| Abd paracentesis w/imaging (49083) |
$870 |
$1,740 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$525 |
$1,050 |
0.5× |
| Abdomen Surgery Procedure (22999) |
$1,515 |
$3,030 |
5.7× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$6,140 |
$12,280 |
0.5× |
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure |
$4,770 |
$9,540 |
0.4× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$3,845 |
$7,690 |
0.2× |
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
unusually low: confirm this is the full procedure |
$3,845 |
$7,690 |
0.5× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,550 |
$7,100 |
2.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,950 |
$3,900 |
0.9× |
| Amniocentesis diagnostic (59000) |
$500 |
$1,000 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,630 |
$7,260 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,630 |
$7,260 |
1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$425 |
$850 |
1.3× |
| Application finger splint static (29130) |
$160 |
$320 |
1.1× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$360–$370 |
$720–$740 |
varies |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
$360–$370 |
$720–$740 |
varies |
| Application of rigid total contact leg cast (29445) |
$535 |
$1,070 |
1.8× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$287.50–$300 |
$575–$600 |
varies |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$305–$370 |
$610–$740 |
varies |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$140–$245 |
$280–$490 |
varies |
| Arterial puncture (36600) |
$125 |
$250 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$235 |
$470 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$705 |
$1,410 |
0.9× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$437.50–$655 |
$875–$1,310 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$1,620–$2,110 |
$3,240–$4,220 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$235 |
$470 |
0.7× |
| Aspirate pleura w/ imaging (32555) |
$960 |
$1,920 |
1.4× |
| Aspirate Pleura W/O Imaging (32554) |
$1,055 |
$2,110 |
1.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$445 |
$890 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$120 |
$240 |
0.6× |
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
unusually low: confirm this is the full procedure |
$4,760 |
$9,520 |
0.4× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure |
$4,545 |
$9,090 |
0.4× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$3,865 |
$7,730 |
0.6× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$4,655 |
$9,310 |
0.7× |
| Biopsy Abdominal Mass (49180) |
$1,265 |
$2,530 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,265 |
$2,530 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$675 |
$1,350 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$1,030 |
$2,060 |
0.6× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,035 |
$2,070 |
0.6× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,035 |
$2,070 |
0.6× |
| Biopsy Salivary Gland Needle (42400) |
$465 |
$930 |
0.6× |
| Biopsy soft tissue back/flank deep (21925) |
$1,415 |
$2,830 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$1,545 |
$3,090 |
0.9× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,165 |
$2,330 |
0.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$315 |
$630 |
0.4× |
| Bladder Irrigation (51700) |
$145 |
$290 |
0.5× |
| Bladder Scan (51798) |
$135 |
$270 |
2.1× |
| Blood Transfusion Service (36430) |
$1,005 |
$2,010 |
2.1× |
| Bone Marrow Biopsy (38221) |
$1,445 |
$2,890 |
0.8× |
| Bone Marrow; Aspiration Only (38220) |
$1,375 |
$2,750 |
0.8× |
| Bx breast 1st lesion mr imag (19085) |
$2,160 |
$4,320 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,160 |
$4,320 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$2,160 |
$4,320 |
1.2× |
| Canthotomy Separate Procedure (67715) |
$2,280 |
$4,560 |
0.9× |
| Catheter aspiration nasotracheal spx (31720) |
$67.50 |
$135 |
0.3× |
| Cessj Therapy Cath Removal (37214) |
$6,820 |
$13,640 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$262.50 |
$525 |
1.0× |
Change ureter stent percut (50382)
range across 2 matching MRF lines |
$2,320–$2,980 |
$4,640–$5,960 |
varies |
| Chemical Cautery Tissue (17250) |
$175 |
$350 |
0.8× |
| Chemical Pleurodesis (32560) |
$1,065 |
$2,130 |
1.6× |
| Chemodenerv Musc Migraine (64615) |
$470 |
$940 |
1.4× |
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines |
$495–$740 |
$990–$1,480 |
varies |
Chest tube placement (32551)
range across 2 matching MRF lines |
$1,790–$3,580 |
$3,580–$7,160 |
varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$1,605 |
$3,210 |
0.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$2,290 |
$4,580 |
0.6× |
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines |
$1,790–$3,580 |
$3,580–$7,160 |
varies |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$190–$275 |
$380–$550 |
varies |
| Closed Rx Spontaneous Hip Disloc (27256) |
$270 |
$540 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$270 |
