| Abd paracentesis (49082) |
$968.20 |
$1,613.66 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$968.20 |
$1,613.66 |
1.0× |
| Acne surgery (10040) |
$320.70 |
$534.50 |
1.5× |
| Amniocentesis diagnostic (59000) |
$757.49 |
$1,262.49 |
0.8× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,050.65 |
$3,417.75 |
0.6× |
| Anoscopy remove for body (46608) |
$949.12 |
$1,581.87 |
1.0× |
| Application cast finger (29086) |
$168.84 |
$281.40 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$86.40 |
$144 |
1.4× |
| Application finger splint static (29130) |
$153.26 |
$255.44 |
1.1× |
| Application of long leg cast (thigh to toes); (29345) |
$273.45 |
$455.75 |
0.9× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$270.30 |
$450.50 |
1.6× |
| Application of short arm splint (forearm to hand); static (29125) |
$166.16 |
$276.94 |
1.2× |
| Application of short leg cast (below knee to toes); (29405) |
$273.45 |
$455.75 |
0.9× |
| Application of short leg splint (calf to foot) (29515) |
$192.72 |
$321.20 |
1.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$288.41 |
$480.69 |
1.0× |
| Apply hand/wrist cast (29085) |
$273.45 |
$455.75 |
1.6× |
| Apply long arm splint (29105) |
$216.60 |
$361 |
1.3× |
| Apply splint short arm dynamic (29126) |
$198.60 |
$331 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$354.30 |
$590.50 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$397.65 |
$662.75 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$354.30 |
$590.50 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$330 |
$550 |
1.0× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$354.30 |
$590.50 |
1.1× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$349.07 |
$581.78 |
1.1× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,831.80 |
$3,053 |
2.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,949.10 |
$3,248.51 |
0.9× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$998.22 |
$1,663.70 |
1.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$214.72 |
$357.87 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,283.70 |
$2,139.50 |
0.7× |
| Biopsy liver needle percutaneous (47000) |
$916.05 |
$1,526.75 |
0.5× |
| Biopsy lymph node (38505) |
$1,108.65 |
$1,847.75 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$748.80 |
$1,248 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$1,117.35 |
$1,862.25 |
0.6× |
| Biopsy thyroid percutaneous core needle (60100) |
$743.81 |
$1,239.69 |
1.0× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$907.80 |
$1,513 |
0.5× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,283.70 |
$2,139.50 |
0.7× |
| Biopsy, soft tissue of back or flank; deep Age Under 21 (21925) |
$1,531.35 |
$2,552.25 |
0.9× |
| Bladder irrigation (51700) |
$372.90 |
$621.50 |
1.4× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$338.18 |
$563.64 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$2,039.10 |
$3,398.50 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,742.70 |
$2,904.50 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,694.25 |
$2,823.75 |
1.0× |
| Bx pancreas ndl perc (48102) |
$1,661.40 |
$2,769 |
1.0× |
| Cast short arm (29075) |
$288.41 |
$480.69 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$339.22 |
$565.36 |
1.3× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$1,540.05 |
$2,566.75 |
2.1× |
| Chemical cauterization of granulation tissue (17250) |
$214.72 |
$357.87 |
1.0× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$316.81 |
$528.02 |
1.0× |
| Chest tube placement (32551) |
$686.70 |
$1,144.50 |
0.4× |
| Circumcision, Newborn (54150) |
$782.70 |
$1,304.50 |
0.4× |
| Closed rx humer epicondylr fx,manip (24565) |
$353.40 |
$589 |
0.2× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,688.99 |
$2,814.98 |
1.0× |
| Closed rx shldr disloc,prox hum fx (23675) |
$900 |
$1,500 |
0.5× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,578.90 |
$2,631.50 |
6.1× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$345 |
$575 |
1.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$258 |
$430 |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$258 |
$430 |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$258 |
$430 |
1.0× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$258 |
$430 |
1.0× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$345 |
$575 |
0.2× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$258 |
$430 |
1.0× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$258 |
$430 |
1.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,111.35 |
$1,852.25 |
0.7× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,980 |
$3,300 |
1.2× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$345 |
$575 |
1.3× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$345 |
$575 |
0.2× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$345 |
$575 |
1.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$345 |
$575 |
1.3× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$345 |
$575 |
1.3× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$258 |
$430 |
1.0× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$258 |
$430 |
1.0× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$532.65 |
$887.75 |
0.3× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,665.11 |
$2,775.18 |
1.0× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$345 |
$575 |
