| Abd paracentesis w/imaging (49083) |
$372 |
$620 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$387.90 |
$646.50 |
0.4× |
| Adding Walker Previously Applied Cast (29440) |
$54.60 |
$91 |
0.3× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$379.20 |
$632 |
0.1× |
| Anoscopy (46611) |
$249.60 |
$416 |
0.3× |
| Anoscopy diagnostic (46600) |
$133.20 |
$222 |
1.0× |
| Anoscopy w/rmvl lesion cautery (46610) |
$312.60 |
$521 |
0.1× |
| Application cast elbow finger short arm (29075) |
$159 |
$265 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$163.80 |
$273 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$241.80 |
$403 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$76.20 |
$127 |
1.2× |
| Application finger splint static (29130) |
$69.60 |
$116 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$155.40 |
$259 |
0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$270.30 |
$450.50 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$100.50 |
$167.50 |
0.6× |
| Application of long leg cast (29345) |
$234.60 |
$391 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$129.60 |
$216 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$121.50 |
$202.50 |
0.9× |
| Application short leg splint calf foot (29515) |
$148.80 |
$248 |
0.9× |
| Apply short leg cast (29405) |
$155.40 |
$259 |
0.5× |
| Apply short leg cast (29425) |
$153.60 |
$256 |
0.5× |
| Arterial puncture (36600) |
$70.50 |
$117.50 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$141.60 |
$236 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$105.60 |
$176 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$272.70 |
$454.50 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$117 |
$195 |
0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$92.10 |
$153.50 |
0.3× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$198 |
$330 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$133.20 |
$222 |
0.6× |
| Biopsy external ear (69100) |
$303.60 |
$506 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$887.40 |
$1,479 |
0.5× |
| Biopsy of mouth lesion (40808) |
$337.50 |
$562.50 |
0.6× |
| Biopsy of prostate (55705) |
$355.20 |
$592 |
0.1× |
| Biopsy of tongue (41100) |
$337.20 |
$562 |
0.6× |
| Biopsy of uterus lining (58100) |
$170.40 |
$284 |
0.8× |
| Biopsy Salivary Gland,Needle (42400) |
$867 |
$1,445 |
1.2× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$617.40 |
$1,029 |
0.9× |
| Bladder Scan (51798) |
$68.40 |
$114 |
1.1× |
| Blood patch (62273) |
$525.30 |
$875.50 |
0.7× |
| Blood transfusion service (36430) |
$587.40 |
$979 |
1.3× |
| Bone marrow aspiration only (38220) |
$963.60 |
$1,606 |
0.6× |
| Bone Marrow Biopsy (38221) |
$1,444.80 |
$2,408 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,558.20 |
$2,597 |
0.9× |
| Bx/exc lymph node needle superficial (38505) |
$484.20 |
$807 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$51.60 |
$86 |
0.2× |
| Change Cystostomy Tube Complicated (51710) |
$293.70 |
$489.50 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$164.70 |
$274.50 |
0.6× |
| Chest tube placement (32551) |
$644.40 |
$1,074 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$18 |
$30 |
0.1× |
| Circum 28 days or older (54161) |
$170.70 |
$284.50 |
0.1× |
| Circumcision (54150) |
$469.20 |
$782 |
0.2× |
| Circumcision Neonate (54160) |
$222.60 |
$371 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,226.70 |
$2,044.50 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$331.20 |
$552 |
1.3× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$406.80 |
$678 |
1.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$937.80 |
$1,563 |
0.6× |
| Closed Rx Med Malleolus Fx (27760) |
$371.40 |
$619 |
1.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$501.90 |
$836.50 |
0.3× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$797.10 |
$1,328.50 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$337.20 |
$562 |
1.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$351.90 |
$586.50 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$378.30 |
$630.50 |
1.5× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,508.10 |
$2,513.50 |
0.9× |
| Closed Rx Trimalleolar Fx (27816) |
$366.60 |
$611 |
1.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$437.70 |
$729.50 |
1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$466.80 |
$778 |
1.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$342.90 |
$571.50 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$366.30 |
$610.50 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$396.90 |
$661.50 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$371.40 |
$619 |
1.4× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,431 |
$2,385 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$486 |
$810 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$301.80 |
$503 |
1.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,050.60 |
$1,751 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$283.80 |
$473 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$327.30 |
$545.50 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,396.20 |
$2,327 |
0.8× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$2,277.30 |
