| Abd paracentesis w/imaging (49083) |
$394.50 |
$657.50 |
0.5× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$7,804.20 |
$13,007 |
0.5× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$12,099 |
$20,165 |
1.2× |
| Abltj 1/> lvr tum prq rf (47382) |
$4,800 |
$8,000 |
0.9× |
| Amniocentesis diagnostic (59000) |
$186.39 |
$310.65 |
0.2× |
| Amputation Finger/Thumb (26951) |
$4,446 |
$7,410 |
1.5× |
| Anoscopy diagnostic (46600) |
$131.27 |
$218.78 |
1.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$111.23 |
$185.39 |
0.7× |
| Application cast elbow finger short arm (29075) |
$141.94 |
$236.57 |
0.5× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$123.44 |
$205.73 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$139.61 |
$232.68 |
0.5× |
| Application finger splint static (29130) |
$69 |
$115 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$204.60 |
$341 |
1.4× |
| Application long leg splint thigh ankle/toes (29505) |
$153.12 |
$255.20 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$483 |
$805 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$204.60 |
$341 |
1.7× |
| Application short leg splint calf foot (29515) |
$153.12 |
$255.20 |
1.0× |
| Apply short leg cast (29405) |
$186 |
$310 |
0.7× |
| Apply short leg cast (29425) |
$197.57 |
$329.28 |
0.8× |
| Arterial puncture (36600) |
$177 |
$295 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$238.20 |
$397 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$214.48 |
$357.46 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$430.20 |
$717 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$238.20 |
$397 |
0.8× |
| Aspir/inj thyroid cyst (60300) |
$703.80 |
$1,173 |
1.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$238.32 |
$397.19 |
0.8× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,100 |
$3,500 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$147.18 |
$245.30 |
0.8× |
Biliary Endoscopy Percut,Dil Strict (47555)
unusually low: confirm this is the full procedure |
$2,071.20 |
$3,452 |
0.3× |
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure |
$2,651.51 |
$4,419.18 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$1,695.30 |
$2,825.50 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,367.22 |
$2,278.70 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$1,945.92 |
$3,243.20 |
0.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$520.30 |
$867.16 |
0.6× |
| Biopsy external ear (69100) |
$197.52 |
$329.20 |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$554.40 |
$924 |
0.4× |
| Biopsy of penis (54100) |
$1,622.70 |
$2,704.50 |
1.1× |
| Biopsy of uterus lining (58100) |
$170.10 |
$283.50 |
0.9× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$669.48 |
$1,115.80 |
0.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$346.86 |
$578.10 |
0.4× |
| Bladder Irrigation Simple (51700) |
$152.40 |
$254 |
0.7× |
| Bladder Scan (51798) |
$120.27 |
$200.45 |
2.2× |
| Blepharoplasty upper eyelid (15822) |
$3,006 |
$5,010 |
1.6× |
| Blood patch (62273) |
$720.60 |
$1,201 |
1.1× |
| Blood transfusion service (36430) |
$391.20 |
$652 |
1.0× |
| Bone marrow aspiration only (38220) |
$216 |
$360 |
0.1× |
| Bone Marrow Biopsy (38221) |
$1,455.30 |
$2,425.50 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,382.70 |
$2,304.50 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$2,229 |
$3,715 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$2,229 |
$3,715 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$285.60 |
$476 |
0.2× |
| Bx vulva/perineum 1 lesion (56605) |
$239.40 |
$399 |
0.3× |
| Bx/exc lymph node needle superficial (38505) |
$2,229 |
$3,715 |
1.5× |
| Canthotomy Separate Procedure (67715) |
$2,719.80 |
$4,533 |
1.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$298.80 |
$498 |
1.5× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$127.55 |
$212.59 |
0.5× |
| Cessj Therapy Cath Removal (37214) |
$2,649 |
$4,415 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$274.52 |
$457.53 |
1.2× |
| Change g-tube to g-j perc (49446) |
$1,053.60 |
$1,756 |
0.6× |
| Chemical Cautery Tissue (17250) |
$104.76 |
$174.60 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$120.51 |
$200.85 |
1.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,440 |
$2,400 |
0.7× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$1,957.20 |
$3,262 |
0.6× |
| Circumcision (54150) |
$2,877 |
$4,795 |
1.5× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$404.40 |
$674 |
1.4× |
| Closed Rx Radial Shaft Fx (25500) |
$139.61 |
$232.68 |
0.6× |
| Closed Rx Tibia Shaft Fx (27750) |
$139.61 |
$232.68 |
0.6× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,825.80 |
$3,043 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$157.68 |
$262.80 |
0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$200.64 |
$334.40 |
0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$292.20 |
$487 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$530.88 |
