| Abd paracentesis w/imaging (49083) |
$2,841.60 |
$3,552 |
3.2× |
| Amniocentesis diagnostic (59000) |
$805.60 |
$1,007 |
0.9× |
| Application finger splint static (29130) |
$205.60 |
$257 |
1.6× |
| Application of rigid total contact leg cast (29445) |
$816 |
$1,020 |
3.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$540.80 |
$676 |
3.5× |
| Arterial puncture (36600) |
$148 |
$185 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$687.20 |
$859 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$647.20 |
$809 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$584.80 |
$731 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$711.20 |
$889 |
2.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$687.20 |
$859 |
2.3× |
| Aspirate pleura w/ imaging (32555) |
$1,372 |
$1,715 |
2.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$687.20 |
$859 |
2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$453.60 |
$567 |
2.3× |
| Biopsy Abdominal Mass (49180) |
$2,401.60 |
$3,002 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$1,811.20 |
$2,264 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,901.60 |
$2,377 |
1.2× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,520.80 |
$3,151 |
1.6× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$2,152.80 |
$2,691 |
1.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$587.20 |
$734 |
0.9× |
| Bladder Scan (51798) |
$159.20 |
$199 |
2.8× |
| Blood Transfusion Service (36430) |
$1,012.80 |
$1,266 |
2.4× |
| Bone Marrow Biopsy (38221) |
$644 |
$805 |
0.4× |
| Bone Marrow; Aspiration Only (38220) |
$196 |
$245 |
0.1× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,543.20 |
$3,179 |
1.5× |
| Bx breast 1st lesion mr imag (19085) |
$2,988.80 |
$3,736 |
1.9× |
| Bx breast 1st lesion strtctc (19081) |
$2,699.20 |
$3,374 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$2,572 |
$3,215 |
1.6× |
| Chemical Cautery Tissue (17250) |
$520 |
$650 |
2.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,641.60 |
$2,052 |
2.4× |
| Chemodenerv Eccrine Glands (64650) |
$687.20 |
$859 |
2.3× |
| Chemodenerv Musc Migraine (64615) |
$687.20 |
$859 |
2.3× |
| Chemodenerv musc neck dyston (64616) |
$687.20 |
$859 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,641.60 |
$2,052 |
2.4× |
| Circumcision Neonate (54160) |
$204 |
$255 |
0.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$260.80 |
$326 |
2.0× |
| Collection of venous blood by venipuncture (36415) |
$20.80 |
$26 |
2.2× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$3,704 |
$4,630 |
3.2× |
| Colonoscopy w/fb removal (45379) |
$3,704 |
$4,630 |
3.2× |
| Colonoscopy w/submucosal inj (45381) |
$3,704 |
$4,630 |
3.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$3,704 |
$4,630 |
3.2× |
| Complex drainage wound (10180) |
$3,119.20 |
$3,899 |
1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,049.60 |
$2,562 |
1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,420.80 |
$3,026 |
1.2× |
| Cystourethroscopy (52000) |
$2,754.40 |
$3,443 |
4.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,005.60 |
$1,257 |
1.4× |
| Debride nail 1-5 (11720) |
$204.80 |
$256 |
3.6× |
| Debride nail 6 or more (11721) |
$280 |
$350 |
4.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,933.60 |
$3,667 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$711.20 |
$889 |
1.8× |
| Declot vascular device (36593) |
$652.80 |
$816 |
2.0× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$2,133.60 |
$2,667 |
2.5× |
| Destroy cerv/thor facet jnt (64633) |
$5,266.40 |
$6,583 |
2.8× |
| Destroy lumb/sac facet jnt (64635) |
$5,266.40 |
$6,583 |
2.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,133.60 |
$2,667 |
2.5× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$2,133.60 |
$2,667 |
1.1× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$687.20 |
$859 |
2.3× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$2,133.60 |
$2,667 |
2.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,516 |
$5,645 |
2.4× |
| Diagnostic sigmoidoscopy (45330) |
$2,491.20 |
$3,114 |
2.8× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,194.40 |
$1,493 |
1.4× |
| Drain Cerebro Spinal Fluid (62272) |
$1,641.60 |
$2,052 |
2.4× |
| Drain/inj small joint/bursa w/us (20604) |
$526.40 |
$658 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$1,966.40 |
$2,458 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$258.40 |
$323 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$973.60 |
$1,217 |
2.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$769.60 |
$962 |
4.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$551.20 |
$689 |
2.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,133.60 |
$2,667 |
2.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,133.60 |
$2,667 |
