| Abd paracentesis w/imaging (49083) |
$1,191.60 |
$2,979 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,034.80 |
$5,087 |
1.9× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$10,233.20 |
$25,583 |
0.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$11,069.40 |
$27,673.50 |
0.5× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$13,797.60 |
$34,494 |
1.1× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$12,791.60 |
$31,979 |
1.0× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$12,732.60 |
$31,831.50 |
1.5× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$8,400 |
$21,000 |
4.3× |
| Abltj 1/> lvr tum prq rf (47382) |
$10,908.80 |
$27,272 |
1.5× |
| Abrasion single lesion (15786) |
$259.20 |
$648 |
1.1× |
| Adding Walker Previously Applied Cast (29440) |
$474 |
$1,185 |
2.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$3,110.40 |
$7,776 |
1.3× |
| Amniocentesis diagnostic (59000) |
$672.40 |
$1,681 |
0.6× |
| Amniocentesis therapeutic (59001) |
$1,488.40 |
$3,721 |
4.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$5,232.80 |
$13,082 |
1.4× |
| Amputate metacarpal bone (26910) |
$7,010 |
$17,525 |
1.8× |
| Amputation Finger/Thumb (26951) |
$5,841.60 |
$14,604 |
1.5× |
| Amputation toe interphalangeal joint (28825) |
$4,826.80 |
$12,067 |
1.2× |
| Analyze spine infus pump (62367) |
$381.40 |
$953.50 |
1.1× |
| Anoscopy diagnostic (46600) |
$1,884.40 |
$4,711 |
12.0× |
| Anoscopy w/control bleeding (46614) |
$1,058.40 |
$2,646 |
0.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,016.80 |
$2,542 |
0.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$276 |
$690 |
1.4× |
| Application cast elbow finger short arm (29075) |
$483.60 |
$1,209 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$240 |
$600 |
0.7× |
| Application Cast Shoulder Spica (29055) |
$509.60 |
$1,274 |
1.5× |
| Application Finger Splint Dynamic (29131) |
$165.60 |
$414 |
2.4× |
| Application finger splint static (29130) |
$218.40 |
$546 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$819.60 |
$2,049 |
4.3× |
| Application Long Leg Cast Brace (29358) |
$474 |
$1,185 |
1.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$474 |
$1,185 |
1.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
$474 |
$1,185 |
1.4× |
| Application of long leg cast (29345) |
$474 |
$1,185 |
1.4× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$342.80 |
$857 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$523.60 |
$1,309 |
1.6× |
| Application Patellar Tendon Bearing Cast (29435) |
$474 |
$1,185 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$767.20 |
$1,918 |
4.9× |
| Application short arm splint forearm-hand static (29125) |
$527.40 |
$1,318.50 |
3.4× |
| Application, cast; figure-of-eight Facility (29049) |
$207.20 |
$518 |
0.6× |
| Apply Hand/Wrist Cast (29085) |
$207.20 |
$518 |
1.1× |
| Apply long leg splint (29505) |
$318 |
$795 |
1.7× |
| Apply short leg cast (29405) |
$461.60 |
$1,154 |
1.4× |
| Apply short leg cast (29425) |
$474 |
$1,185 |
1.4× |
| Apply short leg splint (29515) |
$302.40 |
$756 |
1.6× |
| Arterial puncture (36600) |
$145.20 |
$363 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$512.80 |
$1,282 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,054.80 |
$2,637 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$688.20 |
$1,720.50 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$532.20 |
$1,330.50 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$512.80 |
$1,282 |
1.4× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$27,127.50 |
$67,818.76 |
1.3× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$27,126.40 |
$67,816 |
1.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,147.40 |
$5,368.50 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$915.20 |
$2,288 |
1.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$572.20 |
$1,430.50 |
1.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$240 |
$600 |
0.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,970.60 |
$7,426.50 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$327.20 |
$818 |
1.4× |
Biliary Endoscopy Percut,Biopsy (47553)
likely a partial charge, not the full procedure |
$1,692.40 |
$4,231 |
0.2× |
Biliary endoscopy percut,dil strict (47555)
unusually low: confirm this is the full procedure |
$3,152.40 |
$7,881 |
0.4× |
Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554)
likely a partial charge, not the full procedure |
$1,622.40 |
$4,056 |
0.1× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure |
$4,759 |
$11,897.50 |
0.4× |
| Biopsy bone open superficial (20240) |
$5,147.60 |
$12,869 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$1,827.20 |
$4,568 |
0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,005.20 |
$2,513 |
0.5× |
| Biopsy muscle deep (20205) |
$3,629.60 |
$9,074 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$1,648 |
$4,120 |
0.8× |
| Biopsy Muscle Superficial (20200) |
$3,629.60 |
$9,074 |
1.9× |
| Biopsy of breast; open, incisional (19101) |
$446 |
$1,115 |
0.1× |
| Biopsy of penis (54105) |
$4,593.20 |
$11,483 |
1.3× |
| Biopsy of penis (54100) |
$2,557.20 |
$6,393 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,548.40 |
$13,871 |
1.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,218.40 |
$3,046 |
0.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,619.60 |
$6,549 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$2,500.80 |
$6,252 |
1.3× |
| Biopsy/removal lymph nodes (38525) |
$5,548.40 |
$13,871 |
1.2× |
| Bladder Irrigation Simple (51700) |
$399.60 |
$999 |
1.4× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,478.40 |
$6,196 |
1.3× |
| Blepharotomy drain absc eyelid (67700) |
$514 |
$1,285 |
1.4× |
| Blood patch (62273) |
$1,188.80 |
$2,972 |
1.4× |
| Blood transfusion service (36430) |
$658 |
$1,645 |
1.3× |
| Bone marrow aspiration only (38220) |
$2,818.40 |
$7,046 |
1.4× |
| Bone Marrow Biopsy (38221) |
$2,378.20 |
$5,945.50 |
1.2× |
| Breast surgery procedure (19499) |
$5,458.40 |
$13,646 |
1.2× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$2,984 |
$7,460 |
1.4× |
| Brnchsc Brushing/Protected Brushings (31623) |
$3,114.60 |
$7,786.50 |
1.5× |
| Brnchsc removal bronchial valve initial (31648) |
$5,971.20 |
$14,928 |
1.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$6,086.40 |
$15,216 |
1.4× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$6,086.40 |
$15,216 |
1.4× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$6,089.20 |
$15,223 |
1.4× |
| Bronch ebus samplng 1/2 node (31652) |
$5,500 |
$13,750 |
1.2× |
| Bronch ebus samplng 3/> node (31653) |
$5,033.40 |
$12,583.50 |
1.1× |
| Bronchial valve init insert (31647) |
$10,928 |
$27,320 |
1.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,049.20 |
$7,623 |
1.5× |
| Bronchoscopy Bronch Stents (31636) |
$10,758.80 |
$26,897 |
1.3× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$6,089.20 |
$15,223 |
1.4× |
| Bronchoscopy w/markers (31626) |
$8,886.20 |
$22,215.50 |
1.1× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$10,758.80 |
$26,897 |
1.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$3,049.20 |
$7,623 |
1.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$3,150 |
$7,875 |
1.5× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$3,019.60 |
$7,549 |
6.5× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$3,326.60 |
$8,316.50 |
1.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,827.20 |
$4,568 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$3,042 |
$7,605 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$3,614.80 |
$9,037 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$3,042 |
$7,605 |
1.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$127.60 |
