| Abd paracentesis w/imaging (49083) |
$2,720 |
$3,200 |
3.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,275 |
$1,500 |
1.4× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$17,698.70 |
$20,822 |
1.7× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$8,500 |
$10,000 |
0.5× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$12,325 |
$14,500 |
1.2× |
| Ablation ther 1+ pulm tumors perq cryoablation (32994) |
$10,200 |
$12,000 |
1.0× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$12,144.80 |
$14,288 |
1.7× |
| Abltj 1/> lvr tum prq rf (47382) |
$17,000 |
$20,000 |
2.8× |
| Acne Surgery (10040) |
$136 |
$160 |
0.7× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,550 |
$3,000 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,550 |
$3,000 |
1.2× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$2,975 |
$3,500 |
1.1× |
| Anoscopy (46611) |
$1,912.50 |
$2,250 |
2.1× |
| Anoscopy Ablation Lesion (46615) |
$5,950 |
$7,000 |
2.1× |
| Anoscopy control bleeding (46614) |
$2,550 |
$3,000 |
2.1× |
| Anoscopy diagnostic (46600) |
$637.50 |
$750 |
4.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,912.50 |
$2,250 |
2.1× |
| Anoscopy w/rmvl lesion cautery (46610) |
$3,230 |
$3,800 |
1.2× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$2,890 |
$3,400 |
2.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$3,230 |
$3,800 |
2.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$467.50 |
$550 |
2.9× |
| Application cast elbow finger short arm (29075) |
$297.50 |
$350 |
1.1× |
| Application cast shoulder hand long arm (29065) |
$191.25 |
$225 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$102 |
$120 |
1.7× |
| Application finger splint static (29130) |
$127.50 |
$150 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$127.50 |
$150 |
0.8× |
| Application long leg splint thigh ankle/toes (29505) |
$127.50 |
$150 |
0.8× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$8,755 |
$10,300 |
1.2× |
| Application of long leg cast (29345) |
$401.20 |
$472 |
1.4× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$637.50 |
$750 |
2.3× |
| Application Short Arm Splint Dynamic (29126) |
$420.75 |
$495 |
3.2× |
| Application short arm splint forearm-hand static (29125) |
$127.50 |
$150 |
1.0× |
| Application short leg splint calf foot (29515) |
$127.50 |
$150 |
0.8× |
| Apply multlay comprs arm/hand (29584) |
$212.50 |
$250 |
1.3× |
| Apply short leg cast (29405) |
$401.20 |
$472 |
1.4× |
| Apply short leg cast (29425) |
$403.75 |
$475 |
1.4× |
| Arterial puncture (36600) |
$170 |
$200 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$637.50 |
$750 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,275 |
$1,500 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,190 |
$1,400 |
3.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,190 |
$1,400 |
3.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$637.50 |
$750 |
2.1× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$1,190 |
$1,400 |
3.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$276.25 |
$325 |
1.4× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$3,230 |
$3,800 |
2.7× |
| Biliary Endoscopy Percut,Dil Strict (47555) |
$3,825 |
$4,500 |
0.6× |
| Biopsy bone trocar/needle deep (20225) |
$4,930 |
$5,800 |
3.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$4,930 |
$5,800 |
3.0× |
| Biopsy Breast Open Incisional (19101) |
$4,080 |
$4,800 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,105 |
$1,300 |
1.2× |
| Biopsy external ear (69100) |
$357 |
$420 |
1.5× |
| Biopsy intranasal (30100) |
$765 |
$900 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$5,100 |
$6,000 |
3.1× |
| Biopsy of lip (40490) |
$340 |
$400 |
1.4× |
| Biopsy of mouth lesion (40808) |
$1,105 |
$1,300 |
2.0× |
| Biopsy of nail unit (11755) |
$510 |
$600 |
0.7× |
| Biopsy of palate, uvula (42100) |
$1,275 |
$1,500 |
0.8× |
| Biopsy of tongue (41100) |
$1,190 |
$1,400 |
2.2× |
| Biopsy of uterus lining (58100) |
$680 |
$800 |
3.4× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$4,250 |
$5,000 |
2.6× |
| Biopsy Salivary Gland,Needle (42400) |
$5,100 |
$6,000 |
7.2× |
| Biopsy soft tissue neck/thorax (21550) |
$5,100 |
$6,000 |
3.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,700 |
$2,000 |
1.0× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$2,210 |
$2,600 |
0.8× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$382.50 |
$450 |
0.2× |
| Bladder Irrigation Simple (51700) |
$552.50 |
$650 |
2.2× |
| Bladder Scan (51798) |
$212.50 |
$250 |
3.6× |
| Blood patch (62273) |
$2,125 |
$2,500 |
3.0× |
| Blood transfusion service (36430) |
$935 |
$1,100 |
2.1× |
| Bone marrow aspiration only (38220) |
$1,615 |
$1,900 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$5,100 |
$6,000 |
2.9× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,550 |
$3,000 |
1.4× |
| Brnchsc removal bronchial valve initial (31648) |
$11,900 |
$14,000 |
3.2× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$5,525 |
$6,500 |
0.8× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$6,375 |
$7,500 |
1.7× |
| Bronch ebus samplng 1/2 node (31652) |
$6,120 |
$7,200 |
1.6× |
| Bronch ebus samplng 3/> node (31653) |
$6,375 |
$7,500 |
1.7× |
| Bronch Thermoplsty 1 Lobe (31660) |
$17,000 |
$20,000 |
2.4× |
| Bronchial thermoplasty 2 or more lobes (31661) |
$17,000 |
$20,000 |
2.4× |
| Bronchial Valve Init Insert (31647) |
$21,250 |
$25,000 |
3.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$3,230 |
$3,800 |
1.8× |
| Bronchoscopy Balloon Occlusion (31634) |
$20,400 |
$24,000 |
2.9× |
| Bronchoscopy bronch stents (31636) |
$6,800 |
$8,000 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,230 |
$3,800 |
0.9× |
| Bronchoscopy W/Biopsy(S) (31625) |
$3,400 |
$4,000 |
1.9× |
| Bronchoscopy w/markers (31626) |
$15,300 |
$18,000 |
2.2× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$16,150 |
$19,000 |
2.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,890 |
$3,400 |
1.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$3,060 |
$3,600 |
1.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,230 |
$3,800 |
0.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$5,525 |
$6,500 |
3.1× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$5,100 |
$6,000 |
3.1× |
| Bx anorectal wall anal approach (45100) |
$2,975 |
$3,500 |
1.1× |
| Bx breast 1st lesion mr imag (19085) |
$4,675 |
$5,500 |
2.8× |
| Bx breast 1st lesion strtctc (19081) |
$5,355 |
$6,300 |
3.2× |
| Bx breast 1st lesion us imag (19083) |
$5,100 |
$6,000 |
3.1× |
| Bx vulva/perineum 1 lesion (56605) |
$1,275 |
$1,500 |
1.4× |
| Bx/exc lymph node needle superficial (38505) |
$5,100 |
$6,000 |
3.1× |
| Canthotomy Separate Procedure (67715) |
$3,825 |
$4,500 |
1.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$255 |
$300 |
1.2× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$318.75 |
$375 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$4,122.50 |
$4,850 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$1,275 |
$1,500 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$195.50 |
$230 |
0.8× |
| Change g-tube to g-j perc (49446) |
$2,125 |
$2,500 |
1.1× |
