| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$18,386.18 |
$18,386.18 |
4.4× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$10,338.81 |
$10,338.81 |
4.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$9,754.56 |
$9,754.56 |
4.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$9,754.56 |
$9,754.56 |
4.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$16,824.08 |
$16,824.08 |
4.4× |
| Amputation Finger/Thumb (26951) |
$16,824.08 |
$16,824.08 |
4.4× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$795.22 |
$795.22 |
4.1× |
| Application cast elbow finger short arm (29075) |
$1,411.70 |
$1,411.70 |
4.3× |
| Application Cast Finger (29086) |
$823.84 |
$823.84 |
4.3× |
| Application cast shoulder hand long arm (29065) |
$1,411.70 |
$1,411.70 |
4.3× |
| Application Cast Shoulder Spica (29055) |
$1,355.97 |
$1,355.97 |
4.1× |
| Application Finger Splint Dynamic (29131) |
$348.80 |
$348.80 |
5.0× |
| Application finger splint static (29130) |
$656.25 |
$656.25 |
4.2× |
| Application Hip Spica Cast 1 Leg (29305) |
$1,501.06 |
$1,501.06 |
4.5× |
| Application long arm splint shoulder hand (29105) |
$823.84 |
$823.84 |
4.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$1,513.38 |
$1,513.38 |
4.6× |
| Application of cylinder cast (thigh to ankle) (29365) |
$1,411.70 |
$1,411.70 |
4.3× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$1,446.23 |
$1,446.23 |
4.4× |
| Application of long leg cast (29345) |
$1,411.70 |
$1,411.70 |
4.3× |
| Application of rigid total contact leg cast (29445) |
$1,411.70 |
$1,411.70 |
4.3× |
| Application Patellar Tendon Bearing Cast (29435) |
$1,411.70 |
$1,411.70 |
4.3× |
| Application Short Arm Splint Dynamic (29126) |
$639.60 |
$639.60 |
4.1× |
| Application short arm splint forearm-hand static (29125) |
$656.25 |
$656.25 |
4.2× |
| Apply Hand/Wrist Cast (29085) |
$823.84 |
$823.84 |
4.3× |
| Apply long leg splint (29505) |
$823.84 |
$823.84 |
4.3× |
| Apply short leg cast (29405) |
$1,615.06 |
$1,615.06 |
4.9× |
| Apply short leg cast (29425) |
$1,355.97 |
$1,355.97 |
4.1× |
| Apply short leg splint (29515) |
$823.84 |
$823.84 |
4.3× |
| Arrest Epiphyseal Open Distal Tibia (27730) |
$10,294.80 |
$10,294.80 |
2.7× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) |
$8,919.76 |
$8,919.76 |
1.0× |
| Arterial puncture (36600) |
$687.90 |
$687.90 |
4.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$718.50 |
$718.50 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$3,641 |
$3,641 |
4.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$960.01 |
$960.01 |
2.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,668.41 |
$1,668.41 |
4.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,536.72 |
$1,536.72 |
4.2× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$16,824.08 |
$16,824.08 |
4.4× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) |
$9,290.45 |
$9,290.45 |
0.6× |
| Arthroscopy knee synovectomy limited spx (29875) |
$10,952.40 |
$10,952.40 |
2.8× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$14,419.90 |
$14,419.90 |
3.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$8,088.79 |
$8,088.79 |
2.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$11,335.05 |
$11,335.05 |
2.9× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$15,806.90 |
$15,806.90 |
1.8× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$16,824.08 |
$16,824.08 |
4.4× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$20,661.40 |
$20,661.40 |
5.3× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$10,028.30 |
$10,028.30 |
1.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$11,645.90 |
$11,645.90 |
3.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$1,536.72 |
$1,536.72 |
4.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$3,667.98 |
$3,667.98 |
4.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$1,158.55 |
$1,158.55 |
4.9× |
| Biopsy pleura percutaneous needle (32400) |
$8,475.46 |
$8,475.46 |
4.3× |
| Biopsy Salivary Gland Incisional (42405) |
$6,516.45 |
$6,516.45 |
3.6× |
