| Abd paracentesis w/imaging (49083) |
$1,167.25 |
$2,334.50 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$300 |
$600 |
0.4× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$13,000 |
$26,000 |
1.3× |
| Abltj 1/> lvr tum prq rf (47382) |
$3,150 |
$6,300 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,000 |
$6,000 |
1.6× |
| Amniocentesis diagnostic (59000) |
$850 |
$1,700 |
1.0× |
| Amputation Finger/Thumb (26951) |
$3,000 |
$6,000 |
1.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,750 |
$7,500 |
1.2× |
| Anoscopy diagnostic (46600) |
$162.50 |
$325 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$863 |
$1,726 |
1.0× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$250 |
$500 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$225 |
$450 |
1.5× |
| Application cast elbow finger short arm (29075) |
$425 |
$850 |
1.6× |
| Application Cast Finger (29086) |
$161.50 |
$323 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$161.50 |
$323 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$500 |
$1,000 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$194.50 |
$389 |
3.5× |
| Application finger splint static (29130) |
$200 |
$400 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$200 |
$400 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$285.50 |
$571 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$212.50 |
$425 |
1.4× |
| Application of long leg cast (29345) |
$285.50 |
$571 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$650 |
$1,300 |
2.5× |
| Application Short Arm Splint Dynamic (29126) |
$137.50 |
$275 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$212.50 |
$425 |
1.7× |
| Application short leg splint calf foot (29515) |
$212.50 |
$425 |
1.4× |
| Apply multlay comprs arm/hand (29584) |
$206.25 |
$412.50 |
1.4× |
| Apply short leg cast (29405) |
$285.50 |
$571 |
1.1× |
| Apply short leg cast (29425) |
$285.50 |
$571 |
1.1× |
| Arterial puncture (36600) |
$75 |
$150 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$375 |
$750 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$412.50 |
$825 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$475 |
$950 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$750 |
$1,500 |
2.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$350 |
$700 |
1.2× |
| Aspir/inj thyroid cyst (60300) |
$262.50 |
$525 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$298.50 |
$597 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,750 |
$3,500 |
0.9× |
| Aspiration bladder needle (51100) |
$650 |
$1,300 |
2.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$146.25 |
$292.50 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$900 |
$1,800 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$400 |
$800 |
0.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$325 |
$650 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$325 |
$650 |
0.2× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$750 |
$1,500 |
0.5× |
| Biopsy Salivary Gland,Needle (42400) |
$250 |
$500 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$3,000 |
$6,000 |
2.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$600 |
$1,200 |
0.9× |
| Bladder Irrigation Simple (51700) |
$325 |
$650 |
1.4× |
| Bladder Scan (51798) |
$128.75 |
$257.50 |
2.3× |
| Blood patch (62273) |
$825 |
$1,650 |
1.3× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$750 |
$1,500 |
1.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,866.50 |
$3,733 |
1.1× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,000 |
$4,000 |
1.2× |
| Brnchsc removal bronchial valve initial (31648) |
$4,000 |
$8,000 |
1.2× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure |
$2,650 |
$5,300 |
0.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,250 |
$6,500 |
0.9× |
| Bronch ebus samplng 1/2 node (31652) |
$1,600 |
$3,200 |
0.5× |
| Bronch ebus samplng 3/> node (31653) |
$1,600 |
$3,200 |
0.5× |
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure |
$1,500 |
$3,000 |
0.2× |
Bronchial thermoplasty 2 or more lobes (31661)
likely a partial charge, not the full procedure |
$1,350 |
$2,700 |
0.2× |
| Bronchial Valve Init Insert (31647) |
$7,500 |
$15,000 |
1.1× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,750 |
$3,500 |
1.1× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
| Bronchoscopy bronch stents (31636) |
$3,616.50 |
$7,233 |
0.6× |
| Bronchoscopy dilate/fx repr (31630) |
$3,400 |
$6,800 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,750 |
$3,500 |
0.5× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,018.50 |
$4,037 |
1.2× |
Bronchoscopy w/markers (31626)
likely a partial charge, not the full procedure |
$1,500 |
$3,000 |
0.2× |
Bronchoscopy W/Placement Tracheal Stent (31631)
likely a partial charge, not the full procedure |
$1,900 |
$3,800 |
0.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,250 |
$4,500 |
1.4× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,341 |
$2,682 |
0.8× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,250 |
$4,500 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,015.50 |
$4,031 |
1.2× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,200 |
$2,400 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$500 |
$1,000 |
0.3× |
| Bx breast 1st lesion mr imag (19085) |
$2,500 |
$5,000 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$2,500 |
$5,000 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$2,000 |
$4,000 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$750 |
$1,500 |
0.5× |
| Bx/exc lymph node needle superficial (38505) |
$650 |
$1,300 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$150 |
$300 |
0.7× |
| Cessj Therapy Cath Removal (37214) |
$5,000 |
$10,000 |
1.7× |
| Change Cystostomy Tube Complicated (51710) |
$1,000 |
$2,000 |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$137.50 |