$3,795.50 |
0.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$445.20 |
$742 |
0.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,824 |
$3,040 |
1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$238.50 |
$397.50 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,327.20 |
$2,212 |
0.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$345 |
$575 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$327.60 |
$546 |
1.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$310.20 |
$517 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$575.70 |
$959.50 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$376.50 |
$627.50 |
1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$301.50 |
$502.50 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$858.90 |
$1,431.50 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$362.10 |
$603.50 |
1.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$307.80 |
$513 |
1.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$401.10 |
$668.50 |
1.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$377.10 |
$628.50 |
1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$359.40 |
$599 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$361.50 |
$602.50 |
1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$280.50 |
$467.50 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$369.90 |
$616.50 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$990 |
$1,650 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$255 |
$425 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$285 |
$475 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$242.40 |
$404 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$278.40 |
$464 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$280.80 |
$468 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$240 |
$400 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$339 |
$565 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$366 |
$610 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$348.30 |
$580.50 |
1.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$369.90 |
$616.50 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$374.70 |
$624.50 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$288 |
$480 |
1.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,403.10 |
$2,338.50 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$413.70 |
$689.50 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$354.60 |
$591 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$230.70 |
$384.50 |
0.9× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$496.20 |
$827 |
0.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,374.30 |
$2,290.50 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,199.70 |
$1,999.50 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$584.40 |
$974 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$236.70 |
$394.50 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$148.20 |
$247 |
0.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$154.80 |
$258 |
0.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$190.80 |
$318 |
0.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$180 |
$300 |
0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$209.40 |
$349 |
0.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$500.40 |
$834 |
2.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$241.80 |
$403 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$190.80 |
$318 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$309.60 |
$516 |
2.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$311.10 |
$518.50 |
1.3× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$954.60 |
$1,591 |
0.3× |
Cysto w fulgertn lg bladder tumor(s) (52240)
likely a partial charge, not the full procedure |
$525 |
$875 |
0.1× |
| Cysto w/destruction of lesions (52214) |
$939.60 |
$1,566 |
0.3× |
| Cysto w/removal of tumors small (52234) |
$329.40 |
$549 |
0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$802.20 |
$1,337 |
0.4× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure |
$557.40 |
$929 |
0.1× |
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
likely a partial charge, not the full procedure |
$525 |
$875 |
0.1× |
| Cystoscopy w/biopsy (52204) |
$495 |
$825 |
0.2× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$391.20 |
$652 |
0.2× |
| Cystoscopy,insert ureteral stent (52332) |
$617.40 |
$1,029 |
0.2× |
| Cystourethroscopy (52000) |
$500.10 |
$833.50 |
0.7× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$442.80 |
$738 |
0.2× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$520.80 |
$868 |
0.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$354 |
$590 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$405 |
$675 |
0.1× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$385.80 |
$643 |
0.1× |
| Debride nail 1-5 (11720) |
$46.20 |
$77 |
0.8× |
| Debride nail 6 or more (11721) |
$58.80 |
$98 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$175.50 |
$292.50 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$484.50 |
$807.50 |
0.6× |
| Declot vascular device (36593) |
$283.80 |
$473 |
0.8× |
| Delivery placenta separate procedure (59414) |
