| Abd paracentesis w/imaging (49083) |
$1,897.43 |
$1,897.43 |
1.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,897.43 |
$1,897.43 |
1.7× |
| Abdomen Surgery Procedure (22999) |
$6,409.39 |
$6,409.39 |
21.7× |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) |
$23,865 |
$23,865 |
1.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$6,409.39 |
$6,409.39 |
2.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$4,815.67 |
$4,815.67 |
1.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$6,409.39 |
$6,409.39 |
2.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$6,409.39 |
$6,409.39 |
2.6× |
| Amniocentesis diagnostic (59000) |
$1,108.70 |
$1,108.70 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$6,409.39 |
$6,409.39 |
1.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,367.96 |
$4,367.96 |
1.1× |
| Amputation metatarsal with toe single (28810) |
$4,785.56 |
$4,785.56 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$4,785.56 |
$4,785.56 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,785.56 |
$4,785.56 |
1.2× |
| Anoscopy diagnostic (46600) |
$491.47 |
$491.47 |
3.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$253.66 |
$253.66 |
1.3× |
| Application cast elbow finger short arm (29075) |
$714.22 |
$714.22 |
2.1× |
| Application Cast Finger (29086) |
$399.03 |
$399.03 |
2.0× |
| Application Finger Splint Dynamic (29131) |
$171.13 |
$171.13 |
2.4× |
Application finger splint static (29130)
range across 2 matching MRF lines |
$171.13–$256.70 |
$171.13–$256.70 |
varies |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$399.03–$598.54 |
$399.03–$598.54 |
varies |
| Application Long Leg Splint (29505) |
$333 |
$333 |
1.7× |
| Application of cylinder cast (thigh to ankle) (29365) |
$714.22 |
$714.22 |
2.1× |
| Application of long leg cast (29345) |
$714.22 |
$714.22 |
2.1× |
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines |
$305.32–$457.99 |
$305.32–$457.99 |
varies |
| Application short arm splint forearm-hand static (29125) |
$305.32 |
$305.32 |
1.9× |
| Application short leg splint calf foot (29515) |
$333 |
$333 |
1.7× |
| Apply hand/wrist cast (29085) |
$414.56 |
$414.56 |
2.1× |
| Apply long arm cast (29065) |
$714.22 |
$714.22 |
2.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$516.04 |
$516.04 |
2.6× |
| Apply Short Leg Cast (29405) |
$714.22 |
$714.22 |
2.1× |
| Apply short leg cast (29425) |
$714.22 |
$714.22 |
2.1× |
| Arterial puncture (36600) |
$279.26 |
$279.26 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$603.46 |
$603.46 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,395.37 |
$2,395.37 |
2.8× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$642.69–$964.03 |
$642.69–$964.03 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$842.79 |
$842.79 |
2.3× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$574.72–$862.08 |
$574.72–$862.08 |
varies |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$6,409.39 |
$6,409.39 |
1.6× |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
$1,807.08–$2,710.62 |
$1,807.08–$2,710.62 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$1,807.08 |
$1,807.08 |
2.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$574.72 |
$574.72 |
1.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,033.11 |
$4,033.11 |
1.6× |
| Aspiration Bladder Needle (51100) |
$600 |
$600 |
2.0× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,442.07 |
$1,442.07 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$491.47 |
$491.47 |
2.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$10,410.92 |
$10,410.92 |
1.3× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$15,270.97 |
$15,270.97 |
1.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$11,260.41 |
$11,260.41 |
1.5× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$3,018.40 |
$3,018.40 |
0.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$3,143.35 |
$3,143.35 |
0.7× |
| Biopsy soft tissue back/flank deep (21925) |
$4,935.57 |
$4,935.57 |
2.5× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,850.82 |
$1,850.82 |
0.9× |
| Bladder Irrigation (51700) |
$728.88 |
$728.88 |
2.4× |
| Bladder Scan (51798) |
$223.70 |
$223.70 |
3.2× |
| Blepharotomy drainage abscess eyelid (67700) |
$1,108.70 |
$1,108.70 |
2.9× |
| Blood Transfusion Service (36430) |
$1,551.68 |
$1,551.68 |
2.9× |
| Blood/Lymph System Procedure (38999) |
$1,108.70 |
$1,108.70 |
2.1× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$5,664 |
$5,664 |
2.7× |
| Bronchoscopy Clear Airways (31645) |
$5,848.87 |
$5,848.87 |
2.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,367.96 |
$4,367.96 |
2.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,995.44 |
$1,995.44 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$2,231.39 |
$2,231.39 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$2,231.39 |
$2,231.39 |
1.1× |
| Bx Cervix (57500) |
$1,807.08 |
$1,807.08 |
1.6× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
$3,918.35 |
$3,918.35 |
0.6× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$3,918.05 |
$3,918.05 |
0.9× |
| Bx prostate transperineal ultrasound-guided (55709) |
$3,143.35 |
$3,143.35 |
0.7× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$3,918.05 |
$3,918.05 |
0.9× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$3,918.05 |
$3,918.05 |
0.9× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$3,918.05 |
$3,918.05 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$4,120.97 |
$4,120.97 |
1.4× |
| Carpal Tunnel Surgery (64721) |
$4,367.96 |
$4,367.96 |
1.9× |
| Catheter aspiration nasotracheal spx (31720) |
$1,807.08 |
$1,807.08 |
6.9× |
| Change Cystostomy Tube Complicated (51710) |
$1,154.31 |
$1,154.31 |
1.4× |
| Change Cystostomy Tube Simple (51705) |
$1,212.03 |
$1,212.03 |
4.0× |
| Change of Windpipe Airway (31502) |
$491.47 |
$491.47 |
1.7× |
| Chemical Cautery Tissue (17250) |
$555.01 |
$555.01 |
