| Abd paracentesis w/imaging (49083) |
$816.75 |
$1,089 |
0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,013.75 |
$2,685 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,043.75 |
$2,725 |
0.6× |
| Anal/Urinary Muscle Study (51784) |
$100.44 |
$133.92 |
0.8× |
| Anoscopy diagnostic (46600) |
$142.50 |
$190 |
1.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$75 |
$100 |
0.5× |
| Application cast elbow finger short arm (29075) |
$125.25 |
$167 |
0.5× |
| Application Cast Finger (29086) |
$150 |
$200 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$66 |
$88 |
1.2× |
| Application finger splint static (29130) |
$66 |
$88 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$66 |
$88 |
0.4× |
| Application Long Leg Splint (29505) |
$66 |
$88 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$66 |
$88 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$66 |
$88 |
0.5× |
| Application short leg splint calf foot (29515) |
$66 |
$88 |
0.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$168.75 |
$225 |
1.1× |
| Apply Short Leg Cast (29405) |
$144.75 |
$193 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$20.21 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$16.89 |
$22.52 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$35.95 |
$47.93 |
0.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$19.06 |
— |
| Aspirate pleura w/ imaging (32555) |
$727.50 |
$970 |
1.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$22.53 |
$30.04 |
0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$204.75 |
$273 |
1.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$906 |
$1,208 |
0.6× |
| Biopsy Pleura Percutaneous Needle (32400) |
$936 |
$1,248 |
0.6× |
| Biopsy Vaginal Mucosa Simple (57100) |
$26.85 |
$35.80 |
0.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$291.66 |
$388.87 |
0.4× |
| Bladder Irrigation (51700) |
$291.66 |
$388.87 |
1.2× |
| Bladder Scan (51798) |
$150 |
$200 |
2.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$402.74 |
$536.98 |
1.3× |
| Blood Transfusion Service (36430) |
$525 |
$700 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,691 |
$3,588 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$2,691 |
$3,588 |
1.7× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,096.50 |
$1,462 |
0.7× |
| Bx Cervix (57500) |
$62.81 |
$83.74 |
0.1× |
| Bx/exc lymph node open superficial (38500) |
$2,183.25 |
$2,911 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$442.50 |
$590 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$447 |
$596 |
1.5× |
| Chemodenerv musc neck dyston (64616) |
$20.36 |
$27.14 |
0.1× |
| Chemodenervation of internal anal sphincter (46505) |
$55.86 |
$74.48 |
0.0× |
| Chest tube placement (32551) |
$640.50 |
$854 |
0.4× |
| Clear outer ear canal (69200) |
$144.75 |
$193 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$299.75 |
$399.66 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$696.75 |
$929 |
0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$299.75 |
$399.66 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$432 |
$576 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$299.75 |
$399.66 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$402.75 |
$537 |
1.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$299.75 |
$399.66 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$898.50 |
$1,198 |
0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$622.50 |
$830 |
0.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$299.75 |
$399.66 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$798 |
$1,064 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$299.75 |
$399.66 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$299.75 |
$399.66 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$299.75 |
$399.66 |
1.3× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$663.93 |
$885.24 |
1.3× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$299.75 |
$399.66 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,031.25 |
$1,375 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$424.50 |
$566 |
1.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$689.25 |
$919 |
0.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$350.52 |
$467.35 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$408 |
$544 |
1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$667.50 |
$890 |
2.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$358.46 |
$477.94 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$251.25 |
$335 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$251.25 |
$335 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$312.75 |
$417 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$944.25 |
$1,259 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,720.50 |
$2,294 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$299.75 |
$399.66 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$378 |
$504 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$299.75 |
$399.66 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$299.75 |
$399.66 |
1.3× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$299.75 |
$399.66 |
1.3× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$299.75 |
$399.66 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$522 |
$696 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$223.50 |
$298 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315.75 |
$421 |
1.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,767 |
$2,356 |
1.1× |
