| Abd paracentesis (49082) |
$583.50 |
$778 |
0.6× |
| Abd paracentesis w/imaging (49083) |
$1,943.25 |
$2,591 |
2.0× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$3,332.88 |
$4,443.84 |
2.0× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,854.75 |
$2,473 |
0.9× |
| Application finger splint static (29130) |
$99 |
$132 |
0.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$213 |
$284 |
1.2× |
| Application of short arm splint (forearm to hand); static (29125) |
$158.25 |
$211 |
1.1× |
| Application of short leg splint (calf to foot) (29515) |
$172.50 |
$230 |
1.0× |
| Application, cast; shoulder to hand (long arm) (29065) |
$225.75 |
$301 |
0.8× |
| Apply long arm splint (29105) |
$201 |
$268 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$158.25 |
$211 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$197.25 |
$263 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$132.75 |
$177 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$157.50 |
$210 |
0.5× |
| Aspirate pleura w/o imaging (32554) |
$600 |
$800 |
0.9× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$633.75 |
$845 |
2.0× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$311.25 |
$415 |
1.5× |
| Bladder irrigation (51700) |
$196.50 |
$262 |
0.7× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$739.50 |
$986 |
2.2× |
| Cast short arm (29075) |
$177.75 |
$237 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$240.75 |
$321 |
0.9× |
| Change of windpipe airway (31502) |
$156.75 |
$209 |
0.6× |
| Chemical cauterization of granulation tissue (17250) |
$224.25 |
$299 |
1.1× |
| Chest tube placement (32551) |
$1,029.75 |
$1,373 |
0.6× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,230.75 |
$1,641 |
4.7× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$862.50 |
$1,150 |
3.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,051.50 |
$1,402 |
4.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$784.50 |
$1,046 |
3.0× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$463.50 |
$618 |
1.8× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,656 |
$2,208 |
1.0× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,833.75 |
$2,445 |
1.1× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$300 |
$400 |
1.2× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,445.50 |
$4,594 |
2.0× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$3,445.50 |
$4,594 |
2.0× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,299.75 |
$1,733 |
5.0× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,181.25 |
$1,575 |
0.7× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$819.75 |
$1,093 |
3.2× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,377.75 |
$1,837 |
0.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$848.25 |
$1,131 |
3.3× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$496.50 |
$662 |
1.9× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,318.50 |
$1,758 |
0.8× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,167 |
$1,556 |
0.7× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$720.75 |
$961 |
2.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$259.50 |
$346 |
1.0× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$706.50 |
$942 |
2.7× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,103.25 |
$1,471 |
4.2× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,068 |
$1,424 |
0.6× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$798.75 |
$1,065 |
3.1× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,033.50 |
$1,378 |
0.6× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$1,340.25 |
$1,787 |
5.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$930.75 |
$1,241 |
3.6× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,124.25 |
$1,499 |
0.7× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$836.25 |
$1,115 |
3.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,235.25 |
$1,647 |
4.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$930.75 |
$1,241 |
3.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,247.25 |
$1,663 |
0.7× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,278 |
$1,704 |
0.8× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$2,070 |
$2,760 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,033.50 |
$1,378 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,033.50 |
$1,378 |
0.6× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$1,039.50 |
$1,386 |
4.0× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$796.50 |
$1,062 |
3.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$841.50 |
$1,122 |
3.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,335 |
$1,780 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$402 |
$536 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$425.25 |
$567 |
1.6× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$831.75 |
$1,109 |
3.2× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,245 |
$1,660 |
0.7× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$297.75 |
$397 |
1.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$827.25 |
$1,103 |
3.2× |
