| Abd paracentesis w/imaging (49083) |
$1,879 |
$1,879 |
2.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$208.67 |
$208.67 |
0.1× |
| Anal/Urinary Muscle Study (51784) |
$358.26 |
$358.26 |
2.9× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,067.09 |
$5,067.09 |
1.1× |
| Application cast elbow finger short arm (29075) |
$237.64 |
$237.64 |
0.9× |
| Application Cast Finger (29086) |
$69.56 |
$69.56 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$57.97 |
$57.97 |
1.0× |
| Application finger splint static (29130) |
$88.11 |
$88.11 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$129.83 |
$129.83 |
0.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$281.71 |
$281.71 |
1.0× |
| Application Long Leg Splint (29505) |
$220.27 |
$220.27 |
1.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
$115.93 |
$115.93 |
0.4× |
| Application of long leg cast (29345) |
$270.12 |
$270.12 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$355.87 |
$355.87 |
1.3× |
| Application Short Arm Splint Dynamic (29126) |
$98.55 |
$98.55 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$200 |
$200 |
1.6× |
| Apply hand/wrist cast (29085) |
$259.67 |
$259.67 |
1.7× |
| Apply long arm cast (29065) |
$191.28 |
$191.28 |
0.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$258.46 |
$258.46 |
1.6× |
| Apply Short Leg Cast (29405) |
$210.99 |
$210.99 |
0.8× |
| Apply short leg cast (29425) |
$215.63 |
$215.63 |
0.8× |
| Arterial puncture (36600) |
$84.07 |
$84.07 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$760 |
$760 |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,435 |
$1,435 |
2.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,520 |
$1,520 |
5.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,535 |
$1,535 |
5.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$710 |
$710 |
2.4× |
| Aspirate pleura w/ imaging (32555) |
$885.56 |
$885.56 |
1.5× |
| Aspirate Pleura W/O Imaging (32554) |
$118.38 |
$118.38 |
0.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$731.34 |
$731.34 |
2.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$760.07 |
$760.07 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$476.82 |
$476.82 |
2.5× |
| Biopsy muscle percutaneous needle (20206) |
$837.47 |
$837.47 |
0.5× |
| Biopsy nail unit (11755) |
$127.52 |
$127.52 |
0.2× |
| Biopsy of lip (40490) |
$127.52 |
$127.52 |
0.6× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$1,193.51 |
$1,193.51 |
0.4× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$4,777.56 |
$4,777.56 |
1.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,932.45 |
$2,932.45 |
1.8× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$220.27 |
$220.27 |
0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$289.83 |
$289.83 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$266.64 |
$266.64 |
0.3× |
| Biopsy, vestibule of mouth (40808) |
$231.86 |
$231.86 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$575.14 |
$575.14 |
0.9× |
| Bladder Irrigation (51700) |
$550 |
$550 |
2.3× |
| Bladder Scan (51798) |
$110.26 |
$110.26 |
1.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$703.69 |
$703.69 |
0.5× |
| Blood Transfusion Service (36430) |
$1,400 |
$1,400 |
3.3× |
| Bone Marrow; Aspiration Only (38220) |
$186.63 |
$186.63 |
0.1× |
| Bx breast 1st lesion strtctc (19081) |
$1,255.45 |
$1,255.45 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,255.45 |
$1,255.45 |
0.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$209.82 |
$209.82 |
0.1× |
| Bx/exc lymph node open deep axillary node (38525) |
$556.46 |
$556.46 |
0.1× |
| Bx/exc lymph node open superficial (38500) |
$415.02 |
$415.02 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$229.30 |
$229.30 |
1.0× |
| Chemical Cautery Tissue (17250) |
$110.13 |
$110.13 |
0.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$450.14 |
$450.14 |
1.5× |
| Circumcision 28 days or older (54161) |
$5,605.45 |
$5,605.45 |
2.8× |
| Circumcision Neonate (54160) |
$199.80 |
$199.80 |
0.3× |
| Clear outer ear canal (69200) |
$267.79 |
$267.79 |
2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$231.86 |
$231.86 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$718.31 |
$718.31 |
3.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,390.92 |
$1,390.92 |
5.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,365.59 |
$1,365.59 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,729.37 |
$1,729.37 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,368.85 |
$1,368.85 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$175 |
$175 |
1.4× |
| Collection of venous blood by venipuncture (36415) |
$20 |
$20 |
2.1× |
| Colonoscopy W/Band Ligation (45398) |
$3,028.12 |
$3,028.12 |
2.6× |
| Colonoscopy w/submucosal inj (45381) |
