| Abd paracentesis w/imaging (49083) |
$333.80 |
$3,338 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$342 |
$3,420 |
0.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$321.70 |
$3,217 |
0.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$55 |
$550 |
0.3× |
| Application cast shoulder hand long arm (29065) |
$66.30 |
$663 |
0.2× |
| Application finger splint static (29130) |
$36.30 |
$363 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$49.80 |
$498 |
0.3× |
| Application long leg splint thigh ankle/toes (29505) |
$63.80 |
$638 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$426.50 |
$4,265 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$41 |
$410 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$52.62 |
$526.25 |
0.4× |
| Application short leg splint calf foot (29515) |
$54.90 |
$549 |
0.3× |
| Apply short leg cast (29425) |
$84.50 |
$845 |
0.3× |
| Arterial puncture (36600) |
$298.90 |
$2,989 |
2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$83.60 |
$836 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$230.60 |
$2,306 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$81.20 |
$812 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$81.20 |
$812 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$55.90 |
$559 |
0.3× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$431.20 |
$4,312 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$520.90 |
$5,209 |
0.3× |
| Bladder Irrigation Simple (51700) |
$79.50 |
$795 |
0.3× |
| Bladder Scan (51798) |
$17.50 |
$175 |
0.3× |
| Blood patch (62273) |
$197.10 |
$1,971 |
0.3× |
| Blood transfusion service (36430) |
$328.90 |
$3,289 |
0.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$510.60 |
$5,106 |
0.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$464.20 |
$4,642 |
0.3× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$990.10 |
$9,901 |
0.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$548.40 |
$5,484 |
0.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$464.20 |
$4,642 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$58.40 |
$584 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$83.10 |
$831 |
0.3× |
| Chemical Cautery Tissue (17250) |
$57.60 |
$576 |
0.3× |
| Chest tube placement (32551) |
$436.20 |
$4,362 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$36.30 |
$363 |
0.3× |
| Circumcision (54150) |
$556.20 |
$5,562 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$445.20 |
$4,452 |
0.3× |
| Closed Rx Med Malleolus Fx (27760) |
$74.20 |
$742 |
0.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$512.70 |
$5,127 |
0.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$445.20 |
$4,452 |
0.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$445.20 |
$4,452 |
0.3× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$498.10 |
$4,981 |
0.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$72.10 |
$721 |
0.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$588.40 |
$5,884 |
0.4× |
| Closed treat wrist dislocation (25660) |
$67.80 |
$678 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$66 |
$660 |
0.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$76.30 |
$763 |
0.3× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$480.90 |
$4,809 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$66 |
$660 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$432 |
$4,320 |
0.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$474.60 |
$4,746 |
1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$66 |
$660 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$76.30 |
$763 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$64.10 |
$641 |
0.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$494.80 |
$4,948 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$432 |
$4,320 |
0.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$494.80 |
$4,948 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$82.50 |
$825 |
0.3× |
| Closure of gastrostomy surgical (43870) |
$1,230 |
$12,300 |
0.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$73.40 |
$734 |
0.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$445.20 |
$4,452 |
0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$494.80 |
$4,948 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$61.80 |
$618 |
0.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$445.20 |
$4,452 |
0.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$66 |
$660 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$64.40 |
$644 |
0.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$74.20 |
$742 |
0.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$75.90 |
$759 |
0.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$432 |
$4,320 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$516.20 |
$5,162 |
0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$570.80 |
$5,708 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$66 |
$660 |
0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$66 |
$660 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$66 |
$660 |
0.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$85.90 |
$859 |
0.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$75.90 |
$759 |
0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$66 |
