| Abd paracentesis w/imaging (49083) |
$115.20 |
$225 |
0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$77.97 |
$155 |
0.1× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$148.89 |
$296 |
0.1× |
| Adding Walker Previously Applied Cast (29440) |
$30.18 |
$60 |
0.2× |
| Amniocentesis diagnostic (59000) |
$421.87 |
$618.50 |
0.4× |
| Amniocentesis therapeutic (59001) |
$991.18 |
$1,398 |
3.1× |
| Amputation Finger/Thumb (26951) |
$695.65 |
$1,383 |
0.2× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$410.95 |
$817 |
0.1× |
| Anoscopy diagnostic (46600) |
$42.76 |
$85 |
0.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$89.03 |
$177 |
0.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$129 |
$238 |
0.8× |
| Application cast elbow finger short arm (29075) |
$64.38 |
$128 |
0.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$69.92 |
$139 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$70.92 |
$141 |
0.2× |
| Application finger splint static (29130) |
$31.19 |
$62 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$44.26 |
$88 |
0.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$111.67 |
$222 |
0.4× |
| Application long leg splint thigh ankle/toes (29505) |
$52.81 |
$105 |
0.3× |
| Application of long leg cast (29345) |
$104.62 |
$208 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$434.68 |
$802 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$41.25 |
$82 |
0.3× |
| Application short leg splint calf foot (29515) |
$51.81 |
$103 |
0.3× |
| Apply patella tendon bearing cast (29435) |
$85.51 |
$170 |
0.3× |
| Apply short leg cast (29405) |
$61.37 |
$122 |
0.2× |
| Apply short leg cast (29425) |
$57.84 |
$115 |
0.2× |
| Arterial puncture (36600) |
$42.19 |
$72 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$100.79 |
$172 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$140.75 |
$262.50 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$490.72 |
$749.50 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$125.25 |
$249 |
0.4× |
| Aspir/inj thyroid cyst (60300) |
$339.40 |
$493 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$152.91 |
$304 |
0.1× |
| Aspiration bladder needle (51100) |
$40.74 |
$81 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$57.34 |
$114 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$881.50 |
$1,269 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$902.24 |
$1,309.50 |
0.5× |
| Biopsy Salivary Gland,Needle (42400) |
$602.25 |
$865 |
0.8× |
| Bladder Irrigation Simple (51700) |
$217.66 |
$358 |
0.8× |
| Blood patch (62273) |
$488.24 |
$963 |
0.7× |
| Blood transfusion service (36430) |
$781.08 |
$1,415 |
1.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$480.74 |
$702.50 |
0.3× |
| Bx breast 1st lesion strtctc (19081) |
$1,361.74 |
$1,969 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,007.60 |
$1,467 |
0.6× |
| Bx/exc lymph node needle superficial (38505) |
$1,668.28 |
$1,286 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$97.54 |
$183 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$253.82 |
$358 |
1.0× |
| Chemical Cautery Tissue (17250) |
$100.92 |
$189 |
0.5× |
| Chest tube placement (32551) |
$165.99 |
$330 |
0.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$117.07 |
$216 |
0.8× |
| Circumcision (54150) |
$376.16 |
$538 |
0.2× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$350.09 |
$696 |
0.2× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,021.59 |
$2,031 |
3.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$361.66 |
$719 |
1.4× |
| Closed Rx Med Malleolus Fx (27760) |
$319.91 |
$636 |
1.2× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$453.71 |
$902 |
0.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$469.80 |
$934 |
0.3× |
| Closed rx prox/neck femur fx,manip (27232) |
$785.18 |
$1,561 |
0.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$485.90 |
$966 |
0.3× |
| Closed Rx Radial Shaft Fx (25500) |
$263.57 |
$524 |
1.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$414.47 |
$824 |
0.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$333.49 |
$663 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$296.27 |
$589 |
1.1× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$792.22 |
$1,575 |
0.5× |
| Closed Rx Trimalleolar Fx (27816) |
$303.81 |
$604 |
1.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$192.65 |
$383 |
0.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$315.88 |
$628 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$393.85 |
$783 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$443.14 |
$881 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$315.88 |
$628 |
1.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$237.92 |
$473 |
0.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$658.93 |
$1,310 |
0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$507.02 |
$1,008 |
1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$212.77 |
$423 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$359.14 |
$714 |
1.4× |
| Closed tx patellar fracture w/o manipulation (27520) |
$310.35 |
$617 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$416.99 |
$829 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$253.01 |
$503 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$479.86 |
$954 |
0.3× |
| Closed tx septal&nose fx (21337) |
$305.82 |
$608 |
0.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$338.02 |
$672 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$33.70 |
$67 |
0.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$435.60 |