2.3× |
| Chemodenerv musc neck dyston (64616) |
$1,108.70 |
$1,108.70 |
3.0× |
| Chest tube placement (32551) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$6,409.39 |
$6,409.39 |
1.5× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,807.08 |
$1,807.08 |
0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,558.87 |
$3,558.87 |
1.8× |
| Clear outer ear canal (69200) |
$516.04 |
$516.04 |
3.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$4,367.96 |
$4,367.96 |
14.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,897.43 |
$1,897.43 |
6.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$491.47 |
$491.47 |
1.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$493.01 |
$493.01 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,897.43 |
$1,897.43 |
6.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,807.08 |
$1,807.08 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$4,367.96 |
$4,367.96 |
14.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$4,367.96 |
$4,367.96 |
2.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$493.01 |
$493.01 |
1.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$3,281.18 |
$3,281.18 |
1.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,558.87 |
$3,558.87 |
1.8× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$10,131.57 |
$10,131.57 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$493.01 |
$493.01 |
1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$4,367.96 |
$4,367.96 |
2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,807.08 |
$1,807.08 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,367.96 |
$4,367.96 |
1.1× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$10,131.57 |
$10,131.57 |
2.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,897.43 |
$1,897.43 |
6.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,897.43 |
$1,897.43 |
6.4× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,807.08 |
$1,807.08 |
0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$493.01 |
$493.01 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,897.43 |
$1,897.43 |
1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$491.47 |
$491.47 |
1.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$4,367.96 |
$4,367.96 |
2.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$491.47 |
$491.47 |
1.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed tx septal&nose fx (21337) |
$4,367.96 |
$4,367.96 |
1.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$4,367.96 |
$4,367.96 |
2.3× |
| Closed tx talus fracture w/o manipulation (28430) |
$1,108.70 |
$1,108.70 |
3.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$491.47 |
$491.47 |
1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,897.44 |
$1,897.44 |
6.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,807.08 |
$1,807.08 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,807.08 |
$1,807.08 |
6.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$491.47 |
$491.47 |
1.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$1,108.70 |
$1,108.70 |
3.9× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,807.08 |
$1,807.08 |
2.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,807.08 |
$1,807.08 |
6.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$1,807.08 |
$1,807.08 |
6.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,807.08 |
$1,807.08 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,807.08 |
$1,807.08 |
6.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,445.24 |
$3,445.24 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,897.43 |
$1,897.43 |
6.4× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$3,558.87 |
$3,558.87 |
1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,281.18 |
$3,281.18 |
1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$4,586.36 |
$4,586.36 |
2.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$493.01 |
$493.01 |
1.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,807.08 |
$1,807.08 |
0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$493.01 |
$493.01 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$491.47 |
$491.47 |
1.7× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,924.54 |
$1,924.54 |
6.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$517.66 |
$517.66 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$516.04 |
$516.04 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$493.01 |
$493.01 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,020.76 |
$2,020.76 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$493.01 |
$493.01 |
1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$491.47 |
$491.47 |
1.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$517.66 |
$517.66 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$491.47 |
$491.47 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,558.87 |
$3,558.87 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$4,586.36 |
$4,586.36 |
2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,897.43 |
$1,897.43 |
6.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,807.08 |
$1,807.08 |
0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$4,586.36 |
$4,586.36 |
2.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,807.08 |
$1,807.08 |
5.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$491.47 |
$491.47 |
1.7× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,807.08 |
$1,807.08 |
5.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$549.59 |
$549.59 |
1.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,558.87 |
$3,558.87 |
1.8× |
| Cltx Medial Ankle Fx (27760) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$4,367.96 |
$4,367.96 |
14.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$491.47 |
$491.47 |
1.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$491.47 |
$491.47 |
1.7× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,281.18 |
