.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$272 |
$362 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$403.50 |
$538 |
1.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$249 |
$332 |
1.0× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$555 |
$740 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$215 |
$287 |
0.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,331 |
$1,774 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$363 |
$483.50 |
1.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$554 |
$739 |
1.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$926 |
$1,234 |
3.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$422 |
$562 |
1.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$380 |
$507 |
1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$356 |
$474 |
1.4× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$279 |
$372 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$228 |
$304 |
0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$336.50 |
$448.50 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$263.50 |
$351.50 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$194 |
$258.50 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$414.50 |
$552.50 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,871 |
$3,828 |
1.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$761 |
$1,014 |
3.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$165 |
$220 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$164.50 |
$219.50 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$165 |
$220 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$268 |
$357 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$422 |
$562 |
1.7× |
| Cltx greater trochanteric fx w/o manj (27246) |
$330 |
$440 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$494 |
$659 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$238.50 |
$317.50 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$355 |
$473 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$234.50 |
$312.50 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$292 |
$389 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$422 |
$562 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$422 |
$562 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$316 |
$421 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$254 |
$338 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$422 |
$562 |
1.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,331 |
$1,774 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$191 |
$254 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$163 |
$217 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$368 |
$490 |
2.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$292 |
$389 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$290.50 |
$387 |
0.7× |
| Debride nail 1-5 (11720) |
$49 |
$65 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$275.50 |
$367 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$494 |
$659 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,329 |
$1,772 |
0.8× |
| Delivery placenta separate procedure (59414) |
$317 |
$422 |
0.1× |
| Dermabrasion superficial any site (15783) |
$75 |
$100 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$5,646.50 |
$7,528.50 |
2.9× |
| Destroy lumb/sac facet jnt (64635) |
$5,646.50 |
$7,528.50 |
2.9× |
| Destruction benign lesions 15 or more (17111) |
$127 |
$169 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$78 |
$104 |
0.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$2,442.50 |
$3,256.50 |
2.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$5,645.50 |
$7,527 |
2.9× |
| Destruction premalignant lesion 1st (17000) |
$134.50 |
$179.50 |
0.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,235 |
$1,647 |
1.7× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$454 |
$605 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$710 |
$946 |
2.3× |
| Drainage mouth roof lesion (42000) |
$127 |
$169 |
0.5× |
| Drainage of eyelid abscess (67700) |
$254 |
$338 |
0.8× |
| Drainage of gum lesion (41800) |
$152 |
$203 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$726.50 |
$968.50 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$801 |
$1,068 |
0.5× |
| Draw blood off venous device (36591) |
$122 |
$162 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$254 |
$338 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$132.50 |
$176 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$208.50 |
$277.50 |
1.0× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$2,442.50 |
$3,256.50 |
2.7× |
| Episiotomy or vaginal repair (59300) |
$266 |
$354 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$81.50 |
$108 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$224 |
$299 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$273 |
$364 |
0.2× |
| Exc back les sc < 3 cm (21930) |
$407 |
$543 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$146 |
$195 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$263 |
$351 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$366.50 |
$488.50 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$161 |
$214 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$137 |
$182 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$156 |
$208 |
0.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$312 |
$416 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$195 |
$260 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$341 |
$455 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$312 |
$416 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$234 |
$312 |
0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$179.50 |
$239 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$136 |
$181 |
0.2× |
| Excise/repair mouth lesion (40812) |
$231 |
$308 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$162 |
$216 |
0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$195 |
$260 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$361 |
$481 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$375 |
$500 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$215 |
$286 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$176 |
$234 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$117 |
$156 |
0.1× |
| Exploration penetrating wound spx chest (20101) |
$1,546 |
$2,061 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$917 |
$1,223 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$173 |
$230 |
0.4× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,623 |
$2,164 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$216 |
$288 |
0.9× |
| I&d abscess simple (10060) |
$241 |
$321 |
1.2× |
| I&d perianal abscess superficial (46050) |
$433 |
$577 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$690.50 |
$920.50 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$5,076 |
$6,768 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$486.50 |
$648 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$536 |
$715 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,329 |
$1,772 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$437 |
$582 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$146 |
$194.50 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$329 |
$439 |
1.1× |
| Incision of rectal abscess (46040) |
$524 |
$698 |
0.4× |
| Incision thrombosed hemorrhoid external (46083) |
$122.50 |
$163 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$203.50 |
$271 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,915 |
$3,886.50 |
3.3× |
| Inj tendon sheath/ligament (20550) |
$284.50 |
$379 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,235 |
$1,647 |
1.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,415 |
$1,887 |
2.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,166 |
$1,554.50 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,415 |
$1,887 |
2.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,628 |
$2,171 |
1.8× |
| Inject Tendon Origin/Insert (20551) |
$59 |
$78 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,326 |
$3,101 |
3.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,708 |
$2,277 |
2.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,235 |
$1,647 |
1.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$244 |
$325 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$1,415 |
$1,887 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$530 |
$706 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$228 |