| Change Ureter Stent, Percut (50382) |
$7,650 |
$9,000 |
3.7× |
| Chemical Cautery Tissue (17250) |
$233.75 |
$275 |
1.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$510 |
$600 |
0.7× |
| Chemodenerv 1 extremity 1-4 (64642) |
$510 |
$600 |
0.7× |
| Chemodenerv Musc Migraine (64615) |
$276.25 |
$325 |
0.9× |
| Chemodenerv Musc Neck Dyston (64616) |
$584.38 |
$687.50 |
1.9× |
| Chemodenerv trunk musc 1-5 (64646) |
$850 |
$1,000 |
1.2× |
| Chemodenerv trunk musc 6/> (64647) |
$510 |
$600 |
0.7× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$850 |
$1,000 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$243.95 |
$287 |
0.8× |
| Chest tube placement (32551) |
$4,675 |
$5,500 |
3.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$170 |
$200 |
1.3× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,125 |
$2,500 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,825 |
$4,500 |
1.1× |
| Circumcision (54150) |
$1,615 |
$1,900 |
0.8× |
| Circumcision Neonate (54160) |
$2,380 |
$2,800 |
3.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$850 |
$1,000 |
0.5× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$2,125 |
$2,500 |
8.6× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$340 |
$400 |
0.2× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$340 |
$400 |
0.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$2,125 |
$2,500 |
1.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,700 |
$2,000 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$510 |
$600 |
2.1× |
| Closed treatment of talus fracture; without manipulation (28430) |
$408 |
$480 |
1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$382.50 |
$450 |
1.5× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,105 |
$1,300 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$403.75 |
$475 |
1.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$340 |
$400 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$340 |
$400 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,890 |
$3,400 |
1.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$850 |
$1,000 |
3.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$340 |
$400 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$318.75 |
$375 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$382.50 |
$450 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,040 |
$2,400 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,550 |
$3,000 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$340 |
$400 |
1.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$382.50 |
$450 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$340 |
$400 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$807.50 |
$950 |
3.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,445 |
$1,700 |
0.9× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$620.50 |
$730 |
2.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$361.25 |
$425 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$510 |
$600 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$382.50 |
$450 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$297.50 |
$350 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,210 |
$2,600 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$340 |
$400 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$297.50 |
$350 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$340 |
$400 |
0.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$340 |
$400 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$318.75 |
$375 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$573.75 |
$675 |
2.3× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$5,100 |
$6,000 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$425 |
$500 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$382.50 |
$450 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$616.25 |
$725 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$680 |
$800 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$340 |
$400 |
1.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,210 |
$2,600 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$340 |
$400 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$340 |
$400 |
1.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$340 |
$400 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$340 |
$400 |
0.2× |
| Colonoscopy flex w/rem forcep (45384) |
$2,499 |
$2,940 |
2.1× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$2,295 |
$2,700 |
1.9× |
| Colonoscopy for bleeding (44391) |
$2,499 |
$2,940 |
2.1× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$2,499 |
$2,940 |
2.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$2,499 |
$2,940 |
2.1× |
| Colonoscopy stoma w/balloon dilation (44405) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy stoma w/biopsy (44389) |
$1,275 |
$1,500 |
1.1× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$4,037.50 |
$4,750 |
3.4× |
| Colonoscopy stoma w/snare (44394) |
$3,145 |
$3,700 |
2.6× |
| Colonoscopy through stoma with decompression (44408) |
$1,487.50 |
$1,750 |
1.6× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$2,720 |
$3,200 |
2.3× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$2,779.50 |
$3,270 |
2.3× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$1,955 |
$2,300 |
2.1× |
| Colonoscopy thru stoma (44388) |
$1,700 |
$2,000 |
1.8× |
| Colonoscopy w/ablation (45388) |
$1,700 |
$2,000 |
1.4× |
| Colonoscopy w/band ligation (45398) |
$1,275 |
$1,500 |
1.1× |
| Colonoscopy w/endoscopic fnb (45392) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy w/fb removal (45379) |
$3,145 |
$3,700 |
2.6× |
| Colonoscopy w/ndl aspir/bx (44407) |
$2,635 |
$3,100 |
2.2× |
| Colonoscopy w/resection (45390) |
$7,225 |
$8,500 |
2.6× |
| Colonoscopy w/stent plcmt (44402) |
$12,750 |
$15,000 |
2.1× |
| Colonoscopy w/stent plcmt (45389) |
$13,005 |
$15,300 |
2.1× |
| Colporrhaphy suture injury vagina (57200) |
$5,015 |
$5,900 |
1.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$1,190 |
$1,400 |
3.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$170 |
$200 |
0.8× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,955 |
$2,300 |
0.6× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,167.50 |
$2,550 |
0.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$357 |
$420 |
1.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$340 |
$400 |
1.1× |
| Colposcopy vulva (56820) |
$170 |
$200 |
0.8× |
| Colposcopy vulva w/biopsy (56821) |
$1,105 |
$1,300 |
3.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$371.88 |
$437.50 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,105 |
$1,300 |
1.2× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,020 |
$1,200 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,530 |
$1,800 |
1.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,615 |
$1,900 |
1.3× |
| Complete replacement picc rs&i (36584) |
$1,700 |
$2,000 |
1.1× |
| Complex Drainage, Wound (10180) |
$2,125 |
$2,500 |
0.7× |
| Conization of cervix (57522) |
$3,400 |
$4,000 |
1.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$1,020 |
$1,200 |
4.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$425 |
