| Anoscopy diagnostic (46600) |
$66 |
$132 |
0.5× |
| Application cast elbow finger short arm (29075) |
$37.50 |
$75 |
0.1× |
| Application cast shoulder hand long arm (29065) |
$44 |
$88 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$78.50 |
$157 |
0.5× |
| Application long leg splint thigh ankle/toes (29505) |
$100 |
$200 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$93 |
$186 |
0.7× |
| Application short leg splint calf foot (29515) |
$88.50 |
$177 |
0.5× |
| Arterial puncture (36600) |
$75.25 |
$150.50 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$235.50 |
$471 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$139.50 |
$279 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$595 |
$1,190 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$77 |
$154 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$97 |
$194 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$84.50 |
$169 |
0.4× |
| Blood transfusion service (36430) |
$345 |
$690 |
0.8× |
| Chest tube placement (32551) |
$1,379 |
$2,758 |
0.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,384 |
$2,768 |
0.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$824 |
$1,648 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$408 |
$816 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,832 |
$3,664 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$251.50 |
$503 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$824 |
$1,648 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$418 |
$836 |
1.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$824 |
$1,648 |
0.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$176.50 |
$353 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$897.75 |
$1,795.50 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$610 |
$1,220 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$218 |
$436 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$452 |
$904 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$460 |
$920 |
1.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$824 |
$1,648 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$162.75 |
$325.50 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$123.50 |
$247 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$231.50 |
$463 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$143.75 |
$287.50 |
1.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$273 |
$546 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$84.50 |
$169 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$99.50 |
$199 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$78 |
$156 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$72.25 |
$144.50 |
0.0× |
| Drainage of mouth lesion (41017) |
$1,687.50 |
$3,375 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$193.50 |
$387 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$254.50 |
$509 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$101 |
$202 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$92 |
$184 |
0.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$100.10 |
$200.20 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,187.50 |
$2,375 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,061 |
$2,122 |
1.5× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$127.05 |
$254.10 |
0.1× |
| Excision of nail fold toe (11765) |
$126.50 |
$253 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$160.50 |
$321 |
0.7× |
| I&d abscess simple (10060) |
$84.50 |
$169 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$71.50 |
$143 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$232.50 |
$465 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$104 |
$208 |
0.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$214.50 |
$429 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$383 |
$766 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$151 |
$302 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$194 |
$388 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$102.50 |
$205 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$51 |
$102 |
0.2× |
| Inject Tendon Origin/Insert (20551) |
$45 |
$90 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$476.50 |
$953 |
1.5× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$95 |
$190 |
0.5× |
| Insert Drug Implant Device (11981) |
$130 |
$260 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,621 |
$3,242 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$52.50 |
$105 |
0.4× |
| Insert tunneled cv cath (36561) |
$3,855 |
$7,710 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$43.70 |
$87.40 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$444.50 |
$889 |
1.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$246.50 |
$493 |
0.5× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,312.50 |
$2,625 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$276 |
$552 |
0.6× |
| Reduction of rectal prolapse (45900) |
$476 |
$952 |
0.5× |
| Removal fb intranasal (30300) |
$84.50 |
$169 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$362.50 |
$725 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$91 |
$182 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$69 |
$138 |
1.2× |
| Removal of intrauterine device (iud) (58301) |
$82.50 |
$165 |
0.3× |
| Removal of nail bed (11750) |
$316 |
$632 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$124 |
$248 |
0.6× |
| Remove drug implant device (11982) |
$147 |
$294 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$88 |
$176 |
0.7× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$57.50 |
$115 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$416.50 |
$833 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$703 |
$1,406 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$383 |
$766 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,047 |
$2,094 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$384 |
$768 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$376.50 |
$753 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$604.25 |
$1,208.50 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$342.50 |
$685 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$384.50 |
$769 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$477 |
$954 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$638 |
$1,276 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$287 |
$574 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$413.50 |
$827 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$456.50 |
$913 |
1.1× |
| Repair of nail bed (11760) |
$337.50 |
$675 |
0.5× |
Replantation Forearm Complete Amputation (20805)
likely a partial charge, not the full procedure |
$54 |
$108 |
0.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$205.50 |
$411 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$667.50 |
$1,335 |
1.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$202.50 |
$405 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$101.50 |
$203 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$114.50 |
$229 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$489 |
$978 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$134 |
$268 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$141.50 |
$283 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$151.50 |
$303 |
0.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$369 |
$738 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$133 |
$266 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$450 |
$900 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$159.50 |
$319 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$148 |
$296 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$399 |
$798 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$436.50 |
$873 |
1.1× |
| Treat finger dislocation (26775) |
$163.50 |
$327 |
0.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,223 |
$2,446 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$824 |
$1,648 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$746 |
$1,492 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$206 |
$412 |
0.5× |
| Vaginal delivery only (59409) |
$1,637.50 |
$3,275 |
0.5× |
| Venipuncture (36415) |
$9.50 |
$19 |
1.0× |