$275 |
0.6× |
| Change Ureter Stent, Percut (50382) |
$2,250 |
$4,500 |
1.2× |
| Chemical Cautery Tissue (17250) |
$112.50 |
$225 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$312.50 |
$625 |
1.1× |
| Chest tube placement (32551) |
$450 |
$900 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$262.50 |
$525 |
2.1× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,600 |
$9,200 |
1.4× |
| Circumcision (54150) |
$550 |
$1,100 |
0.3× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,000 |
$2,000 |
3.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$225 |
$450 |
0.2× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$4,042 |
$8,084 |
17.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$262.50 |
$525 |
1.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,250 |
$2,500 |
0.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$100 |
$200 |
0.4× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,750 |
$3,500 |
1.2× |
| Closed Rx Med Malleolus Fx (27760) |
$75 |
$150 |
0.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$3,092 |
$6,184 |
2.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$262 |
$524 |
0.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$888 |
$1,776 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$350 |
$700 |
1.5× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,250 |
$2,500 |
0.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$879.50 |
$1,759 |
0.6× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$187.50 |
$375 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$200 |
$400 |
0.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$150 |
$300 |
0.7× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,250 |
$2,500 |
0.8× |
| Closed Rx Trimalleolar Fx (27816) |
$262.50 |
$525 |
1.1× |
| Closed Treat Vert Body Fract (22310) |
$262.50 |
$525 |
1.1× |
| Closed treat wrist dislocation (25660) |
$262.50 |
$525 |
1.1× |
| Closed Treatment Coccygeal Fracture (27200) |
$200 |
$400 |
0.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,750 |
$3,500 |
0.6× |
| Closed treatment of broken top of shin bone at knee (27538) |
$262.50 |
$525 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$262 |
$524 |
1.1× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$75 |
$150 |
0.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$100 |
$200 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$200 |
$400 |
0.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$262.50 |
$525 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$262.50 |
$525 |
1.1× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$262.50 |
$525 |
0.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$262.50 |
$525 |
1.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$187.50 |
$375 |
0.8× |
| Closed Treatment Sternum Fracture (21820) |
$187.50 |
$375 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$75 |
$150 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$262 |
$524 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$262 |
$524 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$112.50 |
$225 |
0.5× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$3,300 |
$6,600 |
14.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$162.50 |
$325 |
0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,250 |
$2,500 |
0.8× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,186 |
$2,372 |
0.8× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,250 |
$2,500 |
0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$262.50 |
$525 |
1.1× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$750 |
$1,500 |
0.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,250 |
$2,500 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$262 |
$524 |
1.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,250 |
$2,500 |
0.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$350 |
$700 |
0.7× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$4,350 |
$8,700 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$175 |
$350 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,300 |
$6,600 |
2.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,750 |
$3,500 |
1.2× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$750 |
$1,500 |
0.5× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,500 |
$9,000 |
1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$262.50 |
$525 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$286.50 |
$573 |
1.2× |
| Closed tx patellar fracture w/o manipulation (27520) |
$187.50 |
$375 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$879.50 |
$1,759 |
0.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$354 |
$708 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$887.50 |
$1,775 |
0.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$187.50 |
$375 |
0.8× |
| Closed tx septal&nose fx (21337) |
$1,750 |
$3,500 |
0.6× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$187.50 |
$375 |
0.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$187.50 |
$375 |
0.8× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$1,600 |
$3,200 |
0.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,250 |
$2,500 |
0.8× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$187.50 |
$375 |
0.8× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$750 |
$1,500 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$187 |
$374 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,250 |
$2,500 |
0.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$350 |
$700 |
1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$350 |
$700 |
1.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$503 |
$1,006 |
2.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,250 |
$2,500 |
2.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$187.50 |
$375 |
0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$187.50 |
