| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,014 |
$1,014 |
1.2× |
| Anoscopy diagnostic (46600) |
$862 |
$862 |
7.0× |
| Application cast elbow finger short arm (29075) |
$726.77 |
$726.77 |
2.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$726.77 |
$726.77 |
4.9× |
| Application cast shoulder hand long arm (29065) |
$726.77 |
$726.77 |
2.8× |
| Application long arm splint shoulder hand (29105) |
$387.16 |
$387.16 |
2.6× |
| Application long leg splint thigh ankle/toes (29505) |
$387.16 |
$387.16 |
2.6× |
| Application of long leg cast (29345) |
$466.97 |
$466.97 |
1.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$106 |
$106 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$295 |
$295 |
2.4× |
| Application short leg splint calf foot (29515) |
$387.16 |
$387.16 |
2.6× |
| Apply short leg cast (29405) |
$466.97 |
$466.97 |
1.8× |
| Arterial puncture (36600) |
$165 |
$165 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,840 |
$1,840 |
6.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,840 |
$1,840 |
2.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,890 |
$1,890 |
6.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,882.50 |
$1,882.50 |
6.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,760 |
$1,760 |
6.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$153.30 |
$153.30 |
0.8× |
| Bladder Irrigation Simple (51700) |
$524.84 |
$524.84 |
2.3× |
| Bladder Scan (51798) |
$110 |
$110 |
2.0× |
| Blood patch (62273) |
$1,780 |
$1,780 |
2.7× |
| Blood transfusion service (36430) |
$644 |
$644 |
1.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$741 |
$741 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$1,158 |
$1,158 |
5.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$3,270 |
$3,270 |
5.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$2,420 |
$2,420 |
3.7× |
| Chemodenerv Musc Migraine (64615) |
$3,370 |
$3,370 |
11.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$3,100 |
$3,100 |
11.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$2,200 |
$2,200 |
7.8× |
| Chest tube placement (32551) |
$890 |
$890 |
0.6× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,445.21 |
$2,445.21 |
1.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,950 |
$1,950 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$2,445.21 |
$2,445.21 |
10.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$2,445.21 |
$2,445.21 |
10.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$2,445.21 |
$2,445.21 |
10.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,360.15 |
$1,360.15 |
6.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,445.21 |
$2,445.21 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,360.15 |
$1,360.15 |
6.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,878.06 |
$1,878.06 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,360.15 |
$1,360.15 |
6.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,445.21 |
$2,445.21 |
1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$80 |
$80 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,445.21 |
$2,445.21 |
1.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$2,445.21 |
$2,445.21 |
10.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$2,445.21 |
$2,445.21 |
10.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$405 |
$405 |
1.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,360.15 |
$1,360.15 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,360.15 |
$1,360.15 |
6.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,509.58 |
$1,509.58 |
6.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$910.16 |
$910.16 |
4.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$726.77 |
$726.77 |
3.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$2,445.21 |
$2,445.21 |
10.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,411.25 |
$2,411.25 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$2,718.60 |
$2,718.60 |
12.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$2,445.21 |
$2,445.21 |
10.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$726.77 |
$726.77 |
3.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$726.77 |
$726.77 |
3.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$183 |
$183 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,360.15 |
$1,360.15 |
6.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$552 |
$552 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$520 |
$520 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$1,360.15 |
$1,360.15 |
6.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,360.15 |
$1,360.15 |
6.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,445.21 |
$2,445.21 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$2,077 |
$2,077 |
1.9× |
| Colonoscopy w/band ligation (45398) |
$2,288 |
$2,288 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$998.46 |
