| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$216.75 |
$289 |
1.3× |
| Application cast elbow finger short arm (29075) |
$575.25 |
$767 |
2.1× |
| Application finger splint static (29130) |
$174.38 |
$232.50 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$241.60 |
$322.12 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$239.62 |
$319.50 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$190.03 |
$253.38 |
1.4× |
| Application short leg splint calf foot (29515) |
$239.62 |
$319.50 |
1.5× |
| Apply multlay comprs arm/hand (29584) |
$216.75 |
$289 |
1.3× |
| Apply short leg cast (29405) |
$369.75 |
$493 |
1.3× |
| Apply short leg cast (29425) |
$575.25 |
$767 |
2.1× |
| Arterial puncture (36600) |
$172.50 |
$230 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$238.50 |
$318 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$405.10 |
$540.12 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$600 |
$800 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$301.88 |
$402.50 |
1.5× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$2,529.75 |
$3,373 |
2.1× |
| Biopsy of uterus lining (58100) |
$90 |
$120 |
0.4× |
| Bladder Irrigation Simple (51700) |
$322.88 |
$430.50 |
1.3× |
| Blood transfusion service (36430) |
$608.25 |
$811 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$288 |
$384 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$146.25 |
$195 |
0.6× |
| Chemical Cautery Tissue (17250) |
$337.50 |
$450 |
1.7× |
| Chest tube placement (32551) |
$2,004.19 |
$2,672.25 |
1.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$223.12 |
$297.50 |
1.7× |
| Circumcision (54150) |
$2,742.75 |
$3,657 |
1.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,125 |
$1,500 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$505.50 |
$674 |
2.0× |
| Closed Rx Med Malleolus Fx (27760) |
$505.50 |
$674 |
2.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,625 |
$3,500 |
1.6× |
| Closed Rx Radial Shaft Fx (25500) |
$505.50 |
$674 |
2.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,875 |
$2,500 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$722.72 |
$963.62 |
2.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$505.50 |
$674 |
2.0× |
| Closed Rx Trimalleolar Fx (27816) |
$598.50 |
$798 |
2.4× |
| Closed treat wrist dislocation (25660) |
$736.31 |
$981.75 |
3.0× |
| Closed treatment of broken top of shin bone at knee (27538) |
$505.50 |
$674 |
2.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$505.50 |
$674 |
2.0× |
| Closed Treatment Sternum Fracture (21820) |
$505.50 |
$674 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$514.50 |
$686 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,249.62 |
$2,999.50 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$570.94 |
$761.25 |
2.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$736.31 |
$981.75 |
3.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$505.50 |
$674 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$505.50 |
$674 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$680.77 |
$907.70 |
2.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$505.50 |
$674 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,250 |
$3,000 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$450 |
$600 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$505.50 |
$674 |
2.0× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$505.50 |
$674 |
2.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$454.12 |
$605.50 |
1.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$505.50 |
$674 |
2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$505.50 |
$674 |
2.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$2,133.75 |
$2,845 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$493.12 |
$657.50 |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,875 |
$2,500 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$502.50 |
$670 |
2.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$750 |
$1,000 |
3.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$505.50 |
$674 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$779.25 |
$1,039 |
3.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$505.50 |
$674 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$505.50 |
$674 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$453.38 |
$604.50 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$476.44 |
$635.25 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,250 |
$3,000 |
1.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$732.38 |
$976.50 |
3.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,537.50 |
$2,050 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$505.50 |
$674 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$382.12 |
$509.50 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$271.69 |
$362.25 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$378 |
$504 |
1.5× |
| Cltx greater trochanteric fx w/o manj (27246) |
$505.50 |
$674 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$505.50 |
$674 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$505.50 |
$674 |
2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$514.50 |
$686 |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$505.50 |
$674 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$505.50 |
$674 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$505.50 |
$674 |
2.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$505.50 |
$674 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$514.50 |
$686 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$489.41 |
$652.54 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$505.50 |
$674 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$363 |
$484 |
1.5× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$2,133.75 |
$2,845 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$505.50 |
$674 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,275.88 |
$3,034.50 |
1.4× |
| Colonoscopy flex w/rem forcep (45384) |
$2,529.75 |
$3,373 |
2.1× |
| Colonoscopy thru stoma (44388) |
$1,959 |
$2,612 |
2.1× |
| Colonoscopy w/ablation (45388) |
$2,529.75 |
$3,373 |
2.1× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$2,529.75 |
$3,373 |
2.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,529.75 |
$3,373 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$286.88 |
$382.50 |