| Blood transfusion service (36430) |
$2,212 |
$2,212 |
4.2× |
| Chemical cautery tissue (17250) |
$373.90 |
$373.90 |
1.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$4,212.26 |
$4,212.26 |
5.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$1,536.72 |
$1,536.72 |
4.2× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$1,536.72 |
$1,536.72 |
4.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$3,641.81 |
$3,641.81 |
4.4× |
| Chemodenerv trunk musc 6/> (64647) |
$718.50 |
$718.50 |
0.9× |
| Chemodenervation internal anal sphincter (46505) |
$6,120.61 |
$6,120.61 |
4.3× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$1,536.72 |
$1,536.72 |
4.2× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$4,038.88 |
$4,038.88 |
4.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$1,536.72 |
$1,536.72 |
4.2× |
| Circum 28 days or older (54161) |
$10,483.78 |
$10,483.78 |
4.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Rx Radial Shaft Fx (25500) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed treat wrist dislocation (25660) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$20,788.11 |
$20,788.11 |
5.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$16,824.08 |
$16,824.08 |
8.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$8,107.91 |
$8,107.91 |
4.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,170.02 |
$1,170.02 |
4.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,170.02 |
$1,170.02 |
4.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,170.02 |
$1,170.02 |
4.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,170.02 |
$1,170.02 |
4.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$953.26 |
$953.26 |
3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,170.02 |
$1,170.02 |
0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,355.97 |
$1,355.97 |
4.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,355.80 |
$1,355.80 |
4.7× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx post ankle fx w/mnpj (27768) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$1,170.02 |
$1,170.02 |
4.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$8,107.91 |
$8,107.91 |
4.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,170.02 |
$1,170.02 |
4.0× |
| Comp ext fixate strut change (20697) |
$9,045.52 |
$9,045.52 |
4.8× |
| Complex Cystometrogram (51726) |
$1,214.45 |
$1,214.45 |
4.1× |
| Complex cystometrogram urethral press profile (51727) |
$3,534.42 |
$3,534.42 |
4.3× |
| Complex Uroflowmetry (51741) |
$472.70 |
$472.70 |
1.9× |
| Csf shunt reprogram (62252) |
$1,563.63 |
$1,563.63 |
4.3× |
| Cystometrogram w/vp (51728) |
$3,534.42 |
$3,534.42 |
4.3× |
| Cystometrogram W/Vp&Up (51729) |
$4,026.49 |
$4,026.49 |
4.9× |
| Cystourethroscopy (52000) |
$4,026.48 |
$4,026.48 |
4.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$14,600.53 |
$14,600.53 |
4.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,108.59 |
$2,108.59 |
4.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$8,475.46 |
$8,475.46 |
4.3× |
| Delay Flap/Sectioning Flap Trunk (15600) |
$18,386.18 |
$18,386.18 |
4.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$1,020.64 |
$1,020.64 |
4.3× |
| Destruction Lesions Vulva Simple (56501) |
$9,754.56 |
$9,754.56 |
4.0× |
| Destruction premalignant lesion 1st (17000) |
$1,020.64 |
$1,020.64 |
4.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$8,475.46 |
$8,475.46 |
4.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$3,667.98 |
$3,667.98 |
4.4× |
| Drain/inj small joint/bursa w/us (20604) |
$1,772.47 |
$1,772.47 |
4.9× |
| Drainage external auditory canal abscess (69020) |
$3,667.98 |
$3,667.98 |
4.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$3,667.98 |
$3,667.98 |
4.4× |
| Dressing change under anesthesia (15852) |
$2,567.30 |
$2,567.30 |
2.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$2,108.59 |
$2,108.59 |
4.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$373.90 |
$373.90 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$373.90 |
$373.90 |
