| Abd paracentesis w/imaging (49083) |
$968.20 |
$1,613.66 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$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× |
| Amputation Finger/Thumb (26951) |
$2,050.65 |
$3,417.75 |
0.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$949.12 |
$1,581.87 |
1.0× |
| Application cast elbow finger short arm (29075) |
$288.41 |
$480.69 |
1.0× |
| Application Cast Finger (29086) |
$168.84 |
$281.40 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$273.45 |
$455.75 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$288.41 |
$480.69 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$86.40 |
$144 |
1.4× |
| Application finger splint static (29130) |
$153.26 |
$255.44 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$216.60 |
$361 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$270.30 |
$450.50 |
1.6× |
| Application of long leg cast (29345) |
$273.45 |
$455.75 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$198.60 |
$331 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$166.16 |
$276.94 |
1.2× |
| Application short leg splint calf foot (29515) |
$192.72 |
$321.20 |
1.1× |
| Apply short leg cast (29405) |
$273.45 |
$455.75 |
0.9× |
| Arterial puncture (36600) |
$133.88 |
$223.13 |
1.0× |
| 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× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$349.07 |
$581.78 |
1.1× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,949.10 |
$3,248.51 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$214.72 |
$357.87 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,283.70 |
$2,139.50 |
0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,283.70 |
$2,139.50 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$748.80 |
$1,248 |
0.4× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,661.40 |
$2,769 |
1.0× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,531.35 |
$2,552.25 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,117.35 |
$1,862.25 |
0.6× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$751.78 |
$1,252.97 |
1.0× |
| Bladder Irrigation Simple (51700) |
$372.90 |
$621.50 |
1.4× |
| Bladder Scan (51798) |
$372.90 |
$621.50 |
6.0× |
| Blood patch (62273) |
$758.90 |
$1,264.84 |
1.0× |
| Blood transfusion service (36430) |
$689.85 |
$1,149.75 |
1.5× |
| Bone Marrow Biopsy (38221) |
$1,283.70 |
$2,139.50 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$907.80 |
$1,513 |
0.5× |
| 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/exc lymph node needle superficial (38505) |
$1,108.65 |
$1,847.75 |
0.6× |
| Canthotomy Separate Procedure (67715) |
$1,323 |
$2,205 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$224.68 |
$374.47 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$1,540.05 |
$2,566.75 |
2.1× |
| Change Cystostomy Tube Simple (51705) |
$339.22 |
$565.36 |
1.3× |
| Chemical Cautery Tissue (17250) |
$214.72 |
$357.87 |
1.0× |
| Chemodenerv Musc Migraine (64615) |
$316.81 |
$528.02 |
1.0× |
| Chest tube placement (32551) |
$686.70 |
$1,144.50 |
0.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$134.14 |
$223.57 |
1.0× |
| Circumcision (54150) |
$782.70 |
$1,304.50 |
0.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$345 |
$575 |
0.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$353.40 |
$589 |
0.2× |
| Closed Rx Med Malleolus Fx (27760) |
$345 |
$575 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$345 |
$575 |
0.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$345 |
$575 |
0.2× |
| Closed Rx Radial Shaft Fx (25500) |
$345 |
$575 |
1.3× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,688.99 |
$2,814.98 |
1.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$900 |
$1,500 |
0.5× |
| Closed Rx Tibia Shaft Fx (27750) |
$345 |
$575 |
1.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,111.35 |
$1,852.25 |
0.7× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$345 |
$575 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,578.90 |
$2,631.50 |
6.1× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,665.11 |
$2,775.18 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$348.90 |
$581.50 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$380.40 |
$634 |
0.2× |
| Closed tx femoral fracture prox head w manip (27268) |
$345 |
$575 |
0.2× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,980 |
$3,300 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$345 |
$575 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$778.35 |
$1,297.25 |
0.5× |
| 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 head/neck fx w/manipulation (24655) |
$345 |
$575 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$345 |
$575 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$345 |
$575 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$273.45 |
$455.75 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$345 |
$575 |
1.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$327.60 |
$546 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$258 |
$430 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,734.54 |
$2,890.90 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$265.50 |
$442.50 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$345 |
$575 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$345 |
$575 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$258 |
$430 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$258 |
$430 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$258 |
$430 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$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 fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$345 |
