| Abd paracentesis w/imaging (49083) |
$1,143.80 |
$1,634 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,143.80 |
$1,634 |
1.3× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$244.30 |
$349 |
1.5× |
| Appl Multlay Comprs Arm/Hand (29584) |
$258.30 |
$369 |
1.6× |
| Application cast elbow finger short arm (29075) |
$344.40 |
$492 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$343 |
$490 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$340.20 |
$486 |
5.9× |
| Application finger splint static (29130) |
$398.30 |
$569 |
3.1× |
| Application long arm splint shoulder hand (29105) |
$401.80 |
$574 |
2.5× |
| Application of long leg cast (29345) |
$404.60 |
$578 |
1.5× |
| Application of rigid total contact leg cast (29445) |
$440.30 |
$629 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$344.40 |
$492 |
2.7× |
| Application short arm splint forearm-hand static (29125) |
$396.90 |
$567 |
3.1× |
| Apply long leg splint (29505) |
$252 |
$360 |
1.6× |
| Apply short leg cast (29405) |
$349.30 |
$499 |
1.3× |
| Apply short leg splint (29515) |
$252 |
$360 |
1.6× |
| Arterial puncture (36600) |
$83.30 |
$119 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$508.20 |
$726 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$484.40 |
$692 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$508.20 |
$726 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$656.60 |
$938 |
2.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$508.20 |
$726 |
1.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$434 |
$620 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,434.50 |
$6,335 |
2.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$208.60 |
$298 |
1.1× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$2,044 |
$2,920 |
1.3× |
| Bladder Irrigation Simple (51700) |
$494.20 |
$706 |
2.0× |
| Blood patch (62273) |
$856.10 |
$1,223 |
1.3× |
| Blood transfusion service (36430) |
$1,344.70 |
$1,921 |
3.1× |
| Bx breast 1st lesion us imag (19083) |
$2,698.50 |
$3,855 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$217 |
$310 |
1.0× |
| Change of cystostomy tube simple (51705) |
$619.50 |
$885 |
2.6× |
| Chemical cautery tissue (17250) |
$343 |
$490 |
1.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$521.50 |
$745 |
1.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$368.90 |
$527 |
1.5× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$497 |
$710 |
2.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$482.30 |
$689 |
2.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$497 |
$710 |
2.1× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$1,243.20 |
$1,776 |
2.4× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$487.90 |
$697 |
2.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$675.50 |
$965 |
0.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$487.90 |
$697 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$487.90 |
$697 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$497 |
$710 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$675.50 |
$965 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$487.90 |
$697 |
2.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$461.30 |
$659 |
1.9× |
| Closed tx femoral fracture prox head w manip (27268) |
$411.60 |
$588 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$487.90 |
$697 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,884.40 |
$2,692 |
1.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,772 |
$3,960 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$497 |
$710 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$641.90 |
$917 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$487.90 |
$697 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$641.90 |
$917 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$386.40 |
$552 |
1.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$597.10 |
$853 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$424.20 |
$606 |
1.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$327.60 |
$468 |
1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$368.90 |
$527 |
1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$368.90 |
$527 |
1.5× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$1,981 |
$2,830 |
8.3× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$1,981 |
$2,830 |
8.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$375.90 |
$537 |
1.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$190.40 |
$272 |
0.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,499 |
$3,570 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$641.90 |
$917 |
0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$497 |
$710 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$497 |
$710 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$487.90 |
$697 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$375.90 |
$537 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$368.90 |
$527 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$497 |
$710 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$675.50 |
$965 |
0.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$520.10 |
$743 |
2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$368.90 |
$527 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$368.90 |
$527 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$379.40 |
$542 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$368.90 |
$527 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$675.50 |
$965 |
0.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$856.10 |
$1,223 |
0.5× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$662.20 |
$946 |
0.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$375.90 |
$537 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,289 |
$3,270 |
8.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$375.90 |
$537 |
1.6× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$487.90 |
