| Abd paracentesis w/imaging (49083) |
$2,599.58 |
$2,599.58 |
2.7× |
| Adenoidectomy, primary; younger than age 12 Other Surgical Services (42830) |
$33,427.05 |
$33,427.05 |
9.7× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$5,215.20 |
$5,215.20 |
6.8× |
| Appl finger splint static (29130) |
$1,252.04 |
$1,252.04 |
9.0× |
| Application long leg splint thigh ankle/toes (29505) |
$1,741.99 |
$1,741.99 |
10.3× |
| Application of long leg cast (thigh to toes); (29345) |
$2,976.33 |
$2,976.33 |
10.2× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$2,976.33 |
$2,976.33 |
10.2× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$2,976.33 |
$2,976.33 |
10.2× |
| Application, cast; shoulder to hand (long arm) (29065) |
$863.28 |
$863.28 |
3.0× |
| Apply cast finger (29086) |
$1,741.99 |
$1,741.99 |
10.3× |
| Apply hand/wrist cast (29085) |
$1,741.99 |
$1,741.99 |
10.3× |
| Apply long arm splint (29105) |
$1,741.99 |
$1,741.99 |
10.3× |
| Apply Lower Leg Splint (29515) |
$1,741.99 |
$1,741.99 |
10.3× |
| Apply multi-layer compression lower leg (29581) |
$1,741.99 |
$1,741.99 |
10.3× |
| Apply rigid leg cast (29445) |
$863.28 |
$863.28 |
3.0× |
| Apply short arm splint static (29125) |
$1,252.04 |
$1,252.04 |
9.0× |
| Apply Short Leg Cast (29405) |
$2,976.33 |
$2,976.33 |
10.2× |
| Arterial puncture (36600) |
$364.82 |
$364.82 |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,062.15 |
$1,062.15 |
3.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,496.67 |
$1,496.67 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,313.21 |
$1,313.21 |
4.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,699.44 |
$1,699.44 |
5.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$31,045.79 |
$31,045.79 |
9.1× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$31,045.79 |
$31,045.79 |
9.1× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Other… (29824) |
$31,045.79 |
$31,045.79 |
9.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$8,589.83 |
$8,589.83 |
3.9× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$618.20 |
$618.20 |
3.0× |
| Biopsy muscle percutaneous needle (20206) |
$4,912.86 |
$4,912.86 |
2.8× |
| Biopsy of salivary gland; needle (42400) |
$2,039.50 |
$2,039.50 |
2.8× |
| Biopsy thyroid percutaneous core needle (60100) |
$2,761.59 |
$2,761.59 |
3.7× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services (49180) |
$4,912.86 |
$4,912.86 |
2.8× |
| Bladder irrigation (51700) |
$1,473.67 |
$1,473.67 |
5.6× |
| Bladder Scan (51798) |
$670.29 |
$670.29 |
10.9× |
| Blood transfusion service (36430) |
$2,082.72 |
$2,082.72 |
4.5× |
| Bone Biopsy Deep (20225) |
$4,912.86 |
$4,912.86 |
2.8× |
| Bone Biopsy Superficial (20220) |
$4,912.86 |
$4,912.86 |
2.8× |
| Bronch foreign body removal (31635) |
$17,485.67 |
$17,485.67 |
9.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$17,485.67 |
$17,485.67 |
9.4× |
| Bx breast 1st lesion strtctc (19081) |
$17,877.89 |
$17,877.89 |
10.4× |
| Bx breast 1st lesion us imag (19083) |
$5,341.20 |
$5,341.20 |
3.1× |
| Cast short arm (29075) |
$2,976.33 |
$2,976.33 |
10.2× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$12,405.83 |
$12,405.83 |
3.8× |
| Change Cystostomy Tube Simple (51705) |
$728.75 |
$728.75 |
2.8× |
| Change ext/int ureter stent (50387) |
$5,559.71 |
$5,559.71 |
2.5× |
| Change of cystostomy tube; complicated (51710) |
$6,913.16 |
$6,913.16 |
9.5× |
| Chemical cauterization of granulation tissue (17250) |
$663.47 |
$663.47 |
3.2× |
| Chest tube placement (32551) |
$3,925.23 |
$3,925.23 |
2.4× |
| Circumcision neonate (54160) |
$6,913.16 |
$6,913.16 |
9.5× |
| Close Rx Dist Fingr Fx (26750) |
$2,536.71 |
$2,536.71 |
9.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Adrenal Gland Biopsy (60699) |
$17,848.58 |
$17,848.58 |
2.8× |
| Closed Rx Big Toe Fx,Manip (28495) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Dist Fibula Fx (27786) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Med Malleolus Fx (27760) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Metacarpal Fx (26600) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$16,347.39 |
