Procedures & surgery prices at Longs Peak Hospital

Longmont, CO · every code in this section with a posted price and a Medicare benchmark.

885 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
68399-unlisted Procedures Conjunctiva (68399) $358.73 $1,024.92 1.1×
Abd paracentesis (49082) $1,697.50 $4,850 1.8×
Abd paracentesis w/imaging (49083) $838.95 $2,397 0.9×
Ablation bone tumor rf perq w/img gdn when done (20982)
unusually low — confirm this is the full procedure		 $7,968.45 $22,767 0.4×
Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) $10,513.65 $30,039 1.6×
Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) $8,861.30 $25,318 0.8×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $8,932 $25,520 1.2×
Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) $1,097.95 $3,137 0.6×
Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) $9,415.23 $26,900.65 1.5×
Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) $1,807.40 $5,164 0.8×
Amniocentesis diagnostic (59000) $770.70 $2,202 0.8×
Amniocentesis therapeutic (59001) $330.05 $943 1.0×
Amnioinfusion (59070) $385.35 $1,101 1.2×
Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) $3,209.50 $9,170 0.9×
Amputation of toe (28820) $2,498.65 $7,139 0.7×
Amputation toe interphalangeal joint (28825) $2,437.75 $6,965 0.7×
Amputation, metatarsal, with toe, single Age Under 21 (28810) $2,498.65 $7,139 0.7×
Analyze infusn pump+reprogram (62368) $471.80 $1,348 1.4×
Anesthesia inj anesthetic agent dig nrv (64455) $208.25 $595 0.6×
Anoscopy diagnostic (46600) $261.10 $746 1.8×
Anoscopy remove for body (46608) $901.95 $2,577 0.9×
App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) $1,179.50 $3,370 1.5×
App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) $1,944.60 $5,556 0.9×
Application cast finger (29086) $168 $480 1.0×
Application Finger Splint Dynamic (29131) $93.80 $268 1.5×
Application finger splint static (29130) $345.10 $986 2.4×
Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) $345.10 $986 2.0×
Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) $379.75 $1,085 1.3×
Application of long leg cast (thigh to toes); (29345) $371.70 $1,062 1.2×
Application of long leg splint (thigh to ankle or toes) (29505) $237.30 $678 1.4×
Application of short arm splint (forearm to hand); static (29125) $376.60 $1,076 2.7×
Application of short leg cast (below knee to toes); (29405) $282.80 $808 0.9×
Application of short leg cast (below knee to toes); walking or ambulatory type (29425) $186.90 $534 0.6×
Application of short leg splint (calf to foot) (29515) $263.55 $753 1.5×
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) $1,283.80 $3,668 0.6×
Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) $208.95 $597 1.2×
Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) $96.25 $275 0.6×
Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) $306.25 $875 1.0×
Application rigid total contact leg cast (29445) $303.80 $868 1.0×
Application, cast; shoulder to hand (long arm) (29065) $268.45 $767 0.9×
Apply hand/wrist cast (29085) $267.05 $763 1.5×
Apply long arm splint (29105) $399.35 $1,141 2.3×
Apply splint short arm dynamic (29126) $174.65 $499 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $646.10 $1,846 2.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $836.15 $2,389 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $646.10 $1,846 2.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $836.15 $2,389 2.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $479.50 $1,370 1.5×
Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) $623 $1,780 1.9×
Aspirate pleura w/o imaging (32554) $672.35 $1,921 1.0×
Aspiration and/or injection of ganglion cyst(s) any location (20612) $207.55 $593 0.6×
Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) $1,472.80 $4,208 1.9×
Aspiration and/or injection thyroid cyst (60300) $526.40 $1,504 0.7×
Aspiration bladder insert suprapubic catheter (51102) $2,512.30 $7,178 1.1×
Aspiration bladder needle (51100) $272.65 $779 1.0×
Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) $2,242.80 $6,408 2.4×
Avulsion of nail plate, partial or complete, simple; single (11730) $271.25 $775 1.3×
Biliary endo prq t-tube dx w/collect spec brush (47552) $3,766.35 $10,761 0.5×
Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556)
likely a partial charge — not the full procedure		 $2,788.10 $7,966 0.2×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $4,479.30 $12,798 0.6×
Biopsy bone open superficial (20240) $3,014.20 $8,612 1.0×
Biopsy bone trocar/needle deep (20225) $2,202.90 $6,294 1.3×
Biopsy liver needle percutaneous (47000) $1,448.30 $4,138 0.8×
Biopsy lymph node (38505) $1,509.20 $4,312 0.9×
Biopsy muscle percutaneous needle (20206) $2,037.35 $5,821 1.2×
Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) $802.20 $2,292 0.5×
Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) $1,213.62 $3,467.50 1.0×
Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) $1,063.82 $3,039.50 1.1×
Biopsy of salivary gland; needle (42400) $929.25 $2,655 1.2×
Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) $1,314.95 $3,757 1.4×
Biopsy of uterus lining (58100) $241.85 $691 1.1×
Biopsy pleura percutaneous needle (32400) $1,255.10 $3,586 0.7×
Biopsy soft tissue neck/thorax (21550) $2,594.90 $7,414 1.5×
Biopsy soft tissue upper arm/elbow superficial (24065) $1,381.45 $3,947 0.8×
Biopsy thyroid percutaneous core needle (60100) $783.30 $2,238 1.0×
Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) $1,323 $3,780 0.8×
Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) $2,138.15 $6,109 1.2×
Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) $3,082.45 $8,807 1.7×
Bladder irrigation (51700) $594.65 $1,699 2.2×
Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) $572.60 $1,636 1.7×
Brain canal shunt procedure (61070) $800.10 $2,286 1.1×
Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) $3,676.05 $10,503 0.9×
Brnchsc ebus guided sampl 1/2 node station/strux (31652) $2,002.35 $5,721 0.5×
Brnchsc ebus guided sampl 3/> node station/strux (31653) $2,218.65 $6,339 0.6×
Bronch foreign body removal (31635) $1,594.25 $4,555 0.8×
Bronch thermoplsty 1 lobe (31660) $6,408.50 $18,310 0.9×
Bronchoscopy dilate/fx repr (31630) $2,217.60 $6,336 0.6×
Bronchoscopy needle bx trachea main stem&/bron (31629) $1,696.45 $4,847 0.4×
Bronchoscopy w biopsy (31625) $1,415.05 $4,043 0.7×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $1,231.48 $3,518.50 0.6×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $1,124.90 $3,214 2.7×
Bronchoscopy w/tumor excise (31640) $1,783.25 $5,095 0.4×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) $1,205.05 $3,443 0.6×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634)
likely a partial charge — not the full procedure		 $1,715 $4,900 0.2×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661) $6,791.05 $19,403 0.9×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) $2,292.85 $6,551 0.6×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631)
likely a partial charge — not the full procedure		 $2,060.80 $5,888 0.3×
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638) $4,165.35 $11,901 0.6×
Bronchoscopy/lung bx each (31628) $1,591.45 $4,547 0.4×
Bx breast 1st lesion mr imag (19085) $3,695.65 $10,559 2.1×
Bx breast 1st lesion strtctc (19081) $2,976.40 $8,504 1.7×
Bx breast 1st lesion us imag (19083) $1,621.20 $4,632 0.9×
Bx pancreas ndl perc (48102) $1,866.55 $5,333 1.1×
C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) $183.44 $524.10 0.9×
Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) $2,173.50 $6,210 1.3×
Care of miscarriage (59820) $2,175.60 $6,216 0.6×
Cast short arm (29075) $249.20 $712 0.8×
Casting/strapping procedure (29799) $57.76 $165.02 0.3×
Cessation thrombolytic thrpy w/catheter removal (37214) $3,132.50 $8,950 0.9×
Change Cystostomy Tube Simple (51705) $269.15 $769 1.0×
