| Abd paracentesis (49082) |
$1,178 |
$2,356 |
1.2× |
| Abd paracentesis w/imaging (49083) |
$1,238.50 |
$2,476.50 |
1.3× |
| Amniocentesis diagnostic (59000) |
$646 |
$1,291 |
0.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,151.50 |
$6,302.50 |
0.9× |
| Anoscopy diagnostic (46600) |
$105 |
$209 |
0.7× |
| Anoscopy remove for body (46608) |
$402.50 |
$804.50 |
0.4× |
Appendectomy (44950)
likely a partial charge — not the full procedure |
$1,386 |
$2,772 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$40 |
$80 |
0.6× |
| Application finger splint static (29130) |
$175 |
$350 |
1.2× |
| Application of long leg cast (thigh to toes); (29345) |
$342 |
$683 |
1.2× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$262 |
$523 |
1.5× |
| Application of short arm splint (forearm to hand); static (29125) |
$210 |
$420 |
1.5× |
| Application of short leg cast (below knee to toes); (29405) |
$172 |
$343 |
0.6× |
| Application of short leg splint (calf to foot) (29515) |
$250 |
$499 |
1.5× |
| Application, cast; shoulder to hand (long arm) (29065) |
$298 |
$595 |
1.0× |
| Apply long arm splint (29105) |
$189 |
$378 |
1.1× |
| Apply splint short arm dynamic (29126) |
$143 |
$285 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$362 |
$724 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$398 |
$796 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$350 |
$699 |
1.1× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$350 |
$699 |
1.1× |
| Aspirate pleura w/o imaging (32554) |
$941 |
$1,881 |
1.4× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$350 |
$699 |
1.1× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$643 |
$1,285 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$617.50 |
$1,235 |
0.3× |
| Aspiration bladder needle (51100) |
$431.50 |
$862.50 |
1.6× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$157.50 |
$314.50 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,513 |
$3,025 |
0.9× |
| Biopsy liver needle percutaneous (47000) |
$1,513 |
$3,026 |
0.9× |
| Biopsy lymph node (38505) |
$1,513 |
$3,025 |
0.9× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$1,881 |
$3,761 |
1.1× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$171 |
$342 |
0.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,513 |
$3,025 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,513 |
$3,025 |
0.9× |
| Biopsy thyroid percutaneous core needle (60100) |
$643 |
$1,285 |
0.9× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,513 |
$3,026 |
0.9× |
| Biopsy; nasopharynx, survey for unknown primary lesion Age Under 21 (42806) |
$300 |
$600 |
0.1× |
| Bladder irrigation (51700) |
$293 |
$585.50 |
1.1× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$349 |
$698 |
1.0× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$3,062 |
$6,124 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,167 |
$4,333 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,259 |
$4,518 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$1,513 |
$3,025 |
0.9× |
| Cardiac surg procedure unlist (33999) |
$758 |
$1,515 |
1.1× |
| Cast short arm (29075) |
$172 |
$343 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$234.50 |
$469 |
0.9× |
| Change of windpipe airway (31502) |
$61 |
$122 |
0.2× |
| Chest tube placement (32551) |
$1,159.50 |
$2,318.50 |
0.7× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$839 |
$1,677 |
1.1× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,171 |
$2,341.50 |
0.7× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,880 |
$3,759 |
1.1× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$361 |
$721 |
1.4× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$378 |
$755 |
1.5× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$715 |
$1,430 |
0.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$423 |
$845 |
1.6× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$442 |
$883.50 |
1.7× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$500.50 |
$1,000 |
1.9× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$389.50 |
$778.50 |
1.5× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$491 |
$982 |
1.9× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$1,808 |
$3,615 |
1.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$523.50 |
$1,046.50 |
2.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$461.50 |
$922 |
1.8× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$300.50 |
$600 |
1.2× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,861 |
$3,721 |
1.1× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,609 |
$3,217.50 |
0.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$276.50 |
$552 |
1.1× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$403.50 |
$806.50 |
1.6× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,865 |
$3,730 |
1.1× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$509.50 |
$1,018 |
2.0× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$1,861 |
$3,721 |
1.1× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,282.50 |
$2,565 |
0.8× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$488 |
$975.50 |
1.9× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,182 |
$2,364 |
0.7× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$440 |
$879.50 |
