| Abd paracentesis w/imaging (49083) |
$669.70 |
$1,674.27 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,125.07 |
$2,812.68 |
1.4× |
| Anoscopy diagnostic (46600) |
$154.68 |
$386.70 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,094.05 |
$2,735.13 |
1.3× |
| Application finger splint static (29130) |
$155.76 |
$389.40 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$189.35 |
$473.37 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$189.35 |
$473.37 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$163.96 |
$409.90 |
1.4× |
| Application short leg splint calf foot (29515) |
$189.35 |
$473.37 |
1.3× |
| Arterial puncture (36600) |
$154.68 |
$386.70 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$354.23 |
$885.57 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$831.02 |
$2,077.56 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$354.23 |
$885.57 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$354.23 |
$885.57 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$72 |
$180 |
0.3× |
| Aspiration bladder needle (51100) |
$441.60 |
$1,104 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$238.44 |
$596.10 |
1.3× |
| Bladder Irrigation Simple (51700) |
$299.74 |
$749.36 |
1.3× |
| Blood transfusion service (36430) |
$524.62 |
$1,311.54 |
1.3× |
| Bone marrow aspiration only (38220) |
$1,354.99 |
$3,387.48 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$1,200.02 |
$3,000.06 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,106.59 |
$2,766.48 |
0.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$77.95 |
$194.88 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$800.96 |
$2,002.41 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$291.85 |
$729.63 |
1.3× |
| Chest tube placement (32551) |
$1,317.41 |
$3,293.52 |
0.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$287.86 |
$719.64 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$287.86 |
$719.64 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$287.86 |
$719.64 |
1.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$287.86 |
$719.64 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$287.86 |
$719.64 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$287.86 |
$719.64 |
1.3× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$287.86 |
$719.64 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$287.86 |
$719.64 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$287.86 |
$719.64 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$287.86 |
$719.64 |
1.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$287.86 |
$719.64 |
1.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$287.86 |
$719.64 |
1.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$287.86 |
$719.64 |
1.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$287.86 |
$719.64 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$287.86 |
$719.64 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$287.86 |
$719.64 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$288.03 |
$720.08 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,920.49 |
$4,801.23 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$287.86 |
$719.64 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$287.86 |
$719.64 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,920.49 |
$4,801.23 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$287.98 |
$719.94 |
1.3× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$287.86 |
$719.64 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$287.86 |
$719.64 |
1.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$287.86 |
$719.64 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$287.86 |
$719.64 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$287.86 |
$719.64 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$287.86 |
$719.64 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$287.86 |
$719.64 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$287.86 |
$719.64 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$287.86 |
$719.64 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$287.86 |
$719.64 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$287.86 |
$719.64 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$287.86 |
$719.64 |
1.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$287.86 |
$719.64 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$287.86 |
$719.64 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$287.86 |
$719.64 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$287.86 |
$719.64 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$287.86 |
$719.64 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$287.86 |
$719.64 |
1.3× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$287.86 |
$719.64 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$287.86 |
$719.64 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$287.86 |
$719.64 |
1.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$287.86 |
$719.64 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$287.86 |
$719.64 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$287.86 |
$719.64 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,920.49 |
$4,801.23 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$287.86 |
$719.64 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$162 |
$405 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$154.68 |
$386.70 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$154.68 |
$386.70 |
1.3× |
| Cryotherapy of skin (17340) |
$27.20 |
$68 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$154.68 |
$386.70 |
