| Abd paracentesis w/imaging (49083) |
$1,700 |
$2,000 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,275 |
$1,500 |
1.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$12,144.80 |
$14,288 |
1.7× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$1,912.50 |
$2,250 |
2.1× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$2,975 |
$3,500 |
1.1× |
| Anoscopy Ablation Lesion (46615) |
$5,887.10 |
$6,926 |
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; with dilation (eg, balloon, guide wire, bougie) (46604) |
$2,890 |
$3,400 |
2.4× |
| Application cast elbow finger short arm (29075) |
$263.50 |
$310 |
0.9× |
| 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 (29505) |
$127.50 |
$150 |
0.8× |
| Application of long leg cast (29345) |
$391 |
$460 |
1.4× |
| Application of rigid total contact leg cast (29445) |
$637.50 |
$750 |
2.3× |
| Application Short Arm Splint Dynamic (29126) |
$425 |
$500 |
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 long arm cast (29065) |
$191.25 |
$225 |
0.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$467.50 |
$550 |
2.9× |
| Apply Short Leg Cast (29405) |
$391 |
$460 |
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) |
$1,105 |
$1,300 |
1.6× |
| 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) |
$1,105 |
$1,300 |
3.6× |
| Aspirate pleura w/ imaging (32555) |
$1,190 |
$1,400 |
1.9× |
| Aspirate Pleura W/O Imaging (32554) |
$1,275 |
$1,500 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$276.25 |
$325 |
1.4× |
| Biopsy Abdominal Mass (49180) |
$4,250 |
$5,000 |
2.6× |
| Biopsy muscle percutaneous needle (20206) |
$3,400 |
$4,000 |
2.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,975 |
$3,500 |
1.8× |
| Biopsy of rectum (45100) |
$2,975 |
$3,500 |
1.1× |
| Biopsy Salivary Gland Needle (42400) |
$2,975 |
$3,500 |
4.2× |
| Biopsy soft tissue neck/thorax (21550) |
$3,060 |
$3,600 |
1.8× |
| Bladder Scan (51798) |
$212.50 |
$250 |
3.6× |
| Blood Transfusion Service (36430) |
$850 |
$1,000 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$3,570 |
$4,200 |
2.2× |
| Catheter aspiration nasotracheal spx (31720) |
$195.50 |
$230 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$195.50 |
$230 |
0.8× |
| Chemical Cautery Tissue (17250) |
$233.75 |
$275 |
1.2× |
| Chest tube placement (32551) |
$2,805 |
$3,300 |
1.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$255 |
$300 |
0.1× |
| Clear outer ear canal (69200) |
$212.50 |
$250 |
1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$318.75 |
$375 |
1.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (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 Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,890 |
$3,400 |
1.9× |
| 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&Ulnar Shaft Fractures W/Manj (25565) |
$2,125 |
$2,500 |
1.3× |
| Closed tx talus fracture w/o manipulation (28430) |
$408 |
$480 |
1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$340 |
$400 |
1.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (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 artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$382.50 |
$450 |
0.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$510 |
$600 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,700 |
$2,000 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$297.50 |
$350 |
1.2× |
| 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 Req Anes (26775) |
$425 |
$500 |
1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$318.75 |
$375 |
1.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$340 |
$400 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$595 |
$700 |
2.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$256.70 |
$302 |
1.0× |
| 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 trimalleolar ankle fx w/manipulation (27818) |
$340 |
$400 |
0.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$170 |
$200 |
1.3× |
| Collection of venous blood by venipuncture (36415) |
$17 |
$20 |
1.8× |
| Colonoscopy Flexible With Decompression (45393) |
$2,295 |
$2,700 |
1.9× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy stoma w/balloon dilation (44405) |
$3,017.50 |
$3,550 |
2.5× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$4,037.50 |
$4,750 |
