| Abd paracentesis w/imaging (49083) |
$1,172 |
$2,344 |
1.1× |
| Ablate inf turbinate submuc (30802) |
$2,086.50 |
$4,173 |
1.1× |
| 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× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$13,014.50 |
$26,029 |
1.0× |
| Ablation ther 1+ pulm tumors perq cryoablation (32994) |
$13,014.50 |
$26,029 |
1.0× |
| 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× |
| Abltj 1/> lvr tum prq rf (47382) |
$7,293 |
$14,586 |
1.0× |
| Acne Surgery (10040) |
$248.50 |
$497 |
1.0× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$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 trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$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× |
| Analyze infusn pump+reprogram (62368) |
$403.50 |
$807 |
1.1× |
| Application cast elbow finger short arm (29075) |
$356 |
$712 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$311.50 |
$623 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$397.50 |
$795 |
1.2× |
| 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 splint thigh ankle/toes (29505) |
$349 |
$698 |
1.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$478.50 |
$957 |
1.4× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$389.50 |
$779 |
1.2× |
| Application of long leg cast (29345) |
$397.50 |
$795 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$332 |
$664 |
1.0× |
| 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 long leg cast brace (29358) |
$406 |
$812 |
1.2× |
| Apply of clubfoot cast (29450) |
$288.50 |
$577 |
1.5× |
| Apply patella tendon bearing cast (29435) |
$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× |
| Aspirat/Injection Ganglion Cyst(S) (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× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$399 |
$798 |
1.7× |
| Biliary Endoscopy Percut,Dil Strict (47555) |
$4,858.50 |
$9,717 |
0.6× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$13,014.50 |
$26,029 |
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 of lip (40490) |
$306 |
$612 |
1.1× |
| Biopsy of mouth lesion (40808) |
$688.50 |
$1,377 |
1.1× |
| Biopsy of nail unit (11755) |
$879.50 |
$1,759 |
1.1× |
| Biopsy of penis (54100) |
$2,025.50 |
$4,051 |
1.0× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$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× |
| Bl exchange/transfuse nb (36450) |
$546.50 |
$1,093 |
1.0× |
| Bladder Scan (51798) |
$74.50 |
$149 |
1.1× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$3,132 |
$6,264 |
1.7× |
| Blood patch (62273) |
$935.50 |
$1,871 |
1.1× |
| Blood transfusion service (36430) |
$869.50 |
$1,739 |
1.7× |
| Bone marrow aspiration only (38220) |
$2,025.50 |
$4,051 |
1.0× |
| Bone Marrow Biopsy (38221) |
$2,025.50 |
$4,051 |
1.0× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$935.50 |
$1,871 |
1.1× |
| 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× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,156 |
$4,312 |
1.0× |
| Bronchoscopy Balloon Occlusion (31634) |
$8,653.50 |
$17,307 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,156 |
$4,312 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,156 |
$4,312 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$1,109.50 |
$2,219 |
2.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,609 |
$9,218 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,647.50 |
$5,295 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,025.50 |
$4,051 |
1.0× |
| Bx vulva/perineum 1 lesion (56605) |
$1,088.50 |
$2,177 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$2,025.50 |
$4,051 |
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 g-tube to g-j perc (49446) |
$2,371.50 |
$4,743 |
1.0× |
| 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 Musc Migraine (64615) |
$369 |
$738 |
1.0× |
| Chemodenerv Musc Neck Dyston (64616) |
$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× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$369 |
$738 |
1.0× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$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× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$581 |
$1,162 |
3.7× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,858.50 |
$9,717 |
1.1× |
| Circum 28 days or older (54161) |
$2,561 |
$5,122 |
1.0× |
| Circumcision (54150) |
$3,322.50 |
$6,645 |
1.3× |
| Circumcision Neonate (54160) |
$834.50 |
$1,669 |
1.0× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$408 |
$816 |
1.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$2,001 |
$4,002 |
1.1× |
| Close tear duct opening (68761) |
$374 |
$748 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,001 |
$4,002 |
1.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$408 |
$816 |
1.4× |
| Closed Rx Med Malleolus Fx (27760) |
$510 |
$1,020 |
1.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,001 |
$4,002 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,001 |
$4,002 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$345 |
$690 |
1.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$2,001 |
$4,002 |
1.1× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$2,001 |
$4,002 |
1.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$300 |
$600 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$300 |
$600 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$510 |
$1,020 |
