| Abd paracentesis w/imaging (49083) |
$1,172 |
$2,344 |
1.1× |
| Ablate inf turbinate submuc (30802) |
$2,086.50 |
$4,173 |
1.1× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$13,014.50 |
$26,029 |
1.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$13,014.50 |
$26,029 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$16,084 |
$32,168 |
0.8× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$10,746 |
$21,492 |
1.3× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$2,127 |
$4,254 |
1.1× |
| Acne surgery (10040) |
$248.50 |
$497 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,287 |
$4,574 |
0.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,287 |
$4,574 |
0.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$2,287 |
$4,574 |
0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,287 |
$4,574 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,287 |
$4,574 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,287 |
$4,574 |
0.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,287 |
$4,574 |
0.9× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$403.50 |
$807 |
1.1× |
| Anal/Urinary Muscle Study (51784) |
$196 |
$392 |
1.3× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$288.50 |
$577 |
1.5× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$389.50 |
$779 |
1.2× |
| Application cast elbow finger short arm (29075) |
$356 |
$712 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$224.50 |
$449 |
3.2× |
| Application finger splint static (29130) |
$311.50 |
$623 |
2.0× |
| Application long arm splint shoulder hand (29105) |
$311.50 |
$623 |
1.6× |
| Application Long Leg Cast Brace (29358) |
$406 |
$812 |
1.2× |
| Application Long Leg Splint (29505) |
$349 |
$698 |
1.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$478.50 |
$957 |
1.4× |
| Application of long leg cast (29345) |
$397.50 |
$795 |
1.2× |
| Application of rigid total contact leg cast (29445) |
$332 |
$664 |
1.0× |
| Application Patellar Tendon Bearing Cast (29435) |
$397.50 |
$795 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$303 |
$606 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$302.50 |
$605 |
1.9× |
| Application short leg splint calf foot (29515) |
$288.50 |
$577 |
1.5× |
| Apply hand/wrist cast (29085) |
$311.50 |
$623 |
1.6× |
| Apply long arm cast (29065) |
$397.50 |
$795 |
1.2× |
| Apply Short Leg Cast (29405) |
$397.50 |
$795 |
1.2× |
| Apply short leg cast (29425) |
$385 |
$770 |
1.2× |
| Arterial puncture (36600) |
$161.50 |
$323 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$408 |
$816 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$935.50 |
$1,871 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$451 |
$902 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$408 |
$816 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$408 |
$816 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$981 |
$1,962 |
1.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$602.50 |
$1,205 |
1.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,861.50 |
$5,723 |
1.2× |
| Aspiration Bladder Needle (51100) |
$304.50 |
$609 |
1.0× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,272 |
$2,544 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$399 |
$798 |
1.7× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$13,014.50 |
$26,029 |
1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$4,858.50 |
$9,717 |
0.6× |
| Biopsy Abdominal Mass (49180) |
$2,025.50 |
$4,051 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,332.50 |
$4,665 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,025.50 |
$4,051 |
1.0× |
| Biopsy external ear (69100) |
$306 |
$612 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,025.50 |
$4,051 |
1.0× |
| Biopsy nail unit (11755) |
$879.50 |
$1,759 |
1.1× |
| Biopsy of lip (40490) |
$306 |
$612 |
1.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,025.50 |
$4,051 |
1.0× |
| Biopsy of penis (54100) |
$2,025.50 |
$4,051 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,025.50 |
$4,051 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$879.50 |
$1,759 |
1.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,088.50 |
$2,177 |
1.0× |
| Biopsy, vestibule of mouth (40808) |
$688.50 |
$1,377 |
1.1× |
| Bladder Scan (51798) |
$74.50 |
$149 |
1.1× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$3,132 |
$6,264 |
1.7× |
| Blood Transfusion Service (36430) |
$869.50 |
$1,739 |
1.7× |
| Bone Marrow Biopsy (38221) |
$2,025.50 |
$4,051 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$2,025.50 |
$4,051 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,156 |
$4,312 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,609 |
$9,218 |
1.0× |
| Bronchoscopy Balloon Occlusion (31634) |
$8,653.50 |
$17,307 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,156 |
$4,312 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$1,109.50 |
$2,219 |
2.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,156 |
$4,312 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,609 |
$9,218 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$2,916.50 |
$5,833 |
1.0× |
| Car-t admn autologous (38228) |
$844.50 |
$1,689 |
2.2× |
| Cessj Therapy Cath Removal (37214) |
$3,934.50 |
$7,869 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$834.50 |
$1,669 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$393 |
$786 |
1.3× |
| Change of Windpipe Airway (31502) |
$364 |
$728 |
1.3× |
| Change ureter stent percut (50382) |
$2,561 |
$5,122 |
1.0× |
| Chemical Cautery Tissue (17250) |
$265.50 |
$531 |
1.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$935.50 |
$1,871 |
1.1× |
| Chemodenerv 1 extremity 1-4 (64642) |
$935.50 |
$1,871 |
1.1× |
| Chemodenerv Eccrine Glands (64650) |
$369 |
$738 |
1.0× |
| Chemodenerv Musc Migraine (64615) |
$369 |
$738 |
1.0× |
| Chemodenerv musc neck dyston (64616) |
$369 |
$738 |
1.0× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$369 |
$738 |
1.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$935.50 |
$1,871 |
1.1× |
| Chemodenervation eccrine glands oth area per day (64653) |
$369 |
$738 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$369 |
$738 |
1.0× |
| Chest tube placement (32551) |
$2,536 |
$5,072 |
1.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,858.50 |
