| Abd paracentesis w/imaging (49083) |
$1,730.50 |
$3,461 |
2.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$897.50 |
$1,795 |
1.0× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$2,564.50 |
$5,129 |
1.3× |
| Amniocentesis diagnostic (59000) |
$552.50 |
$1,105 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,876 |
$5,752 |
0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,760.50 |
$5,521 |
0.9× |
| Apheresis Platelets (36513) |
$1,868 |
$3,736 |
4.4× |
| Application cast elbow finger short arm (29075) |
$380 |
$760 |
1.4× |
| Application Finger Splint Dynamic (29131) |
$174 |
$348 |
3.1× |
| Application finger splint static (29130) |
$207.50 |
$415 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$267.50 |
$535 |
1.7× |
| Application Long Leg Splint (29505) |
$274.50 |
$549 |
1.7× |
| Application of long leg cast (29345) |
$182.50 |
$365 |
0.7× |
| Application Short Arm Splint Dynamic (29126) |
$241 |
$482 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$253 |
$506 |
2.0× |
| Application short leg splint calf foot (29515) |
$236 |
$472 |
1.5× |
| Apply hand/wrist cast (29085) |
$145 |
$290 |
0.9× |
| Apply long arm cast (29065) |
$380 |
$760 |
1.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$159 |
$318 |
1.0× |
| Arterial puncture (36600) |
$88 |
$176 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$528.50 |
$1,057 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,224.50 |
$2,449 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$478.50 |
$957 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,108 |
$2,216 |
3.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$400.50 |
$801 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$1,241.50 |
$2,483 |
2.0× |
| Aspirate Pleura W/O Imaging (32554) |
$1,027.50 |
$2,055 |
1.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$663 |
$1,326 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,137 |
$6,274 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$233 |
$466 |
1.2× |
| Biopsy Abdominal Mass (49180) |
$1,514.50 |
$3,029 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$2,741.50 |
$5,483 |
1.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,028 |
$2,056 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$1,224.50 |
$2,449 |
0.8× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,748.50 |
$3,497 |
1.1× |
| Biopsy Salivary Gland Needle (42400) |
$1,267 |
$2,534 |
1.9× |
| Biopsy soft tissue neck/thorax (21550) |
$2,611.50 |
$5,223 |
1.6× |
| Bladder Irrigation (51700) |
$385.50 |
$771 |
1.6× |
| Bladder Scan (51798) |
$137 |
$274 |
2.4× |
| Blepharotomy drainage abscess eyelid (67700) |
$523.50 |
$1,047 |
1.7× |
Blood Transfusion Service (36430)
range across 5 matching MRF lines |
$580–$1,769 |
$1,160–$3,538 |
varies |
| Bone Marrow Biopsy (38221) |
$769 |
$1,538 |
0.5× |
| Bone Marrow; Aspiration Only (38220) |
$784.50 |
$1,569 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$2,512 |
$5,024 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$1,730.50 |
$3,461 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$813.50 |
$1,627 |
0.5× |
| Bx Cervix (57500) |
$1,109 |
$2,218 |
1.2× |
| Bx/exc lymph node open superficial (38500) |
$3,615 |
$7,230 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$103 |
$206 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$385.50 |
$771 |
1.6× |
| Change of Windpipe Airway (31502) |
$418 |
$836 |
1.8× |
| Chemical Cautery Tissue (17250) |
$294 |
$588 |
1.5× |
| Chemodenervation of internal anal sphincter (46505) |
$3,716 |
$7,432 |
3.2× |
| Chest tube placement (32551) |
$972.50 |
$1,945 |
0.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$5,092 |
$10,184 |
1.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$74 |
$148 |
0.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$861 |
$1,722 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,882 |
$5,764 |
1.9× |
| Clear outer ear canal (69200) |
$204.50 |
$409 |
1.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$734.50 |
$1,469 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$486 |
$972 |
2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$776.50 |
$1,553 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$839.50 |
$1,679 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$313 |
$626 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,677 |
$5,354 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$331.50 |
$663 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$785.50 |
$1,571 |
0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$271 |
$542 |
1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$785.50 |
$1,571 |
0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$271 |
$542 |
1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$897.50 |
$1,795 |
0.6× |
| Closed tx septal&nose fx (21337) |
$2,331.50 |
$4,663 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$204.50 |
$409 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$734.50 |
$1,469 |
0.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$556 |
$1,112 |
2.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,245.50 |
$2,491 |
2.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,865 |
$5,730 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,396 |
$4,792 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$496 |
$992 |
2.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$734.50 |
$1,469 |
0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$294 |
$588 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$338.50 |
$677 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$396 |
$792 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$897.50 |
$1,795 |
0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$774.50 |
$1,549 |
0.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,723.50 |
$5,447 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$392 |
$784 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,761.50 |
