| Abd paracentesis w/imaging (49083) |
$1,178.85 |
$1,964.75 |
1.3× |
| Application cast elbow finger short arm (29075) |
$306.75 |
$511.25 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$294.90 |
$491.50 |
1.8× |
| Application cast shoulder hand long arm (29065) |
$356.85 |
$594.75 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$151.65 |
$252.75 |
2.6× |
| Application finger splint static (29130) |
$154.65 |
$257.75 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$356.85 |
$594.75 |
2.2× |
| Application long leg splint thigh ankle/toes (29505) |
$349.95 |
$583.25 |
2.1× |
| Application Short Arm Splint Dynamic (29126) |
$399.68 |
$666.12 |
3.0× |
| Application short arm splint forearm-hand static (29125) |
$154.05 |
$256.75 |
1.2× |
| Application short leg splint calf foot (29515) |
$192.60 |
$321 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$926.10 |
$1,543.50 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,045.65 |
$1,742.75 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$441.30 |
$735.50 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$441.30 |
$735.50 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$354.75 |
$591.25 |
1.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$441.30 |
$735.50 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$235.35 |
$392.25 |
1.2× |
| Blood patch (62273) |
$1,045.65 |
$1,742.75 |
1.5× |
| Blood transfusion service (36430) |
$1,176.60 |
$1,961 |
2.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,137.05 |
$3,561.75 |
1.2× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,034.70 |
$1,724.50 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$442.20 |
$737 |
1.4× |
| Chemodenerv Musc Neck Dyston (64616) |
$724.95 |
$1,208.25 |
2.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$498.60 |
$831 |
1.6× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$746.85 |
$1,244.75 |
2.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,396.80 |
$2,328 |
0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$429.45 |
$715.75 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$279.90 |
$466.50 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,408.80 |
$2,348 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$211.95 |
$353.25 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,163.85 |
$1,939.75 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$211.95 |
$353.25 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$211.95 |
$353.25 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$279.90 |
$466.50 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$279.90 |
$466.50 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,894.05 |
$3,156.75 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$211.95 |
$353.25 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$211.95 |
$353.25 |
0.9× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,921.85 |
$4,869.75 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$279.90 |
$466.50 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,163.85 |
$1,939.75 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/ablation (45388) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$760.95 |
$1,268.25 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$284.40 |
$474 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$284.40 |
$474 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$668.55 |
$1,114.25 |
1.6× |
| Destroy cerv/thor facet jnt (64633) |
$3,138.15 |
$5,230.25 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,138.15 |
$5,230.25 |
1.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,382.70 |
$2,304.50 |
1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,138.15 |
$5,230.25 |
1.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,776.65 |
$4,627.75 |
3.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,094.55 |
$1,824.25 |
1.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$562.65 |
$937.75 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$447.75 |
$746.25 |
1.4× |
| Drainage Finger Abscess Simple (26010) |
$258.15 |
$430.25 |
1.3× |
| Drainage of eyelid abscess (67700) |
$360.45 |
$600.75 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$1,946.55 |
$3,244.25 |
1.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,138.20 |
$1,897 |
0.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,138.20 |
$1,897 |
0.6× |
| Egd flexible foreign body removal (43247) |
$731.70 |
$1,219.50 |
0.8× |
| Egd injection varices (43243) |
$1,138.20 |
$1,897 |
0.6× |
| Egd rem tumr/polyp forcep (43250) |
$1,138.20 |
$1,897 |
0.6× |
| Egd remove lesion snare (43251) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,138.20 |
$1,897 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Varices Ligation (43244) |
$1,138.20 |
$1,897 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,138.20 |
$1,897 |
0.6× |
| Epidural lysis mult sessions (62263) |
$2,440.50 |
$4,067.50 |
2.7× |
| Epidural lysis on single day (62264) |
$1,393.80 |
$2,323 |
1.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$731.70 |
$1,219.50 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$97.35 |
$162.25 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,896.60 |
$3,161 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$526.50 |
$877.50 |
0.7× |
| I&d abscess simple (10060) |
$467.85 |
$779.75 |
2.3× |
| I&d pilonidal cyst simple (10080) |
$526.50 |
$877.50 |
0.7× |
| Implant neuroelectrodes (63650) |
$7,672.50 |
$12,787.50 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$812.40 |
$1,354 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$484.50 |
$807.50 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$306.90 |
$511.50 |
1.5× |
| Incision of rectal abscess (46040) |
$1,915.20 |
$3,192 |
1.6× |
| Initial tx 1st degree burn local tx (16000) |
$235.35 |
$392.25 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,482.45 |
$2,470.75 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$441.30 |
$735.50 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$962.32 |
$1,603.88 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,382.70 |
$2,304.50 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$780.60 |
$1,301 |
1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,382.70 |
$2,304.50 |
1.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$493.65 |
$822.75 |
1.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,382.70 |
$2,304.50 |
1.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,045.65 |
$1,742.75 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,382.70 |
$2,304.50 |
1.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,045.65 |
$1,742.75 |
1.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,355.10 |
$2,258.50 |
1.5× |
| Inject Nerv Blck,Pudendal (64430) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,141.35 |
$1,902.25 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$463.65 |
$772.75 |
0.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$962.92 |
$1,604.88 |
1.4× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$264.30 |
