| Abd paracentesis (49082) |
$77.97 |
$155 |
0.1× |
| Abd paracentesis w/imaging (49083) |
$115.20 |
$225 |
0.1× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$148.89 |
$296 |
0.1× |
| Adding walker to 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× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$695.65 |
$1,383 |
0.2× |
| Amputation of toe (28820) |
$410.95 |
$817 |
0.1× |
| Anoscopy diagnostic (46600) |
$42.76 |
$85 |
0.3× |
| Anoscopy remove for body (46608) |
$89.03 |
$177 |
0.1× |
| Application finger splint static (29130) |
$31.19 |
$62 |
0.2× |
| Application of long leg cast (thigh to toes); (29345) |
$104.62 |
$208 |
0.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$52.81 |
$105 |
0.3× |
| Application of short arm splint (forearm to hand); static (29125) |
$41.25 |
$82 |
0.3× |
| Application of short leg cast (below knee to toes); (29405) |
$61.37 |
$122 |
0.2× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$57.84 |
$115 |
0.2× |
| Application of short leg splint (calf to foot) (29515) |
$51.81 |
$103 |
0.3× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$129 |
$238 |
0.8× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$111.67 |
$222 |
0.4× |
| Application rigid total contact leg cast (29445) |
$434.68 |
$802 |
1.5× |
| Application, cast; shoulder to hand (long arm) (29065) |
$70.92 |
$141 |
0.2× |
| Apply hand/wrist cast (29085) |
$69.92 |
$139 |
0.4× |
| Apply long arm splint (29105) |
$44.26 |
$88 |
0.3× |
| Apply patella tendon bearing cast (29435) |
$85.51 |
$170 |
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× |
| Aspirate pleura w/o imaging (32554) |
$94.06 |
$187 |
0.1× |
| Aspiration and/or injection 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 of nail plate, partial or complete, simple; single (11730) |
$57.34 |
$114 |
0.3× |
| Biopsy liver needle percutaneous (47000) |
$548.98 |
$800 |
0.3× |
| Biopsy lymph node (38505) |
$890.20 |
$1,286 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$902.24 |
$1,309.50 |
0.5× |
| Biopsy of salivary gland; needle (42400) |
$602.25 |
$865 |
0.8× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$480.74 |
$702.50 |
0.3× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$881.50 |
$1,269 |
0.5× |
| Bladder irrigation (51700) |
$217.66 |
$358 |
0.8× |
| 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× |
| Cast short arm (29075) |
$64.38 |
$128 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$253.82 |
$358 |
1.0× |
| Change of windpipe airway (31502) |
$161.58 |
$238.50 |
0.6× |
| Chemical cauterization of granulation tissue (17250) |
$100.92 |
$189 |
0.5× |
| Chest tube placement (32551) |
$165.99 |
$330 |
0.1× |
| Circumcision, Newborn (54150) |
$376.16 |
$538 |
0.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$237.92 |
$473 |
0.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$293.25 |
$583 |
1.1× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$349.08 |
$694 |
0.2× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$234.40 |
$466 |
0.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$403.41 |
$802 |
1.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$299.79 |
$596 |
1.2× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$194.66 |
$387 |
0.7× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$713.25 |
$1,418 |
0.4× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$496.96 |
$988 |
1.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$129.27 |
$257 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$792.22 |
$1,575 |
0.5× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$343.55 |
$683 |
1.3× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$658.93 |
$1,310 |
0.4× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$507.02 |
$1,008 |
1.9× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$453.71 |
$902 |
0.3× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$319.91 |
$636 |
1.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$306.83 |
$610 |
1.2× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$292.75 |
$582 |
1.1× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$310.35 |
$617 |
1.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$317.39 |
$631 |
1.2× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$193.15 |
$384 |
0.7× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$610.14 |
$1,213 |
0.4× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$293.75 |
$584 |
1.1× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$445.16 |
$885 |
0.3× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$323.93 |
$644 |
1.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$265.58 |
$528 |
1.0× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$253.01 |
$503 |
1.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$82.49 |
$164 |
0.3× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$263.57 |
$524 |
1.0× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$414.47 |
$824 |
0.2× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$303.81 |
$604 |
1.2× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$338.02 |
$672 |
