| Abd paracentesis w/imaging (49083) |
$93.50 |
$187 |
0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$325.75 |
$651.50 |
0.4× |
| Abrasion single lesion (15786) |
$133 |
$266 |
0.7× |
| Acne Surgery (10040) |
$132.50 |
$265 |
0.7× |
| Amputation Finger/Thumb (26951) |
$3,859 |
$7,718 |
1.3× |
| Anoscopy diagnostic (46600) |
$48.50 |
$97 |
0.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$679.50 |
$1,359 |
0.8× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162.50 |
$325 |
1.1× |
| Application cast elbow finger short arm (29075) |
$323.50 |
$647 |
1.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$157.50 |
$315 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$269 |
$538 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$98 |
$196 |
1.8× |
| Application finger splint static (29130) |
$69.75 |
$139.50 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$121.50 |
$243 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$90 |
$180 |
0.6× |
| Application of long leg cast (29345) |
$246.50 |
$493 |
0.9× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$203 |
$406 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$100 |
$200 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$97.50 |
$195 |
0.8× |
| Application short leg splint calf foot (29515) |
$121.50 |
$243 |
0.8× |
| Application, cast; figure-of-eight (29049) |
$119.50 |
$239 |
0.5× |
| Apply short leg cast (29405) |
$245 |
$490 |
0.9× |
| Apply short leg cast (29425) |
$203 |
$406 |
0.8× |
| Arterial puncture (36600) |
$58.50 |
$117 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$213 |
$426 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$737 |
$1,474 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$224 |
$448 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$202.50 |
$405 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$137.75 |
$275.50 |
0.5× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$291.50 |
$583 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,067.50 |
$2,165.50 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$157.25 |
$314.50 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$676.50 |
$1,353 |
0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,322.75 |
$1,425 |
0.9× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,157 |
$2,314 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,174.50 |
$1,224.50 |
0.8× |
| Biopsy of uterus lining (58100) |
$213 |
$426 |
1.1× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$926.50 |
$1,853 |
0.6× |
| Biopsy pleura percutaneous needle (32400) |
$492.50 |
$985 |
0.3× |
| Biopsy Salivary Gland,Needle (42400) |
$766 |
$1,532 |
1.2× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,898 |
$3,796 |
1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$291.50 |
$583 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$1,734 |
$3,468 |
1.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,933 |
$3,866 |
1.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$460 |
$920 |
0.7× |
| Bladder Irrigation Simple (51700) |
$231 |
$462 |
1.0× |
| Bladder Scan (51798) |
$87 |
$174 |
1.6× |
| Blood patch (62273) |
$603 |
$1,206 |
0.9× |
| Blood transfusion service (36430) |
$411.50 |
$823 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$541.50 |
$1,083 |
1.3× |
| Bone marrow aspiration only (38220) |
$205.50 |
$411 |
0.1× |
| Bone Marrow Biopsy (38221) |
$1,078.25 |
$2,156.50 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$534.25 |
$1,068.50 |
0.3× |
| Bx breast 1st lesion strtctc (19081) |
$1,243 |
$2,486 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,033.75 |
$2,067.50 |
0.7× |
| Bx vulva/perineum 1 lesion (56605) |
$792 |
$1,584 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$2,397 |
$2,473.50 |
1.5× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$1,553.50 |
$3,107 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$55 |
$110 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$162 |
$324 |
0.7× |
| Chemical Cautery Tissue (17250) |
$123.25 |
$246.50 |
0.7× |
| Chest tube placement (32551) |
$218.50 |
$437 |
0.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$120.75 |
$241.50 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,189.50 |
$2,379 |
0.4× |
| Circumcision (54150) |
$193.25 |
$386.50 |
0.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,916 |
$3,832 |
1.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$137.50 |
$275 |
0.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,588.50 |
$3,177 |
1.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$137.50 |
$275 |
0.6× |
| Closed Rx Med Malleolus Fx (27760) |
$137.50 |
$275 |
0.6× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,945.50 |
$3,891 |
1.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,144.50 |
$4,289 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$795.50 |
$1,591 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$239.25 |
$478.50 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$162 |
$324 |
0.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$137.50 |
$275 |
0.6× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,916 |
$3,832 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$137.50 |
$275 |
0.6× |
| Closed Treat Vert Body Fract (22310) |
$514.50 |
$1,029 |
2.2× |
| Closed treat wrist dislocation (25660) |
$137.50 |
$275 |
0.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$137.50 |
$275 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$137.50 |
$275 |
0.6× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$137.50 |
$275 |
0.6× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$137.50 |
$275 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$137.50 |
$275 |
0.6× |
| Closed Treatment Sesamoid Fracture (28530) |
$230 |
$460 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$162 |
$324 |
0.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$137.50 |
$275 |
0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$205.50 |
$411 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,916 |
$3,832 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$137.50 |
$275 |
0.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$137.50 |
