| Abd paracentesis (49082) |
$517.69 |
$690.26 |
0.5× |
| Abd paracentesis w/imaging (49083) |
$156.94 |
$209.25 |
0.2× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$481.35 |
$641.80 |
0.1× |
| Amputate metacarpal bone (26910) |
$698.19 |
$930.92 |
0.2× |
| Amputation of finger/thumb (26952) |
$224.42 |
$299.22 |
0.1× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$13.16 |
$17.55 |
0.0× |
| Application finger splint static (29130) |
$48.14 |
$64.18 |
0.3× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$69.06 |
$92.08 |
0.4× |
| Application of short arm splint (forearm to hand); static (29125) |
$146.67 |
$195.56 |
1.0× |
| Application of short leg cast (below knee to toes); (29405) |
$121.58 |
$162.11 |
0.4× |
| Application of short leg splint (calf to foot) (29515) |
$60.63 |
$80.84 |
0.4× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$380.40 |
$507.20 |
0.2× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$40.20 |
$53.60 |
0.2× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$23.10 |
$30.80 |
0.1× |
| Application rigid total contact leg cast (29445) |
$146.10 |
$194.80 |
0.5× |
| Application, cast; shoulder to hand (long arm) (29065) |
$114.38 |
$152.50 |
0.4× |
| Apply long arm splint (29105) |
$46.68 |
$62.24 |
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× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$926.25 |
$1,235 |
2.9× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age Under 21 (28735)
likely a partial charge — not the full procedure |
$161.53 |
$215.37 |
0.0× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Age Under 21 (27442)
likely a partial charge — not the full procedure |
$175.97 |
$234.63 |
0.0× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$241.46 |
$321.95 |
1.1× |
| Bladder irrigation (51700) |
$179.26 |
$239.02 |
0.7× |
| Chest tube placement (32551) |
$617.98 |
$823.98 |
0.4× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$561.15 |
$748.20 |
0.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$133.50 |
$178 |
0.5× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$703.07 |
$937.42 |
0.4× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$649.62 |
$866.16 |
0.4× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$129.87 |
$173.16 |
0.1× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$431.25 |
$575 |
1.7× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$384.10 |
$512.14 |
1.5× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$198.20 |
$264.26 |
0.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$430.69 |
$574.25 |
0.3× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$93.83 |
$125.10 |
0.4× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$119.05 |
$158.74 |
0.5× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$267.54 |
$356.72 |
1.0× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$528.89 |
$705.19 |
0.3× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$385.46 |
$513.94 |
1.5× |
| 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 RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$182.90 |
$243.86 |
0.1× |
| 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× |
| 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 fx phlx/phlg oth/thn grt toe w/manj (28515) |
$174 |
$232 |
0.7× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$414.49 |
$552.65 |
0.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$115.77 |
$154.36 |
0.4× |
| Collect blood from catheter venous nos (36592) |
$103.26 |
$137.68 |
0.7× |
| Collect blood from implant venous access device (36591) |
$103.26 |
$137.68 |
0.7× |
| Complex uroflowmetry (51741) |
$3.20 |
$4.27 |
0.0× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$471.02 |
$628.02 |
0.2× |
| Cystourethroscopy, with insertion of permanent urethral stent Age Under 21 (52282) |
$61.36 |
$81.81 |
0.0× |
| Declot vascular device (36593) |
$233.56 |
$311.41 |
0.7× |
| Destruction lesions vulva simple (56501) |
$19.50 |
$26 |
0.0× |
| 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 vesicle), simple; cryosurgery (54056) |
$30.67 |
$40.90 |
0.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$31.20 |
$41.60 |
0.1× |
| Diagnostic bone marrow biopsies (38221) |
$337.67 |
$450.23 |
0.2× |
| Diagnostic sigmoidoscopy (45330) |
$398.10 |
$530.80 |
0.4× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$189.37 |
$252.49 |
0.1× |
| Ed proc insert intraosseous IV (36680) |
$474.74 |
$632.98 |
1.0× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$265.05 |
$353.40 |
2.0× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$37.72 |
$50.29 |
0.3× |
| Ed prof burn medium - hospital (16025) |
$178.35 |
$237.80 |
0.8× |
| Ed prof burn small - hospital (16020) |
$100.22 |
$133.62 |
0.5× |
| Ed prof insert foley cath simple (51702) |
$25.86 |
$34.49 |
0.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$264.89 |
$353.18 |
0.6× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$535.51 |
$714.01 |
2.1× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$192.71 |
$256.95 |
0.4× |
| Egd percutaneous placement gastrostomy tube (43246) |
$2,335.57 |
$3,114.10 |
1.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$470.64 |
$627.51 |
0.6× |
| Esoph egd dilation <30 mm (43249) |
$809.16 |
$1,078.88 |
0.4× |
| Evac subungual hematoma (11740) |
$72.90 |
$97.20 |
0.5× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$278.47 |
$371.29 |
0.1× |
| Excision of vaginal septum (57130) |
$29.82 |
$39.76 |
0.0× |
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) Age… (23155)
likely a partial charge — not the full procedure |
$160.52 |
$214.02 |
0.0× |
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge — not the full procedure |
$78.70 |
$104.94 |
0.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$171.90 |
$229.20 |
0.2× |
| Ganglion impar nerve block (64999) |
$926.25 |
$1,235 |
2.9× |
| Gastric lavage (43753) |
$125.32 |
$167.09 |
0.6× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$114.93 |
$153.24 |
0.0× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$78.92 |
$105.23 |
0.0× |