$884.80 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$222.72 |
$371.20 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$304.32 |
$507.20 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$139.61 |
$232.68 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$139.61 |
$232.68 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$139.61 |
$232.68 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$365.76 |
$609.60 |
1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$161.28 |
$268.80 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$212.64 |
$354.40 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$161.28 |
$268.80 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$274.50 |
$457.50 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$130.20 |
$217 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$256.88 |
$428.14 |
0.9× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$190.50 |
$317.50 |
0.7× |
| Complete replacement picc rs&i (36584) |
$952.80 |
$1,588 |
0.7× |
| Complex Drainage, Wound (10180) |
$1,913.79 |
$3,189.65 |
0.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$186.91 |
$311.52 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$204.60 |
$341 |
1.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,229 |
$3,715 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$81.56 |
$135.94 |
0.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$2,654.51 |
$4,424.18 |
0.8× |
| Debride nail 1-5 (11720) |
$75.87 |
$126.45 |
1.4× |
| Debride nail 6 or more (11721) |
$75.74 |
$126.24 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$535.80 |
$893 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$963 |
$1,605 |
1.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,229 |
$3,715 |
1.5× |
| Declot vascular device (36593) |
$183.22 |
$305.36 |
0.6× |
| Destroy cerv/thor facet jnt (64633) |
$4,470.96 |
$7,451.60 |
2.5× |
| Destroy lumb/sac facet jnt (64635) |
$997.70 |
$1,662.84 |
0.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$315.67 |
$526.12 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$812.07 |
$1,353.45 |
4.4× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,080 |
$1,800 |
1.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$111.72 |
$186.20 |
0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$111.72 |
$186.20 |
0.6× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$111.72 |
$186.20 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$111.72 |
$186.20 |
0.6× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$225.56 |
$375.93 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$109.10 |
$181.84 |
0.6× |
| Destruction vaginal lesions simple (57061) |
$217.80 |
$363 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,015.20 |
$1,692 |
1.5× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$2,860.20 |
$4,767 |
2.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$213.83 |
$356.38 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$757.91 |
$1,263.18 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$204.60 |
$341 |
1.1× |
| Drainage of gum lesion (41800) |
$96.48 |
$160.80 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$1,001.82 |
$1,669.70 |
0.7× |
| Drainage of perirenal or renal abscess, open (50020) |
$1,296 |
$2,160 |
0.7× |
| Draw blood off venous device (36591) |
$67.20 |
$112 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$157.26 |
$262.09 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$115.86 |
$193.10 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.30 |
$325.50 |
1.0× |
| Dry Needling 3+ Muscles (20561) |
$57.60 |
$96 |
2.1× |
| Dx bone marrow bx & aspir (38222) |
$4,266 |
$7,110 |
1.6× |
| Egd place gastrostomy tube (43246) |
$718.32 |
$1,197.20 |
0.4× |
| Endocervical Curettage (57505) |
$520.30 |
$867.16 |
0.6× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,817.21 |
$3,028.68 |
0.9× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,158.27 |
$3,597.12 |
0.6× |
| Esoph scope w/submucous inj (43201) |
$968.16 |
$1,613.60 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,607.52 |
$2,679.20 |
1.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,155.20 |
$3,592 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$447.60 |
$746 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$453.61 |
$756.02 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$469.77 |
$782.95 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$333.48 |
$555.80 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$488.41 |
$814.02 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,171.73 |
$1,952.88 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,171.73 |
$1,952.88 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,490.69 |
$2,484.48 |
1.0× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$351.36 |
$585.60 |
0.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$955.58 |
$1,592.64 |
0.3× |