$375 |
0.8× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,250 |
$2,500 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$112.50 |
$225 |
0.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$750 |
$1,500 |
1.5× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$262.50 |
$525 |
1.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$262.50 |
$525 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,494.50 |
$4,989 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$250 |
$500 |
1.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,250 |
$2,500 |
0.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$262.50 |
$525 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,250 |
$2,500 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$110 |
$220 |
0.5× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$262 |
$524 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$262 |
$524 |
1.1× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,250 |
$2,500 |
0.8× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$187.50 |
$375 |
0.8× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$1,250 |
$2,500 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$262 |
$524 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$75 |
$150 |
0.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$212.50 |
$425 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$112.50 |
$225 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$150 |
$300 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$200 |
$400 |
0.1× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,250 |
$2,500 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$150 |
$300 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$200 |
$400 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,550 |
$3,100 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$187.50 |
$375 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$112.50 |
$225 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$200 |
$400 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$150 |
$300 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,308.50 |
$6,617 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$125 |
$250 |
0.5× |
| Cltx greater trochanteric fx w/o manj (27246) |
$262.50 |
$525 |
1.1× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$3,300 |
$6,600 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$310 |
$620 |
1.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,250 |
$2,500 |
0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$225 |
$450 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$137.50 |
$275 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$175 |
$350 |
0.8× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$1,750 |
$3,500 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$262 |
$524 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$187.50 |
$375 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,250 |
$2,500 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$162.50 |
$325 |
0.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,400 |
$2,800 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$137.50 |
$275 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$321 |
$642 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$112.50 |
$225 |
0.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,500 |
$3,000 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$250 |
$500 |
1.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,250 |
$2,500 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$75 |
$150 |
0.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,650 |
$3,300 |
1.1× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,151.50 |
$6,303 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$187.50 |
$375 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$225 |
$450 |
1.0× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,250 |
$2,500 |
0.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,250 |
$2,500 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$887.50 |
$1,775 |
0.6× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,250 |
$2,500 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$262.50 |
$525 |
1.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$2,750 |
$5,500 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$259.50 |
$519 |
1.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,092 |
$6,184 |
2.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$262.50 |
$525 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$888 |
$1,776 |
0.6× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,250 |
$2,500 |
0.4× |
| Complex Drainage, Wound (10180) |
$2,500 |
$5,000 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$625 |
$1,250 |
3.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$225 |
$450 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$227.50 |
$455 |
1.8× |
| Conversion ext bil drg cath (47535) |
$2,550 |
$5,100 |
0.8× |
| Convert nephrostomy catheter (50434) |
$1,000 |
$2,000 |
0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,675 |
$3,350 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$265 |
$530 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$150 |
$300 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,250 |
$4,500 |
1.2× |
| Cystourethroscopy (52000) |
$1,150 |
$2,300 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$550 |
$1,100 |
1.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$750 |
$1,500 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$750 |
$1,500 |
1.1× |
| Debride nail 1-5 (11720) |
$112.50 |
$225 |
2.1× |
| Debride nail 6 or more (11721) |
$150 |
$300 |
2.7× |
| Debride skin musc at fx site (11011) |
$800 |
$1,600 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$250 |
$500 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$325 |
