| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$540.89 |
$772.70 |
0.7× |
| Acne Surgery (10040) |
$297.26 |
$424.65 |
1.7× |
| Anoscopy diagnostic (46600) |
$40 |
$50 |
0.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$110 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$248.32 |
$354.75 |
1.8× |
| Application cast elbow finger short arm (29075) |
$100.10 |
$106.50 |
0.4× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$100 |
— |
| Application cast shoulder hand long arm (29065) |
$110.60 |
$149 |
0.5× |
| Application finger splint static (29130) |
$60 |
$52.50 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$240 |
$300 |
1.7× |
| Application long leg splint thigh ankle/toes (29505) |
$108 |
$135 |
0.8× |
| Application of long leg cast (29345) |
— |
$85 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
$366.14 |
$523.05 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$92 |
$115 |
0.8× |
| Application short leg splint calf foot (29515) |
$116.14 |
$157.35 |
0.8× |
| Apply short leg cast (29405) |
— |
$85 |
— |
| Apply short leg cast (29425) |
— |
$78 |
— |
| Arterial puncture (36600) |
$74.20 |
$83 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$68.60 |
$74 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$199.12 |
$119 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$117.55 |
$106.46 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$433.36 |
$619.08 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$194.40 |
$243 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$108 |
— |
| Biopsy intranasal (30100) |
$310.27 |
$443.24 |
0.2× |
| Bladder Scan (51798) |
$225 |
$225 |
4.4× |
| Blood transfusion service (36430) |
$56 |
$236 |
0.1× |
| Bone Marrow Biopsy (38221) |
$431.20 |
$616 |
0.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$98 |
— |
| Change Cystostomy Tube Complicated (51710) |
$521.50 |
$745 |
0.9× |
| Chemical Cautery Tissue (17250) |
$150 |
$150 |
0.9× |
| Chest tube placement (32551) |
$412.26 |
$574.65 |
0.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$348 |
$435 |
1.6× |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$310 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$270 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$759.50 |
$1,085 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$348 |
$435 |
1.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$460 |
$575 |
2.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$528 |
$660 |
2.5× |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$160 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$145 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$416 |
$520 |
2.0× |
| Closed Treatment Sternum Fracture (21820) |
$260 |
$325 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$280 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$488 |
$610 |
2.3× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$332 |
$415 |
1.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$712 |
$890 |
3.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$400 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$576 |
$720 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$292 |
$365 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$944.54 |
$1,349.34 |
0.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$240 |
$300 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$548.80 |
$517 |
2.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$424 |
$530 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$216 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
$732.20 |
$1,046 |
0.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$304 |
$380 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$132 |
$165 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$340 |
$425 |
1.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$304 |
$355 |
1.5× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$400 |
$500 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$300 |
$375 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$288 |
$360 |
1.4× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$224 |
$280 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$627.20 |
$896 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$373.10 |
$453.50 |
1.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$610 |
$610 |
0.4× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$488 |
$610 |
2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$168 |
$210 |
0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$269 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$415.77 |
$358.98 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$366 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$380 |
$475 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$720 |
$900 |
3.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$815 |
$815 |
3.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$130 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$96 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$321 |
$291.78 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$95 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$100 |
$125 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$393.40 |
$373.50 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$455.70 |
$450.50 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$320 |
$400 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$469.70 |
$671 |
2.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$135 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$480.20 |
$686 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$135 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
$637 |
$910 |
3.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$240 |
$240 |
0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$225 |
$225 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$361.20 |
$303 |
1.7× |
| Colonoscopy thru stoma (44388) |
$794.59 |
$1,135.12 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$446.98 |
$638.54 |
0.4× |
| Complete replacement picc rs&i (36584) |
$595 |
$850 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$164.68 |
$217.40 |
1.4× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
— |
$240 |
— |
| Cryotherapy of skin (17340) |
— |
$40 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$260 |
$325 |
2.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$930.71 |
$1,329.58 |
0.4× |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$65 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$181.03 |
$235.40 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$512.80 |
$641 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$164 |
$205 |
0.1× |