$304 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$294 |
$391.50 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$453.50 |
$604 |
1.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$530 |
$706 |
1.7× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$59 |
$78 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$132 |
$175.50 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$279 |
$372 |
2.2× |
| Insert Drug Implant Device (11981) |
$137 |
$182 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,106 |
$1,475 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$812 |
$1,082 |
0.3× |
| Insert picc cath (36569) |
$2,861 |
$3,815 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$128.50 |
$171.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$228 |
$304 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$437 |
$582 |
1.8× |
| Irrigate corpora cavernosa for priapism (54220) |
$442 |
$589 |
1.8× |
| Marsup Bartholin Gland Cyst (56440) |
$1,457 |
$1,942 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,628 |
$2,171 |
1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,101 |
$2,801 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,708 |
$2,277 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,708 |
$2,277 |
2.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,084 |
$8,112 |
1.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,700 |
$2,266 |
1.1× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,700 |
$2,266 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$712 |
$949 |
1.6× |
| Preputial Stretching (54450) |
$442 |
$589 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$75 |
$100 |
0.2× |
| Puncture Aspiration (10160) |
$203 |
$270.50 |
0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,235 |
$1,647 |
0.6× |
| Removal fb intranasal (30300) |
$146 |
$194.50 |
1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,292 |
$3,056 |
0.8× |
| Removal foreign body foot deep (28192) |
$1,329 |
$1,772 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$365.50 |
$487 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,897 |
$3,862 |
1.7× |
| Removal foreign body pharynx (42809) |
$171 |
$228 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$73.50 |
$98 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$85 |
$113.50 |
1.4× |
| Removal of arm foreign body (24200) |
$2,897 |
$3,862 |
1.7× |
| Removal of intrauterine device (iud) (58301) |
$64 |
$85 |
0.2× |
| Removal of nail bed (11750) |
$322 |
$429 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$139 |
$185 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$480 |
$640 |
1.7× |
| Remove drug implant device (11982) |
$166 |
$221 |
0.4× |
| Remove foreign body from eye (65210) |
$326 |
$434 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$233.50 |
$311 |
1.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$78.50 |
$104.50 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$469 |
$625 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$786 |
$1,048 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$368 |
$490 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$621 |
$828 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$482 |
$642 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,122 |
$1,496 |
2.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$482 |
$642 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$482 |
$642 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$533 |
$710 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$292 |
$389 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$305 |
$406 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$608 |
$811 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$380 |
$507 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$456 |
$608 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$685 |
$913 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$406 |
$541 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$251 |
$334.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$292 |
$389 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$482 |
$642 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,546 |
$2,061 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$713 |
$950 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$307 |
$409 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$247 |
$329 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$431 |
$575 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$713 |
$950 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,623 |
$2,164 |
0.8× |
| Repair of nail bed (11760) |
$406 |
$541 |
0.5× |
| Repair Tongue Laceration (41250) |
$178 |
$237 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$171 |
$228 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$395 |
$526.50 |
0.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$283 |
$377 |
0.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$469 |
$625 |
0.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$254 |
$338 |
1.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$554 |
$739 |
2.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$287 |
$383 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$456 |
$608 |
0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$913 |
$1,217 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$161 |
$214 |
0.8× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$124 |
$165 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$222 |
$296 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$342 |
$456 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$247.50 |
$329.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$262 |
$349 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$393 |
$524 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$276.50 |
$368.50 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$358 |
$477 |
1.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$444 |
$592 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$242.50 |
$323 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$380 |
$507 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$281.50 |
$375 |
1.4× |
| Slitting of prepuce (54001) |
$1,478 |
$1,971 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$267 |
$355.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$473.50 |
$631 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$329 |
$439 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$782 |
$1,043 |
1.1× |
| Strapping ankle (29540) |
$134 |
$178 |
0.8× |
| Strapping elbow/wrist (29260) |
$38 |
$51 |
0.6× |
| Strapping hand/finger (29280) |
$38 |
$51 |
0.6× |
| Strapping Hip (29520) |
$64 |
$85 |
0.5× |
| Strapping knee (29530) |
$104 |
$138 |
0.8× |
| Strapping shoulder (29240) |
$104 |
$138 |
0.8× |
| Strapping thorax (29200) |
$134 |
$178 |
0.8× |
| Strapping toes (29550) |
$56 |
$74 |
0.9× |
| Strapping unna boot (29580) |
$134 |
$178 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$358 |
$477 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,122 |
$1,496 |
1.8× |
| Thrombolytic Therapy, Stroke (37195) |
$887 |
$1,183 |
2.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$583 |
$777 |
2.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,122 |
$1,496 |
0.7× |
| Treat Fracture Radius & Ulna (25560) |
$400.50 |
$534 |
1.6× |
| Treat humerus fracture (24500) |
$165 |
$220 |
0.7× |
| Treat humerus fracture (23600) |
$247 |
$329 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$355 |
$473 |
1.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,331 |
$1,774 |
0.8× |
| Treat Vaginal Bleeding (57180) |
$356 |
$475 |
1.8× |
| Treat wrist bone fracture (25622) |
$437 |
$583 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$530.50 |
$707.50 |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$355 |
$473 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$291.50 |
$388.50 |
1.2× |
| Trim skin lesion (11055) |
$114.50 |
$152 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$86 |
$115 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$56 |
$74 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$319 |
$425 |
0.4× |
| Unlisted Procedure Casting/Strapping (29799) |
$134 |
$178 |
0.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$127 |
$169 |
0.5× |
| Unlisted Procedure Nervous System (64999) |
$530 |
$706 |
1.7× |
| Us bone stimulation (20979) |
$61 |
$81 |
2.1× |
| Venipuncture (36415) |
$17 |
$22 |
1.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$925 |
$1,233 |
1.2× |