3.4× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
$12,155 |
$14,300 |
2.0× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
$2,635 |
$3,100 |
2.2× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$1,955 |
$2,300 |
2.1× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$2,635 |
$3,100 |
2.2× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,487.50 |
$1,750 |
1.6× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy thru stoma (44388) |
$1,360 |
$1,600 |
1.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,720 |
$3,200 |
2.3× |
| Colonoscopy w/ablation (45388) |
$1,487.50 |
$1,750 |
1.2× |
| Colonoscopy W/Band Ligation (45398) |
$1,275 |
$1,500 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy w/ndl aspir/bx (44407) |
$2,550 |
$3,000 |
2.1× |
| Colonoscopy W/Resection (45390) |
$6,800 |
$8,000 |
2.4× |
| Colonoscopy w/stent plcmt (45389) |
$12,750 |
$15,000 |
2.1× |
| Colonoscopy w/submucosal inj (45381) |
$1,615 |
$1,900 |
1.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$850 |
$1,000 |
0.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,360 |
$1,600 |
1.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,550 |
$3,000 |
2.1× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$2,550 |
$3,000 |
2.1× |
| Complex drainage wound (10180) |
$2,125 |
$2,500 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$425 |
$500 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$425 |
$500 |
3.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,125 |
$2,500 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$191.25 |
$225 |
1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,275 |
$1,500 |
1.7× |
| Debride nail 1-5 (11720) |
$170 |
$200 |
2.9× |
| Debride nail 6 or more (11721) |
$127.50 |
$150 |
2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,465 |
$2,900 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$850 |
$1,000 |
2.1× |
| Declot vascular device (36593) |
$850 |
$1,000 |
2.6× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$3,995 |
$4,700 |
4.5× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,105 |
$1,300 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$212.50 |
$250 |
1.1× |
| Diagnostic sigmoidoscopy (45330) |
$1,275 |
$1,500 |
1.4× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$2,890 |
$3,400 |
2.4× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$3,400 |
$4,000 |
2.8× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,326 |
$1,560 |
1.5× |
| Dilation Esophagus Guide Wire (43453) |
$3,910 |
$4,600 |
2.0× |
| Drainage Mouth Roof Lesion (42000) |
$1,275 |
$1,500 |
5.4× |
| Drainage of finger abscess simple (26010) |
$255 |
$300 |
1.3× |
| Drainage of gum lesion (41800) |
$680 |
$800 |
5.1× |
| Drainage of hematoma/fluid (10140) |
$4,250 |
$5,000 |
2.6× |
| 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 small (16020) |
$395.25 |
$465 |
2.0× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$2,890 |
$3,400 |
3.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$4,675 |
$5,500 |
1.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$2,550 |
$3,000 |
3.6× |
| 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 cautery tumor polyp (43250) |
$4,080 |
$4,800 |
2.1× |
| Egd control bleeding any (43255) |
$4,250 |
$5,000 |
2.2× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,530 |
$1,800 |
0.8× |
| Egd endo mucosal resection (43254) |
$2,550 |
$3,000 |
1.3× |
| Egd Endoscopic Stent Place (43266) |
$12,750 |
$15,000 |
2.1× |
| Egd Flexible Foreign Body Removal (43247) |
$1,360 |
$1,600 |
1.5× |
| Egd guide wire insertion (43248) |
$1,360 |
$1,600 |
1.5× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$4,080 |
$4,800 |
2.1× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$3,825 |
$4,500 |
2.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$4,080 |
$4,800 |
2.1× |
| Egd lesion ablation (43270) |
$4,080 |
$4,800 |
2.1× |
| Egd Optical Endomicroscopy (43252) |
$3,400 |
$4,000 |
1.8× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$6,120 |
$7,200 |
0.6× |
| Egd place gastrostomy tube (43246) |
$4,250 |
$5,000 |
2.2× |
| Egd remove lesion snare (43251) |
$2,125 |
$2,500 |
1.1× |
| Egd Tube/Cath Insertion (43241) |
$2,550 |
$3,000 |
1.3× |
| Egd us exam duodenum/jejunum (43259) |
$4,250 |
$5,000 |
2.2× |
| Egd us transmural injxn/mark (43253) |
$4,080 |