1.3× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$345 |
$575 |
1.3× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$345 |
$575 |
1.3× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$345 |
$575 |
1.3× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$900 |
$1,500 |
0.5× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$265.50 |
$442.50 |
1.0× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$345 |
$575 |
0.2× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$345 |
$575 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$348.90 |
$581.50 |
1.3× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$380.40 |
$634 |
0.2× |
| Closed tx femoral fracture prox head w/manj (27268) |
$345 |
$575 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$345 |
$575 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$345 |
$575 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$345 |
$575 |
0.2× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$345 |
$575 |
0.2× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$345 |
$575 |
1.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$327.60 |
$546 |
1.3× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$778.35 |
$1,297.25 |
0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,734.54 |
$2,890.90 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$345 |
$575 |
0.2× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$345 |
$575 |
1.3× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$258 |
$430 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$345 |
$575 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$345 |
$575 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$258 |
$430 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$345 |
$575 |
1.3× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$405 |
$675 |
1.4× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$258 |
$430 |
1.0× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$258 |
$430 |
1.0× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$918.80 |
$1,531.33 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$353.40 |
$589 |
0.2× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$345 |
$575 |
0.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$345 |
$575 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$425.25 |
$708.75 |
0.3× |
| Collect blood from catheter venous nos (36592) |
$134.14 |
$223.57 |
1.0× |
| Collect blood from implant venous access device (36591) |
$172.50 |
$287.50 |
1.2× |
| Contrast injection perq radiologic eval gi tube (49465) |
$325.80 |
$543 |
1.3× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$340.80 |
$568 |
1.5× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$353.40 |
$589 |
2.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$246.90 |
$411.49 |
1.8× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$918.60 |
$1,531 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$353.40 |
$589 |
2.5× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$2,364.53 |
$3,940.89 |
1.1× |
| Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon… (52284) |
$6,006.49 |
$10,010.81 |
1.1× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$1,977.90 |
$3,296.50 |
2.6× |
| Debride skin at fx site (11010) |
$1,977.90 |
$3,296.50 |
2.6× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$626.85 |
$1,044.75 |
1.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$66.56 |
$110.94 |
1.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$558.90 |
$931.50 |
1.3× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$558.90 |
$931.50 |
0.3× |
| Declot vascular device (36593) |
$482.40 |
$804 |
1.4× |
| Delivery of placenta (59414) |
$3,137.09 |
$5,228.48 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,129.24 |
$3,548.74 |
1.0× |
| Diagnostic bone marrow biopsies (38221) |
$1,283.70 |
$2,139.50 |
0.7× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$1,283.70 |
$2,139.50 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$758.90 |
$1,264.84 |
1.0× |
| Drain neck/chest lesion (21501) |
$2,383.35 |
$3,972.25 |
0.8× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$743.81 |
$1,239.69 |
1.0× |
| Drainage finger abscess simple (26010) |
$353.40 |
$589 |
1.7× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$743.81 |
$1,239.69 |
1.0× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$464.10 |
$773.50 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$320.70 |
$534.50 |
0.2× |
| Drainage of scrotum (54700) |
$585 |
$975 |
0.3× |
| Drainage of tonsil abscess (42700) |
$320.70 |
$534.50 |
1.3× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,081.87 |
$3,469.78 |
1.0× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$2,098.07 |
$3,496.78 |
1.0× |
| Ed proc insert intraosseous IV (36680) |
$323.15 |
$538.59 |
0.7× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$270.30 |
$450.50 |
2.0× |
| Ed proc remve fb nasal- hospital (30300) |
$353.40 |
$589 |
2.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$133.88 |
$223.13 |
1.0× |
| Ed prof burn - large - hospital (16030) |
$413.59 |
$689.31 |
1.0× |
| Ed prof burn medium - hospital (16025) |
$297.15 |
$495.25 |
1.4× |
| Ed prof burn small - hospital (16020) |
$215.66 |
$359.44 |
1.0× |
| Ed prof catheterization/straight (51701) |
$133.88 |
$223.13 |
1.0× |
| Ed prof closed tx post hip arthroplasty (27265) |
$400.35 |
$667.25 |
