| Abd paracentesis w/imaging (49083) |
$819 |
$1,092 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$421.50 |
$562 |
0.5× |
| Adding Walker Previously Applied Cast (29440) |
$58.50 |
$78 |
0.4× |
| Amputation Finger/Thumb (26951) |
$874.50 |
$1,166 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$421.12 |
$561.50 |
2.7× |
| Application cast elbow finger short arm (29075) |
$172.50 |
$230 |
0.6× |
| Application finger splint static (29130) |
$84 |
$112 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$219.75 |
$293 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$84 |
$112 |
0.7× |
| Application short leg splint calf foot (29515) |
$143.25 |
$191 |
0.9× |
| Apply short leg cast (29405) |
$189 |
$252 |
0.7× |
| Apply short leg cast (29425) |
$87.75 |
$117 |
0.3× |
| Arterial puncture (36600) |
$58.50 |
$78 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$186.75 |
$249 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$127.50 |
$170 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$455.25 |
$607 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$111 |
$148 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$124.50 |
$166 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$414 |
$552 |
0.3× |
| Biopsy Breast Open Incisional (19101) |
$255 |
$340 |
0.1× |
| Biopsy of nail unit (11755) |
$94.50 |
$126 |
0.1× |
| Blood transfusion service (36430) |
$590.62 |
$787.50 |
1.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$151.50 |
$202 |
1.2× |
| Closed Rx Med Malleolus Fx (27760) |
$348.75 |
$465 |
1.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$592.50 |
$790 |
0.4× |
| Closed Rx Radial Shaft Fx (25500) |
$273.75 |
$365 |
1.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$414 |
$552 |
1.7× |
| Closed Rx Trimalleolar Fx (27816) |
$374.25 |
$499 |
1.6× |
| Closed Treat Vert Body Fract (22310) |
$313.50 |
$418 |
1.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$317.25 |
$423 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$553.50 |
$738 |
2.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$319.50 |
$426 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$336.75 |
$449 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$312.38 |
$416.50 |
1.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$345.75 |
$461 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$262.50 |
$350 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$313.50 |
$418 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$396.75 |
$529 |
1.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$338.25 |
$451 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$256.50 |
$342 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$299.25 |
$399 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$287.25 |
$383 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$251.62 |
$335.50 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$251.25 |
$335 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$457.50 |
$610 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$303.75 |
$405 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$393 |
$524 |
1.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$336 |
$448 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$324 |
$432 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$231.38 |
$308.50 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$314.62 |
$419.50 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$611.25 |
$815 |
0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$165 |
$220 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$374.25 |
$499 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$264 |
$352 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$247.50 |
$330 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$338.25 |
$451 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$172.50 |
$230 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$268.12 |
$357.50 |
1.1× |
| Complex Drainage, Wound (10180) |
$184.50 |
$246 |
0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$219.75 |
$293 |
1.7× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
$637.50 |
$850 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$45 |
$60 |
0.1× |
| Debride nail 1-5 (11720) |
$123 |
$164 |
2.2× |
| Debride nail 6 or more (11721) |
$143.25 |
$191 |
2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$309.75 |
$413 |
0.8× |
| Declot vascular device (36593) |
$336.75 |
$449 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$48 |
$64 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$102 |
$136 |
0.5× |
| Destruction vaginal lesions simple (57061) |
$130.50 |
$174 |
0.0× |
| Drainage of gum lesion (41800) |
$312 |
$416 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$736.50 |
$982 |
0.5× |
| Draw blood off venous device (36591) |
$151.50 |
$202 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$363 |
$484 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$348 |
$464 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$163.12 |
$217.50 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$209.25 |
$279 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$206.25 |
$275 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$84.75 |
$113 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$110.25 |
$147 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$246 |
$328 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$130.50 |
$174 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$154.50 |
$206 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$349.12 |
$465.50 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$292.50 |
$390 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$225 |
$300 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$438.75 |
$585 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$174.75 |
$233 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$193.50 |
