| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$127.20 |
$318 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$264 |
$660 |
1.0× |
| Application finger splint static (29130) |
$40.40 |
$101 |
0.3× |
| Application short arm splint forearm-hand static (29125) |
$32 |
$80 |
0.3× |
| Apply multlay comprs arm/hand (29584) |
$84.80 |
$212 |
0.6× |
| Arterial puncture (36600) |
$62 |
$155 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$161.20 |
$403 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$628 |
$1,570 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$220.80 |
$552 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$674.40 |
$1,686 |
2.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$220.80 |
$552 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$650 |
$1,625 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$1,111.20 |
$2,778 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$549.60 |
$1,374 |
0.9× |
| Blood patch (62273) |
$1,383.20 |
$3,458 |
2.1× |
| Blood transfusion service (36430) |
$484.80 |
$1,212 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$332.40 |
$831 |
1.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$352.80 |
$882 |
0.5× |
| Chemodenerv 1 extremity 1-4 (64642) |
$360 |
$900 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$253.60 |
$634 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$201.60 |
$504 |
0.7× |
| Chemodenerv trunk musc 1-5 (64646) |
$490.80 |
$1,227 |
0.8× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$161.20 |
$403 |
0.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$154.40 |
$386 |
0.5× |
| Circumcision (54150) |
$1,395.20 |
$3,488 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$63.20 |
$158 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$63.20 |
$158 |
0.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$63.20 |
$158 |
0.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$68 |
$170 |
0.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$43.60 |
$109 |
0.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$68 |
$170 |
0.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$55.60 |
$139 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$63.20 |
$158 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$402.40 |
$1,006 |
1.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$273.20 |
$683 |
0.2× |
| Colonoscopy thru stoma (44388) |
$717.60 |
$1,794 |
0.8× |
| Declot vascular device (36593) |
$240 |
$600 |
0.8× |
| Destroy cerv/thor facet jnt (64633) |
$1,785.20 |
$4,463 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,785.20 |
$4,463 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,054.40 |
$2,636 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$55.60 |
$139 |
0.3× |
| Drainage of hematoma/fluid (10140) |
$146.40 |
$366 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$743.60 |
$1,859 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$282.40 |
$706 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$150.20 |
$375.50 |
0.8× |
| Endovenous rf 1st vein (36475) |
$4,648 |
$11,620 |
1.6× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,180.20 |
$7,950.50 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$1,933.20 |
$4,833 |
0.6× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$1,839.20 |
$4,598 |
0.5× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$606 |
$1,515 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$63.60 |
$159 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,001.20 |
$5,003 |
1.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$578 |
$1,445 |
0.9× |
| Exchange nephrostomy cath (50435) |
$1,219.60 |
$3,049 |
0.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$845.20 |
$2,113 |
0.5× |
| Fetal non-stress test (59025) |
$333.20 |
$833 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,320.40 |
$3,301 |
2.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$976 |
$2,440 |
1.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,194.80 |
$2,987 |
1.8× |
| Guide Cathet Fluid Drainage (10030) |
$437.60 |
$1,094 |
0.7× |
| I&d abscess simple (10060) |
$80 |
$200 |
0.4× |
| Image Cath Fluid Colxn Visc (49405) |
$1,499.60 |
$3,749 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,181.60 |
$5,454 |
1.4× |
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure |
$2,689.20 |
$6,723 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$127.20 |
$318 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$134.20 |
$335.50 |
0.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,054.40 |
$2,636 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$182.40 |
$456 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$750.40 |
$1,876 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,302.40 |
$3,256 |
1.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$750.40 |
$1,876 |
1.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$728.40 |
$1,821 |
0.9× |
| Inject Nerv Blck,Intercostal,One (64420) |
$746.40 |
$1,866 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$750.40 |
$1,876 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$398.80 |
$997 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$448.80 |
$1,122 |
0.7× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$574 |
$1,435 |
0.7× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$750.40 |
$1,876 |
1.2× |
| Injection aa&/strd suprascapular nerve (64418) |
$469.60 |
$1,174 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$224.20 |
$560.50 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$519.20 |
$1,298 |
0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,054.40 |
$2,636 |
1.3× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$473.20 |
$1,183 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$298.40 |
$746 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$287.60 |
$719 |
1.0× |
| Injection treatment of nerve (64600) |
$856.80 |
$2,142 |
1.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$287.60 |
$719 |
1.0× |
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure |
$5,304.40 |
$13,261 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$73.20 |
$183 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$116 |
$290 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,353.20 |
$3,383 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,947.60 |
$17,369 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,289.60 |
$5,724 |
0.8× |
| Liver Biopsy (47000) |
$944.40 |
$2,361 |
0.6× |
| Myelography Lumbar Injection (62305) |
$1,746 |
$4,365 |
2.4× |
| Myelography Lumbar Injection (62304) |
$1,749.40 |
$4,373.50 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,649.40 |
$4,123.50 |
2.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,649.40 |
$4,123.50 |
2.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$207.60 |
$519 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$914.40 |
$2,286 |
2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$750.40 |
$1,876 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,054.40 |
$2,636 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,198 |
$2,995 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$750.40 |
$1,876 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,198 |
$2,995 |
1.8× |
| Pericardiocentesis W/Imaging (33016) |
$784.80 |
$1,962 |
0.5× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,158.80 |
$5,397 |
0.7× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,632 |
$9,080 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$406.80 |
$1,017 |
1.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,390 |
$10,975 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$8,143.60 |
$20,359 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,237.20 |
$23,093 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$4,035.60 |
$10,089 |
1.3× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,397.20 |
$8,493 |
1.1× |
| Phleb Veins - Extrem 20+ (37766) |
$3,599.20 |
$8,998 |
1.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,006.40 |
$2,516 |
0.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$498 |
$1,245 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$439.60 |
$1,099 |
0.7× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$1,586 |
$3,965 |
0.5× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,353.60 |
$3,384 |
0.8× |
| Removal subq cardiac rhythm monitor (33286) |
$544 |
$1,360 |
0.8× |
| Remove cerclage suture (59871) |
$1,933.20 |
$4,833 |
0.6× |
| Remove foreign body from eye (65210) |
$55.60 |
$139 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$43.60 |
$109 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$63.20 |
$158 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$227.20 |
$568 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$108.80 |
$272 |
0.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$649.20 |
$1,623 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$68 |
$170 |
0.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$689.20 |
$1,723 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$873.60 |
$2,184 |
0.6× |
| Rmvl vitreous ant appr partial removal (67005) |
$1,764.80 |
$4,412 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$70.40 |
$176 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$84.80 |
$212 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$63.20 |
$158 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$96.80 |
$242 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$80 |
$200 |
0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,732 |
$6,830 |
0.9× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
likely a partial charge, not the full procedure |
$3,174.80 |
$7,937 |
0.1× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
likely a partial charge, not the full procedure |
$3,372.80 |
$8,432 |
0.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$808 |
$2,020 |
1.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$720 |
$1,800 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$585.20 |
$1,463 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$63.20 |
$158 |
0.3× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$9,650.40 |
$24,126 |
1.0× |
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure |
$3,692 |
$9,230 |
0.2× |
| Venipuncture (36415) |
$18 |
$45 |
1.9× |