| Exchange nephrostomy cath (50435) |
$1,167.94 |
$1,946.56 |
0.6× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$609.62 |
$1,016.04 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$351.38 |
$585.64 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$351.38 |
$585.64 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$609.62 |
$1,016.04 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$833.43 |
$1,389.05 |
1.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,144.20 |
$1,907 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,586.60 |
$4,311 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,586.60 |
$4,311 |
1.7× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$728.89 |
$1,214.82 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$472.51 |
$787.52 |
0.3× |
| Excision of nail fold toe (11765) |
$76.98 |
$128.30 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$372 |
$620 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$1,377.89 |
$2,296.48 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$844.85 |
$1,408.08 |
0.6× |
| Fetal Contraction Stress Test (59020) |
$328.80 |
$548 |
1.8× |
| Fetal non-stress test (59025) |
$269.40 |
$449 |
1.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$292.08 |
$486.80 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$157.32 |
$262.20 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$130.25 |
$217.08 |
0.6× |
| Guide Cathet Fluid Drainage (10030) |
$441.03 |
$735.05 |
0.7× |
| I&d abscess simple (10060) |
$225 |
$375 |
1.2× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,347.36 |
$2,245.60 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$98.88 |
$164.80 |
0.2× |
| Image Cath Fluid Colxn Visc (49405) |
$1,266 |
$2,110 |
0.8× |
| Image Cath Fluid Peri/Retro (49406) |
$1,061.76 |
$1,769.60 |
0.7× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$788.64 |
$1,314.40 |
0.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$315 |
$525 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,138.15 |
$5,230.25 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,490.69 |
$2,484.48 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$357.60 |
$596 |
0.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$166.77 |
$277.95 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$228.46 |
$380.78 |
0.8× |
| Incision of achilles tendon (27605) |
$2,888.05 |
$4,813.41 |
1.9× |
| Incision of rectal abscess (46040) |
$1,335.83 |
$2,226.38 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$430.08 |
$716.80 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$60.32 |
$100.53 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$720 |
$1,200 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$238.32 |
$397.19 |
0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$720 |
$1,200 |
0.9× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$594 |
$990 |
0.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$502.80 |
$838 |
0.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$398.40 |
$664 |
0.6× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$488.16 |
$813.60 |
0.6× |
| Inject Nerv Blck,Pudendal (64430) |
$838.80 |
$1,398 |
1.0× |
| Inject Rx Celiac Plexus Nerve (64680) |
$977.76 |
$1,629.60 |
1.2× |
| Inject Sinus Tract Theraputic (20500) |
$536.42 |
$894.04 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$238.43 |
$397.38 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$768 |
$1,280 |
1.2× |
| Injection for identification of sentinel node (38792) |
$597.60 |
$996 |
1.6× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$441.60 |
$736 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$190.75 |
$317.92 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$238.20 |
$397 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$91.58 |
$152.64 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$4,193.70 |
$6,989.50 |
1.4× |
| Ins cath ren art 1st unilat (36251) |
$4,193.70 |
$6,989.50 |
1.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,886.80 |
$6,478 |
1.3× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,478.50 |
$10,797.50 |
1.3× |
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure |
$2,562.60 |
$4,271 |
0.5× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$7,200 |
$12,000 |
0.7× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$7,200 |
$12,000 |
0.7× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$16,649.40 |
$27,749 |
1.7× |
| Ins vag brachytx device (57156) |
$439.80 |
$733 |
1.6× |
| Ins/Rep Subq Defibrillator (33270) |
$43,638.91 |
$72,731.52 |
1.5× |
Insert 1 electrode pm-defib (33216)
likely a partial charge, not the full procedure |
$2,103.03 |
$3,505.05 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$276 |
$460 |
2.3× |
| Insert Drug Implant Device (11981) |
$169.50 |
$282.50 |
1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,008 |
$1,680 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,232.40 |