$650 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$850 |
$1,700 |
0.6× |
| Declot vascular device (36593) |
$300 |
$600 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$950 |
$1,900 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,100 |
$2,200 |
1.3× |
| Dilate Urethra Stricture (53600) |
$300 |
$600 |
1.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$905 |
$1,810 |
1.1× |
| Drain bladder by trocar/cath (51101) |
$1,000 |
$2,000 |
1.3× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$112.50 |
$225 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$150 |
$300 |
0.2× |
| Drain outer ear canal lesion (69020) |
$250 |
$500 |
0.4× |
| Drain penis lesion (54015) |
$3,550 |
$7,100 |
2.3× |
| Drain shoulder lesion (23030) |
$2,777.50 |
$5,555 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$250 |
$500 |
0.9× |
| Drainage abscess/hematoma nasal int approach (30000) |
$537.50 |
$1,075 |
2.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$350 |
$700 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$150 |
$300 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,250 |
$4,500 |
1.5× |
| Drainage Finger Abscess Simple (26010) |
$150 |
$300 |
0.8× |
| Drainage mouth roof lesion (42000) |
$503 |
$1,006 |
2.3× |
| Drainage of eyelid abscess (67700) |
$212.50 |
$425 |
0.7× |
| Drainage of gum lesion (41800) |
$150 |
$300 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$250 |
$500 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$225 |
$450 |
0.1× |
| Draw blood off venous device (36591) |
$262.50 |
$525 |
2.1× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$800 |
$1,600 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$262.50 |
$525 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$262.50 |
$525 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$162.50 |
$325 |
0.9× |
| Dry Needling 3+ Muscles (20561) |
$30 |
$60 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$1,500 |
$3,000 |
0.6× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$4,000 |
$8,000 |
2.1× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$400 |
$800 |
0.1× |
| Escharotomy initial incision (16035) |
$475 |
$950 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$68.75 |
$137.50 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$382.50 |
$765 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,938.50 |
$7,877 |
3.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$850 |
$1,700 |
1.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,250 |
$4,500 |
0.7× |
| Exchange nephrostomy cath (50435) |
$1,000 |
$2,000 |
0.5× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$500 |
$1,000 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$850 |
$1,700 |
1.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$850 |
$1,700 |
0.6× |
| Excision of nail fold toe (11765) |
$62.50 |
$125 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$2,650 |
$5,300 |
2.4× |
| Excision of tongue lesion (41112) |
$2,900 |
$5,800 |
0.9× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,000 |
$4,000 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$1,598.50 |
$3,197 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,200 |
$4,400 |
1.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,000 |
$6,000 |
1.0× |
| External Cephalic Version (59412) |
$3,400 |
$6,800 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$1,425 |
$2,850 |
7.6× |
| Fetal non-stress test (59025) |
$337.50 |
$675 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,500 |
$3,000 |
2.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,150 |
$2,300 |
1.7× |
| Fine needle aspiration without imaging guidance (10021) |
$250 |
$500 |
0.7× |
| Fixation of shoulder (23700) |
$2,050 |
$4,100 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$162.50 |
$325 |
0.7× |
| Fna bx w/fluor gdn 1st les (10007) |
$800 |
$1,600 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$270 |
$540 |
1.3× |
| Guide Cathet Fluid Drainage (10030) |
$1,000 |
$2,000 |
1.5× |
| I&D Abscess Peritonsillar (42700) |
$538 |
$1,076 |
2.4× |
| I&d abscess simple (10060) |
$202.50 |
$405 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,777.50 |
$5,555 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,777.50 |
$5,555 |
1.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,808 |
$7,616 |
2.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,151.50 |
$6,303 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$1,573.50 |
$3,147 |
1.1× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$3,151.50 |
$6,303 |
1.0× |
| I&d perianal abscess superficial (46050) |
$225 |
$450 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$250 |
$500 |
0.4× |
| I&d submucosal abscess rectum (45005) |
$1,134.50 |
$2,269 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,598.50 |
$3,197 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,598.50 |
$3,197 |
0.6× |
| Image Cath Fluid Colxn Visc (49405) |
$4,350 |
$8,700 |
2.8× |
| Image Cath Fluid Peri/Retro (49406) |
$4,350 |
$8,700 |
2.8× |
| Incise/drain eyelid lining (68020) |
$800 |
$1,600 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$200 |
$400 |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,777.50 |
$5,555 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$700 |
$1,400 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$600 |
$1,200 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$200 |
$400 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$225 |
$450 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$362.50 |
$725 |
1.3× |
| Incision of rectal abscess (46040) |
$200 |
$400 |
0.2× |
| Incision thrombosed hemorrhoid external (46083) |
$316.50 |
$633 |
1.4× |
| Incision&drainage bursa foot (28001) |
$1,598.50 |
$3,197 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$250 |