$9,717 |
1.1× |
| Circumcision 28 days or older (54161) |
$2,561 |
$5,122 |
1.0× |
| Circumcision Neonate (54160) |
$834.50 |
$1,669 |
1.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$3,322.50 |
$6,645 |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,001 |
$4,002 |
1.1× |
| Clear outer ear canal (69200) |
$203.50 |
$407 |
1.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$300 |
$600 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$300 |
$600 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$383.50 |
$767 |
1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$300 |
$600 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$300 |
$600 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$300 |
$600 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,001 |
$4,002 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$510 |
$1,020 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$509 |
$1,018 |
1.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,001 |
$4,002 |
1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$509 |
$1,018 |
1.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$300 |
$600 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$7,395 |
$14,790 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$363 |
$726 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,001 |
$4,002 |
1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$300 |
$600 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$300 |
$600 |
1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$510 |
$1,020 |
1.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,001 |
$4,002 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$300 |
$600 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,001 |
$4,002 |
1.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$345 |
$690 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,001 |
$4,002 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$300 |
$600 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$300 |
$600 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$300 |
$600 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,001 |
$4,002 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$300 |
$600 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$373.50 |
$747 |
1.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$306 |
$612 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$369 |
$738 |
1.3× |
| Clsd Tx Pelvic Ring Fx (27198) |
$300 |
$600 |
1.0× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$300 |
$600 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,001 |
$4,002 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$300 |
$600 |
1.0× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$374 |
$748 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,001 |
$4,002 |
1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$300 |
$600 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,001 |
$4,002 |
1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$300 |
$600 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$300 |
$600 |
1.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$950 |
$1,900 |
3.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$397 |
$794 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$512 |
$1,024 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$358 |
$716 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$348.50 |
$697 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$425 |
$850 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,001 |
$4,002 |
1.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,001 |
$4,002 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$510 |
$1,020 |
1.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$300 |
$600 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,001 |
$4,002 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$300 |
$600 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$300 |
$600 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$300 |
$600 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$300 |
$600 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,001 |
$4,002 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$486 |
$972 |
1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$300 |
$600 |
1.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$485.50 |
$971 |
1.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,001 |
$4,002 |
1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,001 |
$4,002 |
1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$335.50 |
$671 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$325.50 |
$651 |
1.1× |
| Cltx Medial Ankle Fx (27760) |
$510 |
$1,020 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$393 |
$786 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$413.50 |
$827 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$447.50 |
$895 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$370.50 |
$741 |
1.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,001 |
$4,002 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$385.50 |
$771 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,001 |
$4,002 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$419.50 |
$839 |
1.4× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$2,001 |
$4,002 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,001 |
$4,002 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,001 |
$4,002 |
1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$408 |
$816 |
1.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,001 |
$4,002 |
1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$775 |
$1,550 |
2.7× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$510 |
$1,020 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$300 |
$600 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,001 |
$4,002 |
1.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$581 |
$1,162 |
3.7× |
| Collection of venous blood by venipuncture (36415) |
$34.50 |
$69 |
3.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$251.50 |
$503 |
1.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$402 |
$804 |
1.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,088.50 |
$2,177 |
1.0× |
| Complex Cystometrogram (51726) |
