| Abd paracentesis w/imaging (49083) |
$1,068.72 |
$1,588 |
1.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$450.91 |
$670 |
0.5× |
| Amniocentesis diagnostic (59000) |
$224.78 |
$334 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,035.23 |
$4,510 |
0.9× |
| Amputation Finger/Thumb (26951) |
$1,510.21 |
$2,244 |
0.4× |
| Anoscopy diagnostic (46600) |
$96.91 |
$144 |
0.7× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,001.42 |
$1,488 |
0.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$167.58 |
$249 |
1.0× |
| Application cast elbow finger short arm (29075) |
$179.69 |
$267 |
0.6× |
| Application cast shoulder hand long arm (29065) |
$179.69 |
$267 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$61.92 |
$92 |
1.0× |
| Application finger splint static (29130) |
$199.88 |
$297 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$240.93 |
$358 |
1.4× |
| Application of long leg cast (29345) |
$271.89 |
$404 |
0.9× |
| Application Short Arm Splint Dynamic (29126) |
$104.32 |
$155 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$206.61 |
$307 |
1.5× |
| Apply long leg splint (29505) |
$296.12 |
$440 |
1.8× |
| Apply short leg cast (29405) |
$136.62 |
$203 |
0.5× |
| Apply short leg splint (29515) |
$222.09 |
$330 |
1.3× |
| Arterial puncture (36600) |
$100.28 |
$149 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$277.95 |
$413 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$644.73 |
$958 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$282.66 |
$420 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$699.92 |
$1,040 |
2.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$314.96 |
$468 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$800.87 |
$1,190 |
1.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$263.14 |
$391 |
0.8× |
| Aspiration and/or injection thyroid cyst (60300) |
$314.96 |
$468 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,311.08 |
$3,434 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$267.85 |
$398 |
1.3× |
| Biopsy bone trocar/needle deep (20225) |
$1,797.58 |
$2,671 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,211.40 |
$1,800 |
0.7× |
| Biopsy muscle deep (20205) |
$1,627.99 |
$2,419 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$1,111.12 |
$1,651 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,804.39 |
$4,167 |
0.7× |
| Biopsy pleura percutaneous needle (32400) |
$728.19 |
$1,082 |
0.4× |
| Biopsy Salivary Gland,Needle (42400) |
$960.37 |
$1,427 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$1,603.09 |
$2,382 |
0.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$572.05 |
$850 |
0.6× |
| Bladder instillation anticarcinogenic agent (51720) |
$426.68 |
$634 |
0.6× |
| Bladder Irrigation Simple (51700) |
$271.89 |
$404 |
1.1× |
| Blepharotomy drain absc eyelid (67700) |
$285.35 |
$424 |
0.9× |
| Blood patch (62273) |
$903.84 |
$1,343 |
1.2× |
| Blood transfusion service (36430) |
$764.53 |
$1,136 |
1.7× |
| Bone marrow aspiration only (38220) |
$810.96 |
$1,205 |
0.5× |
| Bone Marrow Biopsy (38221) |
$1,254.47 |
$1,864 |
0.7× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$2,140.14 |
$3,180 |
1.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,317.14 |
$3,443 |
1.3× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$1,936.89 |
$2,878 |
0.5× |
| Bronch ebus samplng 1/2 node (31652) |
$3,175.89 |
$4,719 |
0.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,942.28 |
$2,886 |
1.1× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,607.88 |
$3,875 |
0.7× |
| Bronchoscopy w/markers (31626) |
$3,764.76 |
$5,594 |
0.5× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,650.87 |
$2,453 |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,807.68 |
$2,686 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,317.81 |
$3,444 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,123.91 |
$1,670 |
0.7× |
| Bx breast 1st lesion mr imag (19085) |
$2,462.51 |
$3,659 |
1.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,927.47 |
$2,864 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$1,882.38 |
$2,797 |
1.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,027.67 |
$1,527 |
0.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$182.38 |
$271 |
0.8× |
| Cauterization,cervix,electro/thermal (57510) |
$2,420.11 |
$3,596 |
0.7× |
| Ceramides (0119U) |
$76.72 |
$114 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$617.14 |
$917 |
0.9× |
| Change of cystostomy tube simple (51705) |
$354 |
$526 |
1.4× |
| Change Ureter Stent, Percut (50382) |
$2,435.59 |
$3,619 |
1.1× |
| Chemical cautery tissue (17250) |
$203.92 |
$303 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,353.56 |
$4,983 |
0.9× |
| Circumcision (54150) |
$228.82 |
$340 |
0.1× |
| Circumcision Neonate (54160) |
$269.20 |
$400 |
0.4× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$135.27 |
$201 |
0.5× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,251.11 |
$1,859 |
0.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$237.57 |
$353 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$231.51 |
$344 |
0.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$226.13 |
$336 |