Change g-tube to g-j perc (49446) $931.70 $2,662 0.5×
Change of cystostomy tube; complicated Age Under 21 (51710) $612.15 $1,749 0.8×
Change of windpipe airway (31502) $185.85 $531 0.7×
Chemical cauterization of granulation tissue (17250) $204.75 $585 1.0×
Chemodenerv 1 extrem 5/> mus (64644) $534.80 $1,528 0.7×
Chemodenerv 1 extremity 1-4 (64642) $486.15 $1,389 0.6×
Chemodenerv trunk musc 1-5 (64646) $486.15 $1,389 0.6×
Chemodenerv trunk musc 6/> (64647) $550.90 $1,574 0.7×
Chemodenervation Internal Anal Sphincter (46505) $3,829.35 $10,941 3.0×
Chemodenervation muscle neck unilat for dystonia (64616) $322.70 $922 1.0×
Chemodervate facial/trigem/cerv musc migraine (64615) $145.60 $416 0.4×
Chest tube placement (32551) $879.90 $2,514 0.5×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $1,983.10 $5,666 0.9×
Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) $4,090.10 $11,686 1.1×
Circumcision, Newborn (54150) $992.25 $2,835 0.4×
Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21 (61050) $1,474.20 $4,212 4.5×
Cisternal/lateral c1-c2 puncture w/injection (61055) $1,621.55 $4,633 5.0×
Closed rx humer epicondylr fx,manip (24565) $1,589 $4,540 0.9×
Closed rx shldr disloc,prox hum fx (23675) $767.55 $2,193 0.4×
Closed rx ulna shaft fx,manipulatn (25535) $415.10 $1,186 1.6×
Closed treatment of acromioclavicular dislocation; without manipulation (23540) $390.60 $1,116 1.5×
Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) $232.05 $663 0.9×
Closed treatment of clavicular fracture; without manipulation (23500) $308.70 $882 1.2×
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) $314.65 $899 1.2×
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) $254.10 $726 1.0×
Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) $196 $560 0.7×
Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) $1,632.40 $4,664 1.0×
Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) $1,807.05 $5,163 1.1×
Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) $1,515.15 $4,329 0.9×
Closed treatment of knee dislocation; without anesthesia (27550) $973 $2,780 3.7×
Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) $1,166.20 $3,332 0.7×
Closed treatment of medial malleolus fracture; without manipulation (27760) $655.90 $1,874 2.5×
Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) $381.50 $1,090 1.5×
Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) $1,621.20 $4,632 0.9×
Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) $457.80 $1,308 1.7×
Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) $196 $560 0.7×
Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) $1,398.25 $3,995 0.8×
Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) $1,499.05 $4,283 0.9×
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) $1,316.35 $3,761 0.8×
Closed treatment of proximal humeral fracture; without manipulation (23600) $551.25 $1,575 2.1×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $308.70 $882 1.2×
Closed treatment of radial head or neck fracture; without manipulation (24650) $838.60 $2,396 3.2×
Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) $314.30 $898 1.2×
Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) $814.10 $2,326 0.5×
Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) $1,024.45 $2,927 3.9×
Closed treatment of talus fracture; with manipulation Age Under 21 (28435) $1,776.25 $5,075 1.0×
Closed treatment of ulnar fracture, proximal end; without manipulation (24670) $774.90 $2,214 2.9×
Closed tx ankle dislocation w/o anesthesia (27840) $298.55 $853 1.1×
Closed tx bimalleolar ankle fracture w/manj (27810) $767.55 $2,193 0.4×
Closed tx bimalleolar ankle fracture w/o manip (27808) $333.55 $953 1.3×
Closed tx femoral shaft fx w/o manipulation (27500) $314.65 $899 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $196 $560 0.7×
Closed tx radial shaft fracture w/manipulation (25505) $782.25 $2,235 0.5×
CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) $767.55 $2,193 0.4×
Closed tx septal&nose fx (21337) $2,990.75 $8,545 0.8×
Closed tx talotarsal joint dislc w/o anes (28570) $308 $880 1.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $296.10 $846 1.1×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,273.95 $6,497 1.4×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $387.80 $1,108 1.5×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $1,192.45 $3,407 2.1×
Clsd tx nsl fx mnpj wo stblj (21315) $913.50 $2,610 0.6×
Clsd tx nsl fx w/mnpj&stablj (21320) $2,122.05 $6,063 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $767.55 $2,193 0.4×
Cltx carpo/metacarpal dislocation thumb w/manj (26641) $314.65 $899 1.2×
CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) $381.50 $1,090 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $314.65 $899 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $767.55 $2,193 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $563.15 $1,609 2.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $314.65 $899 1.2×
CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) $767.55 $2,193 0.4×
Cltx interphalangeal joint dislocation req anes (28665) $2,091.95 $5,977 7.0×
Cltx interphalangeal joint dislocation w/o anes (28660) $188.65 $539 0.7×
CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) $668.15 $1,909 2.5×
Cltx metar fx w/manj (28475) $302.40 $864 1.1×
Cltx post ankle fx (27767) $469.70 $1,342 1.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,492.05 $4,263 0.9×
CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) $1,289.75 $3,685 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $814.10 $2,326 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $508.20 $1,452 1.9×
Collect blood from catheter venous nos (36592) $113.75 $325 0.8×
Collect blood from implant venous access device (36591) $93.45 $267 0.7×
Colonoscopy flexible with decompression (45393) $2,507.40 $7,164 2.0×
Colonoscopy thru stoma spx (44388) $1,014.30 $2,898 1.0×
Colonoscopy w/ablation (45388) $2,699.90 $7,714 2.1×
Colonoscopy w/control bleed (45382) $2,585.10 $7,386 2.0×
Colonoscopy w/fb removal (45379) $2,382.45 $6,807 1.9×
Colonoscopy w/resection (45390) $1,720.60 $4,916 0.6×
Colonoscopy w/stent plcmt (45389)
unusually low — confirm this is the full procedure		 $2,885.75 $8,245 0.4×
Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) $2,355.50 $6,730 1.8×
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) $2,287.95 $6,537 1.8×
Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) $1,937.95 $5,537 1.5×
Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) $3,031.35 $8,661 2.4×
Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) $3,276 $9,360 0.9×
Colsc flx with directed submucosal njx any sbst (45381) $1,910.30 $5,458 1.5×
Complete replacement picc rs&i (36584) $1,393.35 $3,981 0.8×
Contrast injection perq radiologic eval gi tube (49465) $376.60 $1,076 1.5×
Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) $451.85 $1,291 2.0×
Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) $556.50 $1,590 3.9×
Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) $371 $1,060 2.6×
Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) $1,483.30 $4,238 1.2×
Control throat bleeding (42960) $244.30 $698 0.4×
Conv ext bil drg cath to int-ext bil drg cath (47535) $3,410.75 $9,745 0.9×
Convert nephrostomy cath to nephrourtrl cath prq (50434) $992.25 $2,835 0.4×
Conz of cervix w/scope leep (57461) $2,175.60 $6,216 0.6×
Core needle bx lung/mediastinum perq w/img (32408) $2,474.85 $7,071 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $232.05 $663 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) $232.05 $663 0.9×
Curettage postpartum (59160) $2,175.60 $6,216 0.6×
Cysto/uretero w/lithotripsy (52356) $4,268.60 $12,196 0.7×
Cystoscopy and treatment (52310) $2,076.90 $5,934 0.9×
Cystourethroscopy (52000) $731.15 $2,089 1.0×
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) $1,714.65 $4,899 0.5×