$540 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,790 |
$3,580 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$270 |
$540 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$270 |
$540 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$270 |
$540 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,790 |
$3,580 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$270 |
$540 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$270 |
$540 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$270 |
$540 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,790 |
$3,580 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,790 |
$3,580 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$270 |
$540 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,790 |
$3,580 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,790 |
$3,580 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$270 |
$540 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$265 |
$530 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$275 |
$550 |
1.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$580 |
$1,160 |
1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,785 |
$3,570 |
1.0× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
$270–$540 |
$540–$1,080 |
varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,790 |
$3,580 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$270 |
$540 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$270 |
$540 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$270 |
$540 |
1.0× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$1,790–$3,580 |
$3,580–$7,160 |
varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,790 |
$3,580 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$270 |
$540 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$270 |
$540 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$270 |
$540 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,790 |
$3,580 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$270 |
$540 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$270 |
$540 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$350 |
$700 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$270 |
$540 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,790 |
$3,580 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$270 |
$540 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$270 |
$540 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$270 |
$540 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,785 |
$3,570 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$270 |
$540 |
1.0× |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines |
$270–$540 |
$540–$1,080 |
varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,790 |
$3,580 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,790 |
$3,580 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,790 |
$3,580 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$192.50 |
$385 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$22.50 |
$45 |
2.4× |
| Complex drainage wound (10180) |
$3,035 |
$6,070 |
1.0× |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
$150–$300 |
$300–$600 |
varies |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$150–$300 |
$300–$600 |
varies |
| Control oropharyngeal hemorrhage simple (42960) |
$322.50 |
$645 |
0.6× |
| Conversion ext bil drg cath (47535) |
$2,460 |
$4,920 |
0.6× |
| Convert Nephrostomy Catheter (50434) |
$1,775 |
$3,550 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,880 |
$5,760 |
1.6× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$187.50 |
$375 |
1.3× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
$150–$300 |
$300–$600 |
varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$275 |
$550 |
1.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,295 |
$4,590 |
1.0× |
| Cystourethroscopy (52000) |
$1,080 |
$2,160 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$480 |
$960 |
1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,160 |
$2,320 |
1.5× |
| Debride nail 1-5 (11720) |
$80 |
$160 |
1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,030 |
$4,060 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$665 |
$1,330 |
1.5× |
| Declot vascular device (36593) |
$472.50 |
$945 |
1.3× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$985 |
$1,970 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,220 |
$2,440 |
1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,570 |
$3,140 |
0.8× |
| Dilat Xst Trc New Access Rcs (50437) |
$4,420 |
$8,840 |
1.2× |
| Dilate Urethra Stricture (53600) |
$380 |
$760 |
1.4× |
| Drain/inj small joint/bursa w/us (20604) |
$890 |
$1,780 |
2.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$800 |
$1,600 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$1,790 |
$3,580 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$275 |
$550 |
1.1× |
| Drainage of eye (65800) |
$2,360 |
$4,720 |
1.0× |
| Drainage of finger abscess simple (26010) |
$240 |
$480 |
1.1× |
| Drainage of gum lesion (41800) |
$150 |