$319 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,744 |
$4,360 |
0.9× |
| Canthoplasty (67950) |
$6,009.20 |
$15,023 |
2.1× |
| Casting/strapping procedure (29799) |
$294.80 |
$737 |
1.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$413.20 |
$1,033 |
1.6× |
| Cessj Therapy Cath Removal (37214) |
$2,427 |
$6,067.50 |
0.7× |
| Change Cystostomy Tube Complicated (51710) |
$1,062.80 |
$2,657 |
1.3× |
| Change of cystostomy tube simple (51705) |
$368.40 |
$921 |
1.2× |
| Change stent via transureth (50385) |
$3,820 |
$9,550 |
1.5× |
| Change Ureter Stent, Percut (50382) |
$2,947.60 |
$7,369 |
1.2× |
| Chemical cautery tissue (17250) |
$355.20 |
$888 |
1.5× |
| Chemodenerv musc migraine (64615) |
$671.60 |
$1,679 |
1.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$578.80 |
$1,447 |
1.6× |
| Chemodenerv trunk musc 6/> (64647) |
$1,170.40 |
$2,926 |
1.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$1,304 |
$3,260 |
1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$1,460.20 |
$3,650.50 |
4.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,358 |
$5,895 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$5,352 |
$13,380 |
1.3× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$368.40 |
$921 |
1.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$612.80 |
$1,532 |
2.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$638.40 |
$1,596 |
2.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,481.60 |
$3,704 |
5.1× |
| Closed Rx Radial Shaft Fx (25500) |
$813.20 |
$2,033 |
2.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$402 |
$1,005 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$638.40 |
$1,596 |
2.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$602 |
$1,505 |
2.1× |
| Closed treat wrist dislocation (25660) |
$458 |
$1,145 |
1.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$444.80 |
$1,112 |
1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$383.60 |
$959 |
1.3× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,794.80 |
$9,487 |
2.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$587.60 |
$1,469 |
2.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$766 |
$1,915 |
2.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$638.40 |
$1,596 |
2.2× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$444.80 |
$1,112 |
0.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$638.40 |
$1,596 |
2.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$587.60 |
$1,469 |
2.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,804 |
$4,510 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$602 |
$1,505 |
2.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$587.60 |
$1,469 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$813.20 |
$2,033 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$813.20 |
$2,033 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,164.80 |
$5,412 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$2,445.20 |
$6,113 |
8.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$384 |
$960 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,573.60 |
$6,434 |
1.4× |
| Closed tx femoral fracture prox head w manip (27268) |
$879.20 |
$2,198 |
0.5× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,924.40 |
$7,311 |
1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$766 |
$1,915 |
2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$638.40 |
$1,596 |
2.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,392 |
$5,980 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$501.60 |
$1,254 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$813.20 |
$2,033 |
2.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,924.40 |
$7,311 |
1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$677.60 |
$1,694 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,183.60 |
$5,459 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,924.40 |
$7,311 |
1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$483.20 |
$1,208 |
1.7× |
| Closed tx septal&nose fx (21337) |
$3,486 |
$8,715 |
0.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$587.60 |
$1,469 |
2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,088.40 |
$7,721 |
1.6× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$344.80 |
$862 |
1.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$2,848.40 |
$7,121 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$526 |
$1,315 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,583.80 |
$6,459.50 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$638.40 |
$1,596 |
2.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$766 |
$1,915 |
2.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$383.60 |
$959 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$483.20 |
$1,208 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,346.40 |
$8,366 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$522 |
$1,305 |
1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,007.60 |
$7,519 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,804 |
$4,510 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$501.60 |
$1,254 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$624 |
$1,560 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$602 |
$1,505 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$813.20 |
$2,033 |
2.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$674 |
$1,685 |
2.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$612.80 |
$1,532 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$813.20 |
$2,033 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,804 |
$4,510 |
0.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$4,899.60 |
$12,249 |
2.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$4,393.60 |
$10,984 |
2.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$383.60 |
$959 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$444.80 |
$1,112 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$510.80 |
$1,277 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$483.20 |
$1,208 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,594 |
$6,485 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,229.60 |
$5,574 |
7.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,509.20 |
$8,773 |
1.8× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$2,924.40 |
$7,311 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$564 |
$1,410 |
1.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$619.60 |
$1,549 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$510.80 |
$1,277 |
1.8× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$501.60 |
$1,254 |
1.7× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,164.80 |
$5,412 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$2,291.60 |
$5,729 |
7.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$677.60 |
$1,694 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,594.40 |
$6,486 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$580 |
$1,450 |
2.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,594 |
$6,485 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$444.80 |
$1,112 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$510.80 |
$1,277 |
1.8× |
| Cltx post ankle fx w/mnpj (27768) |
$3,044.40 |
$7,611 |
1.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,694 |
$9,235 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,229.60 |
$5,574 |
7.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,924.40 |
$7,311 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$638.40 |
$1,596 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,594 |
$6,485 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$813.20 |
$2,033 |
