| Abd paracentesis w/imaging (49083) |
$671.60 |
$1,343.20 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$779.13 |
$1,558.25 |
1.0× |
| Amniocentesis diagnostic (59000) |
$373 |
$746 |
0.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$941 |
$1,882 |
1.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$108.75 |
$217.50 |
0.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$89 |
$178 |
0.6× |
| Application finger splint static (29130) |
$89 |
$178 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$89 |
$178 |
0.6× |
| Application long leg splint thigh ankle/toes (29505) |
$89 |
$178 |
0.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$231.25 |
$462.50 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$157.50 |
$315 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$95 |
$190 |
0.8× |
| Application short leg splint calf foot (29515) |
$89 |
$178 |
0.6× |
| Apply multlay comprs arm/hand (29584) |
$177 |
$354 |
1.2× |
| Arterial puncture (36600) |
$125 |
$250 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$160 |
$320 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$160 |
$320 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$367 |
$734 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$160 |
$320 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$342.50 |
$685 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$231 |
$462 |
1.3× |
| Biopsy Salivary Gland,Needle (42400) |
$373.50 |
$747 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$665.50 |
$1,331 |
0.5× |
| Bladder Scan (51798) |
$80.50 |
$161 |
1.6× |
| Blood patch (62273) |
$408 |
$816 |
0.7× |
| Blood transfusion service (36430) |
$270 |
$540 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,468 |
$2,936 |
0.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,468 |
$2,936 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,379.50 |
$2,759 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$384.50 |
$769 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$241 |
$482 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$148.50 |
$297 |
0.7× |
| Chemical Cautery Tissue (17250) |
$114.25 |
$228.50 |
0.6× |
| Chest tube placement (32551) |
$1,208 |
$2,416 |
0.9× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$137 |
$274 |
1.2× |
| Circum 28 days or older (54161) |
$544 |
$1,088 |
0.3× |
| Circumcision (54150) |
$544 |
$1,088 |
0.3× |
| Circumcision Neonate (54160) |
$494.50 |
$989 |
0.8× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$128.50 |
$257 |
0.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,211 |
$2,422 |
0.9× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,857 |
$3,714 |
1.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,084 |
$2,168 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$491 |
$982 |
0.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,334.50 |
$2,669 |
0.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,584.13 |
$3,168.25 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$306.50 |
$613 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$121.50 |
$243 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$421 |
$842 |
0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$319 |
$638 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,112.50 |
$2,225 |
0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,216 |
$2,432 |
5.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$133.50 |
$267 |
0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,083 |
$2,166 |
0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$554.50 |
$1,109 |
0.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$263.50 |
$527 |
1.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$352.50 |
$705 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$77 |
$154 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,083 |
$2,166 |
0.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$258.50 |
$517 |
1.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$336 |
$672 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$263.50 |
$527 |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$133.50 |
$267 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,216 |
$2,432 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$133.50 |
$267 |
0.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$159 |
$318 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$121.50 |
$243 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$321.50 |
$643 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$257 |
$514 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$121.50 |
$243 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$121.50 |
$243 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$451 |
$902 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,412.20 |
$2,824.40 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$163.50 |
$327 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$121.50 |
$243 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$154 |
$308 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$121.50 |
$243 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,203.50 |
$2,407 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$133.50 |
$267 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$133.50 |
$267 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$121.50 |
$243 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$121.50 |
$243 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$121.50 |
$243 |
0.6× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$121.50 |
$243 |
0.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,238 |
$2,476 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$133.50 |
$267 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$121.50 |
$243 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$257 |
$514 |
1.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,189 |
$2,378 |
0.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,355.50 |
$2,711 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$260.50 |
$521 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$133.50 |
$267 |
0.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$257 |
$514 |
0.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,172 |
$2,344 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,141 |
$2,282 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,203.50 |
$2,407 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$464 |
$928 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$303.45 |
$606.90 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$77 |
$154 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$77 |
$154 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$77 |
$154 |
0.7× |
| Cystourethroscopy (52000) |
$611.50 |
$1,223 |
1.0× |
| Debride nail 1-5 (11720) |
$151.50 |
$303 |
2.9× |
| Debride nail 6 or more (11721) |
$252.75 |
$505.50 |