| Delivery placenta separate procedure (59414) |
$238 |
$340 |
0.1× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$162.61 |
$232.30 |
0.5× |
| Destruction benign lesions 15 or more (17111) |
— |
$75 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
$112.06 |
$105.04 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
— |
$117 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$185 |
$185 |
1.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$120 |
$120 |
0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$135 |
$135 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$155 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$225 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$100 |
$100 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$88 |
$82.50 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$702.80 |
$1,004 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$368.51 |
$526.44 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$384 |
$480 |
2.2× |
| Drainage of deep rectal abscess (45020) |
— |
$60 |
— |
| Drainage of eyelid abscess (67700) |
$164.50 |
$235 |
0.6× |
| Drainage of gum lesion (41800) |
$221.90 |
$317 |
1.9× |
| Drainage of hematoma/fluid (10140) |
$276.68 |
$345.86 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$92 |
$115 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$140 |
$175 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$112 |
$140 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$150 |
$187.50 |
0.9× |
| Egd flexible foreign body removal (43247) |
$1,249.50 |
$1,785 |
1.6× |
| Egd remove lesion snare (43251) |
$1,549.10 |
$2,213 |
0.9× |
| Evacuation of subungual hematoma (11740) |
— |
$50 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$175 |
$175 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$200 |
$200 |
0.1× |
| Exc back les sc < 3 cm (21930) |
— |
$120 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$90 |
$90 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$200 |
$200 |
0.1× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
— |
$120 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$95 |
$95 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$95 |
$95 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$154.69 |
$194.20 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$193.96 |
$244.94 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$250 |
$250 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$175 |
$175 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$275 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$200 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$285 |
$285 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$420 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$305 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$120 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$138.53 |
$182.90 |
0.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$123.73 |
$176.75 |
0.0× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$126 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$288.56 |
$380.09 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$215 |
$215 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$998.69 |
$1,426.70 |
1.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$150 |
$150 |
0.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$200 |
$200 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$230 |
$230 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$130 |
$130 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$160 |
$160 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$185 |
$185 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$250 |
$250 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$280 |
$280 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$170 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$110 |
$110 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$145 |
$145 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$379.74 |
$542.48 |
0.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$75 |
$75 |
0.1× |
| Excision of nail fold toe (11765) |
$121.66 |
$161.90 |
0.3× |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$225 |
— |
| Excision of tongue lesion (41112) |
$360 |
$360 |
0.1× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$85 |
— |
| Explore/treat hand joint (26070) |
— |
$95 |
— |
| Fine needle aspiration without imaging guidance (10021) |
$106.40 |
$152 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$109.60 |
$137 |
0.6× |
| I&d abscess simple (10060) |
$146 |
$115 |
0.8× |
| I&d perianal abscess superficial (46050) |
$100 |
$125 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$89.60 |
$112 |
0.1× |
| I&D Upper Arm/Elbow Bursa (23931) |
$254.80 |
$364 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$256 |
$322.50 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$350 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
$356 |
$445 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$192 |
$240 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$155.40 |
$166 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$406.70 |
$348 |
1.5× |
| Incision of lingual frenum (41010) |
— |
$85 |
— |
| Incision of rectal abscess (46040) |
$100 |
$125 |
0.1× |
| Incision thrombosed hemorrhoid external (46083) |
$286.50 |
$247 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$80 |
$146 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$102.21 |
$126.14 |
0.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$63.70 |
$91 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$104.30 |
$149 |
0.4× |
| Injection anes other peripheral nerve/branch (64450) |
$117.60 |
$168 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$182.35 |
$260.50 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$91 |
$130 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$893.13 |
$560 |
0.3× |
| Insert picc cath (36569) |
$1,225 |
$1,750 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$36 |
$45 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$32 |
$37.50 |
0.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,225 |
$1,750 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$224.75 |
$305 |
1.1× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$375 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
$78.40 |
$111.50 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$252.35 |
$360.50 |
0.7× |
| Puncture Aspiration (10160) |
$160 |
$200 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$60 |
$60 |
0.1× |
| Removal fb intranasal (30300) |
$304 |
$243 |
2.7× |
| Removal foreign body foot deep (28192) |
— |
$325 |
— |
| Removal foreign body foot subcutaneous (28190) |
$300 |