1.8× |
| Closed Treat Vert Body Fract (22310) |
$300 |
$600 |
1.0× |
| Closed treatment of broken top of shin bone at knee (27538) |
$300 |
$600 |
1.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$485.50 |
$971 |
1.7× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$335.50 |
$671 |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$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 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 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 of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$306 |
$612 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$369 |
$738 |
1.3× |
| Clsd tx pelvic ring fx w/manipulation w/anes (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× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$300 |
$600 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$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 iphal jt dislc w/manj w/o anes (26770) |
$325.50 |
$651 |
1.1× |
| 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 metacarpophalangeal dislc w/manj w/o anes (26700) |
$300 |
$600 |
1.0× |
| 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 sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,001 |
$4,002 |
1.1× |
| 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 shaft fx w/manj w/wo skel tracj (27752) |
$2,001 |
$4,002 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,001 |
$4,002 |
1.1× |
| 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× |
| Complete replacement picc rs&i (36584) |
$2,536 |
$5,072 |
1.4× |
| Complex Cystometrogram (51726) |
$469 |
$938 |
1.6× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$834.50 |
$1,669 |
1.0× |
| Complex Drainage, Wound (10180) |
$3,578 |
$7,156 |
1.0× |
| Complex Uroflowmetry (51741) |
$389.50 |
$779 |
1.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$302 |
$604 |
1.2× |
| 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 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 of skin (17340) |
$74.50 |
$149 |
1.1× |
| 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× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$879.50 |
$1,759 |
1.1× |
| Debride nail 1-5 (11720) |
$291 |
$582 |
4.2× |
| Debride nail 6 or more (11721) |
$74.50 |
$149 |
1.1× |
| Debride skin musc at fx site (11011) |
$879.50 |
$1,759 |
1.1× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$265.50 |
$531 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$499.50 |
$999 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$765.50 |
$1,531 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,025.50 |
$4,051 |
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× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$499.50 |
$999 |
1.0× |
| Destruction benign lesions 15 or more (17111) |
$265.50 |
$531 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$265.50 |
$531 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,113 |
$2,226 |
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 cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$765.50 |
$1,531 |
0.9× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$2,521.50 |
$5,043 |
1.0× |
| Destruction of skin lesions (17106) |
$499.50 |
$999 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$248.50 |
$497 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,007.50 |
$2,015 |
1.2× |
| Drain bladder by trocar/cath (51101) |
$1,272 |
$2,544 |
1.3× |
| 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 Finger Abscess Simple (26010) |
$393.50 |
$787 |
1.7× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$688.50 |
$1,377 |
1.1× |
| Drainage of eye (65800) |
$2,851 |
$5,702 |
1.0× |
| 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× |
| 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× |
| Dry Needling 3+ Muscles (20561) |
$211 |
$422 |
6.2× |
| 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× |
| Dx bone marrow bx & aspir (38222) |
$3,578 |
$7,156 |
1.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,371.50 |
$4,743 |
1.0× |
| Egd tube/cath insertion (43241) |
$2,371.50 |
$4,743 |
1.0× |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
$403.50 |
$807 |
1.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$196 |
$392 |
1.3× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,521.50 |
$5,043 |
1.0× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,911.50 |
$9,823 |
1.1× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$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 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,025.50 |
$4,051 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,025.50 |
$4,051 |
1.0× |
| Exc coccygeal pressure ulcer (15920) |
$3,578 |
$7,156 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$879.50 |
$1,759 |
1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,025.50 |
$4,051 |
1.0× |
| Exc frenum labial/buccal (40819) |
$1,852 |
$3,704 |
1.0× |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
$2,287 |
$4,574 |
0.9× |
| Exc ischial pressure ulcer w/primary suture (15940) |
$3,578 |
$7,156 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$879.50 |
$1,759 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$499.50 |
$999 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$879.50 |
$1,759 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$879.50 |
$1,759 |