| Cltx Medial Ankle Fx (27760) |
$299.75 |
$399.66 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$507.75 |
$677 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$276 |
$368 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$430.50 |
$574 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$299.75 |
$399.66 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$405 |
$540 |
1.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$299.75 |
$399.66 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$729.75 |
$973 |
3.1× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$313.53 |
$418.03 |
0.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,031.25 |
$1,375 |
0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$440.25 |
$587 |
0.3× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$299.75 |
$399.66 |
1.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$299.75 |
$399.66 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$824.25 |
$1,099 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$299.75 |
$399.66 |
1.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$63.75 |
$85 |
0.5× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$12 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$20.36 |
$27.14 |
0.1× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$159.81 |
$213.08 |
0.1× |
| Complex drainage wound (10180) |
$1,810.50 |
$2,414 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$150.03 |
$200.04 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$213 |
$284 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$322.50 |
$430 |
2.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$144.66 |
$192.87 |
0.1× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$100.05 |
$133.40 |
0.0× |
| Cystometrogram W/Vp (51728) |
$137.23 |
$182.97 |
0.2× |
| Cystometrogram W/Vp&Up (51729) |
$258.60 |
$344.79 |
0.4× |
| Cystourethroscopy (52000) |
$93.98 |
$125.30 |
0.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$662.25 |
$883 |
0.9× |
| Debride nail 1-5 (11720) |
$81.83 |
$109.10 |
1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,269 |
$1,692 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$561 |
$748 |
1.4× |
| Declot vascular device (36593) |
$261 |
$348 |
0.8× |
| Delivery of placenta (59414) |
$255.81 |
$341.08 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$239.07 |
$318.76 |
0.1× |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$236.90–$355.35 |
$315.86–$473.79 |
varies |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$324.35 |
$432.46 |
0.2× |
| Dilat Xst Trc New Access Rcs (50437) |
$3,073.50 |
$4,098 |
0.9× |
| Drainage external auditory canal abscess (69020) |
$808.67 |
$1,078.22 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$614.25 |
$819 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$927.47 |
$1,236.62 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$265.64 |
$354.18 |
1.2× |
| Drainage of finger abscess simple (26010) |
$342 |
$456 |
1.8× |
| Drainage of gum lesion (41800) |
$189.11 |
$252.14 |
1.5× |
| Draw Blood Off Venous Device (36591) |
$118.50 |
$158 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$330 |
$440 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$261 |
$348 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$192.75 |
$257 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$48.51 |
$64.67 |
0.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$995.25 |
$1,327 |
1.5× |
| Electro-Uroflowmetry First (51741) |
$11.06 |
$14.74 |
0.1× |
| Endometrial Biopsy (58100) |
$25.98 |
$34.63 |
0.1× |
| Endoscopic injection/implant (51715) |
$109.15 |
$145.53 |
0.0× |
| Epidural Blood Patch (62273) |
$72.33 |
$96.43 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$122.25 |
$163 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$255.83 |
$341.10 |
0.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$450 |
$600 |
0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$773.25 |
$1,031 |
1.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,350 |
$1,800 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$714.75 |
$953 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$853.50 |
$1,138 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,618.50 |
$2,158 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,350 |
$1,800 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,772.25 |
$2,363 |
1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$537.75 |
$717 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,859.25 |
$2,479 |
1.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$773.25 |
$1,031 |
1.1× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$450 |
$600 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,071 |
$1,428 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,134 |
$1,512 |
0.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$166.50 |
$221.99 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$85.27 |
$113.69 |
0.2× |
| Fna bx w/us gdn 1st les (10005) |
$118.43 |
$157.90 |
0.2× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$1,350 |
$1,800 |
0.7× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
$1,747.08 |
$2,329.43 |
0.4× |
| Hysteroscopy Biopsy (58558) |
$168.04 |
$224.05 |
0.1× |
| Hysteroscopy Dx Sep Proc (58555) |
$148.56 |
$198.07 |
0.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$1,617.17 |
$2,156.22 |
0.3× |
| I&d abscess simple (10060) |
$306 |
$408 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,288.50 |