$275 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$438 |
$876 |
1.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,355.50 |
$2,711 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$137.50 |
$275 |
0.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,654.50 |
$3,309 |
1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$270 |
$540 |
0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$197.75 |
$395.50 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,654.50 |
$3,309 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,377 |
$2,754 |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,464 |
$2,928 |
6.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$185.50 |
$371 |
0.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$263.25 |
$526.50 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,916 |
$3,832 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$137.50 |
$275 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,588.50 |
$3,177 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$137.50 |
$275 |
0.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$205.50 |
$411 |
0.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,393 |
$2,786 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$630 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,312.50 |
$4,625 |
1.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$137.50 |
$275 |
0.6× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$316.50 |
$633 |
1.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$260.50 |
$521 |
1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$310.50 |
$621 |
1.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$137.50 |
$275 |
0.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,654.50 |
$3,309 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$202.75 |
$405.50 |
0.9× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$739.50 |
$1,479 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,633 |
$3,266 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$185.50 |
$371 |
0.8× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,916 |
$3,832 |
1.3× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$497 |
$994 |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,134.50 |
$2,269 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$137.50 |
$275 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$137.50 |
$275 |
0.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,916 |
$3,832 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$162 |
$324 |
0.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$255.75 |
$511.50 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$137.50 |
$275 |
0.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$181.75 |
$363.50 |
0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$137.50 |
$275 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$795.50 |
$1,591 |
0.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$137.50 |
$275 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$212 |
$424 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$167 |
$334 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$137.50 |
$275 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$137.50 |
$275 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,262 |
$2,524 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$162 |
$324 |
0.7× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,654.50 |
$3,309 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$137.50 |
$275 |
0.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,231.50 |
$2,463 |
4.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$137.50 |
$275 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$137.50 |
$275 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$248.50 |
$497 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,916 |
$3,832 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$137.50 |
$275 |
0.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,404.50 |
$2,809 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$137.50 |
$275 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$137.50 |
$275 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$185.50 |
$371 |
0.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,721 |
$3,442 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$162 |
$324 |
0.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,655 |
$3,310 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$235 |
$470 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,654.50 |
$3,309 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$185.50 |
$371 |
0.8× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,916 |
$3,832 |
1.3× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$2,155 |
$4,310 |
0.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,553.50 |
$3,107 |
1.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$137.50 |
$275 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,916 |
$3,832 |
1.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$352 |
$704 |
1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$213 |
$426 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$352 |
$704 |
1.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$352 |
$704 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$352 |
$704 |
1.2× |
| Complete replacement picc rs&i (36584) |
$870.50 |
$912.50 |
0.6× |
| Complex Cystometrogram (51726) |
$263.50 |
$527 |
1.1× |
| Complex Drainage, Wound (10180) |
$1,604 |
$3,208 |
0.6× |
| Complex Uroflowmetry (51741) |
$155.50 |
$311 |
0.8× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$188.25 |
$376.50 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$200 |
$400 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$118.25 |
$236.50 |
0.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$246 |
$492 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$529 |
$1,058 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$142.50 |
$285 |
1.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$132 |
$264 |
0.6× |
| Curette/treat cornea (65435) |
$679.50 |
$1,359 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,400.50 |