$500 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$425 |
$500 |
3.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,927 |
$4,620 |
2.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$191.25 |
$225 |
1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$127.50 |
$150 |
0.5× |
| Curettage postpartum (59160) |
$3,400 |
$4,000 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,400 |
$4,000 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,400 |
$4,000 |
1.6× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$3,400 |
$4,000 |
1.6× |
| Cystoscopy,insert ureteral stent (52332) |
$1,020 |
$1,200 |
0.3× |
| Cystourethroscopy (52000) |
$1,955 |
$2,300 |
2.8× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$3,400 |
$4,000 |
1.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$7,650 |
$9,000 |
2.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,210 |
$2,600 |
0.8× |
| Debride nail 1-5 (11720) |
$170 |
$200 |
2.9× |
| Debride nail 6 or more (11721) |
$127.50 |
$150 |
2.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$1,190 |
$1,400 |
5.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$935 |
$1,100 |
2.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,275 |
$1,500 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,465 |
$2,900 |
1.5× |
| Declot vascular device (36593) |
$510 |
$600 |
1.5× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$2,550 |
$3,000 |
1.2× |
| Delivery placenta separate procedure (59414) |
$4,250 |
$5,000 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$807.50 |
$950 |
0.4× |
| Destroy internal hemorrhoids (46930) |
$1,105 |
$1,300 |
0.9× |
| Destroy lumb/sac facet jnt (64635) |
$786.25 |
$925 |
0.4× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$297.50 |
$350 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$255 |
$300 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$255 |
$300 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,185.32 |
$1,394.50 |
1.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$255 |
$300 |
0.8× |
| Destruction Lesions Vulva Extensive (56515) |
$3,825 |
$4,500 |
1.9× |
| Destruction Lesions Vulva Simple (56501) |
$2,125 |
$2,500 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$199.75 |
$235 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$306 |
$360 |
1.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$467.50 |
$550 |
1.1× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$148.75 |
$175 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$148.75 |
$175 |
0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$212.50 |
$250 |
1.1× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$425 |
$500 |
1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$148.75 |
$175 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$148.75 |
$175 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$148.75 |
$175 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$148.75 |
$175 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$148.75 |
$175 |
0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$148.75 |
$175 |
0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,975 |
$3,500 |
1.5× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$170 |
$200 |
0.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$191.25 |
$225 |
0.5× |
| Destruction of skin lesions (17106) |
$1,190 |
$1,400 |
2.9× |
| Destruction premalignant lesion 1st (17000) |
$212.50 |
$250 |
1.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,550 |
$3,000 |
3.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,445 |
$1,700 |
1.6× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$3,400 |
$4,000 |
2.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,326 |
$1,560 |
1.5× |
| Dilation Esophagus Guide Wire (43453) |
$3,910 |
$4,600 |
2.0× |
| Dilation of anal sphincter (45905) |
$2,890 |
$3,400 |
2.4× |
| Dilation of cervical canal (57800) |
$1,955 |
$2,300 |
0.6× |
| Drain shoulder bursa (23031) |
$1,955 |
$2,300 |
0.7× |
| Drain shoulder lesion (23030) |
$2,380 |
$2,800 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$637.50 |
$750 |
2.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$935 |
$1,100 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$255 |
$300 |
1.3× |
| Drainage mouth roof lesion (42000) |
$1,275 |
$1,500 |
5.4× |
| Drainage of gum lesion (41800) |
$680 |
$800 |
5.1× |
| Drainage of hematoma/fluid (10140) |
$4,930 |
$5,800 |
3.0× |
| Drainage of scrotal wall abscess (55100) |
$2,550 |
$3,000 |
1.5× |
| Draw blood off venous device (36591) |
$233.75 |
$275 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$361.25 |
$425 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$399.50 |
$470 |
2.0× |
| Dry Needling 3+ Muscles (20561) |
$114.75 |
$135 |
4.0× |
| Dstrj lesion anus simple cryosurgery (46916) |
$150.88 |
$177.50 |
0.8× |
| Dx bone marrow bx & aspir (38222) |
$5,270 |
$6,200 |
1.8× |
| Dx duod intub w/asp specs (43757) |
$2,890 |
$3,400 |
3.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$4,930 |
$5,800 |
2.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$3,910 |
$4,600 |
2.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,465 |
$2,900 |
1.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,700 |
$2,000 |
0.9× |
| Egd Endo Mucosal Resection (43254) |
$3,230 |
$3,800 |
1.7× |
| Egd endoscopic stent place (43266) |
$15,300 |
$18,000 |
2.5× |
| Egd flexible foreign body removal (43247) |
$1,615 |
$1,900 |
1.8× |
| Egd guide wire insertion (43248) |
$1,700 |
$2,000 |
1.9× |
| Egd injection varices (43243) |
$4,250 |
$5,000 |
2.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$4,845 |
$5,700 |
2.5× |
| Egd place gastrostomy tube (43246) |
$4,930 |
$5,800 |
2.6× |
| Egd rem tumr/polyp forcep (43250) |
$4,250 |
$5,000 |
2.2× |
| Egd remove lesion snare (43251) |
$2,040 |
$2,400 |
1.1× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$4,930 |
$5,800 |
2.6× |
| Egd tube/cath insertion (43241) |
$2,975 |
$3,500 |
1.5× |
| Egd us exam duodenum/jejunum (43259) |
$4,930 |
$5,800 |
2.6× |
| Egd us fine needle bx/aspir (43242) |
$4,930 |
$5,800 |
2.6× |
| Egd us transmural injxn/mark (43253) |
$4,250 |
$5,000 |
2.2× |
| Egd Varices Ligation (43244) |
$2,465 |
$2,900 |
1.3× |
| Egd w/transmural drain cyst (43240) |
$15,300 |
$18,000 |
2.5× |
| Endocervical Curettage (57505) |
$1,105 |
$1,300 |
1.2× |
| Endoscopic us exam esoph (43237) |
$4,675 |
$5,500 |
2.4× |
| Endoscopy of bowel pouch (44385) |
$1,275 |
$1,500 |
1.4× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$4,930 |
$5,800 |
2.6× |
| Endovenous rf 1st vein (36475) |
$5,100 |
$6,000 |
1.6× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$3,910 |
$4,600 |
2.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$4,250 |
$5,000 |
2.1× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$8,500 |
$10,000 |
2.3× |
| Episiotomy or vaginal repair (59300) |
$4,675 |
$5,500 |
1.4× |
| Ercp Duct Stent Placement (43274) |
$15,300 |
$18,000 |
2.5× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$8,500 |
$10,000 |
2.2× |
| Ercp ea duct/ampulla dilate (43277) |
$9,350 |
$11,000 |
2.4× |
| Ercp lithotripsy calculi (43265) |
$13,005 |
$15,300 |