1.6× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$10,338.81 |
$10,338.81 |
4.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$1,563.63 |
$1,563.63 |
4.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,563.63 |
$1,563.63 |
4.3× |
| Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) |
$1,563.63 |
$1,563.63 |
4.3× |
| EMG anal/urethral sphincter (51785) |
$866.50 |
$866.50 |
2.9× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$472.70 |
$472.70 |
3.1× |
| Evacuation of subungual hematoma (11740) |
$728.54 |
$728.54 |
4.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$3,667.98 |
$3,667.98 |
4.4× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$3,667.98 |
$3,667.98 |
4.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$3,667.98 |
$3,667.98 |
4.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$8,475.46 |
$8,475.46 |
4.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$10,258.90 |
$10,258.90 |
5.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$3,667.98 |
$3,667.98 |
4.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$2,108.59 |
$2,108.59 |
4.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$3,667.98 |
$3,667.98 |
4.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$8,475.46 |
$8,475.46 |
4.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$8,475.46 |
$8,475.46 |
4.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$8,475.46 |
$8,475.46 |
4.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$8,475.46 |
$8,475.46 |
4.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$8,475.46 |
$8,475.46 |
4.3× |
| Excise cutaneous neurofibroma (64788) |
$10,159.58 |
$10,159.58 |
4.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$8,372.19 |
$8,372.19 |
4.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$3,667.98 |
$3,667.98 |
4.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$3,667.98 |
$3,667.98 |
4.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$3,667.98 |
$3,667.98 |
4.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$8,475.46 |
$8,475.46 |
4.3× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Facility (23150) |
$13,726.40 |
$13,726.40 |
3.6× |
| Excision prepatellar bursa (27340) |
$10,952.40 |
$10,952.40 |
2.8× |
| Fine needle aspiration without imaging guidance (10021) |
$2,108.59 |
$2,108.59 |
4.4× |
| Fluid pressure muscle (20950) |
$3,976.69 |
$3,976.69 |
4.8× |
| Fna bx w/fluor gdn 1st les (10007) |
$267.70 |
$267.70 |
0.3× |
| Forearm or wrist surgery (25999) |
$13,726.40 |
$13,726.40 |
47.1× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$9,754.56 |
$9,754.56 |
4.0× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$10,389.38 |
$10,389.38 |
4.3× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$9,754.56 |
$9,754.56 |
4.0× |
| I&D Abscess Peritonsillar (42700) |
$1,174.66 |
$1,174.66 |
4.2× |
| I&d abscess simple (10060) |
$373.90 |
$373.90 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$3,667.98 |
$3,667.98 |
4.4× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
$18,329.83 |
$18,329.83 |
4.7× |
| Incise finger tendon sheath (26055) |
$10,258.90 |
$10,258.90 |
5.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,108.59 |
$2,108.59 |
4.4× |
| Incision extensor tendon sheath wrist (25000) |
$8,107.91 |
$8,107.91 |
4.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$8,372.19 |
$8,372.19 |
4.6× |
| Initial tx 1st degree burn local tx (16000) |
$1,020.64 |
$1,020.64 |
4.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$4,816.52 |
$4,816.52 |
4.6× |
| Inj tendon sheath/ligament (20550) |
$1,536.72 |
$1,536.72 |
4.2× |
| Inj therapeutic carpal tunnel (20526) |
$1,536.72 |
$1,536.72 |
4.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$5,107.31 |
$5,107.31 |
4.9× |
| Inject Tendon Origin/Insert (20551) |
$1,536.72 |
$1,536.72 |
4.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$3,641.81 |
$3,641.81 |
4.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$782.86 |
$782.86 |
0.9× |
| Injection into skin lesions (11900) |
$1,020.64 |
$1,020.64 |
4.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,536.72 |