| Cltx metar fx w/manj (28475) |
$618 |
$824 |
2.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,323 |
$1,764 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,205.25 |
$1,607 |
0.7× |
| Collect blood from catheter venous nos (36592) |
$273.75 |
$365 |
2.0× |
| Collect blood from implant venous access device (36591) |
$273.75 |
$365 |
2.0× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,174.25 |
$2,899 |
1.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$391.12 |
$521.50 |
2.8× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$392.25 |
$523 |
2.8× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299)
likely a partial charge — not the full procedure |
$1,428 |
$1,904 |
0.2× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$933 |
$1,244 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$900 |
$1,200 |
6.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$926.25 |
$1,235 |
3.7× |
| Debride skin at fx site (11010) |
$1,260 |
$1,680 |
1.7× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$404.25 |
$539 |
0.9× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$90 |
$120 |
1.4× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$135 |
$180 |
2.2× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$3,750 |
$5,000 |
8.7× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$5,907.22 |
$7,876.30 |
7.6× |
| Delivery of placenta (59414) |
$3,867 |
$5,156 |
1.1× |
| Destruction benign lesions up to 14 (17110) |
$283.50 |
$378 |
1.3× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$1,462.50 |
$1,950 |
2.0× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$523.50 |
$698 |
2.1× |
| Drainage external auditory canal, abscess (69020) |
$1,508.25 |
$2,011 |
2.0× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$470.25 |
$627 |
0.6× |
| Drainage finger abscess simple (26010) |
$850.50 |
$1,134 |
4.0× |
| Drainage of abscess of palate, uvula (42000) |
$523.50 |
$698 |
2.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$1,177.50 |
$1,570 |
2.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$529.50 |
$706 |
0.7× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,209.75 |
$1,613 |
0.7× |
| Drainage of nose lesion (30020) |
$1,177.50 |
$1,570 |
2.1× |
| Drainage of scrotal wall abscess (55100) |
$1,705.50 |
$2,274 |
1.0× |
| Drainage of scrotum (54700) |
$1,309.50 |
$1,746 |
0.6× |
| Drainage of tonsil abscess (42700) |
$482.25 |
$643 |
1.9× |
| Dx laryngoscopy excl nb (31525) |
$1,091.25 |
$1,455 |
0.6× |
| Ed proc insert intraosseous IV (36680) |
$451.50 |
$602 |
1.0× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$369 |
$492 |
2.7× |
| Ed proc remve fb nasal- hospital (30300) |
$515.25 |
$687 |
3.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$82.50 |
$110 |
0.6× |
| Ed prof burn - large - hospital (16030) |
$477 |
$636 |
1.1× |
| Ed prof burn medium - hospital (16025) |
$382.50 |
$510 |
1.8× |
| Ed prof burn small - hospital (16020) |
$210 |
$280 |
1.0× |
| Ed prof catheterization/straight (51701) |
$113.25 |
$151 |
0.8× |
| Ed prof closed tx post hip arthroplasty (27265) |
$994.50 |
$1,326 |
3.8× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,077.75 |
$1,437 |
0.6× |
| Ed prof drain dental abscess-hospital (41800) |
$135 |
$180 |
1.0× |
| Ed prof insert foley cath simple (51702) |
$158.25 |
$211 |
1.1× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,047.50 |
$2,730 |
0.6× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$983.25 |
$1,311 |
2.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$834 |
$1,112 |
1.9× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$702 |
$936 |
2.7× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$186.75 |
$249 |
0.4× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$445.50 |
$594 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,943.25 |
$2,591 |
2.0× |
| Evac subungual hematoma (11740) |
$139.50 |
$186 |
1.0× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,124.25 |
$1,499 |
0.6× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$1,687.50 |
$2,250 |
2.3× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$447 |
$596 |
0.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$585 |
$780 |
0.8× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$525 |
$700 |
0.7× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,350 |
$1,800 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$758.25 |
$1,011 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$6,637.50 |
$8,850 |
2.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$4,187.40 |
$5,583.20 |
2.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$4,144.50 |
$5,526 |
2.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$750 |
$1,000 |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,350 |
$1,800 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,438.50 |
$1,918 |
0.8× |
| Explore wound abdomen (20102) |
$1,575.75 |
$2,101 |
0.7× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$375 |
$500 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,800 |
$2,400 |
2.4× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$290.25 |
$387 |
