| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$395.25 |
$527 |
2.8× |
| Application cast elbow finger short arm (29075) |
$258.75 |
$345 |
1.1× |
| Application finger splint static (29130) |
$46.50 |
$62 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$150.75 |
$201 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$150.75 |
$201 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$123 |
$164 |
1.1× |
| Application short leg splint calf foot (29515) |
$150.75 |
$201 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$66.75 |
$89 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$112.50 |
$150 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$294.75 |
$393 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$196.50 |
$262 |
1.1× |
| Blood transfusion service (36430) |
$436.50 |
$582 |
1.1× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$207 |
$276 |
1.1× |
| Chemical Cautery Tissue (17250) |
$579 |
$772 |
3.3× |
| Closed Rx Radial Shaft Fx (25500) |
$242.25 |
$323 |
1.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$242.25 |
$323 |
1.1× |
| Closed Treatment Sternum Fracture (21820) |
$242.25 |
$323 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$242.25 |
$323 |
1.1× |
| Closed tx patellar fracture w/o manipulation (27520) |
$242.25 |
$323 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$242.25 |
$323 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$242.25 |
$323 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$242.25 |
$323 |
1.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$228.75 |
$305 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$242.25 |
$323 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,524.75 |
$2,033 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$242.25 |
$323 |
1.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,524.75 |
$2,033 |
1.1× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$242.25 |
$323 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$242.25 |
$323 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$242.25 |
$323 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$242.25 |
$323 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$242.25 |
$323 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$242.25 |
$323 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$242.25 |
$323 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$242.25 |
$323 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$242.25 |
$323 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$123 |
$164 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,053 |
$1,404 |
3.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,053 |
$1,404 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,067.75 |
$2,757 |
1.5× |
| Destruction benign lesions 15 or more (17111) |
$113.25 |
$151 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$90 |
$120 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$72.75 |
$97 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$1,668 |
$2,224 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$579 |
$772 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$579 |
$772 |
3.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$579 |
$772 |
3.3× |
| Evacuation of subungual hematoma (11740) |
$123 |
$164 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$183.75 |
$245 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$210 |
$280 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$103.50 |
$138 |
0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$211.50 |
$282 |
0.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$149.25 |
$199 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$150 |
$200 |
0.4× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$166.50 |
$222 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$183.75 |
$245 |
0.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$231 |
$308 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$202.50 |
$270 |
0.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$276.75 |
$369 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$243.75 |
$325 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$232.50 |
$310 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$276 |
$368 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$331.50 |
$442 |
0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$308.25 |
$411 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$317.25 |
$423 |
0.2× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$138.75 |
$185 |
0.2× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$141 |
$188 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$186 |
$248 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$220.50 |
$294 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$244.50 |
$326 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$279 |
$372 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$157.50 |
$210 |
0.3× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$201 |
$268 |
0.3× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$226.50 |
$302 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$299.25 |
$399 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$148.50 |
$198 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$168 |
$224 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$189 |
$252 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$223.50 |
$298 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$270.75 |
$361 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$149.25 |
$199 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$186.75 |
$249 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$152.25 |
$203 |
0.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$139.50 |
$186 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$285 |
$380 |
1.5× |
| I&d abscess simple (10060) |
$441.38 |
$588.50 |
2.6× |
| I&d pilonidal cyst simple (10080) |
$131.25 |
$175 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,544.25 |
$2,059 |
1.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,608.50 |
$3,478 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$172.50 |
$230 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$183.75 |
$245 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$201.75 |
$269 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$111 |
$148 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$770.25 |
$1,027 |
4.5× |
| Inj tendon sheath/ligament (20550) |
$98.25 |
$131 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$294.75 |
$393 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$294.75 |
$393 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$123 |
$164 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$123 |
$164 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$289.50 |
$386 |
1.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$231.75 |
$309 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$408.75 |
$545 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$95.25 |
$127 |
0.3× |
| Puncture Aspiration (10160) |
$359.25 |
$479 |
1.0× |
| Removal fb intranasal (30300) |
$123 |
$164 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$686.25 |
$915 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,544.25 |
$2,059 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$100 |
1.5× |
| Removal of nail bed (11750) |
$183 |
$244 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$84 |
$112 |
0.5× |
| Remove foreign body from eye (65210) |
$408.75 |
$545 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$123 |
$164 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$123 |
$164 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$302.25 |
$403 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$357 |
$476 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$294 |
$392 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$356.25 |
$475 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$291.75 |
$389 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$351 |
$468 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$376.50 |
$502 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$298.50 |
$398 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$252.75 |
$337 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$449.25 |
$599 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$298.50 |
$398 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$315.75 |
$421 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$460.50 |
$614 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$334.50 |
$446 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$212.25 |
$283 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$243 |
$324 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$299.25 |
$399 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$440.25 |
$587 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$310.50 |
$414 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$201.75 |
$269 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$225.75 |
$301 |
0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$369.75 |
$493 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$280.50 |
$374 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$392.25 |
$523 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,608.50 |
$3,478 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$377.25 |
$503 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$76.50 |
$102 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$144.75 |
$193 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$61.50 |
$82 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$88.50 |
$118 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$100.50 |
$134 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$128.25 |
$171 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$59.25 |
$79 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$99 |
$132 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$126 |
$168 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$72 |
$96 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$106.50 |
$142 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$90 |
$120 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$325.50 |
$434 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$179.25 |
$239 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$213 |
$284 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$372.75 |
$497 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$240.75 |
$321 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$297 |
$396 |
1.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$379.50 |
$506 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$158.25 |
$211 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$373.50 |
$498 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$234.75 |
$313 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,668 |
$2,224 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,668 |
$2,224 |
2.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,349.50 |
$4,466 |
1.9× |
| Skn sub grft f/n/hf/g child (15277) |
$1,668 |
$2,224 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$205.50 |
$274 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$289.50 |
$386 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$318.75 |
$425 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$703.50 |
$938 |
1.2× |
| Strapping thorax (29200) |
$150.75 |
$201 |
1.1× |
| Strapping unna boot (29580) |
$543.75 |
$725 |
3.9× |
| Tangential biopsy skin single lesion (11102) |
$91.50 |
$122 |
0.3× |
| Treat humerus fracture (24500) |
$242.25 |
$323 |
1.1× |
| Treat humerus fracture (23600) |
$242.25 |
$323 |
1.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,524.75 |
$2,033 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$242.25 |
$323 |
1.1× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$242.25 |
$323 |
0.0× |
| Trim skin lesion (11055) |
$770.25 |
$1,027 |
4.5× |
| Trim skin lesions 2 to 4 (11056) |
$770.25 |
$1,027 |
4.5× |
| Trim skin lesions over 4 (11057) |
$770.25 |
$1,027 |
4.5× |
| Venipuncture (36415) |
$15.75 |
$21 |
1.7× |