1.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,578 |
$7,156 |
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 Malig 2.1-3 Cm Face,Facial (11643) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,025.50 |
$4,051 |
1.0× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$3,578 |
$7,156 |
1.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$879.50 |
$1,759 |
1.1× |
| Exc trochanteric pressure ulcer w/primary sutr (15950) |
$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 cath (50435) |
$2,561 |
$5,122 |
1.0× |
| Exchange transfusion, blood; other than newborn (36455) |
$546.50 |
$1,093 |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,371.50 |
$4,743 |
1.0× |
| Excise/repair mouth lesion (40812) |
$1,852 |
$3,704 |
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 smpl/intrm rpr (11462) |
$3,578 |
$7,156 |
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 2.1-3.0 Cm (11603) |
$879.50 |
$1,759 |
1.1× |
| 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 0.6-1.0 cm (11641) |
$879.50 |
$1,759 |
1.1× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$879.50 |
$1,759 |
1.1× |
| 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 Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,025.50 |
$4,051 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$879.50 |
$1,759 |
1.1× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$879.50 |
$1,759 |
1.1× |
| Excision of lesion of tongue without closure (41110) |
$4,054 |
$8,108 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$2,025.50 |
$4,051 |
1.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$2,025.50 |
$4,051 |
1.0× |
| Excision of nail fold toe (11765) |
$499.50 |
$999 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,578 |
$7,156 |
1.0× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$3,578 |
$7,156 |
1.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,578 |
$7,156 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,578 |
$7,156 |
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/us gdn 1st lesion (10005) |
$1,532.50 |
$3,065 |
1.8× |
| 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/mr gdn 1st les (10011) |
$3,220.50 |
$6,441 |
3.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$389.50 |
$779 |
1.5× |
| 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 simple (10080) |
$995.50 |
$1,991 |
1.2× |
| 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 Fluid Collxn Drainag Cath Transrec/Vaginal (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 & drainage pilonidal cyst complicated (10081) |
$1,364.50 |
$2,729 |
1.6× |
| 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 labial frenum frenotomy (40806) |
$688.50 |
$1,377 |
1.1× |
| Incision of achilles tendon (27605) |
$2,001 |
$4,002 |
1.1× |
| Incision of lingual frenum (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× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$992 |
$1,984 |
2.4× |
| Initial tx 1st degree burn local tx (16000) |
$353.50 |
$707 |
1.5× |
| Inj neurolytic subarachnoid (62280) |
$1,113 |
$2,226 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,113 |
$2,226 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$404 |
$808 |
1.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,228.50 |
$2,457 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,113 |
$2,226 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$866 |
$1,732 |
1.0× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$369 |
$738 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,113 |
$2,226 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,228.50 |
$2,457 |
1.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$866 |
$1,732 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,113 |
$2,226 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$866 |
$1,732 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,113 |
$2,226 |
1.1× |
| Inject Nerv Blck,Pudendal (64430) |
$1,113 |
$2,226 |
1.1× |
| Inject Tendon Origin/Insert (20551) |
$393 |
$786 |
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 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 aa&/strd suprascapular nerve (64418) |
$866 |
$1,732 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$369 |
$738 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$935.50 |
$1,871 |
1.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$981 |
$1,962 |
1.3× |
| 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(s) spider veins (36468) |
$499.50 |
$999 |
1.0× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$1,113 |
$2,226 |
1.1× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$369 |
$738 |
1.0× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$866 |
$1,732 |
1.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$393 |
$786 |
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× |
| 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 new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$15,302 |
$30,604 |
1.2× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$15,302 |
$30,604 |
1.2× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$15,302 |
$30,604 |
1.2× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$15,302 |
$30,604 |
1.2× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$12,006 |
$24,012 |
1.2× |
| 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 Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,474 |