2.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,042.80 |
$5,107 |
1.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,038.80 |
$7,597 |
1.6× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$5,956.40 |
$14,891 |
1.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$624 |
$1,560 |
2.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,164.80 |
$5,412 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$602 |
$1,505 |
2.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$244.40 |
$611 |
1.6× |
| Colporrhaphy Suture Injury Vagina (57200) |
$3,401.20 |
$8,503 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$4,885.20 |
$12,213 |
19.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$445.60 |
$1,114 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$692.40 |
$1,731 |
4.4× |
| Conversion ext bil drg cath (47535) |
$6,694.40 |
$16,736 |
1.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,683 |
$6,707.50 |
1.2× |
| Convert nephrostomy catheter (50434) |
$1,648.60 |
$4,121.50 |
0.7× |
| Cordocentesis (59012) |
$613.20 |
$1,533 |
1.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,634.80 |
$6,587 |
1.4× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61790) |
$3,244 |
$8,110 |
1.4× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$5,548.40 |
$13,871 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$601.60 |
$1,504 |
3.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,394.40 |
$8,486 |
1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,120 |
$10,300 |
1.7× |
| Cystourethroscopy (52000) |
$1,071.60 |
$2,679 |
1.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,566.80 |
$8,917 |
1.4× |
| Cystourethroscopy with biopsy (52204) |
$4,120 |
$10,300 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$377.80 |
$944.50 |
0.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$764.80 |
$1,912 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$760 |
$1,900 |
0.9× |
| Debride nail 1-5 (11720) |
$183 |
$457.50 |
2.6× |
| Debride nail 6 or more (11721) |
$205.60 |
$514 |
3.0× |
| Debride skin musc at fx site (11011) |
$1,150.80 |
$2,877 |
1.4× |
| Debride tissue/muscle (11043) |
$1,096.80 |
$2,742 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,106.80 |
$2,767 |
2.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,726.80 |
$6,817 |
1.4× |
| Declot vascular device (36593) |
$2,084.80 |
$5,212 |
5.3× |
| Delivery placenta separate procedure (59414) |
$5,223.20 |
$13,058 |
1.4× |
| Destroy cerv/thor facet jnt (64633) |
$2,859.80 |
$7,149.50 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,791 |
$6,977.50 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,326.80 |
$3,317 |
1.3× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$3,726 |
$9,315 |
1.6× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$3,043 |
$7,607.50 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,329.20 |
$3,323 |
1.3× |
| Destruction Lesions Vulva Simple (56501) |
$2,396.40 |
$5,991 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,204 |
$8,010 |
1.4× |
| Destruction of skin lesions (17106) |
$365.60 |
$914 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$181.60 |
$454 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,082 |
$2,705 |
1.3× |
| Dilate urethra stricture (53600) |
$557.80 |
$1,394.50 |
1.9× |
| Dilation and curettage (58120) |
$4,620 |
$11,550 |
1.2× |
| Dilation esophagus over guide wire (43453) |
$280 |
$700 |
0.1× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$237.20 |
$593 |
1.5× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
$7,999.20 |
$19,998 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$480 |
$1,200 |
1.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$344 |
$860 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$692 |
$1,730 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$1,199.60 |
$2,999 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$749.60 |
$1,874 |
3.2× |
| Drainage of gum lesion (41800) |
$631.20 |
$1,578 |
4.0× |
| Drainage of hematoma/fluid (10140) |
$1,779.80 |
$4,449.50 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$3,120.40 |
$7,801 |
1.6× |
| Draw blood off venous device (36591) |
$217.20 |
$543 |
1.4× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$2,473.20 |
$6,183 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$536.60 |
$1,341.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$382 |
$955 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$440 |
$1,100 |
1.9× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$3,576.80 |
$8,942 |
1.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,591.80 |
$6,479.50 |
2.5× |
| Dx bone marrow bx & aspir (38222) |
$4,239 |
$10,597.50 |
1.2× |
| Dx gastr intub w/asp spec (43754) |
$287.20 |
$718 |
1.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,293.60 |
$3,234 |
0.6× |
| Egd flexible foreign body removal (43247) |
$3,273.20 |
$8,183 |
3.1× |
| Egd place gastrostomy tube (43246) |
$3,271 |
$8,177.50 |
1.4× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$603.80 |
$1,509.50 |
1.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$434.80 |
$1,087 |
1.2× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$8,213.60 |
$20,534 |
1.2× |
| EMG anal/urethral sphincter (51785) |
$716.80 |
$1,792 |
2.4× |
Endovasc Temp Balloon Occlus,Head/Nck (61623)
likely a partial charge, not the full procedure |
$2,677.60 |
$6,694 |
0.2× |
| Endovenous laser, 1st vein (36478) |
$10,849.20 |
$27,123 |
2.9× |
| Endovenous rf 1st vein (36475) |
$4,945.60 |
$12,364 |
1.3× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$3,795.60 |
$9,489 |
1.6× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$3,038.40 |
$7,596 |
1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$3,038.40 |
$7,596 |
1.2× |
| Epidural lysis mult sessions (62263) |
$3,264.40 |
$8,161 |
3.1× |
| Epidural lysis on single day (62264) |
$2,987.80 |
$7,469.50 |
2.9× |
| Episiotomy or vaginal repair (59300) |
$5,781.60 |
$14,454 |
1.5× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$690.80 |
$1,727 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$645.60 |
$1,614 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$222.60 |
$556.50 |
1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,047.40 |
$2,618.50 |
1.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,680 |
$4,200 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,629.60 |
$9,074 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$3,629.60 |
$9,074 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$1,010.80 |
$2,527 |
1.2× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$5,444.40 |
$13,611 |
1.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,381.40 |
$3,453.50 |
1.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,094.20 |
$2,735.50 |
2.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,680 |
$4,200 |
2.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$4,738.40 |
$11,846 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,629.20 |
$9,073 |
1.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$4,068.80 |
$10,172 |
2.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,629.20 |
$9,073 |
1.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$5,878.20 |
$14,695.50 |
1.4× |
| Exchange nephrostomy cath (50435) |
$1,807 |
$4,517.50 |
0.7× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,608.20 |
$4,020.50 |
0.7× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$5,119.80 |
$12,799.50 |
1.5× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$4,874.80 |
$12,187 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,602 |
$6,505 |
1.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,557.20 |
$6,393 |
1.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$5,283.20 |