2.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$840 |
$1,050 |
0.3× |
| Dx Bronchoscope/Lavage (31624) |
$2,543.20 |
$3,179 |
1.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$997.60 |
$1,247 |
1.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$3,200.80 |
$4,001 |
1.7× |
| Egd cautery tumor polyp (43250) |
$3,018.40 |
$3,773 |
1.6× |
| Egd control bleeding any (43255) |
$3,200.80 |
$4,001 |
1.7× |
| Egd Flexible Foreign Body Removal (43247) |
$3,018.40 |
$3,773 |
3.5× |
| Egd place gastrostomy tube (43246) |
$3,082.40 |
$3,853 |
1.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$712 |
$890 |
2.4× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$712 |
$890 |
2.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$5,227.20 |
$6,534 |
2.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$5,227.20 |
$6,534 |
2.6× |
| Epidural Blood Patch (62273) |
$1,099.20 |
$1,374 |
1.6× |
| Esoph Scope W/Submucous Inj (43201) |
$3,030.40 |
$3,788 |
1.6× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$3,082.40 |
$3,853 |
1.7× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$8,017.60 |
$10,022 |
4.3× |
| Fetal non-stress test (59025) |
$389.60 |
$487 |
2.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$4,135.20 |
$5,169 |
6.1× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$4,135.20 |
$5,169 |
6.1× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$3,312 |
$4,140 |
4.9× |
| Fna bx w/us gdn 1st les (10005) |
$2,671.20 |
$3,339 |
3.9× |
| I&d abscess simple (10060) |
$456 |
$570 |
2.4× |
| I&d pilonidal cyst complicated (10081) |
$1,984 |
$2,480 |
2.9× |
| I&d pilonidal cyst simple (10080) |
$1,324 |
$1,655 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$792.80 |
$991 |
0.5× |
| Implant neuroelectrodes (63650) |
$18,950.40 |
$23,688 |
3.1× |
| Implant Neuroelectrodes (64561) |
$18,950.40 |
$23,688 |
3.1× |
| Implant Spine Infusion Pump (62362) |
$43,378.40 |
$54,223 |
2.5× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$14,469.60 |
$18,087 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$936.80 |
$1,171 |
2.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,966.40 |
$2,458 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,094.40 |
$1,368 |
2.8× |
| Incisional biopsy skin single lesion (11106) |
$505.60 |
$632 |
0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,133.60 |
$2,667 |
2.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$764 |
$955 |
3.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,133.60 |
$2,667 |
2.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$311.20 |
$389 |
1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,133.60 |
$2,667 |
2.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,641.60 |
$2,052 |
2.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,133.60 |
$2,667 |
2.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,641.60 |
$2,052 |
2.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,641.60 |
$2,052 |
2.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$687.20 |
$859 |
2.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,133.60 |
$2,667 |
2.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,641.60 |
$2,052 |
2.4× |
| Injection for identification of sentinel node (38792) |
$1,446.40 |
$1,808 |
3.8× |
| Injection into disk lesion (62292) |
$5,266.40 |
$6,583 |
2.8× |
| Injection into spinal artery (62294) |
$2,488 |
$3,110 |
2.9× |
| Injection single tendon origin/insertion (20551) |
$687.20 |
$859 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$868.80 |
$1,086 |
2.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$687.20 |
$859 |
2.3× |
| Injection therapeutic carpal tunnel (20526) |
$687.20 |
$859 |
2.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,133.60 |
$2,667 |
2.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,641.60 |
$2,052 |
2.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,641.60 |
$2,052 |
2.4× |
| Injection, anesthetic agent; vagus nerve (64408) |
$687.20 |
$859 |
2.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$2,488 |
$3,110 |
2.9× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$2,133.60 |
$2,667 |
2.5× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$2,488 |
$3,110 |
2.9× |
| Insert non-tunnel cv cath (36556) |
$2,386.40 |
$2,983 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$389.60 |
$487 |
3.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,130.40 |
$2,663 |
1.4× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$89,183.20 |
$111,479 |
3.0× |
| Intubation endotracheal emergency procedure (31500) |
$891.20 |
$1,114 |
3.9× |
| Myelography Lumbar Injection (62305) |
$1,963.20 |
$2,454 |
2.6× |
| Myelography Lumbar Injection (62304) |
$1,963.20 |
$2,454 |
2.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,963.20 |
$2,454 |
2.6× |