| I&d abscess simple/single (10060) |
$116.60 |
$155.46 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$63.97 |
$85.30 |
0.0× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$201.22 |
$268.29 |
0.5× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$69.17 |
$92.23 |
0.2× |
| Incision of rectal abscess (46040) |
$410.09 |
$546.78 |
0.3× |
| Inj epidural blood or clot patch (62273) |
$853.04 |
$1,137.38 |
1.1× |
| Inj paravert f jnt l/s 1 lev (64493) |
$926.25 |
$1,235 |
1.0× |
| Inj tx nerve (64640) |
$926.25 |
$1,235 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$926.25 |
$1,235 |
1.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$926.25 |
$1,235 |
1.0× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$926.25 |
$1,235 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$926.25 |
$1,235 |
1.2× |
| Injection aa&/strd greater occipital nerve (64405) |
$926.25 |
$1,235 |
2.9× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$600.04 |
$800.06 |
0.8× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$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 therapeutic carpal tunnel (20526) |
$111.23 |
$148.31 |
0.3× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$58.06 |
$77.40 |
0.2× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$67.25 |
$89.66 |
0.2× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$203.38 |
$271.18 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$47.10 |
$62.80 |
0.2× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$926.25 |
$1,235 |
0.3× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$568.20 |
$757.61 |
2.5× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,074.15 |
$1,432.20 |
0.6× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,074.15 |
$1,432.20 |
0.6× |
| Intubation endotracheal (31500) |
$190.05 |
$253.40 |
0.8× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge — not the full procedure |
$240.17 |
$320.22 |
0.0× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge — not the full procedure |
$147.42 |
$196.56 |
0.0× |
| Mastotomy expl drg absc dp (19020) |
$76.57 |
$102.10 |
0.0× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$13.20 |
$17.60 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$35.58 |
$47.44 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$53.37 |
$71.16 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$187.50 |
$250 |
0.2× |
| 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× |
| Non stress test (59025) |
$216.05 |
$288.07 |
1.0× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
likely a partial charge — not the full procedure |
$774.90 |
$1,033.20 |
0.1× |
| Open tx interphalangeal joint dislocation 1 (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 (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$137.06 |
$182.75 |
0.0× |
| Partial excision bone tibia (27640) |
$176.70 |
$235.60 |
0.1× |
| Preputial stretching (54450) |
$82.50 |
$110 |
0.3× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$74.19 |
$98.92 |
0.2× |
| Pvb thoracic single injection site w/img gid (64461) |
$926.25 |
$1,235 |
1.2× |
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420)
likely a partial charge — not the full procedure |
$351.74 |
$468.99 |
0.0× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$41.35 |
$55.13 |
0.1× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$27.47 |
$36.63 |
0.0× |
| 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 fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$114.04 |
$152.05 |
0.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$69.39 |
$92.52 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$87.14 |
$116.19 |
0.4× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$38.57 |
$51.43 |
0.1× |
| Removal/revision of cast (29700) |
$656.13 |
$874.84 |
2.2× |
| 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 TechFee (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 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/< TechFee (12031) |
$78.42 |
$104.56 |
0.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$185.31 |
$247.08 |
0.4× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$419.78 |
$559.70 |
0.5× |
| Repair of nail bed (11760) |
$146.35 |
$195.13 |
0.2× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435)
likely a partial charge — not the full procedure |
$223.16 |
$297.54 |
0.0× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$164.09 |
$218.79 |
0.0× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$116.21 |
$154.94 |
0.8× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$72.14 |
$96.20 |
0.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$70.60 |
$94.13 |
0.0× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$899.25 |
$1,199 |
0.5× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$119.38 |
$159.17 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$122.32 |
$163.10 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$228.08 |
$304.10 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$80.98 |
$107.98 |
0.4× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$113.26 |
$151.01 |
0.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$322.02 |
$429.36 |
1.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$93.37 |
$124.49 |
0.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$96.35 |
$128.47 |
0.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$356.32 |
$475.08 |
1.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$271.42 |
$361.89 |
0.6× |
| Strapping unna boot (29580) |
$24.78 |
$33.04 |
0.1× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$541.12 |
$721.50 |
0.8× |
| Transfusion, blood or blood components (36430) |
$560.73 |
$747.64 |
1.2× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$160.08 |
$213.44 |
0.1× |
| Treatment of bladder lesion (51720) |
$283.50 |
$378 |
0.4× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$100.73 |
$134.31 |
0.4× |
| Vasectomy (55250) |
$2,190.38 |
$2,920.50 |
1.0× |
| Venipuncture (36415) |
$22.34 |
$29.78 |
2.4× |
| Version cephalic external (59412) |
$174.08 |
$232.11 |
0.1× |