0.2× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$296.27 |
$589 |
1.1× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$277.15 |
$551 |
1.1× |
| Closed treatment of 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/manj (27810) |
$443.14 |
$881 |
0.3× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$315.88 |
$628 |
1.2× |
| 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 radial shaft fracture w/manipulation (25505) |
$479.86 |
$954 |
0.3× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$485.90 |
$966 |
0.3× |
| Closed tx septal&nose fx (21337) |
$305.82 |
$608 |
0.1× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$361.66 |
$719 |
1.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$192.65 |
$383 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$423.02 |
$841 |
0.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$350.09 |
$696 |
0.2× |
| 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 PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$286.21 |
$569 |
1.1× |
| 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 prox end nck w/manj w/wo skel tracj (27232) |
$785.18 |
$1,561 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$148.38 |
$295 |
0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$193.66 |
$385 |
0.7× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$469.80 |
$934 |
0.3× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$95.57 |
$190 |
0.4× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$321.92 |
$640 |
1.2× |
| Cltx metar fx w/manj (28475) |
$236.91 |
$471 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$593.54 |
$1,180 |
0.3× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$515.58 |
$1,025 |
0.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$333.49 |
$663 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$455.72 |
$906 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$303.81 |
$604 |
1.2× |
| Collect blood from catheter venous nos (36592) |
$117.07 |
$216 |
0.8× |
| Collect blood from implant venous access device (36591) |
$165.31 |
$305 |
1.2× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$323.42 |
$467 |
1.4× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$83 |
$165 |
0.6× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (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 skin at fx site (11010) |
$289.22 |
$575 |
0.4× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$15.59 |
$31 |
0.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$198.88 |
$371.50 |
0.5× |
| Declot vascular device (36593) |
$262.08 |
$419 |
0.8× |
| Delivery of placenta (59414) |
$1,227.30 |
$2,035 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$493.64 |
$753.50 |
0.7× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$126.25 |
$251 |
0.2× |
| Drainage finger abscess simple (26010) |
$144.36 |
$287 |
0.7× |
| Drainage of abscess of palate, uvula (42000) |
$108.65 |
$216 |
0.4× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$129.27 |
$257 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$174.54 |
$347 |
0.1× |
| Drainage of scrotum (54700) |
$224.84 |
$447 |
0.1× |
| Drainage of tonsil abscess (42700) |
$140.34 |
$279 |
0.6× |
| Ed proc insert intraosseous IV (36680) |
$151.34 |
$299 |
0.3× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$202.66 |
$324 |
1.5× |
| Ed proc remve fb nasal- hospital (30300) |
$117.70 |
$234 |
0.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$42.19 |
$72 |
0.3× |
| Ed prof burn - large - hospital (16030) |
$169.10 |
$322 |
0.4× |
| Ed prof burn medium - hospital (16025) |
$134.54 |
$256.50 |
0.6× |
| Ed prof burn small - hospital (16020) |
$78.02 |
$148 |
0.4× |
| Ed prof catheterization/straight (51701) |
$127.37 |
$235 |
0.9× |
| Ed prof closed tx post hip arthroplasty (27265) |
$423.53 |
$842 |
1.6× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$416.99 |
$829 |
0.2× |
| Ed prof drain dental abscess-hospital (41800) |
$158.95 |
$316 |
1.1× |
| Ed prof insert foley cath simple (51702) |
$152.30 |
$281 |
1.1× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$229.13 |
$391 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$252 |
$501 |
0.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$214.78 |
$427 |
0.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$269.10 |
$535 |
1.0× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$44.03 |
$86 |
0.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$114.86 |
$196 |
0.2× |
| Evac subungual hematoma (11740) |
$32.70 |
$65 |
0.2× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$1,262.48 |
$1,824 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$117.20 |
$233 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$153.92 |
$306 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$257.54 |
$512 |
0.1× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$134.80 |
$268 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$363.67 |
$723 |
0.2× |
| Explore wound neck (20100) |
$634.28 |
$1,261 |
1.1× |
| Fetal contraction stress test (59020) |
$651.23 |
$752 |
3.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,111.06 |
$1,600 |
