| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$644.83 |
$961 |
0.8× |
| Amniocentesis diagnostic (59000) |
$954.83 |
$1,423 |
1.1× |
| Analyze infusn pump+reprogram (62368) |
$167.75 |
$250 |
0.6× |
| Analyze spine infus pump (62367) |
$167.75 |
$250 |
0.6× |
| Anoscopy diagnostic (46600) |
$73.15 |
$109.02 |
0.6× |
| Application cast elbow finger short arm (29075) |
$210.02 |
$313 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$210.02 |
$313 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$135.54 |
$202 |
2.5× |
| Application finger splint static (29130) |
$169.86 |
$253.15 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$135.54 |
$202 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$135.54 |
$202 |
0.9× |
| Application of long leg cast (29345) |
$210.02 |
$313 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$442.86 |
$660 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$135.54 |
$202 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$131.51 |
$196 |
1.1× |
| Application short leg splint calf foot (29515) |
$135.54 |
$202 |
0.9× |
| Apply short leg cast (29405) |
$303.29 |
$452 |
1.2× |
| Apply short leg cast (29425) |
$210.02 |
$313 |
0.8× |
| Arterial puncture (36600) |
$169.76 |
$253 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$410.98 |
$612.50 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$490.50 |
$731 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$246.92 |
$368 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$234.85 |
$350 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$203.31 |
$303 |
0.7× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$378.10 |
$563.50 |
0.6× |
| Bladder Scan (51798) |
$81.86 |
$122 |
1.5× |
| Blood patch (62273) |
$813.58 |
$1,212.50 |
1.2× |
| Blood transfusion service (36430) |
$392.53 |
$585 |
1.0× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$469.02 |
$699 |
0.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$119.43 |
$178 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$232.83 |
$347 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,209.14 |
$1,802 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$587.12 |
$875 |
2.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$587.12 |
$875 |
2.1× |
| Chemodenerv trunk musc 1-5 (64646) |
$324.09 |
$483 |
0.5× |
| Complex Drainage, Wound (10180) |
$2,417.61 |
$3,603 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$131.51 |
$196 |
0.7× |
| Declot vascular device (36593) |
$399.24 |
$595 |
1.3× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$1,392.99 |
$2,076 |
0.8× |
| Delivery placenta separate procedure (59414) |
$2,392.78 |
$3,566 |
0.8× |
| Destroy cerv/thor facet jnt (64633) |
$2,885.30 |
$4,300 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,885.30 |
$4,300 |
1.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,554.70 |
$2,317 |
1.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,336.96 |
$1,992.50 |
1.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$203.31 |
$303 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,885.30 |
$4,300 |
1.6× |
| Draw blood off venous device (36591) |
$151.98 |
$226.50 |
1.2× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$674.35 |
$1,005 |
0.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$167.75 |
$250 |
0.6× |
| Fetal Contraction Stress Test (59020) |
$266.38 |
$397 |
1.4× |
| Fetal non-stress test (59025) |
$283.83 |
$423 |
1.5× |
| Implant neuroelectrodes (63650) |
$5,780.66 |
$8,615 |
1.0× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure |
$4,026 |
$6,000 |
0.5× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$12,078 |
$18,000 |
0.7× |
| Inc impltj periph nerve neurostimulator eltrd (64575) |
$12,078 |
$18,000 |
1.2× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$4,026 |
$6,000 |
0.7× |
| Inj neurolytic subarachnoid (62280) |
$674.35 |
$1,005 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$996.43 |
$1,485 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$587.12 |
$875 |
2.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$356.30 |
$531 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$996.43 |
$1,485 |
1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$996.43 |
$1,485 |
1.2× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$996.43 |
$1,485 |
1.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$996.43 |
$1,485 |
1.2× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$996.43 |
$1,485 |
1.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$996.43 |
$1,485 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$996.43 |
$1,485 |
1.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$996.43 |
$1,485 |
1.2× |
| Inject Nerv Blck,Pudendal (64430) |
$674.35 |
$1,005 |
0.8× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,554.70 |
$2,317 |
1.9× |
| Inject Tendon Origin/Insert (20551) |
$587.12 |
$875 |