$660 |
0.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$64.10 |
$641 |
0.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$75.90 |
$759 |
0.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$66 |
$660 |
0.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$72.10 |
$721 |
0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$66 |
$660 |
0.3× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$494.80 |
$4,948 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$66 |
$660 |
0.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$445.20 |
$4,452 |
0.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$445.20 |
$4,452 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$64.10 |
$641 |
0.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$516.20 |
$5,162 |
0.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$445.20 |
$4,452 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$516.20 |
$5,162 |
0.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$445.20 |
$4,452 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$434.20 |
$4,342 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$326.90 |
$3,269 |
0.3× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$442.10 |
$4,421 |
0.4× |
| Colonoscopy for bleeding (44391) |
$431.20 |
$4,312 |
0.4× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$429.10 |
$4,291 |
0.4× |
| Colonoscopy stoma w/biopsy (44389) |
$429.10 |
$4,291 |
0.4× |
| Colonoscopy stoma w/snare (44394) |
$429.10 |
$4,291 |
0.4× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$379.20 |
$3,792 |
0.3× |
| Colonoscopy thru stoma (44388) |
$256.10 |
$2,561 |
0.3× |
| Colonoscopy w/ablation (45388) |
$442.10 |
$4,421 |
0.4× |
| Colonoscopy w/band ligation (45398) |
$368.40 |
$3,684 |
0.3× |
| Colonoscopy w/fb removal (45379) |
$376.10 |
$3,761 |
0.3× |
| Colonoscopy w/resection (45390) |
$1,041.10 |
$10,411 |
0.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$25.10 |
$251 |
0.1× |
| Colposcopy vulva (56820) |
$48.10 |
$481 |
0.2× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$429.10 |
$4,291 |
0.4× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$379.20 |
$3,792 |
0.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$326.90 |
$3,269 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$116.40 |
$1,164 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$34.90 |
$349 |
0.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$42 |
$420 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$34.90 |
$349 |
0.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$78.50 |
$785 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$201.80 |
$2,018 |
0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$110.70 |
$1,107 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$167.60 |
$1,676 |
0.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$449.90 |
$4,499 |
0.3× |
| Declot vascular device (36593) |
$109 |
$1,090 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$741.90 |
$7,419 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$199.50 |
$1,995 |
0.2× |
| Dilation Esophagus Guide Wire (43453) |
$611.20 |
$6,112 |
0.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$194 |
$1,940 |
0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$199.10 |
$1,991 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$520.90 |
$5,209 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$55.90 |
$559 |
0.3× |
| Drainage of eyelid abscess (67700) |
$95.10 |
$951 |
0.3× |
| Drainage of gum lesion (41800) |
$33.60 |
$336 |
0.3× |
| Drainage of hematoma/fluid (10140) |
$436.50 |
$4,365 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$449.90 |
$4,499 |
0.3× |
| Draw blood off venous device (36591) |
$36.30 |
$363 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$128.20 |
$1,282 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$64.40 |
$644 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$55.90 |
$559 |
0.3× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$577 |
$5,770 |
0.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$611.20 |
$6,112 |
0.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$256.10 |
$2,561 |
0.1× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$692.30 |
$6,923 |
0.4× |
Egd endoscopic stent place (43266)
unusually low: confirm this is the full procedure |
$1,872.80 |
$18,728 |
0.3× |
| Egd flexible foreign body removal (43247) |
$326.90 |
$3,269 |
0.4× |
| Egd guide wire insertion (43248) |
$326.90 |
$3,269 |
0.4× |
| Egd injection varices (43243) |
$603.20 |
$6,032 |
0.3× |
| Egd place gastrostomy tube (43246) |
$326.90 |
$3,269 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$326.90 |
$3,269 |
0.2× |
| Egd remove lesion snare (43251) |
$326.90 |
$3,269 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$326.90 |
$3,269 |
0.2× |
| Egd tube/cath insertion (43241) |
$534 |
$5,340 |
0.3× |
| Egd Varices Ligation (43244) |
$326.90 |
$3,269 |
0.2× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$604.70 |
$6,047 |
0.3× |
Ercp Duct Stent Placement (43274)
unusually low: confirm this is the full procedure |
$2,079.50 |
$20,795 |
0.3× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,280.70 |
$12,807 |
0.3× |