$3,281.18 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,807.08 |
$1,807.08 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$543.55 |
$543.55 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$4,367.96 |
$4,367.96 |
2.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,807.08 |
$1,807.08 |
0.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$4,367.96 |
$4,367.96 |
14.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$1,108.70 |
$1,108.70 |
3.8× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,807.08 |
$1,807.08 |
6.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,807.08 |
$1,807.08 |
0.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,807.08 |
$1,807.08 |
6.1× |
| Collection of venous blood by venipuncture (36415) |
$17.44 |
$17.44 |
1.9× |
| Colonoscopy w/fb removal (45379) |
$2,094.26 |
$2,094.26 |
1.5× |
| Colporrhaphy (57200) |
$7,169.67 |
$7,169.67 |
1.8× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,108.70 |
$1,108.70 |
1.0× |
| Complex drainage wound (10180) |
$4,460.78 |
$4,460.78 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$320.59 |
$320.59 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$341.43 |
$341.43 |
2.1× |
| Control oropharyngeal hemorrhage simple (42960) |
$1,807.08 |
$1,807.08 |
2.8× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$253.66 |
$253.66 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,807.08 |
$1,807.08 |
11.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$1,897.43 |
$1,897.43 |
6.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$5,705.22 |
$5,705.22 |
2.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,586.36 |
$4,586.36 |
1.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,367.96 |
$4,367.96 |
1.7× |
| Cystostomy Cystotomy W/Drainage (51040) |
$6,409.39 |
$6,409.39 |
2.6× |
| Cystourethroscopy (52000) |
$1,807.08 |
$1,807.08 |
2.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$6,409.39 |
$6,409.39 |
2.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$781.06 |
$781.06 |
1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,143.72 |
$3,143.72 |
0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,821.60 |
$1,821.60 |
2.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,108.70 |
$1,108.70 |
1.3× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$15,099.06 |
$15,099.06 |
6.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$781.06 |
$781.06 |
0.9× |
| Debride nail 1-5 (11720) |
$253.66 |
$253.66 |
3.6× |
| Debride nail 6 or more (11721) |
$266.35 |
$266.35 |
3.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$4,586.36 |
$4,586.36 |
2.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$873.43 |
$873.43 |
1.8× |
| Declot vascular device (36593) |
$893.10 |
$893.10 |
2.3× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$6,409.39 |
$6,409.39 |
1.5× |
| Destroy cerv/thor facet jnt (64633) |
$6,916.46 |
$6,916.46 |
3.0× |
| Destruct B9 Lesion 1-14 (17110) |
$253.66 |
$253.66 |
1.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$574.72 |
$574.72 |
1.6× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,343.97 |
$1,343.97 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$491.47 |
$491.47 |
2.0× |
| Destruction of skin lesions (17106) |
$781.06 |
$781.06 |
1.6× |
| Destruction premalignant lesion 1st (17000) |
$253.66 |
$253.66 |
1.1× |
| Diagnostic sigmoidoscopy (45330) |
$1,762.62 |
$1,762.62 |
1.6× |
| Dilat Xst Trc New Access Rcs (50437) |
$8,403.43 |
$8,403.43 |
2.0× |
| Dilate Urethra Stricture (53620) |
$6,409.39 |
$6,409.39 |
7.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,908.60 |
$3,908.60 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$1,807.08 |
$1,807.08 |
2.1× |
| Drain Hand Tendon Sheath (26020) |
$4,367.96 |
$4,367.96 |
1.1× |
| Drain Spinal Cord Cyst (62268) |
$1,904.02 |
$1,904.02 |
1.8× |
| Drain/inj small joint/bursa w/us (20604) |
$1,040.56 |
$1,040.56 |
2.8× |
| Drainage abscess parotid simple (42300) |
$1,807.08 |
$1,807.08 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,108.70 |
$1,108.70 |
1.7× |
| Drainage external auditory canal abscess (69020) |
$765.80 |
$765.80 |
0.9× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,520.41 |
$2,520.41 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$804.09 |
$804.09 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$2,520.41 |
$2,520.41 |
1.3× |
| Drainage Mouth Roof Lesion (42000) |
$1,108.70 |
$1,108.70 |
3.9× |
| Drainage of finger abscess simple (26010) |
$516.04 |
$516.04 |
2.1× |
| Drainage of gum lesion (41800) |
$1,807.08 |
$1,807.08 |
11.3× |
| Drainage of hematoma/fluid (10140) |
$2,520.41 |
$2,520.41 |
1.3× |
| Drainage of nose lesion (30000) |
$1,108.70 |
$1,108.70 |
3.9× |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
$4,367.96 |
$4,367.96 |
1.1× |
| Drainage of rectal abscess (45005) |
$4,367.96 |
$4,367.96 |
3.0× |
| Drainage of scrotal wall abscess (55100) |
$2,684.23 |
$2,684.23 |
1.4× |
| Drainage of scrotum (54700) |
$4,932.04 |
$4,932.04 |
2.0× |
| Draw Blood Off Venous Device (36591) |
$388.42 |
$388.42 |
2.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$4,367.96 |
$4,367.96 |
6.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$804.09 |
$804.09 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$516.04 |
$516.04 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$516.04 |
$516.04 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$516.04 |
$516.04 |
2.1× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
$4,367.96 |
$4,367.96 |
4.1× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$4,391.40 |
$4,391.40 |
4.1× |
| Dx Bronchoscope/Lavage (31624) |
$2,704.69 |
$2,704.69 |
1.3× |
| Dx Bronchoscope/Wash (31622) |
$2,839.93 |
$2,839.93 |
1.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,456.98 |
$3,456.98 |
1.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,859.90 |
$1,859.90 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$4,367.96 |