$258 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$140.25 |
$187 |
0.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$247.50 |
$330 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$197.25 |
$263 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$213 |
$284 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$159.75 |
$213 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$141.75 |
$189 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$151.88 |
$202.50 |
0.1× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,108.25 |
$2,811 |
1.4× |
| I&D Abscess Peritonsillar (42700) |
$179.25 |
$239 |
0.8× |
| I&d abscess simple (10060) |
$217.88 |
$290.50 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$97.50 |
$130 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$432.75 |
$577 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$328.88 |
$438.50 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$139.50 |
$186 |
0.5× |
| Incision thrombosed hemorrhoid external (46083) |
$147.75 |
$197 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$246.75 |
$329 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$176.62 |
$235.50 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$336.75 |
$449 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$1,264.50 |
$1,686 |
10.2× |
| Insert non-tunnel cv cath (36556) |
$409.50 |
$546 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$116.62 |
$155.50 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$131.25 |
$175 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$675 |
$900 |
3.0× |
| Placement of needle for intraosseous infusion (36680) |
$151.50 |
$202 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$287.25 |
$383 |
0.7× |
| Puncture Aspiration (10160) |
$126 |
$168 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$57.75 |
$77 |
0.1× |
| Removal fb intranasal (30300) |
$99.38 |
$132.50 |
0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$573.75 |
$765 |
0.2× |
| Removal foreign body foot deep (28192) |
$509.25 |
$679 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$414.75 |
$553 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$272.25 |
$363 |
0.2× |
| Removal foreign body pharynx (42809) |
$127.50 |
$170 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$127.50 |
$170 |
2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$84 |
$112 |
1.5× |
| Removal of intrauterine device (iud) (58301) |
$81 |
$108 |
0.3× |
| Removal of nail bed (11750) |
$383.62 |
$511.50 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$112.50 |
$150 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$106.12 |
$141.50 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$135 |
$180 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$305.25 |
$407 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$342.75 |
$457 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$313.50 |
$418 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$306 |
$408 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$213 |
$284 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$166.12 |
$221.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$294 |
$392 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$243.75 |
$325 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$348 |
$464 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$242.62 |
$323.50 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$283.12 |
$377.50 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$261.75 |
$349 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$274.50 |
$366 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$127.50 |
$170 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$350.25 |
$467 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$53.25 |
$71 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$49.50 |
$66 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$102 |
$136 |
0.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$79.88 |
$106.50 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$80.25 |
$107 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$192 |
$256 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$234 |
$312 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$176.25 |
$235 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$180 |
$240 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$166.88 |
$222.50 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$231.38 |
$308.50 |
1.2× |
| Skin splt grft trnk/arm/leg (15100) |
$781.50 |
$1,042 |
0.4× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$930 |
$1,240 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$199.88 |
$266.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$295.50 |
$394 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$217.50 |
$290 |
0.6× |
| Strapping ankle (29540) |
$172.50 |
$230 |
1.1× |
| Strapping elbow/wrist (29260) |
$84 |
$112 |
1.5× |
| Strapping knee (29530) |
$244.50 |
$326 |
1.9× |
| Strapping shoulder (29240) |
$84 |
$112 |
0.7× |
| Strapping thorax (29200) |
$42 |
$56 |
0.3× |
| Strapping unna boot (29580) |
$33.75 |
$45 |
0.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$797.62 |
$1,063.50 |
1.3× |
| Tongue to lip surgery (41510) |
$47.25 |
$63 |
0.0× |
| Treat Fracture Radius & Ulna (25560) |
$270.75 |
$361 |
1.1× |
| Treat humerus fracture (24500) |
$378 |
$504 |
1.6× |
| Treat humerus fracture (23600) |
$336.75 |
$449 |
1.4× |
| Treat thumb fracture (26650) |
$744 |
$992 |
0.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$494.25 |
$659 |
0.3× |
| Treat wrist bone fracture (25622) |
$271.12 |
$361.50 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$473.25 |
$631 |
2.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$299.25 |
$399 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$121.50 |
$162 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$206.25 |
$275 |
0.3× |
| Venipuncture (36415) |
$24 |
$32 |
2.6× |