| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$174.90 |
$175 |
1.1× |
| Application cast elbow finger short arm (29075) |
$177.90 |
$178 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$182.90 |
$183 |
0.7× |
| Application finger splint static (29130) |
$148.90 |
$149 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$159.90 |
$160 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$142.40 |
$142.50 |
1.1× |
| Apply long leg splint (29505) |
$149.90 |
$150 |
0.9× |
| Apply short leg cast (29405) |
$159.90 |
$160 |
0.6× |
| Apply short leg splint (29515) |
$166.90 |
$167 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$151.90 |
$152 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$220.40 |
$220.50 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$199.90 |
$200 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$204.90 |
$205 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$259.90 |
$260 |
0.3× |
| Blood transfusion service (36430) |
$854.90 |
$855 |
2.0× |
| Chemical cautery tissue (17250) |
$181.90 |
$182 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$945.90 |
$946 |
3.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$624.90 |
$625 |
2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$508.90 |
$509 |
2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$479.90 |
$480 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$246.90 |
$247 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$215.90 |
$216 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$267.90 |
$268 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$221.90 |
$222 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$164.90 |
$165 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$454.90 |
$455 |
0.3× |
| Endometrial Biopsy (58100) |
$309.90 |
$310 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$107.90 |
$108 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$294.90 |
$295 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$569.90 |
$570 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$359.90 |
$360 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$342.90 |
$343 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$342.90 |
$343 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$609.90 |
$610 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$399.90 |
$400 |
0.2× |
| Fetal non-stress test (59025) |
$235.90 |
$236 |
1.2× |
| Fit/Insert Intravag Support Device (57160) |
$155.90 |
$156 |
0.8× |
| I&d abscess simple (10060) |
$260.40 |
$260.50 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$464.90 |
$465 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$439.90 |
$440 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$267.90 |
$268 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$349.90 |
$350 |
1.8× |
| Initial tx 1st degree burn local tx (16000) |
$127.90 |
$128 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$199.90 |
$200 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$174.90 |
$175 |
0.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$304.90 |
$305 |
0.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$218.90 |
$219 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$169.90 |
$170 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$179.90 |
$180 |
0.6× |
| Insert Drug Implant Device (11981) |
$201.90 |
$202 |
1.5× |
| Insj picc rs&i 5 yr+ (36573) |
$3,746.90 |
$3,747 |
2.4× |
| Intubation endotracheal emergency procedure (31500) |
$522.90 |
$523 |
2.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$757.90 |
$758 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$225.90 |
$226 |
0.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$273.90 |
$274 |
0.7× |
| Removal foreign body intranasal (30300) |
$332.40 |
$332.50 |
2.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$60.90 |
$61 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$94.90 |
$95 |
1.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$206.90 |
$207 |
0.5× |
| Removal of iud (58301) |
$249.90 |
$250 |
0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$193.90 |
$194 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$195.90 |
$196 |
0.7× |
| Remove drug implant device (11982) |
$233.90 |
$234 |
0.5× |
| Remove/Insert Drug Implant (11983) |
$327.90 |
$328 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$142.40 |
$142.50 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$203.90 |
$204 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,257.90 |
$1,258 |
3.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$981.90 |
$982 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$524.90 |
$525 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$531.90 |
$532 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$474.90 |
$475 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$556.90 |
$557 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$634.90 |
$635 |
1.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$289.90 |
$290 |
0.7× |
| Shave skin lesion 0.5 cm/< (11305) |
$199.90 |
$200 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$217.90 |
$218 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$264.90 |
$265 |
1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$229.90 |
$230 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$259.90 |
$260 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$243.90 |
$244 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$246.90 |
$247 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$417.90 |
$418 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$597.90 |
$598 |
3.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$213.90 |
$214 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$524.90 |
$525 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$309.90 |
$310 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$237.40 |
$237.50 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$724.90 |
$725 |
3.0× |
| Trim skin lesion (11055) |
$128.40 |
$128.50 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$154.90 |
$155 |
0.8× |
| Vaginal delivery only (59409) |
$1,759.90 |
$1,760 |
0.6× |
| Venipuncture (36415) |
$24.90 |
$25 |
2.7× |
| Wedge excision skin nail fold (11765) |
$309.90 |
$310 |
0.8× |