$1,718 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$518.25 |
$691 |
0.8× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,123.86 |
$1,498.48 |
0.2× |
| Incise external hemorrhoid (46083) |
$424.50 |
$566 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$439.50 |
$586 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,502.25 |
$2,003 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$415.50 |
$554 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$523.50 |
$698 |
2.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$696 |
$928 |
2.4× |
| Incision of rectal abscess (46040) |
$1,861.50 |
$2,482 |
1.6× |
| Incisional biopsy skin single lesion (11106) |
$196.02 |
$261.36 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$229.68 |
$306.24 |
1.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$3,298.50 |
$4,398 |
3.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$126.03 |
$168.03 |
0.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$20.36 |
$27.14 |
0.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$163.06 |
$217.41 |
0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$71.46 |
$95.27 |
0.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$163.50 |
$218 |
0.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$20.79 |
$27.72 |
0.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$72.33 |
$96.44 |
0.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$84.46 |
$112.61 |
0.1× |
| Injection single tendon origin/insertion (20551) |
$21.23 |
$28.30 |
0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$20.78 |
$27.70 |
0.1× |
| Injection therapeutic carpal tunnel (20526) |
$23.40 |
$31.19 |
0.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$465 |
$620 |
0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$41.58 |
$55.44 |
0.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$29.01 |
$38.68 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$58.05 |
$77.39 |
0.5× |
| Insert cath pleura w/o image (32556) |
$844.50 |
$1,126 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,177.50 |
$1,570 |
0.4× |
| Insert pessary/other device (57160) |
$35.51 |
$47.34 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$318.75 |
$425 |
2.5× |
| Insert tun ip cath perc (49418) |
$3,150 |
$4,200 |
0.9× |
| Insert tunneled cv cath (36561) |
$3,150 |
$4,200 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$24.99 |
$33.31 |
0.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,050 |
$1,400 |
0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,650 |
$2,200 |
0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$900 |
$1,200 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$450.75 |
$601 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$171 |
$228 |
0.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$345 |
$460 |
0.2× |
| Late closure of wound (13160) |
$1,022.25 |
$1,363 |
0.3× |
| N Block Inj Celiac Pelus (64530) |
$120.41 |
$160.54 |
0.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$46.77 |
$62.35 |
0.1× |
| N block inj intercost sng (64420) |
$53.70 |
$71.60 |
0.1× |
| N Block Inj Plantar Digit (64455) |
— |
$20.79 |
— |
| N Block Inj Pudendal (64430) |
$68.43 |
$91.24 |
0.1× |
| N Block Lumbar/Thoracic (64520) |
$128.63 |
$171.50 |
0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$395.42 |
$527.22 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,551.75 |
$2,069 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.50 |
$30 |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$22.50 |
$30 |
0.8× |
| Neuroeltrd Stim Post Tibial (64566) |
$94.41 |
$125.87 |
0.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$64.97 |
$86.62 |
0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$68.87 |
$91.82 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,427.50 |
$4,570 |
4.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$170.01 |
$226.67 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$750 |
$1,000 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$176.55 |
$235.40 |
0.3× |
| Occipital Nerve Block (64405) |
$45.90 |
$61.20 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$348.75 |
$465 |
0.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$190.56 |
$254.07 |
0.1× |
| Peritoneal Lavage (49084) |
$1,230 |
$1,640 |
1.4× |
| Perq Cervicothoracic Inject (22510) |
$1,615.43 |
$2,153.90 |
0.5× |
| Perq dev breast 1st strtctc (19283) |
$1,125 |
$1,500 |
1.7× |
| Perq dev breast 1st us imag (19285) |
$1,125 |
$1,500 |
1.7× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,827 |
$2,436 |
0.5× |
| Perq Lumbosacral Injection (22511) |
$1,627.55 |
$2,170.06 |
0.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,395.42 |
$11,193.89 |
1.2× |
| Perq Vertebral Augmentation (22513) |
$8,360.79 |
$11,147.71 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$236.25 |
$315 |
0.6× |
| Prostatic Rf Thermotx (53852) |
$1,563.02 |
$2,084.02 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$178.20 |
$237.60 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$259.50 |
$346 |
0.7× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$67.62 |
$90.15 |
0.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$377.83 |
$503.77 |
0.2× |
| Removal foreign body foot deep (28192) |
$2,219.25 |
$2,959 |
1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$870 |
$1,160 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$754.50 |
$1,006 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$81.83 |
$109.10 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$19.92 |
$26.55 |