$697 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$497 |
$710 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$487.90 |
$697 |
2.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$375.90 |
$537 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$375.90 |
$537 |
1.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$675.50 |
$965 |
0.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$487.90 |
$697 |
2.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$641.90 |
$917 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$497 |
$710 |
2.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$591.50 |
$845 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$100.80 |
$144 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$441 |
$630 |
3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$441 |
$630 |
3.4× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$385.70 |
$551 |
0.7× |
| Copy number sequence alys (0156U) |
$2,349.20 |
$3,356 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$441 |
$630 |
3.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,762.90 |
$3,947 |
1.4× |
| Cysto w/insert ureteral stent (52332) |
$3,988.60 |
$5,698 |
1.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$1,654.10 |
$2,363 |
0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,178.40 |
$3,112 |
1.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,064.90 |
$5,807 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$471.10 |
$673 |
1.2× |
| Debride nail 1-5 (11720) |
$170.80 |
$244 |
3.0× |
| Debride nail 6 or more (11721) |
$170.80 |
$244 |
3.0× |
| Debride tissue/muscle (11043) |
$814.10 |
$1,163 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$814.10 |
$1,163 |
2.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,254.40 |
$1,792 |
0.8× |
| Declot vascular device (36593) |
$560 |
$800 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$779.80 |
$1,114 |
4.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$909.30 |
$1,299 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$909.30 |
$1,299 |
1.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$1,096.90 |
$1,567 |
3.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$926.80 |
$1,324 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$1,001 |
$1,430 |
1.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$957.60 |
$1,368 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$492.80 |
$704 |
0.7× |
| Drain penis lesion (54015) |
$1,388.10 |
$1,983 |
0.9× |
| Drain/inj small joint/bursa w/us (20604) |
$433.30 |
$619 |
1.5× |
| Drainage abscess/hematoma nasal int approach (30000) |
$555.80 |
$794 |
2.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$547.40 |
$782 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$459.20 |
$656 |
2.4× |
| Drainage of deep periurethral abscess Facility (53040) |
$2,441.60 |
$3,488 |
0.7× |
| Drainage of gum lesion (41800) |
$388.50 |
$555 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$1,135.40 |
$1,622 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$1,135.40 |
$1,622 |
0.7× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,261.70 |
$3,231 |
1.1× |
| Drainage tendon sheath digit&/palm each (26020) |
$2,611.70 |
$3,731 |
0.8× |
| Draw blood off venous device (36591) |
$100.80 |
$144 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$353.50 |
$505 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$398.30 |
$569 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$406 |
$580 |
2.1× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$2,796.50 |
$3,995 |
0.9× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$1,262.10 |
$1,803 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$170.80 |
$244 |
1.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$988.40 |
$1,412 |
0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,459.50 |
$2,085 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$896 |
$1,280 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$961.10 |
$1,373 |
2.4× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,187 |
$7,410 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,320.90 |
$1,887 |
0.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,201.50 |
$3,145 |
1.9× |
| Exploration penetrating wound spx extremity (20103) |
$939.40 |
$1,342 |
0.6× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,473.50 |
$2,105 |
2.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,908.90 |
$2,727 |
2.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$906.50 |
$1,295 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$175.70 |
$251 |
0.4× |
| Fna bx w/fluor gdn 1st les (10007) |
$829.50 |
$1,185 |
1.2× |
| Foreskin manipulation (54450) |
$779.10 |
$1,113 |
3.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$208.60 |
$298 |
1.0× |
| Hered colon ca trgt mrna pnl (0162U) |
$1,781.50 |
$2,545 |
3.7× |
| I&d abscess simple (10060) |
$465.50 |
$665 |
2.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,418.10 |
$4,883 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$541.10 |
$773 |
0.8× |
| I&d submucosal abscess rectum (45005) |
$667.80 |
$954 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,405.60 |
$2,008 |
0.9× |
| I&d vulva/perineal abscess (56405) |
$471.80 |
$674 |
1.6× |
| Incise external hemorrhoid (46083) |
$535.50 |
$765 |
2.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$604.80 |
$864 |
1.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$848.40 |
$1,212 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,266.30 |
$1,809 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$465.50 |
$665 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$548.80 |
$784 |
2.8× |
| Incision and drainage perianal abscess superficial (46050) |
$679 |
$970 |
0.8× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,165.50 |
$1,665 |
0.4× |
| Incision of eyelid fold (67715) |
$2,988.30 |
$4,269 |
1.3× |
| Incision of labial frenum (frenotomy) (40806) |
$425.60 |
$608 |
0.8× |
| Incision of rectal abscess (46040) |