$2,829.48 |
$2,829.48 |
2.5× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$4,937.08 |
$4,937.08 |
4.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$4,792 |
$4,792 |
4.2× |
| Complex Cystometrogram (51726) |
$1,362.10 |
$1,362.10 |
5.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$202.88 |
$202.88 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$370 |
$370 |
2.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$243.44 |
$243.44 |
1.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$284.02 |
$284.02 |
1.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,382.27 |
$3,382.27 |
1.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,227.74 |
$3,227.74 |
1.6× |
| Cysto w/complex removal stone & stent (52315) |
$4,623 |
$4,623 |
2.3× |
| Cysto w/destruction of lesions (52214) |
$3,126.40 |
$3,126.40 |
0.9× |
| Cysto w/insert ureteral stent (52332) |
$9,125 |
$9,125 |
2.7× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$1,512.99 |
$1,512.99 |
0.4× |
| Cysto w/removal of lesions small (52224) |
$5,000 |
$5,000 |
1.5× |
| Cysto w/removal of tumors small (52234) |
$5,000 |
$5,000 |
1.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,123 |
$4,123 |
2.0× |
Cysto w/ureteroscopy w/lithotripsy (52353) unusually low: confirm this is the full procedure |
$2,064.05 |
$2,064.05 |
0.4× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$6,900 |
$6,900 |
2.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$5,800 |
$5,800 |
1.7× |
| Cysto/uretero w/lithotripsy (52356) |
$4,726.35 |
$4,726.35 |
0.9× |
| Cystometrogram W/Vp (51728) |
$1,627.54 |
$1,627.54 |
2.4× |
| Cystometrogram W/Vp&Up (51729) |
$1,758.54 |
$1,758.54 |
2.6× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,211.25 |
$3,211.25 |
1.6× |
| Cystourethroscopy (52000) |
$2,500 |
$2,500 |
3.7× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$1,556.91 |
$1,556.91 |
0.5× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,500 |
$3,500 |
1.7× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$5,000 |
$5,000 |
1.5× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$11,307.21 |
$11,307.21 |
2.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,112.50 |
$3,112.50 |
1.5× |
| Cystourethroscopy with biopsy (52204) |
$3,382.27 |
$3,382.27 |
1.7× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,143.63 |
$4,143.63 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$101.02 |
$101.02 |
0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$370.96 |
$370.96 |
0.5× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$2,649.27 |
$2,649.27 |
1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$527.18 |
$527.18 |
0.7× |
| Debride nail 1-5 (11720) |
$197.71 |
$197.71 |
3.5× |
| Debride nail 6 or more (11721) |
$197.71 |
$197.71 |
3.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$664.35 |
$664.35 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$815 |
$815 |
2.1× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$2,022.59 |
$2,022.59 |
2.4× |
| Destroy cerv/thor facet jnt (64633) |
$5,308.01 |
$5,308.01 |
2.8× |
| Destroy lumb/sac facet jnt (64635) |
$5,308.01 |
$5,308.01 |
2.8× |
| Destruct B9 Lesion 1-14 (17110) |
$150.71 |
$150.71 |
0.8× |
| Destruction Benign Lesions 15/> (17111) |
$178.53 |
$178.53 |
0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,022.59 |
$2,022.59 |
2.4× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$2,022.59 |
$2,022.59 |
2.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$246.92 |
$246.92 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$284.02 |
$284.02 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$284.02 |
$284.02 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$347.78 |
$347.78 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$144.91 |
$144.91 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$191.28 |
$191.28 |
1.0× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$226.06 |
$226.06 |
1.2× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$284.02 |
$284.02 |
0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$381.41 |
$381.41 |
2.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$139.11 |
$139.11 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$168.09 |
$168.09 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$202.88 |
$202.88 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$260.84 |
$260.84 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$284.02 |
$284.02 |
0.7× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$115.93 |
$115.93 |
0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,022.64 |
$2,022.64 |
1.1× |
| Destruction Premalignant Lesion 15/> (17004) |
$207.51 |
$207.51 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$104.33 |