$375 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$128 |
— |
| Removal foreign body pharynx (42809) |
$560.35 |
$465.25 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56 |
$80 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$72 |
$90 |
1.4× |
| Removal Implant Deep (20680) |
$112 |
$140 |
0.0× |
| Removal of arm foreign body (24200) |
$288 |
$360 |
0.2× |
| Removal of implanted material, anterior segment of eye (65920) |
$6.30 |
$9 |
0.0× |
| Removal of intrauterine device (iud) (58301) |
$111.76 |
$159.65 |
0.4× |
| Removal of nail bed (11750) |
$285.60 |
$324 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$98 |
$107.50 |
0.6× |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$85 |
— |
| Remove drug implant device (11982) |
$295.58 |
$422.25 |
0.8× |
| Remove foreign body from eye (65265) |
— |
$40 |
— |
| Remove foreign body from eye (65235) |
$2,004.80 |
$2,864 |
1.0× |
| Remove foreign body from eye (65260) |
— |
$45 |
— |
| Remove shoulder foreign body (23330) |
$312 |
$390 |
0.2× |
| Remove wrist tendon lesion (25111) |
— |
$185 |
— |
| Remv Ext Canal Foreign Body (69200) |
$60 |
$75 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$80 |
$100 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$340 |
$340 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$708 |
$885 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$220 |
$275 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$678.40 |
$848 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$270.40 |
$338 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$408.80 |
$511 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$240 |
$300 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$320 |
$400 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$200 |
$250 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$168 |
$210 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$392.70 |
$561 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$192 |
$240 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$400 |
$470 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$277.60 |
$347 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$152 |
$190 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$187.20 |
$234 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$228 |
$285 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$440.35 |
$561 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$164 |
$205 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$298.35 |
$408 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$348.10 |
$433 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$304 |
$380 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$260 |
$325 |
0.1× |
| Repair of nail bed (11760) |
— |
$125 |
— |
| Repair Tongue Laceration (41250) |
$264 |
$272.50 |
0.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$125 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$80 |
$100 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$104 |
$130 |
0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$130 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$275 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$395.50 |
$565 |
0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$438.13 |
$625.90 |
0.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$416 |
$520 |
0.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$320 |
$796.50 |
1.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$85 |
$85 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$135 |
$135 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$70 |
$70 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$75 |
$75 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$125 |
$125 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$135 |
$135 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$87.70 |
$113.50 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$110 |
$110 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$115 |
$115 |
0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$75 |
$75 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$125 |
$125 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$85 |
$85 |
0.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$499.10 |
$713 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$240 |
$300 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$120 |
$150 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$142.40 |
$178 |
0.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$297 |
$360 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$168 |
$210 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$228.80 |
$286 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$450 |
$450 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$120 |
$150 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$342.40 |
$428 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$264 |
$330 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$385.07 |
$550.10 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$609 |
$870 |
1.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$521.63 |
$745.18 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$160 |
$204 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$240 |
$300 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$280 |
$350 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$470.47 |
$672.10 |
0.8× |
| Strapping ankle (29540) |
$56 |
$70 |
0.4× |
| Strapping elbow/wrist (29260) |
$76 |
$95 |
1.5× |
| Strapping hand/finger (29280) |
$76 |
$95 |
1.5× |
| Strapping knee (29530) |
$80 |
$100 |
0.7× |
| Strapping shoulder (29240) |
$92 |
$115 |
0.8× |
| Strapping thorax (29200) |
$80 |
$100 |
0.6× |
| Strapping toes (29550) |
— |
$37 |
— |
| Strapping unna boot (29580) |
$248.32 |
$215.50 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$221.95 |
$215.04 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$469 |
$670 |
0.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$360 |
$475 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
— |
$230 |
— |
| Treat humerus fracture (24500) |
$460 |
$575 |
2.2× |
| Treat humerus fracture (23600) |
$368 |
$460 |
1.7× |
| Treat Metatarsal Fracture (28475) |
— |
$257 |
— |
| Treat wrist bone fracture (25622) |
$500 |
$370 |
2.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$527.10 |
$531.50 |
2.5× |
| Trim skin lesion (11055) |
$122.50 |
$175 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$14 |
$20 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$599.83 |
$856.90 |
0.9× |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$5 |
— |
| Vaginal delivery only (59409) |
$1,240 |
$1,755 |
0.4× |
| Venipuncture (36415) |
$12 |
$17.50 |
1.3× |