$4,367.96 |
4.0× |
| Egd place gastrostomy tube (43246) |
$4,367.96 |
$4,367.96 |
1.9× |
| Egd Varices Ligation (43244) |
$4,367.96 |
$4,367.96 |
1.9× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$1,807.08 |
$1,807.08 |
4.9× |
| Endometrial Biopsy (58100) |
$538.39 |
$538.39 |
2.2× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$13,199.30 |
$13,199.30 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$5,722.50 |
$5,722.50 |
1.5× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$9,553.04 |
$9,553.04 |
2.5× |
| Epidural Blood Patch (62273) |
$1,904.02 |
$1,904.02 |
2.3× |
| Ercp duct stent placement (43274) |
$5,943.09 |
$5,943.09 |
0.8× |
| Ercp ea duct/ampulla dilate (43277) |
$5,495.94 |
$5,495.94 |
1.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$8,710 |
$8,710 |
1.9× |
| Ercp remove forgn body duct (43275) |
$5,495.94 |
$5,495.94 |
2.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,943.09 |
$5,943.09 |
0.8× |
| Ercp W/Biopsy Single/Multiple (43261) |
$5,495.94 |
$5,495.94 |
1.2× |
| Ercp,Sphincterotomy (43262) |
$9,130.66 |
$9,130.66 |
2.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,879.29 |
$2,879.29 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$516.04 |
$516.04 |
3.2× |
| Exc abdl tum deep 5 cm/> (22901) |
$6,409.39 |
$6,409.39 |
1.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,108.70 |
$1,108.70 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$4,367.96 |
$4,367.96 |
2.2× |
| Exc Back Les Sc < 3 Cm (21930) |
$4,367.96 |
$4,367.96 |
2.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,108.70 |
$1,108.70 |
1.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,108.70 |
$1,108.70 |
1.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,821.60 |
$1,821.60 |
2.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,821.60 |
$1,821.60 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,821.60 |
$1,821.60 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,821.60 |
$1,821.60 |
2.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,821.60 |
$1,821.60 |
0.9× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$1,829.57 |
$1,829.57 |
1.5× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$6,409.39 |
$6,409.39 |
2.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,821.60 |
$1,821.60 |
2.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$4,367.96 |
$4,367.96 |
2.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,935.57 |
$4,935.57 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$4,367.96 |
$4,367.96 |
2.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$4,367.96 |
$4,367.96 |
3.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,108.70 |
$1,108.70 |
2.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,108.70 |
$1,108.70 |
1.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,258.12 |
$3,258.12 |
1.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,058.10 |
$3,058.10 |
1.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,821.60 |
$1,821.60 |
2.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,821.60 |
$1,821.60 |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$4,035.73 |
$4,035.73 |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$6,409.39 |
$6,409.39 |
1.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$3,897.20 |
$3,897.20 |
1.6× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$8,090.87 |
$8,090.87 |
2.1× |
| Explo/Drain Breast Abscess (19020) |
$4,460.78 |
$4,460.78 |
2.3× |
| Exploration penetrating wound spx chest (20101) |
$3,897.20 |
$3,897.20 |
1.6× |
| Exploration penetrating wound spx extremity (20103) |
$2,520.41 |
$2,520.41 |
1.3× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,807.08 |
$1,807.08 |
2.8× |
| Fasciectomy Palm Only (26121) |
$6,409.39 |
$6,409.39 |
1.6× |
| Fasciotomy, foot and/or toe (28008) |
$6,409.39 |
$6,409.39 |
1.6× |
| Fetal non-stress test (59025) |
$491.42 |
$491.42 |
2.0× |
| Fine needle aspiration without imaging guidance (10021) |
$516.04 |
$516.04 |
1.1× |
| Fluid Pressure Muscle (20950) |
$765.80 |
$765.80 |
0.9× |
| Fna bx w/us gdn 1st les (10005) |
$2,503.02 |
$2,503.02 |
2.9× |
| Foreskin manipulation (54450) |
$1,807.08 |
$1,807.08 |
6.0× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$6,409.39 |
$6,409.39 |
2.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$4,367.96 |
$4,367.96 |
1.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$4,367.96 |
$4,367.96 |
1.8× |
| Guide Cathet Fluid Drainage (10030) |
$815.58 |
$815.58 |
1.0× |
| I&d abscess peritonsillar (42700) |
$1,807.08 |
$1,807.08 |
6.4× |
| I&d abscess simple (10060) |
$529.02 |
$529.02 |
2.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$6,409.39 |
$6,409.39 |
3.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,409.39 |
$6,409.39 |
1.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,460.78 |
$4,460.78 |
1.3× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$5,426.40 |
$5,426.40 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,431.33 |
$1,431.33 |
1.3× |
| I&d pilonidal cyst complicated (10081) |
$2,646.43 |
$2,646.43 |
3.1× |
| I&d pilonidal cyst simple (10080) |
$1,897.43 |
$1,897.43 |
2.2× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,153.70 |
$2,153.70 |
1.1× |
| Implant neuroelectrodes (63650) |
$13,806.93 |
$13,806.93 |
1.8× |
| Incise external hemorrhoid (46083) |
$600 |
$600 |
2.0× |
| Incise finger tendon sheath (26055) |
$4,367.96 |
$4,367.96 |
2.3× |
| Incise tendon(s) & muscle(s) (23406) |
$7,321.24 |
$7,321.24 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$549.59 |
$549.59 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,460.78 |
$4,460.78 |
1.3× |
| Incision & drainage leg/ankle infected bursa (27604) |
$7,321.24 |
$7,321.24 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,258.12 |
$3,258.12 |
1.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$820.12 |