1.5× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,665.11 |
$2,775.18 |
1.0× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$345 |
$575 |
0.2× |
| Ed prof drain dental abscess-hospital (41800) |
$353.40 |
$589 |
2.5× |
| Ed prof insert foley cath simple (51702) |
$206.25 |
$343.75 |
1.5× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,220.85 |
$2,034.75 |
0.4× |
| Ed prof insertion of heart electr (33210) |
$9,893.26 |
$16,488.76 |
1.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$464.10 |
$773.50 |
1.1× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$464.10 |
$773.50 |
1.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$265.50 |
$442.50 |
1.0× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$323.15 |
$538.59 |
0.7× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$3,973.20 |
$6,622 |
1.0× |
| Episiotomy or vaginal repair (59300) |
$3,418.79 |
$5,697.98 |
1.0× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$758.90 |
$1,264.84 |
1.0× |
| Evac subungual hematoma (11740) |
$133.88 |
$223.13 |
1.0× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$464.10 |
$773.50 |
0.3× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,242.81 |
$3,738.02 |
1.0× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$468.90 |
$781.50 |
0.2× |
| Excision of tendon, forearm and/or wrist, flexor or extensor, each Age Under 21 (25109) |
$632.70 |
$1,054.50 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,438.50 |
$2,397.50 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$464.10 |
$773.50 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$413.59 |
$689.31 |
1.0× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$400.35 |
$667.25 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$743.81 |
$1,239.69 |
0.4× |
| Fetal contraction stress test (59020) |
$402 |
$670 |
1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,016 |
$3,360 |
2.7× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$468.90 |
$781.50 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,083.52 |
$1,805.88 |
1.5× |
| Fluid pressure muscle (20950) |
$743.81 |
$1,239.69 |
1.0× |
| Ganglion impar nerve block (64999) |
$316.81 |
$528.02 |
1.0× |
| Gastric lavage (43753) |
$316.25 |
$527.09 |
1.4× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$472.50 |
$787.50 |
12.9× |
| Guide cathet fluid drainage (10030) |
$806.10 |
$1,343.50 |
1.1× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,259.60 |
$5,432.66 |
1.1× |
| I&d abscess simple/single (10060) |
$320.70 |
$534.50 |
1.5× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$2,875.18 |
$4,791.96 |
0.9× |
| I&d hematoma/seroma/fluid (10140) |
$756.75 |
$1,261.25 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$743.81 |
$1,239.69 |
1.0× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,706.18 |
$2,843.64 |
1.0× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,499.45 |
$4,165.75 |
1.4× |
| Incise external hemorrhoid (46083) |
$391.19 |
$651.98 |
1.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$464.10 |
$773.50 |
1.1× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$320.70 |
$534.50 |
1.5× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,462.80 |
$2,438 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$336.62 |
$561.03 |
1.0× |
| Incision and drainage, perianal abscess, superficial (46050) |
$949.12 |
$1,581.87 |
1.0× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$632.70 |
$1,054.50 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$413.59 |
$689.31 |
1.0× |
| Incision of eyelid fold (67715) |
$1,323 |
$2,205 |
0.5× |
| Incision of rectal abscess (46040) |
$1,240.10 |
$2,066.83 |
1.0× |
| Incision of windpipe (31603) |
$1,970.25 |
$3,283.75 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$626.85 |
$1,044.75 |
0.8× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$500.14 |
$833.56 |
1.2× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$371.62 |
$619.37 |
1.1× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$214.72 |
$357.87 |
1.0× |
| Inj epidural blood or clot patch (62273) |
$758.90 |
$1,264.84 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$983.58 |
$1,639.30 |
1.1× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,066.20 |
$1,777 |
1.1× |
| Inj tx nerve (64640) |
$1,497.33 |
$2,495.55 |
1.6× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$400.35 |
$667.25 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$681.60 |
$1,136 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$983.58 |
$1,639.30 |
1.1× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$983.58 |
$1,639.30 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$770 |
$1,283.34 |
1.0× |
| Injection aa&/strd greater occipital nerve (64405) |
$316.52 |
$527.53 |
1.0× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$758.90 |
$1,264.84 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,138.36 |
$1,897.26 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$758.90 |
$1,264.84 |
1.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$758.90 |
$1,264.84 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$320.70 |
$534.50 |
1.0× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$324.54 |
$540.90 |
1.0× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$324.54 |
$540.90 |
1.0× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$378.60 |
$631 |
1.2× |
| Insert gastrostomy tube percutaneous (49440) |
