| Abd paracentesis w/imaging (49083) |
$590 |
$1,180 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$362.50 |
$725 |
0.4× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,540 |
$9,080 |
0.3× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,550 |
$7,100 |
2.2× |
| Amniocentesis diagnostic (59000) |
$272.50 |
$545 |
0.3× |
| Amniocentesis therapeutic (59001) |
$362.50 |
$725 |
1.2× |
| Anoscopy diagnostic (46600) |
$160 |
$320 |
1.2× |
| Apheresis Platelets (36513) |
$2,395 |
$4,790 |
5.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$150 |
$300 |
1.0× |
| Application Cast Finger (29086) |
$167.50 |
$335 |
1.1× |
| Application finger splint static (29130) |
$142.50 |
$285 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$215 |
$430 |
1.4× |
| Application Long Leg Splint (29505) |
$287.50 |
$575 |
1.8× |
| Application of rigid total contact leg cast (29445) |
$402.50 |
$805 |
1.5× |
| Application Short Arm Splint Dynamic (29126) |
$195 |
$390 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$200 |
$400 |
1.5× |
| Application short leg splint calf foot (29515) |
$225 |
$450 |
1.4× |
| Apply hand/wrist cast (29085) |
$167.50 |
$335 |
1.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$212.50 |
$425 |
1.3× |
| Apply Short Leg Cast (29405) |
$225 |
$450 |
0.8× |
| Arterial puncture (36600) |
$80 |
$160 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$620 |
$1,240 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$960 |
$1,920 |
1.4× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$675–$1,350 |
$1,350–$2,700 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$1,020–$2,040 |
$2,040–$4,080 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$540 |
$1,080 |
1.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$11,595 |
$23,190 |
0.7× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$11,595 |
$23,190 |
0.7× |
| Aspirate pleura w/ imaging (32555) |
$1,150 |
$2,300 |
1.9× |
| Aspirate Pleura W/O Imaging (32554) |
$1,030 |
$2,060 |
1.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$320 |
$640 |
1.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$455 |
$910 |
0.7× |
| Aspiration Bladder Needle (51100) |
$280 |
$560 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$225 |
$450 |
1.2× |
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure |
$2,300 |
$4,600 |
0.4× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$2,640 |
$5,280 |
0.3× |
| Biopsy Abdominal Mass (49180) |
$1,000 |
$2,000 |
0.6× |
| Biopsy bone trocar/needle deep (20225) |
$1,150 |
$2,300 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$790 |
$1,580 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$790 |
$1,580 |
0.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,050 |
$2,100 |
0.7× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,270 |
$2,540 |
0.8× |
| Biopsy Salivary Gland Needle (42400) |
$725 |
$1,450 |
1.1× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,290 |
$2,580 |
0.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$505 |
$1,010 |
0.7× |
| Bladder Irrigation (51700) |
$272.50 |
$545 |
1.1× |
| Bladder Scan (51798) |
$120 |
$240 |
2.1× |
| Blood Transfusion Service (36430) |
$725 |
$1,450 |
1.7× |
| Bone Marrow Biopsy (38221) |
$590 |
$1,180 |
0.4× |
| Bone Marrow; Aspiration Only (38220) |
$580 |
$1,160 |
0.4× |
| Bx breast 1st lesion mr imag (19085) |
$3,695 |
$7,390 |
2.3× |
| Bx breast 1st lesion strtctc (19081) |
$3,085 |
$6,170 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$2,470 |
$4,940 |
1.5× |
| Bx/exc lymph node open deep axillary node (38525) |
$1,830 |
$3,660 |
0.5× |
| Catheter aspiration nasotracheal spx (31720) |
$70 |
$140 |
0.3× |
| Cessj Therapy Cath Removal (37214) |
$3,510 |
$7,020 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$212.50 |
$425 |
0.9× |
| Change of Windpipe Airway (31502) |
$302.50 |
$605 |
1.3× |
| Change ureter stent percut (50382) |
$2,275 |
$4,550 |
1.1× |
| Chemical Cautery Tissue (17250) |
$272.50 |
$545 |
1.4× |
| Chemical Pleurodesis (32560) |
$695 |
$1,390 |
1.1× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$1,410 |
$2,820 |
0.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$2,645 |
$5,290 |
0.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$120 |
$240 |
0.1× |
| Clear outer ear canal (69200) |
$75 |
$150 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$82.50 |
$165 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$12.50 |
$25 |
1.3× |
| Conversion ext bil drg cath (47535) |
$2,105 |
$4,210 |
0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$910 |
$1,820 |
0.5× |
| Convert Nephrostomy Catheter (50434) |
$2,960 |
$5,920 |
1.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,270 |
$2,540 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,400 |
$4,800 |
1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$237.50 |
$475 |
0.6× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$3,500 |
$7,000 |
1.8× |
| Debride nail 1-5 (11720) |
$67.50 |
$135 |
1.2× |
| Debride nail 6 or more (11721) |
$90 |
$180 |
1.6× |
