| Abd paracentesis w/imaging (49083) |
$1,537.20 |
$2,196 |
1.6× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$2,572.50 |
$3,675 |
1.6× |
| Anoscopy diagnostic (46600) |
$245 |
$350 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$480.90 |
$687 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$848.40 |
$1,212 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$499.80 |
$714 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$533.40 |
$762 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$476.70 |
$681 |
1.5× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$503.30 |
$719 |
1.6× |
| Aspirate pleura w/o imaging (32554) |
$1,283.10 |
$1,833 |
1.9× |
| Biopsy intranasal (30100) |
$1,740.90 |
$2,487 |
1.1× |
| Biopsy lip (40490) |
$389.90 |
$557 |
1.6× |
| Biopsy lymph node (38505) |
$4,998 |
$7,140 |
2.9× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,425.20 |
$2,036 |
1.1× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,586.90 |
$2,267 |
1.6× |
| Biopsy of salivary gland (42405) |
$2,480.80 |
$3,544 |
1.5× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$1,550.50 |
$2,215 |
1.6× |
| Biopsy oropharynx (42800) |
$2,569 |
$3,670 |
1.6× |
| Biopsy roof of mouth (42100) |
$2,510.20 |
$3,586 |
1.5× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$2,037 |
$2,910 |
0.5× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$2,112.60 |
$3,018 |
0.5× |
| Brnchsc occlusion&insert bronch valve init lobe (31647) |
$3,985.80 |
$5,694 |
0.5× |
| Brnchsc removal bronchial valve initial (31648) |
$3,035.90 |
$4,337 |
0.8× |
| Bronch foreign body removal (31635) |
$1,514.10 |
$2,163 |
0.8× |
| Bronch thermoplsty 1 lobe (31660) |
$5,023.20 |
$7,176 |
0.7× |
| Bronchoscopy dilate/fx repr (31630) |
$2,082.50 |
$2,975 |
0.5× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,082.50 |
$2,975 |
0.5× |
| Bronchoscopy w biopsy (31625) |
$1,237.60 |
$1,768 |
0.7× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,514.10 |
$2,163 |
0.8× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$897.40 |
$1,282 |
2.2× |
| Bronchoscopy w/tumor excise (31640) |
$2,082.50 |
$2,975 |
0.5× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$1,078.70 |
$1,541 |
0.6× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634)
likely a partial charge — not the full procedure |
$1,135.40 |
$1,622 |
0.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661) |
$5,053.30 |
$7,219 |
0.7× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$2,082.50 |
$2,975 |
0.5× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s)… (31636)
likely a partial charge — not the full procedure |
$2,082.50 |
$2,975 |
0.3× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631)
unusually low — confirm this is the full procedure |
$2,271.50 |
$3,245 |
0.3× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638)
likely a partial charge — not the full procedure |
$2,082.50 |
$2,975 |
0.3× |
| Bronchoscopy/lung bx each (31628) |
$3,028.20 |
$4,326 |
0.8× |
| Change of windpipe airway (31502) |
$294 |
$420 |
1.2× |
| Chemical cauterization of granulation tissue (17250) |
$353.50 |
$505 |
1.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,864.80 |
$2,664 |
2.5× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,719.20 |
$2,456 |
2.3× |
| Chemodenerv saliv glands (64611) |
$730.10 |
$1,043 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,832.60 |
$2,618 |
2.5× |
| Chemodenerv trunk musc 6/> (64647) |
$2,134.30 |
$3,049 |
2.9× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$867.30 |
$1,239 |
1.2× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$716.80 |
$1,024 |
2.2× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$807.10 |
$1,153 |
2.5× |
| Collect blood from catheter venous nos (36592) |
$176.40 |
$252 |
1.3× |
| Collect blood from implant venous access device (36591) |
$19.60 |
$28 |
0.1× |
| Colonoscopy thru stoma spx (44388) |
$1,572.20 |
$2,246 |
1.6× |
| Colonoscopy w/ablation (45388) |
$2,608.20 |
$3,726 |
2.1× |
| Colonoscopy w/control bleed (45382) |
$2,539.60 |
$3,628 |
2.0× |
| Colonoscopy w/fb removal (45379) |
$2,088.10 |
$2,983 |
1.7× |
| Colonoscopy w/resection (45390) |
$2,733.50 |
$3,905 |
0.9× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,507.40 |
