| Abd paracentesis w/imaging (49083) |
$106.50 |
$1,065 |
0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$206 |
$2,060 |
0.2× |
| Amniocentesis diagnostic (59000) |
$115 |
$1,150 |
0.1× |
| Application cast elbow finger short arm (29075) |
$87.70 |
$877 |
0.3× |
| Application finger splint static (29130) |
$95.70 |
$957 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$95.70 |
$957 |
0.6× |
| Application Long Leg Splint (29505) |
$53.40 |
$534 |
0.3× |
| Application of rigid total contact leg cast (29445) |
$89.60 |
$896 |
0.3× |
| Application Short Arm Splint Dynamic (29126) |
$87.70 |
$877 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$74.60 |
$746 |
0.6× |
| Application short leg splint calf foot (29515) |
$38.80 |
$388 |
0.2× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$50.80–$76.20 |
$508–$762 |
varies |
| Arterial puncture (36600) |
$32.60 |
$326 |
0.2× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$36.60–$75.70 |
$366–$757 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$226.50 |
$2,265 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$111.80 |
$1,118 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$36.60 |
$366 |
0.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$93.30 |
$933 |
0.3× |
| Aspirate pleura w/ imaging (32555) |
$171.50 |
$1,715 |
0.3× |
| Aspirate Pleura W/O Imaging (32554) |
$171.50 |
$1,715 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$45.80 |
$458 |
0.2× |
| Bladder Irrigation (51700) |
$108.90 |
$1,089 |
0.4× |
| Bladder Scan (51798) |
$19.70 |
$197 |
0.3× |
| Blood Transfusion Service (36430) |
$378.20 |
$3,782 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$436.50 |
$4,365 |
0.3× |
| Bx/exc lymph node open superficial (38500) |
$646.70 |
$6,467 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$82.60 |
$826 |
0.3× |
| Chemical Cautery Tissue (17250) |
$67.10 |
$671 |
0.3× |
| Chemodenerv Musc Migraine (64615) |
$93.30 |
$933 |
0.3× |
| Chemodenerv musc neck dyston (64616) |
$93.30 |
$933 |
0.3× |
| Chest tube placement (32551) |
$419.20 |
$4,192 |
0.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$641.60 |
$6,416 |
0.3× |
| Clear outer ear canal (69200) |
$42.90 |
$429 |
0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$64.10 |
$641 |
0.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$75.90 |
$759 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$97.50 |
$975 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$402.20 |
$4,022 |
0.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$432 |
$4,320 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$122 |
$1,220 |
0.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$415.20 |
$4,152 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$83.60 |
$836 |
0.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$75.90 |
$759 |
0.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$102.20 |
$1,022 |
0.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$120.20 |
$1,202 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$368 |
$3,680 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$102.20 |
$1,022 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$415.20 |
$4,152 |
0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$33.40 |
$334 |
0.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$75.90 |
$759 |
0.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$83.50 |
$835 |
0.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$190.20 |
$1,902 |
0.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$75.90 |
$759 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$85 |
$850 |
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) |
$56.90 |
$569 |
0.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$57.10 |
$571 |
0.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$59.70 |
$597 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$72 |
$720 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$66 |
$660 |
0.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$509 |
$5,090 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$118.80 |
$1,188 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$415.20 |
$4,152 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$43.70 |
$437 |
0.3× |
| Collection of venous blood by venipuncture (36415) |
$9.10 |
$91 |
1.0× |
| Colonoscopy thru stoma (44388) |
$315.60 |
$3,156 |
0.3× |
| Colonoscopy w/submucosal inj (45381) |
$399.40 |
$3,994 |
0.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$530.40 |
$5,304 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$74.20 |
$742 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$62.50 |
$625 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$90.80 |
$908 |
0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$207.70 |
$2,077 |
0.3× |
| Debride nail 1-5 (11720) |
$20.80 |
$208 |
0.4× |
| Debride nail 6 or more (11721) |
$27.50 |
$275 |
0.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$414.90 |
$4,149 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$128.80 |
$1,288 |
0.3× |
| Declot vascular device (36593) |
$112.10 |
$1,121 |
0.3× |
| Destroy cerv/thor facet jnt (64633) |
$213.30 |
$2,133 |
0.1× |
| Destroy lumb/sac facet jnt (64635) |
$213.30 |
$2,133 |
0.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$293.50 |
$2,935 |
0.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$245.20 |
$2,452 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$315.60 |
$3,156 |
0.3× |
| Dilate Esophagus 1/Mult Pass (43450) |
$271.70 |
$2,717 |
0.3× |
| Dilation Esophagus Guide Wire (43453) |
$594.70 |
$5,947 |
0.3× |
| Drain Cerebro Spinal Fluid (62272) |
$222.20 |
$2,222 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$36.60 |
$366 |
