| Application cast elbow finger short arm (29075) |
$435.60 |
$726 |
1.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$250.20 |
$417 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$435.60 |
$726 |
1.5× |
| Application finger splint static (29130) |
$75 |
$125 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$250.20 |
$417 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$191.70 |
$319.50 |
1.1× |
| Application of long leg cast (29345) |
$435.60 |
$726 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$130.20 |
$217 |
0.9× |
| Application short leg splint calf foot (29515) |
$165.60 |
$276 |
1.0× |
| Apply short leg cast (29405) |
$271.80 |
$453 |
0.9× |
| Apply short leg cast (29425) |
$435.60 |
$726 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$70.80 |
$118 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$298.80 |
$498 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$216.60 |
$361 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$94.80 |
$158 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$86.40 |
$144 |
0.4× |
| Biopsy external ear (69100) |
$200.40 |
$334 |
0.8× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$346.20 |
$577 |
0.1× |
| Biopsy of uterus lining (58100) |
$272.40 |
$454 |
1.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$220.80 |
$368 |
0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$329.40 |
$549 |
0.2× |
| Bladder Irrigation Simple (51700) |
$429.60 |
$716 |
1.6× |
| Blood transfusion service (36430) |
$271.80 |
$453 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$6.60 |
$11 |
0.0× |
| Chemodenerv trunk musc 6/> (64647) |
$6.60 |
$11 |
0.0× |
| Chest tube placement (32551) |
$816 |
$1,360 |
0.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,157 |
$3,595 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$492.90 |
$821.50 |
1.9× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$588.60 |
$981 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$583.50 |
$972.50 |
2.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$309.60 |
$516 |
1.2× |
| Closed Treat Vert Body Fract (22310) |
$519 |
$865 |
2.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$242.40 |
$404 |
0.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$519 |
$865 |
0.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$475.80 |
$793 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$761.40 |
$1,269 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$430.20 |
$717 |
1.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$367.20 |
$612 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$340.20 |
$567 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$256.20 |
$427 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$417 |
$695 |
1.6× |
| Closed tx patellar fracture w/o manipulation (27520) |
$259.80 |
$433 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$467.40 |
$779 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$311.40 |
$519 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,773 |
$2,955 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$285.60 |
$476 |
1.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$417 |
$695 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$417 |
$695 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$477.60 |
$796 |
0.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$343.50 |
$572.50 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$360 |
$600 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$242.40 |
$404 |
0.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$415.20 |
$692 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$340.20 |
$567 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,459.80 |
$2,433 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$381.60 |
$636 |
1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$301.20 |
$502 |
1.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$417.60 |
$696 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$505.80 |
$843 |
1.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$388.50 |
$647.50 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$235.20 |
$392 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$451.50 |
$752.50 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$398.70 |
$664.50 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$588.60 |
$981 |
0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$193.80 |
$323 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$124.80 |
$208 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$172.80 |
$288 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$414.30 |
$690.50 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$437.10 |
$728.50 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$417.60 |
$696 |
1.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$436.80 |
$728 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$309 |
$515 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$388.50 |
$647.50 |
1.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$329.70 |
$549.50 |
1.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$172.80 |
$288 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$360.90 |
$601.50 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$445.50 |
$742.50 |
1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$788.40 |
$1,314 |
3.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$288.30 |
$480.50 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$761.40 |
$1,269 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$142.20 |
$237 |
1.0× |
| Debride nail 1-5 (11720) |
$43.20 |
$72 |
0.7× |
| Debride nail 6 or more (11721) |
$62.40 |
$104 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$414.90 |
$691.50 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$297.60 |
$496 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$83.40 |
$139 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$66.60 |
$111 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$366.60 |
$611 |
1.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$152.40 |
$254 |
0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$193.80 |
$323 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$273 |
$455 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$320.40 |
$534 |
1.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$128.40 |
$214 |
0.6× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$102 |
$170 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$195.90 |
$326.50 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$90.60 |
$151 |
0.1× |
| Drainage Finger Abscess Simple (26010) |
$327.60 |
$546 |
1.5× |
| Drainage of gum lesion (41800) |
$198 |
$330 |
1.4× |
| Dry Needling 3+ Muscles (20561) |
$46.20 |
$77 |
1.5× |
| Dstrj lesion anus simple cryosurgery (46916) |
$145.80 |
$243 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$125.10 |
$208.50 |
0.9× |
| Exc back les sc < 3 cm (21930) |
$540 |
$900 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$185.40 |
$309 |