$500 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$150 |
$300 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$950 |
$1,900 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$421.50 |
$843 |
1.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,000 |
$2,000 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$750 |
$1,500 |
1.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,000 |
$2,000 |
1.2× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$250 |
$500 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$750 |
$1,500 |
0.9× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$750 |
$1,500 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$750 |
$1,500 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,500 |
$3,000 |
1.8× |
| Inject Nerv Blck,Pudendal (64430) |
$212.50 |
$425 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$750 |
$1,500 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$750 |
$1,500 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$200 |
$400 |
0.7× |
| Injection anes other peripheral nerve/branch (64450) |
$300 |
$600 |
0.5× |
| Injection for identification of sentinel node (38792) |
$400 |
$800 |
1.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$800 |
$1,600 |
1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$200 |
$400 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$450 |
$900 |
1.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$675 |
$1,350 |
2.4× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$750 |
$1,500 |
1.1× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$325 |
$650 |
1.1× |
| Injection, anesthetic agent; vagus nerve (64408) |
$250 |
$500 |
0.9× |
| Ins cath ren art 1st bilat (36252) |
$2,735 |
$5,470 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$5,000 |
$10,000 |
1.7× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,250 |
$10,500 |
1.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,000 |
$10,000 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,000 |
$14,000 |
1.4× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$6,000 |
$12,000 |
0.6× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$5,000 |
$10,000 |
0.5× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$8,000 |
$16,000 |
0.8× |
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213)
unusually low: confirm this is the full procedure |
$4,250 |
$8,500 |
0.4× |
Ins Pm Pls Gen W/Exist Single Lead (33212)
unusually low: confirm this is the full procedure |
$3,750 |
$7,500 |
0.5× |
| Ins vag brachytx device (57156) |
$500 |
$1,000 |
1.8× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$6,500 |
$13,000 |
0.2× |
| Insert 1 electrode pm-defib (33216) |
$4,000 |
$8,000 |
0.5× |
| Insert and remove bone pin (20650) |
$3,151.50 |
$6,303 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$614.25 |
$1,228.50 |
5.1× |
| Insert Drug Implant Device (11981) |
$133 |
$266 |
1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,500 |
$5,000 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$1,000 |
$2,000 |
0.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,915 |
$3,830 |
0.7× |
Insert pacing lead & connect (33224)
likely a partial charge, not the full procedure |
$2,250 |
$4,500 |
0.2× |
| Insert picc cath (36569) |
$1,250 |
$2,500 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,100 |
$2,200 |
0.8× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$4,750 |
$9,500 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$150 |
$300 |
1.2× |
| Insert tun ip cath perc (49418) |
$6,000 |
$12,000 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$50 |
$100 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,600 |
$5,200 |
0.8× |
| Insertion of defibrillator electrode (33271) |
$4,000 |
$8,000 |
0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,100 |
$2,200 |
0.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,500 |
$13,000 |
0.8× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$600 |
$1,200 |
0.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,500 |
$9,000 |
0.6× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$4,000 |
$8,000 |
0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,000 |
$12,000 |
2.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,500 |
$3,000 |
0.5× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$7,500 |
$15,000 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$1,150 |
$2,300 |
0.1× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$1,650 |
$3,300 |
0.2× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$4,000 |
$8,000 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$4,250 |
$8,500 |
0.1× |
| Intraoral i&d tongue/floor lingual (41000) |
$750 |
$1,500 |
1.5× |
| Intraoral i&d tongue/floor masticator space (41009) |
$350 |
$700 |
0.7× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$350 |
$700 |
1.6× |
| Intraoral i&d tongue/floor submental space (41007) |
$800 |
$1,600 |
0.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,800 |
$3,600 |
0.6× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,250 |
$2,500 |
0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$10,000 |
$20,000 |
0.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,500 |
$11,000 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$350 |
$700 |
1.6× |
| Irrigate corpora cavernosa for priapism (54220) |
$340 |
$680 |
1.5× |
| Laryngoscopy Flexible Diagnostic (31575) |
$225 |
$450 |
1.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$468 |
$936 |
1.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$850 |
$1,700 |
2.3× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$185.50 |
$371 |
1.0× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$189 |
$378 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,641 |
$3,282 |
1.0× |
| Liver Biopsy (47000) |
$500 |
$1,000 |
0.3× |