$5,523 |
1.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,477 |
$4,954 |
1.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$370 |
$740 |
1.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$785.50 |
$1,571 |
0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$734.50 |
$1,469 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$332.50 |
$665 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$354 |
$708 |
1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$444.50 |
$889 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$399 |
$798 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$286.50 |
$573 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$331.50 |
$663 |
1.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,979 |
$5,958 |
1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,882.50 |
$5,765 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$332.50 |
$665 |
1.4× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$777.50 |
$1,555 |
0.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$842 |
$1,684 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$813.50 |
$1,627 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$839.50 |
$1,679 |
0.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$74 |
$148 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$18.50 |
$37 |
2.0× |
| Colpocentesis (57020) |
$1,597 |
$3,194 |
0.3× |
| Colposcopy entire vagina w/cervix if present (57420) |
$623 |
$1,246 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$337 |
$674 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$298.50 |
$597 |
2.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,748.50 |
$3,497 |
0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,048 |
$6,096 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$241 |
$482 |
1.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$189 |
$378 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$477.50 |
$955 |
1.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$673 |
$1,346 |
1.0× |
| Debride nail 1-5 (11720) |
$144.50 |
$289 |
2.5× |
| Debride nail 6 or more (11721) |
$148 |
$296 |
2.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,081.50 |
$2,163 |
2.8× |
| Declot vascular device (36593) |
$473.50 |
$947 |
1.5× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$3,755 |
$7,510 |
3.2× |
| Dilate Urethra Stricture (53620) |
$3,111.50 |
$6,223 |
4.6× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,573.50 |
$5,147 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$1,020.50 |
$2,041 |
3.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$325 |
$650 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$2,165.50 |
$4,331 |
1.4× |
| Drainage Mouth Roof Lesion (42000) |
$536.50 |
$1,073 |
2.3× |
| Drainage of finger abscess simple (26010) |
$293 |
$586 |
1.5× |
| Drainage of gum lesion (41800) |
$288 |
$576 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$1,986.50 |
$3,973 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$2,114.50 |
$4,229 |
1.3× |
| Drainage of scrotum (54700) |
$3,771.50 |
$7,543 |
1.9× |
| Draw Blood Off Venous Device (36591) |
$99.50 |
$199 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$327 |
$654 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$259.50 |
$519 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$313.50 |
$627 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$313.50 |
$627 |
1.6× |
| Dstrj lesion anus simple surg excision (46922) |
$3,305 |
$6,610 |
1.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$873 |
$1,746 |
0.3× |
| Dx Bronchoscope/Wash (31622) |
$1,736 |
$3,472 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,189 |
$6,378 |
1.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$694.50 |
$1,389 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$882.50 |
$1,765 |
1.0× |
| Epidural Blood Patch (62273) |
$891 |
$1,782 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$110 |
$220 |
0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,019 |
$2,038 |
1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$998 |
$1,996 |
1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$967 |
$1,934 |
1.4× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,139 |
$2,278 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,777.50 |
$3,555 |
1.1× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,117 |
$4,234 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,977.50 |
$3,955 |
1.2× |
| External cephalic version (59412) |
$3,311 |
$6,622 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$990 |
$1,980 |
5.1× |
| Fetal non-stress test (59025) |
$397.50 |
$795 |
2.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$806 |
$1,612 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$320.50 |
$641 |
0.8× |
| Fna bx w/us gdn 1st les (10005) |
$806 |
$1,612 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$849 |
$1,698 |
1.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,106.50 |
$2,213 |
1.2× |
| I&d abscess peritonsillar (42700) |
$587 |
$1,174 |
2.6× |
| I&d abscess simple (10060) |
$421 |
$842 |
2.2× |
| I&d perianal abscess superficial (46050) |
$2,198 |
$4,396 |
2.4× |
| I&d pilonidal cyst complicated (10081) |
$1,977.50 |
$3,955 |
2.9× |
| I&d pilonidal cyst simple (10080) |
$336 |
$672 |
0.5× |
| Image Cath Fluid Colxn Visc (49405) |
$2,484.50 |
$4,969 |
1.6× |
| Image Cath Fluid Peri/Retro (49406) |
$2,631 |
$5,262 |
1.6× |
| Incise external hemorrhoid (46083) |
$455 |
$910 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$717.50 |
$1,435 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,117 |
$4,234 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,741.50 |
$5,483 |
1.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$504 |
$1,008 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$389 |
$778 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$363.50 |
$727 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,328 |