0.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$224.11 |
$333 |
0.9× |
| Closed Treat Vert Body Fract (22310) |
$207.96 |
$309 |
0.8× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,391.76 |
$2,068 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$224.11 |
$333 |
0.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$126.52 |
$188 |
0.5× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,207.36 |
$1,794 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$231.51 |
$344 |
0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$221.42 |
$329 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$365.44 |
$543 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,052.57 |
$1,564 |
0.6× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,302.26 |
$1,935 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$208.63 |
$310 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,764.61 |
$2,622 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$485.91 |
$722 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,431.47 |
$2,127 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,424.07 |
$2,116 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,464.45 |
$2,176 |
0.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$637.33 |
$947 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$183.73 |
$273 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,486.66 |
$2,209 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$138.64 |
$206 |
0.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$218.73 |
$325 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$148.73 |
$221 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,324.46 |
$1,968 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$613.78 |
$912 |
2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,302.26 |
$1,935 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,422.05 |
$2,113 |
0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$229.49 |
$341 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$187.77 |
$279 |
0.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$151.43 |
$225 |
0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$288.04 |
$428 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$218.05 |
$324 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$324.39 |
$482 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,126.60 |
$1,674 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,444.93 |
$2,147 |
0.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$158.16 |
$235 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$162.19 |
$241 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$236.22 |
$351 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$154.79 |
$230 |
0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,444.93 |
$2,147 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$205.26 |
$305 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$324.39 |
$482 |
1.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,288.80 |
$1,915 |
0.8× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,224.86 |
$1,820 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$300.16 |
$446 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$359.38 |
$534 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$360.06 |
$535 |
1.4× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,716.15 |
$2,550 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$419.28 |
$623 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$224.78 |
$334 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$351.31 |
$522 |
1.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$230.17 |
$342 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$384.96 |
$572 |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,134.01 |
$1,685 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$431.39 |
$641 |
1.7× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,638.08 |
$2,434 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,774.03 |
$2,636 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$289.39 |
$430 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$322.37 |
$479 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,245.72 |
$1,851 |
0.7× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,759.90 |
$2,615 |
1.1× |
| Collect Blood From Catheter Venous Nos (36592) |
$92.20 |
$137 |
0.7× |
| Colonoscopy flex w/blln dilat (45386) |
$1,905.26 |
$2,831 |
1.5× |
| Colonoscopy flex w/inj submuc (45381) |
$1,442.24 |
$2,143 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$1,687.88 |
$2,508 |
1.4× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,547.90 |
$2,300 |
1.2× |
| Colonoscopy stoma w/biopsy (44389) |
$1,219.48 |
$1,812 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,479.25 |
$2,198 |
1.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,504.16 |
$2,235 |
1.2× |
| Colonoscopy w/ablation (45388) |
$1,284.76 |
$1,909 |
1.0× |
| Colonoscopy w/band ligation (45398) |
$1,594.34 |
$2,369 |
1.3× |
| Colonoscopy w/fb removal (45379) |
$844.62 |
$1,255 |
0.7× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,695.96 |
$2,520 |
1.4× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$1,665 |
$2,474 |
0.6× |
| Colporrhaphy Suture Injury Vagina (57200) |
