| Abd paracentesis w/imaging (49083) |
$869 |
$1,738 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,035.50 |
$2,071 |
1.2× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$6,540 |
$13,080 |
0.4× |
| Application cast elbow finger short arm (29075) |
$268 |
$536 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$268 |
$536 |
1.0× |
| Application finger splint static (29130) |
$127.50 |
$255 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$278 |
$556 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$127.50 |
$255 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$200 |
$400 |
1.6× |
| Apply long leg splint (29505) |
$231 |
$462 |
1.5× |
| Apply short leg cast (29405) |
$454 |
$908 |
1.7× |
| Apply short leg splint (29515) |
$278 |
$556 |
1.8× |
| Arterial puncture (36600) |
$127.50 |
$255 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$422 |
$844 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$321.50 |
$643 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$321.50 |
$643 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$306 |
$612 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$601 |
$1,202 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$353.75 |
$707.50 |
1.8× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$882.50 |
$1,765 |
1.0× |
| Biopsy external ear (69100) |
$227 |
$454 |
1.0× |
| Biopsy Nail Unit Separate Procedure (11755) |
$692.50 |
$1,385 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$882.50 |
$1,765 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,004.50 |
$2,009 |
1.1× |
| Blood patch (62273) |
$676 |
$1,352 |
1.0× |
| Blood transfusion service (36430) |
$439.50 |
$879 |
1.0× |
| Change of cystostomy tube simple (51705) |
$244 |
$488 |
1.0× |
| Chemical cautery tissue (17250) |
$277.50 |
$555 |
1.4× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$367 |
$734 |
1.6× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$249.50 |
$499 |
1.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$334 |
$668 |
1.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$425 |
$850 |
1.8× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$425 |
$850 |
1.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,576 |
$3,152 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$367 |
$734 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$852 |
$1,704 |
3.6× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,540.50 |
$3,081 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$329.50 |
$659 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$236.50 |
$473 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$329.50 |
$659 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$425 |
$850 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,278.50 |
$4,557 |
1.5× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,576 |
$3,152 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$417.50 |
$835 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$376.25 |
$752.50 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$425 |
$850 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$425 |
$850 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$425 |
$850 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,686 |
$3,372 |
1.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,073.50 |
$4,147 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$446.50 |
$893 |
1.9× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,587 |
$3,174 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$446.50 |
$893 |
1.9× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,576 |
$3,152 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$446.50 |
$893 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$425 |
$850 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$341.50 |
$683 |
1.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,540 |
$3,080 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$425 |
$850 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$385.50 |
$771 |
1.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,278.50 |
$4,557 |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$127.50 |
$255 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$292 |
$584 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,616 |
$7,232 |
1.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$299.50 |
$599 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$295.75 |
$591.50 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$882.50 |
$1,765 |
1.0× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$3,311 |
$6,622 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$184.50 |
$369 |
1.4× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$955 |
$1,910 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$226.50 |
$453 |
1.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,881 |
$5,762 |
0.9× |
| Cystourethroscopy (52000) |
$571 |
$1,142 |
0.9× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$4,834 |
$9,668 |
0.7× |
| Debride nail 1-5 (11720) |
$57 |
$114 |
1.0× |
| Debride nail 6 or more (11721) |
$56.50 |
$113 |
1.0× |
| Debride tissue/muscle (11043) |
$708 |
$1,416 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$389.50 |
$779 |
1.0× |
| Declot vascular device (36593) |
$327 |
$654 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$1,902 |
$3,804 |
1.0× |
| Destroy internal hemorrhoids (46930) |
$1,146.50 |
$2,293 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,902 |
$3,804 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$207 |
$414 |
1.1× |
| Diagnostic anoscopy (46601) |
$428 |
$856 |
1.0× |
| Dilate Urethra Stricture (53620) |
$668 |
$1,336 |
1.0× |
| Dilate urethra stricture (53621) |
$239.50 |
$479 |
1.0× |
| Dilate urethra stricture (53600) |
$239.50 |
$479 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$855 |
$1,710 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$294 |
$588 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$335.50 |
$671 |
1.7× |
| Drainage Mouth Roof Lesion (42000) |
$336 |
$672 |
1.5× |
| Drainage of gum lesion (41800) |
$184.50 |
$369 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,590 |
$3,180 |
1.0× |
| Draw blood off venous device (36591) |
$198 |
$396 |
1.6× |
| Dressing change under anesthesia (15852) |
$838.50 |
$1,677 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$362.50 |
$725 |
1.9× |
| Dx gastr intub w/asp spec (43754) |
$432.50 |
$865 |
