| Abd paracentesis w/imaging (49083) |
$2,238.60 |
$3,731 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,238.60 |
$3,731 |
2.1× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$24,859.80 |
$41,433 |
2.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$30,723 |
$51,205 |
1.5× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$17,057.40 |
$28,429 |
2.0× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,788.40 |
$6,314 |
1.9× |
| Amniocentesis diagnostic (59000) |
$2,079 |
$3,465 |
1.9× |
| Anoscopy diagnostic (46600) |
$307.80 |
$513 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,131.80 |
$3,553 |
1.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$3,741.60 |
$6,236 |
2.0× |
| Application cast elbow finger short arm (29075) |
$634.20 |
$1,057 |
1.9× |
| Application Cast Finger (29086) |
$369 |
$615 |
1.9× |
| Application Finger Splint Dynamic (29131) |
$141.60 |
$236 |
2.0× |
| Application finger splint static (29130) |
$415.80 |
$693 |
2.6× |
| Application long arm splint shoulder hand (29105) |
$376.80 |
$628 |
2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$621 |
$1,035 |
1.9× |
| Application Long Leg Splint (29505) |
$376.80 |
$628 |
2.0× |
| Application of long leg cast (29345) |
$634.20 |
$1,057 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$307.80 |
$513 |
2.0× |
| Application short leg splint calf foot (29515) |
$376.80 |
$628 |
2.0× |
| Apply hand/wrist cast (29085) |
$376.80 |
$628 |
2.0× |
| Apply long arm cast (29065) |
$634.20 |
$1,057 |
1.9× |
| Apply Short Leg Cast (29405) |
$634.20 |
$1,057 |
1.9× |
| Apply short leg cast (29425) |
$634.20 |
$1,057 |
1.9× |
| Arterial puncture (36600) |
$307.80 |
$513 |
2.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$7,359 |
$12,265 |
2.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$12,639 |
$21,065 |
1.9× |
| Artery-vein autograft (36825) |
$12,639 |
$21,065 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$705 |
$1,175 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,653.60 |
$2,756 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$705 |
$1,175 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$705 |
$1,175 |
1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$705 |
$1,175 |
1.9× |
| Aspirate pleura w/ imaging (32555) |
$1,845 |
$3,075 |
2.5× |
| Aspirate Pleura W/O Imaging (32554) |
$1,476 |
$2,460 |
2.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$705 |
$1,175 |
1.9× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,680 |
$2,800 |
2.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,891.20 |
$8,152 |
2.0× |
| Aspiration Bladder Needle (51100) |
$568.80 |
$948 |
1.9× |
| Aspiration bladder trocar/intracatheter (51101) |
$2,379 |
$3,965 |
2.3× |
| Av Fistula Revision Open (36832) |
$12,639 |
$21,065 |
1.9× |
| Av Fuse Uppr Arm Basilic (36819) |
$12,639 |
$21,065 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$474.60 |
$791 |
2.0× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$24,859.80 |
$41,433 |
2.0× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$14,899.20 |
$24,832 |
1.9× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$8,426.40 |
$14,044 |
1.1× |
| Biopsy Abdominal Mass (49180) |
$3,868.80 |
$6,448 |
2.0× |
| Biopsy bone trocar/needle deep (20225) |
$3,868.80 |
$6,448 |
2.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,868.80 |
$6,448 |
2.0× |
| Biopsy muscle percutaneous needle (20206) |
$3,868.80 |
$6,448 |
2.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$3,868.80 |
$6,448 |
2.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$3,868.80 |
$6,448 |
2.0× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$7,281.60 |
$12,136 |
1.7× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$7,281.60 |
$12,136 |
1.7× |
| Biopsy Salivary Gland Needle (42400) |
$1,680 |
$2,800 |
2.0× |
| Biopsy soft tissue neck/thorax (21550) |
$3,868.80 |
$6,448 |
2.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$4,836 |
$8,060 |
2.5× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$3,868.80 |
$6,448 |
2.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,593.60 |
$2,656 |
1.9× |
| Bladder Irrigation (51700) |
$580.80 |
$968 |
2.0× |
| Bladder Scan (51798) |
$141.60 |
$236 |
2.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$714 |
$1,190 |
1.9× |
| Blood Transfusion Service (36430) |
$1,461.60 |
$2,436 |
2.8× |
| Bone Marrow Biopsy (38221) |
$3,868.80 |
$6,448 |
2.0× |
| Bone Marrow; Aspiration Only (38220) |
$3,868.80 |
$6,448 |
2.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,032 |
$6,720 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$3,868.80 |
$6,448 |
2.0× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
$11,076.60 |
$18,461 |
1.7× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$7,281.60 |
$12,136 |
1.7× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$7,281.60 |
$12,136 |
1.7× |
| Bx prostate transperineal ultrasound-guided (55709) |
$7,281.60 |
$12,136 |
1.7× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$7,281.60 |
$12,136 |
1.7× |
| Bx prst8 in-bore CT/MRI bx 1 (55713) |
