| Abd paracentesis w/imaging (49083) |
$2,496.21 |
$4,992.42 |
2.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,496.21 |
$4,992.42 |
2.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$5,021.76 |
$10,043.51 |
2.5× |
| Amniocentesis diagnostic (59000) |
$2,213.75 |
$4,427.50 |
2.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$8,913.37 |
$17,826.73 |
2.8× |
| Anoscopy diagnostic (46600) |
$351.77 |
$703.53 |
2.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$433.91 |
$867.81 |
2.8× |
| Application cast elbow finger short arm (29075) |
$739.54 |
$1,479.07 |
2.8× |
| Application cast shoulder hand long arm (29065) |
$739.54 |
$1,479.07 |
2.8× |
| Application Finger Splint Dynamic (29131) |
$168.44 |
$336.88 |
3.0× |
| Application finger splint static (29130) |
$351.77 |
$703.53 |
2.8× |
| Application long arm splint shoulder hand (29105) |
$433.91 |
$867.81 |
2.8× |
| Application of long leg cast (29345) |
$739.54 |
$1,479.07 |
2.8× |
| Application Short Arm Splint Dynamic (29126) |
$351.77 |
$703.53 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$351.77 |
$703.53 |
2.8× |
| Apply long leg splint (29505) |
$433.91 |
$867.81 |
2.8× |
| Apply short leg cast (29405) |
$739.54 |
$1,479.07 |
2.8× |
| Apply short leg splint (29515) |
$433.91 |
$867.81 |
2.8× |
| Arterial puncture (36600) |
$351.77 |
$703.53 |
2.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$815.61 |
$1,631.22 |
2.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$815.61 |
$1,631.22 |
2.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$815.61 |
$1,631.22 |
2.8× |
| Aspirate pleura w/ imaging (32555) |
$1,729.91 |
$3,459.82 |
2.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$815.61 |
$1,631.22 |
2.8× |
| Aspiration bladder needle (51100) |
$680.58 |
$1,361.15 |
2.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$551.30 |
$1,102.60 |
2.9× |
| Bladder Irrigation Simple (51700) |
$680.58 |
$1,361.15 |
2.8× |
| Blood patch (62273) |
$1,904.33 |
$3,808.66 |
2.8× |
| Blood transfusion service (36430) |
$1,195.40 |
$2,390.80 |
2.8× |
| Bone marrow aspiration only (38220) |
$4,190.14 |
$8,380.27 |
2.6× |
| Bone Marrow Biopsy (38221) |
$4,464.59 |
$8,929.18 |
2.8× |
| Brnchsc Brushing/Protected Brushings (31623) |
$4,673.81 |
$9,347.61 |
2.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$4,673.81 |
$9,347.61 |
2.7× |
| Bx breast 1st lesion strtctc (19081) |
$4,464.59 |
$8,929.18 |
2.8× |
| Bx breast 1st lesion us imag (19083) |
$4,464.59 |
$8,929.18 |
2.8× |
| Cataract surg w/iol 1 stage (66983) |
$6,417.19 |
$12,834.37 |
2.9× |
| Cataract surgery complex (66982) |
$6,417.19 |
$12,834.37 |
2.9× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$587.34 |
$1,174.68 |
2.8× |
| Change of cystostomy tube simple (51705) |
$553.90 |
$1,107.80 |
2.3× |
| Chemical cautery tissue (17250) |
$551.30 |
$1,102.60 |
2.9× |
| Circumcision (54150) |
$5,608.84 |
$11,217.67 |
2.8× |
| Circumcision Neonate (54160) |
$1,881.10 |
$3,762.20 |
2.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$4,425.81 |
$8,851.61 |
2.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$4,425.81 |
$8,851.61 |
2.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$649.39 |
$1,298.78 |
2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$4,425.81 |
$8,851.61 |
2.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$4,425.81 |
$8,851.61 |
2.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$649.39 |
$1,298.78 |
2.7× |
| Closed tx lunate dislocation w/manipulation (25690) |
$4,425.81 |
$8,851.61 |
2.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$649.39 |
$1,298.78 |
2.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$649.39 |
$1,298.78 |
2.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$4,425.81 |
$8,851.61 |
2.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$4,425.81 |
$8,851.61 |
2.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$649.39 |
$1,298.78 |
2.7× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$8,913.37 |
$17,826.73 |
2.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$649.39 |
$1,298.78 |
2.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$672.63 |
$1,345.26 |
3.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,425.81 |
$8,851.61 |
2.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$546.31 |
$1,092.62 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$4,425.81 |
$8,851.61 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$649.39 |
$1,298.78 |
2.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$4,425.81 |
$8,851.61 |
2.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$351.77 |
$703.53 |
2.8× |
| Complex Uroflowmetry (51741) |
$864.34 |
$1,728.67 |