$469 |
$938 |
1.6× |
| Complex drainage wound (10180) |
$3,578 |
$7,156 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$161.50 |
$323 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$161.50 |
$323 |
1.0× |
| Conversion ext bil drg cath (47535) |
$4,858.50 |
$9,717 |
1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,371.50 |
$4,743 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,561 |
$5,122 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,189 |
$4,378 |
1.1× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$74.50 |
$149 |
1.1× |
| Csf shunt reprogram (62252) |
$403.50 |
$807 |
1.1× |
| Cystometrogram W/Up (51727) |
$834.50 |
$1,669 |
1.0× |
| Cystometrogram W/Vp (51728) |
$834.50 |
$1,669 |
1.0× |
| Cystometrogram W/Vp&Up (51729) |
$834.50 |
$1,669 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$765.50 |
$1,531 |
1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,578 |
$7,156 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$879.50 |
$1,759 |
1.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$879.50 |
$1,759 |
1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$765.50 |
$1,531 |
0.9× |
| Debride nail 1-5 (11720) |
$291 |
$582 |
4.2× |
| Debride nail 6 or more (11721) |
$74.50 |
$149 |
1.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,025.50 |
$4,051 |
1.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$265.50 |
$531 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$499.50 |
$999 |
1.0× |
| Declot vascular device (36593) |
$623 |
$1,246 |
1.6× |
| Destroy cerv/thor facet jnt (64633) |
$2,441 |
$4,882 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$2,441 |
$4,882 |
1.1× |
| Destruct B9 Lesion 1-14 (17110) |
$265.50 |
$531 |
1.1× |
| Destruction Benign Lesions 15/> (17111) |
$265.50 |
$531 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$539 |
$1,078 |
2.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$539 |
$1,078 |
2.3× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$539 |
$1,078 |
1.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$838 |
$1,676 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$1,022.50 |
$2,045 |
1.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$248.50 |
$497 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$248.50 |
$497 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$248.50 |
$497 |
1.0× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$539 |
$1,078 |
1.1× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$657 |
$1,314 |
1.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$248.50 |
$497 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$248.50 |
$497 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$248.50 |
$497 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$248.50 |
$497 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$539 |
$1,078 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$539 |
$1,078 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$248.50 |
$497 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,441 |
$4,882 |
1.1× |
| Destruction of skin lesions (17106) |
$499.50 |
$999 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$499.50 |
$999 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$248.50 |
$497 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$935.50 |
$1,871 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$408 |
$816 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$879.50 |
$1,759 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$2,025.50 |
$4,051 |
1.0× |
| Drainage of eye (65800) |
$2,851 |
$5,702 |
1.0× |
| Drainage of finger abscess simple (26010) |
$393.50 |
$787 |
1.7× |
| Drainage of gum lesion (41800) |
$289.50 |
$579 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$2,025.50 |
$4,051 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$429 |
$858 |
2.7× |
| Dressing Change Under Anesthesia (15852) |
$765.50 |
$1,531 |
0.9× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
$688.50 |
$1,377 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$499.50 |
$999 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$265.50 |
$531 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$380.50 |
$761 |
1.6× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$765.50 |
$1,531 |
0.9× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,521.50 |
$5,043 |
1.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$248.50 |
$497 |
1.0× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$657 |
$1,314 |
1.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,113 |
$2,226 |
1.1× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,578 |
$7,156 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,647.50 |
$5,295 |
1.3× |
| Dx Bronchoscope/Wash (31622) |
$2,156 |
$4,312 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,156 |
$4,312 |
1.0× |
| Dx laryngoscopy w/oper scope (31526) |
$2,304 |
$4,608 |
1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,007.50 |
$2,015 |
1.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,371.50 |
$4,743 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$2,371.50 |
$4,743 |
1.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$403.50 |
$807 |
1.1× |
| Electro-Uroflowmetry First (51741) |
$389.50 |
$779 |
1.5× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,287 |
$4,574 |
0.9× |
| Epidural Blood Patch (62273) |
$935.50 |
$1,871 |
1.1× |
| Esc i p ulcer w ostect & flap (15946) |
$2,287 |
$4,574 |
0.9× |
| Escharotomy; initial incision (16035) |
$499.50 |
$999 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,172 |
$2,344 |
1.1× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,172 |
$2,344 |
1.1× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$1,172 |
$2,344 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$161.50 |
$323 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$879.50 |
$1,759 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,025.50 |
$4,051 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$879.50 |
$1,759 |
1.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$879.50 |
$1,759 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$879.50 |
$1,759 |
1.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$879.50 |
$1,759 |
1.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$879.50 |