$11,076.60 |
$18,461 |
1.7× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$7,281.60 |
$12,136 |
1.7× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$7,281.60 |
$12,136 |
1.7× |
| Change Cystostomy Tube Complicated (51710) |
$1,593.60 |
$2,656 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$580.80 |
$968 |
2.0× |
| Chemical Pleurodesis (32560) |
$1,476 |
$2,460 |
2.0× |
| Chest tube placement (32551) |
$3,709.20 |
$6,182 |
2.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$4,789.20 |
$7,982 |
1.9× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$8,426.40 |
$14,044 |
2.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$4,891.20 |
$8,152 |
2.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$3,821.40 |
$6,369 |
2.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,821.40 |
$6,369 |
2.0× |
| Clear outer ear canal (69200) |
$307.80 |
$513 |
2.0× |
| Closed rx talotarsal disloc,anesth (28575) |
$7,585.80 |
$12,643 |
2.0× |
| Closed Treat Vert Body Fract (22310) |
$561 |
$935 |
1.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$573 |
$955 |
2.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$3,821.40 |
$6,369 |
2.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$573 |
$955 |
2.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$561 |
$935 |
1.9× |
| Closed Treatment Sesamoid Fracture (28530) |
$561 |
$935 |
1.9× |
| Closed Treatment Sternum Fracture (21820) |
$561 |
$935 |
1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$573 |
$955 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$573 |
$955 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$561 |
$935 |
1.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$561 |
$935 |
1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$573 |
$955 |
2.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$580.80 |
$968 |
2.0× |
| Closed Tx Craniofacial Separation (21431) |
$7,582.20 |
$12,637 |
1.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$561 |
$935 |
0.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$7,585.80 |
$12,643 |
2.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$573 |
$955 |
2.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$3,821.40 |
$6,369 |
2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$573 |
$955 |
2.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,741.60 |
$6,236 |
2.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,216.20 |
$2,027 |
1.9× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure |
$3,463.20 |
$5,772 |
0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$573 |
$955 |
2.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,537 |
$5,895 |
1.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$7,582.20 |
$12,637 |
1.9× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$3,463.20 |
$5,772 |
1.9× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$7,582.20 |
$12,637 |
1.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$573 |
$955 |
2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$573 |
$955 |
2.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$573 |
$955 |
2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,821.40 |
$6,369 |
2.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$561 |
$935 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$573 |
$955 |
2.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,821.40 |
$6,369 |
2.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$573 |
$955 |
2.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$561 |
$935 |
1.9× |
| Closed tx septal&nose fx (21337) |
$7,743.60 |
$12,906 |
2.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$561 |
$935 |
1.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$561 |
$935 |
1.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,821.40 |
$6,369 |
2.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$561 |
$935 |
1.9× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$561 |
$935 |
1.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$561 |
$935 |
1.9× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$3,463.20 |
$5,772 |
1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$573 |
$955 |
2.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,821.40 |
$6,369 |
2.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$561 |
$935 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$573 |
$955 |
2.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$554.40 |
$924 |
2.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,190.40 |
$1,984 |
1.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$573 |
$955 |
2.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$561 |
$935 |
1.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$3,741.60 |
$6,236 |
2.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$573 |
$955 |
2.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,190.40 |
$1,984 |
1.9× |
| Clsd Tx Pelvic Ring Fx (27198) |
$561 |
$935 |
1.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$561 |
$935 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,821.40 |
$6,369 |