$16,347.39 |
9.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Toe Fx (28510) |
$1,907.68 |
$1,907.68 |
7.4× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$17,772.67 |
$17,772.67 |
10.6× |
| Closed Rx Trimalleolar Fx (27816) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Ulna Shaft Fx (25530) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Rx Ulna Styloid Fx (25650) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Treat Vert Body Fract (22310) |
$2,757.88 |
$2,757.88 |
10.7× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of dislocated jaw joint (21480) |
$5,105.33 |
$5,105.33 |
19.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$16,347.39 |
$16,347.39 |
9.7× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$16,347.39 |
$16,347.39 |
9.7× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$2,536.71 |
$2,536.71 |
9.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$16,347.39 |
$16,347.39 |
9.7× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$5,023.06 |
$5,023.06 |
3.0× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$2,536.71 |
$2,536.71 |
9.8× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$15,514.83 |
$15,514.83 |
9.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$16,347.39 |
$16,347.39 |
9.7× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$2,536.71 |
$2,536.71 |
9.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$2,536.71 |
$2,536.71 |
9.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$5,023.06 |
$5,023.06 |
3.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$2,263.78 |
$2,263.78 |
8.8× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$2,536.71 |
$2,536.71 |
9.8× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$16,347.39 |
$16,347.39 |
9.7× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$2,976.33 |
$2,976.33 |
10.2× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$1,486.13 |
$1,486.13 |
5.8× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$2,536.71 |
$2,536.71 |
9.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/mnpj (23665) |
$16,347.39 |
$16,347.39 |
9.7× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$16,347.39 |
$16,347.39 |
9.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$16,347.39 |
$16,347.39 |
9.7× |
| Collect blood from catheter venous nos (36592) |
$1,252.04 |
$1,252.04 |
9.0× |
| Complex cystometrogram voiding pressure studies (51728) |
$6,913.16 |
$6,913.16 |
9.5× |
| Complex uroflowmetry (51741) |
$1,707.79 |
$1,707.79 |
7.6× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$1,179.61 |
$1,179.61 |
5.3× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$1,252.04 |
$1,252.04 |
9.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$1,252.04 |
$1,252.04 |
9.0× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$8,155.83 |
$8,155.83 |
3.7× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$7,428.77 |
$7,428.77 |
4.3× |
| CT Biopsy Lymph Node (38505) |
$4,912.86 |
$4,912.86 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,252.04 |
$1,252.04 |
9.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$2,553.81 |
$2,553.81 |
10.3× |
| Cystoscopy and treatment (52310) |
$18,806.12 |
$18,806.12 |
8.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$18,806.12 |
$18,806.12 |
8.6× |
| Cystourethroscopy (52000) |
$6,913.16 |
$6,913.16 |
9.5× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$18,806.12 |
$18,806.12 |
8.6× |
| Cystourethroscopy,biopsy (52204) |
$18,806.12 |
$18,806.12 |
8.6× |
| Deb bone/muscle 20 sq cm/< (11044) |
$6,406.79 |
$6,406.79 |
3.7× |
| Deb musc/fascia 20 sq cm/< (11043) |
$1,978.81 |
$1,978.81 |
2.6× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$2,505.56 |
$2,505.56 |
5.9× |
| Delivery of placenta (59414) |
$9,457.44 |
$9,457.44 |
2.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$6,574.59 |
$6,574.59 |
3.2× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$8,626.82 |
$8,626.82 |
2.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$3,196.41 |
$3,196.41 |
4.3× |
| Diagnostic sigmoidoscopy (45330) |