| Marsup Bartholin Gland Cyst (56440) |
$2,250 |
$4,500 |
0.7× |
| Myelography Lumbar Injection (62305) |
$1,750 |
$3,500 |
2.4× |
| Myelography Lumbar Injection (62304) |
$1,500 |
$3,000 |
2.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,500 |
$3,000 |
2.1× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,500 |
$3,000 |
2.1× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$212.50 |
$425 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$350 |
$700 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$17.50 |
$35 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$460 |
$920 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$200 |
$400 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,400 |
$2,800 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$850 |
$1,700 |
1.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$650 |
$1,300 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,000 |
$2,000 |
1.5× |
| Open/Perq Place Stent Same (37238) |
$8,756.25 |
$17,512.50 |
0.8× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$9,000 |
$18,000 |
0.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,761 |
$3,522 |
1.2× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$5,250 |
$10,500 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$700 |
$1,400 |
1.1× |
| Percut Mech Thrombectomy, Venous (37187) |
$10,000 |
$20,000 |
0.9× |
| Pericardiocentesis W/Imaging (33016) |
$1,350 |
$2,700 |
0.9× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$6,400 |
$12,800 |
0.4× |
| Perq dev breast 1st mr guide (19287) |
$1,500 |
$3,000 |
2.3× |
| Perq dev breast 1st us imag (19285) |
$1,000 |
$2,000 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,100 |
$2,200 |
0.7× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,400 |
$2,800 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,000 |
$4,000 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$300 |
$600 |
1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$800 |
$1,600 |
1.2× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$16,000 |
$32,000 |
0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,000 |
$20,000 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,500 |
$11,000 |
1.0× |
| Place Cath Subclavian Art (36225) |
$4,375 |
$8,750 |
1.5× |
| Place Cath Thoracic Aorta (36221) |
$4,000 |
$8,000 |
1.4× |
| Place Cath Vertebral Art (36226) |
$6,250 |
$12,500 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$900 |
$1,800 |
2.2× |
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure |
$2,600 |
$5,200 |
0.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,000 |
$10,000 |
0.9× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$7,500 |
$15,000 |
1.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,500 |
$5,000 |
1.3× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,500 |
$5,000 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,000 |
$6,000 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$1,000 |
$2,000 |
0.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,000 |
$4,000 |
0.6× |
| Prim art mech thrombectomy (37184) |
$9,500 |
$19,000 |
0.6× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,000 |
$4,000 |
0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$325 |
$650 |
0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,900 |
$7,800 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,000 |
$10,000 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$250 |
$500 |
0.7× |
| Puncture Aspiration (10160) |
$550 |
$1,100 |
1.5× |
| Puncture Aspiration Cyst Breast (19000) |
$137.50 |
$275 |
0.2× |
| Pvb thoracic single inj site (64461) |
$800 |
$1,600 |
1.2× |
| Relocation of skin pocket for pacemaker (33222) |
$4,100 |
$8,200 |
2.1× |
| Rem endovas vena cava filter (37193) |
$4,500 |
$9,000 |
1.5× |
| Removal biliary drg cath (47537) |
$800 |
$1,600 |
0.9× |
| Removal fb intranasal (30300) |
$137.50 |
$275 |
1.1× |
| Removal Foreign Body Foot Complicated (28193) |
$1,715.50 |
$3,431 |
1.1× |
| Removal foreign body foot deep (28192) |
$3,000 |
$6,000 |
2.0× |
| Removal foreign body foot subcutaneous (28190) |
$300 |
$600 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,598.50 |
$3,197 |
1.0× |
| Removal foreign body pharynx (42809) |
$148.50 |
$297 |
0.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,000 |
$6,000 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$100 |
$200 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$90 |
$180 |
1.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,250 |
$4,500 |
0.7× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,000 |
$4,000 |
0.6× |
| Removal Intact Mammary Implant (19328) |
$4,000 |
$8,000 |
1.1× |
| Removal of arm foreign body (24200) |
$1,750 |
$3,500 |
1.1× |
| Removal of foreign body in scrotum (55120) |
$2,122 |
$4,244 |
1.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$450 |
$900 |
0.8× |
| Removal of intrauterine device (iud) (58301) |
$100 |
$200 |
0.4× |
| Removal of nail bed (11750) |
$650 |
$1,300 |
1.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$65 |
$130 |
0.3× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$1,150 |
$2,300 |
0.1× |
| Removal subq cardiac rhythm monitor (33286) |
$2,000 |
$4,000 |
3.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$1,900 |
$3,800 |
0.6× |
| Remove by ligat int hem grp (46945) |
$3,250 |
$6,500 |
1.3× |
| Remove drug implant device (11982) |
$472.50 |
$945 |
1.1× |
| Remove Eyelid Foreign Body (67938) |
$300 |
$600 |
1.0× |
| Remove foreign body from eye (65210) |
$228 |
$456 |
0.5× |
| Remove intrvas foreign body (37197) |
$3,750 |
$7,500 |
1.3× |
| Remove renal tube w/fluoro (50389) |
$750 |
$1,500 |
1.2× |
| Remove shoulder foreign body (23330) |
$850 |
$1,700 |
0.6× |
| Remove Ureter Stent, Percut (50384) |
$1,750 |
$3,500 |
0.9× |
| Remove&replace pm gen singl (33227) |
$5,000 |