2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$195.75 |
$261 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$567 |
$756 |
4.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$7,472.25 |
$9,963 |
2.1× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$11,092.50 |
$14,790 |
2.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,366.50 |
$5,822 |
2.1× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$11,092.50 |
$14,790 |
2.1× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$4,366.50 |
$5,822 |
2.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,366.50 |
$5,822 |
2.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,366.50 |
$5,822 |
2.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$7,473.75 |
$9,965 |
2.1× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$536.25 |
$715 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$525.75 |
$701 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,125 |
$1,500 |
1.5× |
| Declot vascular device (36593) |
$106.31 |
$141.75 |
0.3× |
| Delivery placenta separate procedure (59414) |
$4,019.25 |
$5,359 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,959 |
$2,612 |
2.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$487.50 |
$650 |
0.7× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$693 |
$924 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$750 |
$1,000 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$383.25 |
$511 |
1.9× |
| Drainage of gum lesion (41800) |
$359.25 |
$479 |
2.7× |
| Drainage of hematoma/fluid (10140) |
$2,155.50 |
$2,874 |
1.3× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$3,632.25 |
$4,843 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$3,475.50 |
$4,634 |
2.1× |
| Draw blood off venous device (36591) |
$114.28 |
$152.38 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$346.50 |
$462 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$287.44 |
$383.25 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$187.50 |
$250 |
0.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$4,079.25 |
$5,439 |
2.1× |
| Egd flexible foreign body removal (43247) |
$1,943.25 |
$2,591 |
2.1× |
| Egd guide wire insertion (43248) |
$1,943.25 |
$2,591 |
2.1× |
| Egd place gastrostomy tube (43246) |
$4,079.25 |
$5,439 |
2.1× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$4,079.25 |
$5,439 |
2.1× |
| Egd Varices Ligation (43244) |
$4,079.25 |
$5,439 |
2.1× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$4,079.25 |
$5,439 |
2.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,943.25 |
$2,591 |
2.1× |
| Esophagoscopy flex biopsy (43202) |
$4,079.25 |
$5,439 |
2.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,943.25 |
$2,591 |
2.1× |
| Evacuation of subungual hematoma (11740) |
$169.50 |
$226 |
1.3× |
| Excision of nail fold toe (11765) |
$854.25 |
$1,139 |
2.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,500 |
$2,000 |
0.7× |
| Exploration penetrating wound spx chest (20101) |
$2,624.25 |
$3,499 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$861 |
$1,148 |
0.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,179 |
$1,572 |
2.2× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$7,814.62 |
$10,419.50 |
1.5× |
| Fetal Contraction Stress Test (59020) |
$261 |
$348 |
1.3× |
| Fetal non-stress test (59025) |
$261 |
$348 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$495.72 |
$660.96 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$149.63 |
$199.50 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$292.50 |
$390 |
1.2× |
| I&d abscess simple (10060) |
$310.50 |
$414 |
1.5× |
| I&d perianal abscess superficial (46050) |
$1,875 |
$2,500 |
2.0× |
| I&d pilonidal cyst simple (10080) |
$885.38 |
$1,180.50 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$615 |
$820 |
1.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$531.75 |
$709 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$401.25 |
$535 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$541.12 |
$721.50 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$322.88 |
$430.50 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$499.12 |
$665.50 |
1.6× |
| Incision of rectal abscess (46040) |
$1,950.75 |
$2,601 |
1.6× |
| Incision thrombosed hemorrhoid external (46083) |
$529.50 |
$706 |
2.1× |
| Initial tx 1st degree burn local tx (16000) |
$120 |
$160 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$337.50 |
$450 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$270 |
$360 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$798.38 |
$1,064.50 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$400.50 |
$534 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$400.50 |
$534 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$246.75 |
$329 |
1.9× |
| Insert Drug Implant Device (11981) |
$174 |
$232 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$1,665.38 |
$2,220.50 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$4,385.25 |
$5,847 |
1.4× |
| Insert picc cath (36569) |
$3,433.50 |
$4,578 |
2.2× |
| Insert Temp Bladder Cath (51702) |
$172.50 |
$230 |
1.3× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$1,841.25 |
$2,455 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$174.28 |
$232.38 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,125 |
$1,500 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$324 |
$432 |
1.4× |
| Laparoscopy appendectomy (44970) |
$12,369.75 |
$16,493 |
2.0× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$11,092.50 |
$14,790 |
2.1× |
| Laser vaporization surgery prostate, complete (52648) |
$11,092.50 |
$14,790 |
2.1× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$4,050 |
$5,400 |
1.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,424.38 |
$7,232.50 |
1.5× |
| Lithotripsy (50590) |
$8,213.82 |
$10,951.75 |
2.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$501.56 |
$668.75 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$252 |
$336 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$529.50 |
$706 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$489.75 |
$653 |
1.1× |
| Preputial Stretching (54450) |
$529.50 |
$706 |
2.1× |
| Prostatectomy (turp) (52601) |
$11,092.50 |
$14,790 |
2.1× |
| Puncture Aspiration (10160) |
$545.62 |
$727.50 |
1.3× |
| Removal fb intranasal (30300) |
$263.25 |
$351 |
2.0× |
| Removal foreign body foot deep (28192) |
$2,155.50 |