$13,208 |
1.6× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,680 |
$4,200 |
0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$4,806.60 |
$12,016.50 |
1.4× |
| Excision of single external papilla or tag, anus (46220) |
$2,008.80 |
$5,022 |
1.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,260 |
$8,150 |
2.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,738.40 |
$11,846 |
1.4× |
| Excision tendon finger flexor/extensor each (26180) |
$2,108.80 |
$5,272 |
1.1× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$5,533.60 |
$13,834 |
1.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$4,321.20 |
$10,803 |
1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,175.20 |
$10,438 |
1.7× |
| Explo/Drain Breast Abscess (19020) |
$1,732.80 |
$4,332 |
0.9× |
| Exploration penetrating wound spx chest (20101) |
$3,846.20 |
$9,615.50 |
1.6× |
| Exploration penetrating wound spx extremity (20103) |
$898.80 |
$2,247 |
0.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$845 |
$2,112.50 |
1.3× |
| External cephalic version (59412) |
$6,284 |
$15,710 |
1.6× |
| Fetal contraction stress test (59020) |
$360.80 |
$902 |
1.5× |
| Fetal non-stress test (59025) |
$501.80 |
$1,254.50 |
2.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,469.20 |
$3,673 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,021.60 |
$2,554 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$643.60 |
$1,609 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$310.40 |
$776 |
1.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,187.20 |
$2,968 |
1.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$287.20 |
$718 |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,173.20 |
$2,933 |
1.4× |
| I&D Abscess Peritonsillar (42700) |
$631.20 |
$1,578 |
2.3× |
| I&d abscess simple (10060) |
$587 |
$1,467.50 |
2.5× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$6,630.40 |
$16,576 |
3.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,169.20 |
$12,923 |
1.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,269.20 |
$10,673 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,784.40 |
$9,461 |
1.5× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$5,037.60 |
$12,594 |
1.3× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,057.20 |
$7,643 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$974.80 |
$2,437 |
1.2× |
| I&d submucosal abscess rectum (45005) |
$2,182 |
$5,455 |
1.5× |
| I&d vulva/perineal abscess (56405) |
$693.20 |
$1,733 |
1.9× |
| Image Cath Fluid Colxn Visc (49405) |
$1,831.60 |
$4,579 |
0.9× |
| Image Cath Fluid Peri/Retro (49406) |
$1,940.40 |
$4,851 |
1.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$4,051.20 |
$10,128 |
2.1× |
| Implant neuroelectrodes (63650) |
$11,145.20 |
$27,863 |
1.5× |
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
unusually low: confirm this is the full procedure |
$9,693.40 |
$24,233.50 |
0.5× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$8,551 |
$21,377.50 |
0.8× |
| Incise external hemorrhoid (46083) |
$830.40 |
$2,076 |
2.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$595.20 |
$1,488 |
1.2× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,670 |
$4,175 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,146.20 |
$2,865.50 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,473.40 |
$6,183.50 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$753.20 |
$1,883 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$615.20 |
$1,538 |
2.6× |
| Incision and drainage perianal abscess superficial (46050) |
$1,696.20 |
$4,240.50 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$4,414.40 |
$11,036 |
1.3× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$3,039.60 |
$7,599 |
0.9× |
| Incision of eardrum (69420) |
$504.40 |
$1,261 |
1.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,622.40 |
$6,556 |
1.4× |
| Incision of rectal abscess (46045) |
$4,368.80 |
$10,922 |
1.3× |
| Incision of rectal abscess (46040) |
$1,760.20 |
$4,400.50 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$620.80 |
$1,552 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$380.60 |
$951.50 |
1.6× |
| Inj neurolytic subarachnoid (62280) |
$1,199.60 |
$2,999 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,156.40 |
$5,391 |
2.1× |
| Inj tendon sheath/ligament (20550) |
$514 |
$1,285 |
1.4× |
| Inj therapeutic carpal tunnel (20526) |
$556.80 |
$1,392 |
1.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,075.20 |
$5,188 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,856.60 |
$4,641.50 |
1.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,541.60 |
$3,854 |
1.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$996.80 |
$2,492 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,591.40 |
$3,978.50 |
1.5× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,859.20 |
$4,648 |
1.8× |
| Inject Tendon Origin/Insert (20551) |
$400.20 |
$1,000.50 |
1.1× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,798.40 |
$4,496 |
1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,165.20 |
$2,913 |
1.4× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,874.40 |
$4,686 |
1.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,126.40 |
$2,816 |
1.4× |
| Injection aa&/strd pudendal nerve (64430) |
$1,538 |
$3,845 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$486.80 |
$1,217 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$551.60 |
$1,379 |
1.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,520.80 |
$3,802 |
1.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,270.80 |
$3,177 |
1.5× |
| Injection for identification of sentinel node (38792) |
$467.60 |
$1,169 |
1.0× |
| Injection into skin lesions (11900) |
$192.80 |
$482 |
0.8× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$812.40 |
$2,031 |
1.1× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$710 |
$1,775 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$608.80 |
$1,522 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$520.20 |
$1,300.50 |
1.4× |
| Injection treatment of nerve (64681) |
$1,326.80 |
$3,317 |
1.3× |
| Injection(s) spider veins (36468) |
$386.40 |
$966 |
0.8× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$2,269.60 |
$5,674 |
2.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,329.20 |
$3,323 |
1.3× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,496.40 |
$3,741 |
1.4× |
| Ins cath ren art 1st bilat (36252) |
$4,070.40 |
$10,176 |
1.1× |
| Ins cath ren art 1st unilat (36251) |
$3,895.20 |
$9,738 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$1,428.40 |
$3,571 |
0.4× |
Ins cath ren art 2nd+ unilat (36253)
likely a partial charge, not the full procedure |
$866.40 |
$2,166 |
0.1× |
| Ins endovas vena cava filtr (37191) |
$6,117.20 |
$15,293 |
0.9× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208)
unusually low: confirm this is the full procedure |
$6,020 |
$15,050 |
0.5× |
| Ins Vag Brachytx Device (57156) |
$580.80 |
$1,452 |
1.6× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$12,538.40 |
$31,346 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$317.60 |
$794 |
2.1× |
| Insert cath pleura w/ image (32557) |
$1,235 |
$3,087.50 |
0.7× |
| Insert cath pleura w/o image (32556) |
$3,631.20 |
$9,078 |
1.6× |
| Insert cervical dilator (59200) |
$628 |
$1,570 |
1.7× |
| Insert Drug Implant Device (11981) |
$620.80 |
$1,552 |
3.9× |
| Insert gastrostomy tube percutaneous (49440) |
$2,072.80 |
$5,182 |
0.9× |
Insert heart pm atrial (33206)
likely a partial charge, not the full procedure |
$3,513.60 |
$8,784 |
0.3× |
| Insert heart pm ventricular (33207) |
$8,146.40 |
$20,366 |
0.7× |
| Insert hepatic shunt (tips) (37182) |
$17,301.60 |