4.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$351.77 |
$703.53 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$351.77 |
$703.53 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$351.77 |
$703.53 |
2.8× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$11,444.72 |
$22,889.44 |
2.2× |
| Debride nail 1-5 (11720) |
$168.44 |
$336.88 |
3.0× |
| Debride tissue/muscle (11043) |
$1,729.48 |
$3,458.95 |
2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,098.04 |
$2,196.07 |
2.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$4,464.59 |
$8,929.18 |
2.8× |
| Declot vascular device (36593) |
$932.60 |
$1,865.20 |
2.9× |
| Destruction Benign Lesions Up To 14 (17110) |
$551.30 |
$1,102.60 |
2.9× |
| Discission Secondary Membranous Cataract (66820) |
$5,154.33 |
$10,308.66 |
2.3× |
| Drain bladder by trocar/cath (51101) |
$2,879.13 |
$5,758.26 |
3.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,937.45 |
$3,874.90 |
2.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,937.45 |
$3,874.90 |
2.9× |
| Drainage Finger Abscess Simple (26010) |
$551.30 |
$1,102.60 |
2.9× |
| Drainage Mouth Roof Lesion (42000) |
$672.63 |
$1,345.26 |
3.0× |
| Drainage of gum lesion (41800) |
$351.77 |
$703.53 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$4,464.59 |
$8,929.18 |
2.8× |
| Draw blood off venous device (36591) |
$351.77 |
$703.53 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,098.04 |
$2,196.07 |
2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$551.30 |
$1,102.60 |
2.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$551.30 |
$1,102.60 |
2.9× |
| Dx bone marrow bx & aspir (38222) |
$7,824.70 |
$15,649.39 |
2.8× |
| Endoven ther chem adhes 1st (36482) |
$15,132.70 |
$30,265.39 |
2.8× |
| Endovenous laser, 1st vein (36478) |
$8,777.47 |
$17,554.94 |
2.9× |
| Endovenous rf 1st vein (36475) |
$8,777.47 |
$17,554.94 |
2.9× |
| Evacuation of subungual hematoma (11740) |
$351.77 |
$703.53 |
2.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,937.45 |
$3,874.90 |
2.9× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$4,464.59 |
$8,929.18 |
2.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,464.59 |
$8,929.18 |
2.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,937.45 |
$3,874.90 |
2.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,937.45 |
$3,874.90 |
2.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,464.59 |
$8,929.18 |
2.8× |
| Exchange intraocular lens (66986) |
$6,417.19 |
$12,834.37 |
2.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,937.45 |
$3,874.90 |
2.9× |
| External cephalic version (59412) |
$8,609.15 |
$17,218.30 |
2.8× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical… (66987) |
$11,196.23 |
$22,392.45 |
2.8× |
| Extraction of lens (66940) |
$5,154.33 |
$10,308.66 |
2.3× |
| Extraction of lens (66920) |
$5,154.33 |
$10,308.66 |
2.3× |
| Extraction of lens (66930) |
$8,992.90 |
$17,985.80 |
2.3× |
| Fetal non-stress test (59025) |
$548.73 |
$1,097.45 |
2.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,937.45 |
$3,874.90 |
2.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,937.45 |
$3,874.90 |
2.9× |
| Fine needle aspiration without imaging guidance (10021) |
$1,098.04 |
$2,196.07 |
2.8× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,937.45 |
$3,874.90 |
2.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$864.34 |
$1,728.67 |
4.2× |
| I&D Abscess Peritonsillar (42700) |
$672.63 |
$1,345.26 |
3.0× |
| I&d abscess simple (10060) |
$551.30 |
$1,102.60 |
2.9× |
| I&d pilonidal cyst simple (10080) |
$1,937.45 |
$3,874.90 |
2.9× |
| I&d vulva/perineal abscess (56405) |
$883.41 |
$1,766.82 |
3.0× |
| Incise external hemorrhoid (46083) |
$680.58 |
$1,361.15 |
2.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,098.04 |
$2,196.07 |
2.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,464.59 |
$8,929.18 |
2.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,098.04 |
$2,196.07 |
2.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$548.73 |
$1,097.45 |
2.8× |
| Incision and drainage perianal abscess superficial (46050) |
$2,516.79 |
$5,033.57 |
2.8× |
| Incision of rectal abscess (46040) |
$3,249.59 |
$6,499.18 |
2.8× |
| Initial tx 1st degree burn local tx (16000) |
$551.30 |
$1,102.60 |
2.9× |
| Inj tendon sheath/ligament (20550) |
$815.61 |
$1,631.22 |
2.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,027.60 |
$4,055.19 |
2.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$2,027.60 |
$4,055.19 |
2.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,904.33 |
$3,808.66 |
2.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,904.33 |
$3,808.66 |
2.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$815.61 |
