| Abd paracentesis w/imaging (49083) |
$1,335.97 |
$1,335.97 |
1.6× |
| Acne Surgery (10040) |
$180 |
$180 |
1.0× |
| Adding Walker Previously Applied Cast (29440) |
$81 |
$81 |
0.5× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,091 |
$3,091 |
1.6× |
| Amputation Finger/Thumb (26951) |
$5,824 |
$5,824 |
1.9× |
| Amputation of finger/thumb (26952) |
$3,394 |
$3,394 |
1.1× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$6,964 |
$6,964 |
2.3× |
| Anoscopy diagnostic (46600) |
$650 |
$650 |
5.3× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,309 |
$1,309 |
1.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$328 |
$328 |
2.2× |
| Application cast elbow finger short arm (29075) |
$250.25 |
$250.25 |
1.0× |
| Application Cast Finger (29086) |
$85 |
$85 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$170 |
$170 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$173 |
$173 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$373 |
$373 |
6.9× |
| Application finger splint static (29130) |
$75 |
$75 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$220.50 |
$220.50 |
1.5× |
| Application long leg splint thigh ankle/toes (29505) |
$149 |
$149 |
1.0× |
| Application of cylinder cast (thigh to ankle) (29365) |
$222 |
$222 |
0.9× |
| Application of long leg cast (29345) |
$246 |
$246 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$373 |
$373 |
3.0× |
| Application short arm splint forearm-hand static (29125) |
$116 |
$116 |
0.9× |
| Application short leg splint calf foot (29515) |
$151 |
$151 |
1.0× |
| Apply multlay comprs arm/hand (29584) |
$277 |
$277 |
1.9× |
| Apply short leg cast (29405) |
$130 |
$130 |
0.5× |
| Apply short leg cast (29425) |
$185 |
$185 |
0.7× |
| Arterial puncture (36600) |
$84.72 |
$84.72 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$371 |
$371 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$347.50 |
$347.50 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$450 |
$450 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$463.05 |
$463.05 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$272.50 |
$272.50 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$2,356 |
$2,356 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$108 |
$108 |
0.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$900 |
$900 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$244 |
$244 |
1.3× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,020 |
$1,020 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$604 |
$604 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$230 |
$230 |
0.3× |
| Biopsy external ear (69100) |
$200 |
$200 |
0.9× |
| Biopsy of uterus lining (58100) |
$599 |
$599 |
3.2× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$877 |
$877 |
0.3× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,310 |
$1,310 |
0.9× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$246 |
$246 |
0.1× |
| Biopsy/removal lymph nodes (38525) |
$6,119 |
$6,119 |
1.7× |
| Biopsy/removal lymph nodes (38510) |
$940 |
$940 |
0.3× |
| Bladder Irrigation Simple (51700) |
$92 |
$92 |
0.4× |
| Bladder Scan (51798) |
$59 |
$59 |
1.1× |
| Blood patch (62273) |
$375 |
$375 |
0.6× |
| Blood transfusion service (36430) |
$918.50 |
$918.50 |
2.3× |
| Bone marrow aspiration only (38220) |
$750 |
$750 |
0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$268 |
$268 |
0.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$512 |
$512 |
2.5× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$265 |
$265 |
0.9× |
| Cautery Cervix Electro/Thermal (57510) |
$239 |
$239 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$503 |
$503 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$109 |
$109 |
0.5× |
| Chemical Cautery Tissue (17250) |
$135.50 |
$135.50 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$935 |
$935 |
1.4× |
| Chemodenerv Musc Migraine (64615) |
$1,375 |
$1,375 |
4.9× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,700 |
$1,700 |
2.6× |
| Chemodenervation internal anal sphincter (46505) |
$650.03 |
$650.03 |
0.6× |
| Chest tube placement (32551) |
$433 |
$433 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$45 |
$45 |
0.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$4,075 |
$4,075 |
2.8× |
| Closed Rx Med Malleolus Fx (27760) |
$600 |
$600 |
2.6× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$2,356 |
$2,356 |
1.6× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$931 |
$931 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$486 |
$486 |
2.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$621 |
$621 |
2.7× |
| Closed Rx Tibial Plateau Fx (27530) |
$541 |
$541 |
2.4× |
| Closed Treat Vert Body Fract (22310) |
$553 |
$553 |
2.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,310 |
$1,310 |
5.8× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$606 |
$606 |
2.7× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$575 |
$575 |
2.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$424 |
$424 |
1.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$190 |
$190 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$574 |
$574 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,356 |
$2,356 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$2,356 |
$2,356 |
10.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$449 |
$449 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,310 |
$1,310 |
5.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$398 |
$398 |
1.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$500 |
$500 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$900 |
$900 |
4.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,310 |
$1,310 |
5.8× |
| Closed tx patellar fracture w/o manipulation (27520) |
$579 |
$579 |
2.6× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$467 |
$467 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$181 |
$181 |
0.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$520 |
$520 |
2.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$467 |
$467 |
2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$392 |
$392 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$341 |