$866 |
0.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$277.15 |
$551 |
1.1× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$349.08 |
$694 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$234.40 |
$466 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$423.02 |
$841 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$303.81 |
$604 |
1.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$362.16 |
$720 |
1.4× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$502.50 |
$999 |
1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$403.41 |
$802 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$299.79 |
$596 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$286.21 |
$569 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$194.66 |
$387 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$328.96 |
$654 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$535.19 |
$1,064 |
0.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$713.25 |
$1,418 |
0.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$496.96 |
$988 |
1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$154.42 |
$307 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$129.27 |
$257 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$148.38 |
$295 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$517.59 |
$1,029 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$193.66 |
$385 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$95.57 |
$190 |
0.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$269.10 |
$535 |
1.0× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$524.63 |
$1,043 |
0.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$306.83 |
$610 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$292.75 |
$582 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$321.92 |
$640 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$116.19 |
$231 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$317.39 |
$631 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$193.15 |
$384 |
0.7× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$610.14 |
$1,213 |
0.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$423.53 |
$842 |
1.6× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$293.75 |
$584 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$445.16 |
$885 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$82.49 |
$164 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$593.54 |
$1,180 |
0.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$515.58 |
$1,025 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$455.72 |
$906 |
0.3× |
| Complex Drainage, Wound (10180) |
$185.61 |
$369 |
0.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$323.42 |
$467 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$83 |
$165 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$59.86 |
$119 |
0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$916.32 |
$1,337 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$111.67 |
$222 |
0.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$142.35 |
$283 |
0.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$289.22 |
$575 |
0.4× |
| Debride nail 1-5 (11720) |
$15.59 |
$31 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$198.88 |
$371.50 |
0.5× |
| Declot vascular device (36593) |
$262.08 |
$419 |
0.8× |
| Delivery placenta separate procedure (59414) |
$1,227.30 |
$2,035 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$493.64 |
$753.50 |
0.7× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$129.27 |
$257 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$126.25 |
$251 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$144.36 |
$287 |
0.7× |
| Drainage mouth roof lesion (42000) |
$108.65 |
$216 |
0.4× |
| Drainage of gum lesion (41800) |
$158.95 |
$316 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$272.63 |
$542 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$174.54 |
$347 |
0.1× |
| Draw blood off venous device (36591) |
$165.31 |
$305 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$169.10 |
$322 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$134.54 |
$256.50 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$78.02 |
$148 |
0.4× |
| Dry Needling 3+ Muscles (20561) |
$53.17 |
$75 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$32.70 |
$65 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$153.92 |
$306 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$257.54 |
$512 |
0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$117.20 |
$233 |
0.1× |
| Exchange nephrostomy cath (50435) |
$2,365.22 |
$1,824 |
1.1× |
| Excision of nail fold toe (11765) |
$96.07 |
$191 |
0.2× |
| Excision, nasal polyp(s), simple (30110) |
$134.80 |
$268 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$363.67 |
$723 |
0.2× |
| Exploration Penetrating Wound Spx Neck (20100) |
$634.28 |
$1,261 |
1.1× |
| External Cephalic Version (59412) |
$545.37 |
$780 |
0.2× |
| Fetal Contraction Stress Test (59020) |
$651.23 |
$752 |
3.1× |
| Fetal non-stress test (59025) |
$295.06 |
$353.50 |
1.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,111.06 |
$1,600 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$947.34 |
$1,357 |
1.3× |
| Fluid pressure muscle (20950) |
$290.65 |
$574 |
0.4× |
| Fna bx w/fluor gdn 1st les (10007) |
$99.84 |
$195 |
0.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$23.64 |
$47 |
0.1× |
| I&D Abscess Peritonsillar (42700) |
$140.34 |
$279 |
0.6× |
| I&d abscess simple (10060) |
$104.62 |