2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$573 |
$955 |
2.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$561 |
$935 |
1.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$561 |
$935 |
1.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$561 |
$935 |
1.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$573 |
$955 |
2.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$561 |
$935 |
1.9× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$573 |
$955 |
2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$573 |
$955 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$573 |
$955 |
2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$573 |
$955 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$573 |
$955 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$561 |
$935 |
1.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$561 |
$935 |
0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$561 |
$935 |
1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$573 |
$955 |
2.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$573 |
$955 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$573 |
$955 |
2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$573 |
$955 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$561 |
$935 |
1.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$561 |
$935 |
1.9× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$561 |
$935 |
1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$573 |
$955 |
2.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$561 |
$935 |
1.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$561 |
$935 |
1.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$634.20 |
$1,057 |
1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$573 |
$955 |
2.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$561 |
$935 |
0.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$573 |
$955 |
2.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Medial Ankle Fx (27760) |
$573 |
$955 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$573 |
$955 |
2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$573 |
$955 |
2.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$573 |
$955 |
2.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$573 |
$955 |
2.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$573 |
$955 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$561 |
$935 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$7,585.80 |
$12,643 |
2.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$561 |
$935 |
1.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$573 |
$955 |
2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$573 |
$955 |
2.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$561 |
$935 |
1.9× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$3,741.60 |
$6,236 |
2.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$561 |
$935 |
1.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$7,585.80 |
$12,643 |
2.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$561 |
$935 |
1.9× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$561 |
$935 |
1.9× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$561 |
$935 |
1.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$561 |
$935 |
1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,821.40 |
$6,369 |
2.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$561 |
$935 |
1.9× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$7,747.20 |
$12,912 |
2.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$307.80 |
$513 |
2.0× |
| Collection of venous blood by venipuncture (36415) |
$45.60 |
$76 |
4.9× |
| Colonoscopy W/Resection (45390) |
$6,630 |
$11,050 |
2.0× |
| Colonoscopy w/submucosal inj (45381) |
$2,815.20 |
$4,692 |
2.0× |
| Complex drainage wound (10180) |
$6,834 |
$11,390 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$307.80 |
$513 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$307.80 |
$513 |
2.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$4,529.40 |
$7,549 |
2.0× |
| Convert Nephrostomy Catheter (50434) |
$4,891.20 |
$8,152 |
2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,868.80 |
$6,448 |
2.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$12,639 |
$21,065 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$307.80 |
$513 |
2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$554.40 |
$924 |
2.0× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$6,849 |
$11,415 |
1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,461.60 |
$2,436 |
3.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,461.60 |
$2,436 |
1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,868.80 |
$6,448 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$954 |
$1,590 |
2.0× |
| Declot vascular device (36593) |
$792 |
$1,320 |
2.0× |
| Delivery of placenta (59414) |
$7,591.80 |
$12,653 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$2,176.80 |
$3,628 |
2.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,191.80 |
$3,653 |
2.0× |
| Drain/inj small joint/bursa w/us (20604) |
$705 |
$1,175 |