1.3× |
| Debride nail 1-5 (11720) |
$71.28 |
$178.20 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$479.44 |
$1,198.59 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$734.56 |
$1,836.39 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,944.29 |
$4,860.72 |
1.3× |
| Delivery placenta separate procedure (59414) |
$3,815.44 |
$9,538.59 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$198.70 |
$496.75 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$238.44 |
$596.10 |
1.3× |
| Drain/inj small joint/bursa w/us (20604) |
$354.23 |
$885.57 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,944.29 |
$4,860.72 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$1,920.49 |
$4,801.23 |
10.5× |
| Drainage of scrotal wall abscess (55100) |
$1,944.29 |
$4,860.72 |
1.3× |
| Dressing change under anesthesia (15852) |
$15.20 |
$38 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$479.44 |
$1,198.59 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$238.44 |
$596.10 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$238.44 |
$596.10 |
1.3× |
| Episiotomy or vaginal repair (59300) |
$2,138.23 |
$5,345.58 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$154.68 |
$386.70 |
1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,414.90 |
$3,537.24 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$333.50 |
$833.76 |
1.7× |
| I&D Abscess Peritonsillar (42700) |
$278.66 |
$696.66 |
1.3× |
| I&d abscess simple (10060) |
$238.44 |
$596.10 |
1.3× |
| I&d perianal abscess superficial (46050) |
$1,094.04 |
$2,735.10 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$844.31 |
$2,110.77 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$479.44 |
$1,198.59 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$844.31 |
$2,110.77 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,944.29 |
$4,860.72 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$479.44 |
$1,198.59 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$241.40 |
$603.51 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$365.03 |
$912.57 |
1.3× |
| Incision of rectal abscess (46040) |
$1,414.90 |
$3,537.24 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$304.86 |
$762.16 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$238.44 |
$596.10 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$354.12 |
$885.30 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$900.88 |
$2,252.20 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$354.23 |
$885.57 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$257.78 |
$644.45 |
0.4× |
| Injection anes other peripheral nerve/branch (64450) |
$523.50 |
$1,308.76 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$354.23 |
$885.57 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$354.23 |
$885.57 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$185.22 |
$463.07 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$3,777 |
$9,442.50 |
1.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,777 |
$9,442.50 |
1.3× |
| Insert picc cath (36569) |
$1,864.13 |
$4,660.32 |
1.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,864.13 |
$4,660.32 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$154.68 |
$386.70 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$154.68 |
$386.70 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,253.16 |
$5,632.90 |
0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,864.13 |
$4,660.32 |
1.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$741.91 |
$1,854.78 |
1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,409.09 |
$18,522.72 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$296.99 |
$742.48 |
1.4× |
| Irrigate corpora cavernosa for priapism (54220) |
$291.85 |
$729.63 |
1.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$208.61 |
$521.52 |
1.1× |
| Myelography Lumbar Injection (62305) |
$602.05 |
$1,505.13 |
0.8× |
| Myelography Lumbar Injection (62304) |
$551.38 |
$1,378.43 |
0.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$552.06 |
$1,380.14 |
0.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$553.64 |
$1,384.08 |
0.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$291.85 |
$729.63 |
1.3× |
| Peritoneal Lavage (49084) |
$1,125.07 |
$2,812.68 |
1.4× |
| Perq dev breast 1st us imag (19285) |
$533.66 |
$1,334.16 |
0.8× |
| Perq device breast 1st imag (19281) |
$1,017.15 |
$2,542.88 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$478.85 |
$1,197.12 |
1.2× |
| Preputial Stretching (54450) |
$291.85 |
$729.62 |
1.3× |
| Puncture Aspiration (10160) |
$479.44 |
$1,198.59 |
1.3× |
| Removal fb intranasal (30300) |
$154.68 |
$386.70 |
1.3× |
| Removal Foreign Body Foot Complicated (28193) |
$1,944.29 |
$4,860.72 |
1.3× |
| Removal foreign body foot deep (28192) |
$1,944.29 |
$4,860.72 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$844.31 |
$2,110.77 |
1.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,893.53 |
$9,733.83 |
1.3× |
| Removal foreign body pharynx (42809) |
$421.78 |
$1,054.44 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,434.46 |
$8,586.15 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$71.28 |
$178.20 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$71.28 |
$178.20 |
1.3× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,815.44 |
$9,538.59 |
1.3× |
| Removal of arm foreign body (24200) |
$1,944.29 |
$4,860.72 |
1.3× |
| Removal of nail bed (11750) |
$479.44 |
$1,198.59 |
1.3× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$3,434.46 |
$8,586.15 |
1.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$318.02 |
$795.04 |
1.2× |