$208 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$224.84 |
$447 |
0.1× |
| I&d perianal abscess superficial (46050) |
$103.62 |
$206 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$115.98 |
$213 |
0.2× |
| I&D Upper Arm/Elbow Bursa (23931) |
$162.47 |
$323 |
0.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$189.63 |
$377 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$179.07 |
$356 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$193.66 |
$385 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$107.14 |
$213 |
0.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$108.14 |
$215 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$124.74 |
$248 |
0.4× |
| Incision of rectal abscess (46040) |
$441.63 |
$878 |
0.3× |
| Incision thrombosed hemorrhoid external (46083) |
$113.68 |
$226 |
0.4× |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
$790.63 |
$1,251 |
1.9× |
| Initial tx 1st degree burn local tx (16000) |
$48.29 |
$96 |
0.2× |
| Inj tendon sheath/ligament (20550) |
$90.54 |
$180 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$170.53 |
$291 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$165.25 |
$282 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$142.40 |
$243 |
0.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$149.43 |
$255 |
0.2× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$678.37 |
$1,338 |
0.7× |
| Inject Nerv Blck,Intercostal,One (64420) |
$510.04 |
$1,006 |
0.7× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$172.28 |
$294 |
0.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$144.74 |
$247 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$319.20 |
$525 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$114.86 |
$196 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$96.38 |
$177 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$100.10 |
$199 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$202.66 |
$324 |
1.5× |
| Insert cervical dilator (59200) |
$357.29 |
$511 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$229.13 |
$391 |
0.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$195.16 |
$388 |
0.1× |
| Insert picc cath (36569) |
$1,073.70 |
$1,981 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,046.60 |
$1,931 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$152.30 |
$281 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.37 |
$235 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,480.74 |
$2,732 |
0.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,042.27 |
$1,923 |
1.6× |
| Intro Gastrointestinal Tube (44500) |
$974.17 |
$1,374 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$358.28 |
$658 |
1.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$207.74 |
$293 |
1.0× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$50.80 |
$101 |
0.2× |
| Liver Biopsy (47000) |
$548.98 |
$800 |
0.3× |
| Myelography Lumbar Injection (62304) |
$486.21 |
$720.50 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$44.03 |
$86 |
0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$48.92 |
$69 |
1.6× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$496.12 |
$785 |
1.9× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) |
$297.67 |
$471 |
1.9× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) |
$297.67 |
$471 |
1.9× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$4,031.53 |
$6,379 |
1.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$435.64 |
$635 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,267.74 |
$1,873.50 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$718.78 |
$1,077 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$234.99 |
$401 |
0.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$385.46 |
$572 |
0.5× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$585.56 |
$893 |
0.8× |
| NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (0169U) |
$884.17 |
$1,399 |
1.9× |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$16,030.68 |
$25,365 |
1.9× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$6,825.60 |
$10,800 |
1.9× |
| Pericardiocentesis W/Imaging (33016) |
$545.56 |
$1,078 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$280.67 |
$558 |
0.1× |
| Peritoneal Lavage (49084) |
$115.19 |
$229 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$507.64 |
$741 |
0.7× |
| Perq device breast 1st imag (19281) |
$160.77 |
$314 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$131.58 |
$257 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$40.24 |
$80 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$151.34 |
$299 |
0.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,523.11 |
$2,238 |
0.7× |
| Puncture Aspiration (10160) |
$100.35 |
$196 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$198.06 |
$292 |
0.3× |
| Removal fb intranasal (30300) |
$117.70 |
$234 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$139.83 |
$278 |
0.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$153.42 |
$305 |
0.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$35.21 |
$70 |
0.6× |
| Removal of arm foreign body (24200) |
$147.38 |
$293 |
0.1× |
| Removal of intrauterine device (iud) (58301) |
$153.34 |
$303 |
0.5× |
| Removal of nail bed (11750) |
$106.13 |
$211 |
0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$35.21 |
$70 |
0.1× |
| Remove Eyelid Foreign Body (67938) |
$119.21 |
$237 |
0.4× |
| Remove foreign body from eye (65210) |
$38.23 |
$76 |
0.1× |
| Remove renal tube w/fluoro (50389) |
$334.06 |
$494.50 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$49.29 |