$820.12 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,897.43 |
$1,897.43 |
7.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,897.43 |
$1,897.43 |
5.2× |
| Incision of lymph channels (38308) |
$8,355 |
$8,355 |
1.8× |
| Incision of rectal abscess (46040) |
$6,729.86 |
$6,729.86 |
4.7× |
| Incision&drainage bursa foot (28001) |
$2,400.39 |
$2,400.39 |
1.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$4,367.96 |
$4,367.96 |
2.2× |
| Incisional biopsy skin single lesion (11106) |
$946.85 |
$946.85 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$491.47 |
$491.47 |
2.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$4,391.40 |
$4,391.40 |
4.1× |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
$574.72–$862.08 |
$574.72–$862.08 |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$3,218.15 |
$3,218.15 |
3.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,904.02 |
$1,904.02 |
1.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,904.02 |
$1,904.02 |
2.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$574.72 |
$574.72 |
1.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,239.81 |
$1,239.81 |
1.5× |
| Injection for identification of sentinel node (38792) |
$1,088.86 |
$1,088.86 |
2.3× |
| Injection single tendon origin/insertion (20551) |
$574.72 |
$574.72 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$642.69 |
$642.69 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$642.69 |
$642.69 |
1.7× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines |
$1,807.08–$2,710.62 |
$1,807.08–$2,710.62 |
varies |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,108.70 |
$1,108.70 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,164.14 |
$1,164.14 |
1.4× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$253.66 |
$253.66 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$600 |
$600 |
3.9× |
| Insert cath pleura w/o image (32556) |
$1,960.76 |
$1,960.76 |
0.9× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$6,409.39 |
$6,409.39 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$2,535.80 |
$2,535.80 |
0.7× |
| Insert pessary/other device (57160) |
$491.47 |
$491.47 |
2.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,487.98 |
$2,487.98 |
1.3× |
| Insert prost urethral stent (53855) |
$5,795.78 |
$5,795.78 |
2.3× |
| Insert Temp Bladder Cath (51702) |
$341.43 |
$341.43 |
2.1× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$6,669.06–$10,003.58 |
$6,669.06–$10,003.58 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$320.59 |
$320.59 |
2.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$11,687.70 |
$11,687.70 |
2.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$6,251.62 |
$6,251.62 |
3.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$21,258.24 |
$21,258.24 |
2.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,487.98 |
$2,487.98 |
0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$4,367.96 |
$4,367.96 |
2.3× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines |
$5,468.33–$8,202.49 |
$5,468.33–$8,202.49 |
varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$13,957.98 |
$13,957.98 |
1.4× |
| Interdental Wiring Other Than Fracture (21497) |
$4,367.96 |
$4,367.96 |
2.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,108.70 |
$1,108.70 |
2.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,108.70 |
$1,108.70 |
2.3× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,807.08 |
$1,807.08 |
2.8× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$1,108.70 |
$1,108.70 |
3.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,461.32 |
$3,461.32 |
0.9× |
| Intro Gastrointestinal Tube (44500) |
$1,807.08 |
$1,807.08 |
1.7× |
| Intubation endotracheal emergency procedure (31500) |
$632.39 |
$632.39 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,807.08 |
$1,807.08 |
6.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$8,330.46 |
$8,330.46 |
1.1× |
| Laryngoscopy diagnostic (31505) |
$491.47 |
$491.47 |
2.1× |
| Laryngoscopy flexible diagnostic (31575) |
$491.47 |
$491.47 |
2.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,108.70 |
$1,108.70 |
2.4× |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
$6,409.39 |
$6,409.39 |
1.4× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$1,108.70 |
$1,108.70 |
4.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,367.96 |
$4,367.96 |
2.0× |
| Late closure of wound (13160) |
$5,559.38 |
$5,559.38 |
1.3× |
| Ligation Major Artery Abdomen (37617) |
$6,409.39 |
$6,409.39 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$4,497.21 |
$4,497.21 |
2.3× |
| Lip Surgery Procedure (40799) |
$491.47 |
$491.47 |
1.7× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$5,238 |
$5,238 |
2.7× |
| Maternity Care Procedure (59899) |
$491.47 |
$491.47 |
2.0× |
| N Block Inj Celiac Pelus (64530) |
$1,904.02 |
$1,904.02 |
1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,164.14 |
$1,164.14 |
1.4× |
| N block inj intercost sng (64420) |
$1,164.14 |
$1,164.14 |
1.4× |
| N Block Inj Plantar Digit (64455) |
$574.72 |
$574.72 |
1.6× |
| N Block Lumbar/Thoracic (64520) |
$1,999.22 |
$1,999.22 |
1.9× |
| Nasal Endoscopy Dx (31231) |
$491.47 |
$491.47 |
2.1× |
| Nasal surgery procedure (30999) |
$491.47 |
$491.47 |
1.7× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$1,115.92 |
$1,115.92 |
2.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,456.98 |
$3,456.98 |
1.6× |
| Needle Biopsy Pancreas (48102) |
$2,153.70 |
$2,153.70 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,250.34 |
$1,250.34 |
3.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$1,108.70 |
$1,108.70 |
3.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,659.51 |
$3,659.51 |
3.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,020.76 |
$2,020.76 |
2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,020.76 |
$2,020.76 |
2.4× |
| Occipital Nerve Block (64405) |
$1,164.14 |