| Declot vascular device (36593) |
$272.50 |
$545 |
0.8× |
| Delivery of placenta (59414) |
$635 |
$1,270 |
0.2× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,290 |
$2,580 |
1.5× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,060 |
$2,120 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,470 |
$2,940 |
0.8× |
| Dilat Xst Trc New Access Rcs (50437) |
$3,110 |
$6,220 |
0.9× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,605 |
$3,210 |
1.8× |
| Drain Cerebro Spinal Fluid (62272) |
$910 |
$1,820 |
1.3× |
| Drain/inj small joint/bursa w/us (20604) |
$880 |
$1,760 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$935 |
$1,870 |
0.6× |
| Drainage of scrotum (54700) |
$2,030 |
$4,060 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$82.50 |
$165 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$252.50 |
$505 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$207.50 |
$415 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$157.50 |
$315 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,210 |
$2,420 |
1.4× |
| Dx Bone Marrow Bx & Aspir (38222) |
$880 |
$1,760 |
0.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,130 |
$2,260 |
1.6× |
| Egd place gastrostomy tube (43246) |
$1,820 |
$3,640 |
1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$625 |
$1,250 |
2.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$555 |
$1,110 |
1.9× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$492.50 |
$985 |
1.7× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$6,170 |
$12,340 |
0.6× |
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines |
$4,260–$8,520 |
$8,520–$17,040 |
varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$5,150 |
$10,300 |
1.7× |
| Endoven ther chem adhes 1st (36482) |
$4,670 |
$9,340 |
0.9× |
| Epidural Blood Patch (62273) |
$1,000 |
$2,000 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$75 |
$150 |
0.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$5,655 |
$11,310 |
1.6× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$2,915–$5,830 |
$5,830–$11,660 |
varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,585 |
$3,170 |
0.9× |
| Explo/Drain Breast Abscess (19020) |
$1,700 |
$3,400 |
1.1× |
| External cephalic version (59412) |
$770 |
$1,540 |
0.2× |
| Fetal Contraction Stress Test (59020) |
$477.50 |
$955 |
2.4× |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$132.50–$275 |
$265–$550 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,750 |
$3,500 |
2.5× |
| Fine needle aspiration without imaging guidance (10021) |
$377.50 |
$755 |
1.0× |
| Fluid Pressure Muscle (20950) |
$515 |
$1,030 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$615 |
$1,230 |
2.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$910 |
$1,820 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,120 |
$2,240 |
1.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,175 |
$2,350 |
1.7× |
| Hem heprn nduc trmbctpna srm (0275U) |
$310 |
$620 |
16.9× |
| I&d pilonidal cyst simple (10080) |
$145 |
$290 |
0.2× |
| Image Cath Fluid Colxn Visc (49405) |
$2,785 |
$5,570 |
1.7× |
| Image Cath Fluid Peri/Retro (49406) |
$2,890 |
$5,780 |
1.8× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,540 |
$5,080 |
1.6× |
| Implant neuroelectrodes (63650) |
$6,575 |
$13,150 |
1.1× |
| Incise external hemorrhoid (46083) |
$195 |
$390 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$675 |
$1,350 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$210 |
$420 |
0.5× |
| Incision of eardrum (69420) |
$285 |
$570 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$230 |
$460 |
0.3× |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
$112.50–$237.50 |
$225–$475 |
varies |
| Inj W/Fluor Eval Cv Device (36598) |
$377.50 |
$755 |
1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$580 |
$1,160 |
1.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,195 |
$2,390 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,060 |
$2,120 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$910 |
$1,820 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,060 |
$2,120 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,645 |
$3,290 |
2.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$695 |
$1,390 |
2.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$665 |
$1,330 |
0.8× |
| Injection anesthetic agent suprascapular nerve (64418) |
$515 |
$1,030 |
0.8× |
| Injection for identification of sentinel node (38792) |
$257.50 |
$515 |
0.7× |
| Injection Into Brain Canal (61055) |
$880 |
$1,760 |
3.0× |
| Injection single tendon origin/insertion (20551) |
$580 |
$1,160 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$895 |
$1,790 |
3.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,120 |
$2,240 |
3.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,195 |
$2,390 |
1.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,195 |
$2,390 |
1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$515 |
$1,030 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$3,060 |