$1,759 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Frenum Labial/Buccal (40819) |
$1,852 |
$3,704 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,025.50 |
$4,051 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$879.50 |
$1,759 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$879.50 |
$1,759 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,578 |
$7,156 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$3,578 |
$7,156 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$499.50 |
$999 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$879.50 |
$1,759 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,025.50 |
$4,051 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,858.50 |
$9,717 |
1.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,561 |
$5,122 |
1.0× |
| Exchange Transfusion (36455) |
$546.50 |
$1,093 |
1.0× |
| Exchange Transfusion Blood Newborn (36450) |
$546.50 |
$1,093 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,371.50 |
$4,743 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,852 |
$3,704 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$879.50 |
$1,759 |
1.1× |
| Excision H/P/P/U Complex Repair (11471) |
$3,578 |
$7,156 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,578 |
$7,156 |
1.0× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$3,578 |
$7,156 |
1.0× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$3,578 |
$7,156 |
1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,578 |
$7,156 |
1.0× |
| Excision Lesion Tongue W/O Closure (41110) |
$4,054 |
$8,108 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,852 |
$3,704 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$879.50 |
$1,759 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$879.50 |
$1,759 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$499.50 |
$999 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$879.50 |
$1,759 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$879.50 |
$1,759 |
1.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,025.50 |
$4,051 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,025.50 |
$4,051 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$879.50 |
$1,759 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$879.50 |
$1,759 |
1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,578 |
$7,156 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,578 |
$7,156 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,578 |
$7,156 |
1.0× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
$3,578 |
$7,156 |
1.0× |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
$2,025.50 |
$4,051 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,025.50 |
$4,051 |
1.0× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$727.50 |
$1,455 |
1.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$3,220.50 |
$6,441 |
3.8× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$3,220.50 |
$6,441 |
3.8× |
| Fine needle aspiration without imaging guidance (10021) |
$499.50 |
$999 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$363 |
$726 |
1.3× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,073 |
$2,146 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,532.50 |
$3,065 |
1.8× |
| Foreskin manipulation (54450) |
$393 |
$786 |
1.3× |
| Guide Cathet Fluid Drainage (10030) |
$879.50 |
$1,759 |
1.1× |
| Hymenotomy Simple Incision (56442) |
$3,974.50 |
$7,949 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,974.50 |
$7,949 |
1.0× |
| I&d abscess peritonsillar (42700) |
$306 |
$612 |
1.1× |
| I&d abscess simple (10060) |
$581.50 |
$1,163 |
2.5× |
| I&d perianal abscess superficial (46050) |
$1,140 |
$2,280 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$1,364.50 |
$2,729 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$995.50 |
$1,991 |
1.2× |
| Icd Pocket Revision (33223) |
$2,521.50 |
$5,043 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$2,025.50 |
$4,051 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,025.50 |
$4,051 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,025.50 |
$4,051 |
1.0× |
| Impression & Preparation Auricular Prosthesis (21086) |
$4,054 |
$8,108 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,241 |
$2,482 |
2.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,025.50 |
$4,051 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$559 |
$1,118 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$251.50 |
$503 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$402 |
$804 |
1.1× |
| Incision of labial frenum (frenotomy) (40806) |
$688.50 |
$1,377 |
1.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,852 |
$3,704 |
1.0× |
| Incision of urethra (53025) |
$3,100.50 |
$6,201 |
1.3× |
| Incision of urethra (53020) |
$2,561 |
$5,122 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$374 |
$748 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$765.50 |
$1,531 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$353.50 |
$707 |
1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,113 |
$2,226 |
1.1× |
| Inj W/Fluor Eval Cv Device (36598) |
$302 |
$604 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,113 |
$2,226 |
1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$404 |
$808 |
1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,113 |
$2,226 |
1.1× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,113 |
$2,226 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,002 |
$2,004 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,113 |
$2,226 |
1.1× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,113 |
$2,226 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,002 |
$2,004 |
1.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$866 |
$1,732 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,113 |
$2,226 |
1.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$393 |
$786 |
1.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$866 |
$1,732 |
1.0× |
| Injection Into Brain Canal (61055) |
$408 |
$816 |
1.1× |
| Injection single tendon origin/insertion (20551) |
$393 |
$786 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$369 |
$738 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$369 |
$738 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$369 |
