| Abd paracentesis w/imaging (49083) |
$1,570 |
$1,570 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$496.31 |
$496.31 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$445.32 |
$445.32 |
2.9× |
| Application finger splint static (29130) |
$169.80 |
$169.80 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$243.56 |
$243.56 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$147.23 |
$147.23 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$169.80 |
$169.80 |
1.3× |
| Application short leg splint calf foot (29515) |
$169.80 |
$169.80 |
1.1× |
| Arterial puncture (36600) |
$349.47 |
$349.47 |
2.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$319.47 |
$319.47 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$214.91 |
$214.91 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,115.53 |
$1,115.53 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$942 |
$942 |
0.6× |
| Biopsy Salivary Gland,Needle (42400) |
$942 |
$942 |
1.4× |
| Bladder Scan (51798) |
$154.36 |
$154.36 |
2.7× |
| Blood patch (62273) |
$1,203.98 |
$1,203.98 |
1.8× |
| Blood transfusion service (36430) |
$223.24 |
$223.24 |
0.5× |
| Bone marrow aspiration only (38220) |
$1,800 |
$1,800 |
1.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$942 |
$942 |
0.6× |
| Bx breast 1st lesion strtctc (19081) |
$5,045.16 |
$5,045.16 |
3.2× |
| Bx breast 1st lesion us imag (19083) |
$2,622.43 |
$2,622.43 |
1.7× |
| Bx/exc lymph node needle superficial (38505) |
$942 |
$942 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$129.43 |
$129.43 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$322.96 |
$322.96 |
1.4× |
| Chest tube placement (32551) |
$1,085.44 |
$1,085.44 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$357.40 |
$357.40 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$357.40 |
$357.40 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$214.91 |
$214.91 |
0.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$357.40 |
$357.40 |
0.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$357.40 |
$357.40 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$214.91 |
$214.91 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$357.40 |
$357.40 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$357.40 |
$357.40 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$357.40 |
$357.40 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$357.40 |
$357.40 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$357.40 |
$357.40 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$214.91 |
$214.91 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$214.91 |
$214.91 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$357.40 |
$357.40 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$357.40 |
$357.40 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$214.91 |
$214.91 |
0.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$357.40 |
$357.40 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$214.91 |
$214.91 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$357.40 |
$357.40 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$899.40 |
$899.40 |
4.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$269.54 |
$269.54 |
2.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,931 |
$3,931 |
2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$727.96 |
$727.96 |
1.9× |
| Declot vascular device (36593) |
$440.80 |
$440.80 |
1.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$586 |
$586 |
0.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$236.28 |
$236.28 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$236.28 |
$236.28 |
1.2× |
| Drainage of gum lesion (41800) |
$400.14 |
$400.14 |
3.1× |
| Drainage of scrotal wall abscess (55100) |
$682.73 |
$682.73 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$149.61 |
$149.61 |
0.8× |
| Dx bone marrow bx & aspir (38222) |
$1,800 |
$1,800 |
0.6× |
| Excision of nail fold toe (11765) |
$149.61 |
$149.61 |
0.4× |
| Fetal non-stress test (59025) |
$260.20 |
$260.20 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,016.76 |
$1,016.76 |
1.5× |
| Fluoro exam of g/colon tube (49465) |
$174.89 |
$174.89 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$190.10 |
$190.10 |
0.9× |
| I&D Abscess Peritonsillar (42700) |
$564 |
$564 |
2.5× |
| I&d abscess simple (10060) |
$157.08 |
$157.08 |
0.8× |
| I&d perianal abscess superficial (46050) |
$2,557.57 |
$2,557.57 |
2.9× |
| I&d pilonidal cyst simple (10080) |
$149.61 |
$149.61 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$2,438.10 |
$2,438.10 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$187.01 |
$187.01 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$149.61 |
$149.61 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$273.34 |
$273.34 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$214.91 |
$214.91 |
0.7× |
| Incision of rectal abscess (46040) |
$1,030.63 |
$1,030.63 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$419.14 |
$419.14 |
1.8× |
| Initial tx 1st degree burn local tx (16000) |
$149.61 |
$149.61 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$356.20 |
$356.20 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$616.25 |
$616.25 |
0.9× |
| Injection for identification of sentinel node (38792) |
$255.94 |
$255.94 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$423.89 |
$423.89 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$157.08 |
$157.08 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$486.22 |
$486.22 |
0.2× |
| Insert picc cath (36569) |
$1,470.06 |
$1,470.06 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$84.79 |
$84.79 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$168.30 |
$168.30 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,427.32 |
$3,427.32 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,625 |
$9,625 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$373.50 |
$373.50 |
1.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$442.96 |
$442.96 |
2.3× |
| Lithotripsy (50590) |
$6,955.50 |
$6,955.50 |
2.1× |
| Liver Biopsy (47000) |
$1,299.87 |
$1,299.87 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$1,508.72 |
$1,508.72 |
2.2× |
| Perq device breast 1st imag (19281) |
$1,508.72 |
$1,508.72 |
1.0× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,775 |
$2,775 |
1.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$436.81 |
$436.81 |
1.8× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$3,412 |
$3,412 |
2.6× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,507 |
$1,507 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$540.80 |
$540.80 |
1.4× |
| Puncture Aspiration (10160) |
$226.64 |
$226.64 |
0.6× |
| Removal fb intranasal (30300) |
$149.61 |
$149.61 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$224.41 |
$224.41 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$189.85 |
$189.85 |
1.5× |
| Renal biopsy (50200) |
$1,415 |
$1,415 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$357.40 |
$357.40 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$149.61 |
$149.61 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$149.61 |
$149.61 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$214.91 |
$214.91 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$214.91 |
$214.91 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$149.61 |
$149.61 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$149.61 |
$149.61 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$214.91 |
$214.91 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$149.61 |
$149.61 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$149.61 |
$149.61 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$214.91 |
$214.91 |
0.6× |
| Reposition gastrostomy tube (43761) |
$1,409.39 |
$1,409.39 |
5.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$260.33 |
$260.33 |
2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$214.91 |
$214.91 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$149.61 |
$149.61 |
0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$149.61 |
$149.61 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$214.91 |
$214.91 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$149.61 |
$149.61 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$225.66 |
$225.66 |
1.2× |
| Skin sub graft trnk/arm/leg (15271) |
$853.46 |
$853.46 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$149.61 |
$149.61 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$214.91 |
$214.91 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$357.40 |
$357.40 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$586 |
$586 |
0.9× |
| Strapping shoulder (29240) |
$214.91 |
$214.91 |
1.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,086 |
$1,086 |
1.8× |
| Thrombolytic Therapy, Stroke (37195) |
$372.83 |
$372.83 |
1.2× |
| Thyroid biopsy (60100) |
$1,128.75 |
$1,128.75 |
1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$737.35 |
$737.35 |
1.0× |
| Venipuncture (36415) |
$26.94 |
$26.94 |
2.9× |