Deb skin bone at fx site (11012) $2,380.70 $6,802 0.8×
Debride skin at fx site (11010) $347.90 $994 0.5×
Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) $430.15 $1,229 1.0×
Debridement of nail(s) by any method(s); 1 to 5 (11720) $77 $220 1.2×
Debridement of nail(s) by any method(s); 6 or more (11721) $137.90 $394 2.2×
DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) $655.55 $1,873 1.5×
Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) $1,472.45 $4,207 0.8×
Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) $785.05 $2,243 1.0×
Declot vascular device (36593) $273.35 $781 0.8×
Deep muscle biopsy (20205) $2,455.60 $7,016 0.8×
Delivery of placenta (59414) $1,312.50 $3,750 0.4×
Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) $157.85 $451 0.7×
Destruction benign lesions up to 14 (17110) $140.35 $401 0.7×
Destruction by neurolytic agent, intercostal nerve (64620) $624.40 $1,784 0.7×
Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) $1,224.30 $3,498 1.3×
Destruction by neurolytic agent; pudendal nerve Age Under 21 (64630) $1,127 $3,220 1.2×
Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age Under 21 (42160) $2,122.05 $6,063 0.6×
Diagnostic bone marrow aspirations (38220) $779.10 $2,226 0.4×
Diagnostic bone marrow biopsies (38221) $802.20 $2,292 0.5×
Diagnostic bone marrow biopsies & aspirations (38222) $1,969.80 $5,628 0.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $913.50 $2,610 1.2×
Diagnostic sigmoidoscopy (45330) $640.50 $1,830 0.6×
Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) $2,175.60 $6,216 0.6×
Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) $269.15 $769 1.0×
Drain neck/chest lesion (21501) $3,748.15 $10,709 1.2×
Drainage external auditory canal, abscess (69020) $347.20 $992 0.5×
Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) $1,609.30 $4,598 0.9×
Drainage external ear, abscess or hematoma; simple (69000) $347.20 $992 0.5×
Drainage finger abscess simple (26010) $431.90 $1,234 2.0×
Drainage of abscess of palate, uvula (42000) $381.15 $1,089 1.5×
Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) $347.20 $992 0.5×
Drainage of abscess; parotid, simple Age Under 21 (42300) $1,375.15 $3,929 0.8×
Drainage of finger abscess; complicated (eg, felon) (26011) $1,133.30 $3,238 0.6×
Drainage of hydrocele (55000) $674.80 $1,928 0.9×
Drainage of nose lesion (30020) $1,110.20 $3,172 1.9×
Drainage of scrotal wall abscess (55100) $1,097.60 $3,136 0.6×
Drainage of scrotum (54700) $1,860.95 $5,317 0.8×
Drainage of tonsil abscess (42700) $473.55 $1,353 1.9×
Dry needling (20999) $1,014.22 $2,897.76 3.9×
Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) $1,468.25 $4,195 0.7×
Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) $1,359.05 $3,883 0.7×
Dx bronchoscope/brush (31623) $1,198.75 $3,425 0.6×
Dx bronchoscope/lavage (31624) $1,217.30 $3,478 0.6×
Dx laryngoscopy excl nb (31525) $1,205.05 $3,443 0.6×
Ed proc insert intraosseous IV (36680) $201.95 $577 0.4×
Ed proc insj temp ndwellg bladder catheter complicated (51703) $594.65 $1,699 4.3×
Ed proc remve fb nasal- hospital (30300) $178.15 $509 1.3×
Ed prof arthrocentesis sm - hospital (20551) $207.55 $593 0.6×
Ed prof artl pnxr w/drawal bld dx (36600) $90.65 $259 0.6×
Ed prof burn - large - hospital (16030) $463.40 $1,324 1.1×
Ed prof burn medium - hospital (16025) $194.95 $557 0.9×
Ed prof burn small - hospital (16020) $373.45 $1,067 1.7×
Ed prof catheterization/straight (51701) $152.60 $436 1.1×
Ed prof closed tx post hip arthroplasty (27265) $556.15 $1,589 2.1×
Ed prof closed tx pst malleolus fx w/manipulation (27768) $1,599.85 $4,571 0.9×
Ed prof closed tx radial head/neck fx w/manipulation (24655) $880.60 $2,516 0.5×
Ed prof drain dental abscess-hospital (41800) $289.45 $827 2.0×
Ed prof insert foley cath simple (51702) $129.85 $371 0.9×
Ed prof insert non tunnel cv cath >5 (36556) $1,885.45 $5,387 0.6×
Ed prof insertion of heart electr (33210)
unusually low — confirm this is the full procedure		 $3,688.30 $10,538 0.4×
Ed prof int lac 12.6-20cm bd - hospital (12035) $787.15 $2,249 1.8×
Ed prof int lac 7.6-12.5cm bd - hospital (12034) $788.90 $2,254 1.8×
Ed prof interphalangeal dislocation- hospital (26770) $245.70 $702 0.9×
Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) $350.70 $1,002 0.7×
Egd endo mucosal resection (43254) $2,117.50 $6,050 1.0×
Egd endoscopic stent place (43266)
likely a partial charge — not the full procedure		 $1,817.90 $5,194 0.3×
Egd injection varices (43243) $1,459.50 $4,170 0.7×
Egd lesion ablation (43270) $1,877.40 $5,364 0.9×
Egd percutaneous placement gastrostomy tube (43246) $1,676.85 $4,791 0.8×
Egd removal tumor polyp/other lesion snare tech (43251) $1,637.30 $4,678 0.8×
Egd transoral control bleeding any method (43255) $1,674.05 $4,783 0.8×
Egd tube/cath insertion (43241) $1,259.65 $3,599 0.6×
Egd us exam duodenum/jejunum (43259) $1,888.60 $5,396 0.9×
Egd us fine needle bx/aspir (43242) $2,572.15 $7,349 1.3×
Egd us transmural injxn/mark (43253) $2,190.65 $6,259 1.1×
Egd w/transmural drain cyst (43240) $3,257.80 $9,308 0.5×
Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) $348.95 $997 1.1×
Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) $280.35 $801 0.9×
Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) $385 $1,100 1.2×
Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) $1,104.60 $3,156 1.1×
Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) $1,191.75 $3,405 1.2×
Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) $2,272.55 $6,493 0.6×
Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) $3,046.75 $8,705 0.7×
Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) $2,382.45 $6,807 0.6×
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) $2,514.05 $7,183 0.6×
Endoscopic us exam esoph (43237) $1,631.70 $4,662 0.8×
Endoscopy upper small intestine (44360) $1,858.50 $5,310 0.9×
Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623)
unusually low — confirm this is the full procedure		 $5,721.10 $16,346 0.5×
Endoven ablti ther chem adhesive 1st vein (36482) $4,272.45 $12,207 0.7×
Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) $2,844.10 $8,126 0.8×
Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) $5,420.45 $15,487 2.5×
Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) $3,523.10 $10,066 1.6×
Episiotomy or vaginal repair (59300) $2,175.60 $6,216 0.6×
Er inj anesthetic agent, peripheral nerve or branch (64450) $636.30 $1,818 0.8×
Ercp duct stent placement (43274) $3,931.90 $11,234 0.6×
Ercp ea duct/ampulla dilate (43277) $2,664.55 $7,613 0.6×
Ercp lithotripsy calculi (43265)
unusually low — confirm this is the full procedure		 $3,041.85 $8,691 0.5×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,566.55 $7,333 0.6×
Ercp remove forgn body duct (43275) $2,897.30 $8,278 1.4×
Ercp stent exchange w/dilate (43276) $3,386.25 $9,675 0.5×
Esoph egd dilation <30 mm (43249) $1,284.50 $3,670 0.6×
Esoph scope w/submucous inj (43201) $1,215.20 $3,472 0.6×
Esophagogastroduodenoscopy submucosal injection (43236) $1,157.45 $3,307 1.2×
Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) $2,041.20 $5,832 1.0×
Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon (43290) $2,329.25 $6,655 1.1×
Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) $1,916.95 $5,477 0.9×
Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) $1,479.10 $4,226 0.7×
Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes… (43210) $6,034 $17,240 0.5×
Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) $1,388.80 $3,968 1.4×
Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) $1,537.55 $4,393 1.6×
Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) (43291) $1,298.85 $3,711 1.3×
Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) $1,398.08 $3,994.50 0.7×
Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) $1,942.15 $5,549 0.9×
Esophagoscop stent placement (43212)