2.1× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$9,350 |
$11,000 |
2.4× |
| Ercp remove forgn body duct (43275) |
$9,350 |
$11,000 |
4.9× |
| Ercp sphincter pressure meas (43263) |
$7,395 |
$8,700 |
3.8× |
| Ercp Stent Exchange W/Dilate (43276) |
$15,300 |
$18,000 |
2.5× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$7,395 |
$8,700 |
1.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$8,500 |
$10,000 |
2.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$9,350 |
$11,000 |
2.4× |
| Esoph endoscopy dilation (43226) |
$3,910 |
$4,600 |
2.0× |
| Esoph optical endomicroscopy (43206) |
$3,727.25 |
$4,385 |
1.9× |
| Esoph scope w/submucous inj (43201) |
$3,825 |
$4,500 |
2.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,040 |
$2,400 |
2.2× |
| Esophagosc dilate balloon 30 (43214) |
$3,825 |
$4,500 |
2.0× |
| Esophagoscop mucosal resect (43211) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy flex biopsy (43202) |
$3,825 |
$4,500 |
2.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy flexible removal foreign body (43215) |
$4,675 |
$5,500 |
2.4× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$1,955 |
$2,300 |
2.2× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$2,125 |
$2,500 |
2.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$2,125 |
$2,500 |
2.3× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy lesion ablate (43229) |
$4,046 |
$4,760 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy Rigid Balloon (43195) |
$7,395 |
$8,700 |
1.9× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$3,527.50 |
$4,150 |
1.8× |
| Esophagoscopy rigid trnso dx (43191) |
$3,527.50 |
$4,150 |
1.8× |
| Esophagoscopy Transoral Stent Placement (43212) |
$3,400 |
$4,000 |
0.6× |
| Esophagoscopy w/us needle bx (43232) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$3,400 |
$4,000 |
1.8× |
| Esophagoscp rig trnso biopsy (43193) |
$3,527.50 |
$4,150 |
1.8× |
| Esophagus endoscopy/ligation (43205) |
$3,910 |
$4,600 |
2.0× |
| Esophagus Surg Procedure Unlisted (43499) |
$2,125 |
$2,500 |
2.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$4,930 |
$5,800 |
2.6× |
| Evacuate mole of uterus (59870) |
$935 |
$1,100 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$136 |
$160 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,870 |
$2,200 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,700 |
$2,000 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,550 |
$3,000 |
1.5× |
| Exc back les sc < 3 cm (21930) |
$2,380 |
$2,800 |
1.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,105 |
$1,300 |
1.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,700 |
$2,000 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$2,550 |
$3,000 |
1.5× |
| Exc forearm les sc < 3 cm (25075) |
$2,975 |
$3,500 |
1.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,720 |
$3,200 |
1.7× |
| Exc neck tum deep < 5 cm (21556) |
$2,210 |
$2,600 |
0.8× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,550 |
$3,000 |
1.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,700 |
$2,000 |
2.4× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,275 |
$1,500 |
3.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,020 |
$1,200 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,785 |
$2,100 |
2.5× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,785 |
$2,100 |
1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,380 |
$2,800 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,805 |
$3,300 |
1.7× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,870 |
$2,200 |
1.1× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,499 |
$2,940 |
0.9× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,550 |
$3,000 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,720 |
$3,200 |
1.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,190 |
$1,400 |
1.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,700 |
$2,000 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,380 |
$2,800 |
0.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,975 |
$3,500 |
1.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,550 |
$3,000 |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,550 |
$3,000 |
1.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,700 |
$2,000 |
0.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$5,100 |
$6,000 |
1.4× |
| Exchange nephrostomy cath (50435) |
$5,525 |
$6,500 |
2.6× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,380 |
$2,800 |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,550 |
$3,000 |
1.6× |
| Excise/repair mouth lesion (40812) |
$2,720 |
$3,200 |
1.8× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,550 |
$3,000 |
0.9× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,275 |
$1,500 |
0.8× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$1,615 |
$1,900 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,275 |
$1,500 |
1.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,275 |
$1,500 |
3.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,615 |
$1,900 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,700 |
$2,000 |
2.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,190 |
$1,400 |
1.7× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$913.75 |
$1,075 |
1.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,870 |
$2,200 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,700 |
$2,000 |
1.0× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$1,700 |
$2,000 |
2.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,275 |
$1,500 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,275 |
$1,500 |
0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,870 |
$2,200 |
1.1× |
| Excision of bartholin's gland or cyst (56740) |
$3,145 |
$3,700 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$1,190 |
$1,400 |
1.7× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,020 |
$1,200 |
1.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,870 |
$2,200 |
1.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,615 |
$1,900 |
1.0× |
| Excision of nail fold toe (11765) |
$255 |
$300 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$238 |
$280 |
0.1× |
| Excision of tongue lesion (41112) |
$2,890 |
$3,400 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,975 |
$3,500 |
1.8× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$3,145 |
$3,700 |
1.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,125 |
$2,500 |
1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,380 |
$2,800 |
0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,550 |
$3,000 |
1.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$2,720 |
$3,200 |
0.8× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) likely a partial charge, not the full procedure |
$297.50 |
$350 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$2,762.50 |
$3,250 |
1.7× |
| External Cephalic Version (59412) |
$5,525 |
$6,500 |
1.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,420 |
$5,200 |
1.3× |
| Fetal non-stress test (59025) |
$446.25 |
$525 |
2.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,635 |
$3,100 |
3.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$3,060 |
$3,600 |
4.3× |