$2,874 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$368.25 |
$491 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$330.75 |
$441 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$85.36 |
$113.82 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$74.81 |
$99.75 |
1.3× |
| Removal of intrauterine device (iud) (58301) |
$400.50 |
$534 |
1.3× |
| Removal of nail bed (11750) |
$529.50 |
$706 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$275.25 |
$367 |
1.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$369.75 |
$493 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$369.75 |
$493 |
1.3× |
| Remove bladder stone (52318) |
$5,799.38 |
$7,732.50 |
1.6× |
| Remove drug implant device (11982) |
$262.50 |
$350 |
0.6× |
| Remove foreign body from eye (65210) |
$330.18 |
$440.23 |
0.7× |
| Remove prostate regrowth (52630) |
$11,092.50 |
$14,790 |
2.1× |
| Remv Ext Canal Foreign Body (69200) |
$207.75 |
$277 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$106.31 |
$141.75 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$802.50 |
$1,070 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$802.50 |
$1,070 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$590.25 |
$787 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$988.31 |
$1,317.75 |
2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$541.50 |
$722 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,013.72 |
$1,351.62 |
2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$519 |
$692 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$605.25 |
$807 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$825 |
$1,100 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$643.50 |
$858 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$690 |
$920 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$838.69 |
$1,118.25 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$605.25 |
$807 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$626.06 |
$834.75 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$838.69 |
$1,118.25 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$626.06 |
$834.75 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$632.25 |
$843 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$628.12 |
$837.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$579 |
$772 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$3,375 |
$4,500 |
1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$723.38 |
$964.50 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$582.75 |
$777 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$657.38 |
$876.50 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,125 |
$1,500 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$681.75 |
$909 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,329.88 |
$3,106.50 |
1.1× |
| Repair of nail bed (11760) |
$760.50 |
$1,014 |
1.0× |
| Repair Tongue Laceration (41250) |
$469.88 |
$626.50 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$324.38 |
$432.50 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$273.75 |
$365 |
2.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,475 |
$3,300 |
2.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$412.50 |
$550 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,346.25 |
$1,795 |
1.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,179 |
$1,572 |
2.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,529.75 |
$3,373 |
2.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,959 |
$2,612 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$527.63 |
$703.50 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$316.88 |
$422.50 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$375.94 |
$501.25 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$626.06 |
$834.75 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$383.25 |
$511 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$334.26 |
$445.68 |
1.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$626.06 |
$834.75 |
3.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$310.97 |
$414.62 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$900 |
$1,200 |
4.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$419.25 |
$559 |
2.1× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$4,079.25 |
$5,439 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$346.40 |
$461.88 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$740.53 |
$987.38 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$550.50 |
$734 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,482 |
$1,976 |
2.1× |
| Strapping ankle (29540) |
$216.75 |
$289 |
1.3× |
| Strapping elbow/wrist (29260) |
$141.75 |
$189 |
2.4× |
| Strapping hand/finger (29280) |
$141.75 |
$189 |
2.4× |
| Strapping Hip (29520) |
$172.50 |
$230 |
1.3× |
| Strapping knee (29530) |
$172.50 |
$230 |
1.3× |
| Strapping shoulder (29240) |
$172.50 |
$230 |
1.3× |
| Strapping thorax (29200) |
$216.75 |
$289 |
1.3× |
| Strapping toes (29550) |
$130.50 |
$174 |
2.2× |
| Strapping unna boot (29580) |
$141.75 |
$189 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$261.38 |
$348.50 |
0.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$814.12 |
$1,085.50 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$366.75 |
$489 |
0.6× |
| Thrombolytic Therapy, Stroke (37195) |
$488.25 |
$651 |
1.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$921.38 |
$1,228.50 |
3.9× |
| Treat Fracture Radius & Ulna (25560) |
$505.50 |
$674 |
2.0× |
| Treat humerus fracture (24500) |
$598.50 |
$798 |
2.4× |
| Treat humerus fracture (23600) |
$409.50 |
$546 |
1.7× |
| Treat Metatarsal Fracture (28475) |
$505.50 |
$674 |
2.0× |
| Treat pleurodesis w/agent (32560) |
$1,346.25 |
$1,795 |
2.1× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,133.75 |
$2,845 |
1.3× |
| Treat Wrist Bone Fracture (25630) |
$505.50 |
$674 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$676.50 |
$902 |
2.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$505.50 |
$674 |
2.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$268.50 |
$358 |
0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,133.75 |
$2,845 |
1.3× |
| Unlisted Procedure Casting/Strapping (29799) |
$216.75 |
$289 |
1.3× |
| Vaginal delivery only (59409) |
$4,178.62 |
$5,571.50 |
1.3× |
| Venipuncture (36415) |
$25.13 |
$33.50 |
2.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$315 |
$420 |
0.7× |