1.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,216.20 |
$2,027 |
1.9× |
| Drainage external auditory canal abscess (69020) |
$1,680 |
$2,800 |
2.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$3,868.80 |
$6,448 |
2.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,680 |
$2,800 |
2.0× |
| Drainage Finger Abscess Complicated (26011) |
$3,868.80 |
$6,448 |
2.0× |
| Drainage Mouth Roof Lesion (42000) |
$554.40 |
$924 |
2.0× |
| Drainage of finger abscess simple (26010) |
$474.60 |
$791 |
2.0× |
| Drainage of gum lesion (41800) |
$307.80 |
$513 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$3,868.80 |
$6,448 |
2.0× |
| Drainage of nose lesion (30000) |
$554.40 |
$924 |
2.0× |
| Drainage of rectal abscess (45005) |
$2,815.20 |
$4,692 |
2.0× |
| Drainage of scrotal wall abscess (55100) |
$3,868.80 |
$6,448 |
2.0× |
| Drainage of scrotum (54700) |
$4,891.20 |
$8,152 |
2.0× |
| Draw Blood Off Venous Device (36591) |
$307.80 |
$513 |
2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,190.40 |
$1,984 |
1.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,680 |
$2,800 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$954 |
$1,590 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$474.60 |
$791 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$474.60 |
$791 |
2.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$6,691.80 |
$11,153 |
2.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,653.60 |
$2,756 |
2.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$4,529.40 |
$7,549 |
2.0× |
| Egd cautery tumor polyp (43250) |
$4,529.40 |
$7,549 |
2.0× |
| Egd remove lesion snare (43251) |
$4,529.40 |
$7,549 |
2.0× |
| Ercp duct stent placement (43274) |
$13,917.60 |
$23,196 |
1.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$9,084.60 |
$15,141 |
2.0× |
| Ercp,Sphincterotomy (43262) |
$7,964.40 |
$13,274 |
1.7× |
| Escharotomy; initial incision (16035) |
$954 |
$1,590 |
2.0× |
| Evacuation of subungual hematoma (11740) |
$307.80 |
$513 |
2.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,788.40 |
$6,314 |
1.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,868.80 |
$6,448 |
2.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,815.20 |
$4,692 |
2.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$8,426.40 |
$14,044 |
2.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$4,891.20 |
$8,152 |
2.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$4,529.40 |
$7,549 |
2.0× |
| Explo/Drain Breast Abscess (19020) |
$3,868.80 |
$6,448 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$3,868.80 |
$6,448 |
2.0× |
| External cephalic version (59412) |
$7,591.80 |
$12,653 |
2.0× |
| Fetal non-stress test (59025) |
$600.60 |
$1,001 |
2.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,100 |
$3,500 |
2.5× |
| Fine needle aspiration without imaging guidance (10021) |
$954 |
$1,590 |
2.0× |
| Fluoro exam of g/colon tube (49465) |
$721.80 |
$1,203 |
2.6× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,680 |
$2,800 |
2.0× |
| Fna bx w/us gdn 1st les (10005) |
$2,100 |
$3,500 |
2.5× |
| Guide Cathet Fluid Drainage (10030) |
$2,100 |
$3,500 |
2.5× |
| I&d abscess peritonsillar (42700) |
$554.40 |
$924 |
2.0× |
| I&d abscess simple (10060) |
$474.60 |
$791 |
2.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$6,834 |
$11,390 |
2.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$6,834 |
$11,390 |
2.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$7,747.20 |
$12,912 |
2.0× |
| I&d forearm/wrist bursa (25031) |
$3,741.60 |
$6,236 |
2.0× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$1,190.40 |
$1,984 |
1.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$7,747.20 |
$12,912 |
2.0× |
| I&d perianal abscess superficial (46050) |
$2,176.80 |
$3,628 |
2.0× |
| I&d pilonidal cyst complicated (10081) |
$1,680 |
$2,800 |
2.0× |
| I&d pilonidal cyst simple (10080) |
$1,680 |
$2,800 |
2.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$6,834 |
$11,390 |
2.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$6,691.80 |
$11,153 |
2.0× |
| Icd Pocket Revision (33223) |
$4,368 |
$7,280 |
1.8× |
| Image Cath Fluid Colxn Visc (49405) |
$4,836 |
$8,060 |
2.5× |
| Image Cath Fluid Peri/Retro (49406) |
$4,836 |
$8,060 |
2.5× |
| Image Cath Fluid Trns/Vgnl (49407) |
$4,836 |
$8,060 |
2.5× |
| Incise external hemorrhoid (46083) |
$580.80 |
$968 |
2.0× |
| Incise/Drain Conjunctiva (68020) |
$2,264.40 |
$3,774 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$954 |
$1,590 |
2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$6,834 |
$11,390 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,868.80 |
$6,448 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$954 |
$1,590 |
2.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$480.60 |
$801 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$726.60 |
$1,211 |
2.0× |
| Incision of rectal abscess (46040) |
$2,815.20 |
$4,692 |
2.0× |
| Incision&drainage bursa foot (28001) |
$3,788.40 |
$6,314 |
1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,868.80 |
$6,448 |
2.0× |