$300 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$1,780 |
$3,560 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,800 |
$3,600 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$205 |
$410 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$800 |
$1,600 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$515 |
$1,030 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$442.50 |
$885 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$337.50 |
$675 |
1.6× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,200 |
$2,400 |
1.3× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,740 |
$3,480 |
0.6× |
| Dx Bronchoscope/Wash (31622) |
$2,095 |
$4,190 |
1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$615 |
$1,230 |
0.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$245 |
$490 |
0.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$245 |
$490 |
0.7× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,360 |
$4,720 |
0.7× |
| Epidural Blood Patch (62273) |
$895 |
$1,790 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$3,105 |
$6,210 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$145 |
$290 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,725 |
$3,450 |
1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$855 |
$1,710 |
2.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,460 |
$4,920 |
0.6× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$1,775–$2,220 |
$3,550–$4,440 |
varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,070 |
$2,140 |
0.5× |
| External cephalic version (59412) |
$1,725 |
$3,450 |
0.5× |
| Fetal Contraction Stress Test (59020) |
$452.50 |
$905 |
2.1× |
| Fetal non-stress test (59025) |
$450 |
$900 |
2.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,225 |
$2,450 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$372.50 |
$745 |
0.9× |
| Fluid Pressure Muscle (20950) |
$1,300 |
$2,600 |
1.7× |
| Fluoro exam of g/colon tube (49465) |
$430 |
$860 |
1.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,675 |
$3,350 |
2.2× |
| Fna bx w/us gdn 1st les (10005) |
$915 |
$1,830 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$430 |
$860 |
0.6× |
| Hem heprn nduc trmbctpna srm (0275U) |
$310 |
$620 |
16.9× |
| I&d abscess peritonsillar (42700) |
$275 |
$550 |
1.1× |
| I&d abscess simple (10060) |
$480 |
$960 |
2.2× |
| I&d perianal abscess superficial (46050) |
$1,020 |
$2,040 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$800 |
$1,600 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$570 |
$1,140 |
0.8× |
| Icd Pocket Revision (33223) |
$1,900 |
$3,800 |
0.9× |
| Image Cath Fluid Colxn Visc (49405) |
$2,050 |
$4,100 |
1.2× |
| Image Cath Fluid Peri/Retro (49406) |
$2,505 |
$5,010 |
1.4× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,595 |
$5,190 |
1.5× |
| Implant neuroelectrodes (63650) |
$5,965 |
$11,930 |
0.9× |
| Incise external hemorrhoid (46083) |
$470 |
$940 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$605 |
$1,210 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,735 |
$3,470 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$465 |
$930 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$472.50 |
$945 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$362.50 |
$725 |
1.1× |
| Incision of rectal abscess (46040) |
$1,330 |
$2,660 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$350 |
$700 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$295 |
$590 |
1.4× |
| Inj W/Fluor Eval Cv Device (36598) |
$1,170 |
$2,340 |
5.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$850 |
$1,700 |
0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$412.50 |
$825 |
1.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$565 |
$1,130 |
0.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$485 |
$970 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$565 |
$1,130 |
0.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,135 |
$2,270 |
1.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$895 |
$1,790 |
1.2× |
| Injection for identification of sentinel node (38792) |
$210 |
$420 |
0.5× |
| Injection single tendon origin/insertion (20551) |
$412.50 |
$825 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$500 |
$1,000 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$625 |
$1,250 |
1.9× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$595 |
$1,190 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$345 |
$690 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,785 |
$3,570 |
1.9× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$370–$775 |
$740–$1,550 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$332.50 |
$665 |
1.5× |
| Ins cath ren art 1st bilat (36252) |
$3,150 |
$6,300 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$3,090 |
$6,180 |
0.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,150 |
$6,300 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,090 |
$6,180 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$6,050 |
$12,100 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$615 |