$767.90 |
$1,097 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$448 |
$640 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$406 |
$580 |
2.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,311.80 |
$1,874 |
1.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,110.20 |
$1,586 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,000.30 |
$1,429 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$668.50 |
$955 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$800.10 |
$1,143 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$473.20 |
$676 |
1.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,110.20 |
$1,586 |
1.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$767.20 |
$1,096 |
1.1× |
| Injection aa&/strd pudendal nerve (64430) |
$638.40 |
$912 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$767.20 |
$1,096 |
2.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$800.10 |
$1,143 |
2.7× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$909.30 |
$1,299 |
1.1× |
| Injection anesthetic agent femoral nerve single (64447) |
$660.80 |
$944 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$665 |
$950 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$487.90 |
$697 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$487.90 |
$697 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,110.20 |
$1,586 |
1.3× |
| Insert and remove bone pin (20650) |
$3,391.50 |
$4,845 |
1.1× |
| Insert Bladder Cath Complex (51703) |
$347.90 |
$497 |
2.8× |
| Insert cath pleura w/o image (32556) |
$1,396.50 |
$1,995 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$2,643.20 |
$3,776 |
0.9× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,651.60 |
$3,788 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,642.50 |
$3,775 |
1.7× |
| Insert Temp Bladder Cath (51702) |
$102.20 |
$146 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$101.50 |
$145 |
0.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,146.90 |
$3,067 |
3.5× |
| Insj picc rs&i 5 yr+ (36573) |
$2,926 |
$4,180 |
1.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,271.50 |
$3,245 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$898.80 |
$1,284 |
3.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$643.30 |
$919 |
1.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,540 |
$2,200 |
0.9× |
| Mlh1 mrna seq alys (0158U) |
$1,167.60 |
$1,668 |
4.1× |
| Monocyte distribution width whole blood (0427U) |
$11.90 |
$17 |
2.7× |
| Msh2 mrna seq alys (0159U) |
$755.30 |
$1,079 |
2.7× |
| Msh6 mrna seq alys (0160U) |
$804.30 |
$1,149 |
2.8× |
| Myelography Lumbar Injection (62305) |
$1,896.30 |
$2,709 |
2.5× |
| Myelography Lumbar Injection (62304) |
$1,896.30 |
$2,709 |
2.5× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,896.30 |
$2,709 |
2.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,896.30 |
$2,709 |
2.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$665 |
$950 |
1.0× |
| N Block Inj, Plantar Digit (64455) |
$253.40 |
$362 |
0.9× |
| Nasal endoscopy dx (31231) |
$113.40 |
$162 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$625.80 |
$894 |
1.4× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$219.80 |
$314 |
0.8× |
| Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxylterminal… (0570U) |
$94.50 |
$135 |
0.4× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) |
$68.60 |
$98 |
0.4× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) |
$68.60 |
$98 |
0.4× |
| Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) |
$68.60 |
$98 |
0.4× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$87.50 |
$125 |
0.0× |
| Njx aa&/strd sciatic nerve (64445) |
$842.10 |
$1,203 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$920.50 |
$1,315 |
1.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$505.40 |
$722 |
2.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,311.80 |
$1,874 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,191.40 |
$1,702 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,198.40 |
$1,712 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,251.60 |
$1,788 |
1.8× |
| Occipital Nerve Block (64405) |
$721 |
$1,030 |
2.4× |
| Onc breast mrna 101 genes (0153U) |
$998.90 |
$1,427 |
0.3× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$248.50 |
$355 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,185.40 |
$3,122 |
0.7× |
| Onc Urthl Ca Rna Fgfr3 Gene (0154U) |
$2,562.70 |
$3,661 |
5.3× |
| Pericardiocentesis W/Imaging (33016) |
$4,144.70 |
$5,921 |
2.7× |
| Peritoneal Lavage (49084) |
$988.40 |
$1,412 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$651.70 |
$931 |
2.7× |
| Picc line placement (36569) |
$2,651.60 |
$3,788 |
1.7× |
| Pik3ca gene analysis (0155U) |
$2,562.70 |
$3,661 |
9.3× |
| Placement of needle for intraosseous infusion (36680) |
$380.10 |
$543 |
0.9× |
| Pms2 mrna seq alys (0161U) |
$1,275.40 |
$1,822 |
4.5× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$640.50 |
$915 |
0.7× |
| Proctosigmoid w/biopsy (45305) |
$1,001 |
$1,430 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$279.30 |
$399 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$506.80 |
$724 |
0.7× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$1,053.50 |
$1,505 |
2.7× |
| Removal foreign body foot subcutaneous (28190) |
$924.70 |
$1,321 |
1.3× |
| Removal foreign body intranasal (30300) |
$388.50 |
$555 |
3.0× |
| Removal foreign body pharynx (42809) |
$383.60 |
$548 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$176.40 |
$252 |
3.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$208.60 |
$298 |
3.6× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,402.80 |
$2,004 |
1.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$499.80 |
$714 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$605.50 |
$865 |
1.4× |
| Removal of nail bed (11750) |
$921.90 |
$1,317 |
2.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$212.80 |
$304 |
0.8× |
