| Anoscopy diagnostic (46600) |
$123 |
$123 |
1.0× |
| Application finger splint static (29130) |
$107 |
$107 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$145 |
$145 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$124 |
$124 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$101 |
$101 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$122 |
$122 |
1.0× |
| Application short leg splint calf foot (29515) |
$106.50 |
$106.50 |
0.7× |
| Arterial puncture (36600) |
$33 |
$33 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$171 |
$171 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$110.58 |
$110.58 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$110 |
$110 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$154.41 |
$154.41 |
0.8× |
| Biopsy of uterus lining (58100) |
$183 |
$183 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$189 |
$189 |
0.2× |
| Blood transfusion service (36430) |
$191 |
$191 |
0.5× |
| Bx vulva/perineum 1 lesion (56605) |
$171 |
$171 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$245 |
$245 |
1.2× |
| Chest tube placement (32551) |
$234.50 |
$234.50 |
0.2× |
| Closed Rx Med Malleolus Fx (27760) |
$377 |
$377 |
1.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,385 |
$1,385 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$188.50 |
$188.50 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$205 |
$205 |
0.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$221 |
$221 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$451 |
$451 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$200 |
$200 |
0.9× |
| Closed Treatment Sternum Fracture (21820) |
$111 |
$111 |
0.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$265 |
$265 |
0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$130 |
$130 |
0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$108.17 |
$108.17 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$359 |
$359 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$119 |
$119 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$165.50 |
$165.50 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$157.50 |
$157.50 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$250 |
$250 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$515.50 |
$515.50 |
2.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$294.50 |
$294.50 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$197.50 |
$197.50 |
0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$176.50 |
$176.50 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$290 |
$290 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$216 |
$216 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$166 |
$166 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$200 |
$200 |
0.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$285 |
$285 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$150 |
$150 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$160 |
$160 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$312 |
$312 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$162.50 |
$162.50 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$283.50 |
$283.50 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$177 |
$177 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$200 |
$200 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$248.50 |
$248.50 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$171 |
$171 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$194.50 |
$194.50 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$225 |
$225 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$177.50 |
$177.50 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$205 |
$205 |
0.6× |
| Declot vascular device (36593) |
$84.50 |
$84.50 |
0.3× |
| Delivery placenta separate procedure (59414) |
$402.50 |
$402.50 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$175 |
$175 |
0.1× |
| Drain outer ear canal lesion (69020) |
$115.50 |
$115.50 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$181 |
$181 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$200 |
$200 |
1.1× |
| Drainage of gum lesion (41800) |
$218 |
$218 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$203.54 |
$203.54 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$164 |
$164 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$119 |
$119 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$78 |
$78 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$400 |
$400 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$525 |
$525 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$312 |
$312 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$780 |
$780 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$390 |
$390 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$237 |
$237 |
0.2× |
| Excision of nail fold toe (11765) |
$105 |
$105 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$132.50 |
$132.50 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$153 |
$153 |
0.8× |
| I&d abscess simple (10060) |
$175 |
$175 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$125 |
$125 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$235 |
$235 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$279 |
$279 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$268 |
$268 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$195 |
$195 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$390 |
$390 |
2.1× |
| Incision thrombosed hemorrhoid external (46083) |
$250 |
$250 |
1.1× |
| Initial tx 1st degree burn local tx (16000) |
$60.88 |
$60.88 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$196.26 |
$196.26 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$87 |
$87 |
0.3× |
| Insert Drug Implant Device (11981) |
$183 |
$183 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$160 |
$160 |
0.1× |
| Insert picc cath (36569) |
$1,050 |
$1,050 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$80 |
$80 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$144 |
$144 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$258 |
$258 |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$208.50 |
$208.50 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,326.24 |
$1,326.24 |
3.2× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$103 |
$103 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$110 |
$110 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$133 |
$133 |
0.3× |
| Puncture Aspiration (10160) |
$131.50 |
$131.50 |
0.4× |
| Removal fb intranasal (30300) |
$257 |
$257 |
2.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$250 |
$250 |
0.1× |
| Removal foreign body foot subcutaneous (28190) |
$182 |
$182 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$323.50 |
$323.50 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$68 |
$68 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$78.50 |
$78.50 |
1.5× |
| Removal of arm foreign body (24200) |
$160 |
$160 |
0.1× |
| Removal of intrauterine device (iud) (58301) |
$192 |
$192 |
0.7× |
| Removal of nail bed (11750) |
$150 |
$150 |
0.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$99.50 |
$99.50 |
0.5× |
| Remove drug implant device (11982) |
$210 |
$210 |
0.5× |
| Remove foreign body from eye (65210) |
$78 |
$78 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$96 |
$96 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$204.50 |
$204.50 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$241 |
$241 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$350 |
$350 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$265.50 |
$265.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$286.50 |
$286.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$323.50 |
$323.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$374 |
$374 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$434 |
$434 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$234.50 |
$234.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$279 |
$279 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$327.50 |
$327.50 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$399 |
$399 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$217.50 |
$217.50 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$281 |
$281 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$449.50 |
$449.50 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$305.50 |
$305.50 |
0.8× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$305.50 |
$305.50 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$74 |
$74 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$77.50 |
$77.50 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$275 |
$275 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,050 |
$1,050 |
1.8× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$300 |
$300 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$145 |
$145 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$306 |
$306 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$120 |
$120 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$159 |
$159 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$204 |
$204 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$227 |
$227 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$107 |
$107 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$199 |
$199 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$237 |
$237 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$162 |
$162 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$225 |
$225 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$192 |
$192 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$393 |
$393 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$197 |
$197 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$218 |
$218 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$257.50 |
$257.50 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$327 |
$327 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$150 |
$150 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$409.50 |
$409.50 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$229.50 |
$229.50 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$150 |
$150 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$293 |
$293 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$366.50 |
$366.50 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$120 |
$120 |
0.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$111 |
$111 |
0.2× |
| Tongue and mouth surg unlisted (41599) |
$43 |
$43 |
0.2× |
| Treat finger dislocation (26775) |
$440 |
$440 |
1.7× |
| Treat Fracture Radius & Ulna (25560) |
$213 |
$213 |
1.0× |
| Treat humerus fracture (24500) |
$212.50 |
$212.50 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$180 |
$180 |
0.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$224 |
$224 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$442.50 |
$442.50 |
2.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$350 |
$350 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,260 |
$1,260 |
0.4× |
| Vaginal delivery only (59409) |
$1,351.50 |
$1,351.50 |
0.5× |
| Venipuncture (36415) |
$10 |
$10 |
1.1× |