$738 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,228.50 |
$2,457 |
1.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$866 |
$1,732 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$935.50 |
$1,871 |
1.1× |
| Injection, anesthetic agent; vagus nerve (64408) |
$369 |
$738 |
1.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$265.50 |
$531 |
1.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$797.50 |
$1,595 |
3.4× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,113 |
$2,226 |
1.1× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,113 |
$2,226 |
1.1× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$1,113 |
$2,226 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$3,934.50 |
$7,869 |
1.1× |
| Ins cath ren art 1st unilat (36251) |
$3,934.50 |
$7,869 |
1.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,934.50 |
$7,869 |
1.1× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,757.50 |
$13,515 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$6,757.50 |
$13,515 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$48,336.50 |
$96,673 |
1.3× |
| Insert 1 Electrode Pm-Defib (33216) |
$12,006 |
$24,012 |
1.2× |
| Insert and remove bone pin (20650) |
$4,056 |
$8,112 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$196 |
$392 |
1.3× |
| Insert cath pleura w/ image (32557) |
$2,536 |
$5,072 |
1.4× |
| Insert cath pleura w/o image (32556) |
$2,371.50 |
$4,743 |
1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,474 |
$2,948 |
1.0× |
| Insert Drug Implant Device (11981) |
$161.50 |
$323 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,371.50 |
$4,743 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$15,302 |
$30,604 |
1.2× |
| Insert Heart Pm Ventricular (33207) |
$15,302 |
$30,604 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$3,934.50 |
$7,869 |
1.1× |
| Insert Pacing Lead & Connect (33224) |
$15,302 |
$30,604 |
1.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,942 |
$3,884 |
1.0× |
| Insert pulse gen dual leads (33213) |
$15,302 |
$30,604 |
1.2× |
| Insert pulse gen mult leads (33221) |
$27,406.50 |
$54,813 |
1.2× |
| Insert Pulse Gen Sngl Lead (33212) |
$12,006 |
$24,012 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$278.50 |
$557 |
1.8× |
| Insert tissue expander(s) (11960) |
$4,576.50 |
$9,153 |
1.1× |
| Insert tun ip cath perc (49418) |
$4,858.50 |
$9,717 |
1.1× |
| Insert tunneled cv cath (36561) |
$3,934.50 |
$7,869 |
1.1× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,757.50 |
$13,515 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$161.50 |
$323 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,858.50 |
$9,717 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,536 |
$5,072 |
1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,006 |
$24,012 |
1.2× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$4,858.50 |
$9,717 |
1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$12,006 |
$24,012 |
1.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,934.50 |
$7,869 |
1.1× |
| Insj Picc Rs&I <5 Yr (36572) |
$2,838 |
$5,676 |
3.8× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,934.50 |
$7,869 |
1.1× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$6,757.50 |
$13,515 |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$3,934.50 |
$7,869 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,934.50 |
$7,869 |
1.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$48,336.50 |
$96,673 |
1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,762 |
$23,524 |
1.2× |
| Insrt heart pm atrial & vent (33208) |
$15,302 |
$30,604 |
1.2× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$33,934 |
$67,868 |
1.3× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$40,077 |
$80,154 |
1.1× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$29,477.50 |
$58,955 |
1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$499.50 |
$999 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$499.50 |
$999 |
1.0× |
| Intro cath dialysis circuit (36901) |
$2,536 |
$5,072 |
1.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$14,176 |
$28,352 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$7,127 |
$14,254 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$1,172 |
$2,344 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$648.50 |
$1,297 |
2.3× |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) |
$7,395 |
$14,790 |
1.1× |
| Laryngoscopy flexible diagnostic (31575) |
$243 |
$486 |
1.0× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$2,156 |
$4,312 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$554 |
$1,108 |
1.2× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$4,609 |
$9,218 |
1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$1,241.50 |
$2,483 |
2.7× |
| Larynscop w/tumr exc + scope (31541) |
$4,609 |
$9,218 |
1.0× |
| Late closure of wound (13160) |
$2,287 |
$4,574 |
0.5× |
| Lyse chest fibrin init day (32561) |
$981 |
$1,962 |
1.3× |
| Lyse Chest Fibrin Subq Day (32562) |
$981 |
$1,962 |
1.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,561 |
$5,122 |
1.0× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$834.50 |
$1,669 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,536 |
$5,072 |
1.4× |
| Mech remov tunneled cv cath (36595) |
$3,934.50 |
$7,869 |
1.1× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) |
$17,035.50 |
$34,071 |
1.3× |
| N Block Inj Celiac Pelus (64530) |
$1,228.50 |
$2,457 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$866 |
$1,732 |
1.0× |
| N block inj intercost sng (64420) |
$866 |
$1,732 |
1.0× |
| N Block Inj Paracervical (64435) |
$866 |
$1,732 |
1.0× |
| N Block Inj Plantar Digit (64455) |
$369 |
$738 |
1.0× |
| N Block Inj Pudendal (64430) |
$1,113 |
$2,226 |
1.1× |
| N Block Lumbar/Thoracic (64520) |
$1,113 |
$2,226 |
1.1× |
| Nasal Endoscopy Dx (31231) |
$243 |
$486 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$566 |
$1,132 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$2,267.50 |
$4,535 |
1.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$304.50 |
$609 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,025.50 |
$4,051 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$2,025.50 |
$4,051 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$211 |
$422 |