| Fine needle aspiration without imaging guidance (10021) |
$340 |
$400 |
0.8× |
| Flap; neurovascular pedicle (15750) |
$5,100 |
$6,000 |
1.4× |
| Fluoro exam of g/colon tube (49465) |
$510 |
$600 |
2.1× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,380 |
$2,800 |
1.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,550 |
$3,000 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$4,250 |
$5,000 |
6.0× |
| Hysteroscopy biopsy (58558) |
$3,400 |
$4,000 |
1.0× |
| Hysteroscopy dx sep proc (58555) |
$3,145 |
$3,700 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$1,190 |
$1,400 |
5.0× |
| I&d abscess simple (10060) |
$510 |
$600 |
2.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,550 |
$3,000 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,485 |
$4,100 |
1.7× |
| I&d perianal abscess superficial (46050) |
$1,105 |
$1,300 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$1,003 |
$1,180 |
1.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$425 |
$500 |
0.3× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,125 |
$2,500 |
1.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,870 |
$2,200 |
2.1× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$2,125 |
$2,500 |
2.3× |
| Image Cath Fluid Colxn Visc (49405) |
$5,950 |
$7,000 |
3.6× |
| Image Cath Fluid Peri/Retro (49406) |
$6,120 |
$7,200 |
3.7× |
| Incise finger tendon sheath (26055) |
$2,677.50 |
$3,150 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$871.25 |
$1,025 |
2.1× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,275 |
$1,500 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,380 |
$2,800 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$595 |
$700 |
1.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$221 |
$260 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,105 |
$1,300 |
3.6× |
| Incision labial frenum frenotomy (40806) |
$1,190 |
$1,400 |
2.2× |
| Incision of eardrum (69421) |
$1,870 |
$2,200 |
0.6× |
| Incision of eardrum (69420) |
$340 |
$400 |
1.4× |
| Incision of lingual frenum (41010) |
$1,232.50 |
$1,450 |
0.8× |
| Incision of rectal abscess (46040) |
$2,975 |
$3,500 |
2.5× |
| Incision thrombosed hemorrhoid external (46083) |
$1,190 |
$1,400 |
4.8× |
| Incisional biopsy skin single lesion (11106) |
$488.75 |
$575 |
0.7× |
| Inj dupuytren cord w/enzyme (20527) |
$1,190 |
$1,400 |
3.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$680 |
$800 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$743.75 |
$875 |
2.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,544.45 |
$1,817 |
1.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,870 |
$2,200 |
2.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,615 |
$1,900 |
1.8× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$456.88 |
$537.50 |
1.5× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$784.12 |
$922.50 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,615 |
$1,900 |
1.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,275 |
$1,500 |
1.8× |
| Inject Rx Celiac Plexus Nerve (64680) |
$4,462.50 |
$5,250 |
5.0× |
| Inject scleros soln in hemorrhoids (46500) |
$637.50 |
$750 |
0.7× |
| Inject Tendon Origin/Insert (20551) |
$850 |
$1,000 |
2.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,275 |
$1,500 |
1.8× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,382.95 |
$1,627 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,049.75 |
$1,235 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,615 |
$1,900 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$680 |
$800 |
2.2× |
| Injection anes other peripheral nerve/branch (64450) |
$1,020 |
$1,200 |
1.4× |
| Injection for identification of sentinel node (38792) |
$1,870 |
$2,200 |
4.7× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$1,360 |
$1,600 |
1.5× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$2,635 |
$3,100 |
4.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,105 |
$1,300 |
3.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,700 |
$2,000 |
5.5× |
| Injection therapeutic carpal tunnel (20526) |
$1,190 |
$1,400 |
3.9× |
| Injection treatment of nerve (64600) |
$1,275 |
$1,500 |
1.4× |
| Injection(s) spider veins (36468) |
$127.50 |
$150 |
0.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$595 |
$700 |
1.9× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$382.50 |
$450 |
1.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$136 |
$160 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$1,190 |
$1,400 |
5.9× |
| Ins cath ren art 1st bilat (36252) |
$9,350 |
$11,000 |
3.0× |
| Ins cath ren art 1st unilat (36251) |
$5,355 |
$6,300 |
1.7× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,015 |
$5,900 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$8,500 |
$10,000 |
1.5× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$18,275 |
$21,500 |
1.7× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$18,700 |
$22,000 |
1.8× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$19,550 |
$23,000 |
1.9× |
| Ins vag brachytx device (57156) |
$331.50 |
$390 |
1.1× |
| Ins/Rep Subq Defibrillator (33270) |
$25,500 |
$30,000 |
0.8× |
| Insert 1 electrode pm-defib (33216) |
$11,900 |
$14,000 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$119 |
$140 |
0.9× |
| Insert cervical dilator (59200) |
$765 |
$900 |
2.5× |
| Insert Drug Implant Device (11981) |
$85 |
$100 |
0.6× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$2,890 |
$3,400 |
1.5× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,975 |
$3,500 |
1.5× |
Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$4,080 |
$4,800 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$2,210 |
$2,600 |
0.7× |
| Insert pacing lead & connect (33224) |
$15,300 |
$18,000 |
1.5× |
| Insert pessary/other device (57160) |
$161.50 |
$190 |
0.8× |
| Insert picc cath (36569) |
$1,615 |
$1,900 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$4,250 |
$5,000 |
2.7× |
| Insert Temp Bladder Cath (51702) |
$382.50 |
$450 |
2.9× |
| Insert tun ip cath perc (49418) |
$6,120 |
$7,200 |
1.7× |
| Insert tunneled cv cath (36561) |
$5,270 |
$6,200 |
1.7× |
| Insert Tunneled Cv Cath With Pump (36563) |
$3,017.50 |
$3,550 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$255 |
$300 |
1.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,867.50 |
$4,550 |
1.1× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$2,380 |
$2,800 |
1.2× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$3,910 |
$4,600 |
2.0× |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
$7,395 |
$8,700 |
3.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,230 |
$3,800 |
2.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,200 |
$12,000 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$13,600 |
$16,000 |
4.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,675 |
$5,500 |
1.5× |
| Insj/rplcmt defib w/lead(s) (33249) |
$28,050 |
$33,000 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,900 |
$14,000 |
1.4× |
| Insrt pulse gen w/mult leads (33231) |
$24,650 |
$29,000 |
0.8× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,785 |
$2,100 |
1.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$18,700 |