$109.20 |
$182 |
0.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$982.20 |
$1,637 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,135.20 |
$1,892 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,401.90 |
$2,336.50 |
1.9× |
| Diagnostic sigmoidoscopy (45330) |
$215.40 |
$359 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$584.10 |
$973.50 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$95.40 |
$159 |
0.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$288 |
$480 |
1.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$560.40 |
$934 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$759.60 |
$1,266 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$306.60 |
$511 |
1.5× |
| Drainage of deep rectal abscess (45020) |
$699 |
$1,165 |
0.2× |
| Drainage of gum lesion (41800) |
$301.50 |
$502.50 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$1,969.80 |
$3,283 |
1.1× |
| Drainage of hydrocele (55000) |
$154.20 |
$257 |
0.2× |
| Draw blood off venous device (36591) |
$91.80 |
$153 |
0.7× |
| Dressing change under anesthesia (15852) |
$862.80 |
$1,438 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$237 |
$395 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$181.80 |
$303 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$1,344 |
$2,240 |
0.4× |
| Evacuate mole of uterus (59870) |
$607.80 |
$1,013 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$90 |
$150 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$263.40 |
$439 |
0.2× |
| Exc back tum deep < 5 cm (21932) |
$1,074.90 |
$1,791.50 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,486.80 |
$2,478 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$197.40 |
$329 |
0.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$594.30 |
$990.50 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$976.80 |
$1,628 |
1.3× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$641.10 |
$1,068.50 |
0.4× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,044 |
$1,740 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,279.20 |
$2,132 |
0.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$349.80 |
$583 |
0.5× |
| Excision of hydrocele; unilateral (55040) |
$449.40 |
$749 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$210 |
$350 |
0.1× |
| Excision of nail fold toe (11765) |
$346.50 |
$577.50 |
0.8× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$501.90 |
$836.50 |
0.1× |
| External Cephalic Version (59412) |
$1,940.40 |
$3,234 |
0.6× |
| Fetal non-stress test (59025) |
$140.70 |
$234.50 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$453 |
$755 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$265.20 |
$442 |
1.1× |
| Hysteroscopy biopsy (58558) |
$1,704.60 |
$2,841 |
0.5× |
| Hysteroscopy dx sep proc (58555) |
$397.80 |
$663 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$256.80 |
$428 |
1.0× |
| I&d abscess simple (10060) |
$196.80 |
$328 |
0.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,026.90 |
$1,711.50 |
0.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,960.40 |
$4,934 |
1.0× |
| I&d perianal abscess superficial (46050) |
$702.60 |
$1,171 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$584.10 |
$973.50 |
0.8× |
| I&D Upper Arm/Elbow Bursa (23931) |
$355.80 |
$593 |
0.2× |
| Image Cath Fluid Colxn Visc (49405) |
$420 |
$700 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$3,048 |
$5,080 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$372.30 |
$620.50 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,085.70 |
$1,809.50 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$305.70 |
$509.50 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$217.50 |
$362.50 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$403.20 |
$672 |
1.3× |
| Incision of rectal abscess (46040) |
$1,378.20 |
$2,297 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$288.60 |
$481 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$321 |
$535 |
0.4× |
| Initial tx 1st degree burn local tx (16000) |
$177 |
$295 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$114.60 |
$191 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$722.40 |
$1,204 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$722.40 |
$1,204 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$641.10 |
$1,068.50 |
0.7× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$61.80 |
$103 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$982.20 |
$1,637 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$687 |
$1,145 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$188.40 |
$314 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,135.20 |
$1,892 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$394.50 |
$657.50 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$722.40 |
$1,204 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$258 |
$430 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$564 |
$940 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$195.30 |
$325.50 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$79.80 |
$133 |
0.3× |
| Injection therapeutic carpal tunnel (20526) |
$116.10 |
$193.50 |
0.4× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$377.40 |