$1,631.22 |
2.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$815.61 |
$1,631.22 |
2.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,904.33 |
$3,808.66 |
2.8× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$1,098.04 |
$2,196.07 |
2.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$815.61 |
$1,631.22 |
2.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$815.61 |
$1,631.22 |
2.8× |
| Insert Bladder Cath Complex (51703) |
$430.14 |
$860.28 |
3.5× |
| Insert cath pleura w/ image (32557) |
$4,410.20 |
$8,820.39 |
2.9× |
| Insert cath pleura w/o image (32556) |
$5,239.85 |
$10,479.69 |
2.8× |
| Insert non-tunnel cv cath (36556) |
$8,777.47 |
$17,554.94 |
2.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$8,777.47 |
$17,554.94 |
2.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$4,410.20 |
$8,820.39 |
2.9× |
| Insert Temp Bladder Cath (51702) |
$351.77 |
$703.53 |
2.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$351.77 |
$703.53 |
2.8× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Facility (66985) |
$6,417.19 |
$12,834.37 |
2.9× |
| Insj picc rs&i 5 yr+ (36573) |
$4,410.20 |
$8,820.39 |
2.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$8,777.47 |
$17,554.94 |
2.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$23,394.79 |
$46,789.58 |
2.9× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$23,394.79 |
$46,789.58 |
2.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$8,865.94 |
$17,731.88 |
2.8× |
| Intubation endotracheal emergency procedure (31500) |
$672.63 |
$1,345.26 |
3.0× |
| Laryngoscopy diagnostic (31505) |
$545.46 |
$1,090.92 |
2.8× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$8,777.47 |
$17,554.94 |
2.9× |
| Ligate leg veins radical (37760) |
$8,777.47 |
$17,554.94 |
2.9× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$8,777.47 |
$17,554.94 |
2.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,529.58 |
$3,059.16 |
2.3× |
| N Block Inj, Plantar Digit (64455) |
$815.61 |
$1,631.22 |
2.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$82 |
$163.99 |
3.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$82 |
$163.99 |
3.0× |
| Njx aa&/strd sciatic nerve (64445) |
$1,904.33 |
$3,808.66 |
2.8× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$5,021.76 |
$10,043.51 |
2.5× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$5,021.76 |
$10,043.51 |
2.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$1,098.04 |
$2,196.07 |
2.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$8,913.37 |
$17,826.73 |
2.8× |
| Open tx interphalangeal joint dislocation (26785) |
$8,913.37 |
$17,826.73 |
2.8× |
| Peritoneal Lavage (49084) |
$2,496.21 |
$4,992.42 |
2.9× |
| Perq device breast 1st imag (19281) |
$4,464.59 |
$8,929.18 |
2.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$680.58 |
$1,361.15 |
2.8× |
| Phleb veins - extrem 20+ (37766) |
$8,777.47 |
$17,554.94 |
2.9× |
| Picc line placement (36569) |
$4,410.20 |
$8,820.39 |
2.9× |
| Placement of needle for intraosseous infusion (36680) |
$1,097.20 |
$2,194.39 |
2.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$1,098.04 |
$2,196.07 |
2.8× |
| Removal foreign body foot subcutaneous (28190) |
$1,937.45 |
$3,874.90 |
2.9× |
| Removal foreign body intranasal (30300) |
$351.77 |
$703.53 |
2.8× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$4,464.59 |
$8,929.18 |
2.8× |
| Removal foreign body pharynx (42809) |
$1,097.20 |
$2,194.39 |
2.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$168.44 |
$336.88 |
3.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$168.44 |
$336.88 |
3.0× |
| Removal of arm foreign body (24200) |
$3,690.02 |
$7,380.03 |
2.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$1,097.20 |
$2,194.39 |
2.6× |
| Removal of iud (58301) |
$883.41 |
$1,766.82 |
3.0× |
| Removal of lens material; pars plana approach, with or without vitrectomy Facility (66852) |
$8,992.90 |
$17,985.80 |
2.3× |
| Removal of nail bed (11750) |
$1,098.04 |
$2,196.07 |
2.8× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$5,154.33 |
$10,308.66 |
2.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$551.30 |
$1,102.60 |
2.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$739.54 |
$1,479.07 |
2.8× |
| Remove foreign body from eye (65235) |
$6,417.19 |
$12,834.37 |
2.9× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$4,464.59 |
$8,929.18 |
2.8× |
| Remv Ext Canal Foreign Body (69200) |
$351.77 |
$703.53 |
2.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$351.77 |
$703.53 |
2.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,729.48 |
$3,458.95 |
4.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,729.48 |
$3,458.95 |
