| Application cast shoulder hand long arm (29065) |
$178.12 |
$356.25 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$105 |
$210 |
2.0× |
| Application finger splint static (29130) |
$85.75 |
$171.50 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$85.75 |
$171.50 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$85.75 |
$171.50 |
0.6× |
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690)
likely a partial charge, not the full procedure |
$164.38 |
$328.75 |
0.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$150.62 |
$301.25 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$127.75 |
$255.50 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$85.75 |
$171.50 |
0.7× |
| Application short leg splint calf foot (29515) |
$85.75 |
$171.50 |
0.6× |
| Arterial puncture (36600) |
$137.56 |
$275.12 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$127.75 |
$255.50 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$127.75 |
$255.50 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$127.75 |
$255.50 |
0.5× |
| Aspiration bladder needle (51100) |
$127.75 |
$255.50 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$127.75 |
$255.50 |
0.7× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$48.88 |
$97.75 |
0.1× |
| Biopsy of palate, uvula (42100) |
$81.38 |
$162.75 |
0.1× |
| Bladder Irrigation Simple (51700) |
$127.75 |
$255.50 |
0.6× |
| Bladder Scan (51798) |
$66.44 |
$132.88 |
1.3× |
| Blood transfusion service (36430) |
$304 |
$608 |
0.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$96.12 |
$192.25 |
0.1× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$96.62 |
$193.25 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$94.50 |
$189 |
0.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$127.75 |
$255.50 |
0.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$178.12 |
$356.25 |
0.8× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$127.75 |
$255.50 |
0.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$178.12 |
$356.25 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$127.75 |
$255.50 |
0.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$127.75 |
$255.50 |
0.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$178.12 |
$356.25 |
0.8× |
| Closed Treat Vert Body Fract (22310) |
$178.12 |
$356.25 |
0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$386.88 |
$773.75 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$127.75 |
$255.50 |
0.6× |
| Closed tx femoral fracture prox head w manip (27268) |
$127.75 |
$255.50 |
0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$127.75 |
$255.50 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$127.75 |
$255.50 |
0.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$253.62 |
$507.25 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$201.12 |
$402.25 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$127.75 |
$255.50 |
0.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$127.75 |
$255.50 |
0.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$127.75 |
$255.50 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$178.12 |
$356.25 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$152.94 |
$305.88 |
0.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$152.94 |
$305.88 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$152.94 |
$305.88 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$127.75 |
$255.50 |
0.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$127.75 |
$255.50 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$127.75 |
$255.50 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$127.75 |
$255.50 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$127.75 |
$255.50 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$152.94 |
$305.88 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$127.75 |
$255.50 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$178.12 |
$356.25 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$127.75 |
$255.50 |
0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$127.75 |
$255.50 |
0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$94.50 |
$189 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$114.50 |
$229 |
0.4× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$136.50 |
$273 |
0.5× |
| Destruction Lesions Vulva Extensive (56515) |
$303.50 |
$607 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$150 |
$300 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$127.75 |
$255.50 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$127.75 |
$255.50 |
0.1× |
| Drainage of hematoma/fluid (10140) |
$127.75 |
$255.50 |
0.1× |
| Draw blood off venous device (36591) |
$127.75 |
$255.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$128.25 |
$256.50 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$108 |
$216 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$128.25 |
$256.50 |
0.7× |
| Dry Needling 3+ Muscles (20561) |
$15 |
$30 |
0.6× |
| Dstrj lesion anus simple surg excision (46922) |
$191.12 |
$382.25 |
0.1× |
| Egd Endo Mucosal Resection (43254) |
$257 |
$514 |
0.2× |
| Endocervical Curettage (57505) |
$81.38 |
$162.75 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$127.75 |
$255.50 |
1.1× |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
$522.38 |
$1,044.75 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$127.75 |
$255.50 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$207.88 |
$415.75 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$127.75 |
$255.50 |
0.1× |
| Excision of nail fold toe (11765) |
$127.75 |
$255.50 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$420 |
$840 |
0.3× |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
$355.38 |
$710.75 |
0.1× |
| Fasciotomy palmar percutaneous (26040) |
$331.75 |
$663.50 |
0.2× |
| Fetal non-stress test (59025) |
$203 |
$406 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$127.75 |
$255.50 |
0.7× |
| I&d abscess simple (10060) |
$127.75 |
$255.50 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$127.75 |
$255.50 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$127.75 |
$255.50 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$127.75 |
$255.50 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$262 |
$524 |
1.5× |
| Inj dupuytren cord w/enzyme (20527) |
$66.12 |
$132.25 |
0.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$132.25 |
$264.50 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$127.75 |
$255.50 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$127.75 |
$255.50 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$127.75 |
$255.50 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$457.62 |
$915.25 |
1.7× |
| Insert Bladder Cath Complex (51703) |
$127.75 |
$255.50 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$99.82 |
$199.62 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.75 |
$255.50 |
1.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$119.12 |
$238.25 |
0.6× |
| Manipulation finger joint under anes each joint (26340) |
$226.75 |
$453.50 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$15 |
$30 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$127.75 |
$255.50 |
0.0× |
| Placement of needle for intraosseous infusion (36680) |
$199 |
$398 |
0.5× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$228.81 |
$457.62 |
0.3× |
| Removal fb intranasal (30300) |
$127.75 |
$255.50 |
1.1× |
| Removal foreign body pharynx (42809) |
$127.75 |
$255.50 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$127.75 |
$255.50 |
2.5× |
| Removal of nail bed (11750) |
$127.75 |
$255.50 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$127.75 |
$255.50 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$127.75 |
$255.50 |
1.1× |
Revision spinal neurostim electrode perc array, incl fluoro (63663)
likely a partial charge, not the full procedure |
$433.50 |
$867 |
0.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$170.62 |
$341.25 |
0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$127.75 |
$255.50 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$127.75 |
$255.50 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$127.75 |
$255.50 |
0.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$127.75 |
$255.50 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$127.75 |
$255.50 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$127.75 |
$255.50 |
0.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$127.75 |
$255.50 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$127.75 |
$255.50 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$127.75 |
$255.50 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$127.75 |
$255.50 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$127.75 |
$255.50 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$127.75 |
$255.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$127.75 |
$255.50 |
0.4× |
| Strapping ankle (29540) |
$127.75 |
$255.50 |
0.9× |
| Strapping elbow/wrist (29260) |
$127.75 |
$255.50 |
2.5× |
| Strapping hand/finger (29280) |
$127.75 |
$255.50 |
2.5× |
| Strapping knee (29530) |
$127.75 |
$255.50 |
1.1× |
| Strapping shoulder (29240) |
$127.75 |
$255.50 |
1.1× |
| Strapping thorax (29200) |
$127.75 |
$255.50 |
0.9× |
| Strapping toes (29550) |
$127.75 |
$255.50 |
2.5× |
| Strapping unna boot (29580) |
$127.75 |
$255.50 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$127.75 |
$255.50 |
0.6× |
| Venipuncture (36415) |
$5.25 |
$10.50 |
0.6× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$288.75 |
$577.50 |
0.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$222.62 |
$445.25 |
0.2× |