$2,366.27 |
$3,516 |
0.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$506.10 |
$752 |
2.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$292.76 |
$435 |
2.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$258.43 |
$384 |
1.9× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$492.64 |
$732 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,623.95 |
$2,413 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$398.42 |
$592 |
2.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,035.82 |
$3,025 |
0.9× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,599.05 |
$2,376 |
0.7× |
| Cysto w/destruction of lesions (52214) |
$2,802.37 |
$4,164 |
0.8× |
| Cysto w/insert ureteral stent (52332) |
$2,763.34 |
$4,106 |
0.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,802.37 |
$4,164 |
0.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,055.34 |
$3,054 |
0.9× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$2,802.37 |
$4,164 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$5,672.04 |
$8,428 |
1.0× |
| Cystourethroscopy (52000) |
$635.98 |
$945 |
0.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$1,640.10 |
$2,437 |
0.8× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,976.60 |
$2,937 |
0.9× |
| Cystourethroscopy with biopsy (52204) |
$1,552.61 |
$2,307 |
0.7× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$1,918.72 |
$2,851 |
0.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$4,132.22 |
$6,140 |
0.7× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
$2,779.49 |
$4,130 |
0.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,200.71 |
$3,270 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,003.44 |
$1,491 |
1.4× |
| Debride tissue/muscle (11043) |
$642.72 |
$955 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$170.94 |
$254 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$852.02 |
$1,266 |
0.5× |
| Declot vascular device (36593) |
$348.61 |
$518 |
1.0× |
| Delivery placenta separate procedure (59414) |
$1,847.39 |
$2,745 |
0.6× |
| Destroy cerv/thor facet jnt (64633) |
$1,022.96 |
$1,520 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$1,018.92 |
$1,514 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$170.94 |
$254 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$121.14 |
$180 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,169 |
$1,737 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,137.71 |
$1,690.50 |
1.2× |
| Dilate urethra stricture (53600) |
$244.97 |
$364 |
0.9× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,411.95 |
$2,098 |
1.5× |
| Dilation of anal sphincter (45905) |
$1,084.88 |
$1,612 |
0.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$183.06 |
$272 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$644.73 |
$958 |
2.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$247.66 |
$368 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,429.45 |
$2,124 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$224.11 |
$333 |
1.1× |
| Drainage Mouth Roof Lesion (42000) |
$288.04 |
$428 |
1.2× |
| Drainage of gum lesion (41800) |
$349.96 |
$520 |
2.5× |
| Drainage of hematoma/fluid (10140) |
$1,693.94 |
$2,517 |
1.0× |
| Drainage of hydrocele (55000) |
$548.50 |
$815 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$994.02 |
$1,477 |
0.6× |
| Draw blood off venous device (36591) |
$98.93 |
$147 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$310.93 |
$462 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$233.53 |
$347 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$251.70 |
$374 |
1.2× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$2,492.79 |
$3,704 |
0.7× |
| Dx bone marrow bx & aspir (38222) |
$1,529.73 |
$2,273 |
0.5× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,531.08 |
$2,275 |
0.8× |
| Dx laryngoscopy w/oper scope (31526) |
$3,972.72 |
$5,903 |
2.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$1,660.29 |
$2,467 |
0.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,496.75 |
$2,224 |
0.8× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,106.49 |
$3,130 |
1.1× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,407.32 |
$3,577 |
1.2× |
| Egd control bleeding any (43255) |
$1,986.70 |
$2,952 |
1.0× |
| Egd dilate stricture (43245) |
$2,329.93 |
$3,462 |
1.2× |
| Egd endoscopic stent place (43266) |
$3,601.90 |
$5,352 |
0.6× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$1,763.26 |
$2,620 |
0.9× |
| Egd flexible foreign body removal (43247) |
$2,280.12 |
$3,388 |
2.4× |
| Egd guide wire insertion (43248) |
$1,804.31 |
$2,681 |
1.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,844.02 |
$2,740 |
0.9× |
| Egd place gastrostomy tube (43246) |
$2,383.09 |
$3,541 |
1.2× |
| Egd remove lesion snare (43251) |
$2,380.40 |
$3,537 |
1.2× |
| Egd tube/cath insertion (43241) |
$1,177.08 |
$1,749 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,695.29 |
$2,519 |
0.9× |
| Endometrial Biopsy (58100) |
$264.49 |
$393 |
1.3× |
| Endoscopy bowel pouch/biop (44386) |
$1,000.08 |
$1,486 |
1.0× |
| Endoscopy of bowel pouch (44385) |
$876.92 |
$1,303 |
0.9× |
| Endoscopy Upper Small Intestine (44360) |
$1,699.32 |
$2,525 |