$3,582 |
2.0× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,450.70 |
$3,501 |
1.9× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$2,454.90 |
$3,507 |
1.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,430.40 |
$3,472 |
1.9× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$202.30 |
$289 |
1.4× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,100.70 |
$3,001 |
1.2× |
| Declot vascular device (36593) |
$543.90 |
$777 |
1.6× |
| Destroy nerve face muscle (64612) |
$772.10 |
$1,103 |
2.4× |
| Diagnostic bone marrow aspirations (38220) |
$2,810.85 |
$4,015.50 |
1.6× |
| Diagnostic bone marrow biopsies (38221) |
$2,100.70 |
$3,001 |
1.2× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$3,800.30 |
$5,429 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,320.90 |
$1,887 |
1.8× |
| Diagnostic sigmoidoscopy (45330) |
$1,546.30 |
$2,209 |
1.6× |
| Dilate esophagus (43453) |
$2,244.90 |
$3,207 |
1.1× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$1,562.40 |
$2,232 |
1.6× |
| Drainage of nose lesion (30020) |
$896 |
$1,280 |
1.6× |
| Dx bronchoscope/brush (31623) |
$1,158.50 |
$1,655 |
0.6× |
| Dx bronchoscope/lavage (31624) |
$1,093.40 |
$1,562 |
0.6× |
| Dx laryngoscopy excl nb (31525) |
$2,587.20 |
$3,696 |
1.4× |
| Ed prof arthrocentesis sm - hospital (20551) |
$470.40 |
$672 |
1.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$35 |
$50 |
0.2× |
| Ed prof drain dental abscess-hospital (41800) |
$202.30 |
$289 |
1.4× |
| Egd endo mucosal resection (43254) |
$3,339 |
$4,770 |
1.6× |
| Egd endoscopic stent place (43266) |
$10,118.50 |
$14,455 |
1.6× |
| Egd lesion ablation (43270) |
$2,475.20 |
$3,536 |
1.2× |
| Egd percutaneous placement gastrostomy tube (43246) |
$2,402.40 |
$3,432 |
1.2× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$2,482.90 |
$3,547 |
1.2× |
| Egd transoral control bleeding any method (43255) |
$2,415 |
$3,450 |
1.2× |
| Egd tube/cath insertion (43241) |
$3,339 |
$4,770 |
1.6× |
| Egd us exam duodenum/jejunum (43259) |
$3,339 |
$4,770 |
1.6× |
| Egd us fine needle bx/aspir (43242) |
$3,339 |
$4,770 |
1.6× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$276.50 |
$395 |
2.0× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$1,586.90 |
$2,267 |
1.6× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$1,631.70 |
$2,331 |
1.7× |
| Endoscopic us exam esoph (43237) |
$3,339 |
$4,770 |
1.6× |
| Endoscopy upper small intestine (44360) |
$3,339 |
$4,770 |
1.6× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$667.80 |
$954 |
0.9× |
| Esoph egd dilation <30 mm (43249) |
$2,370.20 |
$3,386 |
1.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,801.10 |
$2,573 |
1.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$2,612.40 |
$3,732 |
1.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$2,475.20 |
$3,536 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$2,422.70 |
$3,461 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,873.90 |
$2,677 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,898.40 |
$2,712 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$2,325.40 |
$3,322 |
1.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$3,339 |
$4,770 |
1.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,579.20 |
$2,256 |
1.7× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$2,156 |
$3,080 |
1.1× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$3,339 |
$4,770 |
1.6× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$3,255 |
$4,650 |
1.6× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$987.70 |
$1,411 |
1.7× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$318.50 |
$455 |
1.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$5,270.30 |
$7,529 |
1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,600.90 |
$2,287 |
2.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,600.90 |
$2,287 |
2.1× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,817.20 |
$2,596 |
1.9× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$1,603 |
$2,290 |
1.7× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$560 |
$800 |
1.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$346.50 |
$495 |
1.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,444.10 |
$2,063 |