$9,248.19 |
$9,248.19 |
9.5× |
| Drain blood under nail (11740) |
$364.82 |
$364.82 |
2.6× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$2,553.81 |
$2,553.81 |
10.3× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$2,039.50 |
$2,039.50 |
2.8× |
| Drainage finger abscess simple (26010) |
$2,130.07 |
$2,130.07 |
10.2× |
| Drainage of abscess of palate, uvula (42000) |
$2,553.81 |
$2,553.81 |
10.3× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$16,444.17 |
$16,444.17 |
9.5× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$1,707.79 |
$1,707.79 |
12.7× |
| Ed proc remve fb nasal- hospital (30300) |
$1,252.04 |
$1,252.04 |
9.0× |
| Ed prof burn - large - hospital (16030) |
$1,276.11 |
$1,276.11 |
3.0× |
| Ed prof burn medium - hospital (16025) |
$618.20 |
$618.20 |
3.0× |
| Ed prof burn small - hospital (16020) |
$618.20 |
$618.20 |
3.0× |
| Ed prof closed tx post hip arthroplasty (27265) |
$2,536.71 |
$2,536.71 |
9.8× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$16,347.39 |
$16,347.39 |
9.7× |
| Ed prof drain dental abscess-hospital (41800) |
$1,252.04 |
$1,252.04 |
9.0× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$8,023.82 |
$8,023.82 |
2.4× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$4,243.77 |
$4,243.77 |
10.0× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$4,243.77 |
$4,243.77 |
10.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$2,536.71 |
$2,536.71 |
9.8× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$1,061.91 |
$1,061.91 |
2.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$8,175.03 |
$8,175.03 |
4.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$1,707.79 |
$1,707.79 |
12.7× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$10,129.96 |
$10,129.96 |
2.7× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$5,559.71 |
$5,559.71 |
2.5× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$7,664.92 |
$7,664.92 |
3.8× |
| External cephalic version (59412) |
$10,573.78 |
$10,573.78 |
3.1× |
| Fetal Non Stress Test (59025) |
$730.46 |
$730.46 |
3.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$8,219.25 |
$8,219.25 |
11.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$5,547.99 |
$5,547.99 |
7.5× |
| Fit&inse pessary or other intravaginal support device (57160) |
$2,089.82 |
$2,089.82 |
9.9× |
| Fluoro exam of g/colon tube (49465) |
$785.07 |
$785.07 |
3.2× |
| Hysteroscopy,W/Endo Bx (58558) |
$30,377.57 |
$30,377.57 |
9.0× |
| I&d bartholins gland abscess (56420) |
$3,266.79 |
$3,266.79 |
15.5× |
| I&d hematoma/seroma/fluid (10140) |
$5,186.82 |
$5,186.82 |
3.0× |
| I&d perianal abscess superficial (46050) |
$9,248.19 |
$9,248.19 |
9.5× |
| I&d perirectal abscess (46040) |
$12,166.92 |
$12,166.92 |
9.7× |
| I&d pilonidal cyst simple (10080) |
$7,165.65 |
$7,165.65 |
9.7× |
| I&d vulva/perineal abscess (56405) |
$3,467.74 |
$3,467.74 |
10.9× |
| Image cath fluid colxn visc (49405) |
$7,440.32 |
$7,440.32 |
4.3× |
| Image-guided catheter fluid collection drainage (10030) |
$5,322.16 |
$5,322.16 |
7.2× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$7,621.45 |
$7,621.45 |
4.4× |
| Incise external hemorrhoid (46083) |
$840.75 |
$840.75 |
3.2× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$1,276.11 |
$1,276.11 |
3.0× |
| Incision & Drainage Abscess Simple/Single (10060) |
$1,046.81 |
$1,046.81 |
5.0× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$7,165.65 |
$7,165.65 |
9.7× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$16,444.17 |
$16,444.17 |
9.5× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$4,243.77 |
$4,243.77 |
10.0× |
| Incision of eyelid fold (67715) |
$6,895.81 |
$6,895.81 |
2.8× |
| Incision&drainage upper arm/elbow bursa (23931) |
$17,877.89 |
$17,877.89 |
10.4× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$1,773.09 |
$1,773.09 |
4.3× |
| Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory… (0225U) |
$6,433 |
$6,433 |
15.4× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$618.20 |
$618.20 |
3.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,876.88 |
$1,876.88 |
2.5× |