$575 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$258 |
$430 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$258 |
$430 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$258 |
$430 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$258 |
$430 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$348.90 |
$581.50 |
0.2× |
| 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 iphal jt dislc w/manj w/o anes (26770) |
$265.50 |
$442.50 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$345 |
$575 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$345 |
$575 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$258 |
$430 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$258 |
$430 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$258 |
$430 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$258 |
$430 |
1.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$532.65 |
$887.75 |
0.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$400.35 |
$667.25 |
1.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,665.11 |
$2,775.18 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$345 |
$575 |
1.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$918.80 |
$1,531.33 |
0.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$900 |
$1,500 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$353.40 |
$589 |
0.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$345 |
$575 |
0.2× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$345 |
$575 |
0.1× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$345 |
$575 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$425.25 |
$708.75 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$340.80 |
$568 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$353.40 |
$589 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (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× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$6,006.49 |
$10,010.81 |
1.1× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,364.53 |
$3,940.89 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$626.85 |
$1,044.75 |
1.5× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,977.90 |
$3,296.50 |
2.6× |
| Debride nail 1-5 (11720) |
$66.56 |
$110.94 |
1.1× |
| Debride skin musc at fx site (11011) |
$1,977.90 |
$3,296.50 |
2.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$558.90 |
$931.50 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$558.90 |
$931.50 |
0.3× |
| Declot vascular device (36593) |
$482.40 |
$804 |
1.4× |
| Delivery placenta separate procedure (59414) |
$3,137.09 |
$5,228.48 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$2,081.87 |
$3,469.78 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$2,098.07 |
$3,496.78 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,497.33 |
$2,495.55 |
1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,129.24 |
$3,548.74 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$758.90 |
$1,264.84 |
1.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$743.81 |
$1,239.69 |
1.0× |
| Drain spinal cord cyst (62268) |
$998.22 |
$1,663.70 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$354.30 |
$590.50 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$743.81 |
$1,239.69 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$464.10 |
$773.50 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$353.40 |
$589 |
1.7× |
| Drainage of eyelid abscess (67700) |
$338.18 |
$563.64 |
1.0× |
| Drainage of gum lesion (41800) |
$353.40 |
$589 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$756.75 |
$1,261.25 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$320.70 |
$534.50 |
0.2× |
| Draw blood off venous device (36591) |
$172.50 |
$287.50 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$413.59 |
$689.31 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$297.15 |
$495.25 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$215.66 |
$359.44 |
1.0× |
| Dry Needling 3+ Muscles (20561) |
$32.04 |
$53.40 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$1,283.70 |
$2,139.50 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$3,418.79 |
$5,697.98 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,973.20 |
$6,622 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$133.88 |
$223.13 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$464.10 |
$773.50 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$413.59 |
$689.31 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$400.35 |
$667.25 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,438.50 |
$2,397.50 |
1.1× |
| Exchange nephrostomy cath (50435) |
$2,242.81 |
$3,738.02 |
1.0× |
| Excise tendon forearm/wrist (25109) |
$632.70 |
$1,054.50 |
0.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$464.10 |
$773.50 |
0.3× |
| Excision of nail fold toe (11765) |
$468.90 |
$781.50 |
1.1× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$468.90 |
$781.50 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$743.81 |
$1,239.69 |
0.4× |
| External Cephalic Version (59412) |
$1,437.60 |
$2,396 |
0.4× |
| Fetal Contraction Stress Test (59020) |
$402 |
$670 |
1.9× |
| Fetal non-stress test (59025) |
$267.15 |
$445.25 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,016 |
$3,360 |
2.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,083.52 |
$1,805.88 |
1.5× |
| Fine needle aspiration without imaging guidance (10021) |
$468.90 |
$781.50 |
1.1× |
| Fluid pressure muscle (20950) |
$743.81 |
$1,239.69 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$325.80 |
$543 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$316.25 |
$527.09 |
1.4× |
| Glycine receptor alpha1 igg serum/csf lcba qual (0431U) |
$472.50 |
