| Acne Surgery (10040) |
$233 |
$233 |
1.3× |
| Amputation metatarsal with toe single (28810) |
$3,500 |
$3,500 |
1.2× |
| Amputation thigh through femur any level (27590) |
$825 |
$825 |
0.3× |
| Application cast elbow finger short arm (29075) |
$169 |
$169 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$248 |
$248 |
1.0× |
| Application finger splint static (29130) |
$180 |
$180 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$180 |
$180 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$276 |
$276 |
1.9× |
| Application of long leg cast (29345) |
$262 |
$262 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$564 |
$564 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$193 |
$193 |
1.6× |
| Application short leg splint calf foot (29515) |
$276 |
$276 |
1.9× |
| Application, cast; figure-of-eight (29049) |
$276 |
$276 |
1.1× |
| Apply short leg cast (29405) |
$200 |
$200 |
0.8× |
| Aqueous shunt to extraocular reservoir (66180) |
$5,105 |
$5,105 |
1.1× |
| Arterial puncture (36600) |
$31 |
$31 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$400 |
$400 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$450 |
$450 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$400 |
$400 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$395 |
$395 |
2.2× |
| Biopsy/removal lymph nodes (38510) |
$3,760 |
$3,760 |
1.1× |
| Bladder Scan (51798) |
$171.60 |
$171.60 |
3.2× |
| Blood transfusion service (36430) |
$683.10 |
$683.10 |
1.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,650 |
$1,650 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,650 |
$1,650 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$630 |
$630 |
0.4× |
| Canthotomy Separate Procedure (67715) |
$3,163 |
$3,163 |
1.5× |
| Cataract surgery complex (66982) |
$4,100 |
$4,100 |
2.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$141 |
$141 |
0.7× |
| Chemical Cautery Tissue (17250) |
$171 |
$171 |
0.9× |
| Chest tube placement (32551) |
$980 |
$980 |
0.7× |
| Circum 28 days or older (54161) |
$3,472 |
$3,472 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$604 |
$604 |
2.7× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$302 |
$302 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$365 |
$365 |
1.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$302 |
$302 |
0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,517 |
$2,517 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$604 |
$604 |
2.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$604 |
$604 |
2.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$302 |
$302 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$604 |
$604 |
2.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$302 |
$302 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$302 |
$302 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$302 |
$302 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$302 |
$302 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$604 |
$604 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$304 |
$304 |
1.4× |
| Colonoscopy flex w/rem forcep (45384) |
$1,924.10 |
$1,924.10 |
1.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,500 |
$1,500 |
1.4× |
| Colonoscopy thru stoma (44388) |
$1,500 |
$1,500 |
1.8× |
| Colonoscopy w/fb removal (45379) |
$2,250 |
$2,250 |
2.1× |
| Colpocentesis (57020) |
$1,242 |
$1,242 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,250 |
$2,250 |
2.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,700 |
$1,700 |
1.6× |
| Complete replacement picc rs&i (36584) |
$1,997.70 |
$1,997.70 |
1.4× |
| Complex Drainage, Wound (10180) |
$851 |
$851 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$304 |
$304 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$304 |
$304 |
2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$304 |
$304 |
2.5× |
| Curette/treat cornea (65435) |
$1,150 |
$1,150 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$544 |
$544 |
1.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,453 |
$1,453 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$285 |
$285 |
0.4× |
| Debride skin musc at fx site (11011) |
$1,739 |
$1,739 |
2.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$569 |
$569 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$569 |
$569 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,352.76 |
$1,352.76 |
0.9× |
| Declot vascular device (36593) |
$280.40 |
$280.40 |
0.9× |
| Delivery placenta separate procedure (59414) |
$2,570 |
$2,570 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$104 |
$104 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$827 |
$827 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$4,049 |
$4,049 |
4.9× |
| Drainage Finger Abscess Complicated (26011) |
$2,050 |
$2,050 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$276 |
$276 |
1.5× |
| Drainage of eyelid abscess (67700) |
$457 |
$457 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$2,557 |
$2,557 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$269 |
$269 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$228 |
$228 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$295 |
$295 |
1.6× |
| Dx gastr intub w/asp spec (43754) |
$193 |
$193 |
1.0× |
| Egd flexible foreign body removal (43247) |
$1,416 |
$1,416 |
1.7× |
| Egd place gastrostomy tube (43246) |
$1,416 |
$1,416 |
0.8× |
| Egd rem tumr/polyp forcep (43250) |
$1,916 |
$1,916 |
1.1× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,416 |
$1,416 |
0.8× |
| Endoscopic us exam esoph (43237) |
$4,900 |
$4,900 |
2.8× |
| Evacuation of subungual hematoma (11740) |
$132 |