| Incisional biopsy skin single lesion (11106) |
$1,461.60 |
$2,436 |
1.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$474.60 |
$791 |
2.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,125.80 |
$3,543 |
2.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$502.80 |
$838 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,125.80 |
$3,543 |
2.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,081.40 |
$3,469 |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,653.60 |
$2,756 |
2.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,619.40 |
$2,699 |
1.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,653.60 |
$2,756 |
2.0× |
| Injection for identification of sentinel node (38792) |
$1,199.40 |
$1,999 |
2.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$705 |
$1,175 |
1.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,125.80 |
$3,543 |
2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,653.60 |
$2,756 |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,653.60 |
$2,756 |
2.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$690 |
$1,150 |
1.9× |
| Ins cath ren art 1st bilat (36252) |
$7,515.60 |
$12,526 |
2.0× |
| Ins cath ren art 1st unilat (36251) |
$7,515.60 |
$12,526 |
2.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$7,515.60 |
$12,526 |
2.0× |
| Ins endovas vena cava filtr (37191) |
$12,907.80 |
$21,513 |
2.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$19,761 |
$32,935 |
2.0× |
| Insert and remove bone pin (20650) |
$7,585.80 |
$12,643 |
2.0× |
| Insert Bladder Cath Complex (51703) |
$373.80 |
$623 |
2.5× |
| Insert cath pleura w/ image (32557) |
$3,709.20 |
$6,182 |
2.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$2,757 |
$4,595 |
2.0× |
| Insert cervical dilator (59200) |
$908.40 |
$1,514 |
2.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$4,529.40 |
$7,549 |
2.0× |
| Insert Heart Pm Atrial (33206) |
$24,988.80 |
$41,648 |
2.0× |
| Insert Heart Pm Ventricular (33207) |
$24,988.80 |
$41,648 |
2.0× |
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure |
$9,645.60 |
$16,076 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$7,515.60 |
$12,526 |
2.0× |
| Insert Temp Bladder Cath (51702) |
$307.80 |
$513 |
2.0× |
| Insert tunneled cv cath (36561) |
$7,515.60 |
$12,526 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$307.80 |
$513 |
2.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$8,426.40 |
$14,044 |
2.0× |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines |
$3,709.20–$4,636.80 |
$6,182–$7,728 |
varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$24,701.40 |
$41,169 |
2.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$7,515.60 |
$12,526 |
2.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,515.60 |
$12,526 |
2.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$76,555.80 |
$127,593 |
2.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$19,761 |
$32,935 |
2.0× |
| Insrt heart pm atrial & vent (33208) |
$24,988.80 |
$41,648 |
2.0× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$3,199.20 |
$5,332 |
2.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$954 |
$1,590 |
2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$934.20 |
$1,557 |
1.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,216.20 |
$2,027 |
1.9× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$543 |
$905 |
1.9× |
| Intraoral i&d tongue/floor submental space (41007) |
$3,463.20 |
$5,772 |
1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$7,582.20 |
$12,637 |
1.9× |
| Intro cath dialysis circuit (36901) |
$4,636.80 |
$7,728 |
2.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$33,848.40 |
$56,414 |
2.5× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$13,614 |
$22,690 |
2.0× |
| Intubation endotracheal emergency procedure (31500) |
$554.40 |
$924 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$580.80 |
$968 |
2.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$13,641 |
$22,735 |
1.9× |
| Laryngoscopy flexible diagnostic (31575) |
$463.80 |
$773 |
2.0× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$927 |
$1,545 |
2.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$453.60 |
$756 |
1.9× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$4,117.80 |
$6,863 |
2.0× |
| Ligation of a-v fistula (37607) |
$7,359 |
$12,265 |
2.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$7,434 |
$12,390 |
1.9× |
| Mech remov tunneled cv cath (36595) |
$7,515.60 |
$12,526 |
2.0× |
| Myelography Lumbar Injection (62305) |
$1,847.40 |
$3,079 |
2.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,847.40 |
$3,079 |
2.0× |
| N Block Inj Celiac Pelus (64530) |
$2,125.80 |
$3,543 |
2.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,619.40 |
$2,699 |
1.9× |
| N block inj intercost sng (64420) |
$1,653.60 |
$2,756 |
2.0× |
| N Block Inj Paracervical (64435) |
$1,619.40 |
$2,699 |
1.9× |
| N Block Inj Pudendal (64430) |
$2,081.40 |
$3,469 |
2.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$952.80 |
$1,588 |
1.8× |
| Needle Biopsy Lymph Nodes (38505) |
$3,868.80 |
$6,448 |
2.0× |