$4,801 |
1.2× |
| Cystometrogram w/vp (51728) |
$641.50 |
$1,283 |
1.0× |
| Cystometrogram W/Vp&Up (51729) |
$728 |
$1,456 |
1.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,723 |
$5,446 |
1.4× |
| Cystourethroscopy (52000) |
$641.50 |
$1,283 |
1.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,000.50 |
$4,001 |
1.0× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$3,980.50 |
$7,961 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$749 |
$1,498 |
2.0× |
| Debride nail 1-5 (11720) |
$73 |
$146 |
1.3× |
| Debride nail 6 or more (11721) |
$82.75 |
$165.50 |
1.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$300.75 |
$601.50 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$446 |
$892 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$775.50 |
$1,551 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,227 |
$2,454 |
0.8× |
| Declot vascular device (36593) |
$277 |
$554 |
0.9× |
| Delivery placenta separate procedure (59414) |
$2,128 |
$4,256 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$259 |
$518 |
1.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$238.50 |
$477 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$817 |
$1,634 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$85.25 |
$170.50 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$535 |
$1,070 |
0.8× |
| Dil urethra,female,subsequent (53661) |
$175 |
$350 |
1.4× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$125 |
$250 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$856 |
$1,712 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$292.50 |
$585 |
0.4× |
| Drain outer ear canal lesion (69020) |
$292.50 |
$585 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$292.50 |
$585 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,671.50 |
$3,343 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$181.50 |
$363 |
1.0× |
| Drainage mouth roof lesion (42000) |
$283 |
$566 |
1.3× |
| Drainage of eyelid abscess (67700) |
$258.50 |
$517 |
0.9× |
| Drainage of gum lesion (41800) |
$128.50 |
$257 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,033.50 |
$2,067 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$927.50 |
$1,855 |
0.6× |
| Draw blood off venous device (36591) |
$225.50 |
$451 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$305 |
$610 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$296.50 |
$593 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$163.75 |
$327.50 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$2,385.25 |
$4,770.50 |
0.9× |
| Dx gastr intub w/asp spec (43754) |
$127.50 |
$255 |
0.6× |
| Egd flexible foreign body removal (43247) |
$848.50 |
$1,697 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,043 |
$2,086 |
0.6× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$155.50 |
$311 |
1.3× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,665.50 |
$7,331 |
1.2× |
| Endoven ther chem adhes 1st (36482) |
$4,400.50 |
$8,801 |
0.8× |
| Endovenous rf 1st vein (36475) |
$5,660.50 |
$11,321 |
1.9× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,585.50 |
$3,171 |
0.8× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,613 |
$5,226 |
1.3× |
| Escharotomy initial incision (16035) |
$287 |
$574 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$46.50 |
$93 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,436 |
$2,872 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,436 |
$2,872 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$284 |
$568 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$675 |
$1,350 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$183.50 |
$367 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$291.50 |
$583 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$305.50 |
$611 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,391 |
$2,782 |
0.9× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,898 |
$3,796 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,924 |
$3,848 |
1.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$146 |
$292 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,014 |
$4,028 |
1.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,109.50 |
$4,219 |
1.4× |
| Exchange nephrostomy cath (50435) |
$2,955.75 |
$3,941 |
1.5× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,627.50 |
$3,255 |
0.9× |
| Excision Chalazion Single (67800) |
$272 |
$544 |
0.9× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$207 |
$414 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$456.75 |
$913.50 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$234 |
$468 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$404.50 |
$809 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$669 |
$1,338 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$694 |
$1,388 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,436 |
$2,872 |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$754 |
$1,508 |
1.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$302.25 |
$604.50 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$675 |
$1,350 |
1.0× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$645.50 |
$1,291 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$206.50 |
$413 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$410 |
$820 |
0.3× |
| Excision of nail fold toe (11765) |
$158.50 |
$317 |
0.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,509.50 |
$3,019 |
0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,769.50 |
$3,539 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$1,604.50 |
$3,209 |
1.0× |
| Exploration of knee joint (27310) |
$4,657 |
$9,314 |
1.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,033.50 |
$2,067 |
0.7× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,666.50 |
$3,333 |
1.1× |
| External Cephalic Version (59412) |
$1,900.50 |
$3,801 |
0.6× |
| Fasciotomy palmar percutaneous (26040) |
$2,398.50 |
$4,797 |
1.6× |
| Fetal Contraction Stress Test (59020) |
$275.50 |
$551 |
1.5× |
| Fetal non-stress test (59025) |
$281.50 |
$563 |
1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$442 |
$884 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$306.75 |