$1,230 |
1.9× |
| Ins/Rep Subq Defibrillator (33270) |
$17,565 |
$35,130 |
0.5× |
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure |
$4,050 |
$8,100 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$242.50 |
$485 |
1.8× |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
$960–$1,160 |
$1,920–$2,320 |
varies |
| Insert cath pleura w/o image (32556) |
$2,980 |
$5,960 |
1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,310 |
$2,620 |
0.6× |
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure |
$5,560 |
$11,120 |
0.5× |
| Insert Heart Pm Ventricular (33207) |
$5,740 |
$11,480 |
0.5× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$4,475 |
$8,950 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$1,265 |
$2,530 |
0.4× |
| Insert Pacing Lead & Connect (33224) |
$6,080 |
$12,160 |
0.5× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,545 |
$9,090 |
0.4× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$5,175 |
$10,350 |
0.3× |
| Insert Pulse Gen Sngl Lead (33212) |
$4,505 |
$9,010 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$245 |
$490 |
1.7× |
| Insert tun ip cath perc (49418) |
$2,750 |
$5,500 |
0.7× |
| Insert tunneled cv cath (36561) |
$3,350 |
$6,700 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$220 |
$440 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,215 |
$4,430 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,540 |
$5,080 |
1.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,185 |
$12,370 |
0.7× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$2,630 |
$5,260 |
0.7× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$3,370 |
$6,740 |
0.6× |
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure |
$3,415 |
$6,830 |
0.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,665 |
$3,330 |
0.5× |
| Insj Picc Rs&I <5 Yr (36572) |
$2,175 |
$4,350 |
3.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,265 |
$2,530 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,255 |
$4,510 |
0.7× |
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure |
$14,660 |
$29,320 |
0.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,185 |
$10,370 |
0.6× |
| Insrt heart pm atrial & vent (33208) |
$5,740 |
$11,480 |
0.5× |
Insrt Pulse Gen W/Dual Leads (33230)
unusually low: confirm this is the full procedure |
$10,385 |
$20,770 |
0.4× |
Insrt Pulse Gen W/Mult Leads (33231)
unusually low: confirm this is the full procedure |
$10,475 |
$20,950 |
0.3× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$12,515 |
$25,030 |
0.5× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,070 |
$4,140 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$800 |
$1,600 |
1.8× |
| Intro cath dialysis circuit (36901) |
$1,780 |
$3,560 |
1.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$15,185 |
$30,370 |
1.2× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$7,595 |
$15,190 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$565 |
$1,130 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$282.50 |
$565 |
1.1× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$62.50 |
$125 |
1.7× |
| Laryngoscopy flexible diagnostic (31575) |
$215 |
$430 |
1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$215 |
$430 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$11,820 |
$23,640 |
3.1× |
| Lyse chest fibrin init day (32561) |
$497.50 |
$995 |
0.7× |
| Lyse Chest Fibrin Subq Day (32562) |
$467.50 |
$935 |
0.7× |
| Maternity Care Procedure (59899) |
$380 |
$760 |
1.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,635 |
$3,270 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$1,750 |
$3,500 |
0.5× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,195 |
$4,390 |
1.0× |
| Myelography Lumbar Injection (62305) |
$1,685 |
$3,370 |
2.0× |
| Myelography Lumbar Injection (62304) |
$1,395 |
$2,790 |
1.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,395 |
$2,790 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,395 |
$2,790 |
1.7× |
| N Block Inj Celiac Pelus (64530) |
$605 |
$1,210 |
0.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$470 |
$940 |
0.6× |
| N block inj intercost sng (64420) |
$570 |
$1,140 |
0.8× |
| Nasal Endoscopy Dx (31231) |
$215 |
$430 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$267.50 |
$535 |
0.6× |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines |
$1,920–$3,840 |
$3,840–$7,680 |
varies |
| Needle Biopsy Lymph Nodes (38505) |
$755 |
$1,510 |
0.4× |
| Needle Biopsy Pancreas (48102) |
$1,060 |
$2,120 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$35 |
$70 |
1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$35 |
$70 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$785 |
$1,570 |
1.9× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,460 |
$4,920 |
1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$630 |
$1,260 |
1.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,650 |
$3,300 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,885 |
$5,770 |
0.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,760 |
$3,520 |