$787.50 |
12.9× |
| Guide Cathet Fluid Drainage (10030) |
$806.10 |
$1,343.50 |
1.1× |
| Hemorrhoidectomy external complete (46250) |
$3,259.60 |
$5,432.66 |
1.1× |
| I&D Abscess Peritonsillar (42700) |
$320.70 |
$534.50 |
1.3× |
| I&d abscess simple (10060) |
$320.70 |
$534.50 |
1.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,875.18 |
$4,791.96 |
0.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,383.35 |
$3,972.25 |
0.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$585 |
$975 |
0.3× |
| I&d perianal abscess superficial (46050) |
$949.12 |
$1,581.87 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$743.81 |
$1,239.69 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,706.18 |
$2,843.64 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,499.45 |
$4,165.75 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$464.10 |
$773.50 |
1.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,462.80 |
$2,438 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$632.70 |
$1,054.50 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$413.59 |
$689.31 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$320.70 |
$534.50 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$336.62 |
$561.03 |
1.0× |
| Incision of rectal abscess (46040) |
$1,240.10 |
$2,066.83 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$391.19 |
$651.98 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$626.85 |
$1,044.75 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$214.72 |
$357.87 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$983.58 |
$1,639.30 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$378.60 |
$631 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$983.58 |
$1,639.30 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$681.60 |
$1,136 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$758.90 |
$1,264.84 |
0.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$983.58 |
$1,639.30 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$758.90 |
$1,264.84 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$770 |
$1,283.34 |
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 anes other peripheral nerve/branch (64450) |
$758.90 |
$1,264.84 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$324.54 |
$540.90 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$324.54 |
$540.90 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$316.52 |
$527.53 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$270.30 |
$450.50 |
2.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,148.85 |
$1,914.75 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,220.85 |
$2,034.75 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,220.85 |
$2,034.75 |
0.4× |
| Insert picc cath (36569) |
$1,003.20 |
$1,672 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$206.25 |
$343.75 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$133.88 |
$223.13 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,710.75 |
$2,851.25 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,220.85 |
$2,034.75 |
0.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,893.26 |
$16,488.76 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$968.20 |
$1,613.66 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$473.85 |
$789.75 |
1.9× |
| Irrigate corpora cavernosa for priapism (54220) |
$480 |
$800 |
1.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,669.80 |
$12,783 |
1.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$6,900 |
$11,500 |
0.6× |
| Laryngoscopy Flexible Diagnostic (31575) |
$473.85 |
$789.75 |
2.3× |
| Laser vaporization surgery prostate, complete (52648) |
$5,876.85 |
$9,794.75 |
1.0× |
| Liver Biopsy (47000) |
$916.05 |
$1,526.75 |
0.5× |
| Nasal surgery procedure (30999) |
$353.40 |
$589 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$323.15 |
$538.59 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32.04 |
$53.40 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$500.14 |
$833.56 |
1.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,066.20 |
$1,777 |
1.1× |
| 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× |
| 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× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,509.44 |
$2,515.73 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,831.80 |
$3,053 |
2.5× |
| 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× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$890 |
$1,483.34 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$323.15 |
$538.59 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,858.05 |
$6,430.08 |
1.0× |
| Puncture Aspiration (10160) |
$413.59 |
$689.31 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$743.81 |
$1,239.69 |
1.0× |
| Pvb thoracic single inj site (64461) |
$758.90 |
$1,264.84 |
1.0× |
| Removal fb intranasal (30300) |
$353.40 |
$589 |
2.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,659.15 |
$2,765.25 |
0.5× |
| Removal Foreign Body Foot Complicated (28193) |
$1,030.95 |
$1,718.25 |
0.6× |
| Removal foreign body foot deep (28192) |
$1,659.15 |
$2,765.25 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$743.81 |
$1,239.69 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$632.70 |
$1,054.50 |
0.4× |
| Removal foreign body pharynx (42809) |
$323.15 |
$538.59 |
0.7× |
| 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 Separate Procedure (20670) |
$1,882.18 |
$3,136.96 |
1.1× |
| Removal of arm foreign body (24200) |
$405 |
$675 |
0.2× |
| Removal of intrauterine device (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/bivalving full arm/full leg cast (29705) |
$178.35 |
$297.25 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$416.85 |
