| Abd paracentesis w/imaging (49083) |
$838 |
$3,352 |
0.9× |
| Application finger splint static (29130) |
$181.75 |
$727 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$181.75 |
$727 |
1.3× |
| Apply long leg splint (29505) |
$181.75 |
$727 |
1.1× |
| Apply short leg splint (29515) |
$181.75 |
$727 |
1.1× |
| Arterial puncture (36600) |
$85.75 |
$343 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$86.06 |
$344.25 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$575 |
$2,300 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$603 |
$2,412 |
1.9× |
| Aspirate pleura w/ imaging (32555) |
$575.25 |
$2,301 |
0.9× |
| Aspiration and/or injection thyroid cyst (60300) |
$282.25 |
$1,129 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$94.50 |
$378 |
0.5× |
| Biopsy bone trocar/needle deep (20225) |
$1,113 |
$4,452 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$816.75 |
$3,267 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$791.75 |
$3,167 |
0.5× |
| Bladder Irrigation Simple (51700) |
$101.36 |
$405.45 |
0.4× |
| Blood patch (62273) |
$229.50 |
$918 |
0.3× |
| Blood transfusion service (36430) |
$369.25 |
$1,477 |
0.8× |
| Bone marrow aspiration only (38220) |
$1,078 |
$4,312 |
0.6× |
| Bone Marrow Biopsy (38221) |
$1,078 |
$4,312 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$868.75 |
$3,475 |
0.5× |
| Bx breast 1st lesion mr imag (19085) |
$1,997.25 |
$7,989 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$4,150.25 |
$16,601 |
2.4× |
| Bx breast 1st lesion us imag (19083) |
$1,879.50 |
$7,518 |
1.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,194.75 |
$4,779 |
0.7× |
| Change of cystostomy tube simple (51705) |
$187.50 |
$750 |
0.7× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$336.75 |
$1,347 |
1.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$418.50 |
$1,674 |
1.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$418.50 |
$1,674 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$418.50 |
$1,674 |
1.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$248.75 |
$995 |
0.2× |
| Closed Rx Radial Shaft Fx (25500) |
$336.75 |
$1,347 |
1.3× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$336.75 |
$1,347 |
0.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$234.25 |
$937 |
0.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$309.50 |
$1,238 |
1.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$418.50 |
$1,674 |
1.6× |
| Closed Treat Vert Body Fract (22310) |
$309.50 |
$1,238 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$248.75 |
$995 |
0.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$234.25 |
$937 |
0.1× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$248.75 |
$995 |
0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$336.75 |
$1,347 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$336.75 |
$1,347 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$173.25 |
$693 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$248.75 |
$995 |
0.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$248.75 |
$995 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$336.75 |
$1,347 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$234.25 |
$937 |
0.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$336.75 |
$1,347 |
0.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$336.75 |
$1,347 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$336.75 |
$1,347 |
0.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$248.75 |
$995 |
0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$134.50 |
$538 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$336.75 |
$1,347 |
0.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$336.75 |
$1,347 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$237.25 |
$949 |
0.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$227.50 |
$910 |
0.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$418.50 |
$1,674 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$336.75 |
$1,347 |
0.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$336.75 |
$1,347 |
1.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$336.75 |
$1,347 |
0.2× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$418.50 |
$1,674 |
0.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$309.50 |
$1,238 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$309.50 |
$1,238 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$336.75 |
$1,347 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$336.75 |
$1,347 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$336.75 |
$1,347 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$336.75 |
$1,347 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$418.50 |
$1,674 |
0.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$418.50 |
$1,674 |
1.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$418.50 |
$1,674 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$248.75 |
$995 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$248.75 |
$995 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$248.75 |
$995 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$248.75 |
$995 |
0.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$418.50 |
$1,674 |
0.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$418.50 |
$1,674 |
0.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$118.75 |
$475 |
0.5× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$248.75 |
$995 |
0.1× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$248.75 |
$995 |
1.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$248.75 |
$995 |
0.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$336.75 |
$1,347 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$336.75 |
$1,347 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,330.75 |
$5,323 |
5.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$418.50 |
$1,674 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$234.25 |
$937 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$418.50 |
$1,674 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$418.50 |
$1,674 |
0.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$418.50 |
$1,674 |