2.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,760 |
$3,520 |
2.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$197.50 |
$395 |
0.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$192.50 |
$385 |
0.4× |
| Njx Sclrsnt Spider Veins (36468) |
$302.50 |
$605 |
0.7× |
| Occipital Nerve Block (64405) |
$530 |
$1,060 |
1.6× |
| Onc Hl Neo Gen Seq Alys Alg (0364U) |
$3,055 |
$6,110 |
1.5× |
| Open/Perq Place Stent 1St (37236) |
$10,975 |
$21,950 |
0.9× |
| Open/Perq Place Stent Same (37238) |
$13,720 |
$27,440 |
1.1× |
| Penile Injection (54235) |
$302.50 |
$605 |
1.1× |
Perc Cryo Ablate Renal Tum (50593)
unusually low: confirm this is the full procedure |
$4,920 |
$9,840 |
0.4× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,895 |
$3,790 |
1.3× |
| Perc Rf Ablate Renal Tumor (50592) |
$4,770 |
$9,540 |
0.7× |
| Percut Ablate Liver Rf (47382) |
$3,815 |
$7,630 |
0.6× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$5,870 |
$11,740 |
0.5× |
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines |
$750–$1,120 |
$1,500–$2,240 |
varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,915 |
$7,830 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$3,145 |
$6,290 |
1.9× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$2,325 |
$4,650 |
0.1× |
| Perq av fistula creation uxtr sep access sites (36837) |
$16,360 |
$32,720 |
0.8× |
| Perq av fistula creation uxtr single access (36836) |
$14,025 |
$28,050 |
0.7× |
| Perq Cervicothoracic Inject (22510) |
$8,245 |
$16,490 |
2.4× |
| Perq dev breast 1st mr guide (19287) |
$1,460 |
$2,920 |
1.9× |
| Perq dev breast 1st strtctc (19283) |
$1,340 |
$2,680 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$1,725 |
$3,450 |
2.3× |
| Perq device breast 1st imag (19281) |
$1,070 |
$2,140 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,775 |
$5,550 |
0.7× |
| Perq Lumbosacral Injection (22511) |
$2,670 |
$5,340 |
0.8× |
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
unusually low: confirm this is the full procedure |
$4,650 |
$9,300 |
0.5× |
| Perq p-art revsc 1 nm nt uni (33900) |
$9,635 |
$19,270 |
0.8× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$15,580 |
$31,160 |
0.8× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$19,475 |
$38,950 |
1.6× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$12,050 |
$24,100 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$725 |
$1,450 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$15,185 |
$30,370 |
1.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,065 |
$10,130 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,720 |
$13,440 |
0.9× |
| Perq Vertebral Augmentation (22513) |
$6,720 |
$13,440 |
0.9× |
| Phleb Veins - Extrem 20+ (37766) |
$4,355 |
$8,710 |
1.3× |
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines |
$4,385–$4,720 |
$8,770–$9,440 |
varies |
| Place Cath Thoracic Aorta (36221) |
$3,590 |
$7,180 |
1.1× |
| Place Cath Vertebral Art (36226) |
$4,385 |
$8,770 |
0.7× |
| Place Duod/Jej Tube Perc (49441) |
$1,310 |
$2,620 |
0.6× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$6,900 |
$13,800 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$350 |
$700 |
0.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,625 |
$13,250 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,625 |
$13,250 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,625 |
$13,250 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,515 |
$5,030 |
1.1× |
| Plmt Nephroureteral Catheter (50433) |
$2,730 |
$5,460 |
0.7× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,515 |
$7,030 |
0.9× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,515 |
$7,030 |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,515 |
$7,030 |
0.9× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$4,775 |
$9,550 |
0.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$605 |
$1,210 |
0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,460 |
$4,920 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,955 |
$5,910 |
0.8× |
| Pseudoaneurysm Injection Trt (36002) |
$335 |
$670 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$282.50 |
$565 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$265 |
$530 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$445 |
$890 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,570 |
$3,140 |
0.8× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$575 |
$1,150 |
0.8× |
| Relocation Pocket Pacemaker (33222) |
$1,465 |
$2,930 |
0.7× |
| Rem Endovas Vena Cava Filter (37193) |
$3,125 |
$6,250 |
0.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,165 |
$2,330 |
1.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$800 |
$1,600 |
1.1× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$125–$150 |
$250–$300 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$125–$150 |
$250–$300 |
varies |
| Removal of foreign body from pharynx (42809) |
$347.50 |
$695 |
0.7× |
| Removal of kidney stone (50081) |
$5,580 |
$11,160 |
0.6× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,135 |
$4,270 |