$10,000 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$112.50 |
$225 |
0.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$200 |
$400 |
1.6× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$6,250 |
$12,500 |
0.3× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$6,250 |
$12,500 |
0.2× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$6,250 |
$12,500 |
0.3× |
| Remv&replc pm gen dual lead (33228) |
$6,000 |
$12,000 |
0.6× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$6,000 |
$12,000 |
0.3× |
| Renal biopsy (50200) |
$750 |
$1,500 |
0.5× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$3,250 |
$6,500 |
1.1× |
| Repair arm tendon/muscle (24341) |
$6,749 |
$13,498 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$500 |
$1,000 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$600 |
$1,200 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$339 |
$678 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$882 |
$1,764 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$600 |
$1,200 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$475.50 |
$951 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,550 |
$3,100 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$475 |
$950 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,151.50 |
$6,303 |
2.1× |
| Repair eyelid wound (67930) |
$2,199.50 |
$4,399 |
1.0× |
| Repair forearm tendon/muscle (25270) |
$3,151.50 |
$6,303 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$3,151.50 |
$6,303 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$301 |
$602 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$262.50 |
$525 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$325 |
$650 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$310 |
$620 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$317 |
$634 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$275 |
$550 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$320 |
$640 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$237.50 |
$475 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$250 |
$500 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$300 |
$600 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$250 |
$500 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$407 |
$814 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$250 |
$500 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$300 |
$600 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$319.50 |
$639 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$300 |
$600 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,200 |
$2,400 |
0.6× |
| Repair Laceration Palate </2 Cm (42180) |
$350 |
$700 |
0.7× |
Repair Laceration Palate >2 Cm/Complex (42182)
unusually low: confirm this is the full procedure |
$1,850 |
$3,700 |
0.3× |
| Repair of nail bed (11760) |
$225 |
$450 |
0.3× |
| Repair Tongue Laceration (41250) |
$187 |
$374 |
0.5× |
| Replace g/c tube perc (49450) |
$750 |
$1,500 |
0.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,000 |
$4,000 |
0.6× |
| Reposition gastrostomy tube (43761) |
$900 |
$1,800 |
3.9× |
| Reposition pacing-defib lead (33215) |
$2,250 |
$4,500 |
0.8× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$5,500 |
$11,000 |
1.9× |
| Revision of penis (54435) |
$6,000 |
$12,000 |
1.8× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,250 |
$4,500 |
1.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$4,300 |
$8,600 |
3.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$400 |
$800 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$250 |
$500 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$175 |
$350 |
1.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,143 |
$2,286 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,777.50 |
$5,555 |
1.0× |
| Rmvl of subq defibrillator (33272) |
$2,250 |
$4,500 |
0.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,000 |
$4,000 |
0.6× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,750 |
$5,500 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,000 |
$4,000 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$250 |
$500 |
0.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,100 |
$2,200 |
0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$4,500 |
$9,000 |
3.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$562.50 |
$1,125 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$500 |
$1,000 |
2.3× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,204 |
$2,408 |
5.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$800 |
$1,600 |
1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$550 |
$1,100 |
1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$900 |
$1,800 |
0.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$900 |
$1,800 |
1.5× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$1,500 |
$3,000 |
0.5× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,150 |
$2,300 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$219.50 |
$439 |
1.2× |
| Sigmoidoscopy w/fb removal (45332) |
$1,134.50 |
$2,269 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$321.50 |
$643 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$275 |
$550 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$150 |
$300 |
0.8× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$211 |
$422 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$225 |
$450 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$353.50 |
$707 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$237.50 |
$475 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$260 |
$520 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$265 |
$530 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$275 |
$550 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$900 |
$1,800 |
1.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,000 |
