| Amniocentesis diagnostic (59000) |
$413 |
$826 |
0.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$189 |
$378 |
1.1× |
| Application short leg splint calf foot (29515) |
$191.50 |
$383 |
1.2× |
| Arterial puncture (36600) |
$42.50 |
$85 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$350 |
$700 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$360 |
$720 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$350 |
$700 |
1.1× |
| Aspir/inj thyroid cyst (60300) |
$829 |
$1,658 |
1.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$829 |
$1,658 |
2.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$249.50 |
$499 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,933 |
$3,866 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,933 |
$3,866 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,933 |
$3,866 |
1.2× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,933 |
$3,866 |
1.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,933 |
$3,866 |
1.2× |
| Biopsy Salivary Gland,Needle (42400) |
$829 |
$1,658 |
1.2× |
| Blood transfusion service (36430) |
$476 |
$952 |
1.1× |
| Bone marrow aspiration only (38220) |
— |
$561 |
— |
| Bone Marrow Biopsy (38221) |
— |
$896 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,933 |
$3,866 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$1,954 |
$3,908 |
1.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,933 |
$3,866 |
1.2× |
| Chemical Cautery Tissue (17250) |
$249.50 |
$499 |
1.2× |
| Complete replacement picc rs&i (36584) |
$2,243.50 |
$4,487 |
1.4× |
| Complex Drainage, Wound (10180) |
$3,349.50 |
$6,699 |
1.1× |
| Debride nail 1-5 (11720) |
$80 |
$160 |
1.3× |
| Debride nail 6 or more (11721) |
$80 |
$160 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$449 |
$898 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$735 |
$1,470 |
1.0× |
| Declot vascular device (36593) |
$345.50 |
$691 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,938 |
$3,876 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$444 |
$888 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$249.50 |
$499 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$249.50 |
$499 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$3,258 |
$3,482 |
1.1× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,181.50 |
$4,363 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,181.50 |
$4,363 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$151 |
$302 |
1.1× |
| External Cephalic Version (59412) |
$2,320.25 |
$4,640.50 |
0.7× |
| Fetal non-stress test (59025) |
$362 |
$724 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$829 |
$1,658 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$838.50 |
$1,677 |
1.2× |
| I&d abscess simple (10060) |
$246 |
$492 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$817.50 |
$1,635 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$451 |
$902 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$444 |
$888 |
1.1× |
| Incision&drainage bursa foot (28001) |
$1,938 |
$3,876 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$444 |
$888 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$249.50 |
$499 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$581.50 |
$1,163 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$2,525.50 |
$5,051 |
2.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$581.50 |
$1,163 |
0.8× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$581.50 |
$1,163 |
0.6× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,096.50 |
$2,193 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$581.50 |
$1,163 |
0.8× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,096.50 |
$2,193 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$581.50 |
$1,163 |
0.8× |
| Ins cath ren art 1st bilat (36252) |
$3,884 |
$7,768 |
1.2× |
| Ins cath ren art 1st unilat (36251) |
$3,884 |
$7,768 |
1.2× |
| Ins endovas vena cava filtr (37191) |
$5,291 |
$10,582 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,127.50 |
$2,255 |
0.4× |
| Insert tunneled cv cath (36561) |
$3,810 |
$7,620 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,394.50 |
$4,789 |
1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,535 |
$5,070 |
0.8× |
| Liver Biopsy (47000) |
$1,933 |
$3,866 |
1.2× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
— |
$3,695 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$3,695 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$798 |
$1,596 |
1.1× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$798 |
$1,596 |
1.1× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$7,027.25 |
$14,054.50 |
0.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$829 |
$1,658 |
1.2× |
| Perq device breast 1st imag (19281) |
$1,089.50 |
$2,179 |
0.7× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$778 |
$1,556 |
0.5× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$838.50 |
$1,677 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$249.50 |
$499 |
0.6× |
| Puncture Aspiration (10160) |
$476 |
$952 |
1.2× |
| Rem endovas vena cava filter (37193) |
$3,810 |
$7,620 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$817.50 |
$1,635 |
1.1× |
| Removal of nail bed (11750) |
$444 |
$888 |
1.1× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$3,937.50 |
$7,875 |
1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$333.50 |
$667 |
1.2× |
| Renal biopsy (50200) |
$1,933 |
$3,866 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$868.50 |
$1,737 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$868.50 |
$1,737 |
1.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,810 |
$7,620 |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,810 |
$7,620 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$249.50 |
$499 |
1.2× |
| Skin splt grft trnk/arm/leg (15100) |
$2,181.50 |
$4,363 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$2,181.50 |
$4,363 |
2.9× |
| Skin sub graft trnk/arm/leg (15271) |
$2,181.50 |
$4,363 |
2.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,895 |
$7,790 |
1.9× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,895 |
$7,790 |
1.1× |
| Skn sub grft f/n/hf/g child (15277) |
$2,181.50 |
$4,363 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$249.50 |
$499 |
1.2× |
| Strapping unna boot (29580) |
$191.50 |
$383 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$249.50 |
$499 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,850.50 |
$3,701 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$476 |
$952 |
1.4× |
| Thyroid biopsy (60100) |
$829 |
$1,658 |
1.2× |
| Trim skin lesion (11055) |
$249.50 |
$499 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$249.50 |
$499 |
1.2× |
| Trim skin lesions over 4 (11057) |
$249.50 |
$499 |
1.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$80 |
$160 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$681.50 |
$1,363 |
0.9× |
| Unlisted Procedure Nervous System (64999) |
$346.50 |
$693 |
1.1× |
| Venipuncture (36415) |
— |
$29 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,181.50 |
$4,363 |
2.9× |