4.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,729.48 |
$3,458.95 |
4.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$5,021.76 |
$10,043.51 |
2.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,098.04 |
$2,196.07 |
2.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$5,021.76 |
$10,043.51 |
2.5× |
| Repair of nail bed (11760) |
$1,729.48 |
$3,458.95 |
2.4× |
| Repair tongue laceration (41252) |
$672.63 |
$1,345.26 |
3.0× |
| Repair Tongue Laceration (41250) |
$1,097.20 |
$2,194.39 |
2.6× |
| Repeat control of nosebleed (30906) |
$672.63 |
$1,345.26 |
3.0× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
$5,154.33 |
$10,308.66 |
2.3× |
| Revision of leg vein (37780) |
$8,777.47 |
$17,554.94 |
2.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$343.36 |
$686.71 |
2.7× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$1,097.20 |
$2,194.39 |
2.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$7,824.70 |
$15,649.39 |
2.8× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$5,154.33 |
$10,308.66 |
2.3× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$5,154.33 |
$10,308.66 |
2.3× |
| Rplc gtube revj gstrst trc (43763) |
$680.58 |
$1,361.15 |
2.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$4,410.20 |
$8,820.39 |
2.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,729.48 |
$3,458.95 |
2.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$672.63 |
$1,345.26 |
3.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,729.91 |
$3,459.82 |
2.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$551.30 |
$1,102.60 |
2.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,098.04 |
$2,196.07 |
2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$551.30 |
$1,102.60 |
2.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$551.30 |
$1,102.60 |
2.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,098.04 |
$2,196.07 |
2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$551.30 |
$1,102.60 |
2.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$551.30 |
$1,102.60 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$551.30 |
$1,102.60 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$551.30 |
$1,102.60 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$551.30 |
$1,102.60 |
2.9× |
| Skin sub graft face/nk/hf/g (15275) |
$5,021.76 |
$10,043.51 |
7.1× |
| Skin sub graft trnk/arm/leg (15271) |
$5,021.76 |
$10,043.51 |
7.1× |
| Skn sub grft f/n/hf/g child (15277) |
$5,021.76 |
$10,043.51 |
2.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$551.30 |
$1,102.60 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,098.04 |
$2,196.07 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,098.04 |
$2,196.07 |
2.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,787.27 |
$3,574.53 |
2.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$8,777.47 |
$17,554.94 |
2.9× |
| Strapping ankle (29540) |
$433.91 |
$867.81 |
2.8× |
| Strapping elbow or wrist (29260) |
$168.44 |
$336.88 |
3.0× |
| Strapping hand/finger (29280) |
$168.44 |
$336.88 |
3.0× |
| Strapping knee (29530) |
$351.77 |
$703.53 |
2.8× |
| Strapping shoulder (29240) |
$351.77 |
$703.53 |
2.8× |
| Strapping toes (29550) |
$168.44 |
$336.88 |
3.0× |
| Strapping unna boot (29580) |
$433.91 |
$867.81 |
2.8× |
| Tangential biopsy skin single lesion (11102) |
$551.30 |
$1,102.60 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,729.91 |
$3,459.82 |
2.9× |
| Thrombolytic Therapy Stroke (37195) |
$932.60 |
$1,865.20 |
2.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$672.63 |
$1,345.26 |
3.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$4,199.56 |
$8,399.12 |
2.8× |
| Treat Thumb Dislocation (26641) |
$649.39 |
$1,298.78 |
2.7× |
| Treatment closed elbow dislocation req anes (24605) |
$3,827.23 |
$7,654.45 |
2.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$649.39 |
$1,298.78 |
2.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$168.44 |
$336.88 |
3.0× |
| Tube thoracostomy includes water seal (32551) |
$4,410.20 |
$8,820.39 |
2.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,729.48 |
$3,458.95 |
2.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,098.04 |
$2,196.07 |
2.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,729.91 |
$3,459.82 |
2.9× |
| Us urine capacity measure (51798) |
$168.44 |
$336.88 |
3.0× |
| Venipuncture (36415) |
$25.39 |
$50.78 |
2.7× |
| Wedge excision skin nail fold (11765) |
$1,098.04 |
$2,196.07 |
2.8× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$14,392.47 |
$28,784.93 |
2.8× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$11,196.23 |
$22,392.45 |
2.8× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$14,392.47 |
$28,784.93 |
2.8× |