$613.50 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$151.50 |
$303 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$117.25 |
$234.50 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$73.75 |
$147.50 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$441.50 |
$883 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$283 |
$566 |
1.3× |
| I&d abscess simple (10060) |
$153.25 |
$306.50 |
0.8× |
| I&d below fascia foot 1 bursal space (28002) |
$1,553.50 |
$3,107 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,604.50 |
$3,209 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,877 |
$3,754 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,280 |
$2,560 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$292.50 |
$585 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,045.50 |
$4,091 |
1.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,983.50 |
$3,967 |
0.7× |
| Image Cath Fluid Colxn Visc (49405) |
$932.50 |
$1,865 |
0.6× |
| Image Cath Fluid Peri/Retro (49406) |
$981.75 |
$1,963.50 |
0.6× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$936.50 |
$1,873 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$338.50 |
$677 |
0.9× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,604 |
$3,208 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$750 |
$1,500 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,607.50 |
$3,215 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$174 |
$348 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$213 |
$426 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$264 |
$528 |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$2,364 |
$4,728 |
1.6× |
| Incision of eardrum (69420) |
$236 |
$472 |
1.1× |
| Incision of rectal abscess (46040) |
$1,562 |
$3,124 |
1.4× |
| Incision thrombosed hemorrhoid external (46083) |
$236.50 |
$473 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$258.50 |
$517 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$125.50 |
$251 |
0.7× |
| Inj dupuytren cord w/enzyme (20527) |
$291.50 |
$583 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$212.50 |
$425 |
0.7× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,467 |
$2,934 |
1.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,314.50 |
$2,629 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$516.50 |
$1,033 |
0.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$323.25 |
$646.50 |
1.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$599.50 |
$1,199 |
0.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$774.75 |
$1,549.50 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$464.50 |
$929 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$437.25 |
$874.50 |
1.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$693.50 |
$1,387 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$710 |
$1,420 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$357.50 |
$715 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$526 |
$1,052 |
0.8× |
| Injection for identification of sentinel node (38792) |
$193.75 |
$387.50 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$275.50 |
$551 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$273 |
$546 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$437.25 |
$874.50 |
1.5× |
| Ins cath ren art 1st bilat (36252) |
$2,382.50 |
$4,765 |
0.8× |
| Ins endovas vena cava filtr (37191) |
$4,332.25 |
$5,153 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$259.50 |
$519 |
2.1× |
| Insert cervical dilator (59200) |
$315.50 |
$631 |
1.1× |
| Insert Drug Implant Device (11981) |
$125 |
$250 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,266 |
$4,532 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$2,105.25 |
$4,210.50 |
0.7× |
| Insert pessary/other device (57160) |
$266.50 |
$533 |
1.4× |
| Insert picc cath (36569) |
$582.25 |
$1,164.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$115 |
$230 |
0.9× |
| Insert tun ip cath perc (49418) |
$2,926.75 |
$5,853.50 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$125 |
$250 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$75 |
$150 |
0.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,459.50 |
$22,919 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,087.75 |
$4,175.50 |
0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,673.50 |
$11,347 |
0.7× |
| Interdental wiring (21497) |
$706.50 |
$1,413 |
0.5× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,925.50 |
$3,851 |
3.8× |
| Intro Gastrointestinal Tube (44500) |
$503 |
$1,006 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$201 |
$402 |
0.9× |
| Irrigate corpora cavernosa for priapism (54220) |
$192 |
$384 |
0.8× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$12,259.50 |
$24,519 |
1.2× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$144.50 |
$289 |
0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,568.50 |
$3,137 |
0.9× |
| Late closure of wound (13160) |
$1,898 |
$3,796 |
0.6× |
| Lip Surgery Procedure (40799) |
$319.50 |
$639 |
1.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,342 |
$6,684 |
1.0× |
| Liver Biopsy (47000) |
$947 |
$1,894 |
0.6× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$230 |
$460 |
1.0× |
| Middle ear surgery proc unlisted (69799) |
$134.50 |
$269 |
0.6× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$183.50 |
$367 |
1.0× |
| Nasal surgery procedure (30999) |
$244.50 |
$489 |
1.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,706 |
$3,412 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$183.75 |
$367.50 |
0.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$325 |
$650 |
0.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$371.50 |
$743 |
1.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,845 |
$3,690 |
0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,253.50 |
$4,507 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$560.50 |
$1,121 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$560.50 |
$1,121 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$620 |
$1,240 |
0.9× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,936 |
$3,872 |
1.0× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,295 |