$132 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,633 |
$2,633 |
1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,219 |
$1,219 |
1.9× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,350 |
$2,350 |
1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,268 |
$3,268 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,110 |
$2,110 |
1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,436 |
$3,436 |
1.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,633 |
$2,633 |
1.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$615 |
$615 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$3,436 |
$3,436 |
2.3× |
| Excision Chalazion Single (67800) |
$457 |
$457 |
1.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,220 |
$1,220 |
1.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,633 |
$2,633 |
1.8× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,219 |
$1,219 |
1.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,239 |
$1,239 |
1.4× |
| Excision of single external papilla or tag, anus (46220) |
$3,900 |
$3,900 |
3.6× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$3,500 |
$3,500 |
2.4× |
| Fine needle aspiration without imaging guidance (10021) |
$114 |
$114 |
0.3× |
| Fluoro exam of g/colon tube (49465) |
$325.41 |
$325.41 |
1.5× |
| Follow-up surgery of eye (66250) |
$2,575 |
$2,575 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$401 |
$401 |
2.1× |
| Glaucoma surgery (66170) |
$3,871 |
$3,871 |
1.9× |
| I&D Abscess Peritonsillar (42700) |
$365 |
$365 |
1.7× |
| I&d abscess simple (10060) |
$317.50 |
$317.50 |
1.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,500 |
$2,500 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,668 |
$2,668 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,580 |
$3,580 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$233 |
$233 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,668 |
$2,668 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$320 |
$320 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,140 |
$1,140 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$911 |
$911 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$276 |
$276 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$418 |
$418 |
2.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$458 |
$458 |
1.7× |
| Incision extensor tendon sheath wrist (25000) |
$3,000 |
$3,000 |
2.1× |
| Incision of rectal abscess (46040) |
$3,175 |
$3,175 |
2.9× |
| Incision thrombosed hemorrhoid external (46083) |
$615 |
$615 |
2.7× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$457 |
$457 |
1.6× |
| Initial tx 1st degree burn local tx (16000) |
$193.50 |
$193.50 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$400 |
$400 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$400 |
$400 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$398 |
$398 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$304 |
$304 |
2.6× |
| Insert non-tunnel cv cath (36556) |
$1,445 |
$1,445 |
0.5× |
| Insert picc cath (36569) |
$1,997.70 |
$1,997.70 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$208 |
$208 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$176 |
$176 |
1.5× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$4,094 |
$4,094 |
2.0× |
| Intubation endotracheal emergency procedure (31500) |
$677 |
$677 |
3.2× |
| Laryngoscopy Direct Aspiration (31515) |
$2,714 |
$2,714 |
7.7× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$166 |
$166 |
0.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,412 |
$3,412 |
2.1× |
| Ligation of hemorrhoid(s) (46221) |
$615 |
$615 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$975.50 |
$975.50 |
2.3× |
| Ocular reconst transplant (65780) |
$6,711 |
$6,711 |
1.9× |
| Open treatment interphalangeal joint dislocation (28675) |
$6,651 |
$6,651 |
2.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,651 |
$6,651 |
2.2× |
| Open tx septal fx w/wo stabj (21336) |
$6,651 |
$6,651 |
2.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$3,500 |
$3,500 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$683 |
$683 |
3.0× |
| Placement of needle for intraosseous infusion (36680) |
$221 |
$221 |
0.5× |
| Plastic repair of canaliculi (68700) |
$3,800 |
$3,800 |
1.8× |
| Probe nasolacrimal duct (68811) |
$3,163 |
$3,163 |
1.5× |
| Probe nl duct w/balloon (68816) |
$336 |
$336 |
0.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,526 |
$3,526 |
1.4× |
| Puncture Aspiration (10160) |
$191.02 |
$191.02 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$312 |
$312 |
0.5× |
| Removal fb intranasal (30300) |
$350.50 |
$350.50 |
2.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$728 |
$728 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,633 |
$2,633 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$125 |
$125 |
2.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$418 |
$418 |
0.1× |
| Removal of arm foreign body (24200) |
$728 |
$728 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$186 |
$186 |
1.0× |
| Removal or relocation of corneal conjunctiva (65420) |
$2,575 |
$2,575 |
1.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$190 |
$190 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$190 |
$190 |
0.8× |
| Remove eyelid lesions (67801) |
$1,239 |
$1,239 |
1.4× |
| Remove foreign body from eye (65235) |
$2,575 |
$2,575 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$3,436 |
$3,436 |
1.3× |
| Remove shoulder foreign body (23330) |
$1,219 |
$1,219 |
0.8× |
| Remove tear gland lesion (68540) |
$4,067 |
$4,067 |
1.9× |
| Remv Ext Canal Foreign Body (69200) |
$125 |