$4,800 |
2.1× |
| Egd Varices Ligation (43244) |
$1,955 |
$2,300 |
1.0× |
| Egd W/Thrml Txmnt Gerd (43257) |
$2,295 |
$2,700 |
0.6× |
| Egd W/Transmural Drain Cyst (43240) |
$12,750 |
$15,000 |
2.1× |
| Endoscopic us exam esoph (43237) |
$4,080 |
$4,800 |
2.1× |
| Endoscopy Upper Small Intestine (44360) |
$3,825 |
$4,500 |
2.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$3,825 |
$4,500 |
2.0× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$3,910 |
$4,600 |
2.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$3,910 |
$4,600 |
2.0× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$3,910 |
$4,600 |
2.0× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$4,250 |
$5,000 |
2.2× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
$12,155 |
$14,300 |
2.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$4,271.25 |
$5,025 |
2.2× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$3,910 |
$4,600 |
2.0× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$3,995 |
$4,700 |
2.1× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$3,910 |
$4,600 |
2.0× |
| Epidural Blood Patch (62273) |
$1,700 |
$2,000 |
2.4× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$12,750 |
$15,000 |
2.1× |
| Ercp duct stent placement (43274) |
$12,325 |
$14,500 |
2.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$8,500 |
$10,000 |
2.2× |
| Ercp ea duct/ampulla dilate (43277) |
$7,650 |
$9,000 |
2.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$850 |
$1,000 |
0.2× |
| Ercp remove forgn body duct (43275) |
$7,650 |
$9,000 |
4.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$12,325 |
$14,500 |
2.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$7,395 |
$8,700 |
1.9× |
| Ercp W/Biopsy Single/Multiple (43261) |
$850 |
$1,000 |
0.2× |
| Ercp w/pressure measurement sphincter of oddi (43263) |
$7,395 |
$8,700 |
3.8× |
| Ercp,Sphincterotomy (43262) |
$850 |
$1,000 |
0.2× |
| Esoph Optical Endomicroscopy (43206) |
$3,910 |
$4,600 |
2.0× |
| Esoph Scope W/Submucous Inj (43201) |
$3,676.25 |
$4,325 |
1.9× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,700 |
$2,000 |
1.9× |
| Esophagosc Dilate Balloon 30 (43214) |
$3,825 |
$4,500 |
2.0× |
| Esophagoscop Mucosal Resect (43211) |
$4,505 |
$5,300 |
2.3× |
| Esophagoscop Stent Placement (43212) |
$3,400 |
$4,000 |
0.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$3,825 |
$4,500 |
2.0× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,420 |
$5,200 |
1.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$4,505 |
$5,300 |
2.3× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$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) |
$1,955 |
$2,300 |
2.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$4,250 |
$5,000 |
2.2× |
| Esophagoscopy Retro Balloon (43213) |
$3,910 |
$4,600 |
2.0× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$3,400 |
$4,000 |
1.8× |
| Esophagoscopy Rigid Balloon (43195) |
$7,395 |
$8,700 |
1.9× |
| Esophagoscopy rigid trnso dx (43191) |
$3,570 |
$4,200 |
1.9× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$3,676.25 |
$4,325 |
1.9× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$3,825 |
$4,500 |
2.0× |
| Esophagoscp Guide Wire Dilat (43196) |
$7,395 |
$8,700 |
3.8× |
| Esophagoscp Rig Trnso Biopsy (43193) |
$4,080 |
$4,800 |
2.1× |
| Esophagoscp Rig Trnso Inject (43192) |
$3,995 |
$4,700 |
2.1× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$3,910 |
$4,600 |
2.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$3,727.25 |
$4,385 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$136 |
$160 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,020 |
$1,200 |
1.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,275 |
$1,500 |
3.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,870 |
$2,200 |
1.1× |
| External cephalic version (59412) |
$5,100 |
$6,000 |
1.6× |
| Fetal non-stress test (59025) |
$391 |
$460 |
1.9× |
| Fna bx w/us gdn 1st les (10005) |
$4,080 |
$4,800 |
5.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,105 |
$1,300 |
1.2× |
| 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 perianal abscess superficial (46050) |
$1,105 |
$1,300 |
1.2× |
| I&d pilonidal cyst complicated (10081) |
$1,275 |
$1,500 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$1,003 |
$1,180 |
