| Abd paracentesis w/imaging (49083) |
$1,342 |
$2,440 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$945.72 |
$1,719.50 |
1.2× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$909.42 |
$1,653.50 |
1.1× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$231 |
$420 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$249.97 |
$454.50 |
4.7× |
| Application finger splint static (29130) |
$332.34 |
$604.25 |
2.8× |
| Application long arm splint shoulder hand (29105) |
$669.90 |
$1,218 |
4.6× |
| Application long leg splint thigh ankle/toes (29505) |
$669.90 |
$1,218 |
4.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$836 |
$1,520 |
3.3× |
| Application Short Arm Splint Dynamic (29126) |
$270.32 |
$491.50 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$446.32 |
$811.50 |
3.7× |
| Application short leg splint calf foot (29515) |
$669.90 |
$1,218 |
4.6× |
| Apply multlay comprs arm/hand (29584) |
$231 |
$420 |
1.6× |
| Arterial puncture (36600) |
$236.22 |
$429.50 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$473 |
$860 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$473 |
$860 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$473 |
$860 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,353.90 |
$3,149.75 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$217.80 |
$396 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,710.77 |
$3,110.50 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,540 |
$2,800 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,593.07 |
$2,896.50 |
1.1× |
| Biopsy pleura percutaneous needle (32400) |
$1,540 |
$2,800 |
1.0× |
| Bladder Irrigation Simple (51700) |
$473 |
$860 |
2.1× |
| Bladder Scan (51798) |
$239.80 |
$436 |
4.5× |
| Blood patch (62273) |
$1,134.65 |
$2,063 |
1.8× |
| Blood transfusion service (36430) |
$2,206.87 |
$4,012.50 |
5.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,540 |
$2,800 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,458.77 |
$4,470.50 |
1.6× |
| Bx/exc lymph node needle superficial (38505) |
$1,540 |
$2,800 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$476.30 |
$866 |
2.4× |
| Chest tube placement (32551) |
$1,815 |
$3,300 |
1.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$5,405.95 |
$9,829 |
1.7× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$945.72 |
$1,719.50 |
4.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$669.90 |
$1,218 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$669.90 |
$1,218 |
3.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$945.72 |
$1,719.50 |
4.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$945.72 |
$1,719.50 |
4.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$539 |
$980 |
2.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$945.72 |
$1,719.50 |
4.2× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$269.22 |
$489.50 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$945.72 |
$1,719.50 |
4.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$473 |
$860 |
2.1× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$473 |
$860 |
2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$669.90 |
$1,218 |
3.0× |
| Complex Drainage, Wound (10180) |
$2,585 |
$4,700 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$945.72 |
$1,719.50 |
7.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$669.90 |
$1,218 |
5.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,934.97 |
$7,154.50 |
2.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$669.90 |
$1,218 |
5.6× |
| Debride nail 1-5 (11720) |
$473 |
$860 |
8.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,134.37 |
$2,062.50 |
1.8× |
| Draw blood off venous device (36591) |
$211.75 |
$385 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$473 |
$860 |
3.9× |
| Exchange nephrostomy cath (50435) |
$4,302.65 |
$7,823 |
2.3× |
| Excision of nail fold toe (11765) |
$669.90 |
$1,218 |
1.8× |
| External Cephalic Version (59412) |
$2,805 |
$5,100 |
1.0× |
| Fetal Contraction Stress Test (59020) |
$243.65 |
$443 |
1.3× |
| Fetal non-stress test (59025) |
$373.72 |
$679.50 |
2.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,545.77 |
$2,810.50 |
2.4× |
| Fluoro exam of g/colon tube (49465) |
$683.92 |
$1,243.50 |
3.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$669.90 |
$1,218 |
3.4× |
| Glycine receptor alpha1 igg serum/csf lcba qual (0431U) |
$160.90 |
$292.56 |
4.4× |
| I&d abscess simple (10060) |
$473 |
$860 |
2.6× |
| I&d pilonidal cyst simple (10080) |
$945.72 |
$1,719.50 |
1.5× |
| Image Cath Fluid Peri/Retro (49406) |
$7,253.95 |
$13,189 |
4.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$473 |
$860 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$945.72 |
$1,719.50 |
5.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$945.72 |
$1,719.50 |
3.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$932.52 |
$1,695.50 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$705.10 |
$1,282 |
1.1× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$473 |
$860 |
1.7× |
| Injection anes other peripheral nerve/branch (64450) |
$945.72 |
$1,719.50 |
1.5× |
| Injection for identification of sentinel node (38792) |
$685.30 |
$1,246 |
1.9× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$715 |
$1,300 |
1.3× |
| Ins cath ren art 1st unilat (36251) |
$10,000.32 |
$18,182.40 |
3.5× |
| Ins endovas vena cava filtr (37191) |
$8,642.15 |
$15,713 |
1.7× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$26,064.77 |
$47,390.50 |
2.8× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$27,771.97 |
$50,494.50 |
2.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$32,011.37 |
$58,202.50 |
3.4× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$14,905 |
$27,100 |
1.6× |
| Insert 1 electrode pm-defib (33216) |
$14,340.97 |
$26,074.50 |
1.9× |
| Insert Bladder Cath Complex (51703) |
$211.75 |
$385 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$3,259.85 |
$5,927 |
1.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,259.85 |
$5,927 |
1.1× |
| Insert Temp Bladder Cath (51702) |
$473 |
$860 |
3.9× |
| Insert tun ip cath perc (49418) |
$10,877.90 |
$19,778 |
3.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,470 |
$15,400 |
1.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$12,038.40 |
$21,888 |
1.6× |
| Insj/rplcmt defib w/lead(s) (33249) |
$35,750 |
$65,000 |
1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$14,340.97 |
$26,074.50 |
1.9× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$4,811.40 |
$8,748 |
3.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$13,977.70 |
$25,414 |