$43,254 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$2,367.20 |
$5,918 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,937.80 |
$9,844.50 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,271.20 |
$3,178 |
0.7× |
| Insert pulse gen dual leads (33213) |
$7,188.80 |
$17,972 |
0.6× |
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure |
$8,986 |
$22,465 |
0.4× |
| Insert pulse gen sngl lead (33212) |
$6,077.60 |
$15,194 |
0.6× |
Insert spine infusion device (62360)
unusually low: confirm this is the full procedure |
$6,409 |
$16,022.50 |
0.3× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$4,028.40 |
$10,071 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$205.80 |
$514.50 |
1.3× |
| Insert tun ip cath perc (49418) |
$5,704.40 |
$14,261 |
1.3× |
| Insert tunneled cv cath (36561) |
$6,565.60 |
$16,414 |
1.8× |
| Insert Tunneled Cv Cath With Pump (36563) |
$8,540.40 |
$21,351 |
1.3× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$4,456 |
$11,140 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$306.80 |
$767 |
2.0× |
Insert/ replace infusn pump,programmable (62362)
unusually low: confirm this is the full procedure |
$7,603.60 |
$19,009 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,787.80 |
$14,469.50 |
1.4× |
| Insertion of Heyman capsules for clinical brachytherapy Facility (58346) |
$4,620 |
$11,550 |
0.8× |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) |
$5,496 |
$13,740 |
0.8× |
| Insertion phrenic nerve stimulator system (33276) |
$83,377.20 |
$208,443 |
1.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,271.20 |
$3,178 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$15,454.80 |
$38,637 |
1.6× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$6,783.60 |
$16,959 |
1.1× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$6,817.20 |
$17,043 |
0.3× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$6,566.80 |
$16,417 |
0.7× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
likely a partial charge, not the full procedure |
$2,431.20 |
$6,078 |
0.2× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure |
$5,355.20 |
$13,388 |
0.4× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$4,553.20 |
$11,383 |
0.2× |
| Insj picc rs&i 5 yr+ (36573) |
$2,242.40 |
$5,606 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,731.60 |
$16,829 |
1.8× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$7,880.40 |
$19,701 |
2.1× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$40,004 |
$100,010 |
2.6× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$6,852.40 |
$17,131 |
1.8× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$7,880.40 |
$19,701 |
1.2× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$8,567.20 |
$21,418 |
2.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,556.40 |
$11,391 |
1.2× |
| Insj/rplcmt defib w/lead(s) (33249) |
$19,012.40 |
$47,531 |
0.5× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$2,553.20 |
$6,383 |
0.3× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$2,491.20 |
$6,228 |
0.3× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$4,935.20 |
$12,338 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$4,935.20 |
$12,338 |
0.1× |
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure |
$6,351.60 |
$15,879 |
0.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,455.20 |
$8,638 |
2.1× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$526 |
$1,315 |
1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,891.40 |
$12,228.50 |
1.2× |
| Intro cath dialysis circuit (36901) |
$2,486.80 |
$6,217 |
1.3× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$24,414.40 |
$61,036 |
1.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$12,079.60 |
$30,199 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$67.60 |
$169 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$1,056.60 |
$2,641.50 |
3.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$532.40 |
$1,331 |
1.8× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655)
unusually low: confirm this is the full procedure |
$11,361.60 |
$28,404 |
0.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$11,436.40 |
$28,591 |
1.3× |
| Laryngoscopy diagnostic (31505) |
$362.40 |
$906 |
1.5× |
| Laryngoscopy Direct Aspiration (31515) |
$3,954 |
$9,885 |
8.6× |
| Laryngoscopy flexible diagnostic (31575) |
$498 |
$1,245 |
2.1× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,820 |
$9,550 |
1.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,117.20 |
$2,793 |
2.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,036.40 |
$2,591 |
2.2× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$342.80 |
$857 |
1.5× |
| Laryngoscopy w/biopsy (31535) |
$5,617.60 |
$14,044 |
1.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,659.20 |
$9,148 |
1.7× |
| Late closure of wound (13160) |
$4,782.40 |
$11,956 |
1.1× |
| Ligation of hemorrhoid(s) (46221) |
$1,672.40 |
$4,181 |
1.5× |
| Ligation Of Inf Vena Cava (37619) |
$3,378.40 |
$8,446 |
0.5× |
| Ligation or biopsy temporal artery (37609) |
$2,819.60 |
$7,049 |
1.4× |
| Lip Surgery Procedure (40799) |
$458.40 |
$1,146 |
1.6× |
| Liver Biopsy (47000) |
$2,825.60 |
$7,064 |
1.4× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$540 |
$1,350 |
0.7× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,029.20 |
$2,573 |
0.6× |
| Mech remov tunneled cv cath (36595) |
$6,980 |
$17,450 |
1.9× |
| Mrgfus strtctc ablt trgt icr (61715) |
$19,828.80 |
$49,572 |
1.5× |
| Myelography Lumbar Injection (62305) |
$3,150.80 |
$7,877 |
3.4× |
| Myelography Lumbar Injection (62304) |
$2,004.20 |
$5,010.50 |
2.2× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,432.60 |
$3,581.50 |
1.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,629.40 |
$4,073.50 |
1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,573.80 |
$3,934.50 |
1.9× |
| Nasal surgery procedure (30999) |
$416 |
$1,040 |
1.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$461.60 |
$1,154 |
0.9× |
| Needle biopsy of pancreas (48102) |
$1,744 |
$4,360 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$171.20 |
$428 |
5.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$188.40 |
$471 |
5.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$166.80 |
$417 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,465.60 |
$3,664 |
1.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$594.80 |
$1,487 |
2.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,492 |
$6,230 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$5,227.60 |
$13,069 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,245.60 |
$5,614 |
2.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,270 |
$3,175 |
1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,329.20 |
$3,323 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,187.40 |
$2,968.50 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,259.60 |
$3,149 |
1.5× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,353.80 |
$3,384.50 |
1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$710 |
$1,775 |
1.5× |
| Obstructive material removal from gi tube (49460) |
$1,046.40 |
$2,616 |
1.0× |
| Occipital Nerve Block (64405) |
$626.60 |
$1,566.50 |
1.7× |
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580)
likely a partial charge, not the full procedure |
$6,817.20 |
$17,043 |
0.3× |
| Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Facility (64575) |
$6,817.20 |
$17,043 |
0.5× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
$6,817.20 |
$17,043 |
0.9× |
| Open thrombect av fistula (36831) |
$8,549.20 |
$21,373 |
1.3× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$6,481.20 |
$16,203 |
0.8× |
| Open treatment talus fracture (28445) |
$10,413.60 |
