| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$284 |
$355 |
1.9× |
| Application cast elbow finger short arm (29075) |
$435.20 |
$544 |
1.7× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$435.20 |
$544 |
2.9× |
| Application cast shoulder hand long arm (29065) |
$412 |
$515 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$128 |
$160 |
2.4× |
| Application finger splint static (29130) |
$208 |
$260 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$200 |
$250 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$305.53 |
$381.91 |
1.2× |
| Application long leg splint thigh ankle/toes (29505) |
$232 |
$290 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$226 |
$282.50 |
1.8× |
| Application short leg splint calf foot (29515) |
$226 |
$282.50 |
1.5× |
| Apply short leg cast (29405) |
$248 |
$310 |
1.0× |
| Apply short leg cast (29425) |
$286.40 |
$358 |
1.1× |
| Arterial puncture (36600) |
$87.20 |
$109 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$366.40 |
$458 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$292 |
$365 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$240 |
$300 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$136 |
$170 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$121.20 |
$151.50 |
0.7× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$766.40 |
$958 |
0.7× |
| Biopsy of uterus lining (58100) |
$180 |
$225 |
1.0× |
| Bladder Irrigation Simple (51700) |
$68 |
$85 |
0.3× |
| Blood transfusion service (36430) |
$313.60 |
$392 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$96 |
$120 |
0.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$360 |
$450 |
1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$842.40 |
$1,053 |
3.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$392 |
$490 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$464 |
$580 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$435.20 |
$544 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$612 |
$765 |
2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,442.40 |
$1,803 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$432 |
$540 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$640 |
$800 |
2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$640 |
$800 |
2.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$720 |
$900 |
3.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$788 |
$985 |
3.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$672.80 |
$841 |
3.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$380 |
$475 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,024.40 |
$1,280.50 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,129.20 |
$1,411.50 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$597.60 |
$747 |
4.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$330 |
$412.50 |
2.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$130.40 |
$163 |
1.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$212 |
$265 |
1.0× |
| Debride nail 1-5 (11720) |
$75.60 |
$94.50 |
1.4× |
| Debride nail 6 or more (11721) |
$192 |
$240 |
3.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$548.43 |
$685.54 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$548.43 |
$685.54 |
0.8× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$768 |
$960 |
2.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$580 |
$725 |
3.1× |
| Destruction premalignant lesion 1st (17000) |
$304.80 |
$381 |
1.7× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$540 |
$675 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$412 |
$515 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$688 |
$860 |
0.5× |
| Draw blood off venous device (36591) |
$36 |
$45 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$116 |
$145 |
0.6× |
| Dry Needling 3+ Muscles (20561) |
$24 |
$30 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,196 |
$1,495 |
0.7× |
| Egd remove lesion snare (43251) |
$794 |
$992.50 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$96 |
$120 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,649.60 |
$2,062 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$923.20 |
$1,154 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$486.11 |
$607.64 |
1.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$892.80 |
$1,116 |
1.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,523.20 |
$1,904 |
1.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$384 |
$480 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$88 |
$110 |
0.1× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,228.80 |
$1,536 |
1.9× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$180 |
$225 |
0.1× |
| Excision of nail fold toe (11765) |
$426.80 |
$533.50 |
1.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$200 |
$250 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$312 |
$390 |
0.2× |
| Fetal non-stress test (59025) |
$98.80 |
$123.50 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$152 |
$190 |
0.8× |
| I&d abscess simple (10060) |
$482.80 |
$603.50 |
2.6× |
| I&d pilonidal cyst simple (10080) |
$309.20 |
$386.50 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,493.60 |
$1,867 |
4.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$468 |
$585 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$580 |
$725 |
1.6× |
| Incision thrombosed hemorrhoid external (46083) |
$328 |
$410 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$648 |
$810 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$144 |
$180 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$908.80 |
$1,136 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$124 |
$155 |
0.4× |
| Injection(s) spider veins (36468) |
$405.60 |
$507 |
1.1× |
| Insert Drug Implant Device (11981) |
$643 |
$803.75 |
5.3× |
| Insert pessary/other device (57160) |
$60 |
$75 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$68 |
$85 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$68 |
$85 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$908 |
$1,135 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,000 |
$5,000 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$248 |
$310 |
1.1× |
| Ligation of hemorrhoid(s) (46221) |
$1,140 |
$1,425 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$160 |
$200 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$24 |
$30 |
0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,008 |
$1,260 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$280 |
$350 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$367.60 |
$459.50 |
1.0× |
| Puncture Aspiration (10160) |
$568.80 |
$711 |
1.5× |
| Removal fb intranasal (30300) |
$532 |
$665 |
4.3× |
| Removal foreign body foot subcutaneous (28190) |
$184 |
$230 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$82 |
$102.50 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$92 |
$115 |
1.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$40 |
$50 |
0.1× |
| Removal of intrauterine device (iud) (58301) |
$80 |
$100 |
0.3× |
| Removal of nail bed (11750) |
$505.60 |
$632 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$643.20 |
$804 |
3.5× |
| Remove drug implant device (11982) |
$84 |
$105 |
0.2× |
| Remove foreign body from eye (65210) |
$316 |
$395 |
0.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$420 |
$525 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$168 |
$210 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$248 |
$310 |
2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$748 |
$935 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$880 |
$1,100 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$512 |
$640 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$512 |
$640 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$534.40 |
$668 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$960 |
$1,200 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$400 |
$500 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$280 |
$350 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$560 |
$700 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$560 |
$700 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$916.80 |
$1,146 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$240 |
$300 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$320 |
$400 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$772 |
$965 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$880 |
$1,100 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$292 |
$365 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$252 |
$315 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,280 |
$1,600 |
1.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$516 |
$645 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$252 |
$315 |
0.1× |
| Repair of nail bed (11760) |
$353.60 |
$442 |
0.5× |
| Repair Tongue Laceration (41250) |
$307.20 |
$384 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$206.40 |
$258 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$364.80 |
$456 |
3.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,920 |
$2,400 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$964.80 |
$1,206 |
1.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,209.60 |
$1,512 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$72 |
$90 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$75.20 |
$94 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$72 |
$90 |
0.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$72 |
$90 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$72 |
$90 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$75.20 |
$94 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$640 |
$800 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$200 |
$250 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$212 |
$265 |
1.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$960 |
$1,200 |
2.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$212 |
$265 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$560 |
$700 |
3.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$283.74 |
$354.68 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,120 |
$1,400 |
6.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$224 |
$280 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$2,356 |
$2,945 |
3.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,510 |
$1,887.50 |
2.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,535.20 |
$3,169 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$212 |
$265 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$476 |
$595 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$960 |
$1,200 |
2.6× |
| Spinal puncture lumbar diagnostic (62270) |
$443.20 |
$554 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$643.20 |
$804 |
1.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$820 |
$1,025 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$248 |
$310 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$945.60 |
$1,182 |
4.2× |
| Trim skin lesion (11055) |
$238.40 |
$298 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$316 |
$395 |
1.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$72 |
$90 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$212 |
$265 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$217.60 |
$272 |
0.6× |
| Venipuncture (36415) |
$16 |
$20 |
1.7× |