| Abd paracentesis w/imaging (49083) |
$975.65 |
$1,501 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$975.65 |
$1,501 |
1.1× |
| Amputation metatarsal with toe single (28810) |
$682.50 |
$1,050 |
0.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$627.25 |
$965 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$104.98 |
$161.50 |
0.7× |
| Application cast elbow finger short arm (29075) |
$204.75 |
$315 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$146.90 |
$226 |
0.6× |
| Application finger splint static (29130) |
$134.55 |
$207 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$136.50 |
$210 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$164.45 |
$253 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$221 |
$340 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$100.75 |
$155 |
0.8× |
| Application short leg splint calf foot (29515) |
$108.55 |
$167 |
0.7× |
| Apply short leg cast (29405) |
$121.55 |
$187 |
0.5× |
| Apply short leg cast (29425) |
$113.75 |
$175 |
0.4× |
| Arterial puncture (36600) |
$134.55 |
$207 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$126.75 |
$195 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$151.12 |
$232.50 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$121.88 |
$187.50 |
0.4× |
| Aspir/inj thyroid cyst (60300) |
$731.90 |
$1,126 |
1.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$97.50 |
$150 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$176.80 |
$272 |
0.9× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$234 |
$360 |
0.3× |
| Biopsy of lip (40490) |
$191.75 |
$295 |
0.9× |
| Biopsy of nail unit (11755) |
$176.15 |
$271 |
0.3× |
| Biopsy of uterus lining (58100) |
$169 |
$260 |
0.9× |
| Biopsy pleura percutaneous needle (32400) |
$1,685.45 |
$2,593 |
1.1× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$974.35 |
$1,499 |
0.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$156 |
$240 |
0.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$694.20 |
$1,068 |
1.1× |
| Bladder Irrigation Simple (51700) |
$282.75 |
$435 |
1.2× |
| Bladder Scan (51798) |
$62.40 |
$96 |
1.1× |
| Blood transfusion service (36430) |
$487.50 |
$750 |
1.2× |
| Bone Marrow Biopsy (38221) |
$1,685.45 |
$2,593 |
1.1× |
| Bx vulva/perineum 1 lesion (56605) |
$146.25 |
$225 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$282.75 |
$435 |
1.2× |
| Chemical Cautery Tissue (17250) |
$133.25 |
$205 |
0.7× |
| Chest tube placement (32551) |
$1,662.70 |
$2,558 |
1.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$134.55 |
$207 |
1.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,664.65 |
$2,561 |
1.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$420.55 |
$647 |
1.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,664.65 |
$2,561 |
1.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,664.65 |
$2,561 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,664.65 |
$2,561 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$661.05 |
$1,017 |
2.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$249.60 |
$384 |
1.1× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,664.65 |
$2,561 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$249.60 |
$384 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,664.65 |
$2,561 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$633.75 |
$975 |
2.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,664.65 |
$2,561 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$249.60 |
$384 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$333.45 |
$513 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,664.65 |
$2,561 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$249.60 |
$384 |
1.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
$491.40 |
$756 |
2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$408.20 |
$628 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,664.65 |
$2,561 |
1.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,664.65 |
$2,561 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$249.60 |
$384 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,664.65 |
$2,561 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$453.05 |
$697 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$347.10 |
$534 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,664.65 |
$2,561 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$249.60 |
$384 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$249.60 |
$384 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$249.60 |
$384 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$249.60 |
$384 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$484.90 |
$746 |
2.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$249.60 |
$384 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$291.85 |
$449 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$521.95 |
$803 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$249.60 |
$384 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$249.60 |
$384 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$249.60 |
$384 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$249.60 |
$384 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$249.60 |
$384 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$249.60 |
$384 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$455 |
$700 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$249.60 |
$384 |
1.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$249.60 |
$384 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$531.05 |
$817 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$311.35 |
$479 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$249.60 |
$384 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$202.80 |
$312 |
0.9× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,664.65 |
$2,561 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,664.65 |
$2,561 |
1.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$266.50 |
$410 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$202.80 |
$312 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$250.90 |
$386 |
0.9× |
| Complex Drainage, Wound (10180) |
$1,629.88 |
$2,507.50 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$134.55 |
$207 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$217.75 |
$335 |
1.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,268.15 |
$1,951 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$134.55 |