$104.33 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$2,473.82 |
$2,473.82 |
2.8× |
| Dilate Urethra Stricture (53620) |
$460.09 |
$460.09 |
0.7× |
| Dilate Urethra Stricture (53600) |
$334.65 |
$334.65 |
1.4× |
| Drain Cerebro Spinal Fluid (62272) |
$1,605.61 |
$1,605.61 |
2.4× |
| Drain/inj small joint/bursa w/us (20604) |
$1,045 |
$1,045 |
3.5× |
| Drainage Finger Abscess Complicated (26011) |
$952.93 |
$952.93 |
0.6× |
| Drainage of finger abscess simple (26010) |
$307.21 |
$307.21 |
1.6× |
| Drainage of gum lesion (41800) |
$389.50 |
$389.50 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$988.51 |
$988.51 |
0.6× |
| Drainage of hydrocele (55000) |
$308.37 |
$308.37 |
0.5× |
| Drainage of nose lesion (30000) |
$208.67 |
$208.67 |
0.9× |
| Drainage of scrotum (54700) |
$1,122.02 |
$1,122.02 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$420.90 |
$420.90 |
3.3× |
| Dressing Change Under Anesthesia (15852) |
$126.36 |
$126.36 |
0.2× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$328.08 |
$328.08 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$402 |
$402 |
2.1× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$318.81 |
$318.81 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,022.59 |
$2,022.59 |
2.4× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,022.59 |
$2,022.59 |
2.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$4,622.42 |
$4,622.42 |
2.5× |
| Egd cautery tumor polyp (43250) |
$4,487.79 |
$4,487.79 |
2.4× |
| Egd Flexible Foreign Body Removal (43247) |
$2,857.13 |
$2,857.13 |
3.3× |
| Egd place gastrostomy tube (43246) |
$2,942.84 |
$2,942.84 |
1.6× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$799.80 |
$799.80 |
2.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$799.80 |
$799.80 |
2.7× |
| Electro-Uroflowmetry First (51741) |
$81.85 |
$81.85 |
0.4× |
| Endoscopic injection/implant (51715) |
$1,049.32 |
$1,049.32 |
0.3× |
| Epidural Blood Patch (62273) |
$1,605.61 |
$1,605.61 |
2.4× |
| Escharotomy; initial incision (16035) |
$324.59 |
$324.59 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$68.39 |
$68.39 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$169.26 |
$169.26 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$282.87 |
$282.87 |
0.2× |
| Exc Back Les Sc < 3 Cm (21930) |
$668.90 |
$668.90 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$330.39 |
$330.39 |
0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$376.75 |
$376.75 |
0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$555.29 |
$555.29 |
0.3× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,171.12 |
$1,171.12 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$186.64 |
$186.64 |
0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$234.17 |
$234.17 |
0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$261.99 |
$261.99 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$313 |
$313 |
0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$397.63 |
$397.63 |
0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,393.62 |
$1,393.62 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$169.26 |
$169.26 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$217.94 |
$217.94 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$244.61 |
$244.61 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$500 |
$500 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$325.75 |
$325.75 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$440.52 |
$440.52 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$419.66 |
$419.66 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,212.93 |
$1,212.93 |
0.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$205.19 |
$205.19 |
0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$500 |
$500 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$302.57 |
$302.57 |
0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$644.56 |
$644.56 |
0.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,316.94 |
$1,316.94 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$943.64 |
$943.64 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$473.95 |
$473.95 |
0.3× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,028.72 |
$1,028.72 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$405.75 |
$405.75 |
0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$391.83 |
$391.83 |
0.6× |
| Excision Chalazion Single (67800) |
$474.03 |
$474.03 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$266.64 |
$266.64 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$316.49 |
$316.49 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$343.14 |
$343.14 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$438.20 |
$438.20 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$277.08 |
