| Abd paracentesis w/imaging (49083) |
$1,674.75 |
$2,233 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$206.93 |
$275.91 |
0.2× |
| Amniocentesis diagnostic (59000) |
$544.50 |
$726 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$31.85 |
$42.46 |
0.6× |
| Application finger splint static (29130) |
$64.13 |
$85.50 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$135.27 |
$180.36 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$111.78 |
$149.04 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$63 |
$84 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$121.37 |
$161.82 |
0.9× |
| Application short leg splint calf foot (29515) |
$165.51 |
$220.68 |
1.1× |
| Aqueous shunt to extraocular reservoir (66180) |
$6,300 |
$8,400 |
1.2× |
| Arterial puncture (36600) |
$91.13 |
$121.50 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$231.75 |
$309 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$231.75 |
$309 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$231.75 |
$309 |
0.8× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$42,000 |
$56,000 |
2.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$21,429 |
$28,572 |
3.1× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$9,732 |
$12,976 |
3.1× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$9,732 |
$12,976 |
3.1× |
| Aspir/inj thyroid cyst (60300) |
$372.86 |
$497.15 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$455.25 |
$607 |
2.3× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,275.75 |
$1,701 |
0.8× |
| Biopsy Salivary Gland,Needle (42400) |
$1,400.12 |
$1,866.83 |
2.0× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$186.75 |
$249 |
0.1× |
| Bladder Irrigation Simple (51700) |
$63.98 |
$85.30 |
0.3× |
| Blood transfusion service (36430) |
$851.63 |
$1,135.50 |
2.0× |
| Bx breast 1st lesion strtctc (19081) |
$2,127 |
$2,836 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$3,387.62 |
$4,516.84 |
2.1× |
| Bx/exc lymph node needle superficial (38505) |
$1,862.60 |
$2,483.46 |
1.2× |
| Cataract surgery complex (66982) |
$2,100 |
$2,800 |
0.9× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,151.75 |
$2,869 |
0.7× |
| Circumcision (54150) |
$1,164.40 |
$1,552.53 |
0.6× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$203.25 |
$271 |
0.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$203.25 |
$271 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$203.25 |
$271 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$274.30 |
$365.73 |
2.1× |
| Cover eye w/membrane suture (65779) |
$9,381 |
$12,508 |
2.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,428 |
$1,904 |
3.6× |
| Drainage Finger Abscess Simple (26010) |
$303.12 |
$404.16 |
1.6× |
| Drainage of eye (65810) |
$300 |
$400 |
0.1× |
| Drainage of hematoma/fluid (10140) |
$3,687 |
$4,916 |
2.3× |
| Draw blood off venous device (36591) |
$190.04 |
$253.38 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$307.50 |
$410 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$307.50 |
$410 |
1.6× |
| Egd flexible foreign body removal (43247) |
$260.30 |
$347.06 |
0.3× |
| Egd place gastrostomy tube (43246) |
$397.55 |
$530.06 |
0.2× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$397.55 |
$530.06 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$36.91 |
$49.21 |
0.3× |
| Exchange intraocular lens (66986) |
$2,100 |
$2,800 |
0.9× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,404.34 |
$1,872.45 |
2.7× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$15,477 |
$20,636 |
3.0× |
| Fetal non-stress test (59025) |
$142.50 |
$190 |
0.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$226.50 |
$302 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$294 |
$392 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$70.25 |
$93.66 |
0.3× |
| Follow-up surgery of eye (66250) |
$12,243 |
$16,324 |
5.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$69.27 |
$92.36 |
0.3× |
| I&d abscess simple (10060) |
$248.63 |
$331.50 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$906.75 |
$1,209 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$906.75 |
$1,209 |
2.3× |
| Initial tx 1st degree burn local tx (16000) |
$455.25 |
$607 |
2.3× |
| Inject Tendon Origin/Insert (20551) |
$170.72 |
$227.62 |