| Ercp ea duct/ampulla dilate (43277) |
$1,209.90 |
$12,099 |
0.3× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$1,280.70 |
$12,807 |
0.3× |
| Ercp remove forgn body duct (43275) |
$1,090.50 |
$10,905 |
0.6× |
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure |
$2,079.50 |
$20,795 |
0.3× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,274.10 |
$12,741 |
0.3× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,280.70 |
$12,807 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$336.70 |
$3,367 |
0.4× |
| Esophagoscopy flex biopsy (43202) |
$672 |
$6,720 |
0.3× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$672 |
$6,720 |
0.3× |
| Esophagoscopy flexible removal foreign body (43215) |
$675.50 |
$6,755 |
0.4× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$286.80 |
$2,868 |
0.3× |
Esophagoscopy Transoral Stent Placement (43212)
unusually low: confirm this is the full procedure |
$1,872.80 |
$18,728 |
0.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$672 |
$6,720 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$35.10 |
$351 |
0.3× |
| Excision of nail fold toe (11765) |
$110.70 |
$1,107 |
0.3× |
| Explo/Drain Breast Abscess (19020) |
$520.90 |
$5,209 |
0.3× |
| Fetal non-stress test (59025) |
$53 |
$530 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$127.10 |
$1,271 |
0.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$84.80 |
$848 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$67.70 |
$677 |
0.3× |
| I&d abscess simple (10060) |
$55.90 |
$559 |
0.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$636 |
$6,360 |
0.3× |
| I&d perianal abscess superficial (46050) |
$246.30 |
$2,463 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$193.10 |
$1,931 |
0.3× |
| Ileoscopy stoma w/balloon dilation (44381) |
$519.30 |
$5,193 |
0.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$295.10 |
$2,951 |
0.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$251.30 |
$2,513 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$107.40 |
$1,074 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$199.10 |
$1,991 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$449.90 |
$4,499 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$107.40 |
$1,074 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$53 |
$530 |
0.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$87.50 |
$875 |
0.3× |
| Incision of rectal abscess (46040) |
$321.70 |
$3,217 |
0.3× |
| Incision thrombosed hemorrhoid external (46083) |
$77 |
$770 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$167.60 |
$1,676 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$55.90 |
$559 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$263.30 |
$2,633 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$255.20 |
$2,552 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$209.65 |
$2,096.50 |
0.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$203.10 |
$2,031 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$203.10 |
$2,031 |
0.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$225.70 |
$2,257 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$83.60 |
$836 |
0.3× |
| Injection anes other peripheral nerve/branch (64450) |
$197.10 |
$1,971 |
0.3× |
| Injection for identification of sentinel node (38792) |
$134 |
$1,340 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$95.20 |
$952 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$93.90 |
$939 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$939.80 |
$9,398 |
0.3× |
| Insert picc cath (36569) |
$939.80 |
$9,398 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$36.30 |
$363 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$94.60 |
$946 |
0.7× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$519.30 |
$5,193 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$915.10 |
$9,151 |
0.3× |
| Intraoral i&d tongue/floor lingual (41000) |
$176.80 |
$1,768 |
0.3× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$971.60 |
$9,716 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$133.60 |
$1,336 |
0.6× |
| Irrigate corpora cavernosa for priapism (54220) |
$77 |
$770 |
0.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$84 |
$840 |
0.2× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$288.70 |
$2,887 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,102.80 |
$11,028 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$329.12 |
$3,291.25 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$203.10 |
$2,031 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$256.40 |
$2,564 |
0.3× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$1,298.70 |
$12,987 |
0.4× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$436.20 |
$4,362 |
0.3× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$519.30 |
$5,193 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$88.90 |
$889 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$86.90 |
$869 |
0.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$872.20 |
$8,722 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$107.90 |
$1,079 |
0.3× |
| Puncture Aspiration (10160) |
$107.40 |
$1,074 |
0.3× |
| Removal fb intranasal (30300) |
$43.62 |
$436.25 |
0.3× |
| Removal foreign body foot deep (28192) |
