| Abd paracentesis w/imaging (49083) |
$156.94 |
$209.25 |
0.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$517.69 |
$690.26 |
0.5× |
| Amputate metacarpal bone (26910) |
$698.19 |
$930.92 |
0.2× |
| Amputation Finger/Thumb (26951) |
$481.35 |
$641.80 |
0.1× |
| Amputation of finger/thumb (26952) |
$224.42 |
$299.22 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$40.20 |
$53.60 |
0.2× |
| Application cast shoulder hand long arm (29065) |
$114.38 |
$152.50 |
0.4× |
| Application finger splint static (29130) |
$48.14 |
$64.18 |
0.3× |
| Application long arm splint shoulder hand (29105) |
$46.68 |
$62.24 |
0.3× |
| Application long leg splint thigh ankle/toes (29505) |
$69.06 |
$92.08 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$146.10 |
$194.80 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$146.67 |
$195.56 |
1.0× |
| Application short leg splint calf foot (29515) |
$60.63 |
$80.84 |
0.4× |
| Apply multlay comprs arm/hand (29584) |
$23.10 |
$30.80 |
0.1× |
| Apply short leg cast (29405) |
$121.58 |
$162.11 |
0.4× |
| Arterial puncture (36600) |
$37.72 |
$50.29 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$64.58 |
$86.10 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$926.25 |
$1,235 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$257.83 |
$343.77 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$926.25 |
$1,235 |
2.9× |
Arthroplasty knee fc/tp (27442)
likely a partial charge, not the full procedure |
$175.97 |
$234.63 |
0.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$241.46 |
$321.95 |
1.1× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$283.50 |
$378 |
0.4× |
| Bladder Irrigation Simple (51700) |
$179.26 |
$239.02 |
0.7× |
| Bladder Scan (51798) |
$13.20 |
$17.60 |
0.2× |
| Blood patch (62273) |
$853.04 |
$1,137.38 |
1.1× |
| Blood transfusion service (36430) |
$560.73 |
$747.64 |
1.2× |
| Bone Marrow Biopsy (38221) |
$337.67 |
$450.23 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$568.20 |
$757.61 |
2.5× |
| Chest tube placement (32551) |
$617.98 |
$823.98 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$103.26 |
$137.68 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$182.90 |
$243.86 |
0.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$115.77 |
$154.36 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$528.89 |
$705.19 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$385.46 |
$513.94 |
1.5× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$133.50 |
$178 |
0.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$129.87 |
$173.16 |
0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$114.93 |
$153.24 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$630.60 |
$840.80 |
2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$666.80 |
$889.07 |
0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$267.54 |
$356.72 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$281.77 |
$375.70 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$376.60 |
$502.13 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$119.05 |
$158.74 |
0.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$561.15 |
$748.20 |
0.3× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$703.07 |
$937.42 |
0.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$235.70 |
$314.26 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$199.36 |
$265.82 |
0.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$649.62 |
$866.16 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$174 |
$232 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$535.51 |
$714.01 |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$431.25 |
$575 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$384.10 |
$512.14 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$198.20 |
$264.26 |
0.8× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$430.69 |
$574.25 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$93.83 |
$125.10 |
0.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$414.49 |
$552.65 |
0.2× |
| Cystoscopy implant stent (52282) |
$61.36 |
$81.81 |
0.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$471.02 |
$628.02 |
0.2× |
| Declot vascular device (36593) |
$233.56 |
$311.41 |
0.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$926.25 |
$1,235 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$19.50 |
$26 |
0.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$31.20 |
$41.60 |
0.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$926.25 |
$1,235 |
0.4× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$30.67 |
$40.90 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$398.10 |
$530.80 |
0.4× |
| Drain/inj small joint/bursa w/us (20604) |
$926.25 |
$1,235 |
2.9× |
| Drainage Finger Abscess Complicated (26011) |
$189.37 |
$252.49 |
0.1× |
| Drainage of hematoma/fluid (10140) |
$63.97 |
$85.30 |
0.0× |
| Draw blood off venous device (36591) |
$103.26 |
$137.68 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$178.35 |
$237.80 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$100.22 |
$133.62 |
0.5× |
| Dry Needling 3+ Muscles (20561) |
$53.37 |
$71.16 |
1.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$809.16 |
$1,078.88 |
0.4× |
| Egd place gastrostomy tube (43246) |
$2,335.57 |
$3,114.10 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$72.90 |
$97.20 |
0.5× |
| Excision Breast Lesion (19125) |
$278.47 |
$371.29 |
0.1× |
| Excision of vaginal septum (57130) |
$29.82 |
$39.76 |
0.0× |
| Explo/Drain Breast Abscess (19020) |
$76.57 |
$102.10 |
0.0× |
| External Cephalic Version (59412) |
$174.08 |
$232.11 |
0.1× |
| Fetal non-stress test (59025) |
$216.05 |
$288.07 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$171.90 |
$229.20 |
0.2× |
Fusion of foot bones (28735)
likely a partial charge, not the full procedure |
$161.53 |
$215.37 |
0.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$125.32 |
$167.09 |
0.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$114.93 |
$153.24 |
0.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$78.92 |
$105.23 |
0.0× |
| I&d abscess simple (10060) |
$116.60 |
$155.46 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$201.22 |
$268.29 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$69.17 |
$92.23 |
0.2× |
| Incision of rectal abscess (46040) |
$410.09 |
$546.78 |
0.3× |
| Inj tendon sheath/ligament (20550) |
$203.38 |
$271.18 |