$1,148.85 |
$1,914.75 |
0.6× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$1,220.85 |
$2,034.75 |
0.4× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$224.68 |
$374.47 |
1.0× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$1,220.85 |
$2,034.75 |
0.4× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,003.20 |
$1,672 |
0.6× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,710.75 |
$2,851.25 |
1.0× |
| Intubation endotracheal (31500) |
$473.85 |
$789.75 |
1.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$480 |
$800 |
1.8× |
| Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) |
$0.05 |
$0.08 |
0.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$7,669.80 |
$12,783 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564) |
$6,900 |
$11,500 |
0.6× |
| Laryngoscopy flex diagnostic (31575) |
$473.85 |
$789.75 |
2.3× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$5,876.85 |
$9,794.75 |
1.0× |
| Long gi tube placement (44500) |
$968.20 |
$1,613.66 |
1.0× |
| Lumbar puncture (62270) |
$758.90 |
$1,264.84 |
1.0× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$372.90 |
$621.50 |
6.0× |
| Nasal surg proc unlisted (30999) |
$353.40 |
$589 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32.04 |
$53.40 |
1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$32.04 |
$53.40 |
1.1× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$758.90 |
$1,264.84 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$758.90 |
$1,264.84 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$758.90 |
$1,264.84 |
1.0× |
| Non stress test (59025) |
$267.15 |
$445.25 |
1.3× |
| Obstructive material removal from gi tube (49460) |
$968.20 |
$1,613.66 |
1.0× |
| Open tx distal phalangeal fracture each (26765) |
$3,434.09 |
$5,723.48 |
1.0× |
| Partial excision distal phalanx finger (26236) |
$345 |
$575 |
0.2× |
| Perq dev breast 1st strtctc (19283) |
$1,708.05 |
$2,846.75 |
2.3× |
| Perq dev breast 1st us imag (19285) |
$1,145.40 |
$1,909 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,410.15 |
$2,350.25 |
0.8× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,024.80 |
$1,708 |
0.6× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$1,509.44 |
$2,515.73 |
1.0× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$890 |
$1,483.34 |
1.2× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$3,858.05 |
$6,430.08 |
1.0× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$413.59 |
$689.31 |
1.0× |
| Puncture aspiration of cyst of breast (19000) |
$743.81 |
$1,239.69 |
1.0× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$968.20 |
$1,613.66 |
1.0× |
| Pvb thoracic single injection site w/img gid (64461) |
$758.90 |
$1,264.84 |
1.0× |
| Removal foreign body foot complicated (28193) |
$1,030.95 |
$1,718.25 |
0.6× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$743.81 |
$1,239.69 |
1.0× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$169.95 |
$283.25 |
0.1× |
| Removal foreign body mouth (40804) |
$998.16 |
$1,663.60 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$119.72 |
$199.54 |
1.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$123.08 |
$205.12 |
2.0× |
| Removal implant superficial (20670) |
$1,882.18 |
$3,136.96 |
1.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,240.10 |
$2,066.83 |
1.0× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$632.70 |
$1,054.50 |
0.4× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$405 |
$675 |
0.2× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$1,659.15 |
$2,765.25 |
0.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$416.85 |
$694.75 |
3.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$424.65 |
$707.75 |
0.9× |
| Removal of foreign body, foot; deep (28192) |
$1,659.15 |
$2,765.25 |
1.0× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$416.85 |
$694.75 |
0.2× |
| Removal of iud (58301) |
$336.62 |
$561.03 |
1.0× |
| Removal of nail bed (11750) |
$632.70 |
$1,054.50 |
1.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$320.70 |
$534.50 |
1.5× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$178.35 |
$297.25 |
0.6× |
| Remove eyelid foreign body (67938) |
$416.85 |
$694.75 |
1.2× |
| Remove pharynx foreign body (42809) |
$323.15 |
$538.59 |
0.7× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$1,020.30 |
$1,700.50 |
0.6× |
| Repair blood vessel lesion (35226) |
$1,905.15 |
$3,175.25 |
2.6× |
| Repair blood vessel upper ext (35206) |
$1,905.15 |
$3,175.25 |
0.6× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$1,575 |
$2,625 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$591.45 |
$985.75 |
1.4× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$626.85 |
$1,044.75 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$626.85 |
$1,044.75 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$626.85 |
$1,044.75 |
0.8× |
| Repair finger tendon (26418) |
$1,111.35 |
$1,852.25 |
0.7× |
| Repair finger/hand tendon (26350) |
$1,111.35 |
$1,852.25 |
0.3× |
| Repair forearm tendon/muscle (25260) |
$1,146.15 |
$1,910.25 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$464.10 |
$773.50 |
1.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$464.10 |
$773.50 |
1.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$413.59 |
$689.31 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$626.85 |
$1,044.75 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$413.59 |