$341 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$562 |
$562 |
2.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,310 |
$1,310 |
5.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$665 |
$665 |
2.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,310 |
$1,310 |
5.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$568 |
$568 |
2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$877 |
$877 |
3.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$331 |
$331 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$6,151 |
$6,151 |
27.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$984 |
$984 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$946 |
$946 |
4.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,356 |
$2,356 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$2,620 |
$2,620 |
11.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$261 |
$261 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$290 |
$290 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$223 |
$223 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$564 |
$564 |
2.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$877 |
$877 |
3.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$210 |
$210 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$496 |
$496 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$574 |
$574 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$526 |
$526 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$689 |
$689 |
0.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$584 |
$584 |
2.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$287 |
$287 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$603 |
$603 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$355 |
$355 |
1.6× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$900 |
$900 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,361 |
$1,361 |
6.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$549 |
$549 |
2.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$450 |
$450 |
2.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,356 |
$2,356 |
1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,104 |
$3,104 |
2.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,667.70 |
$1,667.70 |
1.5× |
| Colonoscopy thru stoma (44388) |
$1,271.18 |
$1,271.18 |
1.5× |
| Colonoscopy w/band ligation (45398) |
$1,950 |
$1,950 |
1.8× |
| Colonoscopy w/resection (45390) |
$1,667 |
$1,667 |
0.7× |
| Colporrhaphy suture injury vagina (57200) |
$1,250 |
$1,250 |
0.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$380 |
$380 |
1.4× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,400.50 |
$1,400.50 |
0.5× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$799.50 |
$799.50 |
2.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,421.35 |
$1,421.35 |
1.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,836 |
$1,836 |
1.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,667.70 |
$1,667.70 |
1.5× |
| Complex Drainage, Wound (10180) |
$440 |
$440 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$962 |
$962 |
7.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$172 |
$172 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$575 |
$575 |
4.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$341 |
$341 |
1.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$480 |
$480 |
0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$97 |
$97 |
0.3× |
| Debride nail 1-5 (11720) |
$60 |
$60 |
1.1× |
| Debride nail 6 or more (11721) |
$86 |
$86 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$483 |
$483 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$945 |
$945 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,437 |
$2,437 |
1.6× |
| Declot vascular device (36593) |
$59 |
$59 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$1,960 |
$1,960 |
1.1× |
| Destroy internal hemorrhoids (46930) |
$2,553.83 |
$2,553.83 |
2.3× |
| Destroy lumb/sac facet jnt (64635) |
$1,871 |
$1,871 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$420 |
$420 |
1.1× |
| Destruction benign lesions 15 or more (17111) |
$229 |
$229 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$193 |
$193 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$890.29 |
$890.29 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$748.21 |
$748.21 |
0.9× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$295.19 |
$295.19 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$237 |
$237 |
0.1× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$336 |
$336 |
1.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$252 |
$252 |
1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,724 |
$1,724 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$270 |
$270 |
1.5× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$232 |
$232 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$133 |
$133 |
0.7× |
| Destruction vaginal lesions simple (57061) |
$205 |
$205 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$591.50 |
$591.50 |
0.7× |
| Dil urethra,female,subsequent (53661) |
$123 |
$123 |
1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,225 |
$1,225 |
1.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,035.30 |
$1,035.30 |
1.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$125 |
$125 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$583.95 |
$583.95 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$338 |
$338 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,721 |
$1,721 |
1.1× |
| Drainage Finger Abscess Simple (26010) |
$469 |
$469 |
2.5× |
| Drainage of deep rectal abscess (45020) |
$2,732 |
$2,732 |
1.1× |
| Drainage of eyelid abscess (67700) |
$482 |
$482 |
1.7× |
| Drainage of gum lesion (41800) |
$286 |
$286 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$290 |
$290 |
0.2× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$503 |
$503 |
0.2× |
| Draw blood off venous device (36591) |
$47.50 |
$47.50 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$602 |
$602 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$602 |
$602 |
3.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$146 |