$26,034 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,254.40 |
$15,636 |
1.6× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$4,797.20 |
$11,993 |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$4,372.40 |
$10,931 |
1.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$7,010 |
$17,525 |
1.8× |
| Open/Perq Place Stent Same (37238) |
$6,964.20 |
$17,410.50 |
0.5× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$29,173.60 |
$72,934 |
2.1× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,332 |
$5,830 |
1.4× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$15,744.20 |
$39,360.50 |
2.2× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$16,485.20 |
$41,213 |
1.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$782 |
$1,955 |
0.9× |
| Percut Mech Thrombectomy, Venous (37187) |
$8,242.40 |
$20,606 |
0.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$7,027.40 |
$17,568.50 |
1.9× |
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553)
unusually low: confirm this is the full procedure |
$6,402.40 |
$16,006 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$2,900.80 |
$7,252 |
1.6× |
| Peritoneal Lavage (49084) |
$592 |
$1,480 |
0.6× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$4,025.60 |
$10,064 |
0.2× |
| Perq av fistula creation uxtr sep access sites (36837) |
$26,454 |
$66,135 |
1.2× |
| Perq av fistula creation uxtr single access (36836) |
$26,454 |
$66,135 |
1.2× |
| Perq dev breast 1st mr guide (19287) |
$441.20 |
$1,103 |
0.5× |
| Perq dev breast 1st strtctc (19283) |
$1,944 |
$4,860 |
2.3× |
| Perq dev breast 1st us imag (19285) |
$916.40 |
$2,291 |
1.1× |
| Perq device breast 1st imag (19281) |
$827.80 |
$2,069.50 |
0.4× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,566.40 |
$8,916 |
0.9× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$5,733.80 |
$14,334.50 |
1.4× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$17,458.40 |
$43,646 |
2.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$474 |
$1,185 |
1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,214.40 |
$3,036 |
1.5× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$45,222.80 |
$113,057 |
2.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$24,414.40 |
$61,036 |
1.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$15,099.60 |
$37,749 |
2.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,408.40 |
$33,521 |
1.6× |
| Perq Vertebral Augmentation (22513) |
$13,408.40 |
$33,521 |
1.6× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,642.40 |
$6,606 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,643.60 |
$9,109 |
0.9× |
| Picc line placement (36569) |
$2,242.40 |
$5,606 |
1.2× |
| Place Cath Subclavian Art (36225) |
$4,457 |
$11,142.50 |
1.2× |
| Place Cath Thoracic Aorta (36221) |
$3,838.20 |
$9,595.50 |
1.0× |
| Place Cath Vertebral Art (36226) |
$4,758 |
$11,895 |
0.7× |
| Place duod/jej tube perc (49441) |
$2,636 |
$6,590 |
1.2× |
| Place ndl musc/tis for rt (20555) |
$5,132 |
$12,830 |
1.3× |
| Placement needle head/neck radioelement applicat (41019) |
$8,655.60 |
$21,639 |
1.2× |
| Placement needle pelvic organ radioelement appl (55920) |
$10,089.20 |
$25,223 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$484 |
$1,210 |
0.9× |
| Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for… (19298) |
$9,616.80 |
$24,042 |
0.6× |
| Plastic repair of canaliculi (68700) |
$5,776.80 |
$14,442 |
2.1× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$5,619 |
$14,047.50 |
0.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$12,665.20 |
$31,663 |
1.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$11,121.20 |
$27,803 |
1.6× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$11,121.20 |
$27,803 |
1.6× |
| Plmt Expandable Cath Brst Following Prtl Mast (19296) |
$14,572.80 |
$36,432 |
1.5× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$2,524.80 |
$6,312 |
1.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,081.20 |
$7,703 |
1.2× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$4,519.20 |
$11,298 |
1.1× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$8,410 |
$21,025 |
2.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$6,728 |
$16,820 |
1.6× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,193.60 |
$15,484 |
1.5× |
| Prim art mech thrombectomy (37184) |
$16,485.20 |
$41,213 |
0.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,618.40 |
$4,046 |
1.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$4,512.80 |
$11,282 |
1.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,568.40 |
$3,921 |
1.9× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$6,402.40 |
$16,006 |
0.9× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$6,402.40 |
$16,006 |
0.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,694.40 |
$16,736 |
1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,766.40 |
$14,416 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$361.20 |
$903 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$2,081.20 |
$5,203 |
2.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$435.20 |
$1,088 |
0.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,107.20 |
$2,768 |
1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,039.40 |
$7,598.50 |
1.3× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$484 |
$1,210 |
0.4× |
| Reduce testis torsion (54600) |
$6,414.80 |
$16,037 |
1.5× |
| Relocation of skin pocket for pacemaker (33222) |
$2,962.80 |
$7,407 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$3,688.40 |
$9,221 |
1.0× |
| Removal biliary drg cath (47537) |
$1,315.20 |
$3,288 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,047.40 |
$2,618.50 |
1.3× |
| Removal foreign body intranasal (30300) |
$526 |
$1,315 |
3.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,047.40 |
$2,618.50 |
0.5× |
| Removal foreign body pharynx (42809) |
$484 |
$1,210 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,693.60 |
$14,234 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$246.40 |
$616 |
3.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$128.80 |
$322 |
1.8× |
| Removal implant deep (20680) |
$4,380.80 |
$10,952 |
1.3× |
| Removal of embedded foreign body, eyelid (67938) |
$760.80 |
$1,902 |
2.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$765.20 |
$1,913 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$760 |
$1,900 |
1.4× |
| Removal of infusion pump (36262) |
$3,794.80 |
$9,487 |
0.9× |
| Removal of iud (58301) |
$467.60 |
$1,169 |
1.3× |
Removal of kidney stone (50080)
unusually low: confirm this is the full procedure |
$3,917 |
$9,792.50 |
0.4× |
| Removal of nail bed (11750) |
$922.80 |
$2,307 |
1.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$5,182.40 |
$12,956 |
1.4× |
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure |
$4,489.20 |
$11,223 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$417.80 |
$1,044.50 |
1.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,522.40 |
$3,806 |
1.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$5,038.40 |
$12,596 |
2.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$294.80 |
$737 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$277 |
$692.50 |
0.8× |
| Remove brain canal fluid (61050) |
$425.60 |
$1,064 |
1.2× |
| Remove drug implant device (11982) |
$744.40 |
$1,861 |
1.4× |
| Remove foreign body from eye (65235) |
$4,994.80 |
$12,487 |
1.8× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$916.40 |
$2,291 |
0.4× |
| Remove intrvas foreign body (37197) |
$2,609.40 |
$6,523.50 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$4,738.40 |
$11,846 |
1.4× |
| Remove pulse generator (33241) |
$4,572 |
$11,430 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$925.60 |