$1,536.72 |
4.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,536.72 |
$1,536.72 |
4.2× |
| Insert and remove bone pin (20650) |
$16,824.08 |
$16,824.08 |
4.4× |
| Insert Temp Bladder Cath (51702) |
$842.70 |
$842.70 |
5.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$289.10 |
$289.10 |
1.8× |
| Insj picc rs&i 5 yr+ (36573) |
$7,689.20 |
$7,689.20 |
4.1× |
| Knee Arthroscopy/Surgery (29879) |
$12,339.40 |
$12,339.40 |
3.2× |
| Lap ing hernia repair init (49650) |
$29,459.07 |
$29,459.07 |
4.1× |
| Laryngoscopy flexible diagnostic (31575) |
$1,010.30 |
$1,010.30 |
4.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$2,131.60 |
$2,131.60 |
4.6× |
| Lateral canthopexy (21282) |
$16,080.11 |
$16,080.11 |
4.1× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$15,113.40 |
$15,113.40 |
1.8× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$9,754.56 |
$9,754.56 |
4.0× |
| Nasal endoscopy dx (31231) |
$373.90 |
$373.90 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$164.40 |
$164.40 |
4.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$164.40 |
$164.40 |
4.8× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$10,159.58 |
$10,159.58 |
4.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$2,355.64 |
$2,355.64 |
5.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$4,816.52 |
$4,816.52 |
4.6× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$30,179.81 |
$30,179.81 |
4.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$30,179.81 |
$30,179.81 |
4.3× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$12,339.40 |
$12,339.40 |
1.4× |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
$12,339.40 |
$12,339.40 |
1.4× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$10,952.40 |
$10,952.40 |
1.3× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$16,824.08 |
$16,824.08 |
4.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,214.45 |
$1,214.45 |
4.1× |
| Picc line placement (36569) |
$8,780.04 |
$8,780.04 |
4.7× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$10,258.90 |
$10,258.90 |
1.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$16,824.08 |
$16,824.08 |
4.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$2,108.59 |
$2,108.59 |
4.4× |
| Reconstruct extra finger (26587) |
$11,645.90 |
$11,645.90 |
3.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$17,193.90 |
$17,193.90 |
2.0× |
| Removal foreign body intranasal (30300) |
$656.25 |
$656.25 |
4.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$335.72 |
$335.72 |
4.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$324.88 |
$324.88 |
4.7× |
| Removal implant deep (20680) |
$8,493.60 |
$8,493.60 |
2.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$8,475.46 |
$8,475.46 |
4.3× |
| Removal of finger lesion (26210) |
$8,107.91 |
$8,107.91 |
4.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$373.90 |
$373.90 |
1.6× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$10,340.50 |
$10,340.50 |
4.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$1,355.97 |
$1,355.97 |
4.1× |
| Remove Lower Leg Bone Lesion (27635) |
$11,299.15 |
$11,299.15 |
2.9× |
| Remove tissue expander (11971) |
$14,600.53 |
$14,600.53 |
4.3× |
| Remv Ext Canal Foreign Body (69200) |
$656.25 |
$656.25 |
4.2× |
| Remv/revisn shldr/hip spica cast (29710) |
$1,446.23 |
$1,446.23 |
4.4× |
| Repair arm/leg nerve (64857) |
$34,921.73 |
$34,921.73 |
8.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$3,283.53 |
$3,283.53 |
3.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$2,108.59 |
$2,108.59 |
4.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$2,108.59 |
$2,108.59 |
4.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,108.59 |
$2,108.59 |
4.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$2,108.59 |
$2,108.59 |
4.4× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$15,806.90 |
$15,806.90 |
1.8× |
| Repair of web finger (26561) |
$11,024.20 |
$11,024.20 |
2.9× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$5,299.09 |
$5,299.09 |
4.9× |