| Needle Biopsy Pancreas (48102) |
$3,868.80 |
$6,448 |
2.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$2,098.20 |
$3,497 |
5.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$705 |
$1,175 |
1.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$8,426.40 |
$14,044 |
2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,125.80 |
$3,543 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$2,125.80 |
$3,543 |
2.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,593.60 |
$2,656 |
1.9× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$954 |
$1,590 |
2.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$954 |
$1,590 |
2.0× |
| Obstructive material removal from gi tube (49460) |
$2,798.40 |
$4,664 |
2.6× |
| Occipital Nerve Block (64405) |
$705 |
$1,175 |
1.9× |
| Open/Perq Place Stent Same (37238) |
$27,078.60 |
$45,131 |
2.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$31,074.60 |
$51,791 |
2.5× |
| Perc Rf Ablate Renal Tumor (50592) |
$13,931.40 |
$23,219 |
2.0× |
| Percut Ablate Liver Rf (47382) |
$13,931.40 |
$23,219 |
2.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,680 |
$2,800 |
2.0× |
| Pericardiocentesis W/Imaging (33016) |
$3,709.20 |
$6,182 |
2.0× |
| Perq Lumbosacral Injection (22511) |
$7,747.20 |
$12,912 |
2.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,693.20 |
$2,822 |
2.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$33,848.40 |
$56,414 |
2.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$17,017.80 |
$28,363 |
2.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$17,057.40 |
$28,429 |
2.0× |
| Perq Vertebral Augmentation (22513) |
$17,057.40 |
$28,429 |
2.0× |
| Place Duod/Jej Tube Perc (49441) |
$4,529.40 |
$7,549 |
2.0× |
| Placement of needle for intraosseous infusion (36680) |
$952.80 |
$1,588 |
1.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$6,114 |
$10,190 |
2.5× |
| Plmt Nephroureteral Catheter (50433) |
$10,294.80 |
$17,158 |
2.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$8,235.60 |
$13,726 |
2.0× |
| Prim art mech thrombectomy (37184) |
$42,876.60 |
$71,461 |
2.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$6,411.60 |
$10,686 |
2.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,680 |
$2,800 |
2.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$8,426.40 |
$14,044 |
2.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$8,426.40 |
$14,044 |
2.0× |
| Pseudoaneurysm Injection Trt (36002) |
$1,476 |
$2,460 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$954 |
$1,590 |
2.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$954 |
$1,590 |
2.0× |
| Relocation Pocket Pacemaker (33222) |
$4,368 |
$7,280 |
1.8× |
| Rem Endovas Vena Cava Filter (37193) |
$7,515.60 |
$12,526 |
2.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$2,238.60 |
$3,731 |
2.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$714 |
$1,190 |
1.9× |
| Removal Foreign Body Foot Complicated (28193) |
$3,868.80 |
$6,448 |
2.0× |
| Removal foreign body foot deep (28192) |
$3,868.80 |
$6,448 |
2.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,680 |
$2,800 |
2.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,868.80 |
$6,448 |
2.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$7,585.80 |
$12,643 |
2.0× |
| Removal Foreign Body Scrotum (55120) |
$4,789.20 |
$7,982 |
1.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$6,691.80 |
$11,153 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$141.60 |
$236 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$141.60 |
$236 |
2.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$7,591.80 |
$12,653 |
2.0× |
| Removal of foreign body from pharynx (42809) |
$952.80 |
$1,588 |
1.8× |
| Removal of nail bed (11750) |
$954 |
$1,590 |
2.0× |
| Removal Pacemaker Electrode (33235) |
$8,689.80 |
$14,483 |
2.0× |
| Removal ppm generator only (33233) |
$19,761 |
$32,935 |
2.0× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$6,691.80 |
$11,153 |
2.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,680 |
$2,800 |
2.0× |
| Remove Forearm Foreign Body (25248) |
$3,821.40 |
$6,369 |
2.0× |
| Remove foreign body from eye (65205) |
$307.80 |
$513 |
2.0× |
| Remove Intrauterine Device (58301) |
$726.60 |
$1,211 |
2.0× |
| Remove intrvas foreign body (37197) |
$7,515.60 |
$12,526 |
2.0× |
| Remove lung catheter (32552) |
$1,476 |
$2,460 |
2.0× |
| Remove Nasal Foreign Body (30300) |
$307.80 |
$513 |
2.0× |
| Remove renal tube w/fluoro (50389) |
$1,593.60 |
$2,656 |
1.9× |
| Remove Shoulder Foreign Body (23330) |
$3,868.80 |
$6,448 |
2.0× |
| Remove&replace pm gen singl (33227) |
$19,761 |
$32,935 |
2.0× |
| Remv&replc cvd gen dual lead (33263) |
$53,596.80 |
$89,328 |
2.0× |
| Remv&replc cvd gen mult lead (33264) |
$76,555.80 |
$127,593 |
2.1× |
| Remv&replc cvd gen sing lead (33262) |
$53,596.80 |
$89,328 |
2.0× |
| Remv&replc pm gen dual lead (33228) |
$24,988.80 |
$41,648 |
2.0× |
| Remv&replc pm gen mult leads (33229) |
$45,537.60 |
$75,896 |
2.0× |
| Renal Biopsy Perq (50200) |
$3,868.80 |
$6,448 |
2.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,461.60 |
