| Abd paracentesis (49082) |
$297.80 |
$458.16 |
0.3× |
| Abd paracentesis w/imaging (49083) |
$455.64 |
$700.98 |
0.5× |
| Acne surgery (10040) |
$145.84 |
$224.37 |
0.7× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,629.88 |
$2,507.51 |
0.7× |
| Amputation of finger/thumb (26952) |
$1,148.29 |
$1,766.60 |
0.3× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$447.59 |
$688.60 |
1.4× |
| Anoscopy diagnostic (46600) |
$615.63 |
$947.13 |
4.4× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$116.84 |
$179.76 |
0.1× |
| Application cast finger (29086) |
$100.21 |
$154.17 |
0.6× |
| Application finger splint static (29130) |
$235.27 |
$361.95 |
1.7× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$210.98 |
$324.58 |
0.7× |
| Application of long leg cast (thigh to toes); (29345) |
$186.12 |
$286.33 |
0.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$142.82 |
$219.72 |
0.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$149.36 |
$229.78 |
1.1× |
| Application of short leg cast (below knee to toes); (29405) |
$124.33 |
$191.27 |
0.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$131.11 |
$201.70 |
0.4× |
| Application of short leg splint (calf to foot) (29515) |
$145.50 |
$223.84 |
0.8× |
| Application, cast; shoulder to hand (long arm) (29065) |
$129.59 |
$199.37 |
0.4× |
| Apply hand/wrist cast (29085) |
$128.10 |
$197.06 |
0.7× |
| Apply long arm splint (29105) |
$119.04 |
$183.14 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$83.64 |
$128.67 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$268.88 |
$413.66 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$76.85 |
$118.23 |
0.2× |
| Arthrotomy, elbow; with synovectomy Age Under 21 (24102) |
$871.44 |
$1,340.67 |
0.3× |
| Aspirate pleura w/o imaging (32554) |
$297.61 |
$457.86 |
0.4× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$83.14 |
$127.90 |
0.3× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$136.38 |
$209.82 |
0.6× |
| Biopsy of cervix (57500) |
$325.52 |
$500.80 |
0.3× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$2,925 |
$4,500 |
2.3× |
| Biopsy of uterus lining (58100) |
$157.48 |
$242.28 |
0.7× |
| Biopsy vulva/perineum 1 lesion (56605) |
$224.20 |
$344.93 |
0.2× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$1,114.40 |
$1,714.46 |
0.6× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$213.98 |
$329.21 |
0.1× |
| Bladder irrigation (51700) |
$640.65 |
$985.61 |
2.4× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$358.67 |
$551.80 |
1.1× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$2,627.99 |
$4,043.06 |
0.6× |
| Cast short arm (29075) |
$120.56 |
$185.47 |
0.4× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$146.96 |
$226.09 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$129.77 |
$199.65 |
0.5× |
| Chest tube placement (32551) |
$311.26 |
$478.86 |
0.2× |
| Circumcision, Newborn (54150) |
$882.36 |
$1,357.48 |
0.4× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$289.35 |
$445.15 |
0.4× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$882.36 |
$1,357.48 |
0.4× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$302.16 |
$464.86 |
1.2× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$262.97 |
$404.57 |
1.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$339.83 |
$522.82 |
1.3× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$413.42 |
$636.04 |
1.6× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$431.76 |
$664.26 |
1.7× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$488.28 |
$751.20 |
1.9× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$479.24 |
$737.28 |
0.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$294.62 |
$453.26 |
1.1× |
| Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) |
$484.22 |
$744.96 |
1.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$335.80 |
$516.62 |
1.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$504.86 |
$776.70 |
1.9× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$245.64 |
$377.91 |
0.9× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$1,111.45 |
$1,709.92 |
4.3× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$200.43 |
$308.35 |
0.8× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$160.20 |
$246.47 |
0.3× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$165.52 |
$254.64 |
0.6× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$341.34 |
$525.14 |
1.3× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$337.27 |
$518.87 |
0.2× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$882.42 |
$1,357.58 |
0.5× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$758.54 |
$1,166.99 |
2.9× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$565.14 |
$869.46 |
2.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$432.95 |
$666.08 |
1.7× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$385.05 |
$592.38 |
1.5× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$242.86 |
$373.63 |