$449.90 |
$4,499 |
0.3× |
| Removal foreign body foot subcutaneous (28190) |
$193.10 |
$1,931 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$20.25 |
$202.50 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$16 |
$160 |
0.3× |
| Removal of arm foreign body (24200) |
$499.80 |
$4,998 |
0.3× |
| Removal of nail bed (11750) |
$110.70 |
$1,107 |
0.3× |
| Remove Eyelid Foreign Body (67938) |
$93 |
$930 |
0.3× |
| Remove foreign body from eye (65210) |
$135 |
$1,350 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$43.62 |
$436.25 |
0.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$38.70 |
$387 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$167.60 |
$1,676 |
0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$186.10 |
$1,861 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$107.40 |
$1,074 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$167.60 |
$1,676 |
0.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$157 |
$1,570 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$118.30 |
$1,183 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$128.20 |
$1,282 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$201.80 |
$2,018 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$167.60 |
$1,676 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$201.80 |
$2,018 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$107.40 |
$1,074 |
0.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$585.80 |
$5,858 |
0.3× |
| Repair of nail bed (11760) |
$207.70 |
$2,077 |
0.3× |
| Replace g/c tube perc (49450) |
$251.30 |
$2,513 |
0.3× |
| Reposition gastrostomy tube (43761) |
$85.20 |
$852 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$295.10 |
$2,951 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$116.50 |
$1,165 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$40.30 |
$403 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$387 |
$3,870 |
0.3× |
| Rplc gtube revj gstrst trc (43763) |
$88.90 |
$889 |
0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$176.80 |
$1,768 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$144.70 |
$1,447 |
0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$316.80 |
$3,168 |
0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$256.10 |
$2,561 |
0.2× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$1,010.60 |
$10,106 |
0.4× |
| Sigmoidoscopy & decompress (45337) |
$282.10 |
$2,821 |
0.3× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$379.20 |
$3,792 |
0.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$376.10 |
$3,761 |
0.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$316.80 |
$3,168 |
0.3× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$328.40 |
$3,284 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$133.60 |
$1,336 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$55.90 |
$559 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$61.40 |
$614 |
0.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$133.60 |
$1,336 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$67.70 |
$677 |
0.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$55.90 |
$559 |
0.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$81 |
$810 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$64.70 |
$647 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$98.10 |
$981 |
0.5× |
| Skin sub graft face/nk/hf/g (15275) |
$723.60 |
$7,236 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$723.60 |
$7,236 |
1.0× |
| Small Bowel Endoscopy (44373) |
$622.40 |
$6,224 |
0.3× |
| Small bowel endoscopy (44366) |
$665.40 |
$6,654 |
0.3× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$603.20 |
$6,032 |
0.3× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$622.40 |
$6,224 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$55.90 |
$559 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$110.70 |
$1,107 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$121.70 |
$1,217 |
0.3× |
| Sphincterotomy (46080) |
$307.80 |
$3,078 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$197.10 |
$1,971 |
0.3× |
| Strapping shoulder (29240) |
$41.10 |
$411 |
0.3× |
| Strapping unna boot (29580) |
$69.30 |
$693 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$206.90 |
$2,069 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$172.90 |
$1,729 |
0.3× |
| Thrombolytic Therapy, Stroke (37195) |
$105.30 |
$1,053 |
0.3× |
| Thrombolytic Venous Therapy (37212) |
$1,061.10 |
$10,611 |
0.3× |
| Trach Tube Change (31502) |
$73.90 |
$739 |
0.3× |
| Tracheostomy planned (31600) |
$1,155.70 |
$11,557 |
0.3× |
| Treat finger dislocation (26775) |
$84.60 |
$846 |
0.3× |
| Treat Fracture Radius & Ulna (25560) |
$66 |
$660 |
0.3× |
| Treat Metatarsal Fracture (28475) |
$76.30 |
$763 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$64.10 |
$641 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$838.70 |
$8,387 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$201.80 |
$2,018 |
0.3× |
| Unlisted Procedure Nervous System (64999) |
$107.30 |
$1,073 |
0.3× |
| Unlisted Procedure Small Intestine (44799) |
$295.10 |
$2,951 |
0.3× |
| Unlisted procedure, stomach (43999) |
$298.20 |
$2,982 |
0.3× |
| Venipuncture (36415) |
$4.30 |
$43 |
0.5× |