| Inj,Lumb Epidur,Blood/Clot Patch (62273) |
$2,170.13 |
$2,170.13 |
2.9× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$1,876.88 |
$1,876.88 |
2.5× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$2,882.49 |
$2,882.49 |
3.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,876.88 |
$1,876.88 |
2.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,358.89 |
$1,358.89 |
4.2× |
| Injection anes agent sphenopalatine ganglion (64505) |
$432.38 |
$432.38 |
1.3× |
| Injection procedure for Peyronie disease; Other Surgical Services (54200) |
$1,824.22 |
$1,824.22 |
7.0× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$1,908.87 |
$1,908.87 |
2.9× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$1,358.89 |
$1,358.89 |
4.2× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$1,358.89 |
$1,358.89 |
4.2× |
| Ins cath ren art 1st bilat (36252) |
$11,623.82 |
$11,623.82 |
3.5× |
| Ins cath ren art 1st unilat (36251) |
$8,023.82 |
$8,023.82 |
2.4× |
| Ins endovas vena cava filtr (37191) |
$20,506.72 |
$20,506.72 |
3.5× |
| Ins new/rplcmt prm pacemakr w/trans eltrd atrial (33206) |
$14,150.58 |
$14,150.58 |
1.3× |
| Ins tunn cv cath no pump 5yrs (36558) |
$8,023.82 |
$8,023.82 |
2.4× |
| Insert gastrostomy tube percutaneous (49440) |
$5,268.75 |
$5,268.75 |
2.6× |
| Insert heart pm ventricular (33207) |
$15,638.99 |
$15,638.99 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$1,252.04 |
$1,252.04 |
9.0× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$836.82 |
$836.82 |
6.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$13,597.20 |
$13,597.20 |
3.6× |
| Insertion of cervical dilator (59200) |
$1,029.68 |
$1,029.68 |
3.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$12,975.70 |
$12,975.70 |
7.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$21,655.76 |
$21,655.76 |
2.5× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$11,642.90 |
$11,642.90 |
1.3× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$11,558.07 |
$11,558.07 |
1.3× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$35,379.39 |
$35,379.39 |
3.2× |
| Insj intraperitoneal catheter w/img guid (49418) |
$11,082.59 |
$11,082.59 |
3.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$26,854.65 |
$26,854.65 |
8.1× |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
$11,906.02 |
$11,906.02 |
3.6× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$29,997.52 |
$29,997.52 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,395.40 |
$11,395.40 |
1.3× |
| Insrt heart pm atrial & vent (33208) |
$47,122.74 |
$47,122.74 |
4.3× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$7,509.84 |
$7,509.84 |
4.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$37,946.21 |
$37,946.21 |
3.1× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$22,371.56 |
$22,371.56 |
3.8× |
| Intubation endotracheal (31500) |
$1,005.75 |
$1,005.75 |
4.1× |
| Irrigat Corpus Cavern,Priapism (54220) |
$1,824.22 |
$1,824.22 |
7.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$101,345.45 |
$101,345.45 |
9.1× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Other… (58661) |
$54,981.36 |
$54,981.36 |
8.7× |
| Laryngoscopy flex diagnostic (31575) |
$2,034.51 |
$2,034.51 |
9.8× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$4,243.77 |
$4,243.77 |
10.0× |
| Lithotripsy Eswl Lt|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF… (50590) |
$38,036 |
$38,036 |
10.3× |
| Lumbar puncture (62270) |
$2,409.99 |
$2,409.99 |
3.3× |
| Marsupialization bartholin's gland cyst (56440) |
$30,377.57 |
$30,377.57 |
9.0× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$3,072.54 |
$3,072.54 |
3.8× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$3,536.57 |
$3,536.57 |
4.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,147.12 |
$3,147.12 |
3.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$3,039.02 |
$3,039.02 |
3.7× |
| Nasal surg proc unlisted (30999) |
$848.95 |
$848.95 |
3.4× |
| Needle Biopsy Liver (47000) |
$4,912.86 |
$4,912.86 |
2.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$304.65 |
$304.65 |