0.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$926.25 |
$1,235 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$926.25 |
$1,235 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$13.16 |
$17.55 |
0.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$926.25 |
$1,235 |
1.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$600.04 |
$800.06 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$926.25 |
$1,235 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$926.25 |
$1,235 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$926.25 |
$1,235 |
1.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$926.25 |
$1,235 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$122.97 |
$163.96 |
0.4× |
| Injection anes other peripheral nerve/branch (64450) |
$926.25 |
$1,235 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$58.06 |
$77.40 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$67.25 |
$89.66 |
0.2× |
| Injection therapeutic carpal tunnel (20526) |
$111.23 |
$148.31 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$926.25 |
$1,235 |
2.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$47.10 |
$62.80 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$265.05 |
$353.40 |
2.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$926.25 |
$1,235 |
0.3× |
| Insert picc cath (36569) |
$1,074.15 |
$1,432.20 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$25.86 |
$34.49 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,074.15 |
$1,432.20 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$190.05 |
$253.40 |
0.8× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$147.42 |
$196.56 |
0.0× |
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure |
$240.17 |
$320.22 |
0.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$192.71 |
$256.95 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$35.58 |
$47.44 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$187.50 |
$250 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$926.25 |
$1,235 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$853.25 |
$1,137.67 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$853.25 |
$1,137.67 |
1.1× |
| Open tx interphalangeal joint dislocation (26785) |
$578.85 |
$771.80 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$635.03 |
$846.71 |
0.2× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge, not the full procedure |
$170.44 |
$227.25 |
0.0× |
| Partial excision bone talus/calcaneus (28120) |
$137.06 |
$182.75 |
0.0× |
| Partial Excision Bone Tibia (27640) |
$176.70 |
$235.60 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$474.74 |
$632.98 |
1.0× |
| Preputial Stretching (54450) |
$82.50 |
$110 |
0.3× |
| Puncture Aspiration (10160) |
$74.19 |
$98.92 |
0.2× |
| Pvb thoracic single inj site (64461) |
$926.25 |
$1,235 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$41.35 |
$55.13 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$48.32 |
$64.43 |
0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$10.32 |
$13.76 |
0.2× |
Removal of humerus lesion (23155)
likely a partial charge, not the full procedure |
$160.52 |
$214.02 |
0.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$87.14 |
$116.19 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$656.13 |
$874.84 |
2.2× |
Remove thyroid duct lesion (60280)
likely a partial charge, not the full procedure |
$78.70 |
$104.94 |
0.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$27.47 |
$36.63 |
0.0× |
| Remv Ext Canal Foreign Body (69200) |
$116.21 |
$154.94 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$389.18 |
$518.90 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$487.74 |
$650.32 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$544.24 |
$725.64 |
1.3× |
| Repair finger/hand tendon (26350) |
$434.85 |
$579.80 |
0.1× |
| Repair forearm tendon/muscle (25260) |
$153.85 |
$205.14 |
0.0× |
Repair humerus with graft (24435)
likely a partial charge, not the full procedure |
$223.16 |
$297.54 |
0.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$259.20 |
$345.60 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$186.02 |
$248.03 |
0.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$78.42 |
$104.56 |
0.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$185.31 |
$247.08 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$419.78 |
$559.70 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$264.89 |
$353.18 |
0.6× |
| Repair of nail bed (11760) |
$146.35 |
$195.13 |
0.2× |
Repair of shoulder (23420)
likely a partial charge, not the full procedure |
$351.74 |
$468.99 |
0.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$69.39 |
$92.52 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$72.14 |
$96.20 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$114.04 |
$152.05 |
0.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$38.57 |
$51.43 |
0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$70.60 |
$94.13 |
0.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$164.09 |
$218.79 |
0.0× |
| Sclerotx Fluid Collection (49185) |
$899.25 |
$1,199 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$93.37 |
$124.49 |
0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$119.38 |
$159.17 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$122.32 |
$163.10 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$228.08 |
$304.10 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$80.98 |
$107.98 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$113.26 |
$151.01 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$322.02 |
$429.36 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$96.35 |
$128.47 |
0.5× |
| Skn sub grft f/n/hf/g child (15277) |
$380.40 |
$507.20 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$356.32 |
$475.08 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$271.42 |
$361.89 |
0.6× |
| Strapping unna boot (29580) |
$24.78 |
$33.04 |
0.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$541.12 |
$721.50 |
0.8× |
Treat ankle dislocation (27846)
likely a partial charge, not the full procedure |
$774.90 |
$1,033.20 |
0.1× |
| Treatment closed elbow dislocation req anes (24605) |
$160.08 |
$213.44 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$100.73 |
$134.31 |
0.4× |
| Unlisted Procedure Nervous System (64999) |
$926.25 |
$1,235 |
2.9× |
| Vasectomy (55250) |
$2,190.38 |
$2,920.50 |
1.0× |
| Venipuncture (36415) |
$22.34 |
$29.78 |
2.4× |