unusually low — confirm this is the full procedure		 $2,214.10 $6,326 0.3×
Esophagoscopy flexible removal foreign body (43215) $1,659.70 $4,742 0.8×
Esophagoscopy flexible transoral diagnostic (43200) $1,030.40 $2,944 1.1×
Esophagoscopy flexible transoral with biopsy (43202) $1,203.30 $3,438 0.6×
Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) $2,187.85 $6,251 1.1×
Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes… (43213) $2,144.80 $6,128 1.0×
Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) $1,388.45 $3,967 0.7×
Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, zenker's diverticulum),… (43180) $5,300.40 $15,144 0.8×
Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) $1,360.80 $3,888 0.7×
Evac subungual hematoma (11740) $133.70 $382 0.9×
Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) $862.75 $2,465 1.5×
Exc h-f-nk-sp b9+marg 0.5/< (11420) $1,097.60 $3,136 0.6×
Exc tr-ext b9+marg 0.5 < cm (11400) $329.70 $942 0.4×
Exc tr-ext b9+marg 1.1-2 cm (11402) $449.05 $1,283 0.6×
Exchange biliary drg catheter prq w/img gid rs&i (47536) $2,305.45 $6,587 0.6×
Exchange nephrostomy catheter prq w/img gid rs&i (50435) $992.25 $2,835 0.4×
Exchange transfusion, blood; other than newborn Age Under 21 (36455) $429.45 $1,227 0.9×
Exchng absc/cst drg cath rad gid spx (49423) $2,037.70 $5,822 1.0×
Excision h/p/p/u simple/intermediate repair (11470) $2,414.30 $6,898 0.8×
Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) $548.45 $1,567 1.3×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $994 $2,840 1.3×
Excision multiple external papillae/tags anus (46230) $1,374.45 $3,927 0.5×
Excision of bartholin's gland or cyst (56740) $3,388.70 $9,682 1.0×
Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) $767.55 $2,193 0.4×
Excision of penile plaque (Peyronie disease); Age Under 21 (54110) $2,236.85 $6,391 0.6×
Excision of single external papilla or tag, anus (46220) $3,938.55 $11,253 3.1×
Excision of superficial tracheostomy lesions and/or granulation tissue (31899) $197.70 $564.86 0.9×
Excision of thrombosed hemorrhoid, external (46320) $1,809.85 $5,171 1.4×
Excision of vaginal septum (57130) $2,762.90 $7,894 0.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,994.30 $5,698 1.1×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) $1,460.90 $4,174 0.8×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) $411.60 $1,176 0.9×
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) $1,509.20 $4,312 0.9×
Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) $1,397.55 $3,993 0.8×
Exploration penetrating wound spx extremity (20103) $1,331.05 $3,803 0.8×
Exploration with removal of deep foreign body, forearm or wrist (25248) $3,294.20 $9,412 1.9×
Explore wound abdomen (20102) $1,903.65 $5,439 0.9×
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) $2,717.75 $7,765 0.8×
Fetal contraction stress test (59020) $206.50 $590 1.0×
Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age Under 21 (59074) $458.85 $1,311 1.4×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,017.45 $2,907 1.3×
Fine needle aspiration bx w/fluor gdn 1st lesion (10007) $890.05 $2,543 1.2×
Fine needle aspiration bx w/o img gdn 1st lesion (10021) $413.70 $1,182 1.0×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $890.05 $2,543 1.2×
Fluid pressure muscle (20950) $616.35 $1,761 0.8×
Ganglion impar nerve block (64999) $312.43 $892.65 1.0×
Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) $149.80 $428 0.7×
Gastric lavage (43753) $199.85 $571 0.9×
Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) $431.29 $1,232.25 11.8×
Guide cathet fluid drainage (10030) $3,631.60 $10,376 4.8×
Harvest cultured skin graft (15040) $923.30 $2,638 0.4×
Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous to Allogeneic Unrelated - 1st… (38240)
unusually low — confirm this is the full procedure		 $22,592.50 $64,550 0.3×
Hemorrhoidectomy internal rubber band ligations (46221) $1,195.95 $3,417 1.2×
I&d abscess simple/single (10060) $448.35 $1,281 2.1×
I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) $1,994.30 $5,698 0.6×
I&d hematoma/seroma/fluid (10140) $1,679.30 $4,798 1.0×
I&d pilonidal cyst simple (10080) $418.95 $1,197 0.6×
I&d thyroglossal duct cyst infected (60000) $2,093 $5,980 1.3×
Ileoscopy stoma w/balloon dilation (44381) $2,300.20 $6,572 1.1×
Ileoscopy thru stoma dx w/collj spec when prfmd (44380) $640.85 $1,831 0.7×
Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) $145.30 $415.14 0.6×
Image fluid collxn drainag cath transrec/vaginal (49407) $1,766.80 $5,048 1.0×
Image-guide fluid collxn drainage cath visc perq (49405) $3,942.05 $11,263 2.2×
Img-guide fluid collxn drainag cath periton perq (49406) $3,766.35 $10,761 2.1×
Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) $20,813.80 $59,468 1.1×
Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Age Under 21 (62360) $16,931.25 $48,375 0.9×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350)
unusually low — confirm this is the full procedure		 $3,683.40 $10,524 0.4×
Incise external hemorrhoid (46083) $402.50 $1,150 1.5×
INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) $612.50 $1,750 1.4×
Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) $2,089.15 $5,969 1.2×
Incision and drainage of Bartholin's gland abscess (56420) $533.05 $1,523 2.5×
Incision and drainage of pilonidal cyst; complicated (10081) $1,705.20 $4,872 2.3×
Incision and drainage of vulva or perineal abscess (56405) $461.65 $1,319 1.4×
Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) $1,969.80 $5,628 0.6×
Incision and drainage, perianal abscess, superficial (46050) $1,255.10 $3,586 1.3×
Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) $1,134.35 $3,241 0.6×
Incision and removal of foreign body, subcutaneous tissues; complicated (10121) $802.20 $2,292 0.5×
Incision and removal of foreign body, subcutaneous tissues; simple (10120) $440.30 $1,258 1.0×
Incision of eyelid fold (67715) $1,848 $5,280 0.7×
Incision of lingual frenum (frenotomy) (41010) $1,024.80 $2,928 0.6×
Incision of rectal abscess (46040) $3,510.50 $10,030 2.8×
Incision of windpipe (31600) $2,047.50 $5,850 0.6×
Incision of windpipe (31603) $1,180.55 $3,373 0.7×
Incisional biopsy skin single lesion (11106) $430.15 $1,229 0.5×
Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation… (0480U) $3,150 $9,000 1.5×
Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) $1,020.95 $2,917 2.4×
Infusion of drug to dissolve blood clot in brain (37195) $361.20 $1,032 1.0×
Initial treatment, first degree burn, when no more than local treatment is required (16000) $185.50 $530 0.9×
Inj epidural blood or clot patch (62273) $942.20 $2,692 1.3×
Inj paravert f jnt c/t 1 lev (64490) $1,445.15 $4,129 1.5×
Inj paravert f jnt l/s 1 lev (64493) $1,445.15 $4,129 1.5×
Inj tx nerve (64640) $1,097.95 $3,137 1.2×
Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) $1,479.92 $4,228.34 5.9×
Inj,Anes Agent,Femoral Nerve,Single (64447) $642.25 $1,835 0.9×
Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) $843.72 $2,410.62 0.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $624.05 $1,783 0.7×
Injection aa&/strd brachial plexus w/img gdn (64415) $624.05 $1,783 0.7×
Injection aa&/strd genicular nrv branches w/img (64454) $991.55 $2,833 1.3×
Injection aa&/strd greater occipital nerve (64405) $417.55 $1,193 1.3×
Injection aa&/strd ilioinguinal ih nerves (64425) $486.15 $1,389 0.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $766.50 $2,190 0.8×
Injection aa&/strd intercostal nrv single lvl (64420) $486.15 $1,389 0.6×
Injection aa&/strd pudendal nerve (64430) $831.60 $2,376 0.9×
Injection aa&/strd sciatic nerve w/img gdn (64445) $978.95 $2,797 1.3×
Injection aa&/strd suprascapular nerve (64418) $578.20 $1,652 0.8×
Injection aa&/strd trigeminal nerve each branch (64400) $415.45 $1,187 1.3×
Injection aa&/strd vagus nerve (64408) $271.60 $776 0.8×