0.9× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$995.37 |
$1,479 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$2,601.14 |
$3,865 |
0.8× |
Ercp Duct Stent Placement (43274) unusually low: confirm this is the full procedure |
$3,021.10 |
$4,489 |
0.5× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$1,779.41 |
$2,644 |
0.4× |
| Ercp ea duct/ampulla dilate (43277) |
$2,239.07 |
$3,327 |
0.6× |
Ercp lithotripsy calculi (43265) unusually low: confirm this is the full procedure |
$1,903.92 |
$2,829 |
0.3× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$1,809.70 |
$2,689 |
0.5× |
| Ercp remove forgn body duct (43275) |
$2,239.07 |
$3,327 |
1.1× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,601.90 |
$5,352 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,990.14 |
$4,443 |
0.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$1,528.38 |
$2,271 |
0.4× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,180.52 |
$3,240 |
0.5× |
| Esoph Scope W/Submucous Inj (43201) |
$1,457.72 |
$2,166 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,629.33 |
$2,421 |
1.7× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$1,590.30 |
$2,363 |
0.8× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$2,172.44 |
$3,228 |
0.5× |
| Esophagoscopy flexible guide wire dilation (43226) |
$1,135.35 |
$1,687 |
0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$738.95 |
$1,098 |
0.8× |
| Esophagoscopy transoral stent placement (43212) |
$5,127.59 |
$7,619 |
0.8× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$860.77 |
$1,279 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,269.28 |
$1,886 |
0.6× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,621.93 |
$2,410 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$137.29 |
$204 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$538.40 |
$800 |
0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,316.39 |
$1,956 |
0.8× |
| Exc/fulguration urethral caruncle (53265) |
$1,552.61 |
$2,307 |
0.7× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,202.73 |
$3,273 |
0.6× |
| Exchange nephrostomy cath (50435) |
$616.47 |
$916 |
0.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,907.28 |
$2,834 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,325.22 |
$3,455 |
0.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,137.45 |
$3,176 |
1.7× |
| Excision olecranon bursa (24105) |
$2,506.93 |
$3,725 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$1,255.14 |
$1,865 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$613.10 |
$911 |
0.4× |
| External cephalic version (59412) |
$1,528.38 |
$2,271 |
0.5× |
| Fetal non-stress test (59025) |
$399.76 |
$594 |
1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$638 |
$948 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$787.41 |
$1,170 |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$277.28 |
$412 |
0.7× |
| Fluid pressure muscle (20950) |
$605.03 |
$899 |
0.8× |
| Fluoro exam of g/colon tube (49465) |
$280.64 |
$417 |
1.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$579.45 |
$861 |
0.8× |
| Foreskin manipulation (54450) |
$317.66 |
$472 |
1.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,690.58 |
$2,512 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$184.40 |
$274 |
0.8× |
| Guide Cathet Fluid Drainage (10030) |
$1,082.18 |
$1,608 |
1.5× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$2,875.73 |
$4,273 |
0.8× |
| I&D Abscess Peritonsillar (42700) |
$366.78 |
$545 |
1.5× |
| I&d abscess simple (10060) |
$262.47 |
$390 |
1.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,726.32 |
$4,051 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$522.92 |
$777 |
0.7× |
| I&d vulva/perineal abscess (56405) |
$407.84 |
$606 |
1.3× |
| Ileoscopy thru stoma (44380) |
$1,213.42 |
$1,803 |
1.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$777.32 |
$1,155 |
0.8× |
| Image Cath Fluid Colxn Visc (49405) |
$1,532.42 |
$2,277 |
0.9× |
| Image Cath Fluid Peri/Retro (49406) |
$2,552.02 |
$3,792 |
1.5× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,316.39 |
$1,956 |
0.8× |
| Incise external hemorrhoid (46083) |
$374.19 |
$556 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$571.38 |
$849 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,873.63 |
$2,784 |
2.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,671.73 |
$2,484 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$558.59 |
$830 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$324.39 |
$482 |
1.5× |
| Incision and drainage perianal abscess superficial (46050) |
$1,374.27 |
$2,042 |
1.4× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$2,407.99 |
$3,578 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,394.46 |
$2,072 |
0.9× |
| Incision of rectal abscess (46040) |
$2,635.47 |
$3,916 |
2.1× |
| Initial tx 1st degree burn local tx (16000) |
$195.17 |
$290 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$688.48 |
$1,023 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$297.47 |
$442 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,162.27 |
$1,727 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$865.48 |
$1,286 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$535.71 |