$689.31 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$626.85 |
$1,044.75 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$464.10 |
$773.50 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$464.10 |
$773.50 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$626.85 |
$1,044.75 |
0.8× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$464.10 |
$773.50 |
1.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$464.10 |
$773.50 |
1.1× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,913.40 |
$3,189 |
4.5× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$2,051.39 |
$3,418.99 |
0.9× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$540.97 |
$901.62 |
1.0× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$400.35 |
$667.25 |
0.8× |
| Repair of nail bed (11760) |
$626.85 |
$1,044.75 |
0.8× |
| Repair vagina/perineum (57210) |
$3,629.42 |
$6,049.04 |
1.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$626.85 |
$1,044.75 |
0.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$626.85 |
$1,044.75 |
0.8× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$626.85 |
$1,044.75 |
1.5× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$626.85 |
$1,044.75 |
0.8× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$2,051.39 |
$3,418.99 |
0.9× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$3,434.09 |
$5,723.48 |
1.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$968.20 |
$1,613.66 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$968.20 |
$1,613.66 |
1.0× |
| Reset dislocated jaw (21480) |
$273.45 |
$455.75 |
1.1× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$180.38 |
$300.62 |
1.3× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$416.85 |
$694.75 |
3.0× |
| Rmvl of access device (36589) |
$1,131.30 |
$1,885.50 |
1.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$626.85 |
$1,044.75 |
0.8× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$400.35 |
$667.25 |
0.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$307.54 |
$512.56 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$400.35 |
$667.25 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$309.68 |
$516.12 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$400.35 |
$667.25 |
1.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$575.55 |
$959.25 |
2.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$307.54 |
$512.56 |
1.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$464.10 |
$773.50 |
2.2× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$413.59 |
$689.31 |
1.0× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$400.35 |
$667.25 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$400.35 |
$667.25 |
1.9× |
| Skin tissue procedure unlisted (17999) |
$464.10 |
$773.50 |
2.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$307.54 |
$512.56 |
1.5× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$413.59 |
$689.31 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$413.59 |
$689.31 |
1.0× |
| Stomach surgery procedure unlisted (43999) |
$968.20 |
$1,613.66 |
1.0× |
| Strapping ankle (29540) |
$178.35 |
$297.25 |
1.0× |
| Strapping elbow or wrist (29260) |
$273.45 |
$455.75 |
4.4× |
| Strapping hand/finger (29280) |
$273.45 |
$455.75 |
4.4× |
| Strapping hip (29520) |
$178.20 |
$297 |
1.3× |
| Strapping of chest (29200) |
$273.45 |
$455.75 |
1.6× |
| Strapping of knee (29530) |
$178.35 |
$297.25 |
1.3× |
| Strapping of shoulder (29240) |
$547.20 |
$912 |
3.9× |
| Strapping of toes (29550) |
$178.35 |
$297.25 |
2.9× |
| Strapping unna boot (29580) |
$178.35 |
$297.25 |
1.0× |
Suture of infrapatellar tendon; primary Age Under 21 (27380)
likely a partial charge — not the full procedure |
$535.50 |
$892.50 |
0.1× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$360 |
$600 |
0.1× |
| Therapeutic spinal puncture drainage csf (62272) |
$533.10 |
$888.50 |
0.7× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,179 |
$1,965 |
1.8× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,970.25 |
$3,283.75 |
7.9× |
| Transfusion, blood or blood components (36430) |
$689.85 |
$1,149.75 |
1.5× |
| Treat big toe fracture (28495) |
$258 |
$430 |
1.0× |
| Treat finger dislocation (26775) |
$348 |
$580 |
1.2× |
| Treat foot dislocation (28545) |
$345 |
$575 |
0.1× |
| Treat lower leg fracture (27825) |
$348.90 |
$581.50 |
0.2× |
| Treat thumb fracture (26645) |
$345 |
$575 |
0.2× |
| Treat toe dislocation (28630) |
$258 |
$430 |
1.0× |
| Treat vaginal bleeding (57180) |
$346.50 |
$577.50 |
1.6× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$345 |
$575 |
0.2× |
| Treatment of bladder lesion (51720) |
$751.78 |
$1,252.97 |
1.0× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$345 |
$575 |
1.3× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,969.35 |
$3,282.25 |
1.2× |
| Trimming of nondystrophic nails, any number (11719) |
$66.56 |
$110.94 |
1.1× |
| Tx superficial wound dehiscence simple closure (12020) |
$413.59 |
$689.31 |
0.5× |
| Unlisted procedure, dentoalveolar structures (41899) |
$353.40 |
$589 |
1.4× |
| Vascular surgery procedure (37799) |
$1,030.95 |
$1,718.25 |
1.6× |
| Venipuncture (36415) |
$15.60 |
$26 |
1.7× |
| Version cephalic external (59412) |
$1,437.60 |
$2,396 |
0.4× |
| Wedge excision skin nail fold (11765) |
$468.90 |
$781.50 |
1.1× |
| Windowing of cast (29730) |
$178.35 |
$297.25 |
1.0× |