$277.08 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$449.80 |
$449.80 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$270.12 |
$270.12 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$317.64 |
$317.64 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$354.74 |
$354.74 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$474.15 |
$474.15 |
0.3× |
| Excision nasal polyp(s) simple (30110) |
$381.41 |
$381.41 |
0.3× |
| Excision of hydrocele; unilateral (55040) |
$4,175.30 |
$4,175.30 |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$388.35 |
$388.35 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$613.16 |
$613.16 |
0.5× |
| Excision spermatocele w/wo epididymectomy (54840) |
$1,685.78 |
$1,685.78 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$344.31 |
$344.31 |
0.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$521.67 |
$521.67 |
0.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$626.01 |
$626.01 |
0.4× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$347.78 |
$347.78 |
0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$496.96 |
$496.96 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$278.23 |
$278.23 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$463.71 |
$463.71 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$324.59 |
$324.59 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$208.67 |
$208.67 |
0.5× |
| Fna bx w/us gdn 1st les (10005) |
$2,200 |
$2,200 |
3.2× |
| Guide Cathet Fluid Drainage (10030) |
$710 |
$710 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$804.74 |
$804.74 |
0.9× |
| I&d abscess simple (10060) |
$641.21 |
$641.21 |
3.3× |
| I&d perianal abscess superficial (46050) |
$2,100 |
$2,100 |
2.3× |
| I&d pilonidal cyst complicated (10081) |
$557.61 |
$557.61 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$311.84 |
$311.84 |
0.5× |
| Implant neuroelectrodes (63650) |
$18,186.75 |
$18,186.75 |
3.0× |
Implant Neuroelectrodes (64561) unusually low: confirm this is the full procedure |
$3,043.95 |
$3,043.95 |
0.5× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$85,620.06 |
$85,620.06 |
4.6× |
| Implant Spine Infusion Pump (62362) |
$49,454.63 |
$49,454.63 |
2.8× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$13,143.18 |
$13,143.18 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,040 |
$1,040 |
2.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$666.59 |
$666.59 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$384.88 |
$384.88 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,000 |
$1,000 |
2.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$379.08 |
$379.08 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$173.89 |
$173.89 |
0.6× |
| Incision of rectal abscess (46040) |
$752.37 |
$752.37 |
0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,381.41 |
$2,381.41 |
2.8× |
| Inj W/Fluor Eval Cv Device (36598) |
$798.37 |
$798.37 |
3.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$655.09 |
$655.09 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$731.34 |
$731.34 |
2.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,022.59 |
$2,022.59 |
2.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,680.95 |
$1,680.95 |
2.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,022.59 |
$2,022.59 |
2.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,680.95 |
$1,680.95 |
2.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$3,211.14 |
$3,211.14 |
4.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$731.34 |
$731.34 |
2.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,022.70 |
$2,022.70 |
2.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,605.61 |
$1,605.61 |
2.4× |
| Injection for identification of sentinel node (38792) |
$52.17 |
$52.17 |
0.1× |
| Injection into disk lesion (62292) |
$4,949.12 |
$4,949.12 |
2.6× |
| Injection into spinal artery (62294) |
$2,022.59 |
$2,022.59 |
2.4× |
| Injection procedure for peyronie disease (54200) |
$312.40 |
$312.40 |
1.3× |
| Injection single tendon origin/insertion (20551) |
$600 |
$600 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$731.34 |
$731.34 |
2.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$731.34 |
$731.34 |
2.5× |
| Injection therapeutic carpal tunnel (20526) |
$1,500 |
$1,500 |
5.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,022.59 |
$2,022.59 |
2.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,605.61 |
$1,605.61 |
2.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,680.95 |
$1,680.95 |
2.5× |
| Injection, anesthetic agent; vagus nerve (64408) |
$731.34 |
$731.34 |
2.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$133.31 |
$133.31 |
0.7× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$2,022.59 |
$2,022.59 |
2.4× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$2,022.59 |