0.1× |
| Gastric lavage (43753) |
$202.50 |
$270 |
0.9× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge — not the full procedure |
$1,170 |
$1,560 |
0.2× |
| I&d abscess simple/single (10060) |
$345 |
$460 |
1.6× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,827 |
$2,436 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$1,100.25 |
$1,467 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$675 |
$900 |
0.9× |
| Incise external hemorrhoid (46083) |
$524.25 |
$699 |
2.0× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$2,276.25 |
$3,035 |
5.3× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$437.25 |
$583 |
2.1× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$862.50 |
$1,150 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$349.50 |
$466 |
1.1× |
| Incision and drainage, perianal abscess, superficial (46050) |
$597.75 |
$797 |
0.6× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$1,042.50 |
$1,390 |
0.6× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,068.75 |
$1,425 |
0.6× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$575.25 |
$767 |
1.3× |
| Incision of foot tendon(s) (28230) |
$3,444.75 |
$4,593 |
2.0× |
| Incision of rectal abscess (46040) |
$1,391.25 |
$1,855 |
1.1× |
| Incision of windpipe (31603) |
$980.25 |
$1,307 |
0.6× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$384.75 |
$513 |
1.1× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$182.25 |
$243 |
0.9× |
| Injection aa&/strd greater occipital nerve (64405) |
$190.50 |
$254 |
0.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$184.50 |
$246 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$281.25 |
$375 |
0.9× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$132.75 |
$177 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$90 |
$120 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$70.50 |
$94 |
0.3× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62281) |
$1,953.75 |
$2,605 |
2.1× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$1,985.62 |
$2,647.50 |
2.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,224.50 |
$2,966 |
0.6× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$624.75 |
$833 |
0.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,039.50 |
$1,386 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$751.50 |
$1,002 |
0.2× |
Insj Tunneled Ctr Vad W/Subq Pump (36563)
likely a partial charge — not the full procedure |
$279.75 |
$373 |
0.0× |
| Intubation endotracheal (31500) |
$338.25 |
$451 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$529.50 |
$706 |
2.0× |
| Laryngoscopy flex diagnostic (31575) |
$424.50 |
$566 |
2.0× |
| Laryngoscopy indirect diagnostic (31505) |
$227.25 |
$303 |
1.1× |
| Ligation or biopsy, temporal artery (37609) |
$447 |
$596 |
0.3× |
| Lumbar puncture (62270) |
$444.75 |
$593 |
0.6× |
| Mastotomy expl drg absc dp (19020) |
$1,195.50 |
$1,594 |
0.7× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,725.75 |
$2,301 |
2.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$63.75 |
$85 |
2.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$63.75 |
$85 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,553.25 |
$2,071 |
2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,553.25 |
$2,071 |
2.1× |
| Non stress test (59025) |
$427.50 |
$570 |
2.0× |
| Open tx distal phalangeal fracture each (26765) |
$2,081.25 |
$2,775 |
0.6× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$2,809.50 |
$3,746 |
0.8× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$213.75 |
$285 |
1.0× |
| Penile injection (54235) |
$529.50 |
$706 |
2.0× |
| Perq drainage pleura insert cath w/imaging (32557) |
$3,700.50 |
$4,934 |
2.2× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$2,819.25 |
$3,759 |
1.4× |
| Pr inj. intralesional gt 7 lesions (11901) |
$109.50 |
$146 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$206.25 |
$275 |
0.5× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$675 |
$900 |
1.6× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$305.25 |
$407 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$39.75 |
$53 |
0.6× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$115.50 |
$154 |
1.9× |
| Removal implantable contraceptive capsules (11976) |
$487.50 |
$650 |
0.7× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,527.50 |
$3,370 |
2.0× |
| Removal of foreign body in scrotum (55120) |
$2,201.25 |
$2,935 |
1.0× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,042.50 |
$1,390 |
0.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$82.50 |
$110 |
0.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$149.25 |
$199 |
0.3× |
| Removal of iud (58301) |
$267 |
$356 |
0.8× |
| Removal of nail bed (11750) |
$416.25 |
$555 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$206.25 |
$275 |
1.0× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$172.50 |
$230 |
0.6× |
| Remove eyelid foreign body (67938) |
$699.75 |
$933 |
2.1× |
| Remove pharynx foreign body (42809) |
$503.25 |
$671 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$978 |
$1,304 |