$2,314 |
1.1× |
| Remove ureter stent, percut (50384) |
$2,947.60 |
$7,369 |
1.2× |
| Remove&replace pm gen singl (33227) |
$13,208.40 |
$33,021 |
1.4× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,674.80 |
$9,187 |
1.9× |
| Remv Ext Canal Foreign Body (69200) |
$306.40 |
$766 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$716.40 |
$1,791 |
4.6× |
| Remv&replc cvd gen dual lead (33263) |
$25,585.60 |
$63,964 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$25,710 |
$64,275 |
0.7× |
| Remv&replc cvd gen sing lead (33262) |
$25,539.20 |
$63,848 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$12,298.80 |
$30,747 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$12,298.80 |
$30,747 |
0.5× |
| Renal Biopsy Percutaneous (50200) |
$1,296.40 |
$3,241 |
0.7× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$3,325.20 |
$8,313 |
0.9× |
| Repair blood vessel direct neck (35201) |
$7,999.20 |
$19,998 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,735.60 |
$4,339 |
2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$3,166 |
$7,915 |
3.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,138 |
$2,845 |
2.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,236.40 |
$3,091 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$671.20 |
$1,678 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$931.20 |
$2,328 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$661.60 |
$1,654 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,266.40 |
$3,166 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,924.40 |
$7,311 |
1.5× |
| Repair Eyelid Wound (67935) |
$2,504 |
$6,260 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$659.20 |
$1,648 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$711.20 |
$1,778 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$764.40 |
$1,911 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$981.20 |
$2,453 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,044.80 |
$2,612 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$659.20 |
$1,648 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$758 |
$1,895 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$751.20 |
$1,878 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$826.40 |
$2,066 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,513.60 |
$3,784 |
3.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$598.40 |
$1,496 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$808.80 |
$2,022 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,664.80 |
$4,162 |
1.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$871.40 |
$2,178.50 |
1.8× |
| Repair lead pace-defib dual (33220) |
$6,289.60 |
$15,724 |
1.4× |
| Repair lead pace-defib one (33218) |
$4,702.40 |
$11,756 |
1.1× |
| Repair of anal fistula with fibrin glue (46706) |
$6,424 |
$16,060 |
2.0× |
| Repair of eye wound (65270) |
$3,391.60 |
$8,479 |
1.2× |
| Repair of nail bed (11760) |
$909.60 |
$2,274 |
1.0× |
| Repair Spica Body Cast/Jacket (29720) |
$294.80 |
$737 |
1.5× |
| Repair tongue laceration (41252) |
$393.20 |
$983 |
1.4× |
| Repair Tongue Laceration (41250) |
$495.60 |
$1,239 |
0.9× |
| Repeat control of nosebleed (30906) |
$513.20 |
$1,283 |
1.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,303.80 |
$3,259.50 |
1.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,255.60 |
$3,139 |
1.2× |
| Replace tunneled cv cath (36578) |
$3,426.80 |
$8,567 |
0.9× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,662.80 |
$4,157 |
1.6× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$5,575.20 |
$13,938 |
1.3× |
| Reposition cv cath w/fluoro (36597) |
$2,714.40 |
$6,786 |
1.5× |
| Reposition gastric feeding tube thru duodenum (43761) |
$202.60 |
$506.50 |
0.7× |
| Repositioning Phrenic Nrv Stimulator Transvns Ld (33281) |
$4,961.60 |
$12,404 |
1.2× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,378.40 |
$8,446 |
0.9× |
| Retrobulbar inject,alcohol (67505) |
$552 |
$1,380 |
1.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$5,302 |
$13,255 |
1.3× |
| Revise spine eltrd perq aray (63663) |
$11,944.80 |
$29,862 |
1.6× |
| Revise/Remove Neuroreceiver (63688) |
$5,989.60 |
$14,974 |
1.5× |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
$3,951.80 |
$9,879.50 |
0.9× |
| Revision of tips (37183) |
$11,658.40 |
$29,146 |
1.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,068.40 |
$10,171 |
1.0× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$1,492.40 |
$3,731 |
0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$456.40 |
$1,141 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$833.20 |
$2,083 |
5.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$760 |
$1,900 |
1.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,738.40 |
$11,846 |
1.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$1,084 |
$2,710 |
0.3× |
| Rmvl of subq defibrillator (33272) |
$4,823.60 |
$12,059 |
1.1× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
$4,961.60 |
$12,404 |
1.2× |
| Rmvl Phrnc Nrv Stimulator Transvns Stimj/Snsg Ld (33279) |
$4,961.60 |
$12,404 |
1.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,707 |
$9,267.50 |
1.6× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$8,157.20 |
$20,393 |
2.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,512.40 |
$11,281 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,853.20 |
$12,133 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,010.40 |
$5,026 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,184.80 |
$2,962 |
1.6× |
Rmvl&Rplcmt Phrenic Nrv Stimulator Pls Generator (33287)
likely a partial charge, not the full procedure |
$4,961.60 |
$12,404 |
0.1× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$18,260.40 |
$45,651 |
1.4× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,469.60 |
$8,674 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$474 |
$1,185 |
1.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,196.60 |
$5,491.50 |
1.2× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$6,832.40 |
$17,081 |
1.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,171.60 |
$5,429 |
1.2× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$7,537.60 |
$18,844 |
1.1× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$7,515.60 |
$18,789 |
2.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,688.40 |
$9,221 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,714 |
$4,285 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$800.80 |
$2,002 |
1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$800.80 |
$2,002 |
1.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$2,939.20 |
$7,348 |
0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,029.20 |
$2,573 |
1.4× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$4,762.40 |
$11,906 |
1.3× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$3,971.60 |
$9,929 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$659.20 |
$1,648 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$758 |
$1,895 |
3.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$834 |
$2,085 |
3.5× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$659.20 |
$1,648 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$917.60 |
$2,294 |
3.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$1,029.20 |
$2,573 |
4.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$659.20 |
$1,648 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$366.80 |
$917 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$475.20 |
$1,188 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$934.40 |
$2,336 |
3.9× |
| Skin pinch graft (15050) |
$1,283.60 |
$3,209 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,658 |
$6,645 |
3.0× |