$6,120 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$2,445 |
$4,890 |
0.8× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,060 |
$6,120 |
1.0× |
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure |
$2,560 |
$5,120 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$3,090 |
$6,180 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$327.50 |
$655 |
2.6× |
| Insert cath pleura w/ image (32557) |
$1,240 |
$2,480 |
0.8× |
| Insert cervical dilator (59200) |
$382.50 |
$765 |
1.3× |
| Insert Drug Implant Device (11981) |
$305 |
$610 |
2.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$990 |
$1,980 |
0.5× |
| Insert hepatic shunt (tips) (37182) |
$11,055 |
$22,110 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,085 |
$2,170 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$920 |
$1,840 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$195 |
$390 |
1.5× |
| Insert tun ip cath perc (49418) |
$3,490 |
$6,980 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,580 |
$5,160 |
0.8× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure |
$2,005 |
$4,010 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$117.50 |
$235 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,125 |
$6,250 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,015 |
$4,030 |
1.3× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,130 |
$6,260 |
0.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,085 |
$2,170 |
0.4× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,855 |
$3,710 |
3.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,160 |
$4,320 |
0.7× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$2,050 |
$4,100 |
0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,085 |
$2,170 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,505 |
$3,010 |
0.5× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,390 |
$6,780 |
2.5× |
| Intro cath dialysis circuit (36901) |
$1,145 |
$2,290 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$9,045 |
$18,090 |
0.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$8,770 |
$17,540 |
1.6× |
| Intro Gastrointestinal Tube (44500) |
$457.50 |
$915 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$302.50 |
$605 |
1.3× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$62.50 |
$125 |
1.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$790 |
$1,580 |
2.1× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$4,255 |
$8,510 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$3,385 |
$6,770 |
2.1× |
Maternity Care Procedure (59899)
range across 3 matching MRF lines |
$180–$252.50 |
$360–$505 |
varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,085 |
$2,170 |
0.7× |
| Mech remov tunneled cv cath (36595) |
$2,175 |
$4,350 |
0.7× |
| Myelography Lumbar Injection (62305) |
$2,770 |
$5,540 |
3.6× |
| Myelography Lumbar Injection (62304) |
$1,850 |
$3,700 |
2.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,850 |
$3,700 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,850 |
$3,700 |
2.4× |
| N Block Inj Celiac Pelus (64530) |
$1,290 |
$2,580 |
1.5× |
| N block inj intercost sng (64420) |
$610 |
$1,220 |
0.9× |
| N Block Lumbar/Thoracic (64520) |
$1,255 |
$2,510 |
1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$485 |
$970 |
1.1× |
| Needle Biopsy Lymph Nodes (38505) |
$910 |
$1,820 |
0.6× |
| Needle Biopsy Pancreas (48102) |
$1,060 |
$2,120 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$38.50 |
$77 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$44 |
$88 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$775 |
$1,550 |
1.9× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,240 |
$4,480 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$985 |
$1,970 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$515 |
$1,030 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$945 |
$1,890 |
0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,885 |
$3,770 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,025 |
$4,050 |
2.4× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$885 |
$1,770 |
0.4× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$975 |
$1,950 |
0.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$925 |
$1,850 |
1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,030 |
$2,060 |
1.5× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$142.50 |
$285 |
0.4× |
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines |
$212.50–$425 |
$425–$850 |
varies |
| Njx Sclrsnt Spider Veins (36468) |
$125 |
$250 |
0.3× |
| Obstructive material removal from gi tube (49460) |
$665 |
$1,330 |
0.8× |
| Occipital Nerve Block (64405) |
$515 |
$1,030 |
1.7× |
| Onc Hl Neo Gen Seq Alys Alg (0364U) |
$3,055 |
$6,110 |
1.5× |
| Open/Perq Place Stent 1St (37236) |
$16,005 |
$32,010 |
1.4× |
| Open/Perq Place Stent Same (37238) |
$16,005 |
$32,010 |
1.4× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,235 |
$6,470 |
1.0× |
| Penile Injection (54235) |
$305 |
$610 |
1.3× |
| Perc Cryo Ablate Renal Tum (50593) |
$10,485 |
$20,970 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,355 |