6.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$211 |
$422 |
6.2× |
| Neuroeltrd Stim Post Tibial (64566) |
$369 |
$738 |
1.0× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
$992 |
$1,984 |
2.4× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$3,064.50 |
$6,129 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,113 |
$2,226 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$369 |
$738 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,858.50 |
$9,717 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,858.50 |
$9,717 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,113 |
$2,226 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,113 |
$2,226 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$935.50 |
$1,871 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$935.50 |
$1,871 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,113 |
$2,226 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,113 |
$2,226 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$935.50 |
$1,871 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,113 |
$2,226 |
1.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$834.50 |
$1,669 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$834.50 |
$1,669 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$499.50 |
$999 |
1.0× |
| Njx Sclrsnt Spider Veins (36468) |
$499.50 |
$999 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$1,172 |
$2,344 |
1.1× |
| Occipital Nerve Block (64405) |
$369 |
$738 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$14,176 |
$28,352 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$14,176 |
$28,352 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,974.50 |
$7,949 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$13,014.50 |
$26,029 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$7,293 |
$14,586 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$14,176 |
$28,352 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$879.50 |
$1,759 |
1.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,934.50 |
$7,869 |
1.1× |
| Pericardiocentesis W/Imaging (33016) |
$2,536 |
$5,072 |
1.4× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$24,246 |
$48,492 |
1.1× |
| Perq av fistula creation uxtr sep access sites (36837) |
$24,751 |
$49,502 |
1.1× |
| Perq av fistula creation uxtr single access (36836) |
$24,751 |
$49,502 |
1.1× |
| Perq p-art revsc 1 nm nt uni (33900) |
$15,296 |
$30,592 |
1.1× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$24,751 |
$49,502 |
1.1× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$15,296 |
$30,592 |
1.1× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$15,296 |
$30,592 |
1.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$879.50 |
$1,759 |
1.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$14,176 |
$28,352 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,127 |
$14,254 |
1.1× |
| Photopheresis extracorporeal (36522) |
$7,649.50 |
$15,299 |
1.5× |
| Place Cath Subclavian Art (36225) |
$3,934.50 |
$7,869 |
1.1× |
| Place Cath Thoracic Aorta (36221) |
$3,934.50 |
$7,869 |
1.1× |
| Place Cath Vertebral Art (36226) |
$6,757.50 |
$13,515 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,371.50 |
$4,743 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$499 |
$998 |
0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$7,293 |
$14,586 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,561 |
$5,122 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$4,311.50 |
$8,623 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,311.50 |
$8,623 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$4,311.50 |
$8,623 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,311.50 |
$8,623 |
1.0× |
| Prim art mech thrombectomy (37184) |
$22,446 |
$44,892 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$3,428 |
$6,856 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,858.50 |
$9,717 |
1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,858.50 |
$9,717 |
1.1× |
| Prtl Exchange Transfuse Nb (36456) |
$546.50 |
$1,093 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$981 |
$1,962 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$499.50 |
$999 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$499.50 |
$999 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$879.50 |
$1,759 |
1.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$935.50 |
$1,871 |
1.1× |
| Pvb thoracic cont infusion (64463) |
$866 |
$1,732 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,754 |
$5,508 |
1.2× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,287 |
$4,574 |
0.9× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,934.50 |
$7,869 |
1.1× |
| Reduction of rectal prolapse (45900) |
$1,140 |
$2,280 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,521.50 |
$5,043 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,934.50 |
$7,869 |
1.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,172 |
$2,344 |
1.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$803 |
$1,606 |
2.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$879.50 |
$1,759 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,025.50 |
$4,051 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$191 |
$382 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$182.50 |
$365 |
2.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,974.50 |
$7,949 |
1.0× |
| Removal Implant Deep (20680) |
$3,578 |
$7,156 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,025.50 |
$4,051 |
1.0× |
| Removal implantable contraceptive capsules (11976) |
$879.50 |
$1,759 |
1.1× |
| Removal of foreign body from pharynx (42809) |
$499 |
$998 |
0.9× |
| Removal of nail bed (11750) |
$499.50 |
$999 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$356 |
$712 |
1.1× |
| Removal Pacemaker Electrode (33235) |
$4,911.50 |
$9,823 |
1.1× |
| Removal ppm generator only (33233) |
$12,006 |
$24,012 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$265.50 |
$531 |
1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$879.50 |
$1,759 |
1.1× |
| Removal sweat gland lesion (11450) |
$3,578 |
$7,156 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$356 |
$712 |
1.1× |
| Remove Brain Cavity Fluid (61020) |
$1,113 |
$2,226 |
1.1× |
| Remove drug implant device (11982) |
$566 |
