| Abd paracentesis w/imaging (49083) |
$1,376.80 |
$1,721 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,080.80 |
$1,351 |
1.2× |
| Amniocentesis diagnostic (59000) |
$632.80 |
$791 |
0.7× |
| Anoscopy diagnostic (46600) |
$212.80 |
$266 |
1.5× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$353.60 |
$442 |
2.1× |
| Appl Multlay Comprs Arm/Hand (29584) |
$266.40 |
$333 |
1.6× |
| Application cast elbow finger short arm (29075) |
$212.80 |
$266 |
0.7× |
| Application cast shoulder hand long arm (29065) |
$256 |
$320 |
0.9× |
| Application finger splint static (29130) |
$196 |
$245 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$284 |
$355 |
1.7× |
| Application of long leg cast (29345) |
$313.60 |
$392 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$271.20 |
$339 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$279.20 |
$349 |
2.0× |
| Application short arm splint forearm-hand static (29125) |
$249.60 |
$312 |
1.8× |
| Apply Hand/Wrist Cast (29085) |
$167.20 |
$209 |
1.0× |
| Apply long leg splint (29505) |
$292.80 |
$366 |
1.7× |
| Apply short leg cast (29405) |
$258.40 |
$323 |
0.9× |
| Apply short leg cast (29425) |
$244.80 |
$306 |
0.8× |
| Apply short leg splint (29515) |
$270.40 |
$338 |
1.6× |
| Arterial puncture (36600) |
$132 |
$165 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$488.80 |
$611 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$740.40 |
$925.50 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$457.60 |
$572 |
1.4× |
| Aspirate pleura w/ imaging (32555) |
$1,162.80 |
$1,453.50 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$418.40 |
$523 |
2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,684 |
$2,105 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,107.20 |
$2,634 |
1.2× |
| Biopsy soft tissue neck/thorax (21550) |
$2,651.20 |
$3,314 |
1.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$460.80 |
$576 |
0.6× |
| Bladder Irrigation Simple (51700) |
$382 |
$477.50 |
1.5× |
| Blood patch (62273) |
$1,452.80 |
$1,816 |
2.0× |
| Blood transfusion service (36430) |
$1,017.60 |
$1,272 |
2.2× |
| Bone Marrow Biopsy (38221) |
$1,624.40 |
$2,030.50 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$939.20 |
$1,174 |
0.6× |
| Bx breast 1st lesion us imag (19083) |
$2,232.80 |
$2,791 |
1.3× |
| Bx/exc lymph node needle superficial (38505) |
$2,755.20 |
$3,444 |
1.6× |
| Change of cystostomy tube simple (51705) |
$540.80 |
$676 |
2.1× |
| Change Ureter Stent, Percut (50382) |
$2,256.80 |
$2,821 |
1.0× |
| Chemical cautery tissue (17250) |
$327.20 |
$409 |
1.6× |
| Closed Rx Radial Shaft Fx (25500) |
$364.80 |
$456 |
1.4× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$455.20 |
$569 |
1.8× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$419.20 |
$524 |
0.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,098.40 |
$1,373 |
0.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$385.60 |
$482 |
1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$505.60 |
$632 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,013.60 |
$1,267 |
0.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$991.20 |
$1,239 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$398.40 |
$498 |
1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$492 |
$615 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,168.80 |
$1,461 |
0.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,010.40 |
$1,263 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,183.20 |
$1,479 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$442.40 |
$553 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,821.60 |
$2,277 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$570.40 |
$713 |
2.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$914.40 |
$1,143 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$600 |
$750 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$442.40 |
$553 |
1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$474.40 |
$593 |
1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$345.60 |
$432 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$411.20 |
$514 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,117.60 |
$1,397 |
0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$468.80 |
$586 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$494.40 |
$618 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,048.80 |
$1,311 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$404 |
$505 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$448 |
$560 |
1.8× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,402.40 |
$1,753 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$518.40 |
$648 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$450.40 |
$563 |
1.8× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$390.40 |
$488 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$468.80 |
$586 |
1.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,320 |
$2,900 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$570.40 |
$713 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,456.80 |
$3,071 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$548.80 |
$686 |
2.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,188 |
$1,485 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,062.40 |
$1,328 |
0.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,333.60 |
$1,667 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$194.40 |
$243 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$310.40 |
$388 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$276.80 |
$346 |
2.0× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$413.60 |
