| Abd paracentesis w/imaging (49083) |
$445.25 |
$890.50 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$560.50 |
$1,121 |
0.6× |
| Amputation Finger/Thumb (26951) |
$3,300.50 |
$6,601 |
1.0× |
| Analyze spine infus pump (62367) |
$149.50 |
$299 |
0.5× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162.50 |
$325 |
1.0× |
| Application cast elbow finger short arm (29075) |
$283 |
$566 |
1.0× |
| Application Cast Finger (29086) |
$238.50 |
$477 |
1.5× |
| Application cast shoulder hand long arm (29065) |
$342 |
$684 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$145 |
$290 |
2.5× |
| Application finger splint static (29130) |
$711 |
$1,422 |
5.5× |
| Application long arm splint shoulder hand (29105) |
$328.50 |
$657 |
2.1× |
| Application long leg splint thigh ankle/toes (29505) |
$289 |
$578 |
1.8× |
| Application of long leg cast (29345) |
$111.50 |
$223 |
0.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$329.50 |
$659 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$268.50 |
$537 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$240.50 |
$481 |
1.9× |
| Application short leg splint calf foot (29515) |
$199 |
$398 |
1.3× |
| Apply short leg cast (29405) |
$310 |
$620 |
1.1× |
| Arterial puncture (36600) |
$98 |
$196 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$252 |
$504 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$402.50 |
$805 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$340.50 |
$681 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$414.50 |
$829 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$252 |
$504 |
0.8× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$264.50 |
$529 |
0.9× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,335.50 |
$2,671 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$219 |
$438 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$283 |
$566 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$834.50 |
$1,669 |
0.9× |
| Biopsy external auditory canal (69105) |
$976.50 |
$1,953 |
0.6× |
| Biopsy external ear (69100) |
$201.50 |
$403 |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$826.50 |
$1,653 |
0.5× |
| Biopsy of tongue (41100) |
$469 |
$938 |
0.9× |
| Biopsy of uterus lining (58100) |
$401 |
$802 |
2.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,877 |
$3,754 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$418 |
$836 |
0.5× |
| Bladder Irrigation Simple (51700) |
$79.50 |
$159 |
0.3× |
| Bladder Scan (51798) |
$64 |
$128 |
1.1× |
| Blood patch (62273) |
$725 |
$1,450 |
1.1× |
| Blood transfusion service (36430) |
$495 |
$990 |
1.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,771 |
$3,542 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,380.50 |
$2,761 |
0.8× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,747.50 |
$3,495 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$841 |
$1,682 |
0.5× |
| Bx breast 1st lesion us imag (19083) |
$1,735 |
$3,470 |
1.1× |
| Bx vulva/perineum 1 lesion (56605) |
$629 |
$1,258 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$688 |
$1,376 |
0.4× |
| Canthotomy Separate Procedure (67715) |
$1,010 |
$2,020 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$85 |
$170 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$1,340.50 |
$2,681 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$229.50 |
$459 |
0.9× |
| Chemical Cautery Tissue (17250) |
$173.50 |
$347 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$494 |
$988 |
1.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$395.50 |
$791 |
1.3× |
| Chest tube placement (32551) |
$759.50 |
$1,519 |
0.5× |
| Clean out mastoid cavity (69222) |
$1,249.50 |
$2,499 |
2.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,022.50 |
$2,045 |
0.7× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$414.50 |
$829 |
1.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,133 |
$2,266 |
0.7× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$222 |
$444 |
0.9× |
| Closed Rx Med Malleolus Fx (27760) |
$95.50 |
$191 |
0.4× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,020 |
$2,040 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$940.50 |
$1,881 |
0.6× |
| Closed Rx Radial Shaft Fx (25500) |
$191 |
$382 |
0.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,030.50 |
$2,061 |
0.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$395.50 |
$791 |
1.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$136 |
$272 |
0.6× |
| Closed Rx Tibial Plateau Fx (27530) |
$303.50 |
$607 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$522.50 |
$1,045 |
2.2× |
| Closed Treat Vert Body Fract (22310) |
$273 |
$546 |
1.1× |
| Closed Treatment Coccygeal Fracture (27200) |
$145 |
$290 |
0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$447 |
$894 |
1.9× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$289 |
$578 |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$155.50 |
$311 |
0.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$520.50 |
$1,041 |
2.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$483 |
$966 |
2.0× |
| Closed Treatment Sternum Fracture (21820) |
$397.50 |
$795 |
1.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$174 |
$348 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$191 |
$382 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,918.50 |
$3,837 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$757.50 |
$1,515 |
3.2× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$135.50 |
$271 |
0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$404.50 |
$809 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$244 |
$488 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$214.50 |
$429 |
0.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$119 |
$238 |
0.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,873.50 |
$3,747 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,385.50 |
$6,771 |
2.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$231 |
$462 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$121.50 |
$243 |
0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$209.50 |
