| Abd paracentesis w/imaging (49083) |
$888.86 |
$1,945 |
0.9× |
| Application finger splint static (29130) |
$74.95 |
$164 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$79.98 |
$175 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$74.95 |
$164 |
0.5× |
| Apply short leg splint (29515) |
$79.06 |
$173 |
0.5× |
| Arterial puncture (36600) |
$27.42 |
$60 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$49.81 |
$109 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$337.72 |
$739 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$292.48 |
$640 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$471.62 |
$1,032 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$228.96 |
$501 |
0.7× |
| Aspirate pleura w/ imaging (32555) |
$888.86 |
$1,945 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$112.42 |
$246 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$1,242.58 |
$2,719 |
0.7× |
| Blood transfusion service (36430) |
$425.47 |
$931 |
0.9× |
| Blood/Lymph System Procedure (38999) |
$337.72 |
$739 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$1,315.70 |
$2,879 |
0.7× |
| Bx breast 1st lesion us imag (19083) |
$1,236.64 |
$2,706 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$826.71 |
$1,809 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$138.01 |
$302 |
0.6× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$281.51 |
$616 |
0.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$124.30 |
$272 |
0.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$186.46 |
$408 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$176.40 |
$386 |
0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$179.14 |
$392 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$260.95 |
$571 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$386.16 |
$845 |
1.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$252.26 |
$552 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$125.22 |
$274 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$188.74 |
$413 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$413.13 |
$904 |
0.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$114.71 |
$251 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$114.71 |
$251 |
0.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$254.09 |
$556 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$186 |
$407 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$116.08 |
$254 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$93.23 |
$204 |
0.7× |
| Colonoscopy flex w/inj submuc (45381) |
$1,965.10 |
$4,300 |
1.5× |
| Colonoscopy flex w/rem forcep (45384) |
$2,256.21 |
$4,937 |
1.8× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$2,489.28 |
$5,447 |
1.9× |
| Colonoscopy stoma w/biopsy (44389) |
$1,703.24 |
$3,727 |
1.3× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,707.81 |
$3,737 |
1.3× |
| Colonoscopy thru stoma (44388) |
$1,551.52 |
$3,395 |
1.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,233.82 |
$4,888 |
1.7× |
| Colonoscopy w/ablation (45388) |
$2,681.22 |
$5,867 |
2.1× |
| Colonoscopy w/band ligation (45398) |
$2,337.10 |
$5,114 |
1.8× |
| Colonoscopy w/fb removal (45379) |
$1,965.10 |
$4,300 |
1.5× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$2,559.66 |
$5,601 |
2.0× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,284.92 |
$7,188 |
1.1× |
| Complex Cystometrogram (51726) |
$415.87 |
$910 |
1.6× |
| Complex Uroflowmetry (51741) |
$31.99 |
$70 |
0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$120.65 |
$264 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$113.79 |
$249 |
0.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$548.40 |
$1,200 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$194.22 |
$425 |
0.1× |
| Cystometrogram w/vp (51728) |
$894.81 |
$1,958 |
1.2× |
| Cystourethroscopy (52000) |
$292.48 |
$640 |
0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$111.51 |
$244 |
0.3× |
| Declot vascular device (36593) |
$258.20 |
$565 |
0.7× |
| Destroy cerv/thor facet jnt (64633) |
$818.94 |
$1,792 |
0.4× |
| Destroy lumb/sac facet jnt (64635) |
$818.94 |
$1,792 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$78.15 |
$171 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$76.78 |
$168 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,111.42 |
$2,432 |
1.5× |
| Diagnostic sigmoidoscopy (45330) |
$559.83 |
$1,225 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$121.56 |
$266 |
0.6× |
| Drainage of gum lesion (41800) |
$116.08 |
$254 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$121.10 |
$265 |
0.1× |
| Drainage of hydrocele (55000) |
$343.66 |
$752 |
0.5× |
| Drainage of scrotal wall abscess (55100) |
$255.92 |
$560 |
0.1× |
| Draw blood off venous device (36591) |
$93.23 |
$204 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$78.60 |
$172 |
0.4× |
| Dstrj lesion anus simple surg excision (46922) |
$127.05 |
$278 |
0.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,520.90 |
$3,328 |
0.7× |
| Egd control bleeding any (43255) |
$1,979.72 |
$4,332 |
1.0× |
| Egd dilate stricture (43245) |
$1,740.26 |
$3,808 |
0.8× |
| Egd flexible foreign body removal (43247) |
$1,750.31 |
$3,830 |
1.8× |
| Egd remove lesion snare (43251) |
$2,010.80 |
$4,400 |
1.0× |
| EMG anal/urethral sphincter (51785) |
$412.21 |
$902 |
1.5× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$313.04 |
$685 |
2.3× |
| Endometrial Biopsy (58100) |
$106.48 |
$233 |
0.5× |
| Endoscopy Upper Small Intestine (44360) |
$1,419.90 |
$3,107 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,362.77 |
$2,982 |
1.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$873.33 |
$1,911 |
0.9× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,021.85 |
$2,236 |
0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,399.79 |
$3,063 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$72.66 |