$440.50 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,402.50 |
$2,337.50 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$441.30 |
$735.50 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$441.30 |
$735.50 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$401.40 |
$669 |
1.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$427.05 |
$711.75 |
1.4× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$1,045.65 |
$1,742.75 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$2,899.95 |
$4,833.25 |
0.9× |
| Insert picc cath (36569) |
$2,510.55 |
$4,184.25 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$188.70 |
$314.50 |
1.4× |
| Insert tunneled cv cath (36561) |
$3,648.15 |
$6,080.25 |
1.1× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$28,346.25 |
$47,243.75 |
2.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,414.10 |
$4,023.50 |
1.5× |
| Insrt/redo spine n generator (63685) |
$24,061.80 |
$40,103 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$539.85 |
$899.75 |
2.3× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$45,520.80 |
$75,868 |
2.3× |
| Late closure of wound (13160) |
$2,105.40 |
$3,509 |
0.6× |
| Ligation of hemorrhoid(s) (46221) |
$890.85 |
$1,484.75 |
1.0× |
| Lithotripsy (50590) |
$18,406.05 |
$30,676.75 |
5.2× |
| Myelography Lumbar Injection (62305) |
$1,300.20 |
$2,167 |
1.6× |
| Myelography Lumbar Injection (62304) |
$1,300.20 |
$2,167 |
1.6× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,300.20 |
$2,167 |
1.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,300.20 |
$2,167 |
1.6× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$508.20 |
$847 |
2.0× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$1,041 |
$1,735 |
4.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,382.70 |
$2,304.50 |
1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,482.45 |
$2,470.75 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,438.95 |
$2,398.25 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,045.65 |
$1,742.75 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$2,141.85 |
$3,569.75 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,001.25 |
$1,668.75 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,261.95 |
$2,103.25 |
1.4× |
| Pericardiocentesis W/Imaging (33016) |
$2,976.90 |
$4,961.50 |
1.9× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,094.55 |
$1,824.25 |
1.2× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$10,493.25 |
$17,488.75 |
1.6× |
| Puncture Aspiration (10160) |
$484.50 |
$807.50 |
1.2× |
| Pvb thoracic single inj site (64461) |
$1,045.65 |
$1,742.75 |
1.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,138.15 |
$5,230.25 |
1.6× |
| Removal fb intranasal (30300) |
$217.20 |
$362 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.30 |
$185.50 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$84.15 |
$140.25 |
1.4× |
| Removal Implant Deep (20680) |
$3,295.35 |
$5,492.25 |
1.1× |
| Removal of nail bed (11750) |
$449.25 |
$748.75 |
1.1× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,758.95 |
$4,598.25 |
1.4× |
| Remove intrvas foreign body (37197) |
$5,398.35 |
$8,997.25 |
1.7× |
| Remove shoulder foreign body (23330) |
$964.05 |
$1,606.75 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$197.25 |
$328.75 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$339.60 |
$566 |
2.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$478.95 |
$798.25 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$487.20 |
$812 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$449.25 |
$748.75 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$478.95 |
$798.25 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$478.95 |
$798.25 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$478.95 |
$798.25 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$423.45 |
$705.75 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$695.40 |
$1,159 |
0.9× |
| Repair eyelid wound (67930) |
$1,721.70 |
$2,869.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$276.30 |
$460.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,420.65 |
$2,367.75 |
3.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$373.50 |
$622.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$373.50 |
$622.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,365.90 |
$2,276.50 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$695.40 |
$1,159 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,840.60 |
$6,401 |
1.8× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$2,897.70 |
$4,829.50 |
0.8× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$10,544.40 |
$17,574 |
1.6× |
| Revision/removal nstim eltrd array pn int nstim (64598) |
$7,080.45 |
$11,800.75 |
2.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,167.85 |
$5,279.75 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,591.05 |
$2,651.75 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$547.05 |
$911.75 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$748.50 |
$1,247.50 |
0.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$547.05 |
$911.75 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$719.70 |
$1,199.50 |
0.8× |
| Sigmoidoscopy w/fb removal (45332) |
$707.55 |
$1,179.25 |
0.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$3,571.80 |
$5,953 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$607.35 |
$1,012.25 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$312.90 |
$521.50 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$312.90 |
$521.50 |
1.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$607.35 |
$1,012.25 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$312.90 |
$521.50 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$312.90 |
$521.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$312.90 |
$521.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$235.35 |
$392.25 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$235.35 |
$392.25 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312.90 |
$521.50 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$449.25 |
$748.75 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$449.25 |
$748.75 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,045.65 |
$1,742.75 |
1.5× |
| Strapping elbow/wrist (29260) |
$225.15 |
$375.25 |
3.8× |
| Strapping hand/finger (29280) |
$225.15 |
$375.25 |
3.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,776.65 |
$4,627.75 |
3.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$21,248.85 |
$35,414.75 |
1.6× |
| Treatment closed elbow dislocation req anes (24605) |
$1,408.80 |
$2,348 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$279.90 |
$466.50 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$695.40 |
$1,159 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$431.85 |
$719.75 |
1.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$136.50 |
$227.50 |
0.8× |
| Unlisted Procedure Nervous System (64999) |
$832.50 |
$1,387.50 |
2.7× |
| Venipuncture (36415) |
$23.85 |
$39.75 |
2.6× |