$998.46 |
8.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$821.86 |
$821.86 |
6.7× |
| Curette/treat cornea (65435) |
$140 |
$140 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$3,540 |
$3,540 |
2.0× |
| Destroy lumb/sac facet jnt (64635) |
$3,540 |
$3,540 |
2.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,200 |
$2,200 |
2.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,560 |
$1,560 |
1.9× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$1,960 |
$1,960 |
6.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,100 |
$3,100 |
1.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,005 |
$2,005 |
3.1× |
| Drain/inj small joint/bursa w/us (20604) |
$1,840 |
$1,840 |
6.5× |
| Drainage of gum lesion (41800) |
$355 |
$355 |
2.9× |
| Drainage of hematoma/fluid (10140) |
$1,995.22 |
$1,995.22 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$624.89 |
$624.89 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$624.89 |
$624.89 |
3.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$68 |
$68 |
0.4× |
| Dstrj lesion anus simple surg excision (46922) |
$2,901 |
$2,901 |
1.1× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,463 |
$2,463 |
1.4× |
| Egd tube/cath insertion (43241) |
$1,204 |
$1,204 |
0.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$2,255 |
$2,255 |
2.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$540 |
$540 |
2.7× |
| Hemorrhoidectomy (46255) |
$3,723 |
$3,723 |
1.5× |
| I&d abscess simple (10060) |
$295 |
$295 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$340 |
$340 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$3,309.52 |
$3,309.52 |
5.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,808.44 |
$1,808.44 |
4.8× |
| Initial tx 1st degree burn local tx (16000) |
$460 |
$460 |
2.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,320 |
$2,320 |
2.9× |
| Inj tendon sheath/ligament (20550) |
$1,780 |
$1,780 |
6.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,780 |
$1,780 |
2.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,365 |
$2,365 |
3.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$3,320 |
$3,320 |
4.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$1,780 |
$1,780 |
6.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,930 |
$1,930 |
2.4× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,540 |
$2,540 |
3.1× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$2,365 |
$2,365 |
3.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,770 |
$1,770 |
2.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,250 |
$2,250 |
3.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,855 |
$2,855 |
3.5× |
| Inject Nerv Blck,Pudendal (64430) |
$2,425 |
$2,425 |
3.0× |
| Inject Tendon Origin/Insert (20551) |
$1,780 |
$1,780 |
6.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$3,320 |
$3,320 |
5.1× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$2,180 |
$2,180 |
2.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,470 |
$2,470 |
3.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,365 |
$2,365 |
3.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$2,760 |
$2,760 |
4.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$2,920 |
$2,920 |
10.3× |
| Injection anes other peripheral nerve/branch (64450) |
$1,700 |
$1,700 |
2.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,540 |
$2,540 |
3.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,780 |
$1,780 |
6.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,780 |
$1,780 |
6.3× |
| Injection therapeutic carpal tunnel (20526) |
$1,780 |
$1,780 |
6.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$2,040 |
$2,040 |
7.2× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$2,435 |
$2,435 |
8.6× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$1,700 |
$1,700 |
9.2× |
| Insert non-tunnel cv cath (36556) |
$4,482.89 |
$4,482.89 |
1.5× |
| Insert picc cath (36569) |
$266 |
$266 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$166.80 |
$166.80 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$163.30 |
$163.30 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,157.02 |
$5,157.02 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$480 |
$480 |
2.2× |
| Ligation of hemorrhoid(s) (46221) |
$2,566 |
$2,566 |
3.0× |
| Ligation or biopsy temporal artery (37609) |
$1,490 |
$1,490 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$187.50 |
$187.50 |
0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,540 |
$2,540 |
3.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,590 |
$2,590 |
3.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,195 |
$2,195 |
3.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,075 |
$2,075 |
3.2× |
| Placement of needle for intraosseous infusion (36680) |
$293 |
$293 |
0.7× |
| Pvb thoracic single inj site (64461) |