$22,000 |
1.6× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$10,200 |
$12,000 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$1,700 |
$2,000 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$531.25 |
$625 |
2.2× |
| Irrigate corpora cavernosa for priapism (54220) |
$510 |
$600 |
2.0× |
| Laryngoscopy Flexible Diagnostic (31575) |
$510 |
$600 |
2.6× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$595 |
$700 |
1.5× |
| Ligation of hemorrhoid(s) (46221) |
$1,360 |
$1,600 |
1.5× |
| Liver Biopsy (47000) |
$5,100 |
$6,000 |
3.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$1,105 |
$1,300 |
4.5× |
| Mastectomy partial (19301) |
$3,825 |
$4,500 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,805 |
$3,300 |
1.8× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$4,420 |
$5,200 |
1.4× |
| Musculoskeletal surgery (20999) |
$4,526.25 |
$5,325 |
18.3× |
| Myelography Lumbar Injection (62305) |
$3,400 |
$4,000 |
4.3× |
| Myelography Lumbar Injection (62304) |
$2,975 |
$3,500 |
3.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,805 |
$3,300 |
3.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,635 |
$3,100 |
3.4× |
| Myringoplasty (69620) |
$2,550 |
$3,000 |
0.8× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$1,020 |
$1,200 |
5.1× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$170 |
$200 |
0.1× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$9,350 |
$11,000 |
1.6× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$9,350 |
$11,000 |
1.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,550 |
$3,000 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$297.50 |
$350 |
0.7× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,275 |
$1,500 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$80.75 |
$95 |
2.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$518.50 |
$610 |
1.2× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,031.50 |
$2,390 |
1.0× |
| Nipple/areola reconstruction (19350) |
$4,080 |
$4,800 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,380 |
$2,800 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,995 |
$4,700 |
1.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,125 |
$2,500 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,955 |
$2,300 |
2.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,797.75 |
$2,115 |
2.5× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$4,675 |
$5,500 |
6.7× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$680 |
$800 |
1.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$773.50 |
$910 |
1.9× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$1,615 |
$1,900 |
2.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,500 |
$10,000 |
1.2× |
| Open/Perq Place Stent Same (37238) |
$28,050 |
$33,000 |
2.4× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,475 |
$13,500 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,125 |
$2,500 |
1.3× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$17,000 |
$20,000 |
2.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$18,700 |
$22,000 |
1.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,975 |
$3,500 |
4.2× |
| Percut Mech Thrombectomy, Venous (37187) |
$8,925 |
$10,500 |
0.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,250 |
$5,000 |
1.3× |
| Pericardiocentesis W/Imaging (33016) |
$5,525 |
$6,500 |
3.5× |
| Peritoneal Lavage (49084) |
$1,224 |
$1,440 |
1.3× |
Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$2,014.50 |
$2,370 |
0.1× |
| Perq dev breast 1st mr guide (19287) |
$2,295 |
$2,700 |
3.2× |
| Perq dev breast 1st us imag (19285) |
$3,825 |
$4,500 |
5.4× |
| Perq device breast 1st imag (19281) |
$3,995 |
$4,700 |
2.4× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,250 |
$5,000 |
1.2× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$8,075 |
$9,500 |
2.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$4,760 |
$5,600 |
3.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$4,250 |
$5,000 |
2.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$582.25 |
$685 |
2.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$2,890 |
$3,400 |
4.1× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$28,050 |
$33,000 |
1.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$19,550 |
$23,000 |
1.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,650 |
$9,000 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$13,600 |
$16,000 |
1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,600 |
$16,000 |
1.9× |
| Place Cath Subclavian Art (36225) |
$7,055 |
$8,300 |
2.2× |
| Place Cath Thoracic Aorta (36221) |
$3,400 |
$4,000 |
1.1× |
| Place Cath Vertebral Art (36226) |
$10,200 |
$12,000 |
1.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$8,755 |
$10,300 |
1.4× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$9,775 |
$11,500 |
4.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$6,970 |
$8,200 |
2.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$6,120 |
$7,200 |
1.7× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$7,055 |
$8,300 |
2.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,120 |
$7,200 |
1.7× |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$6,120 |
$7,200 |
0.6× |
| Preputial Stretching (54450) |
$340 |
$400 |
1.4× |
| Prim art mech thrombectomy (37184) |
$21,250 |
$25,000 |
1.2× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$2,550 |
$3,000 |
2.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$2,499 |
$2,940 |
2.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$5,950 |
$7,000 |
2.1× |
| Proctosigmoidoscopy (45303) |
$1,300.50 |
$1,530 |
1.1× |
| Proctosigmoidoscopy ablate (45320) |
$5,950 |
$7,000 |
2.1× |
| Proctosigmoidoscopy removal (45308) |
$5,950 |
$7,000 |
2.1× |
| Proctosigmoidoscopy removal (45315) |
$2,499 |
$2,940 |
2.1× |
| Proctosigmoidoscopy w/bx (45305) |
$2,499 |
$2,940 |
2.1× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$5,950 |
$7,000 |
2.1× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,149.20 |
$1,352 |
1.2× |
| Proctosigmoidoscopy,Transendo Stent (45327) |
$12,155 |
$14,300 |
2.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,250 |
$5,000 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$7,225 |
$8,500 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$297.50 |
$350 |
0.7× |
| Puncture Aspiration (10160) |
$2,210 |
$2,600 |
5.4× |
| Puncture Aspiration Cyst Breast (19000) |
$2,635 |
$3,100 |
3.7× |
| Pvb thoracic cont infusion (64463) |
$1,049.75 |
$1,235 |
1.5× |
| Pvb thoracic single inj site (64461) |
$1,049.75 |
$1,235 |
1.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$850 |
$1,000 |
0.4× |
| Reduction of rectal prolapse (45900) |
$1,530 |
$1,800 |
1.6× |
| Relocation of skin pocket for pacemaker (33222) |
$5,355 |
$6,300 |
2.6× |
| Rem endovas vena cava filter (37193) |
$6,375 |
$7,500 |
2.0× |
| Removal biliary drg cath (47537) |
$884 |
$1,040 |
1.0× |
| Removal fb intranasal (30300) |
$191.25 |
$225 |
1.4× |
| Removal foreign body foot subcutaneous (28190) |
$1,700 |
$2,000 |
2.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,550 |
$3,000 |
1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$110.50 |