1.4× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$2,125 |
$2,500 |
1.1× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$2,337.50 |
$2,750 |
2.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$701.25 |
$825 |
0.8× |
| Image Cath Fluid Peri/Retro (49406) |
$3,570 |
$4,200 |
2.2× |
| Incise external hemorrhoid (46083) |
$1,190 |
$1,400 |
4.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$871.25 |
$1,025 |
2.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$7,298.10 |
$8,586 |
2.5× |
| 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× |
| Inj W/Fluor Eval Cv Device (36598) |
$148.75 |
$175 |
0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,252.05 |
$1,473 |
1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,593.75 |
$1,875 |
2.3× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$637.50 |
$750 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,105 |
$1,300 |
3.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,530 |
$1,800 |
5.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,593.75 |
$1,875 |
1.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,870 |
$2,200 |
2.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,020 |
$1,200 |
1.4× |
| Insert cervical dilator (59200) |
$637.50 |
$750 |
2.1× |
| Insert non-tunnel cv cath (36556) |
$1,275 |
$1,500 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$340 |
$400 |
2.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$221 |
$260 |
1.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,380 |
$2,800 |
1.5× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,975 |
$3,500 |
1.1× |
| Intro Gastrointestinal Tube (44500) |
$1,700 |
$2,000 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$510 |
$600 |
2.1× |
| Ligation of hemorrhoids (46946) |
$5,950 |
$7,000 |
2.1× |
| Maternity Care Procedure (59899) |
$382.50 |
$450 |
1.9× |
| Myelography Lumbar Injection (62304) |
$2,975 |
$3,500 |
3.8× |
| N Block Lumbar/Thoracic (64520) |
$1,381.25 |
$1,625 |
1.6× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,275 |
$1,500 |
1.4× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,275 |
$1,500 |
1.4× |
| Needle Biopsy Lymph Nodes (38505) |
$3,230 |
$3,800 |
2.0× |
| Needle Biopsy Pancreas (48102) |
$2,783.75 |
$3,275 |
1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$80.75 |
$95 |
2.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$114.75 |
$135 |
4.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,572.50 |
$1,850 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$518.50 |
$610 |
1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$680 |
$800 |
2.2× |
| 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) |
$1,530 |
$1,800 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,487.50 |
$1,750 |
2.1× |
| Occipital Nerve Block (64405) |
$595 |
$700 |
1.9× |
| Peritoneal Lavage (49084) |
$1,275 |
$1,500 |
1.4× |
| Perq dev breast 1st us imag (19285) |
$3,400 |
$4,000 |
4.8× |
| Perq device breast 1st imag (19281) |
$3,230 |
$3,800 |
2.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,147.50 |
$1,350 |
1.2× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$2,550 |
$3,000 |
2.1× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
$5,950 |
$7,000 |
2.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$2,550 |
$3,000 |
2.1× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
$2,550 |
$3,000 |
2.1× |
| Proctosgmdsc rigid w/dilation (45303) |
$1,530 |
$1,800 |
1.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$5,950 |
$7,000 |
2.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$5,950 |
$7,000 |
2.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$2,550 |
$3,000 |
2.1× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
$5,950 |
$7,000 |
2.1× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
$12,155 |
$14,300 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$297.50 |
$350 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,360 |
$1,600 |
3.3× |
| Puncture Aspiration Cyst Breast (19000) |
$2,380 |
$2,800 |
3.4× |
| 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 of nail bed (11750) |
$850 |
$1,000 |
2.1× |
| Remove foreign body from eye (65205) |
$191.25 |
$225 |
1.4× |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
$488.75–$510 |
$575–$600 |
varies |
| Remove Nasal Foreign Body (30300) |