1.7× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$473 |
$945 |
1.8× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$389.50 |
$778.50 |
1.5× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$1,844 |
$3,688 |
1.1× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,231.50 |
$2,462.50 |
0.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$523.50 |
$1,046.50 |
2.0× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$339 |
$677 |
1.3× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$312 |
$623 |
1.2× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,243 |
$2,485.50 |
0.7× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,064 |
$2,127.50 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$318 |
$635.50 |
1.2× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,284 |
$2,568 |
0.8× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$501 |
$1,001.50 |
1.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$527 |
$1,053.50 |
2.0× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$435.50 |
$870.50 |
1.7× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$269.50 |
$538.50 |
1.0× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$437.50 |
$874 |
1.7× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,154 |
$2,307.50 |
0.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$551 |
$1,101 |
2.1× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,808 |
$3,615 |
1.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$427.50 |
$854 |
1.6× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$487.50 |
$974 |
1.9× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$819 |
$1,637.50 |
3.1× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$412.50 |
$824.50 |
1.6× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$456 |
$911.50 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$415 |
$829.50 |
1.6× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,863 |
$3,726 |
1.1× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$505.50 |
$1,010.50 |
1.9× |
| Closed tx femoral fracture prox head w/manj (27268) |
$6,406 |
$12,811 |
3.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$313 |
$625.50 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,231 |
$2,461.50 |
4.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$411.50 |
$822.50 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,535 |
$3,069 |
0.9× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,360.50 |
$2,720.50 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$532 |
$1,063.50 |
2.0× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$527.50 |
$1,054 |
2.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$359.50 |
$718 |
1.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$327 |
$653.50 |
1.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$375 |
$750 |
1.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$451 |
$901 |
1.7× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$949.50 |
$1,898 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,844 |
$3,688 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,830 |
$3,659 |
1.1× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$432 |
$863.50 |
1.7× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$334 |
$667.50 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$478 |
$955.50 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,231 |
$2,462 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$403.50 |
$806.50 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$659.50 |
$1,318 |
2.5× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$429 |
$857.50 |
1.6× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$519 |
$1,037.50 |
2.0× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,214.50 |
$2,429 |
0.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$352.50 |
$705 |
1.4× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$370 |
$739.50 |
1.4× |
| Cltx metar fx w/manj (28475) |
$477.50 |
$955 |
1.8× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,864 |
$3,727 |
1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$327 |
$653.50 |
1.3× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,431 |
$2,861.50 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$603.50 |
$1,207 |
2.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,433.50 |
$2,866.50 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$542 |
$1,083 |
2.1× |
| Collect blood from catheter venous nos (36592) |
$100 |
$200 |
0.7× |
| Collect blood from implant venous access device (36591) |
$81 |
$161 |
0.6× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$612 |
$1,224 |
0.5× |
| Colposcopy cervix (57452) |
$228 |
$456 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$376 |
$752 |
1.2× |
| Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) |
$967 |
$1,933 |
0.3× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$278.50 |
$556.50 |
2.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$138 |
$275 |
1.0× |
| Control throat bleeding (42960) |
$282 |
$563 |
0.5× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,513 |
$3,025 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$178.50 |
$356.50 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$394 |
$788 |
1.6× |
| Cylinder cast (29365) |
$298 |
$595 |
1.0× |
| Debride skin at fx site (11010) |