$4,710 |
1.8× |
| Percut Ablate Liver Rf (47382) |
$4,650 |
$9,300 |
0.8× |
Percut Cath Occlusn Non Cns Lesn (61626)
likely a partial charge, not the full procedure |
$3,070 |
$6,140 |
0.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,085 |
$2,170 |
1.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,870 |
$9,740 |
1.6× |
| Pericardiocentesis W/Imaging (33016) |
$2,230 |
$4,460 |
1.5× |
| Peritoneal Lavage (49084) |
$725 |
$1,450 |
0.8× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$2,290 |
$4,580 |
0.1× |
| Perq av fistula creation uxtr sep access sites (36837) |
$19,360 |
$38,720 |
1.1× |
| Perq av fistula creation uxtr single access (36836) |
$16,600 |
$33,200 |
0.9× |
| Perq Cervicothoracic Inject (22510) |
$3,380 |
$6,760 |
1.1× |
| Perq dev breast 1st mr guide (19287) |
$1,575 |
$3,150 |
2.3× |
| Perq dev breast 1st us imag (19285) |
$1,165 |
$2,330 |
1.7× |
| Perq device breast 1st imag (19281) |
$1,060 |
$2,120 |
0.7× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,075 |
$4,150 |
0.6× |
| Perq Lumbosacral Injection (22511) |
$3,380 |
$6,760 |
1.1× |
| Perq p-art revsc 1 nm nt uni (33900) |
$12,520 |
$25,040 |
1.1× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$20,660 |
$41,320 |
1.2× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$25,825 |
$51,650 |
2.3× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$15,655 |
$31,310 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,230 |
$2,460 |
1.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,310 |
$24,620 |
1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$3,610 |
$7,220 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$4,600 |
$9,200 |
0.7× |
| Perq Vertebral Augmentation (22513) |
$4,600 |
$9,200 |
0.7× |
| Phleb Veins - Extrem 20+ (37766) |
$3,960 |
$7,920 |
1.3× |
| Place Cath Subclavian Art (36225) |
$5,240 |
$10,480 |
1.7× |
| Place Cath Thoracic Aorta (36221) |
$5,915 |
$11,830 |
1.9× |
| Place Cath Vertebral Art (36226) |
$5,400 |
$10,800 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$1,125 |
$2,250 |
0.6× |
| Place Rt Device/Marker Pros (55876) |
$965 |
$1,930 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$247.50 |
$495 |
0.6× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$5,225 |
$10,450 |
0.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,435 |
$12,870 |
1.1× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$7,450 |
$14,900 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$7,680 |
$15,360 |
1.3× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines |
$2,520–$5,040 |
$5,040–$10,080 |
varies |
| Plmt Nephroureteral Catheter (50433) |
$3,450 |
$6,900 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,030 |
$8,060 |
1.2× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$2,930 |
$5,860 |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,220 |
$6,440 |
0.9× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$5,120 |
$10,240 |
0.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$710 |
$1,420 |
1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$5,325 |
$10,650 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$5,085 |
$10,170 |
1.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,085 |
$10,170 |
1.5× |
| Pseudoaneurysm Injection Trt (36002) |
$477.50 |
$955 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$230 |
$460 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$282.50 |
$565 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$430 |
$860 |
0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$725 |
$1,450 |
1.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,660 |
$3,320 |
0.9× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$575 |
$1,150 |
0.8× |
| Rem Endovas Vena Cava Filter (37193) |
$3,980 |
$7,960 |
1.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$2,510 |
$5,020 |
2.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$160 |
$320 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$392.50 |
$785 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30 |
$60 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$50 |
$100 |
0.9× |
| Removal of foreign body from pharynx (42809) |
$140 |
$280 |
0.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,390 |
$4,780 |
0.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$157.50 |
$315 |
0.6× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,230 |
$4,460 |
1.1× |
| Remove drug implant device (11982) |
$305 |
$610 |
0.7× |
| Remove foreign body from eye (65205) |
$137.50 |
$275 |
1.1× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$760 |
$1,520 |
0.4× |
| Remove Intrauterine Device (58301) |
$162.50 |
$325 |
0.5× |
| Remove intrvas foreign body (37197) |
$3,170 |
$6,340 |
1.0× |
| Remove lung catheter (32552) |
$427.50 |
$855 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$140 |
$280 |
1.1× |
| Remove renal tube w/fluoro (50389) |
$610 |
$1,220 |
0.9× |
| Remove ureter stent percut (50384) |
$2,275 |
$4,550 |
1.1× |
| Renal Biopsy Perq (50200) |
$1,150 |
$2,300 |
0.7× |