$4,590 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$448.25 |
$896.50 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$325.50 |
$651 |
0.5× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$148 |
$296 |
0.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$272.50 |
$545 |
0.7× |
| Other procedure on head muscle or head bone (21499) |
$319.50 |
$639 |
1.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,262 |
$2,524 |
0.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,109.50 |
$4,219 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$797.50 |
$1,595 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,658.50 |
$3,317 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$655.25 |
$1,310.50 |
1.0× |
| Perq device breast 1st imag (19281) |
$541.50 |
$1,083 |
0.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,151.50 |
$4,303 |
1.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$89 |
$178 |
0.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$130.25 |
$260.50 |
0.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$529 |
$1,058 |
0.8× |
| Phleb Veins - Extrem 20+ (37766) |
$2,309.50 |
$4,619 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$45 |
$90 |
0.1× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,440 |
$2,880 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,696 |
$3,392 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,316 |
$4,632 |
0.7× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,636 |
$5,272 |
0.8× |
| Preputial Stretching (54450) |
$256 |
$512 |
1.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$420.50 |
$841 |
0.5× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$7,190.50 |
$14,381 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,174.75 |
$4,349.50 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$127.50 |
$255 |
0.3× |
| Puncture Aspiration (10160) |
$149.50 |
$299 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$471.50 |
$943 |
0.7× |
| Pvb thoracic single inj site (64461) |
$672.50 |
$1,345 |
1.0× |
| Reconstruction of nail bed with graft (11762) |
$1,366.50 |
$2,733 |
0.7× |
| Rem endovas vena cava filter (37193) |
$3,264.50 |
$6,529 |
1.1× |
| Removal fb intranasal (30300) |
$237 |
$474 |
1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,879 |
$5,758 |
1.1× |
| Removal foreign body foot deep (28192) |
$1,506.50 |
$3,013 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$274 |
$548 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,933 |
$3,866 |
1.2× |
| Removal foreign body pharynx (42809) |
$176 |
$352 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$37.75 |
$75.50 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$66.25 |
$132.50 |
1.2× |
| Removal of arm foreign body (24200) |
$1,933 |
$3,866 |
1.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$687.50 |
$1,375 |
1.2× |
| Removal of intrauterine device (iud) (58301) |
$163 |
$326 |
0.6× |
| Removal of nail bed (11750) |
$365.25 |
$730.50 |
1.0× |
| Removal of nose lesion (30124) |
$1,818 |
$3,636 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$108 |
$216 |
0.6× |
| Removal subq cardiac rhythm monitor (33286) |
$694 |
$1,388 |
1.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$2,029.25 |
$4,058.50 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$119 |
$238 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$119 |
$238 |
0.5× |
| Remove drug implant device (11982) |
$79.50 |
$159 |
0.2× |
| Remove Eyelid Foreign Body (67938) |
$202.50 |
$405 |
0.7× |
| Remove foreign body from eye (65210) |
$166 |
$332 |
0.4× |
| Remove renal tube w/fluoro (50389) |
$510.25 |
$1,020.50 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$125 |
$250 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$137.50 |
$275 |
1.1× |
| Renal biopsy (50200) |
$593.50 |
$1,187 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$503.50 |
$1,007 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$503.50 |
$1,007 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$416 |
$832 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$498 |
$996 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$251.50 |
$503 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$441.50 |
$883 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$373 |
$746 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$373 |
$746 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,363.50 |
$2,727 |
0.9× |
| Repair finger tendon (26433) |
$3,859 |
$7,718 |
1.3× |
| Repair finger/hand tendon (26350) |
$2,436 |
$4,872 |
0.8× |
| Repair hand tendon (26410) |
$1,363.50 |
$2,727 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$576.50 |
$1,153 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$283 |
$566 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$203.50 |
$407 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$664.50 |
$1,329 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$415.50 |
$831 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$438.50 |
$877 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$293 |
$586 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$365 |
$730 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$169 |
$338 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$280.50 |
$561 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$282.50 |
$565 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,174 |
$4,348 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$248 |
$496 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$152.50 |
$305 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$199 |
$398 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$321 |
$642 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$190 |
$380 |
0.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,205.50 |
$2,411 |
0.6× |
| Repair of nail bed (11760) |
$211.50 |
$423 |
0.3× |
| Repair Tongue Laceration (41250) |
$475 |
$950 |
1.1× |
| Replace duod/jej tube perc (49451) |
$504.50 |
$1,009 |
0.6× |
| Replace g/c tube perc (49450) |
$613.50 |
$1,227 |
0.7× |
| Reposition gastrostomy tube (43761) |
$408 |
$816 |
1.7× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,654.50 |