$1,164.14 |
3.2× |
| Open bone biopsy (20250) |
$7,321.24 |
$7,321.24 |
1.9× |
| Open bowel to skin (44300) |
$4,367.96 |
$4,367.96 |
1.9× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$6,409.39 |
$6,409.39 |
1.6× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$8,655.93 |
$8,655.93 |
2.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,729.86 |
$6,729.86 |
1.7× |
| Open tx interphalangeal joint dislocation (26785) |
$5,719.06 |
$5,719.06 |
1.5× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$6,729.86 |
$6,729.86 |
1.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$6,409.39 |
$6,409.39 |
3.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,908.60 |
$3,908.60 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,024.83 |
$5,024.83 |
1.3× |
| Penile Injection (54235) |
$694.18 |
$694.18 |
2.3× |
| Percut Ablate Liver Rf (47382) |
$11,670.61 |
$11,670.61 |
1.6× |
| Pericardiocentesis W/Imaging (33016) |
$3,987.67 |
$3,987.67 |
2.1× |
| Peritoneal Lavage (49084) |
$1,807.08 |
$1,807.08 |
1.7× |
| Perq dev breast 1st mr guide (19287) |
$765.80 |
$765.80 |
0.9× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,995.06 |
$4,995.06 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$516.04 |
$516.04 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$7,109.23 |
$7,109.23 |
2.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,807.08 |
$1,807.08 |
1.6× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$1,904.02 |
$1,904.02 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$531.95 |
$531.95 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$491.47 |
$491.47 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$1,227.29 |
$1,227.29 |
1.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,692.20 |
$1,692.20 |
2.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,807.08 |
$1,807.08 |
2.1× |
| Reconstruction Nail Bed W/Graft (11762) |
$4,367.96 |
$4,367.96 |
1.8× |
| Reduction of rectal prolapse (45900) |
$1,343.97 |
$1,343.97 |
1.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$517.01 |
$517.01 |
1.4× |
| Removal Foreign Body Foot Complicated (28193) |
$6,409.39 |
$6,409.39 |
3.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,821.60 |
$1,821.60 |
2.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$4,367.96 |
$4,367.96 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$266.35 |
$266.35 |
3.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$283.66 |
$283.66 |
4.0× |
| Removal of foreign body from pharynx (42809) |
$460.21 |
$460.21 |
0.9× |
| Removal of nail bed (11750) |
$1,164.14 |
$1,164.14 |
2.4× |
| Removal or bivalving full arm or full leg cast (29705) |
$640.16 |
$640.16 |
1.9× |
| Removal peritoneal-venous shunt (49429) |
$4,339.29 |
$4,339.29 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$491.47 |
$491.47 |
2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$585.91 |
$585.91 |
1.7× |
| Remove drug implant device (11982) |
$1,076.60 |
$1,076.60 |
2.0× |
| Remove Forearm Foreign Body (25248) |
$4,658.57 |
$4,658.57 |
2.4× |
| Remove foreign body from eye (65235) |
$4,367.96 |
$4,367.96 |
1.6× |
| Remove foreign body from eye (65205) |
$516.04 |
$516.04 |
3.2× |
| Remove Intrauterine Device (58301) |
$538.39 |
$538.39 |
1.5× |
| Remove lung catheter (32552) |
$2,487.98 |
$2,487.98 |
3.3× |
| Remove Nasal Foreign Body (30300) |
$491.47 |
$491.47 |
3.1× |
| Remove Tendon Sheath Lesion (26160) |
$6,409.39 |
$6,409.39 |
3.3× |
| Repair Achilles Tendon (27650) |
$10,748.18 |
$10,748.18 |
1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$9,298.42 |
$9,298.42 |
2.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$8,090.87 |
$8,090.87 |
2.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,163.63 |
$1,163.63 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,221.81 |
$1,221.81 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,108.70 |
$1,108.70 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,301.23 |
$1,301.23 |
2.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,164.14 |
$1,164.14 |
2.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,221.81 |
$1,221.81 |
2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,163.63 |
$1,163.63 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,163.63 |
$1,163.63 |
1.3× |
| Repair Elbow Perc (24357) |
$8,867.51 |
$8,867.51 |
2.3× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$6,409.39 |
$6,409.39 |
1.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$6,409.39 |
$6,409.39 |
3.3× |
| Repair Finger/Hand Tendon (26350) |
$6,334.56 |
$6,334.56 |
1.6× |
| Repair Forearm Tendon Sheath (25275) |
$7,321.24 |
$7,321.24 |
1.9× |
| Repair Hand Joint (26540) |
$6,729.86 |
$6,729.86 |
1.7× |
| Repair Hand Tendon (26410) |
$6,409.39 |
$6,409.39 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,108.70 |
$1,108.70 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,164.14 |
$1,164.14 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,108.70 |
$1,108.70 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$565.70 |
$565.70 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,108.70 |
$1,108.70 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,108.70 |
$1,108.70 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$602.46 |
$602.46 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,164.14 |
$1,164.14 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,108.70 |
$1,108.70 |
1.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,047.48 |
$2,047.48 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,163.63 |
$1,163.63 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,164.14 |
$1,164.14 |
2.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,164.14 |
$1,164.14 |
2.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,163.63 |
$1,163.63 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,164.14 |
$1,164.14 |