| Respir iadna 18 viral&2 bact (0115U) |
$1,556.28 |
$1,556.28 |
5.7× |
| Revision of lower leg tendon (27685) |
$10,294.80 |
$10,294.80 |
2.7× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$30,179.81 |
$30,179.81 |
4.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$16,824.08 |
$16,824.08 |
4.4× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$16,824.08 |
$16,824.08 |
4.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$16,824.08 |
$16,824.08 |
4.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$16,824.08 |
$16,824.08 |
4.4× |
| Simple Cystometrogram (51725) |
$1,366.40 |
$1,366.40 |
4.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,020.64 |
$1,020.64 |
4.3× |
| Skin splt grft trnk/arm/leg (15100) |
$9,754.56 |
$9,754.56 |
4.0× |
| Skin sub graft face/nk/hf/g (15275) |
$10,338.81 |
$10,338.81 |
11.8× |
| Skin Tissue Procedure (17999) |
$3,283.53 |
$3,283.53 |
13.9× |
| Skin tissue rearrangement (14040) |
$9,754.56 |
$9,754.56 |
4.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$18,386.18 |
$18,386.18 |
4.4× |
| Skn sub grft f/n/hf/g child (15277) |
$11,914.25 |
$11,914.25 |
4.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$1,020.64 |
$1,020.64 |
4.3× |
| Spinal puncture lumbar diagnostic (62270) |
$3,585.85 |
$3,585.85 |
4.3× |
| Spinal Puncture Therapeutic (62272) |
$3,585.85 |
$3,585.85 |
4.3× |
| Spine Surgery Procedure Unlisted (22899) |
$1,170.02 |
$1,170.02 |
4.0× |
| Stimulus evoked response (51792) |
$461.20 |
$461.20 |
6.6× |
| Strapping ankle (29540) |
$848.53 |
$848.53 |
4.4× |
| Strapping elbow or wrist (29260) |
$329.40 |
$329.40 |
4.7× |
| Strapping hand/finger (29280) |
$329.39 |
$329.39 |
4.7× |
| Strapping knee (29530) |
$687.90 |
$687.90 |
4.4× |
| Strapping shoulder (29240) |
$687.90 |
$687.90 |
4.4× |
| Strapping toes (29550) |
$348.80 |
$348.80 |
5.0× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$1,020.64 |
$1,020.64 |
4.3× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$3,283.53 |
$3,283.53 |
3.8× |
| Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) |
$3,283.53 |
$3,283.53 |
3.8× |
| Tenolysis extensor tendon hand/finger each (26445) |
$16,824.08 |
$16,824.08 |
4.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$12,161.86 |
$12,161.86 |
6.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$3,269.68 |
$3,269.68 |
4.4× |
| Thyroid biopsy (60100) |
$3,667.98 |
$3,667.98 |
4.4× |
| Tracheotomy tube change (31502) |
$597 |
$597 |
2.1× |
| Treat clavicle dislocation (23540) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treat clavicle fracture (23505) |
$8,107.91 |
$8,107.91 |
4.3× |
| Treat humerus fracture (24500) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treat humerus fracture (23600) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treat knee fracture (27532) |
$16,824.08 |
$16,824.08 |
4.4× |
| Treat Knee Fracture(S) (27538) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treat Metatarsal Fracture (28475) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treat wrist bone fracture (25622) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treat Wrist Bone Fracture (25630) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,170.02 |
$1,170.02 |
4.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,170.02 |
$1,170.02 |
4.0× |
| Unlisted procedure arthroscopy (29999) |
$8,943.70 |
$8,943.70 |
30.7× |
| Unlisted procedure dentoalveolar structures (41899) |
$14,419.90 |
$14,419.90 |
51.5× |
| Unlisted Procedure External Ear (69399) |
$1,312.51 |
$1,312.51 |
4.7× |
| Unlisted procedure humerus/elbow (24999) |
$1,170.02 |
$1,170.02 |
4.0× |
| Unlisted procedure, hands or fingers (26989) |
$1,170.02 |
$1,170.02 |
4.0× |
| Us urine capacity measure (51798) |
$373.90 |
$373.90 |
5.4× |
| Venipuncture (36415) |
$20 |
$20 |
2.1× |
| Wedge excision skin nail fold (11765) |
$2,108.59 |
$2,108.59 |
4.4× |
| Wedging of cast (29740) |
$1,355.97 |
$1,355.97 |
4.1× |
| Windowing of cast (29730) |
$823.84 |
$823.84 |
4.3× |
| Wound Prep F/N/Hf/G (15004) |
$3,283.53 |
$3,283.53 |
6.8× |