0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$370.80 |
$618 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$123.60 |
$206 |
0.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$306 |
$510 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$865.20 |
$1,442 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$90 |
$150 |
0.1× |
| Excision Chalazion Single (67800) |
$313.80 |
$523 |
0.9× |
| Excision of nail fold toe (11765) |
$190.20 |
$317 |
0.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$327.60 |
$546 |
0.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,180.20 |
$1,967 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$468 |
$780 |
2.1× |
| I&d abscess simple (10060) |
$234.30 |
$390.50 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,409.40 |
$7,349 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$126 |
$210 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,550 |
$4,250 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$178.20 |
$297 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$217.20 |
$362 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$85.80 |
$143 |
0.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$459 |
$765 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$1,110 |
$1,850 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$255 |
$425 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$374.40 |
$624 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$75.60 |
$126 |
0.4× |
| Insert Drug Implant Device (11981) |
$197.40 |
$329 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$198 |
$330 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$197.70 |
$329.50 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,632.60 |
$2,721 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$135.60 |
$226 |
0.5× |
| Late closure of wound (13160) |
$2,870.40 |
$4,784 |
0.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$645.60 |
$1,076 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$31.20 |
$52 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$467.40 |
$779 |
0.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,740 |
$2,900 |
0.5× |
| Preputial Stretching (54450) |
$429 |
$715 |
1.6× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$332.40 |
$554 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$85.80 |
$143 |
0.2× |
| Puncture Aspiration (10160) |
$198.60 |
$331 |
0.5× |
| Removal fb intranasal (30300) |
$78 |
$130 |
0.6× |
| Removal foreign body foot subcutaneous (28190) |
$599.70 |
$999.50 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$280.80 |
$468 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$47.40 |
$79 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$90.60 |
$151 |
1.5× |
| Removal of arm foreign body (24200) |
$398.40 |
$664 |
0.2× |
| Removal of intrauterine device (iud) (58301) |
$80.40 |
$134 |
0.3× |
| Removal of nail bed (11750) |
$286.20 |
$477 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$75.60 |
$126 |
0.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$436.80 |
$728 |
1.5× |
| Remove drug implant device (11982) |
$444 |
$740 |
0.9× |
| Remove foreign body from eye (65210) |
$138.60 |
$231 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$154.20 |
$257 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$162.60 |
$271 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$424.20 |
$707 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$879.30 |
$1,465.50 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$337.20 |
$562 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$752.40 |
$1,254 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$386.70 |
$644.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$479.10 |
$798.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$589.50 |
$982.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,007.40 |
$1,679 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$370.20 |
$617 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$486.90 |
$811.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$597 |
$995 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$635.40 |
$1,059 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$363.30 |
$605.50 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$456.60 |
$761 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$550.50 |
$917.50 |
1.3× |
| Repair of nail bed (11760) |
$895.20 |
$1,492 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$362.40 |
$604 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$147.90 |
$246.50 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$389.40 |
$649 |
0.6× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$645.60 |
$1,076 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$217.80 |
$363 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$216.60 |
$361 |
0.5× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$327.60 |
$546 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$340.20 |
$567 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$231.60 |
$386 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$279.30 |
$465.50 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$394.20 |
$657 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$276.60 |
$461 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$220.80 |
$368 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$343.80 |
$573 |
1.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,619.40 |
$2,699 |
2.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$6 |
$10 |
0.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$272.70 |
$454.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$411.60 |
$686 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$1,110 |
$1,850 |
1.5× |
| Strapping elbow/wrist (29260) |
$106.20 |
$177 |
1.7× |
| Strapping hand/finger (29280) |
$59.40 |
$99 |
1.0× |
| Strapping knee (29530) |
$197.40 |
$329 |
1.4× |
| Strapping shoulder (29240) |
$197.40 |
$329 |
1.4× |
| Strapping unna boot (29580) |
$249.60 |
$416 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$206.70 |
$344.50 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,149.60 |
$1,916 |
1.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$382.20 |
$637 |
1.5× |
| Treat finger dislocation (26775) |
$370.20 |
$617 |
1.3× |
| Treat Fracture Radius & Ulna (25560) |
$380.40 |
$634 |
1.5× |
| Treat humerus fracture (24500) |
$346.20 |
$577 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$360 |
$600 |
1.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,039.20 |
$1,732 |
0.6× |
| Treat toe fracture (28525) |
$445.80 |
$743 |
0.1× |
| Treat wrist bone fracture (25622) |
$417 |
$695 |
1.6× |
| Treatment closed elbow dislocation req anes (24605) |
$415.20 |
$692 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$294 |
$490 |
1.1× |
| Trim skin lesion (11055) |
$54 |
$90 |
0.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$27.60 |
$46 |
0.4× |
| Vaginal delivery only (59409) |
$2,918.40 |
$4,864 |
0.9× |
| Venipuncture (36415) |
$19.20 |
$32 |
2.1× |