10.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$304.65 |
$304.65 |
10.1× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$20,662.96 |
$20,662.96 |
10.1× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$10,758.20 |
$10,758.20 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$5,410.92 |
$5,410.92 |
7.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,269.59 |
$2,269.59 |
3.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$2,685.71 |
$2,685.71 |
3.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$3,556.22 |
$3,556.22 |
4.9× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$10,708.55 |
$10,708.55 |
3.2× |
| Open tx distal phalangeal fracture each (26765) |
$31,045.79 |
$31,045.79 |
9.1× |
| Open/perq placement intravascular stent initial (37236) |
$21,373.26 |
$21,373.26 |
1.8× |
| Open/perq placement intravascular stent same 1st (37238) |
$45,718 |
$45,718 |
3.8× |
| Ot strapping hand or finger (29280) |
$670.29 |
$670.29 |
10.9× |
| Penile injection (54235) |
$1,824.22 |
$1,824.22 |
7.0× |
| Pericardiocentesis w/img guidance when performed (33016) |
$3,925.23 |
$3,925.23 |
2.4× |
| Perq dev breast 1st us imag (19285) |
$2,822.99 |
$2,822.99 |
3.8× |
| Perq device breast 1st imag (19281) |
$5,341.20 |
$5,341.20 |
3.1× |
| Perq drainage pleura insert cath w/imaging (32557) |
$3,925.23 |
$3,925.23 |
2.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$1,034.78 |
$1,034.78 |
4.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$45,979.75 |
$45,979.75 |
2.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$35,207.30 |
$35,207.30 |
2.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$12,426.74 |
$12,426.74 |
2.1× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$33,471.74 |
$33,471.74 |
4.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$33,471.74 |
$33,471.74 |
4.4× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$4,320.06 |
$4,320.06 |
2.6× |
| Place cath carotd art (36224) |
$23,402.70 |
$23,402.70 |
4.0× |
| Place cath subclavian art (36225) |
$12,870.85 |
$12,870.85 |
3.9× |
| Place cath vertebral art (36226) |
$23,632.81 |
$23,632.81 |
4.1× |
| Placement Needle Intraosseous Infusion (36680) |
$1,061.91 |
$1,061.91 |
2.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$6,641.15 |
$6,641.15 |
3.0× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$10,625.16 |
$10,625.16 |
2.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$9,773.07 |
$9,773.07 |
2.7× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$9,773.07 |
$9,773.07 |
2.7× |
| PR Arthroscopically Aided Acl Repair/Augmentation/Reconstruction|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29888) |
$54,655.25 |
$54,655.25 |
7.2× |
| PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29827) |
$54,655.25 |
$54,655.25 |
7.2× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$29,937.36 |
$29,937.36 |
1.6× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$9,317.59 |
$9,317.59 |
2.5× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$9,317.59 |
$9,317.59 |
2.5× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$23,236.73 |
$23,236.73 |
1.9× |
| Puncture Aspiration (10160) |
$1,276.11 |
$1,276.11 |
3.0× |
| Puncture aspiration of cyst of breast (19000) |
$2,039.50 |
$2,039.50 |
2.8× |
| Relocate skin pocket implantable defibrillator (33223) |
$6,776.23 |
$6,776.23 |
3.1× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$3,169.16 |
$3,169.16 |
3.3× |
| Removal foreign body foot complicated (28193) |
$16,444.17 |
$16,444.17 |
9.5× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$232.84 |
$232.84 |
3.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$670.29 |
$670.29 |
10.9× |
| Removal implantable defib pulse generator only (33241) |
$9,138.91 |
$9,138.91 |
2.3× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$16,444.17 |
$16,444.17 |
9.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$1,252.04 |
$1,252.04 |
9.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$2,601.70 |
$2,601.70 |
5.6× |
| Removal of foreign body, foot; deep (28192) |
$16,444.17 |
$16,444.17 |
9.5× |