1.6× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$309.50 |
$1,238 |
0.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$248.75 |
$995 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$60.38 |
$241.50 |
0.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$646.25 |
$2,585 |
2.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$325.25 |
$1,301 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$325.25 |
$1,301 |
2.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,669.75 |
$6,679 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$325.25 |
$1,301 |
2.3× |
| Cystourethroscopy (52000) |
$358.50 |
$1,434 |
0.5× |
| Debride tissue/muscle (11043) |
$731.75 |
$2,927 |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$571.75 |
$2,287 |
1.3× |
| Declot vascular device (36593) |
$268.50 |
$1,074 |
0.8× |
| Draw blood off venous device (36591) |
$60.50 |
$242 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$163 |
$652 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$163 |
$652 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$163 |
$652 |
0.8× |
| Dx bone marrow bx & aspir (38222) |
$1,537.50 |
$6,150 |
0.5× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$3,312.25 |
$13,249 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$64 |
$256 |
0.5× |
| Exchange nephrostomy cath (50435) |
$867 |
$3,468 |
0.4× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$996.75 |
$3,987 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$570 |
$2,280 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,187.75 |
$4,751 |
1.6× |
| Fna bx w/fluor gdn 1st les (10007) |
$996.75 |
$3,987 |
1.3× |
| I&d abscess simple (10060) |
$158.50 |
$634 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,206 |
$4,824 |
0.7× |
| Image Cath Fluid Peri/Retro (49406) |
$1,206 |
$4,824 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$243.25 |
$973 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$81.25 |
$325 |
0.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$60.25 |
$241 |
0.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$54 |
$216 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$26 |
$104 |
0.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$292 |
$1,168 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$292 |
$1,168 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$292 |
$1,168 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$292 |
$1,168 |
0.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$292 |
$1,168 |
0.4× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$292 |
$1,168 |
0.4× |
| Injection aa&/strd pudendal nerve (64430) |
$292 |
$1,168 |
0.3× |
| Injection anesthetic agent femoral nerve single (64447) |
$292 |
$1,168 |
0.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$292 |
$1,168 |
0.4× |
| Injection for identification of sentinel node (38792) |
$197.75 |
$791 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$216 |
$864 |
0.7× |
| Ins cath ren art 1st bilat (36252) |
$2,955.79 |
$11,823.15 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$2,303.75 |
$9,215 |
0.7× |
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure |
$2,419.88 |
$9,679.50 |
0.4× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$6,753.50 |
$27,014 |
0.6× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$9,948.25 |
$39,793 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$315 |
$1,260 |
2.3× |
Insert heart pm atrial (33206)
unusually low: confirm this is the full procedure |
$3,964.25 |
$15,857 |
0.4× |
Insert heart pm ventricular (33207)
unusually low: confirm this is the full procedure |
$3,964.25 |
$15,857 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$632.12 |
$2,528.50 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$839 |
$3,356 |
0.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$156 |
$624 |
0.1× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$5,217.50 |
$20,870 |
0.5× |
| Insert pulse gen sngl lead (33212) |
$5,217.50 |
$20,870 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$38 |
$152 |
0.3× |
| Insert tunneled cv cath (36561) |
$1,076.50 |
$4,306 |
0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$18.75 |
$75 |
0.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$971.75 |
$3,887 |
1.5× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$2,262 |
$9,048 |
0.3× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$4,798.25 |
$19,193 |
0.6× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,798.25 |
$19,193 |
0.6× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure |
$4,798.25 |
$19,193 |
0.4× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$971.75 |
$3,887 |
0.6× |
Insj/rplcmt defib w/lead(s) (33249)
unusually low: confirm this is the full procedure |
$9,948.25 |
$39,793 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$2,074.50 |
$8,298 |
0.2× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
| Intro cath dialysis circuit (36901) |
$1,511.25 |
$6,045 |
0.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$2,972 |
$11,888 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$227.41 |
$909.65 |
0.9× |
| Laryngoscopy Direct Aspiration (31515) |
$249.50 |
$998 |
0.6× |
| Liver Biopsy (47000) |
$846.75 |
$3,387 |
0.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$292 |
$1,168 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$27.75 |
$111 |
0.1× |
| Njx aa&/strd sciatic nerve (64445) |
$292 |
$1,168 |
0.4× |
| Occipital Nerve Block (64405) |
$292 |
$1,168 |
0.9× |
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure |
$2,255.75 |
$9,023 |
0.2× |
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure |
$2,255.75 |
$9,023 |
0.2× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$3,751.50 |
$15,006 |
0.3× |
| Pericardiocentesis W/Imaging (33016) |
$999.25 |
$3,997 |
0.6× |
| Perq dev breast 1st mr guide (19287) |
$468.25 |
$1,873 |
0.6× |
| Perq dev breast 1st strtctc (19283) |
$3,034 |
$12,136 |
4.1× |
| Perq dev breast 1st us imag (19285) |
$780 |
$3,120 |
1.1× |
| Perq device breast 1st imag (19281) |
$1,946.75 |
$7,787 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$141.75 |
$567 |
0.5× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