$2,436 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,461.60 |
$2,436 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$954 |
$1,590 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,461.60 |
$2,436 |
3.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,431 |
$2,385 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,461.60 |
$2,436 |
1.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,821.40 |
$6,369 |
2.0× |
| Repair Eyelid Wound (67935) |
$5,454.60 |
$9,091 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$954 |
$1,590 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$954 |
$1,590 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$954 |
$1,590 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$954 |
$1,590 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,461.60 |
$2,436 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$954 |
$1,590 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,461.60 |
$2,436 |
1.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$4,276.80 |
$7,128 |
1.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,461.60 |
$2,436 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$954 |
$1,590 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$4,368 |
$7,280 |
1.8× |
| Repair Laceration Palate </2 Cm (42180) |
$1,190.40 |
$1,984 |
1.9× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$13,831.20 |
$23,052 |
2.0× |
| Repair of nail bed (11760) |
$1,461.60 |
$2,436 |
1.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$16,702.20 |
$27,837 |
1.9× |
| Repair tongue laceration (41252) |
$554.40 |
$924 |
2.0× |
| Repair tongue laceration (41250) |
$952.80 |
$1,588 |
1.8× |
| Replace G-J Tube Perc (49452) |
$2,798.40 |
$4,664 |
2.6× |
| Replace g/c tube perc (49450) |
$2,798.40 |
$4,664 |
2.6× |
| Reposition Gastrostomy Tube (43761) |
$580.80 |
$968 |
2.0× |
| Reposition Pacing-Defib Lead (33215) |
$7,515.60 |
$12,526 |
2.0× |
| Reposition Venous Catheter (36597) |
$3,709.20 |
$6,182 |
2.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$13,614 |
$22,690 |
2.0× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$11,757.60 |
$19,596 |
1.7× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$11,757.60 |
$19,596 |
1.7× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$37,869.60 |
$63,116 |
1.7× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$37,869.60 |
$63,116 |
1.7× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$37,869.60 |
$63,116 |
1.7× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$37,869.60 |
$63,116 |
1.7× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$23,848.20 |
$39,747 |
1.7× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$23,848.20 |
$39,747 |
1.7× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$11,757.60 |
$19,596 |
1.7× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$11,757.60 |
$19,596 |
1.7× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$23,848.20 |
$39,747 |
1.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$23,848.20 |
$39,747 |
1.7× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$23,848.20 |
$39,747 |
1.7× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$23,848.20 |
$39,747 |
1.7× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$37,869.60 |
$63,116 |
1.7× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$37,869.60 |
$63,116 |
1.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$4,789.20 |
$7,982 |
1.9× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,463.20 |
$5,772 |
1.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,190.40 |
$1,984 |
1.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$2,238.60 |
$3,731 |
2.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$952.80 |
$1,588 |
1.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$307.80 |
$513 |
2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$952.80 |
$1,588 |
1.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,815.20 |
$4,692 |
2.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$6,834 |
$11,390 |
2.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$6,691.80 |
$11,153 |
2.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$3,868.80 |
$6,448 |
2.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$3,709.20 |
$6,182 |
2.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,476 |
$2,460 |
2.0× |
| Rplc Gtube No Revj Trc (43762) |
$580.80 |
$968 |
2.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$7,359 |
$12,265 |
2.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$7,515.60 |
$12,526 |
2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$474.60 |
$791 |
2.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,461.60 |
$2,436 |
1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$554.40 |
$924 |
2.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,216.20 |
$2,027 |
1.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,216.20 |
$2,027 |
1.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$3,463.20 |
$5,772 |
1.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$7,747.20 |
$12,912 |