0.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$319.62 |
$491.73 |
1.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$462.66 |
$711.78 |
1.8× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$262.97 |
$404.57 |
1.0× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$401.70 |
$618 |
0.2× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$365.79 |
$562.75 |
1.4× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$363.23 |
$558.82 |
1.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$364.70 |
$561.08 |
1.4× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$193.51 |
$297.70 |
0.7× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$171.04 |
$263.14 |
0.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$412.93 |
$635.27 |
1.6× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$826.20 |
$1,271.07 |
0.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$189.21 |
$291.09 |
0.7× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$135.62 |
$208.65 |
0.5× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$346.62 |
$533.26 |
1.3× |
| Closed treatment of ulnar styloid fracture (25650) |
$351.16 |
$540.25 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$504.86 |
$776.70 |
1.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$614.30 |
$945.08 |
0.4× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$141.36 |
$217.48 |
0.5× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$345.11 |
$530.94 |
0.1× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$529.01 |
$813.86 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$291.61 |
$448.63 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$513.90 |
$790.62 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$398.50 |
$613.08 |
0.2× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$721.12 |
$1,109.41 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$184.20 |
$283.39 |
0.7× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$300.45 |
$462.23 |
1.2× |
| Closed tx vert fx w/o manj (22310) |
$238.76 |
$367.32 |
0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$438.54 |
$674.68 |
1.7× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$158.61 |
$244.01 |
0.1× |
| Clsd tx pelvic ring fx (27197) |
$150.70 |
$231.85 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$541.78 |
$833.52 |
0.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$504.10 |
$775.54 |
1.9× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$372.94 |
$573.76 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$364.59 |
$560.90 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$860.52 |
$1,323.88 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,243.32 |
$1,912.80 |
4.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$144.97 |
$223.04 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$103.44 |
$159.14 |
0.4× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$349.93 |
$538.36 |
1.3× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$434.64 |
$668.67 |
1.7× |
| Cltx metar fx w/manj (28475) |
$363.94 |
$559.92 |
1.4× |
| Cltx post ankle fx (27767) |
$227.43 |
$349.89 |
0.9× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$738.46 |
$1,136.08 |
0.4× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$519.92 |
$799.88 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$530.18 |
$815.67 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$362.30 |
$557.38 |
1.4× |
| Collect blood from catheter venous nos (36592) |
$103.24 |
$158.83 |
0.7× |
| Colonoscopy w/ablation (45388) |
$1,405.44 |
$2,162.22 |
1.1× |
| Colonoscopy w/control bleed (45382) |
$2,659.03 |
$4,090.82 |
2.1× |
| Colonoscopy w/fb removal (45379) |
$2,451.18 |
$3,771.04 |
1.9× |
| Colonoscopy w/resection (45390) |
$2,157.29 |
$3,318.91 |
0.7× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,035.61 |
$3,131.70 |
1.6× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$3,197.69 |
$4,919.53 |
2.5× |
| Colposcopy cervix (57452) |
$151.37 |
$232.88 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$325.52 |
$500.80 |
1.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$311.96 |
$479.93 |
1.0× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$325.52 |
$500.80 |
0.3× |
| Colposcopy vulva (56820) |
$151.37 |
$232.88 |
0.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,901.65 |
$2,925.61 |
1.5× |
| Complete replacement picc rs&i (36584) |
$821.94 |
$1,264.53 |
0.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$295.12 |
$454.04 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$223.04 |
$343.14 |
1.6× |
| Debride skin at fx site (11010) |
$449.22 |
$691.10 |
0.6× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$43.70 |
$67.22 |
0.7× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$68.56 |
$105.48 |
1.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$959.88 |
$1,476.74 |
2.2× |
| Declot vascular device (36593) |
$123.57 |
$190.10 |
0.4× |
| Destruct lesion 15 or more (17111) |
$209.48 |
$322.26 |
