| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$3,046 |
$3,046 |
3.3× |
| Application cast elbow finger short arm (29075) |
$363 |
$363 |
1.3× |
| Application Cast Finger (29086) |
$313 |
$313 |
1.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$297 |
$297 |
1.8× |
| Application cast shoulder hand long arm (29065) |
$657 |
$657 |
2.3× |
| Application finger splint static (29130) |
$170.50 |
$170.50 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$461 |
$461 |
2.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$269 |
$269 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$535 |
$535 |
3.3× |
| Application short arm splint forearm-hand static (29125) |
$440 |
$440 |
3.3× |
| Application short leg splint calf foot (29515) |
$437 |
$437 |
2.7× |
| Apply short leg cast (29405) |
$425 |
$425 |
1.5× |
| Arterial puncture (36600) |
$54 |
$54 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$90 |
$90 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$386.50 |
$386.50 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$75 |
$75 |
0.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$150 |
$150 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$175 |
$175 |
0.9× |
| Bladder Irrigation Simple (51700) |
$455 |
$455 |
1.8× |
| Blood transfusion service (36430) |
$886 |
$886 |
2.0× |
| Chemical peel facial epidermal (15788) |
$90 |
$90 |
0.2× |
| Chest tube placement (32551) |
$700 |
$700 |
0.4× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$360 |
$360 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,084 |
$1,084 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$400 |
$400 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$750 |
$750 |
3.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$300 |
$300 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$600 |
$600 |
0.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$225 |
$225 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$300 |
$300 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$284 |
$284 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$397 |
$397 |
1.6× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$499 |
$499 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$300 |
$300 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$499 |
$499 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$250 |
$250 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$18 |
$18 |
0.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$505 |
$505 |
3.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$255 |
$255 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$140 |
$140 |
0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$65 |
$65 |
0.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$179 |
$179 |
0.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$300 |
$300 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$189 |
$189 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$135 |
$135 |
0.7× |
| Drainage of hematoma/fluid (10140) |
$1,893.50 |
$1,893.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$287 |
$287 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$35 |
$35 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$300 |
$300 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$565.50 |
$565.50 |
0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$175 |
$175 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$75 |
$75 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$130 |
$130 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,179 |
$1,179 |
1.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$150 |
$150 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$190 |
$190 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$450 |
$450 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$240 |
$240 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$250 |
$250 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$500 |
$500 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$310 |
$310 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$105 |
$105 |
0.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$80 |
$80 |
0.1× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$250 |
$250 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$450 |
$450 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$375 |
$375 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$200 |
$200 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$275 |
$275 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$450 |
$450 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$400 |
$400 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$200 |
$200 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$280 |
$280 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$150 |
$150 |
0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$165 |
$165 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$360 |
$360 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,106 |
$1,106 |
1.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$150 |
$150 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$130 |
$130 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$75 |
$75 |
0.0× |
| Excision of nail fold toe (11765) |
$90 |
$90 |
0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$200 |
$200 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$200 |
$200 |
0.9× |
| I&d abscess simple (10060) |
$532 |
$532 |
2.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$248 |
$248 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$723.50 |
$723.50 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$200 |
$200 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$613.50 |
$613.50 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$259 |
$259 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$250 |
$250 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$383 |
$383 |
1.9× |
| Inj tendon sheath/ligament (20550) |
$75 |
$75 |
0.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$45 |
$45 |
0.1× |
| Injection anes other peripheral nerve/branch (64450) |
$400 |
$400 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$65 |
$65 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$55 |
$55 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$175 |
$175 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$120 |
$120 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$343 |
$343 |
2.7× |
| Insert non-tunnel cv cath (36556) |
$2,822 |
$2,822 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$161 |
$161 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$405 |
$405 |
3.0× |
| Intubation endotracheal emergency procedure (31500) |
$786 |
$786 |
3.3× |
| Irrigation maxillary sinus (31000) |
$65 |
$65 |
0.3× |
| Lengthening of hand tendon (26478) |
$6 |
$6 |
0.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$171 |
$171 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$156 |
$156 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$250 |
$250 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$180 |
$180 |
0.4× |
| Puncture Aspiration (10160) |
$95 |
$95 |
0.2× |
| Removal fb intranasal (30300) |
$250 |
$250 |
1.9× |
| Removal foreign body foot subcutaneous (28190) |
$1,347 |
$1,347 |
1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$42.50 |
$42.50 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$97.50 |
$97.50 |
1.6× |
| Removal of arm foreign body (24200) |
$150 |
$150 |
0.1× |
| Removal of nail bed (11750) |
$315 |
$315 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$65 |
$65 |
0.3× |
| Remove drug implant device (11982) |
$75 |
$75 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$243 |
$243 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$190 |
$190 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,157 |
$1,157 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$738 |
$738 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$912 |
$912 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$524 |
$524 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$794 |
$794 |
1.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$525 |
$525 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,034 |
$1,034 |
2.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$334 |
$334 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$359.50 |
$359.50 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$530 |
$530 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$200 |
$200 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$105 |
$105 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$35 |
$35 |
0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$200 |
$200 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$50 |
$50 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$150 |
$150 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$175 |
$175 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$400 |
$400 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$363.50 |
$363.50 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$405.50 |
$405.50 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$383 |
$383 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$184 |
$184 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$355 |
$355 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$187.50 |
$187.50 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$731 |
$731 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$731 |
$731 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,023 |
$1,023 |
1.4× |
| Strapping ankle (29540) |
$239 |
$239 |
1.5× |
| Strapping elbow/wrist (29260) |
$189.50 |
$189.50 |
3.2× |
| Strapping hand/finger (29280) |
$71 |
$71 |
1.2× |
| Strapping knee (29530) |
$380 |
$380 |
2.8× |
| Strapping shoulder (29240) |
$426 |
$426 |
3.2× |
| Strapping toes (29550) |
$426 |
$426 |
7.2× |
| Strapping unna boot (29580) |
$330 |
$330 |
2.0× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$550 |
$550 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$200 |
$200 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$856 |
$856 |
1.4× |
| Trim skin lesion (11055) |
$65 |
$65 |
0.3× |
| Venipuncture (36415) |
$12 |
$12 |
1.3× |