$2,260 |
$2,260 |
3.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,420 |
$2,420 |
1.3× |
| Removal fb intranasal (30300) |
$1,577.50 |
$1,577.50 |
12.9× |
| Removal foreign body foot subcutaneous (28190) |
$3,348.58 |
$3,348.58 |
5.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$667.61 |
$667.61 |
12.3× |
| Removal of nail bed (11750) |
$413 |
$413 |
1.1× |
| Removal of salivary stone (42330) |
$127.50 |
$127.50 |
0.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$468.67 |
$468.67 |
1.8× |
| Remove drug implant device (11982) |
$400 |
$400 |
1.0× |
| Remove Eyelid Foreign Body (67938) |
$582.44 |
$582.44 |
2.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$521.31 |
$521.31 |
4.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$2,292.38 |
$2,292.38 |
6.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,202.23 |
$1,202.23 |
3.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,482.41 |
$1,482.41 |
4.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,699.92 |
$2,699.92 |
7.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,636.93 |
$1,636.93 |
4.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,782.97 |
$1,782.97 |
4.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$3,056.51 |
$3,056.51 |
8.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,827.12 |
$1,827.12 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$894.88 |
$894.88 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,188.64 |
$1,188.64 |
3.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,360.15 |
$1,360.15 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,586.15 |
$2,586.15 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$3,066.70 |
$3,066.70 |
8.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,752.40 |
$1,752.40 |
4.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$2,209.18 |
$2,209.18 |
5.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$3,706.87 |
$3,706.87 |
5.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$2,603.13 |
$2,603.13 |
7.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$4,382.70 |
$4,382.70 |
2.3× |
| Repair of nail bed (11760) |
$624.89 |
$624.89 |
0.9× |
| Repair Tongue Laceration (41250) |
$377.50 |
$377.50 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$910.16 |
$910.16 |
2.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$738.66 |
$738.66 |
6.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$800 |
$800 |
1.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$2,586.15 |
$2,586.15 |
3.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,360.15 |
$1,360.15 |
3.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$799.79 |
$799.79 |
4.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$799.79 |
$799.79 |
4.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$2,586.15 |
$2,586.15 |
6.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$799.79 |
$799.79 |
4.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$1,360.15 |
$1,360.15 |
7.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$2,586.15 |
$2,586.15 |
14.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$643.66 |
$643.66 |
3.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$2,586.15 |
$2,586.15 |
14.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$971.29 |
$971.29 |
5.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$556.61 |
$556.61 |
3.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,360.15 |
$1,360.15 |
3.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$2,586.15 |
$2,586.15 |
6.9× |
| Spinal puncture lumbar diagnostic (62270) |
$784.24 |
$784.24 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$1,765 |
$1,765 |
2.7× |
| Strapping toes (29550) |
$466.97 |
$466.97 |
8.6× |
| Suspension of testis (54640) |
$3,320 |
$3,320 |
1.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,125 |
$2,125 |
3.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,252.73 |
$1,252.73 |
2.2× |
| Thrombolytic Therapy, Stroke (37195) |
$1,248 |
$1,248 |
4.1× |
| Treat Fracture Radius & Ulna (25560) |
$1,440 |
$1,440 |
6.3× |
| Treat humerus fracture (24500) |
$2,445.21 |
$2,445.21 |
10.8× |
| Treat humerus fracture (23600) |
$2,445.21 |
$2,445.21 |
10.8× |
| Treat Metatarsal Fracture (28475) |
$436 |
$436 |
1.9× |
| Treat wrist bone fracture (25635) |
$910.16 |
$910.16 |
0.6× |
| Treat wrist bone fracture (25622) |
$2,445.21 |
$2,445.21 |
10.8× |
| Treat Wrist Bone Fracture (25630) |
$910.16 |
$910.16 |
4.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,360.15 |
$1,360.15 |
6.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$363.39 |
$363.39 |
0.5× |
| Unlisted procedure foot or toes (28899) |
$1,780 |
$1,780 |
7.8× |
| Unlisted Procedure Nervous System (64999) |
$2,860 |
$2,860 |
10.1× |
| Vasectomy (55250) |
$3,675 |
$3,675 |
1.9× |
| Venipuncture (36415) |
$50 |
$50 |
5.4× |