$2,948 |
1.0× |
| Insert Drug Implant Device (11981) |
$161.50 |
$323 |
1.0× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,371.50 |
$4,743 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,371.50 |
$4,743 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,934.50 |
$7,869 |
1.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$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 mult leads (33221) |
$27,406.50 |
$54,813 |
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 of tunneled intraperitoneal catheter for dialysis, open (49421) |
$4,858.50 |
$9,717 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,536 |
$5,072 |
1.4× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,838 |
$5,676 |
3.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,006 |
$24,012 |
1.2× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$12,006 |
$24,012 |
1.2× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$29,477.50 |
$58,955 |
1.1× |
| 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 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× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (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× |
| Irrigate vagina w meds (57150) |
$74.50 |
$149 |
1.1× |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age Other… (31553) |
$7,395 |
$14,790 |
1.1× |
| Laryngoscopy Direct Aspiration (31515) |
$1,241.50 |
$2,483 |
2.7× |
| 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/bx op scope (31536) |
$4,609 |
$9,218 |
1.0× |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
$2,304 |
$4,608 |
1.1× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,156 |
$4,312 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,609 |
$9,218 |
1.0× |
| Late closure of wound (13160) |
$2,287 |
$4,574 |
0.5× |
| Liver Biopsy (47000) |
$2,025.50 |
$4,051 |
1.0× |
| 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× |
| Measure Kidney Pressure Thru Tube (50396) |
$834.50 |
$1,669 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,536 |
$5,072 |
1.4× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$3,934.50 |
$7,869 |
1.1× |
| Mrgfus strtctc ablt trgt icr (61715) |
$17,035.50 |
$34,071 |
1.3× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$243 |
$486 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,267.50 |
$4,535 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$566 |
$1,132 |
1.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$304.50 |
$609 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$211 |
$422 |
6.2× |
| Neuroeltrd stim post tibial (64566) |
$369 |
$738 |
1.0× |
| 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 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 (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× |
| Obstructive material removal from gi tube (49460) |
$1,172 |
$2,344 |
1.1× |
| Open/Perq Place Stent Same (37238) |
$14,176 |
$28,352 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$14,176 |
$28,352 |
1.0× |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$546.50 |
$1,093 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,974.50 |
$7,949 |
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 (37187) |
$14,176 |
$28,352 |
1.0× |
| 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 Drainage Pleura Insert Cath W/Imaging (32557) |
$2,536 |
$5,072 |
1.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,371.50 |
$4,743 |
1.0× |
| 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 replacement gtube not req revj gstrst trc (43762) |
$752 |
$1,504 |
2.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$879.50 |
$1,759 |
1.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$22,446 |
$44,892 |
1.0× |
| 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× |
| 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 cath prq new access rs&i (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× |
| Preputial Stretching (54450) |
$393 |
$786 |
1.3× |
| 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× |
| Punch biopsy skin single lesion (11104) |
$499.50 |
$999 |
1.0× |
| Puncture Aspiration (10160) |
$499.50 |
$999 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$879.50 |
$1,759 |
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× |
| Rbc depletion of harvest (38212) |
$3,918.50 |
$7,837 |
7.5× |
| Reconstruction of nail bed with graft (11762) |
$2,287 |
$4,574 |
0.9× |
| Reduction of rectal prolapse (45900) |
$1,140 |
$2,280 |
1.0× |
| Relocation of skin pocket for 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 cath (47537) |
$1,172 |
$2,344 |
1.1× |
| Removal fb intranasal (30300) |
$619 |
$1,238 |
3.9× |
| 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 foreign body pharynx (42809) |
$499 |
$998 |
0.9× |
| 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 Implantable Defib Pulse Generator Only (33241) |
$4,911.50 |
$9,823 |
1.1× |
| Removal of arm foreign body (24200) |
$2,025.50 |
$4,051 |
1.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$981 |
$1,962 |
1.3× |
| Removal of intrauterine device (iud) (58301) |
$402 |
$804 |
1.1× |
| Removal of nail bed (11750) |
$499.50 |
$999 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$265.50 |
$531 |
1.1× |
| Removal ppm generator only (33233) |
$12,006 |
$24,012 |
1.2× |
| Removal subq cardiac rhythm monitor (33286) |
$879.50 |
$1,759 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$356 |