$2,656 |
0.9× |
| Incision of rectal abscess (46040) |
$3,628 |
$7,256 |
3.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$187 |
$374 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$454.50 |
$909 |
2.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$386.50 |
$773 |
1.3× |
| Injection for identification of sentinel node (38792) |
$641 |
$1,282 |
1.7× |
| Injection Into Brain Canal (61055) |
$1,128 |
$2,256 |
3.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$468.50 |
$937 |
1.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$603.50 |
$1,207 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$604 |
$1,208 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$131 |
$262 |
0.7× |
| Ins cath ren art 1st bilat (36252) |
$4,608.50 |
$9,217 |
1.5× |
| Ins cath ren art 1st unilat (36251) |
$4,261.50 |
$8,523 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$6,950.50 |
$13,901 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$139 |
$278 |
1.1× |
| Insert cath pleura w/ image (32557) |
$1,510 |
$3,020 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,586.50 |
$3,173 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,865.50 |
$3,731 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,865.50 |
$3,731 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$169 |
$338 |
1.3× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,781 |
$7,562 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$150.50 |
$301 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,610 |
$9,220 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,865.50 |
$3,731 |
1.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,134.50 |
$2,269 |
0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,835 |
$7,670 |
1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,865.50 |
$3,731 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,710 |
$7,420 |
1.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,603.50 |
$11,207 |
0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$722 |
$1,444 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$998 |
$1,996 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$470 |
$940 |
2.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$353 |
$706 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$603 |
$1,206 |
3.1× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$705.50 |
$1,411 |
1.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$357.50 |
$715 |
0.9× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$295 |
$590 |
1.5× |
| Mech remov tunneled cv cath (36595) |
$3,834.50 |
$7,669 |
1.3× |
| Myelography Lumbar Injection (62305) |
$1,773 |
$3,546 |
2.3× |
| Myelography Lumbar Injection (62304) |
$1,182 |
$2,364 |
1.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,182 |
$2,364 |
1.6× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,182 |
$2,364 |
1.6× |
| Nasal Endoscopy Dx (31231) |
$398 |
$796 |
2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$233 |
$466 |
0.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$3,349 |
$6,698 |
1.9× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,463 |
$6,926 |
2.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,224.50 |
$2,449 |
0.8× |
| Needle Biopsy Pancreas (48102) |
$1,489.50 |
$2,979 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$37 |
$74 |
1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$37 |
$74 |
1.3× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$651 |
$1,302 |
0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$457.50 |
$915 |
1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$881.50 |
$1,763 |
0.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,357.50 |
$2,715 |
2.0× |
| Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) |
$924 |
$1,848 |
7.2× |
| Open tx interphalangeal joint dislocation (26785) |
$4,049 |
$8,098 |
1.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,626.50 |
$3,253 |
2.4× |
| Peritoneal Lavage (49084) |
$889.50 |
$1,779 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$1,301 |
$2,602 |
1.9× |
| Perq dev breast 1st us imag (19285) |
$1,054 |
$2,108 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,030 |
$2,060 |
0.6× |
| Place Cath Subclavian Art (36225) |
$4,608.50 |
$9,217 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$333.50 |
$667 |
0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,616 |
$7,232 |
1.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$844 |
$1,688 |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$534.50 |
$1,069 |
0.8× |
| Pseudoaneurysm Injection Trt (36002) |
$337.50 |
$675 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$181 |
$362 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$336 |
$672 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$844.50 |
$1,689 |
1.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$510 |
$1,020 |
1.7× |
| Removal foreign body foot deep (28192) |
$2,834 |
$5,668 |
1.8× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,535 |
$3,070 |
2.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$165.50 |
$331 |
2.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$155 |
$310 |
2.7× |
| Removal of foreign body from pharynx (42809) |
$245 |
$490 |
0.6× |
| Removal of intranasal lesion (30118) |
$2,331.50 |
$4,663 |
0.7× |
| Removal of nail bed (11750) |
$680 |
$1,360 |
1.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$197.50 |
$395 |
0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$192.50 |
$385 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$164.50 |
$329 |
0.6× |
| Remove drug implant device (11982) |
$231 |
$462 |
0.5× |
| Remove foreign body from eye (65205) |
$200 |
$400 |
1.6× |
| Remove Intrauterine Device (58301) |
$345.50 |
$691 |
1.2× |
| Remove lung catheter (32552) |
$567 |
$1,134 |
0.9× |
| Remove Nasal Foreign Body (30300) |
$135.50 |
$271 |
1.1× |
| Remv&replc cvd gen dual lead (33263) |
$32,362.50 |
$64,725 |
1.5× |
| Renal Biopsy Perq (50200) |