$419 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$135.50 |
$271 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$135.50 |
$271 |
0.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,629.50 |
$3,259 |
3.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$353.50 |
$707 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,309 |
$2,618 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$514 |
$1,028 |
2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,704.50 |
$5,409 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$527 |
$1,054 |
2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$596.50 |
$1,193 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$227 |
$454 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$389.50 |
$779 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$274 |
$548 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$390.50 |
$781 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,123 |
$2,246 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$144.50 |
$289 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$306 |
$612 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$274 |
$548 |
1.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$248.50 |
$497 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$293.50 |
$587 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$101.50 |
$203 |
0.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,264 |
$6,528 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$205.50 |
$411 |
0.9× |
| Cltx greater trochanteric fx w/o manj (27246) |
$289 |
$578 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$541.50 |
$1,083 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$158.50 |
$317 |
0.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$681.50 |
$1,363 |
2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$345 |
$690 |
1.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$98 |
$196 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$173 |
$346 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$430.50 |
$861 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$263.50 |
$527 |
1.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,933 |
$5,866 |
1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$161.50 |
$323 |
0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$98 |
$196 |
0.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,389 |
$4,778 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$265.50 |
$531 |
1.1× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,125 |
$2,250 |
0.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$483 |
$966 |
2.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,701 |
$3,402 |
1.1× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$535 |
$1,070 |
2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,017 |
$2,034 |
0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$417.50 |
$835 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$284.50 |
$569 |
1.5× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$1,231 |
$2,462 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$465 |
$930 |
1.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$325.50 |
$651 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$303 |
$606 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$628 |
$1,256 |
0.7× |
| Conization of cervix (57522) |
$1,446 |
$2,892 |
0.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$240 |
$480 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$242.75 |
$485.50 |
1.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,188.50 |
$4,377 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$166 |
$332 |
1.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$68.50 |
$137 |
0.3× |
| Cystourethroscopy (52000) |
$929 |
$1,858 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$90.50 |
$181 |
0.2× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$416.50 |
$833 |
0.6× |
| Debride nail 1-5 (11720) |
$45.50 |
$91 |
0.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$111.50 |
$223 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$475 |
$950 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,360 |
$2,720 |
1.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,801 |
$3,602 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,496 |
$4,992 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,472 |
$4,944 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,256.50 |
$2,513 |
1.5× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,148 |
$2,296 |
1.3× |
| Destruction Lesions Vulva Simple (56501) |
$929 |
$1,858 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,103 |
$8,206 |
2.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,133.50 |
$2,267 |
1.7× |
| Diagnostic sigmoidoscopy (45330) |
$929 |
$1,858 |
1.0× |
| Dilate Urethra Stricture (53600) |
$205 |
$410 |
0.8× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,228 |
$2,456 |
0.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$461 |
$922 |
0.7× |
| Drain outer ear canal lesion (69020) |
$419.50 |
$839 |
0.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$218 |
$436 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$508 |
$1,016 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,128.50 |
$2,257 |
0.7× |
| Drainage Finger Abscess Simple (26010) |
$150 |
$300 |
0.8× |
| Drainage mouth roof lesion (42000) |
$248 |
$496 |
1.1× |
| Drainage of eyelid abscess (67700) |
$670.50 |
$1,341 |
2.2× |
| Drainage of gum lesion (41800) |
$108.50 |
$217 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$3,106.50 |
$6,213 |
1.9× |
| Drainage of scrotal wall abscess (55100) |
$1,295 |
$2,590 |
0.8× |
| Draw blood off venous device (36591) |
$301.50 |
$603 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$1,479.50 |
$2,959 |
3.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$715 |
$1,430 |
3.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$361.75 |
$723.50 |
1.9× |
| Dstrj lesion anus simple surg excision (46922) |
$1,242.50 |
$2,485 |
0.5× |