$796 |
0.6× |
| Inject Intravitreal Pharmcologic (67028) |
$296.12 |
$440 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,413.97 |
$2,101 |
1.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$740.97 |
$1,101 |
0.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$470.43 |
$699 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$378.90 |
$563 |
1.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$261.80 |
$389 |
0.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$609.74 |
$906 |
0.8× |
| Injection for identification of sentinel node (38792) |
$434.08 |
$645 |
1.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$584.16 |
$868 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$269.20 |
$400 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$246.99 |
$367 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$3,303.08 |
$4,908 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,303.08 |
$4,908 |
1.0× |
Ins cath ren art 2nd+ unilat (36253) unusually low: confirm this is the full procedure |
$2,778.14 |
$4,128 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$6,559.06 |
$9,746 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$135.27 |
$201 |
1.0× |
| Insert cath pleura w/ image (32557) |
$568.01 |
$844 |
0.3× |
| Insert cath pleura w/o image (32556) |
$1,497.43 |
$2,225 |
0.8× |
| Insert cervical dilator (59200) |
$585.51 |
$870 |
1.9× |
| Insert gastrostomy tube percutaneous (49440) |
$1,244.38 |
$1,849 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,705.38 |
$2,534 |
0.5× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,018.92 |
$1,514 |
0.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,272.64 |
$1,891 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$166.23 |
$247 |
1.2× |
| Insert tunneled cv cath (36561) |
$2,541.92 |
$3,777 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$142.68 |
$212 |
1.0× |
| Insertion picc w/rs&i < 5 yr (36572) |
$550.51 |
$818 |
0.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,199.68 |
$9,212 |
0.7× |
| Insj picc rs&i 5 yr+ (36573) |
$1,545.88 |
$2,297 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,293.58 |
$3,408 |
0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,236.69 |
$9,267 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,380.40 |
$3,537 |
0.7× |
| Intro Gastrointestinal Tube (44500) |
$490.62 |
$729 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$550.51 |
$818 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$226.13 |
$336 |
0.9× |
| Laryngoscopy diagnostic (31505) |
$146.71 |
$218 |
0.7× |
| Laryngoscopy flexible diagnostic (31575) |
$268.53 |
$399 |
1.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$512.15 |
$761 |
1.3× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,232.42 |
$4,803 |
0.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,295.68 |
$4,897 |
0.9× |
| Liver Biopsy (47000) |
$1,552.61 |
$2,307 |
0.9× |
| Marsupialization Bartholins Gland Cyst (56440) |
$2,298.30 |
$3,415 |
0.7× |
| Myelography Lumbar Injection (62305) |
$911.92 |
$1,355 |
1.1× |
| Myelography Lumbar Injection (62304) |
$1,377.63 |
$2,047 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,128.62 |
$1,677 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,878.34 |
$2,791 |
2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$651.46 |
$968 |
0.9× |
| Nasal endoscopy dx (31231) |
$144.02 |
$214 |
0.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,990.06 |
$2,957 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$279.97 |
$416 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.21 |
$33 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$22.21 |
$33 |
0.7× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$381.59 |
$567 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$494.66 |
$735 |
1.2× |
| Njx aa&/strd sciatic nerve (64445) |
$850 |
$1,263 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$265.84 |
$395 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$426.01 |
$633 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,217.46 |
$1,809 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,094.30 |
$1,626 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,020.94 |
$1,517 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$706.65 |
$1,050 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,090.93 |
$1,621 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,272.64 |
$1,891 |
1.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$816.35 |
$1,213 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$930.76 |
$1,383 |
1.3× |
| Occipital Nerve Block (64405) |
$281.99 |
$419 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$5,701.66 |
$8,472 |
0.8× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,748.56 |
$17,457 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,245.05 |
$1,850 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$809.62 |
$1,203 |
1.1× |
| Pericardiocentesis W/Imaging (33016) |
$1,837.96 |
$2,731 |
1.1× |
| Perq dev breast 1st strtctc (19283) |
$576.09 |
$856 |
0.8× |
| Perq dev breast 1st us imag (19285) |
$434.08 |
$645 |
0.6× |
| Perq device breast 1st imag (19281) |
$1,158.23 |