$2,022.59 |
2.4× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$2,022.59 |
$2,022.59 |
2.4× |
| Insert Bladder Cath Complex (51703) |
$472.51 |
$472.51 |
3.8× |
| Insert Drug Implant Device (11981) |
$988.51 |
$988.51 |
7.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,967.13 |
$2,967.13 |
1.6× |
Insert multi-comp penis pros (54405) likely a partial charge, not the full procedure |
$4,246.28 |
$4,246.28 |
0.2× |
| Insert pessary/other device (57160) |
$155.83 |
$155.83 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$298.07 |
$298.07 |
2.3× |
| Insert tunneled cv cath (36561) |
$6,500 |
$6,500 |
2.1× |
Insert Uro/Ves Nck Sphincter (53445) likely a partial charge, not the full procedure |
$3,953.50 |
$3,953.50 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$303.52 |
$303.52 |
2.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$3,000 |
$3,000 |
2.0× |
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) likely a partial charge, not the full procedure |
$1,660.73 |
$1,660.73 |
0.1× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$85,620.06 |
$85,620.06 |
2.9× |
| Intubation endotracheal emergency procedure (31500) |
$470.56 |
$470.56 |
2.1× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) unusually low: confirm this is the full procedure |
$5,024.53 |
$5,024.53 |
0.5× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$5,667.59 |
$5,667.59 |
0.6× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$6,551.79 |
$6,551.79 |
0.6× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) unusually low: confirm this is the full procedure |
$3,516.56 |
$3,516.56 |
0.3× |
| Laser vaporization of prostate (52648) |
$6,701.22 |
$6,701.22 |
1.3× |
| Ligation of hemorrhoids (46946) |
$1,144.38 |
$1,144.38 |
0.4× |
| Ligation or biopsy temporal artery (37609) |
$970.31 |
$970.31 |
0.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$2,493.21 |
$2,493.21 |
0.7× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,156.50 |
$6,156.50 |
1.8× |
| Lithotripsy, extracorporeal shock wave (50590) |
$6,085.60 |
$6,085.60 |
1.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$503.12 |
$503.12 |
0.2× |
| N Block Inj Celiac Pelus (64530) |
$2,022.59 |
$2,022.59 |
2.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,605.61 |
$1,605.61 |
2.4× |
| N block inj intercost sng (64420) |
$1,605.61 |
$1,605.61 |
2.4× |
| N Block Inj Pudendal (64430) |
$2,022.59 |
$2,022.59 |
2.4× |
| N Block Lumbar/Thoracic (64520) |
$2,022.59 |
$2,022.59 |
2.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,022.59 |
$2,022.59 |
2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$984.70 |
$984.70 |
3.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$7,000 |
$7,000 |
2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,381.41 |
$2,381.41 |
2.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$2,381.41 |
$2,381.41 |
2.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,964.43 |
$1,964.43 |
2.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,605.61 |
$1,605.61 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,765.49 |
$1,765.49 |
2.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,381.41 |
$2,381.41 |
2.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,964.43 |
$1,964.43 |
2.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$2,022.59 |
$2,022.59 |
2.4× |
| Occipital Nerve Block (64405) |
$984.70 |
$984.70 |
3.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$2,651.43 |
$2,651.43 |
0.8× |
| Penile Injection (54235) |
$385.51 |
$385.51 |
1.6× |
| Perq dev breast 1st strtctc (19283) |
$372.11 |
$372.11 |
0.5× |
| Perq device breast 1st imag (19281) |
$388.05 |
$388.05 |
0.2× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$4,568 |
$4,568 |
0.5× |
| Place Rt Device/Marker Pros (55876) |
$387.85 |
$387.85 |
0.3× |
| Prostatic Rf Thermotx (53852) |
$3,267.89 |
$3,267.89 |
1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$18,186.75 |
$18,186.75 |
3.0× |
| Punch biopsy skin single lesion (11104) |
$205 |
$205 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$710 |
$710 |
1.8× |
| Puncture Aspiration Cyst Breast (19000) |
$156.51 |
$156.51 |
0.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,605.61 |
$1,605.61 |
2.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,022.64 |
$2,022.64 |
1.1× |
| Relieve Pressure on Nerve(S) (64722) |
$4,949.20 |
$4,949.20 |
2.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$556.46 |
$556.46 |
0.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,550.57 |
$1,550.57 |
2.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$225 |
$225 |
4.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$70.71 |
$70.71 |
1.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,000 |
$2,000 |