$207 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$87.75 |
$135 |
0.2× |
| Debride nail 1-5 (11720) |
$52 |
$80 |
0.9× |
| Debride nail 6 or more (11721) |
$62.40 |
$96 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$195.65 |
$301 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$352.30 |
$542 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$473.85 |
$729 |
0.3× |
| Declot vascular device (36593) |
$346.45 |
$533 |
1.1× |
| Destruction benign lesions 15 or more (17111) |
$201.50 |
$310 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$172.25 |
$265 |
0.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$368.55 |
$567 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$104 |
$160 |
0.6× |
| Dilate urethra stricture (53620) |
$916.50 |
$1,410 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$286 |
$440 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$503.75 |
$775 |
2.7× |
| Drainage mouth roof lesion (42000) |
$330.85 |
$509 |
1.5× |
| Drainage of eyelid abscess (67700) |
$437.45 |
$673 |
1.5× |
| Drainage of gum lesion (41800) |
$455 |
$700 |
3.6× |
| Drainage of hematoma/fluid (10140) |
$263.25 |
$405 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$351 |
$540 |
0.2× |
| Draw blood off venous device (36591) |
$134.55 |
$207 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$315.25 |
$485 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$216.45 |
$333 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$130 |
$200 |
0.7× |
| Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with… (0349U) |
$1,206.40 |
$1,856 |
1.6× |
| Dx bone marrow bx & aspir (38222) |
$2,977 |
$4,580 |
1.1× |
| Endocervical Curettage (57505) |
$219.70 |
$338 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$84.50 |
$130 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$315.25 |
$485 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$217.75 |
$335 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$551.85 |
$849 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$243.75 |
$375 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$237.25 |
$365 |
0.6× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$263.25 |
$405 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$302.25 |
$465 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,395.55 |
$2,147 |
1.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$195 |
$300 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$438.75 |
$675 |
0.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$266.50 |
$410 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$276.25 |
$425 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$195 |
$300 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$672.75 |
$1,035 |
0.4× |
| Excision of nail fold toe (11765) |
$256.75 |
$395 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,685.45 |
$2,593 |
1.1× |
| Fetal non-stress test (59025) |
$74.75 |
$115 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$251.55 |
$387 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$324.35 |
$499 |
1.6× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure |
$993.20 |
$1,528 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$348.40 |
$536 |
1.6× |
| I&d abscess simple (10060) |
$188.50 |
$290 |
1.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,130.70 |
$3,278 |
1.1× |
| I&d perianal abscess superficial (46050) |
$948.35 |
$1,459 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$731.90 |
$1,126 |
1.1× |
| Image Cath Fluid Colxn Visc (49405) |
$1,685.45 |
$2,593 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$325 |
$500 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$400.40 |
$616 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$279.50 |
$430 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$274.30 |
$422 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$318.50 |
$490 |
1.1× |
| Incision of rectal abscess (46040) |
$1,391.65 |
$2,141 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$282.75 |
$435 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$237.90 |
$366 |
0.3× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$981.50 |
$1,510 |
2.4× |
| Initial tx 1st degree burn local tx (16000) |
$206.70 |
$318 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$131.62 |
$202.50 |
0.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$76.05 |
$117 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$97.50 |
$150 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$307.45 |
$473 |
1.1× |
| Injection anes other peripheral nerve/branch (64450) |
$169.65 |
$261 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$87.75 |
$135 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$94.90 |
$146 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$187.20 |
$288 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$206.70 |
$318 |
1.7× |
| Insert Drug Implant Device (11981) |
$221 |
$340 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$3,273.40 |
$5,036 |
1.1× |
| Insert pessary/other device (57160) |
$117 |
$180 |
0.6× |
| Insert picc cath (36569) |
$1,662.70 |
$2,558 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,615.90 |
$2,486 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$134.55 |
$207 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$108.55 |
$167 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,662.70 |
$2,558 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$319.15 |
$491 |
1.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$202.15 |
$311 |
1.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$177.45 |
$273 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,374.80 |
$5,192 |
1.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$850.85 |
$1,309 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$696.15 |
$1,071 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$693.55 |
$1,067 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,664 |
$2,560 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$282.75 |
$435 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$415.35 |
$639 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$195 |
$300 |
0.5× |
| Puncture Aspiration (10160) |
$201.50 |
$310 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$731.90 |
$1,126 |
1.1× |
| Removal fb intranasal (30300) |
$308.75 |
$475 |
2.5× |
| Removal foreign body foot deep (28192) |
$1,685.45 |