$712 |
1.1× |
| 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 Eyelid Foreign Body (67938) |
$803 |
$1,606 |
2.1× |
| Remove foreign body from eye (65210) |
$499 |
$998 |
0.9× |
| Remove intrvas foreign body (37197) |
$3,934.50 |
$7,869 |
1.1× |
| Remove Pilonidal Cyst Exten (11771) |
$3,578 |
$7,156 |
1.0× |
| 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× |
| Remv Ext Canal Foreign Body (69200) |
$203.50 |
$407 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$211 |
$422 |
1.3× |
| 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× |
| Remv/revisn shldr/hip spica cast (29710) |
$356 |
$712 |
1.1× |
| Renal biopsy (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 12.6-20.0cm (12055) |
$499.50 |
$999 |
1.0× |
| 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 20.1-30.0cm (12056) |
$499.50 |
$999 |
1.0× |
| 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 (41250) |
$499 |
$998 |
0.9× |
| Replace duod/jej tube perc (49451) |
$1,172 |
$2,344 |
1.1× |
| Replace g/c tube perc (49450) |
$1,172 |
$2,344 |
1.1× |
| Replace Tissue Expander (11970) |
$8,930 |
$17,860 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,172 |
$2,344 |
1.1× |
| Reposition gastrostomy tube (43761) |
$373 |
$746 |
1.3× |
| Reposition pacing-defib lead (33215) |
$4,293.50 |
$8,587 |
1.2× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$403.50 |
$807 |
1.1× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,934.50 |
$7,869 |
1.1× |
| Revision of tips (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 of subq defibrillator (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 Transvns Pm Eltrd Dual Lead Sys (33235) |
$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 w/rinsj non-biodegradable drug dlvr implt (11983) |
$499 |
$998 |
0.9× |
| 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 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 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 lac tongue floor mouth > 2.6 cm/cplx (41252) |
$449.50 |
$899 |
1.6× |
| 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× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,536 |
$5,072 |
1.4× |
| Sclerotx Fluid Collection (49185) |
$2,025.50 |
$4,051 |
1.0× |
| Severing of tarsorrhaphy (67710) |
$1,211 |
$2,422 |
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× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$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 Other Outpatient (0122U) |
$795.50 |
$1,591 |
1.5× |
| Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood Other Outpatient (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 f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$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× |
| Skin tissue rearrangement (14040) |
$2,287 |
$4,574 |
0.9× |
| 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× |
| Spinal Puncture Therapeutic (62272) |
$935.50 |
$1,871 |
1.1× |
| Strapping ankle (29540) |
$197.50 |
$395 |
1.0× |
| Strapping elbow/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 (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 leadless pacemaker rv w/img (33274) |
$23,839 |
$47,678 |
1.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,934.50 |
$7,869 |
1.1× |
| Temporary Closure Eyelids Suture (67875) |
$1,211 |
$2,422 |
1.0× |
| 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,Plasma Pheresis (36514) |
$3,093 |
$6,186 |
1.7× |
| Ther Apheresis,Red Blood Cells (36512) |
$3,279 |
$6,558 |
1.8× |
| Ther Apheresis,White Blood Cells (36511) |
$2,654.50 |
$5,309 |
1.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$935.50 |
$1,871 |
1.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$981 |
$1,962 |
1.3× |
| 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 trunk 10 sq cm/< (14000) |
$2,287 |
$4,574 |
0.9× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,287 |
$4,574 |
0.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,054 |
$8,108 |
1.0× |
| Trach Tube Change (31502) |
$364 |
$728 |
1.3× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$688.50 |
$1,377 |
1.1× |
| Transcatheter biopsy (37200) |
$6,757.50 |
$13,515 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$300 |
$600 |
1.0× |
| Treat humerus fracture (24500) |
$300 |
$600 |
1.0× |
| Treat humerus fracture (24577) |
$2,001 |
$4,002 |
1.1× |
| Treat humerus fracture (23600) |
$602 |
$1,204 |
2.1× |
| Treat Metatarsal Fracture (28475) |
$300 |
$600 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,001 |
$4,002 |
1.1× |
| Treat wrist bone fracture (25635) |
$2,001 |
$4,002 |
1.1× |
| Treat wrist bone fracture (25622) |
$509 |
$1,018 |
1.7× |
| Treat Wrist Bone Fracture (25630) |
$300 |
$600 |
1.0× |
| 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× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,127 |
$14,254 |
1.1× |
| Trlml balo angiop open/perq w/img s&i 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× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$3,733.50 |
$7,467 |
2.0× |
| 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× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (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 (55250) |
$2,706.50 |
$5,413 |
1.1× |
| Venipuncture (36415) |
$34.50 |
$69 |
3.7× |
| 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× |
| 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× |