2.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,047.48 |
$2,047.48 |
0.8× |
| Repair Laceration Palate </2 Cm (42180) |
$1,108.70 |
$1,108.70 |
1.7× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$5,848.13 |
$5,848.13 |
0.8× |
| Repair of nail bed (11760) |
$670.22 |
$670.22 |
0.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$6,409.39 |
$6,409.39 |
1.6× |
| Repair tongue laceration (41252) |
$4,367.96 |
$4,367.96 |
15.4× |
| Repair tongue laceration (41250) |
$4,367.96 |
$4,367.96 |
8.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,325.85 |
$1,325.85 |
1.2× |
| Replace G-J Tube Perc (49452) |
$1,392.15 |
$1,392.15 |
1.3× |
| Replace g/c tube perc (49450) |
$1,392.15 |
$1,392.15 |
1.3× |
| Reposition Gastrostomy Tube (43761) |
$1,905.61 |
$1,905.61 |
6.4× |
| Revise Abdomen-Venous Shunt (49426) |
$4,775.29 |
$4,775.29 |
1.1× |
| Revise Spine Eltrd Plate (63664) |
$22,686.17 |
$22,686.17 |
1.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$12,063.72 |
$12,063.72 |
1.6× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$12,535.26 |
$12,535.26 |
1.8× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$12,535.26 |
$12,535.26 |
1.8× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$25,920.01 |
$25,920.01 |
1.2× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$25,920.01 |
$25,920.01 |
1.2× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$44,082.53 |
$44,082.53 |
2.0× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$44,082.53 |
$44,082.53 |
2.0× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$25,920.01 |
$25,920.01 |
1.9× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$25,920.01 |
$25,920.01 |
1.9× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$25,920.01 |
$25,920.01 |
1.9× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$25,920.01 |
$25,920.01 |
1.9× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$13,957.98 |
$13,957.98 |
2.0× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$13,957.98 |
$13,957.98 |
2.0× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$25,920.01 |
$25,920.01 |
1.9× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$25,920.01 |
$25,920.01 |
1.9× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$19,480.92 |
$19,480.92 |
1.4× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$19,480.92 |
$19,480.92 |
1.4× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$35,719.56 |
$35,719.56 |
1.6× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$35,719.56 |
$35,719.56 |
1.6× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$44,082.53 |
$44,082.53 |
2.0× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$44,082.53 |
$44,082.53 |
2.0× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$35,719.56 |
$35,719.56 |
1.6× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$35,719.56 |
$35,719.56 |
1.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,056.98 |
$1,056.98 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$516.04 |
$516.04 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$491.47 |
$491.47 |
3.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$491.47 |
$491.47 |
0.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$7,066.35 |
$7,066.35 |
2.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,821.60 |
$1,821.60 |
0.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$4,460.88 |
$4,460.88 |
1.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,415.05 |
$2,415.05 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,325.85 |
$1,325.85 |
1.8× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$714.22 |
$714.22 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$743.02 |
$743.02 |
2.5× |
| Rplc gtube revj gstrst trc (43763) |
$664.45 |
$664.45 |
2.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$6,409.39 |
$6,409.39 |
1.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$4,367.96 |
$4,367.96 |
2.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$6,409.39 |
$6,409.39 |
1.7× |
| Rpr blood vessel direct lower extremity (35226) |
$6,409.39 |
$6,409.39 |
7.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$549.59 |
$549.59 |
2.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,108.70 |
$1,108.70 |
1.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$1,108.70 |
$1,108.70 |
3.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$6,409.39 |
$6,409.39 |
9.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$6,409.39 |
$6,409.39 |
9.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$6,409.39 |
$6,409.39 |
3.4× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$7,321.24 |
$7,321.24 |
1.9× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$7,321.24 |
$7,321.24 |
1.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$851.51 |
$851.51 |
1.1× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$6,409.39 |
$6,409.39 |
1.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$6,409.39 |
$6,409.39 |
1.6× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$6,409.39 |
$6,409.39 |
1.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$253.66 |
$253.66 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$253.66 |
$253.66 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$253.66 |
$253.66 |
1.1× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$4,367.96 |
$4,367.96 |
1.1× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$2,215.07 |
$2,215.07 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$4,367.96 |
$4,367.96 |
9.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,897.43 |
$1,897.43 |
7.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,897.43 |
$1,897.43 |
7.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$4,367.96 |
$4,367.96 |
9.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,897.43 |
$1,897.43 |
7.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$4,367.96 |
$4,367.96 |
18.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$549.59 |