$2,593 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$399.75 |
$615 |
0.6× |
| Removal foreign body pharynx (42809) |
$415.35 |
$639 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,977 |
$4,580 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$34.12 |
$52.50 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$113.10 |
$174 |
2.0× |
| Removal of arm foreign body (24200) |
$1,685.45 |
$2,593 |
1.1× |
| Removal of intrauterine device (iud) (58301) |
$169 |
$260 |
0.6× |
| Removal of nail bed (11750) |
$271.05 |
$417 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$139.75 |
$215 |
0.7× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$2,977 |
$4,580 |
1.1× |
| Remove drug implant device (11982) |
$247 |
$380 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$311.35 |
$479 |
1.0× |
| Remove foreign body from eye (65210) |
$415.35 |
$639 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$149.50 |
$230 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$91 |
$140 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$637 |
$980 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$637 |
$980 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$416 |
$640 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$637 |
$980 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$549.25 |
$845 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$637 |
$980 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$637 |
$980 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$637 |
$980 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$416 |
$640 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$416 |
$640 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$416 |
$640 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$416 |
$640 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$416 |
$640 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$416 |
$640 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$416 |
$640 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$637 |
$980 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$416 |
$640 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$416 |
$640 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$637 |
$980 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,902.55 |
$2,927 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$416 |
$640 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$416 |
$640 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$416 |
$640 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$637 |
$980 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$416 |
$640 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,330.25 |
$3,585 |
1.2× |
| Repair of nail bed (11760) |
$637 |
$980 |
0.9× |
| Repair Tongue Laceration (41250) |
$415.35 |
$639 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$415.35 |
$639 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$134.55 |
$207 |
1.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$364 |
$560 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$637 |
$980 |
0.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$242.45 |
$373 |
1.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$618.15 |
$951 |
2.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$178.75 |
$275 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$162.50 |
$250 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$188.50 |
$290 |
1.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$156 |
$240 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$188.50 |
$290 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$416 |
$640 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$172.25 |
$265 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$182 |
$280 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$416 |
$640 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$206.70 |
$318 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$206.70 |
$318 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$289.25 |
$445 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$143 |
$220 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$289.25 |
$445 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$201.50 |
$310 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$232.05 |
$357 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$222.30 |
$342 |
0.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$444.60 |
$684 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$175.50 |
$270 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$273 |
$420 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$416 |
$640 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$720.85 |
$1,109 |
1.1× |
| Strapping ankle (29540) |
$43.55 |
$67 |
0.3× |
| Strapping elbow/wrist (29260) |
$62.40 |
$96 |
1.1× |
| Strapping hand/finger (29280) |
$62.40 |
$96 |
1.1× |
| Strapping knee (29530) |
$134.55 |
$207 |
1.1× |
| Strapping shoulder (29240) |
$134.55 |
$207 |
1.1× |
| Strapping toes (29550) |
$62.40 |
$96 |
1.1× |
| Strapping unna boot (29580) |
$91 |
$140 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$156 |
$240 |
0.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$540.80 |
$832 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$643.50 |
$990 |
1.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$643.50 |
$990 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$346.45 |
$533 |
1.1× |
| Thyroid biopsy (60100) |
$731.90 |
$1,126 |
1.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,541.15 |
$2,371 |
1.1× |
| Treat finger dislocation (26775) |
$276.25 |
$425 |
1.1× |
| Treat Fracture Radius & Ulna (25560) |
$449.15 |
$691 |
1.9× |
| Treat humerus fracture (23600) |
$514.80 |
$792 |
2.2× |
| Treat wrist bone fracture (25622) |
$476.45 |
$733 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,664.65 |
$2,561 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$249.60 |
$384 |
1.1× |
| Trim skin lesion (11055) |
$104 |
$160 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$120.25 |
$185 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$62.40 |
$96 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$458.25 |
$705 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$269.75 |
$415 |
0.7× |
| Unlisted Procedure Nervous System (64999) |
$356.85 |
$549 |
1.2× |
| Vaginal delivery only (59409) |
$3,307.20 |
$5,088 |
1.1× |
| Venipuncture (36415) |
$14.95 |
$23 |
1.6× |