| Application cast elbow finger short arm (29075) |
$289.57 |
$482.62 |
1.1× |
| Application Cast Finger (29086) |
$572 |
$953.33 |
3.7× |
| Application Finger Splint Dynamic (29131) |
$338.08 |
$563.47 |
6.0× |
| Application finger splint static (29130) |
$338.08 |
$563.47 |
2.6× |
| Application Halo Type Body Cast (29000) |
$289.57 |
$482.62 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$338.08 |
$563.47 |
2.2× |
| Application Long Leg Cast Brace (29358) |
$289.57 |
$482.62 |
1.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$289.57 |
$482.62 |
1.1× |
| Application Long Leg Splint (29505) |
$338.08 |
$563.47 |
2.2× |
| Application of long leg cast (29345) |
$289.57 |
$482.62 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$289.57 |
$482.62 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$338.08 |
$563.47 |
2.6× |
| Application short arm splint forearm-hand static (29125) |
$338.08 |
$563.47 |
2.6× |
| Application short leg splint calf foot (29515) |
$338.08 |
$563.47 |
2.2× |
| Apply hand/wrist cast (29085) |
$179.59 |
$299.32 |
1.1× |
| Apply long arm cast (29065) |
$289.57 |
$482.62 |
1.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$338.08 |
$563.47 |
2.2× |
| Apply Short Leg Cast (29405) |
$289.57 |
$482.62 |
1.1× |
| Apply short leg cast (29425) |
$289.57 |
$482.62 |
1.1× |
| Arterial puncture (36600) |
$137.38 |
$228.96 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$493.20 |
$822 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$493.20 |
$822 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$493.20 |
$822 |
1.7× |
| Aspirate pleura w/ imaging (32555) |
$998.12 |
$1,663.53 |
1.7× |
| Aspirate Pleura W/O Imaging (32554) |
$998.12 |
$1,663.53 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$368.23 |
$613.71 |
1.9× |
| Biopsy bone trocar/needle deep (20225) |
$1,729.48 |
$2,882.46 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,729.48 |
$2,882.46 |
1.1× |
| Bladder Scan (51798) |
$73.65 |
$122.75 |
1.3× |
| Blood Transfusion Service (36430) |
$1,188.83 |
$1,981.38 |
2.8× |
| Change of Windpipe Airway (31502) |
$325.63 |
$542.71 |
1.4× |
| Chemical Cautery Tissue (17250) |
$354.26 |
$590.43 |
1.8× |
| Chest tube placement (32551) |
$2,055.22 |
$3,425.37 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$3.33 |
$5.55 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$137.38 |
$228.96 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$626.24 |
$1,043.74 |
1.6× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$5,946.97 |
$9,911.61 |
3.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$626.24 |
$1,043.74 |
0.9× |
| Debride nail 1-5 (11720) |
$123.90 |
$206.50 |
2.2× |
| Debride nail 6 or more (11721) |
$123.90 |
$206.50 |
2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,729.48 |
$2,882.46 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$402.58 |
$670.97 |
1.0× |
| Declot vascular device (36593) |
$390.10 |
$650.16 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,155.91 |
$3,593.18 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$2,155.91 |
$3,593.18 |
1.1× |
| Destruct B9 Lesion 1-14 (17110) |
$354.26 |
$590.43 |
1.8× |
| Destruction Benign Lesions 15/> (17111) |
$354.26 |
$590.43 |
1.8× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$2,492.99 |
$4,154.99 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$354.26 |
$590.43 |
1.8× |
| Drain Cerebro Spinal Fluid (62272) |
$855.25 |
$1,425.41 |
1.3× |
| Drainage Mouth Roof Lesion (42000) |
$398.89 |
$664.81 |
1.8× |
| Drainage of finger abscess simple (26010) |
$398.89 |
$664.81 |
2.1× |
| Drainage of gum lesion (41800) |
$398.89 |
$664.81 |
3.1× |
| Drainage of hematoma/fluid (10140) |
$1,729.48 |
$2,882.46 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$137.38 |
$228.96 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,136.68 |
$1,894.47 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$402.58 |
$670.97 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$220.16 |
$366.93 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$220.16 |
$366.93 |
1.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,143.57 |
$1,905.95 |
1.3× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,192.11 |
$3,653.52 |
2.6× |
| Egd place gastrostomy tube (43246) |
$2,084.97 |
$3,474.95 |
1.1× |
| Epidural Blood Patch (62273) |
$1,185.92 |
$1,976.54 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$137.38 |
$228.96 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,729.48 |
$2,882.46 |
1.1× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,953.67 |
$4,922.78 |
1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,921.80 |
$4,869.67 |
1.0× |
| I&d abscess peritonsillar (42700) |
$398.89 |
$664.81 |
1.8× |
| I&d abscess simple (10060) |
$398.89 |
$664.81 |
2.1× |
| I&d perianal abscess superficial (46050) |
$2,123.70 |
$3,539.50 |
2.4× |
| I&d pilonidal cyst complicated (10081) |
$841 |
$1,401.67 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$768.61 |
$1,281.02 |
1.1× |
| Implant neuroelectrodes (63650) |
$7,782.13 |
$12,970.21 |
1.3× |
| Incise external hemorrhoid (46083) |
$398.89 |
$664.81 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$427.75 |
$712.91 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,729.48 |
$2,882.46 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$427.75 |