0.6× |
| Removal Pacemaker Electrode (33235) |
$1,795 |
$3,590 |
0.4× |
| Removal peritoneal-venous shunt (49429) |
$2,135 |
$4,270 |
0.6× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$2,740 |
$5,480 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$267.50 |
$535 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,115 |
$2,230 |
1.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$125 |
$250 |
0.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$225 |
$450 |
0.8× |
| Remove Elctrd Transvenously (33244) |
$1,905 |
$3,810 |
0.5× |
| Remove foreign body from eye (65205) |
$187.50 |
$375 |
1.3× |
| Remove Intrauterine Device (58301) |
$185 |
$370 |
0.6× |
| Remove intrvas foreign body (37197) |
$5,195 |
$10,390 |
1.5× |
| Remove lung catheter (32552) |
$407.50 |
$815 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$267.50 |
$535 |
1.9× |
| Remove Pulse Generator (33241) |
$1,905 |
$3,810 |
0.5× |
| Remove renal tube w/fluoro (50389) |
$535 |
$1,070 |
0.7× |
| Remove ureter stent percut (50384) |
$1,735 |
$3,470 |
0.8× |
| Remove&replace pm gen singl (33227) |
$5,585 |
$11,170 |
0.6× |
| Remv&replc cvd gen dual lead (33263) |
$12,735 |
$25,470 |
0.5× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$16,585 |
$33,170 |
0.5× |
| Remv&replc cvd gen sing lead (33262) |
$12,735 |
$25,470 |
0.5× |
| Remv&replc pm gen dual lead (33228) |
$5,765 |
$11,530 |
0.5× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$8,005 |
$16,010 |
0.4× |
| Renal Biopsy Perq (50200) |
$1,035 |
$2,070 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,670 |
$7,340 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$820 |
$1,640 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$945 |
$1,890 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$820 |
$1,640 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$945 |
$1,890 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$945 |
$1,890 |
2.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,790 |
$3,580 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$620 |
$1,240 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$675 |
$1,350 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$705 |
$1,410 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$740 |
$1,480 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$800 |
$1,600 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$620 |
$1,240 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$675 |
$1,350 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$740 |
$1,480 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$800 |
$1,600 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$620 |
$1,240 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$675 |
$1,350 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$865 |
$1,730 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$740 |
$1,480 |
1.7× |
| Repair Lead Pace-Defib One (33218) |
$2,790 |
$5,580 |
0.7× |
| Repair of nail bed (11760) |
$625 |
$1,250 |
0.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,630 |
$7,260 |
1.0× |
| Repair tongue laceration (41252) |
$275 |
$550 |
1.1× |
| Repair tongue laceration (41250) |
$350 |
$700 |
0.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,165 |
$2,330 |
1.2× |
| Replace G-J Tube Perc (49452) |
$1,400 |
$2,800 |
1.4× |
| Replace g/c tube perc (49450) |
$1,170 |
$2,340 |
1.2× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,255 |
$6,510 |
0.8× |
| Reposition L Ventric Lead (33226) |
$2,425 |
$4,850 |
0.7× |
| Reposition Pacing-Defib Lead (33215) |
$2,325 |
$4,650 |
0.7× |
| Reposition Venous Catheter (36597) |
$1,110 |
$2,220 |
0.7× |
| Revise Abdomen-Venous Shunt (49426) |
$3,500 |
$7,000 |
0.9× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$5,965 |
$11,930 |
0.9× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$8,760 |
$17,520 |
1.4× |
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines |
$1,810–$2,710 |
$3,620–$5,420 |
varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$615 |
$1,230 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$417.50 |
$835 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$265 |
$530 |
1.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$385 |
$770 |
0.8× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$2,390 |
$4,780 |
0.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,510 |
$5,020 |
1.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,180 |
$4,360 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,485 |
$2,970 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,160 |
$2,320 |
1.7× |
| Rplc Gtube No Revj Trc (43762) |
$370 |
$740 |
1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,410 |
$2,820 |
0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,930 |
$3,860 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,945 |
$7,890 |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,595 |
$5,190 |
0.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,065 |
$2,130 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$495 |
$990 |