$130 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$148.75 |
$175 |
2.5× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,720 |
$3,200 |
1.6× |
| Removal Implantable Contraceptive Capsules (11976) |
$255 |
$300 |
0.4× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$8,500 |
$10,000 |
2.3× |
| Removal of arm foreign body (24200) |
$1,190 |
$1,400 |
0.7× |
| Removal of finger lesion (26210) |
$1,751 |
$2,060 |
1.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$935 |
$1,100 |
1.5× |
| Removal of intrauterine device (iud) (58301) |
$595 |
$700 |
1.9× |
| Removal of kidney stone (50081) |
$15,300 |
$18,000 |
1.6× |
| Removal of nail bed (11750) |
$850 |
$1,000 |
2.1× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$3,910 |
$4,600 |
2.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$340 |
$400 |
1.7× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$3,910 |
$4,600 |
2.0× |
| Removal ppm generator only (33233) |
$12,325 |
$14,500 |
1.5× |
| Removal subq cardiac rhythm monitor (33286) |
$2,975 |
$3,500 |
4.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$191.25 |
$225 |
0.1× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$4,420 |
$5,200 |
1.4× |
| Removal/bivalving full arm/full leg cast (29705) |
$106.25 |
$125 |
0.4× |
| Remove by ligat int hem grp (46945) |
$2,975 |
$3,500 |
1.1× |
| Remove by ligat int hem grps (46946) |
$5,950 |
$7,000 |
2.1× |
| Remove digit nerve lesion (64776) |
$1,785 |
$2,100 |
0.9× |
| Remove drug implant device (11982) |
$233.75 |
$275 |
0.5× |
| Remove foreign body from eye (65210) |
$573.75 |
$675 |
1.3× |
| Remove intrvas foreign body (37197) |
$3,697.50 |
$4,350 |
1.2× |
| Remove renal tube w/fluoro (50389) |
$1,785 |
$2,100 |
2.6× |
| Remove shoulder foreign body (23330) |
$2,125 |
$2,500 |
1.3× |
| Remove Ureter Stent, Percut (50384) |
$3,570 |
$4,200 |
1.7× |
| Remove&replace pm gen singl (33227) |
$13,600 |
$16,000 |
1.6× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,550 |
$3,000 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$212.50 |
$250 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$191.25 |
$225 |
1.4× |
| Remv&replc cvd gen dual lead (33263) |
$27,200 |
$32,000 |
1.2× |
| Remv&replc cvd gen mult lead (33264) |
$22,950 |
$27,000 |
0.7× |
| Remv&replc cvd gen sing lead (33262) |
$18,700 |
$22,000 |
0.8× |
| Remv&replc pm gen dual lead (33228) |
$17,850 |
$21,000 |
1.7× |
| Remv&replc pm gen mult leads (33229) |
$17,255 |
$20,300 |
0.9× |
| Renal biopsy (50200) |
$5,100 |
$6,000 |
3.1× |
| Repair brow defect (67900) |
$2,465 |
$2,900 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,275 |
$1,500 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,275 |
$1,500 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,275 |
$1,500 |
3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,020 |
$1,200 |
2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,190 |
$1,400 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,275 |
$1,500 |
3.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,275 |
$1,500 |
1.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,380 |
$2,800 |
1.5× |
| Repair forearm tendon/muscle (25260) |
$5,270 |
$6,200 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$850 |
$1,000 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$935 |
$1,100 |
2.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,275 |
$1,500 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,275 |
$1,500 |
3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$935 |
$1,100 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,020 |
$1,200 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,020 |
$1,200 |
2.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,105 |
$1,300 |
1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,275 |
$1,500 |
3.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$935 |
$1,100 |
2.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,020 |
$1,200 |
2.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,275 |
$1,500 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,105 |
$1,300 |
2.7× |
| Repair of nail bed (11760) |
$765 |
$900 |
1.0× |
| Repair Tongue Laceration (41250) |
$1,190 |
$1,400 |
2.7× |
| Repair tympanic membrane (69610) |
$3,740 |
$4,400 |
2.4× |
| Replace duod/jej tube perc (49451) |
$1,360 |
$1,600 |
1.5× |
| Replace g/c tube perc (49450) |
$1,105 |
$1,300 |
1.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,360 |
$1,600 |
1.5× |
| Reposition gastrostomy tube (43761) |
$641.75 |
$755 |
2.6× |
| Reposition pacing-defib lead (33215) |
$2,380 |
$2,800 |
0.8× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$403.75 |
$475 |
1.3× |
| Revise arm/leg nerve (64708) |
$1,615 |
$1,900 |
0.8× |
| Revise external ear (69300) |
$2,720 |
$3,200 |
0.8× |
| Revise median n/carpal tunnel surg (64721) |
$2,762.50 |
$3,250 |
1.4× |
| Revise ulnar nerve at wrist (64719) |
$2,550 |
$3,000 |
1.3× |
| Revision of penis (54435) |
$3,272.50 |
$3,850 |
0.9× |
| Revision of tips (37183) |
$9,775 |
$11,500 |
1.7× |
| Revision of upper eyelid (15823) |
$2,482 |
$2,920 |
1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,105 |
$1,300 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$191.25 |
$225 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$1,275 |
$1,500 |
9.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,125 |
$2,500 |
1.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$9,350 |
$11,000 |
2.5× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$6,800 |
$8,000 |
1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,615 |
$1,900 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,020 |
$1,200 |
1.6× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$233.75 |
$275 |
0.5× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,400 |
$4,000 |
1.1× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,805 |
$3,300 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$935 |
$1,100 |
1.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$850 |
$1,000 |
1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,465 |
$2,900 |
1.6× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$6,375 |
$7,500 |
2.0× |
| S bowel endoscope w/stent (44379) |
$12,155 |
$14,300 |
2.0× |
| Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370) |
$12,155 |
$14,300 |
2.0× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$3,910 |
$4,600 |
2.0× |
| Sclerotx Fluid Collection (49185) |
$2,210 |
$2,600 |
1.3× |
| Scrotal exploration (55110) |
$5,355 |
$6,300 |
1.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,190 |
$1,400 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,275 |
$1,500 |
1.1× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$6,035 |
$7,100 |
2.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$658.75 |
$775 |
3.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$318.75 |
$375 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$136 |
$160 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$136 |
$160 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$212.50 |
$250 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$233.75 |
$275 |