$146 |
0.8× |
| Dry Needling 3+ Muscles (20561) |
$40 |
$40 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$478 |
$478 |
0.2× |
| Dstrj lesion penis simple surg excision (54060) |
$317 |
$317 |
0.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,153.88 |
$1,153.88 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,977.53 |
$1,977.53 |
1.1× |
| Egd flexible foreign body removal (43247) |
$1,192.20 |
$1,192.20 |
1.4× |
| Egd guide wire insertion (43248) |
$1,377 |
$1,377 |
1.7× |
| Egd place gastrostomy tube (43246) |
$2,694.08 |
$2,694.08 |
1.5× |
| Egd rem tumr/polyp forcep (43250) |
$1,480.28 |
$1,480.28 |
0.8× |
| Egd remove lesion snare (43251) |
$2,192 |
$2,192 |
1.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$2,500 |
$2,500 |
1.4× |
| Egd tube/cath insertion (43241) |
$1,481 |
$1,481 |
0.8× |
| Endocervical Curettage (57505) |
$185 |
$185 |
0.2× |
| Episiotomy or vaginal repair (59300) |
$1,450 |
$1,450 |
0.5× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,481 |
$1,481 |
0.8× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,336.20 |
$1,336.20 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$96 |
$96 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$358 |
$358 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$413 |
$413 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$239 |
$239 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$397 |
$397 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,637 |
$1,637 |
1.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$4,642 |
$4,642 |
3.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$278 |
$278 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$263 |
$263 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$327.29 |
$327.29 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,246.41 |
$1,246.41 |
1.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$502 |
$502 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$384 |
$384 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$592 |
$592 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$555 |
$555 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$569 |
$569 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$919 |
$919 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$727 |
$727 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$798 |
$798 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$344 |
$344 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$216 |
$216 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$902 |
$902 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$503 |
$503 |
0.3× |
| Excise cutaneous neurofibroma (64788) |
$718 |
$718 |
0.4× |
| Excise/repair mouth lesion (40812) |
$528 |
$528 |
0.4× |
| Excision Chalazion Single (67800) |
$235 |
$235 |
0.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$341 |
$341 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$403 |
$403 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$437 |
$437 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$499 |
$499 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$557 |
$557 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$355 |
$355 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$421 |
$421 |
0.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$479 |
$479 |
0.7× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$702 |
$702 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$344 |
$344 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$405 |
$405 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$453 |
$453 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$532 |
$532 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$642 |
$642 |
0.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$298 |
$298 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$333 |
$333 |
0.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$3,817 |
$3,817 |
1.3× |
| Excision of lesion of tongue without closure (41110) |
$309 |
$309 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$311 |
$311 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$216 |
$216 |
0.1× |
| Excision of nail fold toe (11765) |
$295 |
$295 |
0.8× |
| Excision of single external papilla or tag, anus (46220) |
$373 |
$373 |
0.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$671 |
$671 |
0.3× |
| Excision of tongue lesion (41112) |
$412 |
$412 |
0.1× |
| Excision Synovial Cyst Popliteal Space (27345) |
$5,317 |
$5,317 |
1.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$876 |
$876 |
0.5× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$746 |
$746 |
0.5× |
| Exploration of knee joint (27310) |
$4,642 |
$4,642 |
1.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,041 |
$1,041 |
0.7× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$2,356 |
$2,356 |
0.8× |
| Explore/treat hand joint (26070) |
$882 |
$882 |
0.6× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$2,356 |
$2,356 |
1.6× |
| Fetal non-stress test (59025) |
$583 |
$583 |
3.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$85 |
$85 |
0.4× |
| I&d abscess simple (10060) |
$250 |
$250 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,945 |
$5,945 |
2.2× |
| I&d perianal abscess superficial (46050) |
$361 |
$361 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$395 |
$395 |
0.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,148.78 |
$1,148.78 |
1.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,148.78 |
$1,148.78 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$375 |
$375 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,325 |
$1,325 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$482 |
$482 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$489 |
$489 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$270 |
$270 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$219 |
$219 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$245 |
$245 |
0.9× |
| Incision of rectal abscess (46040) |
$952 |
$952 |
0.9× |
| Incision thrombosed hemorrhoid external (46083) |
$315 |
$315 |