| N Block Inj Celiac Pelus (64530) |
$2,133.60 |
$2,667 |
2.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,641.60 |
$2,052 |
2.4× |
| N block inj intercost sng (64420) |
$1,641.60 |
$2,052 |
2.4× |
| N Block Inj Pudendal (64430) |
$2,133.60 |
$2,667 |
2.5× |
| N Block Lumbar/Thoracic (64520) |
$2,133.60 |
$2,667 |
2.5× |
| Needle Biopsy Lymph Nodes (38505) |
$1,901.60 |
$2,377 |
1.2× |
| Neuroeltrd Stim Post Tibial (64566) |
$687.20 |
$859 |
2.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,133.60 |
$2,667 |
2.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$687.20 |
$859 |
2.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$618.40 |
$773 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,133.60 |
$2,667 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$2,133.60 |
$2,667 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,641.60 |
$2,052 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,641.60 |
$2,052 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$2,133.60 |
$2,667 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,133.60 |
$2,667 |
2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,641.60 |
$2,052 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$2,133.60 |
$2,667 |
2.5× |
| Occipital Nerve Block (64405) |
$687.20 |
$859 |
2.3× |
| Open Implantation Nea Peripheral Nerve (64575) |
$50,634.40 |
$63,293 |
4.7× |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
$50,634.40 |
$63,293 |
2.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,126.40 |
$2,658 |
3.1× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) |
$16,250.40 |
$20,313 |
1.5× |
| Perq dev breast 1st strtctc (19283) |
$4,617.60 |
$5,772 |
6.8× |
| Perq dev breast 1st us imag (19285) |
$4,617.60 |
$5,772 |
6.8× |
| Perq device breast 1st imag (19281) |
$4,617.60 |
$5,772 |
2.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$18,321.60 |
$22,902 |
2.6× |
| Perq Vertebral Augmentation (22513) |
$18,321.60 |
$22,902 |
2.6× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$16,250.40 |
$20,313 |
2.6× |
| Punch biopsy skin single lesion (11104) |
$419.20 |
$524 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$936.80 |
$1,171 |
2.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,641.60 |
$2,052 |
2.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,516 |
$5,645 |
2.4× |
| Relieve Pressure on Nerve(S) (64722) |
$4,516 |
$5,645 |
2.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$2,604 |
$3,255 |
3.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$225.60 |
$282 |
4.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$647.20 |
$809 |
11.4× |
| Removal of nail bed (11750) |
$953.60 |
$1,192 |
2.4× |
| Remove Nasal Foreign Body (30300) |
$316 |
$395 |
2.5× |
| Renal Biopsy Perq (50200) |
$2,401.60 |
$3,002 |
1.5× |
| Retrobulbar injection (67500) |
$691.20 |
$864 |
2.3× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$18,950.40 |
$23,688 |
3.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$9,643.20 |
$12,054 |
2.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$267.20 |
$334 |
0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,528 |
$1,910 |
1.0× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$5,266.40 |
$6,583 |
2.8× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$5,266.40 |
$6,583 |
2.8× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$16,873.60 |
$21,092 |
5.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$824.80 |
$1,031 |
1.4× |
| Sigmoidoscopy & Polypectomy (45333) |
$2,687.20 |
$3,359 |
3.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,822.40 |
$3,528 |
3.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$380.80 |
$476 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$362.40 |
$453 |
1.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,995.20 |
$2,494 |
2.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,995.20 |
$2,494 |
2.8× |
| Skin sub grft t/arm/lg child (15273) |
$4,205.60 |
$5,257 |
2.1× |
| Skn sub grft f/n/hf/g child (15277) |
$4,601.60 |
$5,752 |
2.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$372.80 |
$466 |
1.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,077.60 |
$1,347 |
1.6× |
| Strapping ankle (29540) |
$252.80 |
$316 |
1.6× |
| Strapping Unna Boot (29580) |
$194.40 |
$243 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$332.80 |
$416 |
0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,506.40 |
$3,133 |
1.6× |
| Thyroid biopsy (60100) |
$2,672.80 |
$3,341 |
3.9× |
| Trim skin lesion (11055) |
$442.40 |
$553 |
2.3× |
| Trim skin lesions 2 to 4 (11056) |
$528.80 |
$661 |
2.7× |
| Trim skin lesions over 4 (11057) |
$587.20 |
$734 |
3.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$88.80 |
$111 |
1.6× |
| Unlisted procedure nervous system (64999) |
$801.60 |
$1,002 |
2.7× |