$2,054 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$678.24 |
$1,130.40 |
0.2× |
| Insert pacing lead & connect (33224) |
$16,649.40 |
$27,749 |
1.7× |
| Insert pessary/other device (57160) |
$130.20 |
$217 |
0.7× |
| Insert picc cath (36569) |
$1,021.50 |
$1,702.50 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$695.22 |
$1,158.70 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$127.71 |
$212.85 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,024 |
$5,040 |
0.9× |
| Insert tunneled cv cath (36561) |
$2,160 |
$3,600 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$101.94 |
$169.91 |
0.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,400 |
$4,000 |
0.7× |
| Insertion of defibrillator electrode (33271) |
$15,932.03 |
$26,553.39 |
2.1× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure |
$3,465 |
$5,775 |
0.5× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$825.12 |
$1,375.20 |
0.2× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
likely a partial charge, not the full procedure |
$2,282.31 |
$3,803.85 |
0.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,680 |
$2,800 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,764 |
$2,940 |
0.6× |
| Insj/rplcmt defib w/lead(s) (33249) |
$52,428.60 |
$87,381 |
1.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$12,411 |
$20,685 |
1.6× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,014 |
$1,690 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$8,400 |
$14,000 |
0.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$3,750 |
$6,250 |
0.7× |
| Intro Gastrointestinal Tube (44500) |
$502.92 |
$838.20 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$333.94 |
$556.56 |
1.5× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$656.40 |
$1,094 |
0.1× |
| Laryngoscopy Flexible Diagnostic (31575) |
$205.44 |
$342.40 |
1.1× |
| Lithotripsy (50590) |
$9,994.48 |
$16,657.47 |
3.1× |
| Liver Biopsy (47000) |
$949.20 |
$1,582 |
0.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$907.20 |
$1,512 |
0.6× |
| Myelography Lumbar Injection (62305) |
$714.24 |
$1,190.40 |
1.0× |
| Myelography Lumbar Injection (62304) |
$525.60 |
$876 |
0.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$525.60 |
$876 |
0.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$457.20 |
$762 |
0.6× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$179.82 |
$299.70 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$45.60 |
$76 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,455.99 |
$7,426.65 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$491.30 |
$818.84 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$720 |
$1,200 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$756 |
$1,260 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$604.80 |
$1,008 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$91.20 |
$152 |
0.1× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$86.74 |
$144.57 |
0.1× |
| Open/Perq Place Stent Same (37238) |
$6,888.48 |
$11,480.80 |
0.6× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,233.50 |
$18,722.50 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$920.52 |
$1,534.20 |
0.7× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$4,800 |
$8,000 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,047.60 |
$1,746 |
1.6× |
Percut Mech Thrombectomy, Venous (37187)
unusually low: confirm this is the full procedure |
$3,989.04 |
$6,648.40 |
0.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$1,986.72 |
$3,311.20 |
0.7× |
| Pericardiocentesis W/Imaging (33016) |
$940.25 |
$1,567.08 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$990.60 |
$1,651 |
1.5× |
| Perq device breast 1st imag (19281) |
$602.40 |
$1,004 |
0.4× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,304.16 |
$2,173.60 |
0.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$89.23 |
$148.72 |
0.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$19,421.40 |
$32,369 |
1.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$6,473.40 |
$10,789 |
0.6× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$7,804.20 |
$13,007 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,804.20 |
$13,007 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,544 |
$4,240 |
0.8× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,544 |
$4,240 |
0.8× |
| Place Cath Subclavian Art (36225) |
$2,032.14 |
$3,386.90 |
0.7× |
| Place Cath Thoracic Aorta (36221) |
$1,488.73 |
$2,481.22 |
0.5× |
Place Cath Vertebral Art (36226)
unusually low: confirm this is the full procedure |
$2,371.80 |
$3,953 |
0.5× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$920.40 |
$1,534 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$129.60 |
$216 |
0.3× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$2,022.60 |
$3,371 |
1.6× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,296 |
$2,160 |
0.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,080 |
$1,800 |