1.4× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$303 |
$303 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$244 |
$244 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,325 |
$2,325 |
2.9× |
| Inj tendon sheath/ligament (20550) |
$395 |
$395 |
1.4× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$770 |
$770 |
2.7× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$589.50 |
$589.50 |
0.7× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,800 |
$1,800 |
2.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,082.50 |
$1,082.50 |
1.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,051.50 |
$1,051.50 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$589.50 |
$589.50 |
0.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,350 |
$1,350 |
1.7× |
| Inject Tendon Origin/Insert (20551) |
$379.50 |
$379.50 |
1.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,996 |
$1,996 |
3.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$393.10 |
$393.10 |
0.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,235 |
$1,235 |
1.9× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,230 |
$1,230 |
1.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$231 |
$231 |
0.8× |
| Injection anes other peripheral nerve/branch (64450) |
$820 |
$820 |
1.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,800 |
$1,800 |
2.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$370 |
$370 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$395 |
$395 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$485 |
$485 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$910 |
$910 |
3.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$150 |
$150 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$125 |
$125 |
0.7× |
| Insert Drug Implant Device (11981) |
$241 |
$241 |
2.0× |
| Insert non-tunnel cv cath (36556) |
$1,100 |
$1,100 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$132 |
$132 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$185 |
$185 |
1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$857.50 |
$857.50 |
0.6× |
| Intro windpipe wire/tube (31730) |
$950 |
$950 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$250 |
$250 |
1.1× |
| Late closure of wound (13160) |
$1,466 |
$1,466 |
0.4× |
| Ligation of hemorrhoid(s) (46221) |
$2,060.40 |
$2,060.40 |
2.4× |
| Ligation or biopsy temporal artery (37609) |
$563 |
$563 |
0.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$157 |
$157 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40 |
$40 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,382.50 |
$1,382.50 |
1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,580 |
$2,580 |
3.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,650 |
$1,650 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$601 |
$601 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,500 |
$1,500 |
2.3× |
Open treatment of acute shoulder dislocation (23660) unusually low: confirm this is the full procedure |
$2,356 |
$2,356 |
0.4× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$6,220 |
$6,220 |
0.5× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) likely a partial charge, not the full procedure |
$1,360 |
$1,360 |
0.2× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$14,125 |
$14,125 |
2.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,394 |
$3,394 |
1.1× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$3,494 |
$3,494 |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$6,220 |
$6,220 |
2.1× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$5,893 |
$5,893 |
2.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$400 |
$400 |
1.7× |
| Placement of needle for intraosseous infusion (36680) |
$244 |
$244 |
0.6× |
| Proctosigmoidoscopy ablate (45320) |
$434 |
$434 |
0.2× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$221 |
$221 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$426.50 |
$426.50 |
1.1× |
| Puncture Aspiration (10160) |
$231 |
$231 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$201 |
$201 |
0.3× |
| Release wrist/forearm tendon (25295) |
$7,216 |
$7,216 |
2.4× |
| Removal fb intranasal (30300) |
$418 |
$418 |
3.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,090 |
$1,090 |
0.4× |
| Removal Foreign Body Foot Complicated (28193) |
$968 |
$968 |
0.6× |
| Removal foreign body foot deep (28192) |
$2,020 |
$2,020 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$464 |
$464 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$364 |
$364 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$37.50 |
$37.50 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$138 |
$138 |
2.5× |
| Removal Implantable Contraceptive Capsules (11976) |
$236 |
$236 |
0.4× |
| Removal of intrauterine device (iud) (58301) |
$179 |
$179 |
0.6× |
| Removal of nail bed (11750) |
$399 |
$399 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$155 |
$155 |
0.8× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$2,769.16 |
$2,769.16 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$451 |
$451 |
1.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$111 |
$111 |
0.4× |
| Remove drug implant device (11982) |
$265 |
$265 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$436 |
$436 |
1.5× |
| Remove foreign body from eye (65235) |
$710.50 |
$710.50 |
0.3× |
| Remove foreign body from eye (65210) |
$163 |
$163 |
0.4× |
| Remove shoulder foreign body (23330) |
$431 |
$431 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$222 |
$222 |
1.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$151 |
$151 |
1.2× |
Repair blood vessel lesion (35190) likely a partial charge, not the full procedure |
$1,411 |
$1,411 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$747 |
$747 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$2,621 |
$2,621 |
3.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$753 |
$753 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$841 |
$841 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$332 |
$332 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$617 |
$617 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$846 |