$191.25 |
$225 |
1.4× |
| 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 2.6-7.5 cm (13121) |
$1,275 |
$1,500 |
3.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,380 |
$2,800 |
1.5× |
| 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 7.6-12.5 cm (12054) |
$1,275 |
$1,500 |
3.1× |
| 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 7.6-12.5 cm (12034) |
$1,105 |
$1,300 |
2.7× |
| Repair of nail bed (11760) |
$765 |
$900 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,105 |
$1,300 |
1.2× |
| Reposition Gastrostomy Tube (43761) |
$641.75 |
$755 |
2.6× |
| 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 fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$573.75 |
$675 |
1.3× |
| Rplc Gtube No Revj Trc (43762) |
$552.50 |
$650 |
2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$425 |
$500 |
2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$850 |
$1,000 |
1.6× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,190 |
$1,400 |
1.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$786.25 |
$925 |
0.7× |
| Sigmoidoscopy & decompress (45337) |
$4,250 |
$5,000 |
4.6× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,912.50 |
$2,250 |
2.1× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,805 |
$3,300 |
2.3× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$2,635 |
$3,100 |
2.2× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$2,550 |
$3,000 |
2.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$3,145 |
$3,700 |
2.6× |
| Sigmoidoscopy w/fb removal (45332) |
$2,550 |
$3,000 |
2.1× |
| Sigmoidoscopy w/plcmt stent (45347) |
$12,155 |
$14,300 |
2.0× |
| Sigmoidoscopy W/Resection (45349) |
$2,890 |
$3,400 |
1.0× |
| Sigmoidoscopy W/Ultrasound (45341) |
$1,955 |
$2,300 |
2.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,275 |
$1,500 |
1.4× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$2,550 |
$3,000 |
2.1× |
| 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 scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$255 |
$300 |
1.3× |
| 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 sub grft t/arm/lg child (15273) |
$4,930 |
$5,800 |
2.4× |
| Small bowel endoscopy (44384) |
$2,380 |
$2,800 |
1.2× |
| Small bowel endoscopy (44366) |
$3,825 |
$4,500 |
2.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$3,825 |
$4,500 |
2.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$12,155 |
$14,300 |
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 anal division sphincter spx (46080) |
$2,975 |
$3,500 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,530 |
$1,800 |
2.2× |
| Strapping ankle (29540) |
$59.50 |
$70 |
0.4× |
| Strapping Hip (29520) |
$63.75 |
$75 |
0.5× |
| Strapping knee (29530) |
$63.75 |
$75 |
0.5× |
| Strapping shoulder (29240) |
$63.75 |
$75 |
0.5× |
| Strapping toes (29550) |
$63.75 |
$75 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$552.50 |
$650 |
1.4× |
| Therapeutic plasma exchange (36514) |
$2,550 |
$3,000 |
1.6× |
| Thyroid biopsy (60100) |
$4,250 |
$5,000 |
6.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,295 |
$2,700 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$340 |
$400 |
1.4× |
| Trim skin lesion (11055) |
$297.50 |
$350 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$212.50 |
$250 |
1.1× |
| Trimming Nondystrophic Nails Any Number (11719) |
$106.25 |
$125 |
1.8× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$5,525 |
$6,500 |
2.0× |
| Unlisted procedure anus (46999) |
$1,190 |
$1,400 |
1.3× |
| Unlisted Procedure Biliary Tract (47999) |
$3,111 |
$3,660 |
3.4× |
| Unlisted procedure colon (45399) |
$1,870 |
$2,200 |
2.0× |
| Unlisted Procedure Esophagus (43499) |
$2,125 |
$2,500 |
2.3× |
| Unlisted Procedure Intestine (44799) |
$1,955 |
$2,300 |
2.2× |
| Unlisted Procedure Muscskeletal System General (20999) |
$127.50 |
$150 |
0.5× |
| Unlisted procedure nervous system (64999) |
$1,275 |
$1,500 |
4.1× |
| Unlisted procedure pancreas (48999) |
$3,697.50 |
$4,350 |
5.2× |
| Unlisted Procedure Rectum (45999) |
$1,190 |
$1,400 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$148.75 |
$175 |
0.2× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$3,400 |
$4,000 |
1.0× |
Vaginal delivery only (59409)
range across 3 matching MRF lines |
$2,890–$4,250 |
$3,400–$5,000 |
varies |