$549.59 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$4,367.96 |
$4,367.96 |
18.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,897.43 |
$1,897.43 |
7.9× |
| Skin Full Grft Face/Genit/Hf (15240) |
$6,409.39 |
$6,409.39 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$4,092.06 |
$4,092.06 |
4.6× |
| Skin sub grft t/arm/lg child (15273) |
$6,424.69 |
$6,424.69 |
2.6× |
| Skin Tissue Procedure (17999) |
$491.47 |
$491.47 |
2.0× |
| Skn sub grft f/n/hf/g child (15277) |
$3,897.20 |
$3,897.20 |
1.6× |
| Slitting of prepuce (54001) |
$4,367.96 |
$4,367.96 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$549.59 |
$549.59 |
2.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,897.43 |
$1,897.43 |
3.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$4,586.36 |
$4,586.36 |
9.4× |
| Spinal puncture lumbar diagnostic (62270) |
$1,897.43 |
$1,897.43 |
2.2× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$6,424.69 |
$6,424.69 |
1.5× |
| Strapping ankle (29540) |
$371.20 |
$371.20 |
1.9× |
| Strapping elbow or wrist (29260) |
$158.74 |
$158.74 |
2.2× |
| Strapping hand/finger (29280) |
$158.74 |
$158.74 |
2.2× |
| Strapping Hip (29520) |
$171.13 |
$171.13 |
1.1× |
| Strapping knee (29530) |
$243.92 |
$243.92 |
1.5× |
| Strapping shoulder (29240) |
$243.92 |
$243.92 |
1.5× |
| Strapping thorax (29200) |
$371.20 |
$371.20 |
1.9× |
| Strapping toes (29550) |
$171.13 |
$171.13 |
2.4× |
| Strapping Unna Boot (29580) |
$435.29 |
$435.29 |
2.2× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$4,120.97 |
$4,120.97 |
1.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$8,139.41 |
$8,139.41 |
3.5× |
| Tangential biopsy skin single lesion (11102) |
$506.62 |
$506.62 |
1.0× |
| Tenolysis extensor foot single tendon (28225) |
$4,785.56 |
$4,785.56 |
1.2× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$10,619 |
$10,619 |
2.7× |
| Tenotomy shoulder area single tendon (23405) |
$7,533.96 |
$7,533.96 |
0.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,655.73 |
$3,655.73 |
2.0× |
| Therapeutic plasma exchange (36514) |
$3,655.73 |
$3,655.73 |
2.0× |
| Therapeutic pneumothorax (32960) |
$1,807.08 |
$1,807.08 |
2.4× |
| Thrombolytic Therapy Stroke (37195) |
$1,807.08 |
$1,807.08 |
4.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$6,409.39 |
$6,409.39 |
2.6× |
| Tooth extraction (41899) |
$491.47 |
$491.47 |
1.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,807.08 |
$1,807.08 |
2.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,807.08 |
$1,807.08 |
6.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$5,171.60 |
$5,171.60 |
2.8× |
| Treat Dental Ridge Fracture (21440) |
$6,409.39 |
$6,409.39 |
1.6× |
| Treat dislocation/fracture (23670) |
$15,301.38 |
$15,301.38 |
1.8× |
| Treat humerus fracture (24500) |
$1,807.08 |
$1,807.08 |
6.1× |
| Treat Humerus Fracture (24505) |
$1,897.43 |
$1,897.43 |
1.0× |
| Treat humerus fracture (23600) |
$1,807.08 |
$1,807.08 |
6.1× |
| Treat knee fracture (27532) |
$3,558.87 |
$3,558.87 |
0.9× |
| Treat Knuckle Dislocation (26700) |
$517.66 |
$517.66 |
1.8× |
| Treat Metatarsal Fracture (28475) |
$493.01 |
$493.01 |
1.7× |
| Treat Thumb Dislocation (26641) |
$493.01 |
$493.01 |
1.7× |
| Treat Thumb Fracture (26645) |
$1,807.08 |
$1,807.08 |
0.9× |
| Treat toe dislocation (28630) |
$493.01 |
$493.01 |
1.7× |
| Treat Vaginal Bleeding (57180) |
$491.47 |
$491.47 |
2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$4,367.96 |
$4,367.96 |
2.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,897.43 |
$1,897.43 |
6.4× |
| Trim skin lesion (11055) |
$268.27 |
$268.27 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$253.66 |
$253.66 |
1.1× |
| Trimming Nondystrophic Nails Any Number (11719) |
$253.66 |
$253.66 |
3.6× |
| Tx Gastro Intub W/Asp (43753) |
$491.47 |
$491.47 |
1.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,409.39 |
$6,409.39 |
1.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$6,409.39 |
$6,409.39 |
1.7× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$5,024.83 |
$5,024.83 |
2.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$4,586.36 |
$4,586.36 |
2.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,163.63 |
$1,163.63 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,108.70 |
$1,108.70 |
2.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$491.47 |
$491.47 |
1.7× |
| Unlisted procedure anus (46999) |
$1,386.32 |
$1,386.32 |
1.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$399.03 |
$399.03 |
2.0× |
| Unlisted procedure colon (45399) |
$2,138.69 |
$2,138.69 |
1.9× |
| Unlisted Procedure Hands/Fingers (26989) |
$491.47 |
$491.47 |
1.7× |
| Unlisted Procedure Intestine (44799) |
$7,354.73 |
$7,354.73 |
6.8× |
| Unlisted procedure lungs and pleura (32999) |
$1,359.24 |
$1,359.24 |
1.8× |
| Unlisted Procedure Male Genital System (55899) |
$581.65 |
$581.65 |
1.9× |
| Unlisted Procedure Muscskeletal System General (20999) |
$6,409.39 |
$6,409.39 |
21.7× |
| Unlisted procedure nervous system (64999) |
$1,164.14 |
$1,164.14 |
3.2× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$1,201.18 |
$1,201.18 |
4.2× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$491.47 |
$491.47 |
1.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$3,758.32 |
$3,758.32 |
5.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$7,354.73 |
$7,354.73 |
6.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$491.47 |
$491.47 |
2.0× |
| Vaginal delivery only (59409) |
$6,980.92 |
$6,980.92 |
1.8× |
| Venous Cutdown >1 Y/O (36425) |
$614.95 |
$614.95 |
1.1× |
| Wedge excision skin nail fold (11765) |
$516.04 |
$516.04 |
1.1× |
| Windowing of cast (29730) |
$399.03 |
$399.03 |
2.0× |
| Wound Prep F/N/Hf/G (15004) |
$1,221.81 |
$1,221.81 |
2.5× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$14,271.42 |
$14,271.42 |
2.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$2,487.98 |
$2,487.98 |
1.3× |