2.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$580 |
$1,160 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$580 |
$1,160 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,735 |
$3,470 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$780 |
$1,560 |
1.2× |
| Sclerotx Fluid Collection (49185) |
$2,130 |
$4,260 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$535 |
$1,070 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$410 |
$820 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$452.50 |
$905 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$472.50 |
$945 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$410 |
$820 |
1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$495 |
$990 |
2.3× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,950 |
$3,900 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,800 |
$3,600 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,800 |
$3,600 |
2.3× |
| Skin sub grft t/arm/lg child (15273) |
$3,150 |
$6,300 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$2,700 |
$5,400 |
1.2× |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
$3,515–$7,030 |
$7,030–$14,060 |
varies |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
$4,105–$5,550 |
$8,210–$11,100 |
varies |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
$4,265–$7,710 |
$8,530–$15,420 |
varies |
| Slitting of prepuce (54001) |
$2,295 |
$4,590 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$452.50 |
$905 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$535 |
$1,070 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$575 |
$1,150 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$525 |
$1,050 |
0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,785 |
$7,570 |
1.1× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$140–$260 |
$280–$520 |
varies |
| Tangential biopsy skin single lesion (11102) |
$245 |
$490 |
0.6× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$31,310 |
$62,620 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$17,830 |
$35,660 |
0.9× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$4,385 |
$8,770 |
1.3× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,195 |
$4,390 |
1.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$675 |
$1,350 |
0.9× |
| Therapeutic Apheresis White Blood Cells (36511) |
$2,195 |
$4,390 |
1.3× |
| Therapeutic plasma exchange (36514) |
$2,195 |
$4,390 |
1.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$18,140 |
$36,280 |
0.9× |
| Thromblytic art/ven therapy (37213) |
$6,460 |
$12,920 |
1.9× |
| Thrombolytic Art Therapy (37211) |
$4,955 |
$9,910 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$410 |
$820 |
1.2× |
| Thrombolytic Venous Therapy (37212) |
$4,955 |
$9,910 |
1.5× |
| Thyroid biopsy (60100) |
$575 |
$1,150 |
0.8× |
| Tooth extraction (41899) |
$275 |
$550 |
1.1× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$580 |
$1,160 |
1.0× |
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure |
$2,245 |
$4,490 |
0.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$3,090 |
$6,180 |
0.5× |
| Treat Humerus Fracture (24505) |
$1,790 |
$3,580 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$270 |
$540 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$270 |
$540 |
1.0× |
| Treat toe dislocation (28630) |
$270 |
$540 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$270 |
$540 |
1.0× |
| Trim skin lesion (11055) |
$270 |
$540 |
1.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$65 |
$130 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$5,080 |
$10,160 |
0.8× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,675 |
$15,350 |
1.3× |
| Tx Gastro Intub W/Asp (43753) |
$340 |
$680 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$765 |
$1,530 |
1.0× |
| Unlisted Cardiac Surgery (33999) |
$14,800 |
$29,600 |
22.0× |
| Unlisted Procedure Biliary Tract (47999) |
$2,855 |
$5,710 |
2.9× |
Unlisted Procedure Endocrine System (60699)
unusually low: confirm this is the full procedure |
$2,675 |
$5,350 |
0.4× |
| Unlisted procedure femur or knee (27599) |
$6,510 |
$13,020 |
24.6× |
| Unlisted Procedure Intestine (44799) |
$1,570 |
$3,140 |
1.6× |
| Unlisted procedure lungs and pleura (32999) |
$900 |
$1,800 |
1.3× |
| Unlisted procedure nervous system (64999) |
$570 |
$1,140 |
1.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,210 |
$2,420 |
1.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$3,320 |
$6,640 |
3.4× |
| Unlisted Procedure, Urinary System (53899) |
$1,605 |
$3,210 |
6.0× |
| Upgrade of pacemaker system (33214) |
$6,090 |
$12,180 |
0.5× |
| Vaginal delivery only (59409) |
$1,530 |
$3,060 |
0.4× |
| Vasc embolize/occlude artery (37242) |
$12,480 |
$24,960 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$10,400 |
$20,800 |
0.8× |
| Vasc Embolize/Occlude Organ (37243) |
$10,400 |
$20,800 |
0.8× |
| Vasc embolize/occlude venous (37241) |
$10,400 |
$20,800 |
0.8× |
| Venous Mech Thrombectomy (37187) |
$14,180 |
$28,360 |
1.1× |
| Wedge excision skin nail fold (11765) |
$485 |
$970 |
1.1× |