| Skin sub graft trnk/arm/leg (15271) |
$2,658 |
$6,645 |
3.0× |
| Skin sub grft t/arm/lg child (15273) |
$5,010 |
$12,525 |
2.1× |
| Skin Tissue Procedure (17999) |
$344.40 |
$861 |
1.5× |
| Skn sub grft f/n/hf/g child (15277) |
$2,658 |
$6,645 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$4,015.60 |
$10,039 |
0.6× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,391.80 |
$8,479.50 |
0.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,748 |
$14,370 |
0.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$3,040 |
$7,600 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$366.80 |
$917 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,044.80 |
$2,612 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$752.20 |
$1,880.50 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$1,181.60 |
$2,954 |
1.4× |
| Spinal Puncture Therapeutic (62272) |
$1,006.64 |
$2,516.61 |
1.2× |
| Strapping ankle (29540) |
$387.60 |
$969 |
2.0× |
| Strapping elbow or wrist (29260) |
$71.20 |
$178 |
1.0× |
| Strapping hand/finger (29280) |
$474 |
$1,185 |
6.8× |
| Strapping knee (29530) |
$294.80 |
$737 |
1.9× |
| Strapping shoulder (29240) |
$387.60 |
$969 |
2.5× |
| Strapping thorax (29200) |
$315.40 |
$788.50 |
1.6× |
| Strapping toes (29550) |
$294.80 |
$737 |
4.2× |
| Strapping unna boot (29580) |
$332 |
$830 |
1.7× |
| Subconjunctival injection (68200) |
$526 |
$1,315 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$344 |
$860 |
0.7× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$57,408 |
$143,520 |
1.7× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$36,000.40 |
$90,001 |
1.6× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$6,170.80 |
$15,427 |
1.7× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$3,088.40 |
$7,721 |
1.6× |
| Thaw preserved stem cells (38208) |
$632 |
$1,580 |
1.2× |
| Ther Apheresis,Plasma Pheresis (36514) |
$6,984.40 |
$17,461 |
3.8× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,989.60 |
$12,474 |
2.7× |
| Ther Apheresis,White Blood Cells (36511) |
$5,987.60 |
$14,969 |
3.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,379.40 |
$3,448.50 |
1.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$964 |
$2,410 |
1.3× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$9,038 |
$22,595 |
1.4× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$10,986.40 |
$27,466 |
1.7× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$1,335.20 |
$3,338 |
0.4× |
| Thrombolytic Art Therapy (37211) |
$8,379.80 |
$20,949.50 |
1.3× |
| Thrombolytic Therapy Stroke (37195) |
$522.40 |
$1,306 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$4,610.40 |
$11,526 |
1.2× |
| Thyroid biopsy (60100) |
$561.60 |
$1,404 |
0.7× |
| Tongue and mouth surg unlisted (41599) |
$394.80 |
$987 |
1.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$5,138 |
$12,845 |
1.3× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$5,445.20 |
$13,613 |
1.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$3,378.40 |
$8,446 |
12.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$4,403.60 |
$11,009 |
2.4× |
| Tracheotomy tube change (31502) |
$573.20 |
$1,433 |
2.0× |
| Transcatheter biopsy (37200) |
$6,117.20 |
$15,293 |
0.9× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$7,532 |
$18,830 |
1.2× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$10,288.80 |
$25,722 |
1.6× |
| Treat Big Toe Fracture (28505) |
$6,254.40 |
$15,636 |
1.6× |
| Treat clavicle dislocation (23540) |
$444.80 |
$1,112 |
1.5× |
| Treat Hand Dislocation (26685) |
$6,279.20 |
$15,698 |
1.6× |
| Treat humerus fracture (24500) |
$813.20 |
$2,033 |
2.8× |
| Treat humerus fracture (23600) |
$638.40 |
$1,596 |
2.2× |
| Treat knee fracture (27532) |
$5,841.60 |
$14,604 |
1.5× |
| Treat Metatarsal Fracture (28475) |
$410.80 |
$1,027 |
1.4× |
| Treat pleurodesis w/agent (32560) |
$199.60 |
$499 |
0.3× |
| Treat shoulder blade fx (23575) |
$1,456.80 |
$3,642 |
0.8× |
| Treat Thumb Dislocation (26641) |
$813.20 |
$2,033 |
2.8× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$587.60 |
$1,469 |
0.3× |
| Treat wrist bone fracture (25622) |
$638.40 |
$1,596 |
2.2× |
| Treat Wrist Bone Fracture (25630) |
$1,180.80 |
$2,952 |
4.1× |
| Treatment closed elbow dislocation req anes (24605) |
$4,699.20 |
$11,748 |
2.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$813.20 |
$2,033 |
2.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$638.40 |
$1,596 |
2.2× |
| Trim skin lesion (11055) |
$370.20 |
$925.50 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$326.80 |
$817 |
1.4× |
| Trim skin lesions over 4 (11057) |
$326.80 |
$817 |
1.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$102.40 |
$256 |
1.5× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$13,122 |
$32,805 |
2.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,122 |
$32,805 |
2.0× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$2,478.40 |
$6,196 |
1.3× |
| Tube thoracostomy includes water seal (32551) |
$2,622 |
$6,555 |
1.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,308 |
$15,770 |
1.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,594 |
$6,485 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,113.60 |
$2,784 |
1.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$764.60 |
$1,911.50 |
1.6× |
| Unlisted procedure anus (46999) |
$1,659.20 |
$4,148 |
1.5× |
| Unlisted procedure dentoalveolar structures (41899) |
$1,926.40 |
$4,816 |
6.9× |
| Unlisted Procedure Endocrine System (60699) |
$9,170.40 |
$22,926 |
1.3× |
| Unlisted Procedure Esophagus (43499) |
$2,110.80 |
$5,277 |
2.0× |
| Unlisted procedure femur or knee (27599) |
$501.20 |
$1,253 |
1.7× |
| Unlisted procedure liver (47399) |
$4,253.20 |
$10,633 |
5.1× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,485.60 |
$3,714 |
2.0× |
| Unlisted Procedure Male Genital System (55899) |
$515.60 |
$1,289 |
1.7× |
| Unlisted procedure nervous system (64999) |
$775.40 |
$1,938.50 |
2.1× |
| Unlisted procedure rectum (45999) |
$1,129.20 |
$2,823 |
1.0× |
| Unlisted Procedure Small Intestine (44799) |
$6,932.80 |
$17,332 |
6.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$4,178 |
$10,445 |
5.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$4,279.60 |
$10,699 |
4.0× |
| Unlisted procedure, hands or fingers (26989) |
$501.60 |
$1,254 |
1.7× |
| Unlisted procedure, maternity care and delivery (59899) |
$397.20 |
$993 |
1.7× |
| Unlisted procedure, orbit (67599) |
$486.80 |
$1,217 |
1.3× |
| Unlisted px female genital system nonobstetrical (58999) |
$324.80 |
$812 |
1.4× |
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure |
$4,873.60 |
$12,184 |
0.4× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50955)
likely a partial charge, not the full procedure |
$1,337.20 |
$3,343 |
0.2× |
| Urology Surgery Procedure (53899) |
$4,743.60 |
$11,859 |
16.1× |
| Vaginal delivery only (59409) |
$5,041 |
$12,602.50 |
1.3× |
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure |
$2,969.60 |
$7,424 |
0.1× |
Vasc Embolize/Occlude Bleed (37244)
likely a partial charge, not the full procedure |
$2,228.40 |
$5,571 |
0.2× |
| Vasc embolize/occlude organ (37243) |
$12,486 |
$31,215 |
0.9× |
Vasc embolize/occlude venous (37241)
likely a partial charge, not the full procedure |
$1,974.80 |
$4,937 |
0.1× |
| Venipuncture (36415) |
$34.80 |
$87 |
3.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$1,464.80 |
$3,662 |
2.8× |
| Wedging of cast (29740) |
$294.80 |
$737 |
0.9× |
| Windowing of cast (29730) |
$294.80 |
$737 |
1.5× |
| Wound Prep F/N/Hf/G (15004) |
$1,146.80 |
$2,867 |
2.4× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,146.80 |
$2,867 |
1.3× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$441.40 |
$1,103.50 |
0.2× |