| Removal of nail bed (11750) |
$1,276.11 |
$1,276.11 |
3.0× |
| Removal of pm generator (33233) |
$8,657.89 |
$8,657.89 |
1.0× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Other Surgical Services (33234) |
$9,138.91 |
$9,138.91 |
2.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$4,161.65 |
$4,161.65 |
5.6× |
| Removal tunneled cv cath (36590) |
$12,975.70 |
$12,975.70 |
7.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$2,976.33 |
$2,976.33 |
10.2× |
| Remove eyelid foreign body,embedded (67938) |
$892.78 |
$892.78 |
2.7× |
| Remove fb upper arm/elbow subq (24200) |
$16,444.17 |
$16,444.17 |
9.5× |
| Remove foreign body from eye (65210) |
$2,753.67 |
$2,753.67 |
5.9× |
| Remove foreign body from eye (65235) |
$18,704.12 |
$18,704.12 |
7.8× |
| Remove lung catheter (32552) |
$6,317.82 |
$6,317.82 |
9.6× |
| Remove pharynx foreign body (42809) |
$1,061.91 |
$1,061.91 |
2.3× |
| Remove&replace pm gen singl (33227) |
$16,620.67 |
$16,620.67 |
1.9× |
| Remv Ext Canal Foreign Body (69200) |
$1,252.04 |
$1,252.04 |
9.0× |
| Remv&replc cvd gen dual lead (33263) |
$41,575.31 |
$41,575.31 |
1.8× |
| Remv&replc cvd gen mult lead (33264) |
$77,751.98 |
$77,751.98 |
2.4× |
| Remv&replc cvd gen sing lead (33262) |
$88,950.90 |
$88,950.90 |
3.8× |
| Remv&replc pm gen dual lead (33228) |
$20,620.06 |
$20,620.06 |
1.9× |
| Remv&replc pm gen mult leads (33229) |
$23,140.65 |
$23,140.65 |
1.2× |
| Renal biopsy percutaneous (50200) |
$4,912.86 |
$4,912.86 |
2.8× |
| Renal Cyst Aspiration (50390) |
$2,469.82 |
$2,469.82 |
3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$4,243.77 |
$4,243.77 |
10.0× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$6,289.69 |
$6,289.69 |
14.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$6,289.69 |
$6,289.69 |
14.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$6,289.69 |
$6,289.69 |
14.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$6,289.69 |
$6,289.69 |
8.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$4,243.77 |
$4,243.77 |
10.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$4,243.77 |
$4,243.77 |
10.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$4,243.77 |
$4,243.77 |
10.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$4,243.77 |
$4,243.77 |
10.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$6,289.69 |
$6,289.69 |
8.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$4,243.77 |
$4,243.77 |
10.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$4,243.77 |
$4,243.77 |
10.0× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$6,289.69 |
$6,289.69 |
8.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$4,243.77 |
$4,243.77 |
10.0× |
| Repair Lip,Full Thick,Vermilion (40650) |
$3,587.88 |
$3,587.88 |
6.4× |
| Repair nail bed (11760) |
$1,978.81 |
$1,978.81 |
2.6× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$1,061.91 |
$1,061.91 |
2.3× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$2,776.47 |
$2,776.47 |
11.2× |
| Repair of nasal septum (30520) |
$30,746.36 |
$30,746.36 |
8.9× |
| Repair of vertical lip wound extending to half of lip (40652) |
$5,519.35 |
$5,519.35 |
9.8× |
| Repair palate (42182) |
$56,158.69 |
$56,158.69 |
9.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$6,289.69 |
$6,289.69 |
8.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$6,289.69 |
$6,289.69 |
8.1× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$2,801.99 |
$2,801.99 |
13.4× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$3,514.99 |
$3,514.99 |
16.8× |
| Rmvl embedded fb vestibule mouth smpl (40804) |
$8,175.03 |
$8,175.03 |
8.6× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$3,151.65 |
$3,151.65 |
22.7× |
| Rmvl nfros tube req fluoro guidance (50389) |
$3,522.62 |
$3,522.62 |
4.8× |
| Rmvl of access device (36589) |
$3,198.51 |
$3,198.51 |
4.9× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$9,138.91 |
$9,138.91 |
2.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$12,975.70 |
$12,975.70 |
7.9× |
| Rpr lip full thkns >one-half vert height/comple (40654) |
$4,777.98 |
$4,777.98 |