4.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$212.75 |
$425.50 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$380.25 |
$760.50 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$754 |
$1,508 |
0.5× |
| Declot vascular device (36593) |
$299.50 |
$599 |
1.0× |
| Dilate urethra stricture (53620) |
$625 |
$1,250 |
1.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$157 |
$314 |
0.3× |
| Drain outer ear canal lesion (69020) |
$148.50 |
$297 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$98 |
$196 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$890 |
$1,780 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$98 |
$196 |
0.6× |
| Drainage of eyelid abscess (67700) |
$308.50 |
$617 |
1.1× |
| Drainage of gum lesion (41800) |
$98 |
$196 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$1,163 |
$2,326 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$890 |
$1,780 |
0.6× |
| Draw blood off venous device (36591) |
$135.50 |
$271 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$308.25 |
$616.50 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$249 |
$498 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$92.75 |
$185.50 |
0.5× |
| Dry Needling 3+ Muscles (20561) |
$40 |
$80 |
1.6× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,348.54 |
$2,697.08 |
0.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,336.04 |
$2,672.08 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$35.50 |
$71 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$748.50 |
$1,497 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$654.50 |
$1,309 |
1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,003.50 |
$2,007 |
1.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$364.50 |
$729 |
0.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$791 |
$1,582 |
0.5× |
| Excision of nail fold toe (11765) |
$62.50 |
$125 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$1,276.50 |
$2,553 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$890 |
$1,780 |
0.6× |
| External Cephalic Version (59412) |
$1,159.20 |
$2,318.40 |
0.4× |
| Eye surgery procedure (66999) |
$300 |
$600 |
0.1× |
| Fetal Contraction Stress Test (59020) |
$331.50 |
$663 |
1.9× |
| Fetal non-stress test (59025) |
$123.50 |
$247 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$249.50 |
$499 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$118.50 |
$237 |
0.6× |
| I&d abscess simple (10060) |
$174.50 |
$349 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,017.50 |
$4,035 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,579 |
$3,158 |
0.9× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,107 |
$2,214 |
0.4× |
| I&d perianal abscess superficial (46050) |
$624 |
$1,248 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$98 |
$196 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,159.20 |
$2,318.40 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,504.78 |
$3,009.55 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$338.50 |
$677 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$890 |
$1,780 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$388 |
$776 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$121.50 |
$243 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$383 |
$766 |
1.4× |
| Incision of lingual frenum (41010) |
$682 |
$1,364 |
0.5× |
| Incision of rectal abscess (46040) |
$1,548.50 |
$3,097 |
1.5× |
| Incision thrombosed hemorrhoid external (46083) |
$148.50 |
$297 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$111.25 |
$222.50 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$90 |
$180 |
0.5× |
| Inj tendon sheath/ligament (20550) |
$118.50 |
$237 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$854 |
$1,708 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$864 |
$1,728 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$740 |
$1,480 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$956 |
$1,912 |
1.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$657.50 |
$1,315 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$854 |
$1,708 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$854 |
$1,708 |
1.4× |
| Inject Tendon Origin/Insert (20551) |
$300 |
$600 |
1.1× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$945 |
$1,890 |
1.2× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$854 |
$1,708 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$279 |
$558 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$178 |
$356 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$740 |
$1,480 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$160 |
$320 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$224 |
$448 |
0.8× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$342.50 |
$685 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$192.50 |
$385 |
1.7× |
| Insert cervical dilator (59200) |
$331.50 |
$663 |
1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,543.50 |
$3,087 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$2,458.50 |
$4,917 |
0.9× |
| Insert picc cath (36569) |
$1,928 |
$3,856 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$116 |
$232 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$81.50 |
$163 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,536 |
$5,072 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$282.90 |
$565.80 |
1.4× |
| Irrigate corpora cavernosa for priapism (54220) |
$343 |
$686 |
1.6× |
| Lip Surgery Procedure (40799) |
$100.63 |
$201.25 |
0.5× |
| Liver Biopsy (47000) |
$424 |
$848 |
0.3× |
| Manipulation finger joint under anes each joint (26340) |
$1,141 |
$2,282 |
0.8× |
| Nasal surgery procedure (30999) |
$162.15 |
$324.30 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$284.50 |
$569 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40 |
$80 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$521 |
$1,042 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$264.60 |
$529.20 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$429.98 |
$859.95 |
0.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$657.50 |
$1,315 |
1.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,871.50 |
$3,743 |
0.7× |
| Open tx interphalangeal joint dislocation (26785) |
$2,052.50 |
$4,105 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$289.80 |
$579.60 |
0.5× |
| Perq device breast 1st imag (19281) |
$836.05 |
$1,672.10 |
0.6× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,412 |
$2,824 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$343 |
$686 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$135.50 |
$271 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$239.75 |
$479.50 |
0.7× |
| Puncture Aspiration (10160) |
$98 |
$196 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$237.50 |
$475 |
0.4× |
| Reduction of rectal prolapse (45900) |
$430 |
$860 |
0.5× |
| Removal fb intranasal (30300) |
$47.50 |
$95 |