$7,309 |
1.2× |
| Revise leg vein (37700) |
$2,309.50 |
$4,619 |
0.8× |
| Revision of cervix (57720) |
$1,802 |
$3,604 |
0.6× |
| Revision of leg vein (37780) |
$2,309.50 |
$4,619 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$475 |
$950 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$166 |
$332 |
1.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,280 |
$2,560 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,569 |
$3,138 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$477.75 |
$955.50 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,909.50 |
$1,986 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,397 |
$3,552.50 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$435 |
$870 |
0.6× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$739.50 |
$1,479 |
3.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$629 |
$1,258 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$629 |
$1,258 |
1.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,818 |
$3,636 |
1.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$24 |
$48 |
0.0× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$87.50 |
$175 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$131 |
$262 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$119.50 |
$239 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$139.50 |
$279 |
0.7× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$113.50 |
$227 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$156 |
$312 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$138 |
$276 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$310 |
$620 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$188 |
$376 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$174.50 |
$349 |
0.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$559.50 |
$1,119 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$173 |
$346 |
0.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$226.50 |
$453 |
1.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$269.50 |
$539 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$152.50 |
$305 |
0.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$146 |
$292 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$174.50 |
$349 |
0.9× |
| Skin pinch graft (15050) |
$373 |
$746 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,172 |
$4,344 |
3.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,172 |
$4,344 |
3.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,245.50 |
$4,491 |
1.2× |
| Skin Tissue Procedure (17999) |
$89 |
$178 |
0.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,405.50 |
$4,811 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$1,207.25 |
$2,414.50 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$182 |
$364 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$232.50 |
$465 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$237.50 |
$475 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$355.50 |
$711 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$526 |
$1,052 |
0.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,771.50 |
$5,543 |
0.9× |
| Strapping ankle (29540) |
$90 |
$180 |
0.6× |
| Strapping shoulder (29240) |
$228.50 |
$457 |
1.8× |
| Strapping toes (29550) |
$90 |
$180 |
1.6× |
| Strapping unna boot (29580) |
$182.50 |
$365 |
1.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$383.25 |
$766.50 |
0.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$332 |
$664 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$419.75 |
$839.50 |
0.7× |
| Thyroid biopsy (60100) |
$266 |
$532 |
0.4× |
| Trach Tube Change (31502) |
$152.50 |
$305 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,286 |
$2,572 |
5.8× |
| Treat finger dislocation (26775) |
$1,976.50 |
$3,953 |
7.5× |
| Treat Fracture Radius & Ulna (25560) |
$185.50 |
$371 |
0.8× |
| Treat humerus fracture (24500) |
$334.50 |
$669 |
1.4× |
| Treat humerus fracture (24577) |
$1,916 |
$3,832 |
1.3× |
| Treat humerus fracture (23600) |
$137.50 |
$275 |
0.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,916 |
$3,832 |
1.3× |
| Treat wrist bone fracture (25622) |
$137.50 |
$275 |
0.6× |
| Treat Wrist Bone Fracture (25630) |
$137.50 |
$275 |
0.6× |
| Treatment closed elbow dislocation req anes (24605) |
$1,668 |
$3,336 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$137.50 |
$275 |
0.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$250 |
$500 |
1.1× |
| Trim skin lesion (11055) |
$93 |
$186 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$112 |
$224 |
0.6× |
| Trim skin lesions over 4 (11057) |
$164 |
$328 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$61 |
$122 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,733.50 |
$3,467 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$344 |
$688 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$205.50 |
$411 |
0.5× |
| Tympanostomy (69433) |
$690.50 |
$1,381 |
1.4× |
| Unlisted procedure anus (46999) |
$817.50 |
$1,635 |
0.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$121 |
$242 |
0.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$302.50 |
$605 |
1.4× |
| Unlisted Procedure Endocrine System (60699) |
$5,680.50 |
$11,361 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$176.50 |
$353 |
0.8× |
| Unlisted procedure humerus/elbow (24999) |
$244.50 |
$489 |
1.1× |
| Unlisted Procedure Nervous System (64999) |
$212.50 |
$425 |
0.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$248.75 |
$497.50 |
0.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,473 |
$4,946 |
2.9× |
| Unlisted procedure, forearm or wrist (25999) |
$244.50 |
$489 |
1.1× |
| Unlisted procedure, hands or fingers (26989) |
$240 |
$480 |
1.0× |
| Unlisted procedure, male genital system (55899) |
$143 |
$286 |
0.6× |
| Unlisted procedure, stomach (43999) |
$1,019 |
$2,038 |
1.2× |
| Vaginal delivery only (59409) |
$1,931 |
$3,862 |
0.6× |
| Venipuncture (36415) |
$19 |
$38 |
2.0× |
| Venipuncture, cutdown; age 1 or over (36425) |
$175.50 |
$351 |
0.4× |
| Windowing of cast (29730) |
$90 |
$180 |
0.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,174 |
$4,348 |
3.1× |