| Remove Eyelid Foreign Body (67938) |
$358.72 |
$896.79 |
1.2× |
| Remove foreign body from eye (65210) |
$478.85 |
$1,197.12 |
1.2× |
| Remove shoulder foreign body (23330) |
$1,944.29 |
$4,860.72 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$99.55 |
$248.88 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$147.73 |
$369.33 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$734.56 |
$1,836.39 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$734.56 |
$1,836.39 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$479.44 |
$1,198.59 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$734.56 |
$1,836.39 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$734.56 |
$1,836.39 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$734.56 |
$1,836.39 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$734.56 |
$1,836.39 |
1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$734.56 |
$1,836.39 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,920.17 |
$4,800.42 |
1.3× |
| Repair hand tendon (26410) |
$1,920.49 |
$4,801.23 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$734.56 |
$1,836.39 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$734.56 |
$1,836.39 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,195.08 |
$5,487.69 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$734.56 |
$1,836.39 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$479.44 |
$1,198.59 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,195.08 |
$5,487.69 |
1.2× |
| Repair of nail bed (11760) |
$734.56 |
$1,836.39 |
1.1× |
| Repair Tongue Laceration (41250) |
$478.85 |
$1,197.12 |
1.2× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$611.10 |
$1,527.75 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,125.07 |
$2,812.68 |
1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$424.57 |
$1,061.42 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$140.78 |
$351.96 |
1.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,414.91 |
$3,537.27 |
1.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$3,434.46 |
$8,586.15 |
1.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$734.56 |
$1,836.39 |
1.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$278.66 |
$696.66 |
1.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$278.66 |
$696.66 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$616.34 |
$1,540.84 |
1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,525.42 |
$3,813.56 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$479.44 |
$1,198.59 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$238.44 |
$596.10 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$238.44 |
$596.10 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$479.44 |
$1,198.59 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$238.44 |
$596.10 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$238.44 |
$596.10 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$238.44 |
$596.10 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$238.44 |
$596.10 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$238.44 |
$596.10 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$238.44 |
$596.10 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$238.44 |
$596.10 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$479.44 |
$1,198.59 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$479.44 |
$1,198.59 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$790.68 |
$1,976.70 |
1.2× |
| Strapping ankle (29540) |
$189.35 |
$473.37 |
1.3× |
| Strapping elbow/wrist (29260) |
$71.28 |
$178.20 |
1.3× |
| Strapping hand/finger (29280) |
$71.28 |
$178.20 |
1.3× |
| Strapping Hip (29520) |
$154.68 |
$386.70 |
1.3× |
| Strapping knee (29530) |
$154.68 |
$386.70 |
1.3× |
| Strapping shoulder (29240) |
$159.75 |
$399.37 |
1.3× |
| Strapping thorax (29200) |
$189.35 |
$473.37 |
1.3× |
| Strapping toes (29550) |
$71.28 |
$178.20 |
1.3× |
| Strapping unna boot (29580) |
$189.35 |
$473.37 |
1.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$615.19 |
$1,537.98 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$741.91 |
$1,854.78 |
1.3× |
| Thrombolytic Therapy, Stroke (37195) |
$398.03 |
$995.07 |
1.3× |
| Thyroid biopsy (60100) |
$473.60 |
$1,184 |
0.7× |
| Trach Tube Change (31502) |
$237.06 |
$592.64 |
1.1× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$278.66 |
$696.66 |
1.3× |
| Treat finger dislocation (26775) |
$318.70 |
$796.74 |
1.3× |
| Treat Fracture Radius & Ulna (25560) |
$287.86 |
$719.64 |
1.3× |
| Treat humerus fracture (24500) |
$287.86 |
$719.64 |
1.3× |
| Treat humerus fracture (23600) |
$287.86 |
$719.64 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$287.86 |
$719.64 |
1.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,920.49 |
$4,801.23 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$287.86 |
$719.64 |
1.3× |
| Trim skin lesion (11055) |
$149.22 |
$373.05 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$156.82 |
$392.05 |
0.9× |
| Trim skin lesions over 4 (11057) |
$164.22 |
$410.55 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$43.44 |
$108.60 |
0.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$189.35 |
$473.37 |
1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,125.07 |
$2,812.68 |
1.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$330 |
$825 |
1.8× |
| Vaginal delivery only (59409) |
$3,815.44 |
$9,538.59 |
1.3× |
| Venipuncture (36415) |
$34.50 |
$86.25 |
3.7× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$154.68 |
$386.70 |
1.3× |
| Venipuncture, cutdown; age 1 or over (36425) |
$478.85 |
$1,197.12 |
1.2× |