$1,132 |
1.1× |
| Remove Elctrd Transvenously (33244) |
$4,911.50 |
$9,823 |
1.1× |
| Remove foreign body from eye (65205) |
$211 |
$422 |
1.3× |
| Remove hip pressure sore (15940) |
$3,578 |
$7,156 |
1.0× |
| Remove Intrauterine Device (58301) |
$402 |
$804 |
1.1× |
| Remove intrvas foreign body (37197) |
$3,934.50 |
$7,869 |
1.1× |
| Remove lung catheter (32552) |
$981 |
$1,962 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$619 |
$1,238 |
3.9× |
| Remove Pulse Generator (33241) |
$4,911.50 |
$9,823 |
1.1× |
| Remove renal tube w/fluoro (50389) |
$834.50 |
$1,669 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$2,025.50 |
$4,051 |
1.0× |
| Remove tissue expander (11971) |
$3,578 |
$7,156 |
1.0× |
| Remove ureter stent percut (50384) |
$2,561 |
$5,122 |
1.0× |
| Remove&replace pm gen singl (33227) |
$12,006 |
$24,012 |
1.2× |
| Remove/Insert Drug Implant (11983) |
$499 |
$998 |
0.9× |
| Remv&replc cvd gen dual lead (33263) |
$33,934 |
$67,868 |
1.3× |
| Remv&replc cvd gen mult lead (33264) |
$48,336.50 |
$96,673 |
1.3× |
| Remv&replc cvd gen sing lead (33262) |
$33,934 |
$67,868 |
1.3× |
| Remv&replc pm gen dual lead (33228) |
$15,302 |
$30,604 |
1.2× |
| Remv&replc pm gen mult leads (33229) |
$27,406.50 |
$54,813 |
1.2× |
| Renal Biopsy Perq (50200) |
$2,025.50 |
$4,051 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$765.50 |
$1,531 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$992 |
$1,984 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,492.50 |
$2,985 |
3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,093 |
$2,186 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$765.50 |
$1,531 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,193.50 |
$2,387 |
2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$765.50 |
$1,531 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$765.50 |
$1,531 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$968.50 |
$1,937 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$968.50 |
$1,937 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$750.50 |
$1,501 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,019.50 |
$2,039 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$499.50 |
$999 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$954.50 |
$1,909 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,097.50 |
$2,195 |
2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$895.50 |
$1,791 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$978.50 |
$1,957 |
1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,287 |
$4,574 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,182 |
$2,364 |
2.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$968.50 |
$1,937 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,121 |
$2,242 |
2.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$765.50 |
$1,531 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$904.50 |
$1,809 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,287 |
$4,574 |
0.9× |
| Repair lead pace-defib dual (33220) |
$4,911.50 |
$9,823 |
1.1× |
| Repair Lead Pace-Defib One (33218) |
$4,911.50 |
$9,823 |
1.1× |
| Repair of nail bed (11760) |
$765.50 |
$1,531 |
0.9× |
| Repair Spica/Body/Jacket Cast (29720) |
$197.50 |
$395 |
1.0× |
| Repair tongue laceration (41252) |
$449.50 |
$899 |
1.6× |
| Repair tongue laceration (41250) |
$499 |
$998 |
0.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,172 |
$2,344 |
1.1× |
| Replace G-J Tube Perc (49452) |
$1,172 |
$2,344 |
1.1× |
| Replace g/c tube perc (49450) |
$1,172 |
$2,344 |
1.1× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$8,930 |
$17,860 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$373 |
$746 |
1.3× |
| Reposition Pacing-Defib Lead (33215) |
$4,293.50 |
$8,587 |
1.2× |
| Reposition Venous Catheter (36597) |
$2,536 |
$5,072 |
1.4× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$8,983 |
$17,966 |
1.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,561 |
$5,122 |
1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$668.50 |
$1,337 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,172 |
$2,344 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$499 |
$998 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$161.50 |
$323 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$499 |
$998 |
0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,025.50 |
$4,051 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$4,911.50 |
$9,823 |
1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,911.50 |
$9,823 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,942 |
$3,884 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,127.50 |
$2,255 |
1.5× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$356 |
$712 |
1.1× |
| Rplc Gtube No Revj Trc (43762) |
$752 |
$1,504 |
2.5× |
| Rplc gtube revj gstrst trc (43763) |
$412 |
$824 |
1.4× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,934.50 |
$7,869 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,536 |
$5,072 |
1.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,536 |
$5,072 |
1.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,934.50 |
$7,869 |
1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,934.50 |
$7,869 |
1.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,536 |
$5,072 |
1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$265.50 |
$531 |
1.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$765.50 |
$1,531 |
0.9× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$306 |
$612 |
1.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$688.50 |
$1,377 |
1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$981 |
$1,962 |
1.3× |
| Sclerotx Fluid Collection (49185) |
$2,025.50 |
$4,051 |
1.0× |
| Severing tarsorrhaphy (67710) |
$1,211 |
$2,422 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$499.50 |
$999 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$248.50 |
$497 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$499.50 |
$999 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$248.50 |
$497 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$248.50 |
$497 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$248.50 |
$497 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$499.50 |
$999 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$248.50 |