1.0× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$113.78 |
$175.04 |
0.5× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$248.66 |
$382.56 |
0.6× |
| Destruction benign lesions up to 14 (17110) |
$154.47 |
$237.64 |
0.7× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$1,077.46 |
$1,657.63 |
0.4× |
| Drain lower leg lesion (27603) |
$741.46 |
$1,140.71 |
0.2× |
| Drain neck/chest lesion (21501) |
$626.18 |
$963.34 |
0.2× |
| Drainage finger abscess simple (26010) |
$349.08 |
$537.06 |
1.6× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$508.59 |
$782.44 |
0.3× |
| Dressing change (for other than burns) under anesthesia (other than local) (15852) |
$146.93 |
$226.05 |
0.2× |
| Ed proc insert intraosseous IV (36680) |
$75.34 |
$115.92 |
0.2× |
| Ed proc remve fb nasal- hospital (30300) |
$302.91 |
$466.02 |
2.2× |
| Ed prof arthrocentesis sm - hospital (20551) |
$55.77 |
$85.80 |
0.2× |
| Ed prof burn - large - hospital (16030) |
$262.74 |
$404.21 |
0.6× |
| Ed prof burn medium - hospital (16025) |
$210.22 |
$323.42 |
1.0× |
| Ed prof burn small - hospital (16020) |
$115.28 |
$177.36 |
0.5× |
| Ed prof catheterization/straight (51701) |
$88.06 |
$135.48 |
0.6× |
| Ed prof closed tx post hip arthroplasty (27265) |
$368.69 |
$567.22 |
1.4× |
| Ed prof drain dental abscess-hospital (41800) |
$63.30 |
$97.38 |
0.5× |
| Ed prof insert foley cath simple (51702) |
$225.37 |
$346.72 |
1.6× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$724.37 |
$1,114.42 |
0.2× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$497.34 |
$765.13 |
1.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$428 |
$658.45 |
1.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$370.72 |
$570.34 |
1.4× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$113.09 |
$173.99 |
0.2× |
| Egd percutaneous placement gastrostomy tube (43246) |
$2,632.66 |
$4,050.25 |
1.3× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,349.30 |
$2,075.84 |
0.7× |
| Egd transoral control bleeding any method (43255) |
$1,349.30 |
$2,075.84 |
0.7× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$382.18 |
$587.97 |
0.5× |
| Escharotomy 1st incision (16035) |
$452.10 |
$695.54 |
1.1× |
| Esoph egd dilation <30 mm (43249) |
$2,210.93 |
$3,401.43 |
1.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$2,403.99 |
$3,698.45 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$2,193.44 |
$3,374.52 |
2.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,426.66 |
$3,733.33 |
2.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,349.30 |
$2,075.84 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$331.55 |
$510.08 |
0.2× |
| Evac subungual hematoma (11740) |
$64.04 |
$98.53 |
0.5× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$692.55 |
$1,065.46 |
0.4× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$692.55 |
$1,065.46 |
0.9× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$692.55 |
$1,065.46 |
0.4× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$414.23 |
$637.27 |
0.6× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$414.23 |
$637.27 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$414.23 |
$637.27 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$414.23 |
$637.27 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$692.55 |
$1,065.46 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$692.55 |
$1,065.46 |
0.9× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$1,953.14 |
$3,004.83 |
0.6× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$414.23 |
$637.27 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$692.55 |
$1,065.46 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$692.55 |
$1,065.46 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision multiple external papillae/tags anus (46230) |
$135.62 |
$208.65 |
0.0× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$258.92 |
$398.34 |
0.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$368.47 |
$566.88 |
0.1× |
| Excision of tongue lesion (41112) |
$464.30 |
$714.30 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$1,953.14 |
$3,004.83 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$414.23 |
$637.27 |
1.0× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$692.55 |
$1,065.46 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$692.55 |
$1,065.46 |
0.9× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$672.37 |
$1,034.42 |
0.9× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$692.55 |
$1,065.46 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,953.14 |
$3,004.83 |
0.6× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$414.23 |
$637.27 |
0.6× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,496.59 |
$2,302.45 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$692.55 |
$1,065.46 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$414.23 |
$637.27 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$692.55 |
$1,065.46 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$414.23 |