0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$185.70 |
$1,857 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$520.90 |
$5,209 |
0.3× |
| Drainage Mouth Roof Lesion (42000) |
$67.70 |
$677 |
0.3× |
| Drainage of finger abscess simple (26010) |
$114.80 |
$1,148 |
0.6× |
| Drainage of gum lesion (41800) |
$70.30 |
$703 |
0.5× |
| Drainage of hematoma/fluid (10140) |
$437.30 |
$4,373 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$231.50 |
$2,315 |
0.1× |
| Drainage of scrotum (54700) |
$536.90 |
$5,369 |
0.3× |
| Draw Blood Off Venous Device (36591) |
$41.10 |
$411 |
0.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$231.90 |
$2,319 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$75.30 |
$753 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$97.30 |
$973 |
0.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$115 |
$1,150 |
0.1× |
| Egd Flexible Foreign Body Removal (43247) |
$298.60 |
$2,986 |
0.3× |
| Egd guide wire insertion (43248) |
$398 |
$3,980 |
0.4× |
| Egd place gastrostomy tube (43246) |
$298.60 |
$2,986 |
0.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$84.70 |
$847 |
0.3× |
| Epidural Blood Patch (62273) |
$185.40 |
$1,854 |
0.3× |
| Episiotomy or vaginal repair (59300) |
$1,051.80 |
$10,518 |
0.3× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$241.30 |
$2,413 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$36.40 |
$364 |
0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$226.10 |
$2,261 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$320.10 |
$3,201 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$387 |
$3,870 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$918.30 |
$9,183 |
0.3× |
| Fetal non-stress test (59025) |
$326.10 |
$3,261 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$98.80 |
$988 |
0.2× |
| Foreskin manipulation (54450) |
$79.50 |
$795 |
0.3× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$747.60 |
$7,476 |
0.3× |
| I&d abscess peritonsillar (42700) |
$84.50 |
$845 |
0.4× |
| I&d abscess simple (10060) |
$123.30 |
$1,233 |
0.6× |
| I&d perianal abscess superficial (46050) |
$338.90 |
$3,389 |
0.4× |
| I&d pilonidal cyst complicated (10081) |
$223.80 |
$2,238 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$82.40 |
$824 |
0.1× |
| Image Cath Fluid Peri/Retro (49406) |
$520.90 |
$5,209 |
0.3× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,910.90 |
$19,109 |
0.3× |
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure |
$1,910.90 |
$19,109 |
0.3× |
| Incise external hemorrhoid (46083) |
$318.10 |
$3,181 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$167.40 |
$1,674 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$419.70 |
$4,197 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$186.20 |
$1,862 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$119 |
$1,190 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$132.70 |
$1,327 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$40.30 |
$403 |
0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$115 |
$1,150 |
0.1× |
| Inj W/Fluor Eval Cv Device (36598) |
$81.40 |
$814 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$293.50 |
$2,935 |
0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$78.40 |
$784 |
0.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$245.50 |
$2,455 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$88.80 |
$888 |
0.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$293.50 |
$2,935 |
0.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$88.80 |
$888 |
0.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$226.90 |
$2,269 |
0.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$196.90 |
$1,969 |
0.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$293.50 |
$2,935 |
0.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$226.50 |
$2,265 |
0.3× |
| Injection single tendon origin/insertion (20551) |
$93.30 |
$933 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$93 |
$930 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$93.30 |
$933 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$93.30 |
$933 |
0.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$266.90 |
$2,669 |
0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$189.40 |
$1,894 |
0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$189.40 |
$1,894 |
0.3× |
| Injection, anesthetic agent; vagus nerve (64408) |
$95.20 |
$952 |
0.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$255.20 |
$2,552 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$50.20 |
$502 |
0.4× |
| Insert cath pleura w/o image (32556) |
$611.20 |
$6,112 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$706.60 |
$7,066 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$47.40 |
$474 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$34.90 |
$349 |
0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,080.80 |
$10,808 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,034.10 |
$10,341 |
0.3× |
| Intubation endotracheal emergency procedure (31500) |
$138.20 |
$1,382 |
0.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$105.40 |
$1,054 |
0.4× |
| N Block Inj Celiac Pelus (64530) |
$293.50 |
$2,935 |
0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$88.80 |
$888 |
0.1× |
| N block inj intercost sng (64420) |
$226.50 |
$2,265 |
0.3× |
| N Block Inj Pudendal (64430) |
$293.50 |
$2,935 |
0.3× |
| N Block Lumbar/Thoracic (64520) |
$293.50 |
$2,935 |
0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$82.90 |
$829 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$115 |
$1,150 |
0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$93.30 |
$933 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,316.60 |
$13,166 |