$712.91 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$398.89 |
$664.81 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$398.89 |
$664.81 |
1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$220.16 |
$366.93 |
1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,143.57 |
$1,905.95 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$493.20 |
$822 |
1.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$971.80 |
$1,619.67 |
1.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$785.59 |
$1,309.32 |
1.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$971.80 |
$1,619.67 |
1.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$785.59 |
$1,309.32 |
1.2× |
| Injection single tendon origin/insertion (20551) |
$493.20 |
$822 |
1.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$493.20 |
$822 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$493.20 |
$822 |
1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$785.59 |
$1,309.32 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$958.23 |
$1,597.05 |
5.0× |
| Insert Bladder Cath Complex (51703) |
$174.33 |
$290.55 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$2,927.08 |
$4,878.47 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$137.38 |
$228.96 |
1.1× |
| Insert tunneled cv cath (36561) |
$3,336.93 |
$5,561.55 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$137.38 |
$228.96 |
1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,055.22 |
$3,425.37 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$1,105.42 |
$1,842.37 |
4.9× |
| Late closure of wound (13160) |
$2,240.70 |
$3,734.50 |
0.7× |
| N Block Inj Celiac Pelus (64530) |
$971.80 |
$1,619.67 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$785.59 |
$1,309.32 |
1.2× |
| N Block Lumbar/Thoracic (64520) |
$1,143.57 |
$1,905.95 |
1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,143.57 |
$1,905.95 |
1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$700.56 |
$1,167.60 |
2.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,143.57 |
$1,905.95 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$787.57 |
$1,312.62 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$787.57 |
$1,312.62 |
1.2× |
| Occipital Nerve Block (64405) |
$700.56 |
$1,167.60 |
2.4× |
| Placement of needle for intraosseous infusion (36680) |
$367.92 |
$613.20 |
0.9× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$1,143.57 |
$1,905.95 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$427.75 |
$712.91 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$434.70 |
$724.50 |
7.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$73.65 |
$122.75 |
1.3× |
| Removal of foreign body from pharynx (42809) |
$458.12 |
$763.54 |
1.1× |
| Removal of nail bed (11750) |
$1,136.68 |
$1,894.47 |
2.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$354.26 |
$590.43 |
1.8× |
| Remove foreign body from eye (65205) |
$137.38 |
$228.96 |
1.1× |
| Remove Intrauterine Device (58301) |
$341.11 |
$568.51 |
1.2× |
| Repair Finger Tendon (26433) |
$3,449.20 |
$5,748.66 |
1.1× |
| Repair of nail bed (11760) |
$91.91 |
$153.19 |
0.1× |
| Repair tongue laceration (41250) |
$2,032.90 |
$3,388.17 |
4.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$7,782.13 |
$12,970.21 |
1.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$4,476.95 |
$7,461.59 |
1.3× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$3,936.64 |
$6,561.06 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$147.34 |
$245.56 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$354.26 |
$590.43 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$368.23 |
$613.71 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$368.23 |
$613.71 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$2,330.33 |
$3,883.88 |
12.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$368.23 |
$613.71 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$368.23 |
$613.71 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$402.58 |
$670.97 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$963.92 |
$1,606.53 |
2.5× |
| Spinal puncture lumbar diagnostic (62270) |
$855.25 |
$1,425.41 |
1.3× |
| Strapping ankle (29540) |
$338.08 |
$563.47 |
2.2× |
| Strapping elbow or wrist (29260) |
$338.08 |
$563.47 |
6.0× |
| Strapping hand/finger (29280) |
$338.08 |
$563.47 |
6.0× |
| Strapping Hip (29520) |
$338.08 |
$563.47 |
2.6× |
| Strapping knee (29530) |
$338.08 |
$563.47 |
2.6× |
| Strapping shoulder (29240) |
$338.08 |
$563.47 |
2.6× |
| Strapping thorax (29200) |
$338.08 |
$563.47 |
2.2× |
| Strapping toes (29550) |
$338.08 |
$563.47 |
6.0× |
| Strapping Unna Boot (29580) |
$338.08 |
$563.47 |
2.2× |
| Tangential biopsy skin single lesion (11102) |
$65.81 |
$109.69 |
0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,738.18 |
$4,563.64 |
1.8× |
| Thrombolytic Venous Therapy (37212) |
$2,168.46 |
$3,614.10 |
0.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$2,412.14 |
$4,020.24 |
10.6× |
| Trim skin lesion (11055) |
$354.26 |
$590.43 |
1.8× |
| Trim skin lesions 2 to 4 (11056) |
$354.26 |
$590.43 |
1.8× |
| Trim skin lesions over 4 (11057) |
$354.26 |
$590.43 |
1.8× |
| Vaginal delivery only (59409) |
$3,042.46 |
$5,070.77 |
1.0× |
| Wedge excision skin nail fold (11765) |
$402.58 |
$670.97 |
1.0× |