$629 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$528.60 |
$881 |
1.7× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$382.20 |
$637 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$135.60 |
$226 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$179.10 |
$298.50 |
1.3× |
| Insert Drug Implant Device (11981) |
$200.40 |
$334 |
1.5× |
| Insert pessary/other device (57160) |
$295.20 |
$492 |
1.4× |
| Insert picc cath (36569) |
$742.50 |
$1,237.50 |
0.5× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,132.20 |
$1,887 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$99 |
$165 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$84.90 |
$141.50 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,606.80 |
$2,678 |
0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,117.40 |
$3,529 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$179.40 |
$299 |
0.7× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$1,933.80 |
$3,223 |
0.3× |
| Laryngoscopy Flexible Diagnostic (31575) |
$118.20 |
$197 |
0.6× |
| Lithotripsy (50590) |
$965.40 |
$1,609 |
0.3× |
| Liver Biopsy (47000) |
$2,416.80 |
$4,028 |
1.4× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$331.20 |
$552 |
0.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$341.40 |
$569 |
0.2× |
| Marsup Bartholin Gland Cyst (56440) |
$1,874.40 |
$3,124 |
0.6× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$144.60 |
$241 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$330 |
$550 |
0.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$211.80 |
$353 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$942 |
$1,570 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$267 |
$445 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$267 |
$445 |
0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$377.40 |
$629 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$732 |
$1,220 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$267 |
$445 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$1,442.40 |
$2,404 |
2.0× |
| Perq device breast 1st imag (19281) |
$455.40 |
$759 |
0.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,627.20 |
$2,712 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$931.50 |
$1,552.50 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$351 |
$585 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,455 |
$2,425 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$299.40 |
$499 |
0.6× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$545.70 |
$909.50 |
0.4× |
| Prostate Saturation Sampling (55706) |
$1,278.60 |
$2,131 |
0.3× |
Prostatectomy (turp) (52601)
likely a partial charge, not the full procedure |
$898.80 |
$1,498 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$321 |
$535 |
0.8× |
| Puncture Aspiration (10160) |
$212.70 |
$354.50 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$360 |
$600 |
0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,030.80 |
$1,718 |
0.5× |
| Removal fb intranasal (30300) |
$199.20 |
$332 |
1.4× |
| Removal foreign body foot deep (28192) |
$1,814.40 |
$3,024 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$602.40 |
$1,004 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$678.60 |
$1,131 |
0.4× |
| Removal foreign body pharynx (42809) |
$380.70 |
$634.50 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$57 |
$95 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$59.40 |
$99 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$399 |
$665 |
1.3× |
| Removal of nail bed (11750) |
$322.80 |
$538 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$109.80 |
$183 |
0.5× |
| Remove drug implant device (11982) |
$625.20 |
$1,042 |
1.3× |
| Remove Eyelid Foreign Body (67938) |
$321 |
$535 |
1.0× |
| Remove foreign body from eye (65210) |
$291 |
$485 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$132 |
$220 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$110.40 |
$184 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$642 |
$1,070 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$690.60 |
$1,151 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$482.70 |
$804.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$674.10 |
$1,123.50 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$598.50 |
$997.50 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$644.40 |
$1,074 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$589.20 |
$982 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$626.40 |
$1,044 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,662.60 |
$2,771 |
1.0× |
| Repair eyelid wound (67930) |
$1,633.20 |
$2,722 |
0.7× |
| Repair hand tendon (26410) |
$708 |
$1,180 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$539.10 |
$898.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$318.60 |
$531 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$361.20 |
$602 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$388.20 |
$647 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$438.30 |
$730.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$627.90 |
$1,046.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$366.90 |
$611.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$436.20 |