$1,076 |
$2,151 |
1.4× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$1,046 |
$2,092 |
2.4× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$91.50 |
$182 |
1.5× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$88 |
$175 |
1.4× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$489 |
$978 |
1.1× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$983 |
$1,965 |
1.3× |
| Declot vascular device (36593) |
$334 |
$668 |
1.0× |
| Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age Under 21 (42160) |
$755 |
$1,509.50 |
0.2× |
| Diagnostic bone marrow aspirations (38220) |
$417 |
$834 |
0.2× |
| Drain lower leg lesion (27603) |
$1,097 |
$2,193 |
0.4× |
| Drain shoulder lesion (23030) |
$1,378 |
$2,755 |
0.4× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$283 |
$566 |
1.1× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$529 |
$1,058 |
0.7× |
| Drainage finger abscess simple (26010) |
$217.50 |
$435 |
1.0× |
| Drainage of abscess of palate, uvula (42000) |
$283 |
$566 |
1.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$481.50 |
$963 |
0.6× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$724 |
$1,447.50 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$1,107.50 |
$2,214 |
0.6× |
| Drainage of tonsil abscess (42700) |
$342.50 |
$684.50 |
1.4× |
| Dx laryngoscopy excl nb (31525) |
$1,789.50 |
$3,579 |
1.0× |
| Ed proc insert intraosseous IV (36680) |
$300.50 |
$600.50 |
0.6× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$208 |
$415.50 |
1.5× |
| Ed proc remve fb nasal- hospital (30300) |
$102 |
$203.50 |
0.7× |
| Ed prof arthrocentesis sm - hospital (20551) |
$213 |
$425 |
0.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$119 |
$237.50 |
0.8× |
| Ed prof burn - large - hospital (16030) |
$384 |
$768 |
0.9× |
| Ed prof burn medium - hospital (16025) |
$204 |
$407 |
1.0× |
| Ed prof burn small - hospital (16020) |
$136.50 |
$272 |
0.6× |
| Ed prof catheterization/straight (51701) |
$162 |
$324 |
1.2× |
| Ed prof closed tx post hip arthroplasty (27265) |
$659.50 |
$1,318 |
2.5× |
| Ed prof drain dental abscess-hospital (41800) |
$290 |
$579 |
2.1× |
| Ed prof insert foley cath simple (51702) |
$151.50 |
$303 |
1.1× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,378 |
$2,755 |
0.4× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$519 |
$1,037 |
1.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$448 |
$895.50 |
1.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$302 |
$603.50 |
1.2× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$444 |
$888 |
0.9× |
| Egd transoral control bleeding any method (43255) |
$634 |
$1,267 |
0.3× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$311 |
$621.50 |
0.4× |
| Evac subungual hematoma (11740) |
$91.50 |
$182 |
0.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$2,443 |
$4,885 |
1.4× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$35 |
$70 |
0.0× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$1,904 |
$3,807 |
0.9× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,382 |
$2,764 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$407 |
$814 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,397 |
$2,793.50 |
0.8× |
| Explore wound abdomen (20102) |
$503 |
$1,005 |
0.2× |
| Explore wound chest (20101) |
$2,292 |
$4,583 |
1.1× |
| Explore wound neck (20100) |
$1,197 |
$2,394 |
2.1× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$270.50 |
$540.50 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$646 |
$1,291 |
0.9× |
| Fluid pressure muscle (20950) |
$833 |
$1,665 |
1.1× |
| Ganglion impar nerve block (64999) |
$354 |
$707 |
1.1× |
| Gastric lavage (43753) |
$416 |
$831 |
1.8× |
| I&d abscess simple/single (10060) |
$227.50 |
$455 |
1.1× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$2,814 |
$5,628 |
0.9× |
| I&d hematoma/seroma/fluid (10140) |
$1,883 |
$3,765 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$424 |
$847.50 |
0.6× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$271 |
$542 |
1.0× |
| Implant subq hormone pellet (11980) |
$32 |
$64 |
0.1× |
| Incise external hemorrhoid (46083) |
$192 |
$383 |
0.7× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$498 |
$995 |
1.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$312 |
$624 |
1.5× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$874 |
$1,747 |
0.3× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$338 |
$675 |
0.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$383 |
$765 |
1.2× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$1,495 |
$2,990 |
0.5× |
| Incision and drainage, perianal abscess, superficial (46050) |
$556.50 |
$1,112 |
0.6× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$1,883 |
$3,765 |
1.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$889.50 |
$1,779 |
0.5× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$218.50 |
$437 |
0.5× |
| Incision of eyelid fold (67715) |
$2,663 |
$5,326 |
1.1× |
| Incision of rectal abscess (46040) |
$1,642.50 |
$3,285 |
1.3× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$278.50 |
$557 |
0.6× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$174.50 |
$349 |
1.2× |
| Incision of windpipe (31603) |
$1,941 |
$3,881 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$97 |
$193 |
