| Abd paracentesis w/imaging (49083) |
$1,108 |
$1,385 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,108 |
$1,385 |
1.4× |
| Application cast elbow finger short arm (29075) |
$239.20 |
$299 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$254.40 |
$318 |
1.0× |
| Application finger splint static (29130) |
$156 |
$195 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$193.60 |
$242 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$210.40 |
$263 |
1.5× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$6,174.40 |
$7,718 |
1.0× |
| Application of long leg cast (29345) |
$329.60 |
$412 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$196 |
$245 |
1.7× |
| Application short leg splint calf foot (29515) |
$196 |
$245 |
1.4× |
| Apply short leg cast (29405) |
$264 |
$330 |
1.1× |
| Arterial puncture (36600) |
$77.60 |
$97 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$565.20 |
$706.50 |
2.1× |
Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure |
$6,174.40 |
$7,718 |
0.3× |
| Blood patch (62273) |
$961.60 |
$1,202 |
1.6× |
| Blood transfusion service (36430) |
$808.40 |
$1,010.50 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$1,528 |
$1,910 |
1.1× |
| Circumcision (54150) |
$2,776 |
$3,470 |
1.5× |
| Circumcision Neonate (54160) |
$228.80 |
$286 |
0.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,210.40 |
$4,013 |
1.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,910.40 |
$3,638 |
1.6× |
| Cystoscopy w/biopsy (52204) |
$3,141.60 |
$3,927 |
1.7× |
| Cystoscopy,insert ureteral stent (52332) |
$3,158.80 |
$3,948.50 |
1.0× |
| Cystourethroscopy (52000) |
$2,079.20 |
$2,599 |
3.4× |
| Destruc retinal lesn,photocoag (67210) |
$1,161.60 |
$1,452 |
2.4× |
| Diagnostic sigmoidoscopy (45330) |
$2,048 |
$2,560 |
2.5× |
| Draw blood off venous device (36591) |
$50.40 |
$63 |
0.4× |
| Fetal non-stress test (59025) |
$243.60 |
$304.50 |
1.4× |
| Incise inner eye adhesns,laser (65860) |
$991.20 |
$1,239 |
2.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$396.80 |
$496 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$440.80 |
$551 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$461.60 |
$577 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,517.60 |
$1,897 |
2.0× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$560.80 |
$701 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,504.40 |
$3,130.50 |
4.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$509.60 |
$637 |
0.8× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,104 |
$1,380 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$496 |
$620 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$588 |
$735 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,390.40 |
$2,988 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$148.80 |
$186 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$128 |
$160 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$501.60 |
$627 |
2.4× |
| Laser repair to improve eye fluid flow (65855) |
$1,508.80 |
$1,886 |
3.1× |
| Late closure of wound (13160) |
$243.20 |
$304 |
0.1× |
| Ligate/strip long leg vein (37722) |
$5,109.60 |
$6,387 |
1.8× |
| Lithotripsy (50590) |
$14,474 |
$18,092.50 |
4.7× |
| Myelography Lumbar Injection (62305) |
$1,844 |
$2,305 |
2.7× |
| Myelography Lumbar Injection (62304) |
$1,043.20 |
$1,304 |
1.5× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,043.20 |
$1,304 |
1.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$667.20 |
$834 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,264 |
$2,830 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,469.60 |
$1,837 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,080 |
$1,350 |
1.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,105.60 |
$1,382 |
1.4× |
| Open/Perq Place Stent Same (37238) |
$15,114.40 |
$18,893 |
1.5× |
| Perq dev breast 1st us imag (19285) |
$1,811.20 |
$2,264 |
2.9× |
| Perq device breast 1st imag (19281) |
$1,036 |
$1,295 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$128 |
$160 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$320.80 |
$401 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$281.60 |
$352 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$2,693.60 |
$3,367 |
4.2× |
| Spinal puncture lumbar diagnostic (62270) |
$987.60 |
$1,234.50 |
1.6× |
| Strapping ankle (29540) |
$105.60 |
$132 |
0.7× |
| Strapping elbow/wrist (29260) |
$120.80 |
$151 |
2.3× |
| Strapping Hip (29520) |
$105.60 |
$132 |
0.9× |
| Strapping knee (29530) |
$122.40 |
$153 |
1.0× |
| Strapping toes (29550) |
$105.60 |
$132 |
2.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,400 |
$1,750 |
2.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$554.40 |
$693 |
0.4× |
| Unlisted Procedure Casting/Strapping (29799) |
$6,160 |
$7,700 |
43.3× |
| Vaginal delivery only (59409) |
$1,809.60 |
$2,262 |
0.6× |
| Vbac delivery only (59612) |
$2,019.20 |
$2,524 |
0.7× |
| Venipuncture (36415) |
$23.20 |
$29 |
2.5× |