$497 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$499.50 |
$999 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$248.50 |
$497 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$499.50 |
$999 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$248.50 |
$497 |
1.0× |
| Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood 13,999 or fewer assigned members (0122U) |
$795.50 |
$1,591 |
1.5× |
| Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood 13,999 or fewer assigned members (0121U) |
$770 |
$1,540 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$499.50 |
$999 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$797.50 |
$1,595 |
3.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$374.50 |
$749 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$265.50 |
$531 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$265.50 |
$531 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$248.50 |
$497 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$376 |
$752 |
1.6× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,757.50 |
$13,515 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,934.50 |
$7,869 |
1.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,757.50 |
$13,515 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$303 |
$606 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$499.50 |
$999 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$499.50 |
$999 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$935.50 |
$1,871 |
1.1× |
| Strapping ankle (29540) |
$197.50 |
$395 |
1.0× |
| Strapping elbow or wrist (29260) |
$196 |
$392 |
2.8× |
| Strapping hand/finger (29280) |
$210 |
$420 |
3.0× |
| Strapping knee (29530) |
$161.50 |
$323 |
1.0× |
| Strapping shoulder (29240) |
$264 |
$528 |
1.7× |
| Strapping toes (29550) |
$132.50 |
$265 |
1.9× |
| Strapping Unna Boot (29580) |
$197.50 |
$395 |
1.0× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$499 |
$998 |
0.9× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$866 |
$1,732 |
1.0× |
| Suction assisted lipectomy; trunk (15877) |
$4,576.50 |
$9,153 |
1.1× |
| T-cell depletion of harvest (38210) |
$46,094.50 |
$92,189 |
88.4× |
| Tangential biopsy skin single lesion (11102) |
$459 |
$918 |
1.0× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$42,447.50 |
$84,895 |
1.3× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$23,839 |
$47,678 |
1.0× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$3,934.50 |
$7,869 |
1.1× |
| Temporary Closure Eyelids Suture (67875) |
$1,211 |
$2,422 |
1.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,001 |
$4,002 |
1.1× |
| Thaw preserved stem cells (38208) |
$844.50 |
$1,689 |
1.6× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$5,856.50 |
$11,713 |
1.1× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,279 |
$6,558 |
1.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$935.50 |
$1,871 |
1.1× |
| Therapeutic Apheresis White Blood Cells (36511) |
$2,654.50 |
$5,309 |
1.4× |
| Therapeutic plasma exchange (36514) |
$3,093 |
$6,186 |
1.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$22,446 |
$44,892 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$6,757.50 |
$13,515 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$1,243 |
$2,486 |
3.2× |
| Thrombolytic Venous Therapy (37212) |
$3,934.50 |
$7,869 |
1.1× |
| Thyroid biopsy (60100) |
$879.50 |
$1,759 |
1.1× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,287 |
$4,574 |
0.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,054 |
$8,108 |
1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$688.50 |
$1,377 |
1.1× |
| Transcatheter biopsy (37200) |
$6,757.50 |
$13,515 |
1.0× |
| Treat humerus fracture (24500) |
$300 |
$600 |
1.0× |
| Treat Humerus Fracture (24505) |
$2,001 |
$4,002 |
1.1× |
| Treat humerus fracture (23600) |
$602 |
$1,204 |
2.1× |
| Treat Knee Fracture(S) (27538) |
$300 |
$600 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$300 |
$600 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$300 |
$600 |
1.0× |
| Treat Thumb Dislocation (26641) |
$300 |
$600 |
1.0× |
| Treat Thumb Fracture (26645) |
$2,001 |
$4,002 |
1.1× |
| Treat vagina infection (57150) |
$74.50 |
$149 |
1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,001 |
$4,002 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$423.50 |
$847 |
1.5× |
| Treatment extensive retinopathy photocoagulation (67228) |
$727.50 |
$1,455 |
1.1× |
| Trim skin lesion (11055) |
$248.50 |
$497 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$248.50 |
$497 |
1.0× |
| Trim skin lesions over 4 (11057) |
$248.50 |
$497 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$7,127 |
$14,254 |
1.1× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,127 |
$14,254 |
1.1× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$7,875 |
$15,750 |
15.1× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$3,104.50 |
$6,209 |
6.0× |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
$3,918.50 |
$7,837 |
7.5× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$3,733.50 |
$7,467 |
2.0× |
| Tx Gastro Intub W/Asp (43753) |
$389.50 |
$779 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$765.50 |
$1,531 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$499.50 |
$999 |
1.0× |
| Unlisted procedure nervous system (64999) |
$1,341 |
$2,682 |
3.7× |
| Upgrade of pacemaker system (33214) |
$16,168.50 |
$32,337 |
1.3× |
| Urine Flow Measurement (51736) |
$161.50 |
$323 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$22,446 |
$44,892 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$14,176 |
$28,352 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$14,176 |
$28,352 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$14,176 |
$28,352 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,706.50 |
$5,413 |
1.1× |
| Venous Mech Thrombectomy (37187) |
$14,176 |
$28,352 |
1.0× |
| Ventricular puncture previous burr hole w/inj (61026) |
$935.50 |
$1,871 |
1.1× |
| Wash harvest stem cells (38209) |
$2,943.50 |
$5,887 |
5.6× |
| Wedge excision skin nail fold (11765) |
$499.50 |
$999 |
1.0× |
| Wedging of cast (29740) |
$356 |
$712 |
1.1× |
| Wedging of clubfoot cast (29750) |
$356 |
$712 |
1.1× |
| Windowing of cast (29730) |
$299.50 |
$599 |
1.6× |