$1,691.50 |
$3,383 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$703.50 |
$1,407 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$722 |
$1,444 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$645.50 |
$1,291 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$691 |
$1,382 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$613 |
$1,226 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$694.50 |
$1,389 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$691 |
$1,382 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,760.50 |
$5,521 |
1.8× |
| Repair Hand Tendon (26410) |
$2,556.50 |
$5,113 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$455.50 |
$911 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$476.50 |
$953 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$507.50 |
$1,015 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$685.50 |
$1,371 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$592.50 |
$1,185 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$390.50 |
$781 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$497 |
$994 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$551.50 |
$1,103 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$645 |
$1,290 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$326 |
$652 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$579 |
$1,158 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$665.50 |
$1,331 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$593 |
$1,186 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$853 |
$1,706 |
0.4× |
| Repair of nail bed (11760) |
$363 |
$726 |
0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,422 |
$6,844 |
1.1× |
| Repair tongue laceration (41252) |
$1,181 |
$2,362 |
5.2× |
| Repair tongue laceration (41250) |
$348 |
$696 |
0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,171 |
$2,342 |
1.3× |
| Replace G-J Tube Perc (49452) |
$1,036.50 |
$2,073 |
1.2× |
| Replace g/c tube perc (49450) |
$701 |
$1,402 |
0.8× |
| Reposition Gastrostomy Tube (43761) |
$1,371 |
$2,742 |
5.7× |
| Reposition Venous Catheter (36597) |
$1,810.50 |
$3,621 |
1.2× |
| Revise Abdomen-Venous Shunt (49426) |
$3,099.50 |
$6,199 |
0.9× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$3,911.50 |
$7,823 |
2.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$404.50 |
$809 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$212 |
$424 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$212 |
$424 |
1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$164 |
$328 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,253.50 |
$4,507 |
1.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$873.50 |
$1,747 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$524.50 |
$1,049 |
2.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,865.50 |
$3,731 |
1.2× |
| Rpr blood vessel direct lower extremity (35226) |
$933.50 |
$1,867 |
1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$369 |
$738 |
1.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$629.50 |
$1,259 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$256.50 |
$513 |
0.5× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$2,784 |
$5,568 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$375 |
$750 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$306 |
$612 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$313 |
$626 |
1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$382 |
$764 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$344.50 |
$689 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$294 |
$588 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$415.50 |
$831 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$342.50 |
$685 |
1.8× |
| Skin Tissue Procedure (17999) |
$425 |
$850 |
2.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$3,222.50 |
$6,445 |
0.6× |
| Slitting of prepuce (54001) |
$3,146.50 |
$6,293 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$308 |
$616 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$369 |
$738 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$380 |
$760 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$694.50 |
$1,389 |
1.0× |
| Strapping ankle (29540) |
$181.50 |
$363 |
1.2× |
| Strapping knee (29530) |
$189 |
$378 |
1.5× |
| Strapping Unna Boot (29580) |
$177.50 |
$355 |
1.1× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,871.50 |
$3,743 |
1.2× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,868 |
$3,736 |
1.2× |
| Therapeutic plasma exchange (36514) |
$2,455 |
$4,910 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$273.50 |
$547 |
0.9× |
| Thyroid biopsy (60100) |
$834.50 |
$1,669 |
1.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,427.50 |
$4,855 |
1.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,811.50 |
$3,623 |
3.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,321 |
$2,642 |
5.8× |
| Treat ankle fracture (28445) |
$5,632 |
$11,264 |
0.8× |
| Treat knee fracture (27532) |
$2,882 |
$5,764 |
0.9× |
| Treat Knuckle Dislocation (26700) |
$333.50 |
$667 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$311 |
$622 |
1.3× |
| Treat Thumb Dislocation (26641) |
$294.50 |
$589 |
1.2× |
| Treat toe dislocation (28630) |
$271 |
$542 |
1.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,396 |
$4,792 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$352 |
$704 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$172 |
$344 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
$262 |
$524 |
1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,396 |
$4,792 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$671.50 |
$1,343 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$631 |
$1,262 |
1.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,356.50 |
$2,713 |
1.5× |
| Vaginal delivery only (59409) |
$3,212 |
$6,424 |
1.0× |
| Wedge excision skin nail fold (11765) |
$277 |
$554 |
0.7× |