0.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$1,568.16 |
$2,613.60 |
0.5× |
| Prim art mech thrombectomy (37184) |
$16,092 |
$26,820 |
0.9× |
| Probe nl duct w/balloon (68816) |
$1,954.56 |
$3,257.60 |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$307.50 |
$512.50 |
0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$1,336.80 |
$2,228 |
0.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$1,611.52 |
$2,685.87 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$210.85 |
$351.42 |
0.6× |
| Puncture Aspiration (10160) |
$301.62 |
$502.70 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$990.60 |
$1,651 |
1.5× |
| Reconstruction of nose (30400) |
$3,006 |
$5,010 |
0.5× |
| Relocation of skin pocket for pacemaker (33222) |
$2,221.03 |
$3,701.72 |
1.2× |
| Rem endovas vena cava filter (37193) |
$1,920 |
$3,200 |
0.7× |
| Removal biliary drg cath (47537) |
$986.43 |
$1,644.05 |
1.2× |
| Removal fb intranasal (30300) |
$102.19 |
$170.32 |
0.8× |
| Removal Foreign Body Foot Complicated (28193) |
$609.60 |
$1,016 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$609.60 |
$1,016 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,911 |
$3,185 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$79.73 |
$132.88 |
1.5× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$4,846.20 |
$8,077 |
1.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,024.20 |
$1,707 |
1.8× |
| Removal of intrauterine device (iud) (58301) |
$155.28 |
$258.80 |
0.5× |
| Removal of nail bed (11750) |
$414.54 |
$690.90 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$139.04 |
$231.74 |
0.7× |
| Removal ppm generator only (33233) |
$12,411 |
$20,685 |
1.6× |
| Removal subq cardiac rhythm monitor (33286) |
$1,422.14 |
$2,370.24 |
2.2× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$1,701 |
$2,835 |
0.6× |
| Remove drug implant device (11982) |
$187.31 |
$312.18 |
0.5× |
| Remove foreign body from eye (65210) |
$201.60 |
$336 |
0.5× |
| Remove intrvas foreign body (37197) |
$2,360.23 |
$3,933.72 |
0.8× |
| Remove renal tube w/fluoro (50389) |
$490.56 |
$817.60 |
0.8× |
| Remove&replace pm gen singl (33227) |
$3,900 |
$6,500 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$173.45 |
$289.08 |
1.4× |
| Remv&replc cvd gen dual lead (33263) |
$13,200 |
$22,000 |
0.6× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$13,860 |
$23,100 |
0.5× |
| Remv&replc cvd gen sing lead (33262) |
$36,886.80 |
$61,478 |
1.8× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$4,200 |
$7,000 |
0.4× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$4,500 |
$7,500 |
0.3× |
| Renal biopsy (50200) |
$1,594.50 |
$2,657.50 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$277.68 |
$462.80 |
0.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$410.90 |
$684.84 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$375.54 |
$625.90 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$262.68 |
$437.80 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$258.81 |
$431.35 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$470.79 |
$784.65 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$448.80 |
$748 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$166.32 |
$277.20 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$548.37 |
$913.95 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$287.40 |
$479 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$121.37 |
$202.29 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$151.54 |
$252.56 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$532.40 |
$887.33 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$395.34 |
$658.90 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$548.37 |
$913.95 |
0.3× |
| Repair lead pace-defib dual (33220) |
$2,664.72 |
$4,441.20 |
0.8× |
| Repair lead pace-defib one (33218) |
$2,383.92 |
$3,973.20 |
0.7× |
| Replace g/c tube perc (49450) |
$986.40 |
$1,644 |
1.2× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,323.69 |
$5,539.49 |
1.0× |
| Reposition gastrostomy tube (43761) |
$432.95 |
$721.58 |
1.9× |
| Reposition pacing-defib lead (33215) |
$1,863.84 |
$3,106.40 |
0.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,219 |
$5,365 |
1.2× |
| Rmvl of subq defibrillator (33272) |
$3,323.69 |
$5,539.49 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,266.20 |
$3,777 |
0.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,846.20 |
$8,077 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,008 |
$1,680 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$738 |
$1,230 |
1.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$69.22 |
$115.36 |
0.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$1,696.80 |
$2,828 |
0.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$907.20 |
$1,512 |
0.6× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$1,696.80 |
$2,828 |
0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,160 |
$3,600 |
0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,016 |