2.1× |
| Egd place gastrostomy tube (43246) |
$2,286 |
$4,572 |
1.2× |
| Endometrial Biopsy (58100) |
$275 |
$550 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$184.50 |
$369 |
1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$693 |
$1,386 |
1.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,673 |
$3,346 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,847 |
$5,694 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,582 |
$3,164 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$693 |
$1,386 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$2,711 |
$5,422 |
1.7× |
| Exc back tum deep < 5 cm (21932) |
$2,782 |
$5,564 |
1.0× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$4,108 |
$8,216 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$726.50 |
$1,453 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$389.50 |
$779 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$693 |
$1,386 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,597 |
$3,194 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,817.50 |
$5,635 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,711 |
$5,422 |
1.7× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,817.50 |
$5,635 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,582 |
$3,164 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,503 |
$5,006 |
1.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,817.50 |
$5,635 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$693 |
$1,386 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$692.50 |
$1,385 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$692.50 |
$1,385 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,582 |
$3,164 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,204.50 |
$2,409 |
1.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,204.50 |
$2,409 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,582 |
$3,164 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$693 |
$1,386 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$693 |
$1,386 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,582 |
$3,164 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,503 |
$5,006 |
1.6× |
| Fetal non-stress test (59025) |
$310.75 |
$621.50 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$393.50 |
$787 |
1.0× |
| Fit/Insert Intravag Support Device (57160) |
$198 |
$396 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$368.50 |
$737 |
1.8× |
| I&D Abscess Peritonsillar (42700) |
$330.50 |
$661 |
1.5× |
| I&d abscess simple (10060) |
$220.50 |
$441 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$1,030.50 |
$2,061 |
1.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,582 |
$3,164 |
1.0× |
| I&d vulva/perineal abscess (56405) |
$299.50 |
$599 |
1.0× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$4,963 |
$9,926 |
0.6× |
| Incise external hemorrhoid (46083) |
$239.50 |
$479 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$516.75 |
$1,033.50 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,030.50 |
$2,061 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,381.50 |
$4,763 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$393 |
$786 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$198 |
$396 |
1.0× |
| Incision and drainage perianal abscess superficial (46050) |
$1,351.50 |
$2,703 |
1.5× |
| Incision of rectal abscess (46040) |
$2,082.50 |
$4,165 |
1.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,670 |
$3,340 |
2.0× |
| Inj tendon sheath/ligament (20550) |
$294 |
$588 |
1.0× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$304.50 |
$609 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$300.25 |
$600.50 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,023.50 |
$2,047 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$432.50 |
$865 |
1.5× |
| Injection anesthetic agent femoral nerve single (64447) |
$681.50 |
$1,363 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$681.50 |
$1,363 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$294 |
$588 |
1.0× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$9,172 |
$18,344 |
0.3× |
| Insert cath pleura w/o image (32556) |
$2,766 |
$5,532 |
1.5× |
| Insert Drug Implant Device (11981) |
$215.50 |
$431 |
1.7× |
| Insert non-tunnel cv cath (36556) |
$2,439.50 |
$4,879 |
0.8× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,365 |
$8,730 |
0.4× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$2,628 |
$5,256 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$127.50 |
$255 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$226.50 |
$453 |
1.8× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure |
$2,619.50 |
$5,239 |
0.3× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$3,493.50 |
$6,987 |
0.2× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$2,628 |
$5,256 |
0.3× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$2,628 |
$5,256 |
0.3× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure |
$4,365 |
$8,730 |
0.4× |
| Insj picc rs&i 5 yr+ (36573) |
$1,508 |
$3,016 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,387.50 |
$4,775 |
0.8× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$2,628 |
$5,256 |
0.3× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$227 |
$454 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$273 |
$546 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$4,937.50 |
$9,875 |
0.7× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$382.50 |
$765 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,658 |
$3,316 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$570 |
$1,140 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$1,185 |
$2,370 |
1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$898 |
$1,796 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$681 |
$1,362 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$813.75 |
$1,627.50 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$847 |
$1,694 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,219.50 |
$2,439 |
1.8× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$259 |
$518 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,401 |
$4,802 |
0.8× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,134 |
$6,268 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$475.75 |
$951.50 |
2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$4,937.50 |
$9,875 |
0.7× |
| Perq Vertebral Augmentation (22513) |