0.1× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$493 |
$986 |
1.4× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$172 |
$343.50 |
0.8× |
| Inj epidural blood or clot patch (62273) |
$850 |
$1,699 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$850 |
$1,699 |
1.1× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,117 |
$2,233 |
1.2× |
| Injection aa&/strd greater occipital nerve (64405) |
$257 |
$513 |
0.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$768 |
$1,535.50 |
0.8× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$621.50 |
$1,242 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$848 |
$1,696 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$347 |
$693 |
1.1× |
| Injection for identification of sentinel node (38792) |
$1,632 |
$3,264 |
3.9× |
| Injection therapeutic carpal tunnel (20526) |
$213 |
$425 |
0.7× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$187 |
$374 |
0.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$303 |
$606 |
0.9× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$120 |
$240 |
0.4× |
| Insert drug implant device (11981) |
$153 |
$305 |
1.1× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$4,745 |
$9,490 |
1.4× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$1,771 |
$3,542 |
0.5× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,104 |
$2,208 |
0.7× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,319.50 |
$2,639 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,845 |
$5,689 |
0.9× |
| Intubation endotracheal (31500) |
$340 |
$679 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$223 |
$446 |
0.8× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge — not the full procedure |
$1,873 |
$3,746 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure |
$1,231 |
$2,461 |
0.2× |
| Laryngoscopy flex diagnostic (31575) |
$220 |
$439 |
1.0× |
| Laryngoscopy indirect diagnostic (31505) |
$129.50 |
$258.50 |
0.6× |
| Long gi tube placement (44500) |
$835 |
$1,669 |
0.9× |
| Lumbar puncture (62270) |
$849 |
$1,698 |
1.1× |
| Mastotomy expl drg absc dp (19020) |
$1,513 |
$3,025 |
0.9× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$87 |
$173 |
1.4× |
| Nasal surg proc unlisted (30999) |
$281 |
$561 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$34 |
$67 |
1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$34 |
$68 |
1.1× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$3,267 |
$6,534 |
0.9× |
| Non stress test (59025) |
$299 |
$597 |
1.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$115 |
$230 |
0.5× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,882 |
$3,763 |
1.1× |
| Perq device breast 1st imag (19281) |
$1,808 |
$3,615 |
1.0× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$2,545 |
$5,089.50 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$411 |
$821 |
1.6× |
Pf-as amputation leg through tibia & fibula (27880)
likely a partial charge — not the full procedure |
$2,028 |
$4,055 |
0.3× |
| Proctosigmoidoscopy fb (45307) |
$203 |
$405 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$299.50 |
$598.50 |
0.7× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$463 |
$925 |
1.1× |
| Puncture aspiration of cyst of breast (19000) |
$643 |
$1,285 |
0.9× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$1,386 |
$2,772 |
1.4× |
| Pvb thoracic cont infusion (64463) |
$860 |
$1,720 |
1.2× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$1,061 |
$2,121 |
1.1× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$797 |
$1,594 |
1.1× |
| Removal foreign body mouth (40804) |
$1,082 |
$2,163 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$60 |
$119.50 |
1.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$117 |
$233.50 |
1.9× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$788 |
$1,575 |
0.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$746.50 |
$1,493 |
0.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$199.50 |
$398 |
1.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$223.50 |
$446.50 |
0.5× |
| Removal of iud (58301) |
$491 |
$981 |
1.5× |
| Removal of nail bed (11750) |
$465.50 |
$930 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$255 |
$510 |
1.2× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$129.50 |
$258.50 |
0.4× |
| Removal/revision of cast (29700) |
$172 |
$343 |
0.6× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$999 |
$1,998 |
0.6× |
| Repair blood vessel upper ext (35206) |
$3,814 |
$7,627 |
1.1× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$4,027 |
$8,053.50 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$696.50 |
$1,392 |
1.6× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,023 |
$2,045 |
2.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$805 |
$1,609.50 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$686.50 |
$1,372 |
0.9× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,381 |
$2,761 |
0.8× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$863 |
$1,726 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$1,198 |
$2,396 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$425 |
$849.50 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$471.50 |
$942 |
1.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$646.50 |
$1,292.50 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$720 |