Injection anes lmbr/thrc paravertbrl sympathetic (64520) $624.05 $1,783 0.7×
Injection anes superior hypogastric plexus (64517) $812 $2,320 0.9×
Injection for identification of sentinel node (38792) $435.75 $1,245 1.0×
Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) $1,024.80 $2,928 0.6×
Injection px prq tx extremity pseudoaneurysm (36002) $420.35 $1,201 0.6×
Injection sclerosant multiple incmptnt veins (36471) $1,479.80 $4,228 3.4×
Injection sclerosant single incmptnt vein (36470) $961.80 $2,748 2.2×
Injection therapeutic carpal tunnel (20526) $145.60 $416 0.4×
Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) $899.85 $2,571 1.0×
Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) $1,555.05 $4,443 1.6×
Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) $642.25 $1,835 0.9×
Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) $817.95 $2,337 0.9×
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) $211.40 $604 0.6×
Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) $240.45 $687 0.7×
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) $267.40 $764 0.8×
Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) $864.85 $2,471 0.9×
Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) $337.05 $963 1.0×
Injection, intralesional; up to and including 7 lesions (11900) $178.85 $511 0.8×
Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) $1,994.30 $5,698 2.1×
Ins cath ren art 1st bilat (36252) $5,778.50 $16,510 1.7×
Ins cath ren art 1st unilat (36251) $4,092.90 $11,694 1.2×
Ins cath ren art 2nd+ bilat (36254) $10,008.25 $28,595 3.0×
Ins cath ren art 2nd+ unilat (36253) $8,476.65 $24,219 1.4×
Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) $5,653.20 $16,152 1.0×
Ins vag brachytx device (57156) $542.85 $1,551 1.7×
Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) $26,335.40 $75,244 0.8×
Insert and remove bone pin (20650) $3,325 $9,500 1.0×
Insert cervical dilator (59200) $356.65 $1,019 1.1×
Insert gastrostomy tube percutaneous (49440) $1,960.35 $5,601 1.0×
Insert heart pm atrial (33206) $6,818.70 $19,482 0.6×
Insert non-tunnel cv cath < 5 y/o (36555) $1,593.55 $4,553 0.5×
Insert pessary/other device (57160) $177.10 $506 0.8×
Insert pulse gen mult leads (33221) $14,425.95 $41,217 0.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low — confirm this is the full procedure		 $2,749.60 $7,856 0.5×
Insert uteri tandem/ovoids (57155) $2,979.90 $8,514 0.6×
Insertion indwelling tunneled pleural catheter (32550) $2,434.60 $6,956 0.6×
Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) $25,760.35 $73,601 1.1×
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) $7,172.90 $20,494 0.6×
Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) $1,415.75 $4,045 0.8×
Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) $2,696.40 $7,704 0.7×
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182)
unusually low — confirm this is the full procedure		 $6,795.95 $19,417 0.3×
Insertion of tube into airway for aspiration of secretions (31720) $102.55 $293 0.4×
Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) $3,072.65 $8,779 0.9×
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) $1,951.60 $5,576 0.6×
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211)
unusually low — confirm this is the full procedure		 $3,828.30 $10,938 0.4×
Insertion phrenic nerve stimulator system (33276) $31,657.15 $90,449 0.7×
Insertion picc w/o img gdn 5 yr/> (36569) $2,253.65 $6,439 1.3×
Insertion picc w/rs&i 5 yr/> (36573) $2,207.45 $6,307 1.3×
Insertion picc w/rs&i < 5 yr (36572) $1,635.20 $4,672 2.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,036.60 $28,676 1.1×
Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) $4,683.70 $13,382 0.5×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) $4,953.90 $14,154 0.6×
Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) $8,885.10 $25,386 0.8×
Insj intraperitoneal catheter w/img guid (49418) $3,348.10 $9,566 0.9×
Insj of subq implantable defibrillator electrode (33271) $7,870.10 $22,486 0.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,117.80 $8,908 0.9×
Insj rx eluting implt punctal dilat lac canal ea (68841) $1,130.85 $3,231 0.4×
Insj tunneled ctr vad w/subq port under 5 yr (36560) $4,727.45 $13,507 1.4×
Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) $25,818.80 $73,768 0.8×
Insrt heart pm atrial & vent (33208) $10,851.05 $31,003 1.0×
Insrt pulse gen w/dual leads (33230) $26,751.20 $76,432 1.1×
Instlj via ch tube/cath agent fbrnlysis 1st day (32561) $791.35 $2,261 1.2×
Interdental wiring (21497) $949.90 $2,714 0.6×
Intraoral i&d tongue/floor lingual (41000) $694.75 $1,985 1.2×
Intraoral i&d tongue/floor masticator space (41009) $816.20 $2,332 1.4×
Intro cath dialysis circuit dx angrph fluor s&i (36901) $1,649.55 $4,713 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $14,507.15 $41,449 1.2×
Intro cath dialysis circuit w/trluml balo angiop (36902) $5,969.25 $17,055 1.0×
Intubation endotracheal (31500) $637.70 $1,822 2.5×
Irrigation of corpora cavernosa for priapism (54220) $518.70 $1,482 1.9×
IV injection test vascular flow flap/graft (15860) $408.80 $1,168 0.9×
Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) $45.64 $130.40 1.2×
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) $7,484.40 $21,384 1.2×
Laryngoscopy flex diagnostic (31575) $272.65 $779 1.3×
Laryngoscopy flx rmvl foreign body(s) (31577) $1,010.80 $2,888 2.4×
Laryngoscopy indirect diagnostic (31505) $213.15 $609 1.0×
Laryngoscopy w/biopsy (31535) $3,411.80 $9,748 0.9×
Ligation of a-v fistula (37607) $2,881.90 $8,234 0.9×
Lithotripsy, extracorporeal shock wave Age Under 21 (50590) $6,210.05 $17,743 1.7×
Long gi tube placement (44500) $705.60 $2,016 0.7×
Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) $1,407.31 $4,020.87 5.3×
Lumbar puncture (62270) $870.10 $2,486 1.2×
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) $1,589 $4,540 0.9×
Manometric stds thru tube/ndwellg urtrl cath (50396) $551.95 $1,577 0.7×
Meas post-voiding residual urine&/bladder cap (51798) $54.60 $156 0.9×
Mechanical removal obstructive material from nonvascular catheter/device (32999) $1,523.32 $4,352.33 2.3×
Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) $1,294.65 $3,699 0.8×
Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) $1,840.65 $5,259 0.5×
Myelography via lumbar inject rs&i lumbosacral (62304) $1,864.10 $5,326 2.2×
Myelography via lumbar injection rs&i 2+ regions (62305) $1,358.70 $3,882 1.6×
Myelography via lumbar injection rs&i cervical (62302) $1,555.40 $4,444 1.9×
Myelography via lumbar injection rs&i thoracic (62303) $1,201.90 $3,434 1.4×
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) $2,122.05 $6,063 0.6×
Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) $262.15 $749 1.2×
Nasal surg proc unlisted (30999) $265.36 $758.17 1.1×
Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) $1,205.05 $3,443 0.6×
Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) $1,464.37 $4,183.89 1.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $61.25 $175 2.0×
Needle insertion w/o injection 3 or more muscles (20561) $88.90 $254 2.9×
Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) $180.60 $516 0.7×
Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) $157.50 $450 1.4×
Njx aa&/strd tfrm epi c/t 1 (64479) $817.25 $2,335 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $624.05 $1,783 0.7×
Njx cholangio prq w/img gid rs&i existing access (47531) $1,894.90 $5,414 0.5×
Njx cholangio prq w/img gid rs&i new access (47532) $2,305.45 $6,587 0.6×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $796.95 $2,277 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $624.40 $1,784 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $642.25 $1,835 0.9×
Njx noncmpnd sclerosant multiple incmptnt veins (36466) $2,723.70 $7,782 1.2×