$694.75 |
1.2× |
| Remove foreign body from eye (65235) |
$416.85 |
$694.75 |
0.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$169.95 |
$283.25 |
0.1× |
| Remv Ext Canal Foreign Body (69200) |
$180.38 |
$300.62 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$416.85 |
$694.75 |
3.0× |
| Renal biopsy (50200) |
$1,020.30 |
$1,700.50 |
0.6× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$1,575 |
$2,625 |
0.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,905.15 |
$3,175.25 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$626.85 |
$1,044.75 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$626.85 |
$1,044.75 |
0.8× |
| 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 (13132) |
$626.85 |
$1,044.75 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$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 1.1-2.5 cm (13100) |
$626.85 |
$1,044.75 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$626.85 |
$1,044.75 |
0.8× |
| Repair extensor tendon finger w/o graft each (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&/muc 12.6-20.0cm (12055) |
$413.59 |
$689.31 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,913.40 |
$3,189 |
4.5× |
| 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 n/h/f/xtrnl gent >30.0 cm (12047) |
$2,051.39 |
$3,418.99 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$626.85 |
$1,044.75 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$464.10 |
$773.50 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,051.39 |
$3,418.99 |
0.9× |
Repair kneecap tendon (27380) likely a partial charge, not the full procedure |
$535.50 |
$892.50 |
0.1× |
| Repair Of Foot Tendon (28208) |
$3,434.09 |
$5,723.48 |
1.0× |
| Repair of nail bed (11760) |
$626.85 |
$1,044.75 |
0.8× |
| Repair Tongue Laceration (41250) |
$400.35 |
$667.25 |
0.8× |
| Repair vagina/perineum (57210) |
$3,629.42 |
$6,049.04 |
1.1× |
| Replace g/c tube perc (49450) |
$968.20 |
$1,613.66 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$968.20 |
$1,613.66 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$998.16 |
$1,663.60 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$424.65 |
$707.75 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$416.85 |
$694.75 |
3.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,240.10 |
$2,066.83 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,131.30 |
$1,885.50 |
1.7× |
| Rpr blood vessel direct lower extremity (35226) |
$1,905.15 |
$3,175.25 |
2.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$626.85 |
$1,044.75 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$540.97 |
$901.62 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$400.35 |
$667.25 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$400.35 |
$667.25 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$307.54 |
$512.56 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$400.35 |
$667.25 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$413.59 |
$689.31 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$309.68 |
$516.12 |
1.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (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/< (12001) |
$307.54 |
$512.56 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$464.10 |
$773.50 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$400.35 |
$667.25 |
1.9× |
| Skin Tissue Procedure (17999) |
$464.10 |
$773.50 |
2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$307.54 |
$512.56 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (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× |
| Spinal puncture lumbar diagnostic (62270) |
$758.90 |
$1,264.84 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$533.10 |
$888.50 |
0.7× |
| Strapping ankle (29540) |
$178.35 |
$297.25 |
1.0× |
| Strapping elbow/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 knee (29530) |
$178.35 |
$297.25 |
1.3× |
| Strapping shoulder (29240) |
$547.20 |
$912 |
3.9× |
| Strapping thorax (29200) |
$273.45 |
$455.75 |
1.6× |
| Strapping toes (29550) |
$178.35 |
$297.25 |
2.9× |
| Strapping unna boot (29580) |
$178.35 |
$297.25 |
1.0× |
| Suture Eyelid Wound,Full Thick (67935) |
$360 |
$600 |
0.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,179 |
$1,965 |
1.8× |
| Thrombolytic Therapy, Stroke (37195) |
$371.62 |
$619.37 |
1.1× |
| Thyroid biopsy (60100) |
$743.81 |
$1,239.69 |
1.0× |
| Tongue and mouth surg unlisted (41599) |
$400.35 |
$667.25 |
1.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,970.25 |
$3,283.75 |
7.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,970.25 |
$3,283.75 |
1.2× |
| Treat finger dislocation (26775) |
$348 |
$580 |
1.2× |
| Treat humerus fracture (23600) |
$345 |
$575 |
1.3× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$345 |
$575 |
0.2× |
| Treat Vaginal Bleeding (57180) |
$346.50 |
$577.50 |
1.6× |
| Treatment closed elbow dislocation req anes (24605) |
$345 |
$575 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$345 |
$575 |
1.3× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$66.56 |
$110.94 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,969.35 |
$3,282.25 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$413.59 |
$689.31 |
0.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$353.40 |
$589 |
1.4× |
| Unlisted Procedure Nervous System (64999) |
$316.81 |
$528.02 |
1.0× |
| Unlisted Procedure Small Intestine (44799) |
$968.20 |
$1,613.66 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,030.95 |
$1,718.25 |
1.6× |
| Unlisted procedure, stomach (43999) |
$968.20 |
$1,613.66 |
1.0× |
| Venipuncture (36415) |
$15.60 |
$26 |
1.7× |
| Windowing of cast (29730) |
$178.35 |
$297.25 |
1.0× |