$517 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$326.40 |
$408 |
2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$692 |
$865 |
1.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,094.40 |
$2,618 |
2.9× |
| Debride nail 1-5 (11720) |
$112 |
$140 |
1.8× |
| Debride nail 6 or more (11721) |
$161.60 |
$202 |
2.7× |
| Debride tissue/muscle (11043) |
$884.80 |
$1,106 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$463.20 |
$579 |
1.1× |
| Declot vascular device (36593) |
$207.20 |
$259 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$789.60 |
$987 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$2,142.40 |
$2,678 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$415.20 |
$519 |
2.0× |
| Drainage of gum lesion (41800) |
$351.20 |
$439 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$2,628.80 |
$3,286 |
1.5× |
| Drainage of perirenal or renal abscess, open Facility (50020) |
$2,954.40 |
$3,693 |
1.4× |
| Draw blood off venous device (36591) |
$123.60 |
$154.50 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$532.80 |
$666 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$383.20 |
$479 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$329.60 |
$412 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$172.80 |
$216 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,248 |
$1,560 |
1.7× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,448 |
$3,060 |
1.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,504 |
$3,130 |
2.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,452.80 |
$5,566 |
2.1× |
| Exploration penetrating wound spx extremity (20103) |
$2,410.40 |
$3,013 |
1.4× |
| External cephalic version (59412) |
$1,390.40 |
$1,738 |
0.4× |
| Fetal non-stress test (59025) |
$448 |
$560 |
2.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,100.80 |
$1,376 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$220 |
$275 |
0.5× |
| Fluoro exam of g/colon tube (49465) |
$523.20 |
$654 |
2.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,100.80 |
$1,376 |
1.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$290.40 |
$363 |
1.3× |
| Guide Cathet Fluid Drainage (10030) |
$1,984 |
$2,480 |
2.7× |
| I&D Abscess Peritonsillar (42700) |
$505.60 |
$632 |
2.1× |
| I&d abscess simple (10060) |
$435.20 |
$544 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$560 |
$700 |
0.8× |
| I&d vulva/perineal abscess (56405) |
$528.80 |
$661 |
1.7× |
| Image Cath Fluid Peri/Retro (49406) |
$834.40 |
$1,043 |
0.5× |
| Incise external hemorrhoid (46083) |
$444.80 |
$556 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$674.40 |
$843 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$619.20 |
$774 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$378.40 |
$473 |
1.8× |
| Incision and drainage perianal abscess superficial (46050) |
$1,469.60 |
$1,837 |
1.5× |
| Initial tx 1st degree burn local tx (16000) |
$276.80 |
$346 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$305.60 |
$382 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$914.40 |
$1,143 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$531.20 |
$664 |
1.7× |
| Injection for identification of sentinel node (38792) |
$1,140 |
$1,425 |
2.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$488 |
$610 |
1.5× |
| Injection(s) spider veins (36468) |
$320.80 |
$401 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$306.40 |
$383 |
2.3× |
| Insert cath pleura w/o image (32556) |
$1,552.80 |
$1,941 |
0.8× |
| Insert cervical dilator (59200) |
$468.80 |
$586 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$1,750.40 |
$2,188 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,208.80 |
$2,761 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$220.80 |
$276 |
1.6× |
| Insert tun ip cath perc (49418) |
$6,146.40 |
$7,683 |
1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$166.40 |
$208 |
1.2× |
| Insj picc rs&i 5 yr+ (36573) |
$2,355.20 |
$2,944 |
1.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$676 |
$845 |
0.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,195.20 |
$3,994 |
2.2× |
| Intro Gastrointestinal Tube (44500) |
$664 |
$830 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$558.40 |
$698 |
2.3× |
| Laryngoscopy flexible diagnostic (31575) |
$878.40 |
$1,098 |
4.3× |
| Ligation of hemorrhoid(s) (46221) |
$600.80 |
$751 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$4,458.40 |
$5,573 |
2.6× |
| Liver Biopsy (47000) |
$1,490 |
$1,862.50 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$444.80 |
$556 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.20 |
$49 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$65.60 |
$82 |
2.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$644 |
$805 |
0.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$579.20 |
$724 |
1.4× |
| Occipital Nerve Block (64405) |
$590.40 |
$738 |
1.9× |
| Perq dev breast 1st us imag (19285) |
$365.60 |
$457 |
0.5× |
| Perq device breast 1st imag (19281) |
$1,908 |
$2,385 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$552 |
$690 |
2.1× |
| Picc line placement (36569) |
$1,801.20 |
$2,251.50 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$349.60 |
$437 |
0.8× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) likely a partial charge, not the full procedure |
$418.40 |
$523 |
0.1× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,578.40 |
$3,223 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$710.40 |
$888 |
1.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$482.80 |
$603.50 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,229.60 |
$1,537 |