Njx noncmpnd sclerosant single incmptnt vein (36465) $2,521.75 $7,205 1.1×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $755.65 $2,159 1.0×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $927.50 $2,650 1.2×
Non stress test (59025) $375.20 $1,072 1.7×
Nonslctv cath thor aorta angio intr/xtrcranl art (36221) $4,453.40 $12,724 1.3×
Obstructive material removal from gi tube (49460) $1,642.20 $4,692 1.7×
Open treatment bimalleolar ankle fracture (27814) $6,343.75 $18,125 0.8×
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
unusually low — confirm this is the full procedure		 $3,538.50 $10,110 0.5×
Open tx distal fibular fracture lat malleolus (27792) $5,257.35 $15,021 0.7×
Open tx distal phalangeal fracture each (26765) $2,801.40 $8,004 0.8×
Open/perq placement intravascular stent initial (37236) $9,015.30 $25,758 0.7×
Open/perq placement intravascular stent same 1st (37238) $9,015.30 $25,758 0.7×
Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Age Under 21 (67405) $2,126.60 $6,076 0.8×
Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) $2,884.35 $8,241 0.8×
Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) $2,139.55 $6,113 0.6×
Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) $2,112.95 $6,037 0.6×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) $2,139.55 $6,113 0.6×
Osteotomy; phalanx of finger, each Age Under 21 (26567) $2,989.70 $8,542 0.9×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) $133.70 $382 0.6×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) $170.10 $486 0.8×
Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) $100.10 $286 0.5×
Partial excision distal phalanx finger (26236) $1,594.25 $4,555 0.9×
Penile injection (54235) $256.90 $734 1.0×
Perc rf ablate renal tumor (50592) $6,618.50 $18,910 1.0×
Percut ablate liver rf (47382) $8,142.40 $23,264 1.3×
Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) $1,457.75 $4,165 1.9×
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
unusually low — confirm this is the full procedure		 $3,765.65 $10,759 0.5×
Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) $1,301.01 $3,717.17 4.9×
Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) $3,435.60 $9,816 1.0×
Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) $3,495.10 $9,986 0.8×
Pericardiocentesis w/img guidance when performed (33016) $1,869.35 $5,341 1.1×
Peritoneal lavage, including imaging guidance, when performed (49084) $441.70 $1,262 0.5×
Perq breast loc device placemt 1st lesio mr guid (19287) $1,535.80 $4,388 2.0×
Perq dev breast 1st strtctc (19283) $1,236.55 $3,533 1.6×
Perq dev breast 1st us imag (19285) $1,236.55 $3,533 1.6×
Perq device breast 1st imag (19281) $1,134.35 $3,241 0.6×
Perq dilation xst trc endourologic px w/img (50436) $2,236.85 $6,391 0.6×
Perq dilation xst trc new access renal coltj sys (50437) $3,308.55 $9,453 0.9×
Perq drainage pleura insert cath w/imaging (32557) $4,057.55 $11,593 2.4×
Perq drainage pleura insert cath w/o imaging (32556) $1,730.40 $4,944 0.8×
Perq p-art revsc st 1st abnor connj unilateral (33902) $13,613.60 $38,896 0.7×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $14,196.70 $40,562 1.2×
Perq p-art revsc st 1st nml native connj bi (33901) $13,825.35 $39,501 1.1×
Perq p-art revsc st 1st nml native connj uni (33900) $10,516.10 $30,046 0.9×
Perq replacement gtube not req revj gstrst trc (43762) $530.60 $1,516 2.0×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $18,011.70 $51,462 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $11,137 $31,820 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,836.55 $19,533 1.1×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $8,135.05 $23,243 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,947.80 $22,708 1.0×
Perq vertebroplasty uni/bi injection lumbosacral (22511) $3,697.05 $10,563 1.1×
Perq vertebroplasty uni/bi injx cervicothoracic (22510) $3,959.55 $11,313 1.1×
Place duod/jej tube perc (49441) $2,226.70 $6,362 1.1×
Placement needle head/neck radioelement applicat (41019) $3,694.95 $10,557 0.6×
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) $1,136.45 $3,247 0.8×
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) $995.40 $2,844 0.7×
Plmt access thru biliary tree into small bwl new (47541) $3,766.35 $10,761 0.5×
Plmt bile duct stent prq existing access (47538) $8,811.95 $25,177 1.4×
Plmt bile duct stent prq new access w/o sep cath (47539) $9,918.65 $28,339 1.5×
Plmt bile duct stent prq new access w/sep cath (47540) $9,930.55 $28,373 1.5×
Plmt nephrostomy cath prq new access rs&i (50432) $2,132.20 $6,092 1.0×
Plmt nephroureteral cath prq new access rs&i (50433) $2,512.30 $7,178 0.7×
Plmt sft tiss loclzj dev perq 1st lesion (10035) $918.40 $2,624 1.2×
Plmt urtrl stent prq new access w/sep nfros cath (50695) $3,697.75 $10,565 1.0×
Plmt urtrl stent prq pre-existing nfros tract (50693) $2,696.40 $7,704 0.7×
Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) $3,521.70 $10,062 0.9×
Pr transfusion intrauterine fetal (36460) $497 $1,420 1.1×
Preputial stretching (54450) $125.30 $358 0.5×
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
unusually low — confirm this is the full procedure		 $5,988.85 $17,111 0.3×
Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (45309) $736.75 $2,105 0.6×
Prq plmt biliary drg cath w/img gid rs&i externl (47533) $2,741.90 $7,834 0.7×
Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) $3,012.80 $8,608 0.8×
Prq skel fixj iphal jt dislc 1 w/mnpj (26776) $4,573.80 $13,068 1.3×
Prq transcatheter rtrvl intrvas fb with imaging (37197) $4,419.10 $12,626 1.3×
Prq transluminal mechanical thrombectomy vein (37187)
unusually low — confirm this is the full procedure		 $5,678.75 $16,225 0.5×
Punch biopsy skin single lesion (11104) $344.75 $985 0.8×
Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) $686 $1,960 1.6×
Puncture aspiration of cyst of breast (19000) $612.15 $1,749 0.8×
Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) $1,217.64 $3,478.96 1.3×
Radiant-neck/chest procedure unlisted (21899) $232.95 $665.57 0.9×
Reduction of incarcerated uterus in maternity care and/or delivery (59899) $198.45 $567 0.9×
Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) $890.05 $2,543 0.9×
Relocate skin pocket implantable defibrillator (33223) $2,391.90 $6,834 1.1×
Relocation of skin pocket for pacemaker (33222) $1,890.35 $5,401 0.9×
Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) $2,368.80 $6,768 1.1×
Removal biliary drg catheter req fluor gid rs&i (47537) $1,157.45 $3,307 1.2×
Removal entire oi implt skl mag tc attch esp<100 (69727) $3,362.80 $9,608 1.0×
Removal entire oi implt skl perq attachment esp (69726) $3,014.20 $8,612 0.9×
REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) $1,143.10 $3,266 1.5×
Removal foreign body mouth (40804) $942.90 $2,694 1.0×
Removal foreign body shoulder subcutaneous (23330) $1,097.95 $3,137 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $214.20 $612 3.4×
Removal impacted cerumen requiring instrumentation, unilateral (69210) $218.75 $625 3.5×
Removal implant deep (20680) $2,224.25 $6,355 0.7×
Removal implantable defib pulse generator only (33241) $2,017.05 $5,763 0.5×
Removal of blood from fetal umbilical cord (59012) $458.85 $1,311 1.4×
Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) $2,175.60 $6,216 0.6×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $579.25 $1,655 0.5×
Removal of foreign body in muscle or tendon sheath; simple (20520) $1,097.60 $3,136 0.6×
Removal of foreign body in voice box using an endoscope with mirror (31511) $236.60 $676 1.1×
Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) $802.20 $2,292 0.5×
Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) $2,951.90 $8,434 1.0×
Removal of foreign body, external eye; conjunctival superficial (65205) $109.20 $312 0.8×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $309.75 $885 0.7×
Removal of foreign body, foot; deep (28192) $1,479.80 $4,228 0.8×
Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) $2,440.20 $6,972 1.0×
Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) $1,295.70 $3,702 1.0×
Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) $1,454.95 $4,157 1.1×
Removal of iud (58301) $275.80 $788 0.8×
Removal of nail bed (11750) $428.40 $1,224 1.0×
Removal of pm generator (33233)
unusually low — confirm this is the full procedure		 $3,234.70 $9,242 0.4×
Removal of salivary stone (42330) $2,620.45 $7,487 0.7×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $215.25 $615 1.0×
Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21 (62365) $3,978.45 $11,367 1.1×
Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) $2,676.80 $7,648 0.7×
Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) $2,238.25 $6,395 0.6×
Removal of tunneled intraperitoneal catheter (49422) $2,707.60 $7,736 0.8×
Removal or bivalving; full arm or full leg cast Age Under 21 (29705) $168 $480 0.6×
Removal phrenic nerve stimulator system (33278) $3,056.20 $8,732 0.8×
Removal subcutaneous cardiac rhythm monitor (33286) $862.40 $2,464 1.1×
Removal tunneled cv cath (36590) $1,109.50 $3,170 0.7×
Removal, non-biodegradable drug delivery implant (11982) $495.95 $1,417 1.0×
Removal/revision of cast (29700) $128.45 $367 0.4×
Remove eyelid foreign body (67938) $317.10 $906 0.9×
Remove foreign body from eye (65210) $201.95 $577 0.4×
Remove lung catheter (32552) $1,639.40 $4,684 2.5×
Remove pharynx foreign body (42809) $280 $800 0.6×
Remove ureter stent percut (50384) $2,025.45 $5,787 0.9×
Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) $7,241.15 $20,689 0.6×
Remvl perm pm pls gen w/repl plse gen mult lead (33229)
unusually low — confirm this is the full procedure		 $9,051.35 $25,861 0.4×
Remvl perm pm plse gen w/repl plse gen sngl lead (33227) $6,053.95 $17,297 0.7×
Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) $1,339.80 $3,828 0.8×
Repair blood vessel lesion (35226) $783.30 $2,238 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $714.35 $2,041 1.6×
REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) $856.80 $2,448 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $856.80 $2,448 2.0×
Repair complex trunk 2.6-7.5 cm (13101) $856.80 $2,448 1.1×
Repair extensor tendon hand w/o graft each (26410) $1,552.25 $4,435 0.9×
Repair eyelid wound (67930) $2,212 $6,320 0.9×
Repair finger tendon (26418) $1,593.90 $4,554 0.9×
Repair finger/hand tendon (26350) $2,342.20 $6,692 0.7×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) $669.55 $1,913 1.5×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) $746.20 $2,132 1.7×
REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) $910 $2,600 2.1×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $944.30 $2,698 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $843.85 $2,411 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $544.95 $1,557 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $731.85 $2,091 1.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $803.60 $2,296 1.0×
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) $619.85 $1,771 1.4×
REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) $716.10 $2,046 1.7×
REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) $944.30 $2,698 1.2×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) $783.65 $2,239 1.8×
Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) $1,133.30 $3,238 2.6×
Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) $1,359.40 $3,884 3.1×
Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) $1,133.30 $3,238 0.5×
Repair lead pace-defib dual (33220) $3,371.55 $9,633 0.8×
Repair lead pace-defib one (33218) $3,044.30 $8,698 0.8×
Repair lip full thickness vermillion only - lac - lip rn (40650) $700.35 $2,001 1.2×
Repair lip, full thickness; up to half vertical height Age Under 21 (40652) $798.35 $2,281 1.4×
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) $201.95 $577 0.4×
Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) $788.55 $2,253 3.1×
Repair of nail bed (11760) $358.75 $1,025 0.5×
Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) $1,121.05 $3,203 1.7×
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) $856.80 $2,448 1.1×
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) $1,062.95 $3,037 1.3×
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) $714.35 $2,041 1.6×
Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) $714.35 $2,041 0.9×
Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) $1,133.30 $3,238 0.5×
Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) $2,145.85 $6,131 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $1,461.95 $4,177 1.5×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,401.40 $4,004 1.4×
Replace picvad cath (36585) $2,766.05 $7,903 0.8×
Replace tunneled cv cath (36582) $2,756.25 $7,875 0.8×
Replacement gastro-jejunostomy tube percutaneous (49452) $1,515.85 $4,331 1.6×
Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) $5,365.15 $15,329 1.6×
Repos previously implanted subq implantable dfb (33273) $2,954 $8,440 0.7×
Reposition l ventric lead (33226) $1,840.65 $5,259 0.5×
Reposition venous catheter (36597) $985.60 $2,816 0.6×
Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) $387.80 $1,108 1.5×
Repositioning phrenic nrv stimulator transvns ld (33281) $3,056.20 $8,732 0.8×
Repr elbow lat ligmnt w/tiss (24343) $3,571.05 $10,203 1.0×
Reset dislocated jaw (21480) $152.60 $436 0.6×
Revise abdomen-venous shunt (49426) $3,160.85 $9,031 0.8×
Revision of cervix (59320) $2,847.25 $8,135 0.8×
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832) $9,685.20 $27,672 1.6×
Revj transvns intrhptc portosystemic shnt (tips) (37183) $11,912.60 $34,036 2.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,012.85 $5,751 0.9×
RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) $186.20 $532 1.3×
RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) $484.05 $1,383 3.4×
Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) $33,987.45 $97,107 1.0×
Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) $21,203.70 $60,582 0.9×
Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) $32,621.05 $93,203 1.4×
Rmvl nfros tube req fluoro guidance (50389) $927.50 $2,650 1.2×
Rmvl of access device (36589) $911.05 $2,603 1.4×
Rmvl of subq implantable defibrillator electrode (33272) $2,954 $8,440 0.7×
Rmvl phrenic nrv stimulator pulse generator only (33280) $2,475.55 $7,073 0.7×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $2,750.65 $7,859 0.7×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) $27,891.85 $79,691 0.8×
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) $12,235.65 $34,959 1.0×
Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) $2,146.90 $6,134 0.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,033.20 $2,952 0.6×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,505.65 $7,159 0.7×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,700.65 $4,859 1.0×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $944.30 $2,698 1.2×
Rpr lip fth>1half ver ht/cpx (40654) $938 $2,680 0.6×
Rpr non-union mtcrpl/phalanx (26546)
unusually low — confirm this is the full procedure		 $3,765.65 $10,759 0.5×
Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) $3,211.95 $9,177 1.0×
Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) $8,517.95 $24,337 2.5×
Sclerotherapy fluid collection prq w/img gid (49185) $2,037.35 $5,821 1.2×
Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) $2,030.35 $5,801 0.5×
Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) $870.79 $2,487.97 0.9×
Sigmoidoscopy & polypectomy (45333) $1,256.50 $3,590 1.3×
Sigmoidoscopy flx control bleeding (45334) $1,399.82 $3,999.50 1.1×
Sigmoidoscopy flx ndsc us xm (45341) $1,378.30 $3,938 1.4×
Sigmoidoscopy w/ablation (45346) $1,779.05 $5,083 1.4×
Sigmoidoscopy w/fb removal (45332) $1,172.50 $3,350 0.9×
Sigmoidoscopy w/resection (45349) $2,194.85 $6,271 0.7×