2.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,185.75 |
$1,581 |
2.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,077.75 |
$1,437 |
2.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,008.75 |
$1,345 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$706.50 |
$942 |
1.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$784.50 |
$1,046 |
1.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$966 |
$1,288 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,259.25 |
$1,679 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,013.25 |
$1,351 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$661.50 |
$882 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$772.50 |
$1,030 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$954.75 |
$1,273 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$659.25 |
$879 |
1.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$765.75 |
$1,021 |
1.8× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,080 |
$1,440 |
1.4× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$916.50 |
$1,222 |
2.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,450.50 |
$1,934 |
3.4× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,533 |
$2,044 |
3.6× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,207.50 |
$1,610 |
0.6× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,195.50 |
$1,594 |
2.1× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$1,049.25 |
$1,399 |
0.3× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$720.75 |
$961 |
1.5× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$819.75 |
$1,093 |
3.3× |
| Repair of nail bed (11760) |
$630 |
$840 |
0.8× |
| Repair tongue lacer,post 1/3 (41251) |
$789 |
$1,052 |
3.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,063.50 |
$1,418 |
1.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,249.50 |
$1,666 |
1.6× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$897.75 |
$1,197 |
2.1× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$864.75 |
$1,153 |
1.1× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,370.25 |
$1,827 |
0.6× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$4,125 |
$5,500 |
0.5× |
| Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Age Under… (20822) |
$6,000 |
$8,000 |
3.5× |
| Reset dislocated jaw (21480) |
$345 |
$460 |
1.3× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
likely a partial charge — not the full procedure |
$4,512 |
$6,016 |
0.2× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$201 |
$268 |
1.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$165.75 |
$221 |
1.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$807 |
$1,076 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,254.75 |
$1,673 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$281.25 |
$375 |
1.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$311.25 |
$415 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$311.25 |
$415 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$351.75 |
$469 |
1.7× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$423 |
$564 |
2.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$408.75 |
$545 |
1.9× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$450 |
$600 |
2.1× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$600 |
$800 |
2.8× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$385.50 |
$514 |
0.9× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$385.50 |
$514 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$390 |
$520 |
1.8× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$337.50 |
$450 |
1.6× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$476.25 |
$635 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$525 |
$700 |
1.2× |
| Strapping of toes (29550) |
$47.25 |
$63 |
0.8× |
| Strapping unna boot (29580) |
$160.50 |
$214 |
0.9× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$302.25 |
$403 |
0.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$815.25 |
$1,087 |
1.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$786.75 |
$1,049 |
3.1× |
| Treat big toe fracture (28495) |
$439.50 |
$586 |
1.7× |
| Treat finger dislocation (26775) |
$973.50 |
$1,298 |
3.3× |
| Treat humerus fracture (24577) |
$1,374.75 |
$1,833 |
0.8× |
| Treat lower leg fracture (27825) |
$1,337.25 |
$1,783 |
0.8× |
| Treat toe dislocation (28630) |
$380.25 |
$507 |
1.5× |
| Treat ulnar fracture (24675) |
$1,136.25 |
$1,515 |
0.7× |
| Treat wrist dislocation (25690) |
$1,207.50 |
$1,610 |
0.7× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,176.75 |
$1,569 |
0.7× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$916.50 |
$1,222 |
3.5× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,709.25 |
$2,279 |
1.0× |
| Trimming of nondystrophic nails, any number (11719) |
$67.50 |
$90 |
1.1× |
| Tx superficial wound dehiscence simple closure (12020) |
$749.25 |
$999 |
1.0× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$390 |
$520 |
0.2× |
| Vaginal delivery (59409) |
$2,010 |
$2,680 |
0.6× |
| Venipuncture (36415) |
$24.75 |
$33 |
2.6× |
| Wedge excision skin nail fold (11765) |
$450 |
$600 |
1.0× |