| Escharotomy initial incision (16035) |
$126 |
$252 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$94 |
$188 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$480.50 |
$961 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$256.50 |
$513 |
0.7× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$256.50 |
$513 |
0.4× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$247.50 |
$495 |
0.4× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$480.50 |
$961 |
0.3× |
| Excision of nail fold toe (11765) |
$290.50 |
$581 |
0.7× |
| Fetal non-stress test (59025) |
$195 |
$390 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,312.50 |
$2,625 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$381.50 |
$763 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$251.50 |
$503 |
1.1× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$194.50 |
$389 |
0.9× |
| I&D Abscess Peritonsillar (42700) |
$330.50 |
$661 |
1.4× |
| I&d abscess simple (10060) |
$134 |
$268 |
0.7× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,401 |
$2,802 |
0.7× |
| I&d perianal abscess superficial (46050) |
$535 |
$1,070 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$416 |
$832 |
0.6× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,764 |
$3,528 |
0.3× |
| Incise inner ear (69801) |
$1,968 |
$3,936 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$692.50 |
$1,385 |
1.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,683.50 |
$3,367 |
2.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$6,043 |
$12,086 |
3.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,466 |
$2,932 |
3.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$282.50 |
$565 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$481.25 |
$962.50 |
1.6× |
| Incision of lingual frenum (41010) |
$434 |
$868 |
0.3× |
| Incision of rectal abscess (46040) |
$1,156.50 |
$2,313 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$134 |
$268 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$518 |
$1,036 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$146.50 |
$293 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$792 |
$1,584 |
0.9× |
| Inj tendon sheath/ligament (20550) |
$151.50 |
$303 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$3,755 |
$7,510 |
4.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$218.50 |
$437 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$485 |
$970 |
0.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$411.50 |
$823 |
0.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$414 |
$828 |
0.6× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$458.50 |
$917 |
0.5× |
| Inject Nerv Blck,Intercostal,One (64420) |
$371.50 |
$743 |
0.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,369 |
$2,738 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,355.50 |
$2,711 |
2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,485 |
$4,970 |
3.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$355.50 |
$711 |
0.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$590.50 |
$1,181 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$1,093 |
$2,186 |
1.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$3,793 |
$7,586 |
4.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$536 |
$1,072 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$503 |
$1,006 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$573 |
$1,146 |
1.9× |
| Insert Bladder Cath Complex (51703) |
$358 |
$716 |
2.9× |
| Insert Drug Implant Device (11981) |
$119.50 |
$239 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$576.50 |
$1,153 |
0.2× |
| Insert pessary/other device (57160) |
$95.50 |
$191 |
0.5× |
| Insert picc cath (36569) |
$1,694.25 |
$3,388.50 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,244.50 |
$2,489 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$157.25 |
$314.50 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$167.50 |
$335 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,022.50 |
$2,045 |
0.7× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,310 |
$2,620 |
2.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,296.50 |
$4,593 |
0.7× |
| Intraoral i&d tongue/floor masticator space (41009) |
$921.50 |
$1,843 |
1.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$6,323 |
$12,646 |
2.0× |
| Intro Gastrointestinal Tube (44500) |
$530 |
$1,060 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$295.50 |
$591 |
1.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$166.50 |
$333 |
0.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$388.50 |
$777 |
2.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$598.50 |
$1,197 |
1.6× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,766.50 |
$3,533 |
1.0× |
| Lithotripsy (50590) |
$4,728.50 |
$9,457 |
1.4× |
| Liver Biopsy (47000) |
$869.50 |
$1,739 |
0.5× |
| Lyse Chest Fibrin Init Day (32561) |
$1,549 |
$3,098 |
2.5× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,196.50 |
$2,393 |
2.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$255.50 |
$511 |
1.3× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$3,276 |
$6,552 |
1.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,440 |
$6,880 |
2.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$224.25 |
$448.50 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$656.50 |
$1,313 |
1.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$417.50 |
$835 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$209.50 |
$419 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$846 |
$1,692 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$459.50 |
$919 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,475.50 |
$2,951 |
2.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,264 |
$6,528 |
2.1× |
| Perq dev breast 1st strtctc (19283) |
$1,402 |
$2,804 |
2.0× |
| Perq dev breast 1st us imag (19285) |
$1,584 |
$3,168 |
2.3× |
| Perq device breast 1st imag (19281) |
$1,096.50 |
$2,193 |
0.7× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$671.50 |
$1,343 |
0.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,123 |