1.5× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$99.84 |
$195 |
0.1× |
| 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× |
| Gastric lavage (43753) |
$23.64 |
$47 |
0.1× |
| I&d abscess simple/single (10060) |
$104.62 |
$208 |
0.5× |
| I&d hematoma/seroma/fluid (10140) |
$272.63 |
$542 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$115.98 |
$213 |
0.2× |
| Incise external hemorrhoid (46083) |
$113.68 |
$226 |
0.4× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$189.63 |
$377 |
0.4× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$108.14 |
$215 |
0.5× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$179.07 |
$356 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$124.74 |
$248 |
0.4× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$185.61 |
$369 |
0.1× |
| Incision and drainage, perianal abscess, superficial (46050) |
$103.62 |
$206 |
0.1× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$162.47 |
$323 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$193.66 |
$385 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$107.14 |
$213 |
0.2× |
| Incision of rectal abscess (46040) |
$441.63 |
$878 |
0.3× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$42.25 |
$84 |
0.1× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$50.80 |
$101 |
0.4× |
| Incision of windpipe (31603) |
$338.02 |
$672 |
0.2× |
| Infectious disease (bacteria and fungi), gram-negative bacterial identification and drug resistance element detection,… (0142U) |
$297.67 |
$471 |
1.9× |
| Infectious disease (bacteria and fungi), gram-positive organism identification and drug resistance element detection,… (0141U) |
$297.67 |
$471 |
1.9× |
| Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory… (0225U) |
$790.63 |
$1,251 |
1.9× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$48.29 |
$96 |
0.2× |
| Inj epidural blood or clot patch (62273) |
$488.24 |
$963 |
0.7× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,267.74 |
$1,873.50 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$142.40 |
$243 |
0.2× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$170.53 |
$291 |
0.2× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$149.43 |
$255 |
0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$678.37 |
$1,338 |
0.7× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$510.04 |
$1,006 |
0.7× |
| 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(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$172.28 |
$294 |
0.2× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$165.25 |
$282 |
0.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$96.38 |
$177 |
0.3× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$100.10 |
$199 |
0.3× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$90.54 |
$180 |
0.3× |
| Insert cervical dilator (59200) |
$357.29 |
$511 |
1.1× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$195.16 |
$388 |
0.1× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$1,046.60 |
$1,931 |
0.6× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$97.54 |
$183 |
0.4× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,073.70 |
$1,981 |
0.6× |
| 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× |
| Intubation endotracheal (31500) |
$358.28 |
$658 |
1.4× |
| Laryngoscopy flex diagnostic (31575) |
$207.74 |
$293 |
1.0× |
| Laryngoscopy indirect diagnostic (31505) |
$50.80 |
$101 |
0.2× |
| Long gi tube placement (44500) |
$497.58 |
$707.50 |
0.5× |
| Lumbar puncture (62270) |
$156.46 |
$285 |
0.2× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$486.21 |
$720.50 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$48.92 |
$69 |
1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$53.17 |
$75 |
1.7× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$496.12 |
$785 |
1.9× |
| Nfct ds DNA untrgt ngnrj 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 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× |
| Non stress test (59025) |
$295.06 |
$353.50 |
1.4× |
| 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 Other Outpatient (0211U) |
$16,030.68 |
$25,365 |
1.9× |
| Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene… (0313U) |
$6,825.60 |
$10,800 |
1.9× |
| Pericardiocentesis w/img guidance when performed (33016) |
$545.56 |
$1,078 |
0.3× |
| Peritoneal lavage, including imaging guidance, when performed (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× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,523.11 |
$2,238 |
0.7× |
| Prineoplasty rpr pr nonobal spx (56810) |
$280.67 |
$558 |
0.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$100.35 |
$196 |
0.2× |
| Puncture aspiration of cyst of breast (19000) |
$198.06 |
$292 |
0.3× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$139.83 |
$278 |
0.2× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$35.21 |
$70 |
0.6× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$153.42 |
$305 |
0.1× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$147.38 |
$293 |
0.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$30.18 |
$60 |
0.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$43.26 |