$4,937.50 |
$9,875 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,134 |
$6,268 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,134 |
$6,268 |
1.0× |
| Picc line placement (36569) |
$1,735 |
$3,470 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$548.50 |
$1,097 |
1.3× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,296.50 |
$4,593 |
1.0× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure |
$2,949 |
$5,898 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$389.50 |
$779 |
1.0× |
| Reduce testis torsion (54600) |
$3,395.50 |
$6,791 |
1.0× |
| Relocation of skin pocket for pacemaker (33222) |
$1,976.50 |
$3,953 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,146.50 |
$2,293 |
1.0× |
| Removal foreign body intranasal (30300) |
$184.50 |
$369 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.75 |
$223.50 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$60.50 |
$121 |
1.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,130.50 |
$6,261 |
1.0× |
| Removal of anal fissure (46200) |
$2,897 |
$5,794 |
1.1× |
| Removal of embedded foreign body, eyelid (67938) |
$304.50 |
$609 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$496 |
$992 |
1.2× |
| Removal of iud (58301) |
$348 |
$696 |
1.2× |
| Removal of nail bed (11750) |
$393.50 |
$787 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$196 |
$392 |
1.0× |
| Remove drug implant device (11982) |
$736 |
$1,472 |
1.7× |
| Remove foreign body from eye (65235) |
$2,915 |
$5,830 |
1.3× |
| Remove/Insert Drug Implant (11983) |
$428 |
$856 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$156 |
$312 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$169 |
$338 |
1.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,426.50 |
$4,853 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$646.50 |
$1,293 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$849 |
$1,698 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$979.50 |
$1,959 |
2.5× |
| Repair eyelid defect (67916) |
$2,296.50 |
$4,593 |
1.0× |
| Repair hand tendon (26410) |
$1,587 |
$3,174 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$593 |
$1,186 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$593 |
$1,186 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$564.50 |
$1,129 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$564.50 |
$1,129 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$593 |
$1,186 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$593 |
$1,186 |
1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$593 |
$1,186 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$389.50 |
$779 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$593 |
$1,186 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$593 |
$1,186 |
1.5× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$7,709.50 |
$15,419 |
1.4× |
| Repair lead pace-defib dual (33220) |
$2,664.50 |
$5,329 |
0.7× |
| Repair lead pace-defib one (33218) |
$2,664.50 |
$5,329 |
0.7× |
| Repair of eye wound (65270) |
$2,277.50 |
$4,555 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,032 |
$14,064 |
1.0× |
| Repeat control of nosebleed (30906) |
$227 |
$454 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,664.50 |
$5,329 |
0.7× |
Revise spine eltrd perq aray (63663)
unusually low: confirm this is the full procedure |
$2,949 |
$5,898 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$159 |
$318 |
1.2× |
| Rmvl of subq defibrillator (33272) |
$2,664.50 |
$5,329 |
0.7× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$968.50 |
$1,937 |
1.4× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$708 |
$1,416 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$411.50 |
$823 |
1.1× |
| Shave skin lesion 0.5 cm/< (11305) |
$192.50 |
$385 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,134 |
$6,268 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$385 |
$770 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$287 |
$574 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$362.50 |
$725 |
1.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$287 |
$574 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$287 |
$574 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$362.50 |
$725 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$287 |
$574 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$593 |
$1,186 |
1.5× |
| Spinal Puncture Therapeutic (62272) |
$1,269.50 |
$2,539 |
1.9× |
| Strapping unna boot (29580) |
$252 |
$504 |
1.6× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$316.50 |
$633 |
1.0× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,540 |
$3,080 |
1.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$6,429.50 |
$12,859 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$608.50 |
$1,217 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$618.50 |
$1,237 |
2.0× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$3,175.50 |
$6,351 |
1.0× |
| Tracheostomy planned (31600) |
$1,934.25 |
$3,868.50 |
0.6× |
| Treat humerus fracture (23600) |
$425 |
$850 |
1.8× |
| Treat wrist bone fracture (25622) |
$425 |
$850 |
1.8× |
| Treat Wrist Bone Fracture (25630) |
$425 |
$850 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$329.50 |
$659 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$425 |
$850 |
1.8× |
| Trim skin lesion (11055) |
$192 |
$384 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$192.50 |
$385 |
1.0× |
| Trim skin lesions over 4 (11057) |
$196 |
$392 |
1.0× |
| Tube thoracostomy includes water seal (32551) |
$2,363.50 |
$4,727 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$979.50 |
$1,959 |
1.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$513 |
$1,026 |
1.3× |
| Unlisted procedure colon (45399) |
$1,091 |
$2,182 |
1.2× |
| Unlisted Procedure Conjunctiva (68399) |
$304 |
$608 |
1.0× |
| Unlisted procedure, maternity care and delivery (59899) |
$194 |
$388 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$234 |
$468 |
1.2× |
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure |
$4,365 |
$8,730 |
0.4× |
| Us urine capacity measure (51798) |
$94.50 |
$189 |
1.7× |
| Vaginal delivery only (59409) |
$3,101 |
$6,202 |
1.0× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$3,130.50 |
$6,261 |
1.0× |
| Venipuncture (36415) |
$6.50 |
$13 |
0.7× |
| Wedge excision skin nail fold (11765) |
$393.50 |
$787 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$588.50 |
$1,177 |
1.5× |