2.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$7,585.80 |
$12,643 |
2.0× |
| Sclerotx Fluid Collection (49185) |
$3,868.80 |
$6,448 |
2.0× |
| Sigmoidoscopy w/fb removal (45332) |
$2,757 |
$4,595 |
2.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,176.80 |
$3,628 |
2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$954 |
$1,590 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$474.60 |
$791 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$474.60 |
$791 |
2.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$954 |
$1,590 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$474.60 |
$791 |
2.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$474.60 |
$791 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$474.60 |
$791 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$474.60 |
$791 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$474.60 |
$791 |
2.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$12,907.80 |
$21,513 |
2.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$7,515.60 |
$12,526 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$474.60 |
$791 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$954 |
$1,590 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$954 |
$1,590 |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$1,653.60 |
$2,756 |
2.0× |
| Strapping ankle (29540) |
$376.80 |
$628 |
2.0× |
| Strapping elbow or wrist (29260) |
$141.60 |
$236 |
2.0× |
| Strapping hand/finger (29280) |
$141.60 |
$236 |
2.0× |
| Strapping Hip (29520) |
$307.80 |
$513 |
2.0× |
| Strapping knee (29530) |
$307.80 |
$513 |
2.0× |
| Strapping shoulder (29240) |
$307.80 |
$513 |
2.0× |
| Strapping toes (29550) |
$141.60 |
$236 |
2.0× |
| Strapping Unna Boot (29580) |
$376.80 |
$628 |
2.0× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$5,454.60 |
$9,091 |
1.9× |
| Tangential biopsy skin single lesion (11102) |
$474.60 |
$791 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$45,537.60 |
$75,896 |
2.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,653.60 |
$2,756 |
2.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$42,876.60 |
$71,461 |
2.0× |
| Thromblytic art/ven therapy (37213) |
$7,515.60 |
$12,526 |
2.0× |
| Thrombolytic Art Therapy (37211) |
$12,907.80 |
$21,513 |
2.0× |
| Thrombolytic Therapy Stroke (37195) |
$792 |
$1,320 |
2.0× |
| Thrombolytic Venous Therapy (37212) |
$7,515.60 |
$12,526 |
2.0× |
| Thyroid biopsy (60100) |
$1,680 |
$2,800 |
2.0× |
| Transcatheter biopsy (37200) |
$12,907.80 |
$21,513 |
2.0× |
| Treat Dental Ridge Fracture (21440) |
$7,582.20 |
$12,637 |
1.9× |
| Treat Hip Socket Fracture (27222) |
$561 |
$935 |
1.9× |
| Treat humerus fracture (24500) |
$573 |
$955 |
2.0× |
| Treat Humerus Fracture (24505) |
$3,821.40 |
$6,369 |
2.0× |
| Treat humerus fracture (23600) |
$573 |
$955 |
2.0× |
| Treat knee fracture (27532) |
$7,747.20 |
$12,912 |
2.0× |
| Treat Knee Fracture(S) (27538) |
$561 |
$935 |
1.9× |
| Treat Knuckle Dislocation (26700) |
$573 |
$955 |
2.0× |
| Treat Metatarsal Fracture (28475) |
$573 |
$955 |
2.0× |
| Treat Tail Bone Fracture (27200) |
$561 |
$935 |
1.9× |
| Treat Thumb Dislocation (26641) |
$573 |
$955 |
2.0× |
| Treat Thumb Fracture (26645) |
$3,741.60 |
$6,236 |
2.0× |
| Treat toe dislocation (28630) |
$573 |
$955 |
2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,821.40 |
$6,369 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$573 |
$955 |
2.0× |
| Trim skin lesion (11055) |
$474.60 |
$791 |
2.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$141.60 |
$236 |
2.0× |
| Trluml Balo Angiop 1St Art (37246) |
$13,614 |
$22,690 |
2.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$13,614 |
$22,690 |
2.0× |
| Tx Gastro Intub W/Asp (43753) |
$743.40 |
$1,239 |
2.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$7,434 |
$12,390 |
1.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,461.60 |
$2,436 |
1.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$954 |
$1,590 |
2.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,741.60 |
$6,236 |
2.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$573 |
$955 |
2.0× |
| Unlisted Cardiac Surgery (33999) |
$1,476 |
$2,460 |
2.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$376.80 |
$628 |
2.0× |
| Unlisted Procedure Male Genital System (55899) |
$580.80 |
$968 |
2.0× |
| Unlisted procedure nervous system (64999) |
$705 |
$1,175 |
1.9× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$543 |
$905 |
1.9× |
| Unlisted Procedure Rectum (45999) |
$2,176.80 |
$3,628 |
2.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,798.40 |
$4,664 |
2.6× |
| Upgrade of pacemaker system (33214) |
$31,236 |
$52,060 |
2.5× |
| Vasc embolize/occlude artery (37242) |
$42,876.60 |
$71,461 |
2.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$27,078.60 |
$45,131 |
2.0× |
| Vasc Embolize/Occlude Organ (37243) |
$27,078.60 |
$45,131 |
2.0× |
| Vasc embolize/occlude venous (37241) |
$27,078.60 |
$45,131 |
2.0× |
| Venous Mech Thrombectomy (37187) |
$27,078.60 |
$45,131 |
2.0× |
| Wedge excision skin nail fold (11765) |
$954 |
$1,590 |
2.0× |