0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$851.50 |
$1,703 |
0.3× |
| Removal foreign body foot deep (28192) |
$1,333 |
$2,666 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$563.50 |
$1,127 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,223.50 |
$2,447 |
0.8× |
| Removal foreign body pharynx (42809) |
$345 |
$690 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,590 |
$5,180 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$81 |
$162 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58.50 |
$117 |
1.1× |
| Removal of intrauterine device (iud) (58301) |
$115.50 |
$231 |
0.4× |
| Removal of nail bed (11750) |
$397 |
$794 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$88.50 |
$177 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$50.50 |
$101 |
0.2× |
| Remove Eyelid Foreign Body (67938) |
$156 |
$312 |
0.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$1,184 |
$2,368 |
0.8× |
| Remv Ext Canal Foreign Body (69200) |
$53.50 |
$107 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$75 |
$150 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$651.50 |
$1,303 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$302.50 |
$605 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$295 |
$590 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$504 |
$1,008 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$494.50 |
$989 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$544 |
$1,088 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$353 |
$706 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,334.50 |
$2,669 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,195 |
$4,390 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$296.50 |
$593 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$346 |
$692 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$395.50 |
$791 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$445 |
$890 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$445 |
$890 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$296.50 |
$593 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$346 |
$692 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$395.50 |
$791 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$445 |
$890 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$296.50 |
$593 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$346 |
$692 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$494.50 |
$989 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$395.50 |
$791 |
1.1× |
| Repair of nail bed (11760) |
$109.50 |
$219 |
0.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$6,081 |
$12,162 |
1.0× |
| Repair Tongue Laceration (41250) |
$77 |
$154 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$75 |
$150 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$116 |
$232 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,210.50 |
$2,421 |
1.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$712 |
$1,424 |
0.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$923.45 |
$1,846.90 |
4.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$591 |
$1,182 |
1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$519 |
$1,038 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$124 |
$248 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$89 |
$178 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$89 |
$178 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$89 |
$178 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$89 |
$178 |
0.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$89 |
$178 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$89 |
$178 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$229.50 |
$459 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$89 |
$178 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$980.29 |
$1,960.58 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,538.79 |
$3,077.58 |
2.4× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,527.05 |
$3,054.10 |
0.8× |
| Skin Tissue Procedure (17999) |
$35.50 |
$71 |
0.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,544.05 |
$3,088.10 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$89 |
$178 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$89 |
$178 |
0.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$95 |
$190 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$425 |
$850 |
0.7× |
| Spinal Puncture Therapeutic (62272) |
$359 |
$718 |
0.6× |
| Strapping ankle (29540) |
$89 |
$178 |
0.6× |
| Strapping elbow/wrist (29260) |
$95 |
$190 |
1.8× |
| Strapping hand/finger (29280) |
$95 |
$190 |
1.8× |
| Strapping knee (29530) |
$89 |
$178 |
0.8× |
| Strapping shoulder (29240) |
$83 |
$166 |
0.7× |
| Strapping toes (29550) |
$83 |
$166 |
1.6× |
| Strapping unna boot (29580) |
$114.50 |
$229 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$73 |
$146 |
0.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$515.50 |
$1,031 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$472 |
$944 |
0.9× |
| Thrombolytic Therapy, Stroke (37195) |
$292.50 |
$585 |
1.0× |
| Thyroid biopsy (60100) |
$207.50 |
$415 |
0.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$681 |
$1,362 |
1.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,110.33 |
$2,220.65 |
5.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$878.03 |
$1,756.05 |
0.6× |
| Treat finger dislocation (26775) |
$1,216 |
$2,432 |
5.0× |
| Treat Metatarsal Fracture (28475) |
$146.50 |
$293 |
0.7× |
| Treat wrist bone fracture (25622) |
$164.50 |
$329 |
0.8× |
| Treatment closed elbow dislocation req anes (24605) |
$1,216 |
$2,432 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$133.50 |
$267 |
0.6× |
| Trim skin lesion (11055) |
$99.25 |
$198.50 |
0.6× |
| Trim skin lesions 2 to 4 (11056) |
$104.25 |
$208.50 |
0.6× |
| Trim skin lesions over 4 (11057) |
$189.50 |
$379 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$47.25 |
$94.50 |
0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$725 |
$1,450 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,362.50 |
$2,725 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$356 |
$712 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$425 |
$850 |
1.2× |
| Unlisted procedure anus (46999) |
$695.75 |
$1,391.50 |
0.9× |
| Unlisted Procedure Casting/Strapping (29799) |
$89 |
$178 |
0.6× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$131.10 |
$262.20 |
0.6× |
| Unlisted procedure humerus/elbow (24999) |
$332.93 |
$665.85 |
1.5× |
| Unlisted procedure leg/ankle (27899) |
$173.65 |
$347.30 |
0.8× |
| Unlisted Procedure Nervous System (64999) |
$472.65 |
$945.30 |
1.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$57 |
$114 |
0.1× |
| Unlisted procedure, forearm or wrist (25999) |
$330.05 |
$660.10 |
1.5× |
| Urology Surgery Procedure (53899) |
$386.40 |
$772.80 |
1.8× |
| Venipuncture (36415) |
$8.50 |
$17 |
0.9× |