$1,721 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$327.08 |
$486 |
1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$950.28 |
$1,412 |
1.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,951.10 |
$4,385 |
0.9× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,951.10 |
$4,385 |
0.9× |
| Picc line placement (36569) |
$1,593.66 |
$2,368 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$223.44 |
$332 |
0.5× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) |
$1,507.52 |
$2,240 |
0.7× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,302.33 |
$3,421 |
1.1× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,770.66 |
$2,631 |
0.5× |
Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$3,150.31 |
$4,681 |
0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$561.96 |
$835 |
0.6× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$2,173.79 |
$3,230 |
1.8× |
| Proctosigmoid w/biopsy (45305) |
$932.10 |
$1,385 |
0.8× |
| Proctosigmoidoscopy dilate (45303) |
$913.93 |
$1,358 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,729.77 |
$5,542 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,559.42 |
$3,803 |
0.7× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$5,543.50 |
$8,237 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$203.25 |
$302 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$461.68 |
$686 |
0.6× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$369.48 |
$549 |
0.9× |
| Rem Endovas Vena Cava Filter (37193) |
$4,270.86 |
$6,346 |
1.3× |
| Removal Foreign Body Foot Complicated (28193) |
$1,613.85 |
$2,398 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,613.85 |
$2,398 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$1,082.86 |
$1,609 |
1.5× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Facility (54115) |
$2,407.99 |
$3,578 |
0.8× |
| Removal foreign body intranasal (30300) |
$104.99 |
$156 |
0.8× |
| Removal foreign body pharynx (42809) |
$107.01 |
$159 |
0.2× |
| Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) |
$1,196.59 |
$1,778 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$73.36 |
$109 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$144.70 |
$215 |
2.4× |
| Removal of embedded foreign body, eyelid (67938) |
$319 |
$474 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,357.44 |
$2,017 |
1.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$337.85 |
$502 |
0.7× |
| Removal of iud (58301) |
$249.68 |
$371 |
0.8× |
| Removal of nail bed (11750) |
$490.62 |
$729 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$141.33 |
$210 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$222.09 |
$330 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$117.78 |
$175 |
0.4× |
| Remove intrvas foreign body (37197) |
$4,229.80 |
$6,285 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$181.71 |
$270 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$286.70 |
$426 |
2.1× |
| Renal Biopsy Percutaneous (50200) |
$1,218.13 |
$1,810 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$560.61 |
$833 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,418.01 |
$2,107 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$500.04 |
$743 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$589.55 |
$876 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$517.54 |
$769 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,060.65 |
$1,576 |
2.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$517.54 |
$769 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,166.31 |
$1,733 |
0.7× |
| Repair Eyelid Wound (67935) |
$1,280.72 |
$1,903 |
0.5× |
| Repair hand tendon (26410) |
$973.83 |
$1,447 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$328.42 |
$488 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$580.80 |
$863 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$598.30 |
$889 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$619.16 |
$920 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$670.31 |
$996 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$611.76 |
$909 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$548.50 |
$815 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$679.06 |
$1,009 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$586.18 |
$871 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$485.23 |
$721 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$602.34 |
$895 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$687.81 |
$1,022 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$504.08 |
$749 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$798.85 |
$1,187 |
1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,610.49 |
$2,393 |
0.8× |
| Repair Mouth Laceration (40831) |
$388.99 |
$578 |
0.7× |
| Repair of nail bed (11760) |
$773.28 |
$1,149 |
1.0× |
| Repair tongue laceration (41252) |
$676.36 |
$1,005 |
2.8× |
| Repair Tongue Laceration (41250) |
$244.97 |
$364 |
0.5× |
| Repeat control of nosebleed (30906) |
$335.15 |
$498 |
1.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$610.41 |
$907 |
0.7× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$771.93 |
$1,147 |
0.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$568.01 |
$844 |
0.6× |