0.4× |
| Removal of foreign body from pharynx (42809) |
$164.25 |
$219 |
0.4× |
| Removal of nail bed (11750) |
$423 |
$564 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$156.75 |
$209 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$80.25 |
$107 |
0.3× |
| Remove foreign body from eye (65235) |
$202.50 |
$270 |
0.1× |
| Remove foreign body from eye (65205) |
$160.50 |
$214 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$153.75 |
$205 |
1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$832.50 |
$1,110 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$983.25 |
$1,311 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$585.75 |
$781 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$948.75 |
$1,265 |
2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$619.50 |
$826 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$780.75 |
$1,041 |
2.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$768 |
$1,024 |
1.1× |
| Repair Finger/Hand Tendon (26350) |
$1,599.75 |
$2,133 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$368.25 |
$491 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$349.50 |
$466 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$426 |
$568 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$412.50 |
$550 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$622.50 |
$830 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$371.25 |
$495 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$435.75 |
$581 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$464.25 |
$619 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$539.25 |
$719 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$349.50 |
$466 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$396.75 |
$529 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$678 |
$904 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$570 |
$760 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,639.22 |
$2,185.62 |
0.8× |
| Repair of nail bed (11760) |
$679.65 |
$906.20 |
1.0× |
| Repair tongue laceration (41250) |
$272.25 |
$363 |
0.6× |
| Replace g/c tube perc (49450) |
$1,087.50 |
$1,450 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$202.50 |
$270 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$182.25 |
$243 |
1.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$138.75 |
$185 |
0.3× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$315.73 |
$420.97 |
0.2× |
| Rplc Gtube No Revj Trc (43762) |
$391.50 |
$522 |
1.6× |
| Rplc gtube revj gstrst trc (43763) |
$430.65 |
$574.20 |
1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$288.75 |
$385 |
1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$302.25 |
$403 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$763.50 |
$1,018 |
1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$711.75 |
$949 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$248.25 |
$331 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$270.75 |
$361 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$293.25 |
$391 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$234 |
$312 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$294.75 |
$393 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$825 |
$1,100 |
1.2× |
| Skin sub graft trnk/arm/leg (15271) |
$975 |
$1,300 |
1.4× |
| Skin sub grft t/arm/lg child (15273) |
$2,625 |
$3,500 |
1.3× |
| Skn sub grft f/n/hf/g child (15277) |
$1,500 |
$2,000 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$257.25 |
$343 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$339.75 |
$453 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$363 |
$484 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$99.19 |
$132.25 |
0.1× |
| Strapping ankle (29540) |
$52.50 |
$70 |
0.3× |
| Strapping elbow or wrist (29260) |
$52.50 |
$70 |
0.9× |
| Strapping knee (29530) |
$63.75 |
$85 |
0.5× |
| Strapping shoulder (29240) |
$63.75 |
$85 |
0.5× |
| Strapping thorax (29200) |
$63.75 |
$85 |
0.4× |
| Strapping toes (29550) |
$37.50 |
$50 |
0.7× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$395.42 |
$527.22 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$162 |
$216 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$419.18 |
$558.90 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$1,275 |
$1,700 |
0.4× |
| Thyroid biopsy (60100) |
$1,096.50 |
$1,462 |
1.6× |
| Tooth extraction (41899) |
$675 |
$900 |
3.0× |
| Treat humerus fracture (23600) |
$299.75 |
$399.66 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$340.50 |
$454 |
1.4× |
| Treat Tail Bone Fracture (27200) |
$299.75 |
$399.66 |
1.3× |
| Treat toe dislocation (28630) |
$271.50 |
$362 |
1.1× |
| Treat vagina infection (57150) |
$19.48 |
$25.97 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$444 |
$592 |
1.9× |
| Trim skin lesion (11055) |
$75 |
$100 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$70.50 |
$94 |
0.4× |
| Trim skin lesions over 4 (11057) |
$73.50 |
$98 |
0.4× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$1,827 |
$2,436 |
0.5× |
| Tx Gastro Intub W/Asp (43753) |
$218.25 |
$291 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$245.88 |
$327.83 |
1.0× |
| Unlisted Procedure Leg/Ankle (27899) |
$299.75 |
$399.66 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,283 |
$3,044 |
3.8× |
| Vaginal delivery only (59409) |
$2,452.75 |
$3,270.33 |
0.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$190.14 |
$253.52 |
0.1× |
| Wedge excision skin nail fold (11765) |
$438.93 |
$585.24 |
1.1× |