$98 |
0.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$30.18 |
$60 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$293.75 |
$584 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$354.11 |
$704 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$256.03 |
$509 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$319.91 |
$636 |
0.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$242.95 |
$483 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$272.63 |
$542 |
0.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$211.26 |
$420 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$259.55 |
$516 |
0.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$618.69 |
$1,230 |
0.4× |
| Repair finger/hand tendon (26350) |
$756.01 |
$1,503 |
0.2× |
| Repair forearm tendon/muscle (25270) |
$515.58 |
$1,025 |
0.1× |
| Repair hand tendon (26410) |
$601.59 |
$1,196 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$314.88 |
$626 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$176.55 |
$351 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$208.74 |
$415 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$403.41 |
$802 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$225.34 |
$448 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$230.88 |
$459 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$446.16 |
$887 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$282.18 |
$561 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$153.42 |
$305 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$205.22 |
$408 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$223.84 |
$445 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$368.20 |
$732 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$252 |
$501 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$158.44 |
$315 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$198.68 |
$395 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$296.27 |
$589 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$214.78 |
$427 |
0.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$346.06 |
$688 |
0.2× |
| Repair Laceration Palate </2 Cm (42180) |
$192.15 |
$382 |
0.3× |
| Repair of nail bed (11760) |
$119.71 |
$238 |
0.2× |
| Repair Tongue Laceration (41250) |
$160.96 |
$320 |
0.3× |
| Replace duod/jej tube perc (49451) |
$515.62 |
$753.50 |
0.5× |
| Replace g/c tube perc (49450) |
$380.62 |
$556 |
0.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$561.58 |
$832.50 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$43.26 |
$86 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$53.32 |
$106 |
0.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$175.04 |
$348 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$329.97 |
$656 |
0.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$218.30 |
$434 |
0.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$319.41 |
$635 |
0.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$652.03 |
$1,203 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$137.32 |
$273 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$59.35 |
$118 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$62.88 |
$125 |
0.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$162.97 |
$324 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$79.98 |
$159 |
0.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$101.10 |
$201 |
0.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$184.60 |
$367 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$47.28 |
$94 |
0.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$153.92 |
$306 |
0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$78.47 |
$156 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$62.88 |
$125 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$102.11 |
$203 |
0.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$124.74 |
$248 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$156.46 |
$285 |
0.2× |
| Strapping shoulder (29240) |
$19.62 |
$39 |
0.1× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$175.55 |
$349 |
0.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$94.06 |
$187 |
0.1× |
| Trach Tube Change (31502) |
$161.58 |
$238.50 |
0.6× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$352.60 |
$701 |
1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$338.02 |
$672 |
0.2× |
| Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) |
$5,220.32 |
$8,260 |
1.9× |
| Treat finger dislocation (26775) |
$361.66 |
$719 |
1.2× |
| Treat Fracture Radius & Ulna (25560) |
$265.58 |
$528 |
1.0× |
| Treat humerus fracture (24500) |
$343.55 |
$683 |
1.3× |
| Treat humerus fracture (24577) |
$528.15 |
$1,050 |
0.3× |
| Treat humerus fracture (23600) |
$323.93 |
$644 |
1.2× |
| Treat Metatarsal Fracture (28475) |
$236.91 |
$471 |
0.9× |
| Treat wrist bone fracture (25622) |
$293.25 |
$583 |
1.1× |
| Treatment closed elbow dislocation req anes (24605) |
$495.46 |
$985 |
0.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$352.60 |
$701 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$198.68 |
$395 |
0.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$319.41 |
$635 |
0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$269.32 |
$511 |
0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$269.10 |
$535 |
0.2× |
| Vaginal delivery only (59409) |
$854.60 |
$1,699 |
0.3× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$50.80 |
$101 |
0.4× |
| Venipuncture, cutdown; age 1 or over (36425) |
$42.25 |
$84 |
0.1× |