$86 |
0.1× |
| Removal of iud (58301) |
$153.34 |
$303 |
0.5× |
| Removal of nail bed (11750) |
$106.13 |
$211 |
0.2× |
| Removal/revision of 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 hip foreign body (27086) |
$175.04 |
$348 |
0.1× |
| 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 TechFee (13132) |
$319.91 |
$636 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$272.63 |
$542 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$259.55 |
$516 |
0.3× |
| Repair extensor tendon hand w/o graft each (26410) |
$601.59 |
$1,196 |
0.4× |
| Repair finger tendon (26418) |
$618.69 |
$1,230 |
0.4× |
| Repair finger/hand tendon (26350) |
$756.01 |
$1,503 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$176.55 |
$351 |
0.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$208.74 |
$415 |
0.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$230.88 |
$459 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$314.88 |
$626 |
0.7× |
| 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 S/A/T/E 2.5 CM/< TechFee (12031) |
$158.44 |
$315 |
0.4× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$198.68 |
$395 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$296.27 |
$589 |
0.4× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$225.34 |
$448 |
0.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$403.41 |
$802 |
0.9× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$446.16 |
$887 |
1.0× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$346.06 |
$688 |
0.2× |
| Repair lac palate<2 cm (42180) |
$192.15 |
$382 |
0.3× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$319.41 |
$635 |
0.6× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$160.96 |
$320 |
0.3× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$218.30 |
$434 |
0.9× |
| Repair of nail bed (11760) |
$119.71 |
$238 |
0.2× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$652.03 |
$1,203 |
1.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$293.75 |
$584 |
0.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$354.11 |
$704 |
0.5× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$242.95 |
$483 |
0.6× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$211.26 |
$420 |
0.3× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$368.20 |
$732 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$515.62 |
$753.50 |
0.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$380.62 |
$556 |
0.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$561.58 |
$832.50 |
0.6× |
| Reset dislocated jaw (21480) |
$33.70 |
$67 |
0.1× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$49.29 |
$98 |
0.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$53.32 |
$106 |
0.4× |
| Rmvl nfros tube req fluoro guidance (50389) |
$334.06 |
$494.50 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$329.97 |
$656 |
0.4× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$515.58 |
$1,025 |
0.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$59.35 |
$118 |
0.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$62.88 |
$125 |
0.3× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$79.98 |
$159 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (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/< TechFee (12001) |
$47.28 |
$94 |
0.2× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$153.92 |
$306 |
0.7× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$162.97 |
$324 |
0.4× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$137.32 |
$273 |
0.3× |
| 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 TechFee (12002) |
$62.88 |
$125 |
0.3× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$102.11 |
$203 |
0.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$124.74 |
$248 |
0.3× |
| Strapping of shoulder (29240) |
$19.62 |
$39 |
0.1× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$175.55 |
$349 |
0.3× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$352.60 |
$701 |
1.4× |
| Transfusion, blood or blood components (36430) |
$781.08 |
$1,415 |
1.7× |
| Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) |
$5,220.32 |
$8,260 |
1.9× |
| Treat big toe fracture (28495) |
$154.42 |
$307 |
0.6× |
| Treat dental ridge fracture (21440) |
$524.63 |
$1,043 |
0.2× |
| Treat finger dislocation (26775) |
$361.66 |
$719 |
1.2× |
| Treat hip socket fracture (27222) |
$1,021.59 |
$2,031 |
3.9× |
| Treat humerus fracture (24577) |
$528.15 |
$1,050 |
0.3× |
| Treat lower leg fracture (27825) |
$517.59 |
$1,029 |
0.3× |
| Treat toe dislocation (28630) |
$116.19 |
$231 |
0.4× |
| Treat ulnar fracture (24675) |
$435.60 |
$866 |
0.3× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$495.46 |
$985 |
0.3× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$352.60 |
$701 |
1.4× |
| Treatment of miscarriage (59812) |
$319.41 |
$635 |
0.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$198.68 |
$395 |
0.8× |
| 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 (59409) |
$854.60 |
$1,699 |
0.3× |
| Version cephalic external (59412) |
$545.37 |
$780 |
0.2× |
| Wedge excision skin nail fold (11765) |
$96.07 |
$191 |
0.2× |