$846 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$698 |
$698 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$2,272 |
$2,272 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$652 |
$652 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$848 |
$848 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$456 |
$456 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$519 |
$519 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$611 |
$611 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$719 |
$719 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$426 |
$426 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$509 |
$509 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$636 |
$636 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$685 |
$685 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$418 |
$418 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$532 |
$532 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$755 |
$755 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$551 |
$551 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$849 |
$849 |
0.4× |
| Repair of eye socket wound (65290) |
$1,800 |
$1,800 |
0.5× |
| Repair Of Foot Tendon (28208) |
$2,272 |
$2,272 |
0.8× |
| Repair of nail bed (11760) |
$225 |
$225 |
0.3× |
| Repair Tongue Laceration (41250) |
$778 |
$778 |
1.9× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$6,220 |
$6,220 |
4.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$402 |
$402 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$189 |
$189 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$784 |
$784 |
1.4× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$391 |
$391 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$713 |
$713 |
1.0× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$917 |
$917 |
4.2× |
Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370) likely a partial charge, not the full procedure |
$1,271.18 |
$1,271.18 |
0.2× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$1,271.18 |
$1,271.18 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$3,175.71 |
$3,175.71 |
2.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$173 |
$173 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$213 |
$213 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$187.25 |
$187.25 |
1.0× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$170 |
$170 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$195 |
$195 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$308 |
$308 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$209 |
$209 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$740.71 |
$740.71 |
2.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$247 |
$247 |
1.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$656.50 |
$656.50 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$394 |
$394 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$235 |
$235 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$265 |
$265 |
1.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$460 |
$460 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$321 |
$321 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$402 |
$402 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$358 |
$358 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$2,492 |
$2,492 |
13.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$284 |
$284 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$2,933 |
$2,933 |
4.3× |
| Skin sub graft trnk/arm/leg (15271) |
$2,933 |
$2,933 |
4.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$10,265.46 |
$10,265.46 |
5.4× |
| Skin Tissue Procedure (17999) |
$198.70 |
$198.70 |
1.1× |
| Skin tissue rearrangement (14040) |
$2,881 |
$2,881 |
1.5× |
| Skn sub grft f/n/hf/g child (15277) |
$5,217.99 |
$5,217.99 |
2.7× |
| Small bowel endoscopy/biopsy (44377) |
$1,415 |
$1,415 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$238 |
$238 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$367 |
$367 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$457 |
$457 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$546 |
$546 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$1,093 |
$1,093 |
1.7× |
| Strapping ankle (29540) |
$350 |
$350 |
2.3× |
| Strapping elbow/wrist (29260) |
$350 |
$350 |
6.5× |
| Strapping hand/finger (29280) |
$90 |
$90 |
1.7× |
| Strapping shoulder (29240) |
$335 |
$335 |
2.7× |
| Strapping thorax (29200) |
$104 |
$104 |
0.7× |
| Strapping toes (29550) |
$350 |
$350 |
6.5× |
| Strapping unna boot (29580) |
$344.50 |
$344.50 |
2.3× |
| Tangential biopsy skin single lesion (11102) |
$212 |
$212 |
0.6× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$425 |
$425 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$355 |
$355 |
0.6× |
| Thrombolytic Therapy, Stroke (37195) |
$1,115 |
$1,115 |
3.7× |
| Transfusion intrauterine fetal (36460) |
$152.50 |
$152.50 |
0.4× |
| Treat finger dislocation (26775) |
$681 |
$681 |
2.6× |
| Treat Fracture Radius & Ulna (25560) |
$499 |
$499 |
2.2× |
| Treat humerus fracture (24500) |
$639 |
$639 |
2.8× |
| Treat humerus fracture (23600) |
$2,356 |
$2,356 |
10.4× |
| Treat knee fracture (27532) |
$2,356 |
$2,356 |
0.8× |
| Treat Metatarsal Fracture (28475) |
$2,620 |
$2,620 |
11.5× |
| Treat wrist bone fracture (25622) |
$544 |
$544 |
2.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$655 |
$655 |
2.9× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$391 |
$391 |
1.7× |
| Trim skin lesion (11055) |
$99.50 |
$99.50 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$207.50 |
$207.50 |
1.1× |
| Trim skin lesions over 4 (11057) |
$135 |
$135 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$28 |
$28 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$264 |
$264 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$482 |
$482 |
1.3× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$3,800 |
$3,800 |
0.7× |
| Unlisted Procedure Nervous System (64999) |
$762.50 |
$762.50 |
2.7× |
| Vaginal delivery only (59409) |
$1,505 |
$1,505 |
0.5× |
| Vasectomy (55250) |
$680 |
$680 |
0.4× |
| Venipuncture (36415) |
$16 |
$16 |
1.7× |