0.6× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$136 |
$160 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$212.50 |
$250 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$318.75 |
$375 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$136 |
$160 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$223.12 |
$262.50 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$136 |
$160 |
0.7× |
| Sigmoidoscopy & decompress (45337) |
$5,100 |
$6,000 |
5.5× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$2,252.50 |
$2,650 |
1.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$3,145 |
$3,700 |
2.6× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$2,380 |
$2,800 |
2.6× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$2,720 |
$3,200 |
2.3× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,445 |
$1,700 |
1.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,912.50 |
$2,250 |
2.1× |
| Sigmoidoscopy w/fb removal (45332) |
$3,145 |
$3,700 |
2.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,550 |
$3,000 |
2.1× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$12,155 |
$14,300 |
2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$233.75 |
$275 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$255 |
$300 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$255 |
$300 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$425 |
$500 |
2.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$425 |
$500 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$255 |
$300 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$221 |
$260 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$255 |
$300 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$2,975 |
$3,500 |
4.0× |
| Skin sub graft trnk/arm/leg (15271) |
$3,400 |
$4,000 |
4.6× |
| Skin Tissue Procedure (17999) |
$1,275 |
$1,500 |
6.3× |
| Skin tissue rearrangement (14040) |
$2,550 |
$3,000 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$9,775 |
$11,500 |
1.8× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$6,630 |
$7,800 |
2.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$20,400 |
$24,000 |
3.7× |
| Small Bowel Endoscopy (44373) |
$3,910 |
$4,600 |
2.0× |
| Small bowel endoscopy (44366) |
$4,930 |
$5,800 |
2.6× |
| Small bowel endoscopy (44364) |
$3,910 |
$4,600 |
2.0× |
| Small bowel endoscopy (44376) |
$3,910 |
$4,600 |
2.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$4,930 |
$5,800 |
2.6× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$4,930 |
$5,800 |
2.6× |
| Small bowel endoscopy/biopsy (44377) |
$3,910 |
$4,600 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$255 |
$300 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$425 |
$500 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$255 |
$300 |
0.6× |
| Sphincterotomy (46080) |
$2,975 |
$3,500 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,530 |
$1,800 |
2.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,825 |
$4,500 |
1.2× |
| Strapping ankle (29540) |
$59.50 |
$70 |
0.4× |
| Strapping elbow/wrist (29260) |
$63.75 |
$75 |
1.1× |
| Strapping hand/finger (29280) |
$63.75 |
$75 |
1.1× |
| Strapping knee (29530) |
$63.75 |
$75 |
0.5× |
| Strapping shoulder (29240) |
$68 |
$80 |
0.5× |
| Strapping thorax (29200) |
$153 |
$180 |
0.9× |
| Strapping unna boot (29580) |
$425 |
$500 |
2.6× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$4,250 |
$5,000 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$499.38 |
$587.50 |
1.2× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$17,850 |
$21,000 |
0.9× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$7,650 |
$9,000 |
2.4× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,720 |
$3,200 |
1.7× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,060 |
$3,600 |
2.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$2,720 |
$3,200 |
4.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,275 |
$1,500 |
2.0× |
| Thrombolytic Art Therapy (37211) |
$5,780 |
$6,800 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$1,419.50 |
$1,670 |
0.4× |
| Thyroid biopsy (60100) |
$2,975 |
$3,500 |
4.2× |
| Trach Tube Change (31502) |
$340 |
$400 |
1.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$394.40 |
$464 |
1.7× |
| Transcatheter biopsy (37200) |
$6,375 |
$7,500 |
1.1× |
| Transoral Lower Esophageal Myotomy (43497) |
$6,800 |
$8,000 |
1.1× |
| Treat finger dislocation (26775) |
$510 |
$600 |
1.8× |
| Treat knee fracture (27532) |
$340 |
$400 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$340 |
$400 |
1.4× |
| Treatment of ankle fracture (27822) |
$6,800 |
$8,000 |
0.9× |
| Treatment of ankle fracture (27792) |
$9,350 |
$11,000 |
1.3× |
| Trim skin lesion (11055) |
$297.50 |
$350 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$212.50 |
$250 |
1.1× |
| Trim skin lesions over 4 (11057) |
$637.50 |
$750 |
3.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$106.25 |
$125 |
1.8× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$7,225 |
$8,500 |
1.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$11,050 |
$13,000 |
1.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,780 |
$6,800 |
2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$467.50 |
$550 |
0.6× |
| Tympanostomy (69433) |
$850 |
$1,000 |
1.6× |
| Unlisted Cardiac Surgery (33999) |
$4,250 |
$5,000 |
6.8× |
| Unlisted procedure anus (46999) |
$1,190 |
$1,400 |
1.3× |
| Unlisted Procedure Biliary Tract (47999) |
$3,442.50 |
$4,050 |
3.8× |
| Unlisted procedure colon (45399) |
$1,870 |
$2,200 |
2.0× |
| Unlisted procedure foot or toes (28899) |
$1,105 |
$1,300 |
4.5× |
| Unlisted procedure larynx (31599) |
$9,775 |
$11,500 |
41.2× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,045.50 |
$1,230 |
1.7× |
| Unlisted procedure maternity care & delivery (59899) |
$467.50 |
$550 |
2.3× |
| Unlisted Procedure Nervous System (64999) |
$1,275 |
$1,500 |
4.1× |
| Unlisted procedure pancreas (48999) |
$3,825 |
$4,500 |
5.4× |
| Unlisted procedure pelvis/hip joint (27299) |
$425 |
$500 |
1.7× |
| Unlisted Procedure Rectum (45999) |
$1,190 |
$1,400 |
1.3× |
| Unlisted Procedure Small Intestine (44799) |
$2,380 |
$2,800 |
2.6× |
| Unlisted Procedure Vascular Surgery (37799) |
$148.75 |
$175 |
0.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$765 |
$900 |
0.8× |
| Unlisted procedure, stomach (43999) |
$1,190 |
$1,400 |
1.3× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$15,300 |
$18,000 |
1.5× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$2,295 |
$2,700 |
0.6× |
| Uppr gi opticl endomicrscopy (43252) |
$3,400 |
$4,000 |
1.8× |
| Urology Surgery Procedure (53899) |
$3,400 |
$4,000 |
13.6× |
| Vaginal delivery only (59409) |
$4,250 |
$5,000 |
1.3× |
| Vasc embolize/occlude artery (37242) |
$21,250 |
$25,000 |
1.2× |
| Vasc Embolize/Occlude Bleed (37244) |
$15,300 |
$18,000 |
1.3× |
| Vasc embolize/occlude organ (37243) |
$21,250 |
$25,000 |
1.8× |
| Vasc embolize/occlude venous (37241) |
$21,250 |
$25,000 |
1.8× |
| Vasectomy (55250) |
$2,890 |
$3,400 |
1.4× |
| Vbac delivery only (59612) |
$3,400 |
$4,000 |
1.0× |
| Venipuncture (36415) |
$17 |
$20 |
1.8× |
| Windowing of cast (29730) |
$127.50 |
$150 |
0.8× |