| Reposition gastric feeding tube thru duodenum (43761) |
$738.95 |
$1,098 |
2.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$413.90 |
$615 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$308.23 |
$458 |
2.2× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$379.57 |
$564 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$710.02 |
$1,055 |
0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,208.71 |
$1,796 |
0.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$328.42 |
$488 |
0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$755.11 |
$1,122 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$513.50 |
$763 |
0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$858.75 |
$1,276 |
0.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$601.66 |
$894 |
0.9× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,006.14 |
$1,495 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,774.03 |
$2,636 |
1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$181.04 |
$269 |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$181.04 |
$269 |
0.9× |
| Sigmoidoscopy & decompress (45337) |
$1,052.57 |
$1,564 |
1.1× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,068.72 |
$1,588 |
0.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,265.24 |
$1,880 |
1.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,424.07 |
$2,116 |
1.1× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,027.67 |
$1,527 |
1.1× |
| Sigmoidoscopy place stent (45347) |
$4,420.26 |
$6,568 |
0.7× |
| Sigmoidoscopy w/biopsy (45331) |
$1,733.65 |
$2,576 |
1.8× |
| Sigmoidoscopy w/fb removal (45332) |
$1,269.95 |
$1,887 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$217.38 |
$323 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$306.22 |
$455 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$330.44 |
$491 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$451.58 |
$671 |
2.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$499.37 |
$742 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$283.33 |
$421 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$181.71 |
$270 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$364.09 |
$541 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$1,601.74 |
$2,380 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,601.74 |
$2,380 |
2.1× |
| Skin tissue rearrangement (14040) |
$2,024.38 |
$3,008 |
0.9× |
| Small bowel endoscopy (44366) |
$1,516.27 |
$2,253 |
0.8× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,185.83 |
$1,762 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$329.10 |
$489 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$514.84 |
$765 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$328.42 |
$488 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$667.62 |
$992 |
0.9× |
| Spinal Puncture Therapeutic (62272) |
$533.02 |
$792 |
0.7× |
| Strapping hand/finger (29280) |
$33.65 |
$50 |
0.6× |
| Strapping unna boot (29580) |
$132.58 |
$197 |
0.8× |
| Suture infrapatellar tendon primary (27380) |
$6,393.50 |
$9,500 |
0.9× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,977.95 |
$2,939 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$505.42 |
$751 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$262.47 |
$390 |
0.8× |
| Thyroid biopsy (60100) |
$529.65 |
$787 |
0.7× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$382.94 |
$569 |
0.7× |
| Tracheostomy planned (31600) |
$2,932.26 |
$4,357 |
0.9× |
| Tracheotomy tube change (31502) |
$210.65 |
$313 |
0.9× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$287.37 |
$427 |
0.9× |
| Transur electr resection of prostate (52601) |
$4,130.20 |
$6,137 |
0.7× |
| Treat humerus fracture (24500) |
$214.01 |
$318 |
0.8× |
| Treat humerus fracture (23600) |
$351.31 |
$522 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$238.24 |
$354 |
0.9× |
| Treat pleurodesis w/agent (32560) |
$615.12 |
$914 |
0.9× |
| Treat shoulder blade fx (23575) |
$1,422.05 |
$2,113 |
0.9× |
| Treat Thumb Dislocation (26641) |
$224.11 |
$333 |
0.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,285.43 |
$1,910 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$497.35 |
$739 |
1.9× |
| Trim skin lesion (11055) |
$107.68 |
$160 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$109.03 |
$162 |
0.5× |
| Trim skin lesions over 4 (11057) |
$127.20 |
$189 |
0.6× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$68.65 |
$102 |
1.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$2,779.49 |
$4,130 |
0.8× |
| Trurl rescj postop bladder neck contracture (52640) |
$2,802.37 |
$4,164 |
0.8× |
| Tube thoracostomy includes water seal (32551) |
$827.79 |
$1,230 |
0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,282.74 |
$1,906 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$554.55 |
$824 |
0.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,250.43 |
$1,858 |
1.9× |
| Unlisted procedure, maternity care and delivery (59899) |
$184.40 |
$274 |
0.9× |
| Us urine capacity measure (51798) |
$108.35 |
$161 |
1.8× |
| Vasc Embolize/Occlude Bleed (37244) |
$16,224.68 |
$24,108 |
1.4× |
| Venipuncture (36415) |
$21.54 |
$32 |
2.3× |
| Wedge excision skin nail fold (11765) |
$195.17 |
$290 |
0.5× |