2.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$996.43 |
$1,485 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$996.43 |
$1,485 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$674.35 |
$1,005 |
1.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$996.43 |
$1,485 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$587.12 |
$875 |
2.1× |
| Injection anes other peripheral nerve/branch (64450) |
$996.43 |
$1,485 |
1.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$996.43 |
$1,485 |
1.2× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$1,240 |
$1,848 |
1.5× |
| Injection of drug into cavity behind eye (67500) |
$183.18 |
$273 |
0.6× |
| Injection procedure for chemonucleolysis, including diskography, intervertebral disk, single or multiple levels, lumbar (62292) |
$1,554.70 |
$2,317 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$587.12 |
$875 |
2.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$587.12 |
$875 |
2.1× |
| Injection therapeutic carpal tunnel (20526) |
$587.12 |
$875 |
2.1× |
| Injection treatment of nerve (64600) |
$1,554.70 |
$2,317 |
1.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$587.12 |
$875 |
2.1× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$587.12 |
$875 |
2.1× |
| Injection, anesthetic agent; vagus nerve (64408) |
$203.31 |
$303 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$164.39 |
$245 |
0.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,554.70 |
$2,317 |
1.9× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,554.70 |
$2,317 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$2,846.04 |
$4,241.50 |
1.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$4,312.51 |
$6,427 |
1.5× |
| Insert picc cath (36569) |
$1,748.96 |
$2,606.50 |
1.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,379.57 |
$2,056 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$169.76 |
$253 |
1.4× |
| Insert tunneled cv cath (36561) |
$2,147.20 |
$3,200 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$80.52 |
$120 |
0.6× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$30,847.88 |
$45,973 |
1.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,686.89 |
$2,514 |
1.2× |
| Insrt/redo spine n generator (63685) |
$17,344.67 |
$25,849 |
0.6× |
| Intro Gastrointestinal Tube (44500) |
$573.03 |
$854 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$379.11 |
$565 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$996.43 |
$1,485 |
1.2× |
| Njx Arterial Occlusion Arven Malfrmj Spinal (62294) |
$674.35 |
$1,005 |
0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,792.95 |
$7,143 |
1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$996.43 |
$1,485 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$674.35 |
$1,005 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,048.77 |
$1,563 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$771.65 |
$1,150 |
0.9× |
| Open bone biopsy (20251) |
$4,026 |
$6,000 |
0.6× |
| Open bone biopsy (20250) |
$2,013 |
$3,000 |
0.7× |
| Percutaneous diskectomy (62287) |
$2,882.61 |
$4,296 |
1.6× |
| Perq dev breast 1st us imag (19285) |
$937.38 |
$1,397 |
1.4× |
| Perq device breast 1st imag (19281) |
$937.38 |
$1,397 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$408.63 |
$609 |
1.0× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$4,026 |
$6,000 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,885.30 |
$4,300 |
1.6× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$1,616.43 |
$2,409 |
0.9× |
| Removal/bivalving full arm/full leg cast (29705) |
$102.66 |
$153 |
0.4× |
| Remove spinal canal catheter (62355) |
$1,342 |
$2,000 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$73.15 |
$109.02 |
0.6× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$2,236.44 |
$3,333 |
0.7× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$4,656.74 |
$6,940 |
0.8× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$2,013 |
$3,000 |
0.6× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$2,013 |
$3,000 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,408.89 |
$3,590 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$356.30 |
$531 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$356.30 |
$531 |
0.5× |
| Strapping ankle (29540) |
$155 |
$231 |
1.0× |
| Strapping elbow/wrist (29260) |
$126.81 |
$189 |
2.3× |
| Strapping hand/finger (29280) |
$102.66 |
$153 |
1.9× |
| Strapping knee (29530) |
$169.86 |
$253.15 |
1.4× |
| Strapping shoulder (29240) |
$155 |
$231 |
1.3× |
| Strapping thorax (29200) |
$102.66 |
$153 |
0.7× |
| Strapping unna boot (29580) |
$253.63 |
$378 |
1.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,203.10 |
$1,793 |
2.1× |
| Unlisted Procedure Casting/Strapping (29799) |
$102.66 |
$153 |
0.7× |
| Unlisted Procedure Nervous System (64999) |
$301.61 |
$449.50 |
1.1× |
| Vbac delivery only (59612) |
$3,891.80 |
$5,800 |
1.3× |
| Venipuncture (36415) |
$7.88 |
$11.75 |
0.8× |