0.6× |
| Insert cervical dilator (59200) |
$225.75 |
$301 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$2,740.91 |
$3,654.54 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$91.13 |
$121.50 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$60.03 |
$80.04 |
0.5× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$109,326 |
$145,768 |
5.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,300 |
$4,400 |
1.1× |
| Intracapsular cataract extraction (66983) |
$2,100 |
$2,800 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$267.38 |
$356.50 |
1.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$5,995.50 |
$7,994 |
0.9× |
| Ligation of hemorrhoid(s) (46221) |
$556.77 |
$742.36 |
0.6× |
| Liver Biopsy (47000) |
$1,275.75 |
$1,701 |
0.8× |
| Manipulation, wrist, under anesthesia (25259) |
$96.85 |
$129.13 |
0.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$3,300 |
$4,400 |
2.2× |
| Ocular reconst transplant (65780) |
$9,381 |
$12,508 |
2.5× |
| Peritoneal Lavage (49084) |
$249.64 |
$332.85 |
0.3× |
| Perq device breast 1st imag (19281) |
$857.25 |
$1,143 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$217.50 |
$290 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$684.92 |
$913.23 |
1.6× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$109,326 |
$145,768 |
17.7× |
| Puncture Aspiration (10160) |
$906.75 |
$1,209 |
2.3× |
| Puncture Aspiration Cyst Breast (19000) |
$1,187.53 |
$1,583.37 |
1.7× |
| Reinforce/graft eye wall (67255) |
$11,238 |
$14,984 |
2.8× |
| Relieve inner eye pressure (65820) |
$4,800 |
$6,400 |
1.2× |
| Removal Implant Deep (20680) |
$8,586 |
$11,448 |
3.1× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$1,875 |
$2,500 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$224.25 |
$299 |
0.8× |
| Remove shoulder foreign body (23330) |
$365.27 |
$487.02 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$105.28 |
$140.37 |
0.8× |
| Renal biopsy (50200) |
$1,275.75 |
$1,701 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$462 |
$616 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,428 |
$1,904 |
3.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$906.75 |
$1,209 |
2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$686.25 |
$915 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$906.75 |
$1,209 |
2.3× |
| Revise aqueous shunt eye (66185) |
$11,970 |
$15,960 |
5.4× |
| Revise/graft eyelid lining (68320) |
$12,243 |
$16,324 |
5.3× |
| Revision of iris (66761) |
$668.93 |
$891.90 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$246.26 |
$328.34 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$190.19 |
$253.58 |
1.5× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$930.75 |
$1,241 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$455.25 |
$607 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$455.25 |
$607 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$299.25 |
$399 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$182.25 |
$243 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,428 |
$1,904 |
2.0× |
| Skin sub graft trnk/arm/leg (15271) |
$1,428 |
$1,904 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$291.13 |
$388.17 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$294 |
$392 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$294 |
$392 |
0.7× |
| Strapping ankle (29540) |
$128.25 |
$171 |
0.8× |
| Strapping elbow/wrist (29260) |
$41.07 |
$54.76 |
0.7× |
| Strapping hand/finger (29280) |
$100.19 |
$133.59 |
1.8× |
| Strapping Hip (29520) |
$53.25 |
$71 |
0.4× |
| Strapping knee (29530) |
$99.75 |
$133 |
0.8× |
| Strapping shoulder (29240) |
$99.75 |
$133 |
0.8× |
| Strapping thorax (29200) |
$128.25 |
$171 |
0.8× |
| Strapping toes (29550) |
$53.25 |
$71 |
0.9× |
| Strapping unna boot (29580) |
$368.62 |
$491.50 |
2.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$579.75 |
$773 |
1.0× |
| Thyroid biopsy (60100) |
$1,400.12 |
$1,866.83 |
2.0× |
| Trach Tube Change (31502) |
$281.25 |
$375 |
1.2× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$8,788.50 |
$11,718 |
2.2× |
| Unlisted procedure maternity care & delivery (59899) |
$3,750 |
$5,000 |
19.2× |
| Unlisted procedure pancreas (48999) |
$542.25 |
$723 |
0.8× |
| Venipuncture (36415) |
$127.45 |
$169.94 |
13.6× |