$3,360 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$674.88 |
$1,124.80 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$258.81 |
$431.35 |
0.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$917.57 |
$1,529.28 |
1.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$776.16 |
$1,293.60 |
1.3× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$1,262.35 |
$2,103.92 |
0.4× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,008 |
$1,680 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$153.20 |
$255.34 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$139.10 |
$231.84 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$168.74 |
$281.24 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$108.89 |
$181.48 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$129.38 |
$215.64 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$155.09 |
$258.48 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$158.94 |
$264.90 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$242.54 |
$404.22 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$186.74 |
$311.24 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$108.89 |
$181.48 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$214.10 |
$356.84 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$214.10 |
$356.84 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$214.10 |
$356.84 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$214.10 |
$356.84 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$108.89 |
$181.48 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$198.30 |
$330.50 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$108.89 |
$181.48 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$230.35 |
$383.92 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,469.24 |
$2,448.74 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,469.24 |
$2,448.74 |
2.1× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,422.12 |
$4,036.86 |
1.3× |
| Skn sub grft f/n/hf/g child (15277) |
$1,469.24 |
$2,448.74 |
0.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,464.60 |
$12,441 |
1.4× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,500.60 |
$7,501 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$214.10 |
$356.84 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$258.81 |
$431.35 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$576 |
$960 |
0.9× |
| Strapping ankle (29540) |
$67.36 |
$112.27 |
0.4× |
| Strapping elbow/wrist (29260) |
$61.80 |
$103 |
1.1× |
| Strapping hand/finger (29280) |
$63.37 |
$105.62 |
1.2× |
| Strapping knee (29530) |
$58.96 |
$98.26 |
0.5× |
| Strapping unna boot (29580) |
$241.20 |
$402 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$204.70 |
$341.16 |
0.5× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$29,337.60 |
$48,896 |
1.6× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$6,747.60 |
$11,246 |
2.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,088.60 |
$3,481 |
1.4× |
| Ther Apheresis,Plasma Pheresis (36514) |
$764.10 |
$1,273.50 |
0.5× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,116.90 |
$1,861.50 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$504 |
$840 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$646.49 |
$1,077.48 |
1.1× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,649 |
$4,415 |
0.9× |
| Thrombolytic Art Therapy (37211) |
$7,464.60 |
$12,441 |
1.4× |
| Thrombolytic Venous Therapy (37212) |
$4,500.60 |
$7,501 |
1.5× |
| Thyroid biopsy (60100) |
$341.28 |
$568.80 |
0.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$708.89 |
$1,181.48 |
1.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,231.87 |
$2,053.11 |
5.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$6,872.40 |
$11,454 |
1.4× |
| Treat Fracture Radius & Ulna (25560) |
$139.61 |
$232.68 |
0.6× |
| Treat humerus fracture (24500) |
$139.61 |
$232.68 |
0.6× |
| Treat humerus fracture (23600) |
$200.64 |
$334.40 |
0.9× |
| Treat Vaginal Bleeding (57180) |
$231.84 |
$386.40 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$8,045.40 |
$13,409 |
1.5× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$3,216 |
$5,360 |
0.6× |
| Unlisted Cardiac Surgery (33999) |
$378.48 |
$630.80 |
0.6× |
| Unlisted procedure, stomach (43999) |
$1,099.71 |
$1,832.85 |
1.3× |
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214)
unusually low: confirm this is the full procedure |
$4,835.40 |
$8,059 |
0.5× |
| Vaginal delivery only (59409) |
$4,057.20 |
$6,762 |
1.4× |
| Vasc embolize/occlude artery (37242) |
$8,530.08 |
$14,216.80 |
0.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$8,530.08 |
$14,216.80 |
0.8× |
| Vasc embolize/occlude organ (37243) |
$9,298.50 |
$15,497.50 |
0.9× |
| Venipuncture (36415) |
$9.34 |
$15.56 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$963 |
$1,605 |
2.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$3,150 |
$5,250 |
4.6× |