1.3× |
| Removal of nail bed (11750) |
$461.34 |
$461.34 |
1.2× |
| Removal of testis (54520) |
$1,713.03 |
$1,713.03 |
0.5× |
| Removal or bivalving full arm or full leg cast (29705) |
$100.86 |
$100.86 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$122.88 |
$122.88 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$88.11 |
$88.11 |
0.3× |
| Remove Nasal Foreign Body (30300) |
$231.86 |
$231.86 |
1.8× |
Remove prostate regrowth (52630) unusually low: confirm this is the full procedure |
$2,100.36 |
$2,100.36 |
0.4× |
| Remove Shoulder Foreign Body (23330) |
$231.86 |
$231.86 |
0.1× |
| Repair of nail bed (11760) |
$542.54 |
$542.54 |
0.8× |
| Repair tongue laceration (41250) |
$214.47 |
$214.47 |
0.5× |
| Retrobulbar injection (67500) |
$849.98 |
$849.98 |
2.8× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$675.68 |
$675.68 |
0.2× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$18,545.59 |
$18,545.59 |
3.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$8,517.01 |
$8,517.01 |
2.5× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$422.30 |
$422.30 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$602.83 |
$602.83 |
0.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$288.65 |
$288.65 |
0.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$4,949.20 |
$4,949.20 |
2.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$5,308.01 |
$5,308.01 |
2.8× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$13,143.10 |
$13,143.10 |
4.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,725 |
$1,725 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$421.98 |
$421.98 |
0.7× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$176.21 |
$176.21 |
0.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$132.16 |
$132.16 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$155.33 |
$155.33 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$257.37 |
$257.37 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$135.64 |
$135.64 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$166.93 |
$166.93 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$110.13 |
$110.13 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$162.31 |
$162.31 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$154.18 |
$154.18 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$220.27 |
$220.27 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$163.46 |
$163.46 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$139.11 |
$139.11 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$273.59 |
$273.59 |
1.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,539.14 |
$2,539.14 |
2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$309.53 |
$309.53 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$436.72 |
$436.72 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$231.86 |
$231.86 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$475 |
$475 |
2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$214.47 |
$214.47 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$4,296.26 |
$4,296.26 |
6.0× |
| Skin sub graft trnk/arm/leg (15271) |
$988.51 |
$988.51 |
1.4× |
| Skin sub grft t/arm/lg child (15273) |
$9,820.05 |
$9,820.05 |
4.9× |
| Skn sub grft f/n/hf/g child (15277) |
$9,820.05 |
$9,820.05 |
4.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$2,998.49 |
$2,998.49 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$213.15 |
$213.15 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$255.04 |
$255.04 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$347.78 |
$347.78 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,605.61 |
$1,605.61 |
2.4× |
| Strapping ankle (29540) |
$88.11 |
$88.11 |
0.6× |
| Strapping elbow or wrist (29260) |
$69.56 |
$69.56 |
1.2× |
| Strapping hand/finger (29280) |
$81.14 |
$81.14 |
1.4× |
| Strapping knee (29530) |
$63.76 |
$63.76 |
0.5× |
| Strapping shoulder (29240) |
$75.35 |
$75.35 |
0.6× |
| Strapping thorax (29200) |
$81.14 |
$81.14 |
0.5× |
| Strapping toes (29550) |
$46.37 |
$46.37 |
0.8× |
| Strapping Unna Boot (29580) |
$197.71 |
$197.71 |
1.3× |
| Surg Implnt Neuroelect,Epidural (63655) |
$32,963.56 |
$32,963.56 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$141.43 |
$141.43 |
0.4× |
| Transur electr resection of prostate (52601) |
$8,282.16 |
$8,282.16 |
1.6× |
| Transurethral resection bladder neck (52500) |
$2,560.49 |
$2,560.49 |
0.8× |
| Trim skin lesion (11055) |
$47.53 |
$47.53 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$57.97 |
$57.97 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$399.95 |
$399.95 |
0.6× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$731.34–$1,215.92 |
$731.34–$1,215.92 |
varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,675 |
$4,675 |
2.3× |