| Abd paracentesis w/imaging (49083) |
$3,337 |
$3,337 |
3.5× |
| Amniocentesis diagnostic (59000) |
$911 |
$911 |
1.0× |
| Application cast elbow finger short arm (29075) |
$349.50 |
$349.50 |
1.2× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$410 |
$410 |
2.4× |
| Application Finger Splint Dynamic (29131) |
$355 |
$355 |
5.8× |
| Application finger splint static (29130) |
$233 |
$233 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$336.50 |
$336.50 |
2.0× |
| Application long leg splint thigh ankle/toes (29505) |
$410 |
$410 |
2.4× |
| Application Short Arm Splint Dynamic (29126) |
$494 |
$494 |
3.6× |
| Application short arm splint forearm-hand static (29125) |
$292 |
$292 |
2.1× |
| Application short leg splint calf foot (29515) |
$312 |
$312 |
1.8× |
| Apply short leg cast (29405) |
$368 |
$368 |
1.3× |
| Arterial puncture (36600) |
$155 |
$155 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$414.50 |
$414.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$543 |
$543 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,482 |
$1,482 |
4.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$328 |
$328 |
1.0× |
| Biopsy of uterus lining (58100) |
$553 |
$553 |
2.6× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$398.50 |
$398.50 |
0.6× |
| Bladder Irrigation Simple (51700) |
$400 |
$400 |
1.5× |
| Bladder Scan (51798) |
$450 |
$450 |
7.3× |
| Blood patch (62273) |
$1,579 |
$1,579 |
2.2× |
| Blood transfusion service (36430) |
$1,302.50 |
$1,302.50 |
2.8× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,456 |
$2,456 |
1.4× |
| Bx breast 1st lesion strtctc (19081) |
$4,365 |
$4,365 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$3,628 |
$3,628 |
2.1× |
| Bx/exc lymph node needle superficial (38505) |
$2,904 |
$2,904 |
1.7× |
| Change Cystostomy Tube Simple (51705) |
$594.50 |
$594.50 |
2.3× |
| Chest tube placement (32551) |
$1,654 |
$1,654 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$215.50 |
$215.50 |
1.6× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,303 |
$1,303 |
4.1× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,575 |
$1,575 |
0.9× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,575 |
$1,575 |
0.9× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,985 |
$1,985 |
1.2× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$2,205 |
$2,205 |
1.3× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,500 |
$1,500 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,103 |
$1,103 |
0.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,654 |
$1,654 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,575 |
$1,575 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,985 |
$1,985 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$541 |
$541 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,050 |
$1,050 |
4.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,985 |
$1,985 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,575 |
$1,575 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$446 |
$446 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$607 |
$607 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,544 |
$1,544 |
6.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$386 |
$386 |
1.5× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,645 |
$1,645 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$607 |
$607 |
2.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$397 |
$397 |
1.5× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,464 |
$2,464 |
1.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,205 |
$2,205 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$992 |
$992 |
0.6× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$398.50 |
$398.50 |
1.9× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$703 |
$703 |
0.2× |
| Complex Uroflowmetry (51741) |
$210 |
$210 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$2,428 |
$2,428 |
11.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$453 |
$453 |
3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$376 |
$376 |
2.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,473 |
$3,473 |
2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$662 |
$662 |
4.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$551 |
$551 |
0.7× |
| Debride nail 1-5 (11720) |
$117.50 |
$117.50 |
1.9× |
| Debride nail 6 or more (11721) |
$130 |
$130 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,401 |
$1,401 |
3.3× |
| Declot vascular device (36593) |
$389.50 |
$389.50 |
1.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,615 |
$1,615 |
2.2× |
| Draw blood off venous device (36591) |
$210 |
$210 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$654 |
$654 |
3.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$555 |
$555 |
2.7× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$3,519 |
$3,519 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$162 |
$162 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,000 |
$2,000 |
1.2× |
| External Cephalic Version (59412) |
$702 |
$702 |
0.2× |
| Fetal Contraction Stress Test (59020) |
$961 |
$961 |
4.6× |
| Fetal non-stress test (59025) |
$550 |
$550 |
2.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,851 |
$1,851 |
2.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,108 |
$1,108 |
1.5× |
| Fluoro exam of g/colon tube (49465) |
$652 |
$652 |
2.6× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,525 |