2.9× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$11,504.72 |
$11,504.72 |
3.5× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$8,646.52 |
$8,646.52 |
2.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$2,076.47 |
$2,076.47 |
9.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$2,164.03 |
$2,164.03 |
10.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$1,338.89 |
$1,338.89 |
6.4× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$4,296.44 |
$4,296.44 |
20.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$2,198.18 |
$2,198.18 |
10.5× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$21,804.39 |
$21,804.39 |
3.8× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$18,475.49 |
$18,475.49 |
5.6× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$1,758.54 |
$1,758.54 |
8.4× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$2,827.66 |
$2,827.66 |
6.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$3,457.14 |
$3,457.14 |
8.1× |
| Strapping elbow or wrist (29260) |
$670.29 |
$670.29 |
10.9× |
| Strapping hip (29520) |
$1,252.04 |
$1,252.04 |
9.0× |
| Strapping of ankle (29540) |
$1,741.99 |
$1,741.99 |
10.3× |
| Strapping of knee (29530) |
$1,252.04 |
$1,252.04 |
9.0× |
| Strapping of shoulder (29240) |
$1,252.04 |
$1,252.04 |
9.0× |
| Strapping of toes (29550) |
$670.29 |
$670.29 |
10.9× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$3,557.39 |
$3,557.39 |
4.6× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$3,557.39 |
$3,557.39 |
4.6× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$2,366.47 |
$2,366.47 |
5.6× |
| Tangential biopsy skin single lesion (11102) |
$618.20 |
$618.20 |
1.5× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$59,188.03 |
$59,188.03 |
2.9× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,328.78 |
$1,328.78 |
1.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$2,539.66 |
$2,539.66 |
3.9× |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
$1,908.87 |
$1,908.87 |
2.9× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$12,694.52 |
$12,694.52 |
3.8× |
| Thrombolysis cerebral IV infus (37195) |
$18.57 |
$18.57 |
0.1× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$8,723.39 |
$8,723.39 |
2.6× |
| Thrombolytic art therapy (37211) |
$15,318.58 |
$15,318.58 |
2.6× |
| Tonsillectomy, primary or secondary; age 12 or over Other Surgical Services (42826) |
$33,427.05 |
$33,427.05 |
9.7× |
| Treat finger dislocation (26775) |
$2,976.33 |
$2,976.33 |
10.2× |
| Treat radius fracture (24655) |
$16,347.39 |
$16,347.39 |
9.7× |
| Treat wrist bone fracture (25624) |
$16,347.39 |
$16,347.39 |
9.7× |
| Treat wrist dislocation (25690) |
$16,347.39 |
$16,347.39 |
9.7× |
| Treat wrist dislocation (25675) |
$2,536.71 |
$2,536.71 |
9.8× |
| Treatment of bladder lesion (51720) |
$1,881.13 |
$1,881.13 |
2.6× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$2,536.71 |
$2,536.71 |
9.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$2,536.71 |
$2,536.71 |
9.8× |
| Trim Benign Hyperkeratotic Skin Lesion,2-4 (11056) |
$2,130.07 |
$2,130.07 |
10.2× |
| Trim skin lesion (11055) |
$618.20 |
$618.20 |
3.0× |
| Trimming of nondystrophic nails, any number (11719) |
$670.29 |
$670.29 |
10.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$12,426.74 |
$12,426.74 |
2.1× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,690.05 |
$13,690.05 |
2.3× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services (69436) |
$15,514.83 |
$15,514.83 |
9.6× |
| Unlisted procedure, dentoalveolar structures (41899) |
$2,776.47 |
$2,776.47 |
11.2× |
| Vaginal delivery only (59409) |
$10,282.01 |
$10,282.01 |
3.0× |
| Vasc embolize/occlude bleed (37244) |
$57,056.01 |
$57,056.01 |
4.7× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$57,748.07 |
$57,748.07 |
3.0× |
| Vascular embolization or occlusion venous rs&i (37241) |
$57,239.33 |
$57,239.33 |
4.7× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$57,239.33 |
$57,239.33 |
4.7× |
| Venipuncture (36415) |
$37.92 |
$37.92 |
4.1× |
| Wedge excision skin nail fold (11765) |
$1,276.11 |
$1,276.11 |
3.0× |