1.5× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,131.90 |
$1,617 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$331.10 |
$473 |
1.0× |
| Injection aa&/strd vagus nerve (64408) |
$158.20 |
$226 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$394.10 |
$563 |
1.2× |
| Injection treatment of nose (30200) |
$851.90 |
$1,217 |
1.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$480.90 |
$687 |
1.5× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$496.30 |
$709 |
1.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$484.40 |
$692 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,015.90 |
$5,737 |
1.1× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$357 |
$510 |
1.5× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,127.30 |
$3,039 |
1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,552.40 |
$17,932 |
1.4× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$1,283.10 |
$1,833 |
1.9× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$1,302.70 |
$1,861 |
2.0× |
| Intubation endotracheal (31500) |
$397.60 |
$568 |
1.6× |
| Largsc w/ther injection (31573) |
$2,587.20 |
$3,696 |
1.4× |
| Laryngoscopy flex diagnostic (31575) |
$329 |
$470 |
1.6× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$2,149.70 |
$3,071 |
1.1× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$2,587.20 |
$3,696 |
1.4× |
| Laryngoscopy w stroboscopy (31579) |
$731.50 |
$1,045 |
1.8× |
| Lumbar puncture (62270) |
$1,306.20 |
$1,866 |
1.8× |
| Lysis intranasal synechia (30560) |
$338.10 |
$483 |
0.6× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$331.10 |
$473 |
1.6× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267) |
$12,176.50 |
$17,395 |
1.6× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$2,569 |
$3,670 |
1.4× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$2,587.20 |
$3,696 |
1.4× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$9,926 |
$14,180 |
1.6× |
| Perq drainage pleura insert cath w/imaging (32557) |
$2,202.90 |
$3,147 |
1.3× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$2,021.60 |
$2,888 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$450.80 |
$644 |
1.7× |
| Pr brnchsc removal bronchial valve ea addl (31649) |
$1,476.30 |
$2,109 |
0.8× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$2,051 |
$2,930 |
1.6× |
| Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (45303) |
$2,083.20 |
$2,976 |
1.7× |
| Punch biopsy skin single lesion (11104) |
$334.60 |
$478 |
0.8× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$496.30 |
$709 |
1.2× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$21 |
$30 |
0.3× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$2,447.20 |
$3,496 |
1.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$970.20 |
$1,386 |
1.3× |
| Remove lung catheter (32552) |
$1,234.10 |
$1,763 |
1.9× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$209.30 |
$299 |
1.5× |
| Rplc gtube revj gstrst trc (43763) |
$450.80 |
$644 |
1.7× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$9,886.10 |
$14,123 |
1.6× |
| Sigmoidoscopy & polypectomy (45333) |
$1,642.20 |
$2,346 |
1.7× |
| Sigmoidoscopy flx control bleeding (45334) |
$2,073.40 |
$2,962 |
1.6× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$1,606.50 |
$2,295 |
1.6× |
| Sigmoidoscopy w/ablation (45346) |
$2,073.40 |
$2,962 |
1.6× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$1,010.10 |
$1,443 |
1.0× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$2,176.30 |
$3,109 |
1.7× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$1,495.20 |
$2,136 |
1.2× |
| Small bowel endoscopy/biopsy (44361) |
$3,409 |
$4,870 |
1.7× |
| Stomach surgery procedure unlisted (43999) |
$1,651.30 |
$2,359 |
1.7× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,339.80 |
$1,914 |
2.0× |
| Transfusion, blood or blood components (36430) |
$703.50 |
$1,005 |
1.5× |
| Treat pleurodesis w/agent (32560) |
$1,022.70 |
$1,461 |
1.5× |
| Treat toe dislocation (28630) |
$350 |
$500 |
1.3× |
| Unlisted procedure accessory sinuses (31299) |
$385.70 |
$551 |
1.5× |
| Unlisted procedure colon (45399) |
$1,442 |
$2,060 |
1.5× |
| Vascular surgery procedure (37799) |
$1,116.50 |
$1,595 |
1.7× |
| Venipuncture (36415) |
$10.50 |
$15 |
1.1× |