0.4× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines |
$115–$172.50 |
$1,150–$1,725 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$226.50 |
$2,265 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$226.50 |
$2,265 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$226.50 |
$2,265 |
0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$245.50 |
$2,455 |
0.3× |
| Occipital Nerve Block (64405) |
$36.60 |
$366 |
0.1× |
| Open tx interphalangeal joint dislocation (26785) |
$1,031.80 |
$10,318 |
0.3× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$1,943.20 |
$19,432 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$80 |
$800 |
0.2× |
| Proctopexy Perineal Approach (45541) |
$728.20 |
$7,282 |
0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$82.40 |
$824 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$199.10 |
$1,991 |
0.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$222.20 |
$2,222 |
0.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$625.80 |
$6,258 |
0.3× |
| Removal Embedded Foreign Body Eyelid (67938) |
$142.70 |
$1,427 |
0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$242.50 |
$2,425 |
0.3× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$44.90–$67.35 |
$449–$673.50 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$57.20 |
$572 |
1.0× |
| Removal of nail bed (11750) |
$223.30 |
$2,233 |
0.5× |
| Remove foreign body from eye (65205) |
$125.80 |
$1,258 |
0.9× |
| Remove Nasal Foreign Body (30300) |
$92.40 |
$924 |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$632.80 |
$6,328 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$109.20 |
$1,092 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$154 |
$1,540 |
0.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$201.80 |
$2,018 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$154 |
$1,540 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$151.60 |
$1,516 |
0.2× |
| Repair Finger/Hand Tendon (26350) |
$413.50 |
$4,135 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$100.30 |
$1,003 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$133.50 |
$1,335 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$146.90 |
$1,469 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$133.60 |
$1,336 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$100.30 |
$1,003 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$133.50 |
$1,335 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$156.20 |
$1,562 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$133.50 |
$1,335 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$89.30 |
$893 |
0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$92.30 |
$923 |
0.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$156.20 |
$1,562 |
0.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$122.30 |
$1,223 |
0.3× |
| Repair of nail bed (11760) |
$121.30 |
$1,213 |
0.2× |
| Repair tongue laceration (41250) |
$62.30 |
$623 |
0.1× |
| Reposition Gastrostomy Tube (43761) |
$79.40 |
$794 |
0.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$1,168.30 |
$11,683 |
0.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$241.30 |
$2,413 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$125.80 |
$1,258 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$37.90 |
$379 |
0.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$86.90 |
$869 |
0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$520.90 |
$5,209 |
0.3× |
| Rplc Gtube No Revj Trc (43762) |
$118.50 |
$1,185 |
0.5× |
| Rpr blood vessel direct lower extremity (35226) |
$564.10 |
$5,641 |
0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$133.50 |
$1,335 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$176.80 |
$1,768 |
0.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$217.20 |
$2,172 |
0.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$290 |
$2,900 |
0.3× |
| Sigmoidoscopy & Polypectomy (45333) |
$290 |
$2,900 |
0.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$293.60 |
$2,936 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$95.70 |
$957 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$100.30 |
$1,003 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$133.50 |
$1,335 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$103.90 |
$1,039 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$63.30 |
$633 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$68.90 |
$689 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$668.10 |
$6,681 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$668.10 |
$6,681 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$65.50 |
$655 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$133.50 |
$1,335 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$146.80 |
$1,468 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$129.20 |
$1,292 |
0.2× |
| Strapping hand/finger (29280) |
$37.80 |
$378 |
0.6× |
| Strapping knee (29530) |
$60.20 |
$602 |
0.5× |
| Strapping shoulder (29240) |
$45.40 |
$454 |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$72.50 |
$725 |
0.2× |
| Thrombolytic Venous Therapy (37212) |
$853.30 |
$8,533 |
0.3× |
| Treat humerus fracture (24500) |
$75.90 |
$759 |
0.3× |
| Treat Humerus Fracture (24505) |
$415.20 |
$4,152 |
0.3× |
| Treat knee fracture (27532) |
$817.70 |
$8,177 |
0.2× |
| Treat Knuckle Dislocation (26700) |
$61.60 |
$616 |
0.2× |
| Treat toe dislocation (28630) |
$76.30 |
$763 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$106.60 |
$1,066 |
0.4× |
| Trim skin lesion (11055) |
$67 |
$670 |
0.3× |
| Trim skin lesions 2 to 4 (11056) |
$67 |
$670 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$207.70 |
$2,077 |
0.3× |
| Unlisted procedure nervous system (64999) |
$81.20 |
$812 |
0.3× |