likely a partial charge, not the full procedure |
$3,808.75 |
$15,235 |
0.2× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$3,348.80 |
$13,395.20 |
0.3× |
| Picc line placement (36569) |
$971.75 |
$3,887 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$42.50 |
$170 |
0.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$590.75 |
$2,363 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$1,089.25 |
$4,357 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$280.50 |
$1,122 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$83.75 |
$335 |
0.2× |
| Relocation of skin pocket for pacemaker (33222) |
$3,312.25 |
$13,249 |
1.5× |
| Removal foreign body intranasal (30300) |
$30 |
$120 |
0.2× |
| Removal foreign body pharynx (42809) |
$50.25 |
$201 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$107.75 |
$431 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$107.75 |
$431 |
1.7× |
| Removal of nail bed (11750) |
$87 |
$348 |
0.2× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$2,951 |
$11,804 |
0.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,029.50 |
$8,118 |
2.7× |
| Remove pulse generator (33241) |
$2,951 |
$11,804 |
0.8× |
| Remove renal tube w/fluoro (50389) |
$585.50 |
$2,342 |
0.8× |
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure |
$2,532.75 |
$10,131 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$59 |
$236 |
0.4× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$2,835.25 |
$11,341 |
0.3× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$5,217.50 |
$20,870 |
0.3× |
| Renal Biopsy Percutaneous (50200) |
$586.25 |
$2,345 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$246 |
$984 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$246 |
$984 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$246 |
$984 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$246 |
$984 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$246 |
$984 |
0.6× |
| Repair Eyelid Wound (67935) |
$246 |
$984 |
0.1× |
| Repair eyelid wound (67930) |
$214 |
$856 |
0.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$130 |
$520 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$130 |
$520 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$130 |
$520 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$130 |
$520 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$130 |
$520 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$129.95 |
$519.80 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$130 |
$520 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$130 |
$520 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$130 |
$520 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$130 |
$520 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$130 |
$520 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$130 |
$520 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$130 |
$520 |
0.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$130 |
$520 |
0.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$130 |
$520 |
0.3× |
| Repair lead pace-defib one (33218) |
$4,705.50 |
$18,822 |
1.2× |
| Repair tongue laceration (41252) |
$182 |
$728 |
0.7× |
| Repair Tongue Laceration (41250) |
$182 |
$728 |
0.4× |
| Reposition cv cath w/fluoro (36597) |
$706.75 |
$2,827 |
0.4× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$11,705.43 |
$46,821.72 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$107 |
$428 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,705.50 |
$18,822 |
1.2× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,705.50 |
$18,822 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$878.75 |
$3,515 |
1.3× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,705.50 |
$18,822 |
1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$182 |
$728 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$96 |
$384 |
0.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$96 |
$384 |
0.2× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$4,705.50 |
$18,822 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$130 |
$520 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$130 |
$520 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$130 |
$520 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$130 |
$520 |
0.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$130 |
$520 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$130 |
$520 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$130 |
$520 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$130 |
$520 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$130 |
$520 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$130 |
$520 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$130 |
$520 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$612.50 |
$2,450 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$481.25 |
$1,925 |
0.7× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
unusually low: confirm this is the full procedure |
$6,753.50 |
$27,014 |
0.3× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,022 |
$4,088 |
0.6× |
| Ther Apheresis,Platelets (36513) |
$291 |
$1,164 |
0.6× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,090.75 |
$4,363 |
0.7× |
| Ther Apheresis,White Blood Cells (36511) |
$1,090.75 |
$4,363 |
0.7× |
| Thyroid biopsy (60100) |
$758.50 |
$3,034 |
1.0× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$912 |
$3,648 |
0.2× |
| Treat clavicle fracture (23505) |
$418.50 |
$1,674 |
0.2× |
| Treat knee fracture (27532) |
$418.50 |
$1,674 |
0.1× |
| Treat shoulder blade fx (23575) |
$418.50 |
$1,674 |
0.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$336.75 |
$1,347 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$234.25 |
$937 |
0.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$3,301 |
$13,204 |
0.6× |
| Tube thoracostomy includes water seal (32551) |
$524.75 |
$2,099 |
0.3× |
| Upgrade of pacemaker system (33214) |
$6,753.50 |
$27,014 |
0.6× |
| Us urine capacity measure (51798) |
$93.08 |
$372.30 |
1.5× |
| Vaginal delivery only (59409) |
$516 |
$2,064 |
0.2× |
| Venipuncture (36415) |
$8.05 |
$32.20 |
0.9× |