| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$95.92 |
$191.84 |
0.7× |
| Application cast elbow finger short arm (29075) |
$195.98 |
$391.95 |
0.8× |
| Application finger splint static (29130) |
$140.40 |
$280.80 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$132.50 |
$265 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$102.19 |
$204.38 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$76.99 |
$153.98 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$128.44 |
$256.88 |
1.1× |
| Application short leg splint calf foot (29515) |
$93.44 |
$186.88 |
0.6× |
| Arterial puncture (36600) |
$48 |
$96 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$236.17 |
$472.34 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$280.47 |
$560.94 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$236.17 |
$472.34 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$211.53 |
$423.06 |
0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$82.13 |
$164.26 |
0.5× |
| Biopsy external ear (69100) |
$194.38 |
$388.75 |
0.9× |
| Biopsy of lip (40490) |
$410.28 |
$820.56 |
1.9× |
| Biopsy of mouth lesion (40808) |
$75 |
$150 |
0.2× |
| Biopsy of nail unit (11755) |
$447.13 |
$894.26 |
0.7× |
| Biopsy of uterus lining (58100) |
$133.28 |
$266.56 |
0.7× |
| Bladder Scan (51798) |
$89.99 |
$179.98 |
1.7× |
| Blood transfusion service (36430) |
$625 |
$1,250 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$532.19 |
$1,064.38 |
0.4× |
| Chemical Cautery Tissue (17250) |
$176.74 |
$353.49 |
1.0× |
| Chest tube placement (32551) |
$467.81 |
$935.62 |
0.3× |
| Closed Rx Trimalleolar Fx (27816) |
$474.25 |
$948.50 |
2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$290.44 |
$580.88 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$214.69 |
$429.38 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$82.50 |
$165 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$162.19 |
$324.38 |
0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$377.50 |
$755 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,161.50 |
$2,323 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,150 |
$2,300 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$157.02 |
$314.04 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$376.12 |
$752.25 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$130.31 |
$260.62 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$397.50 |
$795 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$100.05 |
$200.10 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$678.66 |
$1,357.32 |
5.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$657.58 |
$1,315.16 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$201.51 |
$403.02 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$404.38 |
$808.76 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$830.18 |
$1,660.35 |
0.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$103.36 |
$206.72 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$95 |
$190 |
0.5× |
| Drain outer ear canal lesion (69020) |
$98.44 |
$196.88 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$101.56 |
$203.12 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$337.84 |
$675.68 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$110 |
$220 |
0.6× |
| Drainage of eyelid abscess (67700) |
$214.45 |
$428.90 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$135.05 |
$270.10 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$695.61 |
$1,391.22 |
0.5× |
| Draw blood off venous device (36591) |
$24.64 |
$49.29 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$240.25 |
$480.50 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$121.95 |
$243.90 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$116.54 |
$233.08 |
0.6× |
| Egd place gastrostomy tube (43246) |
$3,222.65 |
$6,445.30 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$25 |
$50 |
0.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,480.66 |
$2,961.32 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$361.33 |
$722.66 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$273.44 |
$546.88 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$310.24 |
$620.47 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$310.24 |
$620.47 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$314.06 |
$628.12 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$314.06 |
$628.12 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$664.06 |
$1,328.13 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$539.06 |
$1,078.12 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$307.77 |
$615.54 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$539.06 |
$1,078.12 |
0.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$537.89 |
$1,075.78 |
0.4× |
| Excision of nail fold toe (11765) |
$58.44 |
$116.88 |
0.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,169.69 |
$2,339.38 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$98.54 |
$197.08 |
0.3× |
| I&d abscess simple (10060) |
$176.74 |
$353.49 |
1.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$173.75 |
$347.50 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$115.94 |
$231.88 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$277.38 |
$554.76 |
0.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$205.94 |
$411.88 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$184.38 |
$368.75 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$237.11 |
$474.22 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$147.03 |
$294.06 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$110.74 |
$221.49 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$112.69 |
$225.38 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$248.75 |
$497.50 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,192.47 |
$2,384.94 |
0.4× |
| Insert picc cath (36569) |
$358 |
$716 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$109.38 |
$218.75 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$100.62 |
$201.25 |
0.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$311.72 |
$623.43 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$315.31 |
$630.62 |
1.5× |
| Irrigate corpora cavernosa for priapism (54220) |
$255.85 |
$511.70 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$117.19 |
$234.38 |
0.3× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$215.16 |
$430.31 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$91.90 |
$183.80 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$314.16 |
$628.32 |
0.9× |
| Puncture Aspiration (10160) |
$102.19 |
$204.38 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$205 |
$410 |
0.3× |
| Removal fb intranasal (30300) |
$143.12 |
$286.25 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$39.06 |
$78.13 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$40.62 |
$81.25 |
0.8× |
| Removal of nail bed (11750) |
$314.06 |
$628.12 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$66.33 |
$132.66 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$102.81 |
$205.62 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$204.69 |
$409.38 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$188.75 |
$377.50 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$342.90 |
$685.80 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$326.25 |
$652.50 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$638.82 |
$1,277.63 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$203.39 |
$406.78 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$226.80 |
$453.60 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$201.39 |
$402.78 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$189 |
$378 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$204.38 |
$408.75 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$487.50 |
$975 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$204.69 |
$409.38 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$204.69 |
$409.38 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$204.69 |
$409.38 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$187.87 |
$375.74 |
0.5× |
| Repair Tongue Laceration (41250) |
$203.75 |
$407.50 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$113.25 |
$226.50 |
0.3× |
| Rpr blood vessel direct lower extremity (35226) |
$1,747.14 |
$3,494.28 |
2.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$115.88 |
$231.75 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$58.44 |
$116.88 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$69.38 |
$138.75 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$70 |
$140 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$70 |
$140 |
0.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$70 |
$140 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$75.62 |
$151.25 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$70 |
$140 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$2,116.82 |
$4,233.63 |
3.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,206.24 |
$6,412.47 |
1.7× |
| Skn sub grft f/n/hf/g child (15277) |
$320.76 |
$641.53 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$70 |
$140 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$70 |
$140 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$194.38 |
$388.75 |
0.3× |
| Strapping toes (29550) |
$60 |
$120 |
1.1× |
| Strapping unna boot (29580) |
$90.40 |
$180.81 |
0.6× |
| Subconjunctival injection (68200) |
$103.75 |
$207.50 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$71.28 |
$142.56 |
0.2× |
| Trim skin lesion (11055) |
$53.75 |
$107.50 |
0.3× |
| Venipuncture (36415) |
$12.25 |
$24.50 |
1.3× |