$1,525 |
2.1× |
| Guide Cathet Fluid Drainage (10030) |
$2,625 |
$2,625 |
3.6× |
| I&d abscess simple (10060) |
$849 |
$849 |
4.1× |
| I&d pilonidal cyst simple (10080) |
$772 |
$772 |
1.0× |
| Incise finger tendon sheath (26055) |
$4,077 |
$4,077 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$938 |
$938 |
2.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,505 |
$1,505 |
3.6× |
| Incision of eardrum (69420) |
$349 |
$349 |
1.4× |
| Incision of lingual frenum (41010) |
$320 |
$320 |
0.2× |
| Incision thrombosed hemorrhoid external (46083) |
$717 |
$717 |
2.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,762.50 |
$1,762.50 |
1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,852 |
$1,852 |
2.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$689 |
$689 |
0.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$559 |
$559 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,155 |
$1,155 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,083 |
$1,083 |
1.5× |
| Injection anes other peripheral nerve/branch (64450) |
$690 |
$690 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$482 |
$482 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$516 |
$516 |
1.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$424 |
$424 |
1.3× |
| Insert picc cath (36569) |
$1,728.50 |
$1,728.50 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$334 |
$334 |
2.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$287 |
$287 |
2.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$6,267 |
$6,267 |
1.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,888 |
$3,888 |
2.4× |
| Intubation endotracheal emergency procedure (31500) |
$1,053 |
$1,053 |
4.3× |
| Liver Biopsy (47000) |
$2,456 |
$2,456 |
1.4× |
| Myelography Lumbar Injection (62305) |
$3,195 |
$3,195 |
3.9× |
| Myelography Lumbar Injection (62304) |
$1,541 |
$1,541 |
1.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,618 |
$1,618 |
2.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,024 |
$2,024 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$380 |
$380 |
0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,718.50 |
$1,718.50 |
1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,787 |
$1,787 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,876 |
$1,876 |
2.6× |
| Perq dev breast 1st us imag (19285) |
$1,536 |
$1,536 |
2.1× |
| Perq device breast 1st imag (19281) |
$2,576 |
$2,576 |
1.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$689 |
$689 |
2.7× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$6,634 |
$6,634 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$449 |
$449 |
1.0× |
| Preputial Stretching (54450) |
$525 |
$525 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$331 |
$331 |
0.8× |
| Puncture Aspiration (10160) |
$446 |
$446 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$1,111 |
$1,111 |
1.5× |
| Removal fb intranasal (30300) |
$290 |
$290 |
2.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$208 |
$208 |
3.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$358 |
$358 |
5.8× |
| Removal of nail bed (11750) |
$634 |
$634 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$248 |
$248 |
1.8× |
| Renal biopsy (50200) |
$3,131 |
$3,131 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$992 |
$992 |
2.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$938 |
$938 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$689 |
$689 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$607 |
$607 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$882 |
$882 |
2.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,103 |
$1,103 |
2.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$788 |
$788 |
1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$717 |
$717 |
1.7× |
| Repair of nail bed (11760) |
$938 |
$938 |
1.2× |
| Repair tympanic membrane (69610) |
$271.50 |
$271.50 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$368 |
$368 |
0.8× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,050 |
$1,050 |
4.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,625 |
$1,625 |
2.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$431 |
$431 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$520 |
$520 |
2.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$511 |
$511 |
2.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$436 |
$436 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$434 |
$434 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$607 |
$607 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$520 |
$520 |
2.5× |
| Skin sub graft face/nk/hf/g (15275) |
$131 |
$131 |
0.2× |
| Skin sub graft trnk/arm/leg (15271) |
$133 |
$133 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$465 |
$465 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$524 |
$524 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$579 |
$579 |
1.4× |
| Strapping unna boot (29580) |
$376 |
$376 |
2.2× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,838 |
$1,838 |
2.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,243.50 |
$1,243.50 |
1.9× |
| Thrombolytic Therapy, Stroke (37195) |
$654 |
$654 |
1.9× |
| Treatment closed elbow dislocation req anes (24605) |
$938 |
$938 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$630 |
$630 |
0.8× |
| Tympanostomy (69433) |
$371 |
$371 |
0.7× |
| Venipuncture (36415) |
$50 |
$50 |
5.4× |