$159 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$176.86 |
$387 |
0.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$826.71 |
$1,809 |
1.1× |
| Frenulotomy of penis (54164) |
$1,008.14 |
$2,206 |
0.5× |
| Guide Cathet Fluid Drainage (10030) |
$672.25 |
$1,471 |
0.9× |
| I&d abscess simple (10060) |
$115.62 |
$253 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$115.16 |
$252 |
0.2× |
| Ileoscopy thru stoma (44380) |
$577.19 |
$1,263 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$183.26 |
$401 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$115.62 |
$253 |
0.3× |
| Incision of rectal abscess (46040) |
$398.05 |
$871 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$81.35 |
$178 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$505.44 |
$1,106 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$376.57 |
$824 |
0.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$361.94 |
$792 |
0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$376.57 |
$824 |
0.5× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$376.57 |
$824 |
0.5× |
| Injection aa&/strd pudendal nerve (64430) |
$342.29 |
$749 |
0.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$252.26 |
$552 |
0.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$376.57 |
$824 |
0.5× |
| Injection for identification of sentinel node (38792) |
$337.72 |
$739 |
0.8× |
| Injection peyronie disease (54200) |
$129.33 |
$283 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$54.84 |
$120 |
0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$62.61 |
$137 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$140.76 |
$308 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$130.70 |
$286 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$286.08 |
$626 |
1.1× |
| Ligation of hemorrhoid(s) (46221) |
$858.25 |
$1,878 |
0.9× |
| Liver Biopsy (47000) |
$598.67 |
$1,310 |
0.3× |
| Myelography Lumbar Injection (62304) |
$888.86 |
$1,945 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$376.57 |
$824 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$42.04 |
$92 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$51.18 |
$112 |
1.7× |
| Njx aa&/strd sciatic nerve (64445) |
$376.57 |
$824 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$110.14 |
$241 |
0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$505.44 |
$1,106 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$565.31 |
$1,237 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$565.31 |
$1,237 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$565.31 |
$1,237 |
0.8× |
| Occipital Nerve Block (64405) |
$342.29 |
$749 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$471.62 |
$1,032 |
0.6× |
| Perq device breast 1st imag (19281) |
$471.62 |
$1,032 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$672.25 |
$1,471 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$411.30 |
$900 |
0.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$228.96 |
$501 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$175.94 |
$385 |
0.2× |
| Removal foreign body intranasal (30300) |
$113.34 |
$248 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$18.28 |
$40 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$76.32 |
$167 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$78.60 |
$172 |
0.2× |
| Removal of iud (58301) |
$365.60 |
$800 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$79.52 |
$174 |
0.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$74.95 |
$164 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$268.72 |
$588 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$181.43 |
$397 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$177.32 |
$388 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$260.03 |
$569 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$128.42 |
$281 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$184.63 |
$404 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$191.94 |
$420 |
0.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$664.48 |
$1,454 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,190.49 |
$2,605 |
0.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$76.78 |
$168 |
0.2× |
| Sigmoidoscopy w/biopsy (45331) |
$715.20 |
$1,565 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$1,038.76 |
$2,273 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$112.42 |
$246 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$115.16 |
$252 |
0.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$127.96 |
$280 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$80.43 |
$176 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$118.82 |
$260 |
0.6× |
| Small bowel endoscopy (44364) |
$2,020.40 |
$4,421 |
1.0× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,564.77 |
$3,424 |
0.8× |
| Small bowel endoscopy/biopsy (44377) |
$2,957.70 |
$6,472 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$114.25 |
$250 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$127.96 |
$280 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,150.27 |
$2,517 |
1.5× |
| Strapping hand/finger (29280) |
$73.12 |
$160 |
1.2× |
| Strapping toes (29550) |
$70.84 |
$155 |
1.1× |
| Strapping unna boot (29580) |
$105.11 |
$230 |
0.6× |
| Thyroid biopsy (60100) |
$353.26 |
$773 |
0.5× |
| Treat humerus fracture (23600) |
$192.40 |
$421 |
0.7× |
| Treat wrist bone fracture (25622) |
$189.20 |
$414 |
0.7× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$69.46 |
$152 |
1.1× |
| Unlisted procedure nervous system (64999) |
$435.52 |
$953 |
1.3× |
| Us urine capacity measure (51798) |
$127.05 |
$278 |
2.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$349.15 |
$764 |
0.2× |
| Venipuncture (36415) |
$12.34 |
$27 |
1.3× |
| Wedge excision skin nail fold (11765) |
$115.16 |
$252 |
0.3× |