| Repair Elbow Perc (24357) |
$3,770 |
$7,540 |
1.2× |
| Repair of nail bed (11760) |
$357.50 |
$715 |
0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$665 |
$1,330 |
0.8× |
| Replace G-J Tube Perc (49452) |
$560 |
$1,120 |
0.6× |
| Replace g/c tube perc (49450) |
$665 |
$1,330 |
0.8× |
| Reposition Venous Catheter (36597) |
$1,050 |
$2,100 |
0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$8,940 |
$17,880 |
1.6× |
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines |
$1,610–$3,220 |
$3,220–$6,440 |
varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$227.50 |
$455 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$227.50 |
$455 |
1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,085 |
$2,170 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$665 |
$1,330 |
1.1× |
| Rplc Gtube No Revj Trc (43762) |
$365 |
$730 |
1.5× |
| Rplc gtube revj gstrst trc (43763) |
$457.50 |
$915 |
1.9× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,555 |
$5,110 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,125 |
$2,250 |
0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$910 |
$1,820 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,905 |
$5,810 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,245 |
$4,490 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,125 |
$2,250 |
0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$610 |
$1,220 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$3,125 |
$6,250 |
1.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,310 |
$14,620 |
1.4× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$5,190 |
$10,380 |
1.7× |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
$7,700–$15,400 |
$15,400–$30,800 |
varies |
| Spinal puncture lumbar diagnostic (62270) |
$580 |
$1,160 |
0.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,420 |
$6,840 |
1.1× |
| Strapping ankle (29540) |
$110 |
$220 |
0.7× |
| Strapping elbow or wrist (29260) |
$110 |
$220 |
1.9× |
| Strapping hand/finger (29280) |
$97.50 |
$195 |
1.7× |
| Strapping Hip (29520) |
$110 |
$220 |
0.9× |
| Strapping knee (29530) |
$110 |
$220 |
0.9× |
| Strapping shoulder (29240) |
$110 |
$220 |
0.9× |
| Strapping thorax (29200) |
$110 |
$220 |
0.7× |
| Strapping Unna Boot (29580) |
$230 |
$460 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$230 |
$460 |
0.6× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$2,365 |
$4,730 |
1.5× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,660 |
$5,320 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,365 |
$4,730 |
0.7× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$3,785 |
$7,570 |
1.2× |
| Tenotomy shoulder area single tendon (23405) |
$3,770 |
$7,540 |
0.5× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$4,920 |
$9,840 |
1.2× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,660 |
$3,320 |
2.4× |
| Therapeutic plasma exchange (36514) |
$2,985 |
$5,970 |
2.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$10,145 |
$20,290 |
0.8× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$13,245 |
$26,490 |
0.7× |
| Thromblytic art/ven therapy (37213) |
$3,510 |
$7,020 |
1.1× |
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure |
$2,005 |
$4,010 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$335 |
$670 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$2,005 |
$4,010 |
0.7× |
| Thyroid biopsy (60100) |
$755 |
$1,510 |
1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,020 |
$2,040 |
4.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$570 |
$1,140 |
0.4× |
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure |
$2,430 |
$4,860 |
0.4× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$6,340 |
$12,680 |
0.9× |
| Trim skin lesion (11055) |
$100 |
$200 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$112.50 |
$225 |
0.6× |
| Trim skin lesions over 4 (11057) |
$125 |
$250 |
0.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$50 |
$100 |
0.9× |
| Trluml Balo Angiop 1St Art (37246) |
$18,415 |
$36,830 |
3.3× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,430 |
$14,860 |
1.3× |
| Unlisted Procedure Endocrine System (60699) |
$3,680 |
$7,360 |
0.6× |
| Unlisted procedure lungs and pleura (32999) |
$8,640 |
$17,280 |
14.2× |
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines |
$37.50–$2,660 |
$75–$5,320 |
varies |
| Unlisted procedure nervous system (64999) |
$1,245 |
$2,490 |
4.2× |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$2,600–$3,460 |
$5,200–$6,920 |
varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$9,015 |
$18,030 |
10.2× |
| Vaginal delivery only (59409) |
$940 |
$1,880 |
0.3× |
| Vasc embolize/occlude artery (37242) |
$16,410 |
$32,820 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$16,410 |
$32,820 |
1.5× |
| Vasc Embolize/Occlude Organ (37243) |
$16,410 |
$32,820 |
1.5× |
| Vasc embolize/occlude venous (37241) |
$16,410 |
$32,820 |
1.5× |
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure |
$4,870 |
$9,740 |
0.4× |
| Wedge excision skin nail fold (11765) |
$247.50 |
$495 |
0.6× |