$637.27 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$692.55 |
$1,065.46 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,953.14 |
$3,004.83 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$1,374.67 |
$2,114.87 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$795.72 |
$1,224.18 |
0.5× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$185.36 |
$285.17 |
0.4× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$34.83 |
$53.59 |
0.2× |
| Gastric lavage (43753) |
$33.29 |
$51.22 |
0.1× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$263.72 |
$405.73 |
0.3× |
| I&d abscess simple/single (10060) |
$226.80 |
$348.93 |
1.1× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$927.58 |
$1,427.05 |
0.3× |
| I&d hematoma/seroma/fluid (10140) |
$219.28 |
$337.35 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$234.34 |
$360.52 |
0.3× |
| Incise external hemorrhoid (46083) |
$168.03 |
$258.50 |
0.6× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$263.40 |
$405.23 |
0.6× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$366.96 |
$564.55 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$238.44 |
$366.83 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$369.22 |
$568.03 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$191.40 |
$294.46 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$380.80 |
$585.85 |
0.5× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$354.43 |
$545.27 |
0.9× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$57.49 |
$88.44 |
0.3× |
| Inj epidural blood or clot patch (62273) |
$1,029.48 |
$1,583.81 |
1.4× |
| Injection aa&/strd greater occipital nerve (64405) |
$395 |
$607.69 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$314.46 |
$483.79 |
0.3× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$553 |
$850.76 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$87.02 |
$133.88 |
0.3× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$555.02 |
$853.88 |
0.6× |
| Injection therapeutic carpal tunnel (20526) |
$94.18 |
$144.90 |
0.3× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$128.48 |
$197.66 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$83.19 |
$127.98 |
0.3× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$83.64 |
$128.67 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$79.87 |
$122.87 |
0.4× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$821.94 |
$1,264.53 |
0.5× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$65.86 |
$101.32 |
0.3× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$821.94 |
$1,264.53 |
0.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,992.59 |
$3,065.53 |
0.6× |
| Intubation endotracheal (31500) |
$178.58 |
$274.74 |
0.7× |
| Lumbar puncture (62270) |
$697.78 |
$1,073.50 |
0.9× |
| Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or… (21073) |
$2,362.75 |
$3,635 |
1.4× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$187.14 |
$287.90 |
3.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.48 |
$51.50 |
1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$60.26 |
$92.70 |
2.0× |
| Neurology (Lazheimer disease), beta amyloid (AB40,AB42,AB42/40 ratio) and tau-protein (ptau217, np-tau217,… (0503U) |
$1,272.38 |
$1,957.50 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$555.02 |
$853.88 |
0.6× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$568.04 |
$873.90 |
0.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$82.88 |
$127.51 |
0.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$84.63 |
$130.20 |
0.4× |
| Preputial stretching (54450) |
$207.22 |
$318.80 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$303.83 |
$467.43 |
0.7× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$178.58 |
$274.74 |
0.4× |
| Puncture aspiration of cyst of breast (19000) |
$158.24 |
$243.44 |
0.2× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$148.97 |
$229.18 |
0.2× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$342.86 |
$527.46 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$64.04 |
$98.53 |
1.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$71.58 |
$110.12 |
1.2× |
| Removal implantable contraceptive capsules (11976) |
$210.22 |
$323.42 |
0.3× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$272.01 |
$418.48 |
0.2× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$79.12 |
$121.72 |
0.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$79.11 |
$121.71 |
0.2× |
| Removal of iud (58301) |
$157.22 |
$241.88 |
0.5× |
| Removal of nail bed (11750) |
$245.68 |
$377.96 |
0.6× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$75.72 |
$116.50 |
0.3× |
| Removal tunneled cv cath (36590) |
$2,575.20 |
$3,961.84 |
1.6× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$310.28 |
$477.35 |
0.7× |
| Removal, non-biodegradable drug delivery implant (11982) |
$219.26 |
$337.33 |
0.5× |
| Removal/revision of cast (29700) |
$88.59 |
$136.29 |
0.3× |
| Remove pharynx foreign body (42809) |