Sigmoidoscopy w/us guide bx (45342) $2,230.02 $6,371.50 1.7×
Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) $1,123.85 $3,211 0.9×
Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) $1,269.80 $3,628 1.3×
Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) $916.48 $2,618.50 0.9×
Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) $3,437 $9,820 0.5×
Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) $1,452.32 $4,149.50 1.1×
Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) $1,266.65 $3,619 1.0×
SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) $523.95 $1,497 2.4×
SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) $586.25 $1,675 2.7×
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) $615.65 $1,759 2.9×
SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) $646.45 $1,847 3.0×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $1,603.35 $4,581 7.5×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) $488.25 $1,395 2.3×
SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) $710.15 $2,029 3.3×
Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) $810.60 $2,316 1.9×
Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) $678.65 $1,939 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $613.20 $1,752 2.9×
Skin tissue procedure unlisted (17999) $118.40 $338.26 0.6×
Slctv cath carotid/innom art angio intrcranl art (36223) $7,643.65 $21,839 1.3×
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,127.15 $14,649 1.5×
Slctv cath intrnl carotid art angio intrcrnl art (36224) $8,418.55 $24,053 1.4×
Slctv cath subclavian art angio vertebral artery (36225) $5,205.20 $14,872 1.5×
Slctv cath vertebral art angio vertebral artery (36226) $7,685.30 $21,958 1.3×
Small bowel endoscopy (44366) $3,096.10 $8,846 1.5×
Small bowel endoscopy (44376) $1,846.60 $5,276 0.9×
Small bowel endoscopy/biopsy (44377) $1,936.90 $5,534 0.9×
Small bowel endoscopy/biopsy (44361) $1,814.05 $5,183 0.9×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) $2,493.75 $7,125 1.2×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
unusually low — confirm this is the full procedure		 $2,654.40 $7,584 0.4×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) $2,051 $5,860 1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) $1,683.85 $4,811 0.8×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) $1,342.25 $3,835 0.7×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) $2,397.15 $6,849 1.2×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) $2,356.90 $6,734 1.2×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370)
unusually low — confirm this is the full procedure		 $3,196.90 $9,134 0.5×
SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) $584.15 $1,669 2.7×
SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) $644 $1,840 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $676.20 $1,932 1.6×
Stomach surgery procedure unlisted (43999) $922.83 $2,636.65 1.0×
Strapping elbow or wrist (29260) $53.90 $154 0.9×
Strapping hand/finger (29280) $53.90 $154 0.9×
Strapping hip (29520) $547.75 $1,565 3.9×
Strapping of shoulder (29240) $132.30 $378 0.9×
Strapping of toes (29550) $74.90 $214 1.2×
Strapping unna boot (29580) $148.40 $424 0.9×
Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) $1,179.50 $3,370 1.5×
Suprachoroidal space njx pharmacologic agent (67516) $304.15 $869 0.9×
Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) $1,283.80 $3,668 1.6×
Tangential biopsy skin single lesion (11102) $344.75 $985 0.8×
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) $16,744.70 $47,842 0.5×
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $12,425 $35,500 0.6×
Tcat removal perm leadless pm right ventr w/img (33275) $3,288.60 $9,396 1.0×
Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21 (28240) $2,173.50 $6,210 0.6×
Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) $2,089.15 $5,969 1.2×
Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) $2,759.05 $7,883 1.7×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $970.55 $2,773 1.3×
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) $1,320.55 $3,773 2.0×
Throat surgery procedure (42999) $241.39 $689.66 1.0×
Thrombolysis art/venous infsn w/image subsq tx (37213) $5,755.05 $16,443 1.7×
Thrombolysis arterial infusion icra rs&i init tx (37211) $6,968.50 $19,910 1.2×
Thrombolysis venous infusion w/imaging init tx (37212) $6,088.25 $17,395 1.8×
Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) $790.30 $2,258 3.1×
Transcatheter biopsy (37200) $2,973.25 $8,495 0.5×
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) $9,437.40 $26,964 0.8×
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624)
likely a partial charge — not the full procedure		 $2,553.60 $7,296 0.1×
Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) $1,995.70 $5,702 0.6×
Transfusion, blood or blood components (36430) $934.50 $2,670 2.0×
Transoral lower esophageal myotomy (43497) $3,263.75 $9,325 0.5×
Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) $1,595.65 $4,559 0.8×
Treat big toe fracture (28495) $302.40 $864 1.1×
Treat elbow fracture (24586) $7,641.20 $21,832 0.6×
Treat finger dislocation (26775) $264.60 $756 0.9×
Treat hip socket fracture (27222) $1,717.80 $4,908 6.5×
Treat humerus fracture (24577) $767.55 $2,193 0.4×
Treat knee fracture (27532) $2,139.55 $6,113 0.6×
Treat lower leg fracture (27825) $1,312.15 $3,749 0.8×
Treat pleurodesis w/agent (32560) $596.40 $1,704 0.9×
Treat thumb fracture (26645) $767.55 $2,193 0.4×
Treat toe dislocation (28630) $302.40 $864 1.1×
Treat ulnar fracture (24675) $1,123.15 $3,209 0.7×
Treat vaginal bleeding (57180) $247.80 $708 1.1×
Treat wrist bone fracture (25635) $767.55 $2,193 0.4×
Treat wrist dislocation (25690) $1,482.60 $4,236 0.9×
TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) $1,556.45 $4,447 0.9×
Treatment of closed elbow dislocation; without anesthesia (24600) $465.85 $1,331 1.8×
Treatment of miscarriage (59812) $2,175.60 $6,216 0.6×
Trimming of nondystrophic nails, any number (11719) $77.70 $222 1.2×
Trlml balo angiop open/perq img s&i 1st art (37246) $5,532.45 $15,807 0.9×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $10,772.30 $30,778 1.8×
Tx superficial wound dehiscence simple closure (12020) $896 $2,560 1.1×
Tx superficial wound dehiscence w/packing (12021) $418.95 $1,197 1.0×
Tx tarsal bone fx xcp talus&calcn w/manj (28455) $1,499.05 $4,283 0.9×
Unlisted craniofacial and maxillofacial procedure (21299) $1,192.35 $3,406.70 4.7×
Unlisted procedure leg/ankle (27899) $145.30 $415.14 0.6×
Unlisted procedure pancreas (48999) $753.69 $2,153.38 1.0×
Unlisted procedure rectum (45999) $936.54 $2,675.82 0.9×
Unlisted procedure, dentoalveolar structures (41899) $108.60 $310.26 0.4×
Unlisted procedure, hands or fingers (26989) $145.30 $415.14 0.6×
Unlisted procedure, liver (47399) $1,479.92 $4,228.34 2.0×
Upgrade of pacemaker system (33214) $10,082.80 $28,808 0.9×
Urology surgery procedure unlisted (53899) $450.44 $1,286.94 1.7×
Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) $2,275.22 $6,500.61 4.8×
Vaginal delivery (59409) $2,268 $6,480 0.7×
Vasc embolize/occlude bleed (37244) $15,396.15 $43,989 1.3×
Vascular embolization or occlusion arterial rs&i (37242) $15,621.90 $44,634 0.8×
Vascular embolization or occlusion venous rs&i (37241) $10,874.15 $31,069 0.9×
Vascular embolize/occlude organ tumor infarct (37243) $15,621.90 $44,634 1.3×
Vascular surgery procedure (37799) $1,669.39 $4,769.67 2.5×
Vbac delivery only (59612) $2,268 $6,480 0.7×
Venipuncture (36415) $10.85 $31 1.2×
Version cephalic external (59412) $1,155 $3,300 0.3×
Wedge excision skin nail fold (11765) $234.50 $670 0.5×
Wedging of cast (29740) $128.45 $367 0.4×
Windowing of cast (29730) $99.05 $283 0.6×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $4,429.60 $12,656 0.8×
Xcpsl ctrc rmvl cplx insj 1+ (66989) $4,429.60 $12,656 0.8×