1.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$11,081.67 |
$20,148.50 |
2.2× |
| Intubation endotracheal emergency procedure (31500) |
$1,084.88 |
$1,972.50 |
5.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$669.90 |
$1,218 |
3.7× |
| Ligation of a-v fistula (37607) |
$3,080 |
$5,600 |
1.1× |
| Lithotripsy (50590) |
$7,650.50 |
$13,910 |
2.4× |
| Liver Biopsy (47000) |
$1,640.92 |
$2,983.50 |
1.1× |
| Myelography Lumbar Injection (62305) |
$2,931.50 |
$5,330 |
4.1× |
| Myelography Lumbar Injection (62304) |
$3,107.50 |
$5,650 |
4.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,935.90 |
$5,338 |
4.1× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,935.90 |
$5,338 |
4.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,833.83 |
$3,334.24 |
4.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,290 |
$7,800 |
1.3× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) unusually low: confirm this is the full procedure |
$2,794.55 |
$5,081 |
0.4× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$36,031.42 |
$65,511.68 |
3.4× |
| Pericardiocentesis W/Imaging (33016) |
$4,935.61 |
$8,973.84 |
3.5× |
| Perq dev breast 1st us imag (19285) |
$898.42 |
$1,633.50 |
1.4× |
| Perq device breast 1st imag (19281) |
$1,640.92 |
$2,983.50 |
1.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,117.50 |
$3,850 |
0.7× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$3,545.63 |
$6,446.60 |
2.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$350.90 |
$638 |
1.6× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$20,784.77 |
$37,790.50 |
1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,000 |
$20,000 |
1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,535 |
$13,700 |
1.5× |
| Place Cath Subclavian Art (36225) |
$4,421.45 |
$8,039 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$669.90 |
$1,218 |
1.7× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$6,098.95 |
$11,089 |
3.2× |
| Punch biopsy skin single lesion (11104) |
$1,827.40 |
$3,322.56 |
5.0× |
| Puncture Aspiration (10160) |
$408.37 |
$742.50 |
1.1× |
| Puncture Aspiration Cyst Breast (19000) |
$704.82 |
$1,281.50 |
1.1× |
| Relocation of skin pocket for pacemaker (33222) |
$5,654.27 |
$10,280.50 |
3.0× |
| Removal fb intranasal (30300) |
$473 |
$860 |
3.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$231.55 |
$421 |
4.3× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$4,670.60 |
$8,492 |
1.4× |
| Removal of nail bed (11750) |
$669.90 |
$1,218 |
1.8× |
| Removal ppm generator only (33233) |
$8,470 |
$15,400 |
1.1× |
| Removal subq cardiac rhythm monitor (33286) |
$1,427.52 |
$2,595.50 |
2.2× |
| Remove renal tube w/fluoro (50389) |
$2,238.50 |
$4,070 |
3.5× |
| Remove&replace pm gen singl (33227) |
$26,115.37 |
$47,482.50 |
3.5× |
| Remv Ext Canal Foreign Body (69200) |
$473 |
$860 |
3.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$473 |
$860 |
3.9× |
| Remv&replc cvd gen dual lead (33263) |
$27,610.27 |
$50,200.50 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$54,999.99 |
$99,999.99 |
1.9× |
| Remv&replc pm gen dual lead (33228) |
$32,112.57 |
$58,386.50 |
3.4× |
| Renal biopsy (50200) |
$1,719.30 |
$3,126 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$945.72 |
$1,719.50 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$945.72 |
$1,719.50 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$945.72 |
$1,719.50 |
2.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$945.72 |
$1,719.50 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$945.72 |
$1,719.50 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$945.72 |
$1,719.50 |
2.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$945.72 |
$1,719.50 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$945.72 |
$1,719.50 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$669.90 |
$1,218 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$669.90 |
$1,218 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,888.70 |
$3,434 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$669.90 |
$1,218 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$669.90 |
$1,218 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,888.70 |
$3,434 |
1.0× |
| Repair lead pace-defib one (33218) |
$6,625.02 |
$12,045.50 |
2.0× |
| Repair Tongue Laceration (41250) |
$473 |
$860 |
1.2× |
| Reposition pacing-defib lead (33215) |
$6,624.75 |
$12,045 |
2.3× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$6,556 |
$11,920 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$669.90 |
$1,218 |
1.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$669.90 |
$1,218 |
5.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$669.90 |
$1,218 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,112.65 |
$2,023 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$473 |
$860 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$473 |
$860 |
2.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$302.50 |
$550 |
1.7× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$473 |
$860 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$691.62 |
$1,257.50 |
3.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$490.05 |
$891 |
2.7× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$473 |
$860 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$473 |
$860 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$473 |
$860 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$473 |
$860 |
2.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$473 |
$860 |
2.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$473 |
$860 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$473 |
$860 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$945.72 |
$1,719.50 |
1.5× |
| Strapping unna boot (29580) |
$669.90 |
$1,218 |
4.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,199 |
$2,180 |
1.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,341.72 |
$2,439.50 |
2.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$945.72 |
$1,719.50 |
1.7× |
Total knee arthroplasty (27447) unusually low: confirm this is the full procedure |
$3,912.42 |
$7,113.50 |
0.3× |
| Trach Tube Change (31502) |
$631.12 |
$1,147.50 |
2.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,540 |
$2,800 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$669.90 |
$1,218 |
3.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$635.80 |
$1,156 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$473 |
$860 |
1.3× |
| Unlisted Cardiac Surgery (33999) |
$2,805 |
$5,100 |
4.9× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$34,065.35 |
$61,937 |
3.6× |
| Venipuncture (36415) |
$16.77 |
$30.50 |
1.8× |