| Remove Tendon Sheath Lesion (26160) |
$2,510.90 |
$3,587 |
1.6× |
| Remv Ext Canal Foreign Body (69200) |
$240.10 |
$343 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$529.90 |
$757 |
4.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$840.70 |
$1,201 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$856.80 |
$1,224 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$856.80 |
$1,224 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$546 |
$780 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$557.20 |
$796 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$557.20 |
$796 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$546 |
$780 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$557.20 |
$796 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$557.20 |
$796 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,335.90 |
$3,337 |
5.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$557.20 |
$796 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$557.20 |
$796 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$557.20 |
$796 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$557.20 |
$796 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,788.80 |
$3,984 |
1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$557.20 |
$796 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$557.20 |
$796 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$557.20 |
$796 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$546 |
$780 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$557.20 |
$796 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,783.20 |
$3,976 |
1.4× |
| Repair Mouth Laceration (40831) |
$2,342.90 |
$3,347 |
4.5× |
| Repair of nail bed (11760) |
$557.20 |
$796 |
0.8× |
| Repeat control of nosebleed (30906) |
$507.50 |
$725 |
2.2× |
| Rheumatoid factor iga&igm ccp antb sr-a ia blood (0521U) |
$316.71 |
$452.44 |
6.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$506.80 |
$724 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$526.40 |
$752 |
4.1× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$605.50 |
$865 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,724.10 |
$2,463 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,022.70 |
$1,461 |
1.7× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$2,497.60 |
$3,568 |
3.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$546 |
$780 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$2,319.10 |
$3,313 |
10.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,412.90 |
$3,447 |
4.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$557.20 |
$796 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$557.20 |
$796 |
2.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$557.20 |
$796 |
2.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$557.20 |
$796 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$557.20 |
$796 |
2.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$557.20 |
$796 |
2.9× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$546 |
$780 |
2.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$557.20 |
$796 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$557.20 |
$796 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$557.20 |
$796 |
2.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,241.10 |
$1,773 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,241.10 |
$1,773 |
1.7× |
| Skin sub grft t/arm/lg child (15273) |
$1,075.20 |
$1,536 |
0.5× |
| Skn sub grft f/n/hf/g child (15277) |
$275.80 |
$394 |
0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$557.20 |
$796 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$557.20 |
$796 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$557.20 |
$796 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$707 |
$1,010 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$679 |
$970 |
1.0× |
| Strapping ankle (29540) |
$244.30 |
$349 |
1.5× |
| Strapping elbow or wrist (29260) |
$340.20 |
$486 |
5.9× |
| Strapping knee (29530) |
$244.30 |
$349 |
1.9× |
| Strapping shoulder (29240) |
$391.30 |
$559 |
3.0× |
| Strapping unna boot (29580) |
$252 |
$360 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$219.80 |
$314 |
0.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$889 |
$1,270 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,334.20 |
$1,906 |
2.2× |
| Thrombolytic Therapy Stroke (37195) |
$1,877.40 |
$2,682 |
5.9× |
| Thyroid biopsy (60100) |
$517.30 |
$739 |
0.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,874.20 |
$4,106 |
1.9× |
| Tracheotomy tube change (31502) |
$544.60 |
$778 |
2.4× |
| Treat clavicle dislocation (23540) |
$368.90 |
$527 |
1.5× |
| Treat Thumb Dislocation (26641) |
$497 |
$710 |
2.1× |
| Treat wrist bone fracture (25622) |
$487.90 |
$697 |
2.0× |
| Treatment closed elbow dislocation req anes (24605) |
$2,172.80 |
$3,104 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$497 |
$710 |
2.1× |
| Trim skin lesion (11055) |
$402.50 |
$575 |
2.1× |
| Trim skin lesions 2 to 4 (11056) |
$397.60 |
$568 |
2.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$170.80 |
$244 |
3.0× |
| Tube thoracostomy includes water seal (32551) |
$1,264.90 |
$1,807 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$557.20 |
$796 |
0.8× |
| Unlisted procedure dentoalveolar structures (41899) |
$2,429 |
$3,470 |
10.6× |
| Unlisted procedure neck or thorax (21899) |
$263.90 |
$377 |
1.1× |
| Unlisted procedure nervous system (64999) |
$663.25 |
$947.50 |
2.2× |
| Us urine capacity measure (51798) |
$145.60 |
$208 |
2.5× |
| Venipuncture (36415) |
$24.50 |
$35 |
2.6× |
| Venipuncture cutdown under age 1 yr (36420) |
$1,042.30 |
$1,489 |
8.1× |
| Venipuncture, cutdown; age 1 or over (36425) |
$1,198.40 |
$1,712 |
2.8× |
| Wedge excision skin nail fold (11765) |
$406 |
$580 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$1,022 |
$1,460 |
2.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,213.80 |
$1,734 |
1.7× |