$727 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$606.90 |
$1,011.50 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$622.80 |
$1,038 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$359.10 |
$598.50 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$479.70 |
$799.50 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$416.10 |
$693.50 |
1.0× |
| Repair of nail bed (11760) |
$489.30 |
$815.50 |
0.6× |
Repair of vagina (57260)
likely a partial charge, not the full procedure |
$1,007.40 |
$1,679 |
0.2× |
| Repair Tongue Laceration (41250) |
$1,090.20 |
$1,817 |
2.4× |
| Reposition gastrostomy tube (43761) |
$465.60 |
$776 |
1.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$698.40 |
$1,164 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$293.70 |
$489.50 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$124.80 |
$208 |
0.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,243.60 |
$5,406 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,077 |
$1,795 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$887.40 |
$1,479 |
1.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$668.70 |
$1,114.50 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$641.10 |
$1,068.50 |
1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,238.70 |
$2,064.50 |
0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,141.80 |
$1,903 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$338.40 |
$564 |
0.4× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$384.60 |
$641 |
0.4× |
| Sigmoidoscopy w/fb removal (45332) |
$888.60 |
$1,481 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$261.60 |
$436 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$200.10 |
$333.50 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$219 |
$365 |
1.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$187.80 |
$313 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$268.50 |
$447.50 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$342.30 |
$570.50 |
1.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$213 |
$355 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$186.90 |
$311.50 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$246.90 |
$411.50 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$310.80 |
$518 |
0.4× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure |
$956.40 |
$1,594 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$204 |
$340 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$277.20 |
$462 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$341.40 |
$569 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$217.80 |
$363 |
0.3× |
| Spinal Puncture Therapeutic (62272) |
$603 |
$1,005 |
0.8× |
| Strapping ankle (29540) |
$123.90 |
$206.50 |
0.7× |
| Strapping elbow/wrist (29260) |
$44.40 |
$74 |
0.7× |
| Strapping hand/finger (29280) |
$44.40 |
$74 |
0.7× |
| Strapping knee (29530) |
$101.70 |
$169.50 |
0.7× |
| Strapping shoulder (29240) |
$102 |
$170 |
0.7× |
| Strapping toes (29550) |
$56.10 |
$93.50 |
0.9× |
| Strapping unna boot (29580) |
$144.90 |
$241.50 |
0.9× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,774.20 |
$2,957 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$321 |
$535 |
0.8× |
| Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) |
$1,480.80 |
$2,468 |
0.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,002.60 |
$1,671 |
1.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$385.20 |
$642 |
0.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$274.80 |
$458 |
0.4× |
| Thrombolytic Therapy, Stroke (37195) |
$576 |
$960 |
1.7× |
| Thyroid biopsy (60100) |
$367.80 |
$613 |
0.5× |
| Trach Tube Change (31502) |
$35.40 |
$59 |
0.1× |
| Transurethral resection of bladder neck (52500) |
$594.60 |
$991 |
0.2× |
| Treat finger dislocation (26775) |
$420.60 |
$701 |
1.4× |
| Treat Fracture Radius & Ulna (25560) |
$340.80 |
$568 |
1.3× |
| Treat humerus fracture (24500) |
$363.90 |
$606.50 |
1.4× |
| Treat humerus fracture (23600) |
$368.40 |
$614 |
1.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,310.40 |
$2,184 |
0.8× |
| Treat wrist bone fracture (25622) |
$290.40 |
$484 |
1.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,336.50 |
$2,227.50 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$393.30 |
$655.50 |
1.5× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$489 |
$815 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$409.20 |
$682 |
0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$492.60 |
$821 |
0.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,267.80 |
$2,113 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$361.20 |
$602 |
0.5× |
| Tympanostomy (69433) |
$730.80 |
$1,218 |
1.3× |
| Unlisted Procedure Nervous System (64999) |
$246.60 |
$411 |
0.8× |
| Vaginal delivery only (59409) |
$1,454.40 |
$2,424 |
0.4× |
Vaginal hysterectomy (58260)
likely a partial charge, not the full procedure |
$1,084.20 |
$1,807 |
0.2× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
likely a partial charge, not the full procedure |
$1,258.20 |
$2,097 |
0.2× |
| Vasectomy (55250) |
$849.60 |
$1,416 |
0.4× |
| Venipuncture (36415) |
$46.80 |
$78 |
5.0× |