$225.30 |
$346.62 |
0.5× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$828.12 |
$1,274.03 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$170.26 |
$261.94 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$563.63 |
$867.12 |
0.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$377.51 |
$580.78 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$431.01 |
$663.09 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$501.09 |
$770.90 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$601.30 |
$925.08 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$354.14 |
$544.84 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$409.92 |
$630.64 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$478.48 |
$736.14 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$246.92 |
$379.88 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$431.01 |
$663.09 |
1.0× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$567.40 |
$872.92 |
0.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$473.96 |
$729.17 |
1.1× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$637.48 |
$980.74 |
0.3× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$565.14 |
$869.45 |
1.0× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$385.15 |
$592.54 |
0.8× |
| Repair of nail bed (11760) |
$290.86 |
$447.47 |
0.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$580.20 |
$892.62 |
0.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$801.75 |
$1,233.46 |
1.0× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$113.61 |
$174.78 |
0.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$955 |
$1,469.23 |
1.0× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$172.56 |
$265.46 |
1.2× |
| Rmvl of access device (36589) |
$186.87 |
$287.49 |
0.3× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,163.44 |
$1,789.91 |
0.3× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$90.54 |
$139.29 |
0.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$84.63 |
$130.20 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$105.79 |
$162.75 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$250.65 |
$385.61 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$105.79 |
$162.75 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$122.59 |
$188.60 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$105.79 |
$162.75 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$105.79 |
$162.75 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$105.79 |
$162.75 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$105.79 |
$162.75 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$163.57 |
$251.65 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$105.79 |
$162.75 |
0.5× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,075.04 |
$1,653.90 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$242.86 |
$373.62 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$428.51 |
$659.24 |
2.0× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$204.04 |
$313.90 |
1.0× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$364.70 |
$561.08 |
1.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$234.27 |
$360.42 |
1.1× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$362 |
$556.93 |
0.8× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$434.78 |
$668.90 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$265.43 |
$408.36 |
1.3× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$235.91 |
$362.94 |
1.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$329.28 |
$506.59 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$332.04 |
$510.83 |
0.8× |
| Strapping ankle (29540) |
$58.77 |
$90.42 |
0.3× |
| Strapping elbow or wrist (29260) |
$195.16 |
$300.24 |
3.1× |
| Strapping of knee (29530) |
$74.60 |
$114.76 |
0.5× |
| Strapping of shoulder (29240) |
$82.13 |
$126.35 |
0.6× |
| Strapping unna boot (29580) |
$258.52 |
$397.73 |
1.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$9,626.50 |
$14,810 |
3.3× |
| Tangential biopsy skin single lesion (11102) |
$380.80 |
$585.85 |
0.9× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$2,288.82 |
$3,521.26 |
0.7× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$243.46 |
$374.55 |
1.0× |
| Transfusion, blood or blood components (36430) |
$696.62 |
$1,071.73 |
1.5× |
| Treat finger dislocation (26775) |
$431.76 |
$664.26 |
1.5× |
| Treat lower leg fracture (27825) |
$431.18 |
$663.36 |
0.3× |
| Treat tail bone fracture (27200) |
$338.12 |
$520.20 |
1.3× |
| Treat vaginal bleeding (57180) |
$151.37 |
$232.88 |
0.7× |
| Treat wrist dislocation (25675) |
$581.68 |
$894.89 |
2.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$501.09 |
$770.90 |
1.9× |
| Trimming of nondystrophic nails, any number (11719) |
$30.14 |
$46.37 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$290.86 |
$447.47 |
0.7× |
| Vaginal delivery (59409) |
$1,264.42 |
$1,945.26 |
0.4× |
| Venipuncture (36415) |
$22.37 |
$34.42 |
2.4× |