$125 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$253.50 |
$253.50 |
2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$524 |
$524 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$524 |
$524 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$524 |
$524 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$524 |
$524 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$524 |
$524 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$524 |
$524 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$276 |
$276 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$524 |
$524 |
0.8× |
| Repair Entropion Suture (67921) |
$3,163 |
$3,163 |
1.5× |
| Repair eyelid defect (67904) |
$3,163 |
$3,163 |
1.5× |
| Repair inguinal hernia, sliding, any age (49525) |
$5,028 |
$5,028 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$331 |
$331 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$360 |
$360 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$331 |
$331 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$331 |
$331 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$600 |
$600 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$331 |
$331 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,684 |
$1,684 |
4.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$331 |
$331 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$331 |
$331 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$331 |
$331 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$331 |
$331 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,684 |
$1,684 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$331 |
$331 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$240 |
$240 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$415.50 |
$415.50 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$331 |
$331 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$500 |
$500 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,684 |
$1,684 |
0.9× |
| Repair of ectropion; thermocauterization (67915) |
$3,163 |
$3,163 |
1.5× |
| Repair of entropion; thermocauterization (67922) |
$3,163 |
$3,163 |
1.5× |
| Repair of eye wound (65272) |
$3,871 |
$3,871 |
1.8× |
| Repositioning io lens prosthesis req inc spx (66825) |
$3,871 |
$3,871 |
1.9× |
| Revise eyelid lining (68330) |
$3,871 |
$3,871 |
1.9× |
| Revise/graft eyelid lining (68320) |
$3,163 |
$3,163 |
1.5× |
| Revision of eyelid (67950) |
$3,163 |
$3,163 |
1.5× |
| Revision of eyelid (67961) |
$3,163 |
$3,163 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$290 |
$290 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$290 |
$290 |
2.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,436 |
$3,436 |
1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,350 |
$1,350 |
0.9× |
| Rmvl vitreous ant appr partial removal (67005) |
$5,053 |
$5,053 |
2.4× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$5,053 |
$5,053 |
2.4× |
| Rplmct osseointegrate implnt w/o mastoidectomy (69717) |
$6,500 |
$6,500 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$331 |
$331 |
0.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,997.70 |
$1,997.70 |
3.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$850 |
$850 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,400 |
$1,400 |
1.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$827 |
$827 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$331 |
$331 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$331 |
$331 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$331 |
$331 |
1.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$331 |
$331 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$331 |
$331 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$331 |
$331 |
1.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$331 |
$331 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$604 |
$604 |
3.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$331 |
$331 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$331 |
$331 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$1,107.50 |
$1,107.50 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$615 |
$615 |
0.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$936 |
$936 |
0.5× |
| Skn sub grft f/n/hf/g child (15277) |
$936 |
$936 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$276 |
$276 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$331 |
$331 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$331 |
$331 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$546 |
$546 |
0.9× |
| Strapping ankle (29540) |
$187 |
$187 |
1.3× |
| Strapping elbow/wrist (29260) |
$152 |
$152 |
2.8× |
| Strapping hand/finger (29280) |
$138 |
$138 |
2.6× |
| Strapping knee (29530) |
$152 |
$152 |
1.3× |
| Strapping shoulder (29240) |
$138 |
$138 |
1.1× |
| Strapping thorax (29200) |
$152 |
$152 |
1.0× |
| Strapping toes (29550) |
$138 |
$138 |
2.6× |
| Strapping unna boot (29580) |
$231 |
$231 |
1.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,425 |
$1,425 |
6.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,739 |
$1,739 |
1.2× |
| Treat finger dislocation (26775) |
$1,000 |
$1,000 |
3.9× |
| Treat Fracture Radius & Ulna (25560) |
$604 |
$604 |
2.7× |
| Treatment closed elbow dislocation req anes (24605) |
$2,517 |
$2,517 |
1.7× |
| Trim skin lesion (11055) |
$180 |
$180 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$121 |
$121 |
0.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$121 |
$121 |
0.3× |
| Vaginal delivery only (59409) |
$3,627 |
$3,627 |
1.2× |
| Vasectomy (55250) |
$4,100 |
$4,100 |
2.2× |
| Venipuncture (36415) |
$30.98 |
$30.98 |
3.3× |