$2,000 |
1.5× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$1,575 |
$3,150 |
0.8× |
| Skin Tissue Procedure (17999) |
$225 |
$450 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,000 |
$2,000 |
0.5× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,875 |
$13,750 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,500 |
$13,000 |
2.2× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$9,000 |
$18,000 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$275 |
$550 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$275 |
$550 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$294.50 |
$589 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$362.50 |
$725 |
0.6× |
| Spinal Puncture Therapeutic (62272) |
$275 |
$550 |
0.4× |
| Strapping ankle (29540) |
$200 |
$400 |
1.3× |
| Strapping elbow/wrist (29260) |
$197.50 |
$395 |
3.6× |
| Strapping hand/finger (29280) |
$37.50 |
$75 |
0.7× |
| Strapping Hip (29520) |
$70 |
$140 |
0.6× |
| Strapping knee (29530) |
$195 |
$390 |
1.6× |
| Strapping shoulder (29240) |
$175 |
$350 |
1.4× |
| Strapping thorax (29200) |
$195 |
$390 |
1.3× |
| Strapping toes (29550) |
$75 |
$150 |
1.4× |
| Strapping unna boot (29580) |
$191.25 |
$382.50 |
1.3× |
| Suture Eyelid Wound,Full Thick (67935) |
$2,199.50 |
$4,399 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$250 |
$500 |
0.7× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$16,000 |
$32,000 |
0.6× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
unusually low: confirm this is the full procedure |
$6,000 |
$12,000 |
0.3× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,750 |
$5,500 |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,900 |
$3,800 |
1.3× |
| Ther Apheresis,Platelets (36513) |
$1,900 |
$3,800 |
4.6× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,900 |
$3,800 |
1.3× |
| Ther Apheresis,White Blood Cells (36511) |
$1,900 |
$3,800 |
1.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$750 |
$1,500 |
1.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,400 |
$2,800 |
2.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$425 |
$850 |
0.7× |
| Thoracoscopy w/bx pleura (32609) |
$3,850 |
$7,700 |
0.7× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$3,850 |
$7,700 |
0.7× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,750 |
$7,500 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$4,500 |
$9,000 |
0.9× |
| Thrombolytic Therapy, Stroke (37195) |
$400 |
$800 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$4,500 |
$9,000 |
1.5× |
| Thyroid biopsy (60100) |
$262.50 |
$525 |
0.4× |
| Trach Tube Change (31502) |
$1,625 |
$3,250 |
7.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,400 |
$2,800 |
2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,650 |
$3,300 |
1.1× |
| Tracheostomy planned (31600) |
$4,450 |
$8,900 |
1.4× |
| Treat finger dislocation (26775) |
$300 |
$600 |
1.2× |
| Treat Fracture Radius & Ulna (25560) |
$187.50 |
$375 |
0.8× |
| Treat humerus fracture (24500) |
$125 |
$250 |
0.5× |
| Treat humerus fracture (24577) |
$262.50 |
$525 |
0.2× |
| Treat humerus fracture (23600) |
$200 |
$400 |
0.9× |
| Treat knee fracture (27532) |
$3,300 |
$6,600 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$187.50 |
$375 |
0.8× |
| Treat pleurodesis w/agent (32560) |
$950 |
$1,900 |
1.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,250 |
$2,500 |
0.8× |
| Treat wrist bone fracture (25635) |
$1,250 |
$2,500 |
0.8× |
| Treat wrist bone fracture (25622) |
$150 |
$300 |
0.7× |
| Treat Wrist Bone Fracture (25630) |
$150 |
$300 |
0.7× |
| Treatment closed elbow dislocation req anes (24605) |
$1,550 |
$3,100 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$225 |
$450 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$100 |
$200 |
0.4× |
| Trim skin lesion (11055) |
$250 |
$500 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$250 |
$500 |
1.3× |
| Trim skin lesions over 4 (11057) |
$250 |
$500 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$80 |
$160 |
1.5× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,000 |
$10,000 |
0.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,000 |
$10,000 |
0.9× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,500 |
$3,000 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,250 |
$2,500 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$850 |
$1,700 |
1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,250 |
$2,500 |
0.8× |
| Unlisted Cardiac Surgery (33999) |
$11,000 |
$22,000 |
18.9× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$550 |
$1,100 |
2.5× |
Unlisted Procedure Endocrine System (60699)
likely a partial charge, not the full procedure |
$450 |
$900 |
0.1× |
| Unlisted procedure leg/ankle (27899) |
$262.50 |
$525 |
1.1× |
| Unlisted Procedure Lungs & Pleura (32999) |
$900 |
$1,800 |
1.5× |
| Unlisted procedure maternity care & delivery (59899) |
$231.50 |
$463 |
1.2× |
| Unlisted Procedure Nervous System (64999) |
$350 |
$700 |
1.2× |
| Unlisted Procedure Rectum (45999) |
$1,001.50 |
$2,003 |
1.2× |
| Unlisted Procedure Small Intestine (44799) |
$4,425 |
$8,850 |
5.2× |
| Unlisted Procedure Trachea Bronchi (31899) |
$700 |
$1,400 |
3.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$900 |
$1,800 |
1.5× |
| Unlisted procedure, stomach (43999) |
$500 |
$1,000 |
0.6× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$5,500 |
$11,000 |
0.6× |
| Vasc embolize/occlude artery (37242) |
$10,500 |
$21,000 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,500 |
$25,000 |
1.2× |
| Vasc embolize/occlude organ (37243) |
$11,500 |
$23,000 |
1.1× |
| Vasc embolize/occlude venous (37241) |
$10,500 |
$21,000 |
1.0× |
| Venipuncture (36415) |
$26.25 |
$45 |
2.8× |
| Wound Prep F/N/Hf/G (15004) |
$700 |
$1,400 |
1.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,250 |
$4,500 |
3.3× |