$1,439.50 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$607 |
$1,213.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$385.50 |
$770.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$425 |
$849.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$602 |
$1,203.50 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$375.50 |
$750 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$400.50 |
$800 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$752.50 |
$1,504 |
1.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$463 |
$925 |
1.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$575.50 |
$1,150 |
1.3× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$617 |
$1,233 |
1.4× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,687.50 |
$3,374 |
0.8× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$629 |
$1,257 |
1.1× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$362 |
$723 |
0.8× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$362 |
$723 |
1.4× |
| Repair of nail bed (11760) |
$750.50 |
$1,501 |
1.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$484 |
$967.50 |
0.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$676.50 |
$1,353 |
0.9× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$647 |
$1,293 |
1.5× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$538 |
$1,075.50 |
0.7× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,705 |
$3,409.50 |
0.8× |
| Reset dislocated jaw (21480) |
$358.50 |
$716 |
1.4× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge — not the full procedure |
$20 |
$40 |
0.0× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) (44345) |
$2,273 |
$4,545 |
0.6× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$183.50 |
$366.50 |
1.3× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$234 |
$467.50 |
1.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,167 |
$6,334 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$701 |
$1,401 |
0.9× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,602 |
$3,203 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$146 |
$292 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$323 |
$645 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$398 |
$795.50 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$564 |
$1,128 |
2.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$211 |
$421 |
1.0× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$367.50 |
$734 |
0.9× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$367.50 |
$735 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$321 |
$642 |
1.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$286 |
$571.50 |
1.4× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$442 |
$883 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$671.50 |
$1,342.50 |
1.6× |
| Strapping ankle (29540) |
$152 |
$303 |
0.9× |
| Strapping elbow or wrist (29260) |
$145 |
$289 |
2.3× |
| Strapping hip (29520) |
$152 |
$303 |
1.1× |
| Strapping of knee (29530) |
$144 |
$288 |
1.0× |
| Strapping of shoulder (29240) |
$192 |
$383 |
1.4× |
| Strapping of toes (29550) |
$152 |
$303 |
2.4× |
| Strapping unna boot (29580) |
$189 |
$378 |
1.1× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$3,029 |
$6,058 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$97 |
$193 |
0.2× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$763 |
$1,525.50 |
1.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,342.50 |
$2,684.50 |
5.4× |
| Transfusion, blood or blood components (36430) |
$882 |
$1,764 |
1.9× |
| Treat big toe fracture (28495) |
$377.50 |
$755 |
1.5× |
| Treat finger dislocation (26775) |
$504 |
$1,008 |
1.7× |
| Treat hip socket fracture (27222) |
$1,922 |
$3,843 |
7.4× |
| Treat humerus fracture (24577) |
$1,395 |
$2,789.50 |
0.8× |
| Treat lower leg fracture (27825) |
$1,865 |
$3,730 |
1.1× |
| Treat pleurodesis w/agent (32560) |
$691 |
$1,382 |
1.0× |
| Treat thumb fracture (26645) |
$743 |
$1,485 |
0.4× |
| Treat toe dislocation (28630) |
$297 |
$593 |
1.1× |
| Treat ulnar fracture (24675) |
$1,440 |
$2,880 |
0.8× |
| Treat vaginal bleeding (57180) |
$333.50 |
$666 |
1.6× |
| Treat wrist dislocation (25690) |
$1,808 |
$3,615 |
1.1× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$757 |
$1,514 |
0.4× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$474 |
$947.50 |
1.8× |
| Treatment of miscarriage (59812) |
$5,122 |
$10,244 |
1.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$403.50 |
$806.50 |
1.6× |
| Trimming of nondystrophic nails, any number (11719) |
$76 |
$151 |
1.2× |
| Tx superficial wound dehiscence simple closure (12020) |
$588 |
$1,176 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$299.50 |
$598 |
0.7× |
| Unlisted fetal invasive procedure, including ultrasound guidance, when performed (59897) |
$274 |
$548 |
1.3× |
| Unlisted procedure, dentoalveolar structures (41899) |
$283 |
$566 |
1.1× |
| Unlisted procedure, liver (47399) |
$850 |
$1,700 |
1.1× |
| Upper arm/elbow surgery unlisted (24999) |
$275 |
$550 |
1.1× |
| Vaginal delivery (59409) |
$1,651 |
$3,301 |
0.5× |
| Venipuncture (36415) |
$17 |
$33 |
1.8× |
| Version cephalic external (59412) |
$3,704 |
$7,408 |
1.1× |
| Wedge excision skin nail fold (11765) |
$302 |
$604 |
0.7× |