$2,246 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$698 |
$1,396 |
2.9× |
| Placement of needle for intraosseous infusion (36680) |
$248 |
$496 |
0.6× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$14,210 |
$28,420 |
2.3× |
| Punch biopsy skin single lesion (11104) |
$299 |
$598 |
0.8× |
| Puncture Aspiration (10160) |
$185.50 |
$371 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$306 |
$612 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,103 |
$8,206 |
2.2× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$1,512 |
$3,024 |
2.1× |
| Removal fb intranasal (30300) |
$169 |
$338 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$126 |
$252 |
0.2× |
| Removal foreign body pharynx (42809) |
$864 |
$1,728 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$37 |
$74 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$62.50 |
$125 |
1.1× |
| Removal of intrauterine device (iud) (58301) |
$185 |
$370 |
0.6× |
| Removal of nail bed (11750) |
$618.50 |
$1,237 |
1.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$122.50 |
$245 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$348.50 |
$697 |
1.3× |
| Remove drug implant device (11982) |
$255 |
$510 |
0.6× |
| Remove Eyelid Foreign Body (67938) |
$185 |
$370 |
0.6× |
| Remove foreign body from eye (65210) |
$230 |
$460 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$124.75 |
$249.50 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$205 |
$410 |
1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,198 |
$2,396 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,135 |
$2,270 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,897 |
$3,794 |
4.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$2,370.50 |
$4,741 |
6.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$562 |
$1,124 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$557 |
$1,114 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$939.50 |
$1,879 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,005 |
$2,010 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,023.50 |
$2,047 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$967.50 |
$1,935 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,128 |
$2,256 |
2.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,443.50 |
$2,887 |
3.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$967.50 |
$1,935 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$359.50 |
$719 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$314.50 |
$629 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,168 |
$2,336 |
3.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,806.50 |
$3,613 |
2.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$437 |
$874 |
1.1× |
| Repair of eye wound (65286) |
$1,338 |
$2,676 |
0.6× |
| Repair of nail bed (11760) |
$941.50 |
$1,883 |
1.3× |
| Repair Tongue Laceration (41250) |
$314 |
$628 |
0.7× |
| Repair tympanic membrane (69610) |
$1,487.50 |
$2,975 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,881 |
$3,762 |
2.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$239.50 |
$479 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$362 |
$724 |
2.8× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$39 |
$78 |
0.1× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,085 |
$2,170 |
4.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$379.50 |
$759 |
0.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$3,395.50 |
$6,791 |
2.3× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$55.50 |
$111 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$302 |
$604 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$314.25 |
$628.50 |
1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$79 |
$158 |
0.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$79 |
$158 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$520.50 |
$1,041 |
2.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$288 |
$576 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$884 |
$1,768 |
4.5× |
| Skin sub graft face/nk/hf/g (15275) |
$678.50 |
$1,357 |
0.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,304 |
$2,608 |
1.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,616 |
$5,232 |
1.3× |
| Skn sub grft f/n/hf/g child (15277) |
$1,248 |
$2,496 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$713 |
$1,426 |
3.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,101 |
$2,202 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$226.50 |
$453 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$537.25 |
$1,074.50 |
0.8× |
| Strapping ankle (29540) |
$175 |
$350 |
1.1× |
| Strapping knee (29530) |
$162 |
$324 |
1.3× |
| Strapping shoulder (29240) |
$125 |
$250 |
1.0× |
| Strapping unna boot (29580) |
$211.50 |
$423 |
1.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,140 |
$2,280 |
1.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,043 |
$2,086 |
1.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$555 |
$1,110 |
0.9× |
| Thrombolytic Therapy, Stroke (37195) |
$298 |
$596 |
0.9× |
| Trach Tube Change (31502) |
$230 |
$460 |
1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$469 |
$938 |
0.9× |
| Tracheostomy planned (31600) |
$1,302 |
$2,604 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$189 |
$378 |
0.8× |
| Treat humerus fracture (24500) |
$262 |
$524 |
1.1× |
| Treat humerus fracture (23600) |
$198 |
$396 |
0.8× |
| Treat Metatarsal Fracture (28475) |
$264 |
$528 |
1.1× |
| Treat Wrist Bone Fracture (25630) |
$150 |
$300 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$390.50 |
$781 |
1.6× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$98 |
$196 |
0.4× |
| Trim skin lesion (11055) |
$201.50 |
$403 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,934.50 |
$5,869 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$378 |
$756 |
0.5× |
| Tympanostomy (69433) |
$792 |
$1,584 |
1.5× |
| Unlisted Procedure Nervous System (64999) |
$205.75 |
$411.50 |
0.7× |
| Vaginal delivery only (59409) |
$6,582 |
$13,164 |
2.1× |
| Venipuncture (36415) |
$4.55 |
$9.09 |
0.5× |