1.7× |
| Removal foreign body intranasal (30300) |
$224 |
$280 |
1.6× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,330.40 |
$2,913 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$171.20 |
$214 |
2.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$134.40 |
$168 |
2.2× |
| Removal implant deep (20680) |
$4,792 |
$5,990 |
1.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$310.40 |
$388 |
0.7× |
| Removal of iud (58301) |
$546.40 |
$683 |
1.7× |
| Removal of nail bed (11750) |
$835.20 |
$1,044 |
2.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$277.60 |
$347 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$405.60 |
$507 |
1.4× |
| Remv Ext Canal Foreign Body (69200) |
$198.40 |
$248 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$252.80 |
$316 |
1.8× |
| Renal Biopsy Percutaneous (50200) |
$939.20 |
$1,174 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,818.40 |
$6,023 |
1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,040.80 |
$1,301 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,247.20 |
$1,559 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$789.60 |
$987 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,219.20 |
$1,524 |
2.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$954.40 |
$1,193 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,444 |
$1,805 |
3.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,634.40 |
$2,043 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,456.80 |
$3,071 |
3.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,976.80 |
$3,721 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$770.40 |
$963 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$603.20 |
$754 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$606.40 |
$758 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$653.60 |
$817 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$640 |
$800 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$669.60 |
$837 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$944 |
$1,180 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$902.40 |
$1,128 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$533.60 |
$667 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$635.20 |
$794 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$718.40 |
$898 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,814.40 |
$2,268 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$841.60 |
$1,052 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$674.40 |
$843 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$689.60 |
$862 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,130.40 |
$1,413 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$741.60 |
$927 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,344 |
$2,930 |
1.1× |
| Repair of nail bed (11760) |
$777.60 |
$972 |
1.0× |
| Repair Tongue Laceration (41250) |
$380.80 |
$476 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$272.80 |
$341 |
2.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$856 |
$1,070 |
1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$304 |
$380 |
0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,566.40 |
$1,958 |
2.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$478.40 |
$598 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$338.40 |
$423 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$356 |
$445 |
1.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$602.40 |
$753 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$404.80 |
$506 |
2.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$444.80 |
$556 |
2.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$465.60 |
$582 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$324.80 |
$406 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$505.60 |
$632 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$374.40 |
$468 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$2,909.60 |
$3,637 |
3.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,440 |
$1,800 |
1.9× |
| Skn sub grft f/n/hf/g child (15277) |
$940 |
$1,175 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$342.40 |
$428 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$480 |
$600 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$514.40 |
$643 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$905.20 |
$1,131.50 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$384 |
$480 |
0.5× |
| Strapping unna boot (29580) |
$252.80 |
$316 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,024 |
$1,280 |
1.6× |
| Thyroid biopsy (60100) |
$1,350.40 |
$1,688 |
1.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,320.80 |
$2,901 |
1.4× |
| Treat humerus fracture (23600) |
$408 |
$510 |
1.6× |
| Treat knee fracture (27532) |
$856 |
$1,070 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$594.40 |
$743 |
2.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,782.40 |
$2,228 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$526.40 |
$658 |
2.1× |
| Trim skin lesion (11055) |
$241.60 |
$302 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$244 |
$305 |
1.2× |
| Tube thoracostomy includes water seal (32551) |
$955.60 |
$1,194.50 |
0.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,806.40 |
$4,758 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,283.20 |
$1,604 |
1.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$3,880 |
$4,850 |
15.9× |
| Unlisted procedure nervous system (64999) |
$380 |
$475 |
1.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$3,106 |
$3,882.50 |
4.8× |
| Us urine capacity measure (51798) |
$192.80 |
$241 |
3.2× |