| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$230.18 |
$338.50 |
1.5× |
| Application cast elbow finger short arm (29075) |
$255 |
$375 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$123.76 |
$182 |
0.8× |
| Application cast shoulder hand long arm (29065) |
$255 |
$375 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$146.20 |
$215 |
0.9× |
| Application of long leg cast (29345) |
$255 |
$375 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$309.40 |
$455 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$102.68 |
$151 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$112.20 |
$165 |
0.9× |
| Apply multlay comprs arm/hand (29584) |
$523.26 |
$769.50 |
3.4× |
| Apply short leg cast (29405) |
$255 |
$375 |
1.0× |
| Arterial puncture (36600) |
$13.60 |
$20 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$223.04 |
$328 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$204 |
$300 |
0.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$182.92 |
$269 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$431.46 |
$634.50 |
0.1× |
| Biopsy of uterus lining (58100) |
$174.08 |
$256 |
0.9× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$254.66 |
$374.50 |
0.4× |
| Bladder Irrigation Simple (51700) |
$196.52 |
$289 |
0.8× |
| Bladder Scan (51798) |
$70.04 |
$103 |
1.2× |
| Blood transfusion service (36430) |
$1,140.36 |
$1,676.99 |
2.7× |
| Bx breast 1st lesion us imag (19083) |
$1,275 |
$1,875 |
0.8× |
| Bx vulva/perineum 1 lesion (56605) |
$456.96 |
$672 |
0.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$156.40 |
$230 |
0.7× |
| Cautery Cervix Electro/Thermal (57510) |
$340 |
$500 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$196.52 |
$289 |
0.8× |
| Chemical Cautery Tissue (17250) |
$176.80 |
$260 |
0.9× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$156.40 |
$230 |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$301.92 |
$444 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$359.72 |
$529 |
1.5× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,342.32 |
$1,974 |
0.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$375.36 |
$552 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$243.44 |
$358 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$282.88 |
$416 |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$261.80 |
$385 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$216.92 |
$319 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$364.48 |
$536 |
1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$975.12 |
$1,434 |
0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$210.80 |
$310 |
0.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$325.72 |
$479 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$358.36 |
$527 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$216.24 |
$318 |
0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$329.12 |
$484 |
1.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$212.16 |
$312 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$123.08 |
$181 |
0.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$1,262.76 |
$1,857 |
0.4× |
| Colposcopy entire vagina w/cervix if present (57420) |
$174.08 |
$256 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$212.16 |
$312 |
0.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$212.16 |
$312 |
0.7× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$3,536 |
$5,200 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$589.90 |
$867.50 |
0.3× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,720.40 |
$2,530 |
0.9× |
| Cystourethroscopy (52000) |
$503.88 |
$741 |
0.8× |
| Declot vascular device (36593) |
$139.40 |
$205 |
0.4× |
| Destruction Benign Lesions Up To 14 (17110) |
$116.96 |
$172 |
0.6× |
| Destruction Lesions Vulva Simple (56501) |
$214.20 |
$315 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$108.12 |
$159 |
0.6× |
| Dilate Urethra Stricture (53600) |
$196.52 |
$289 |
0.8× |
| Drainage of hydrocele (55000) |
$495.04 |
$728 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$208.08 |
$306 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$517.82 |
$761.50 |
0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$408 |
$600 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$567.80 |
$835 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$359.04 |
$528 |
0.9× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$296.82 |
$436.50 |
0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$700.40 |
$1,030 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$603.50 |
$887.50 |
0.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$952 |
$1,400 |
0.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$206.72 |
$304 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,298.12 |
$1,909 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$332.52 |
$489 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$581.40 |
$855 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$592.28 |
$871 |
0.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$407.66 |
$599.50 |
0.6× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$487.56 |
$717 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$527 |
$775 |
0.3× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,284.80 |
$3,360 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$167.96 |
$247 |
0.9× |
| Fetal non-stress test (59025) |
$111.86 |
$164.50 |
0.6× |
| I&d abscess simple (10060) |
$115.60 |
$170 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$214.20 |
$315 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$123.08 |
$181 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$231.20 |
$340 |
0.2× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581)
unusually low: confirm this is the full procedure |
$2,154.92 |
$3,169 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$223.04 |
$328 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$357 |
$525 |
0.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$357 |
$525 |
0.5× |
| Injection anes other peripheral nerve/branch (64450) |
$357 |
$525 |
0.5× |
| Injection for identification of sentinel node (38792) |
$343.40 |
$505 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$297.16 |
$437 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$127.50 |
$187.50 |
1.0× |
| Insert Drug Implant Device (11981) |
$90.44 |
$133 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$503.20 |
$740 |
0.2× |
| Insert pessary/other device (57160) |
$99.28 |
$146 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$63.24 |
$93 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$61.54 |
$90.50 |
0.5× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure |
$2,229.72 |
$3,279 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$309.40 |
$455 |
1.4× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$843.20 |
$1,240 |
0.1× |
| Laser vaporization surgery prostate, complete (52648) |
$4,396.88 |
$6,466 |
0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$495.97 |
$729.37 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$196.52 |
$289 |
0.8× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure |
$1,249.16 |
$1,837 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$129.20 |
$190 |
0.2× |
| Perq device breast 1st imag (19281) |
$173.40 |
$255 |
0.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$292.40 |
$430 |
0.2× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$4,458.08 |
$6,556 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$158.44 |
$233 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$547.40 |
$805 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$40.80 |
$60 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$59.16 |
$87 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$174.08 |
$256 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$72.76 |
$107 |
0.4× |
| Remove drug implant device (11982) |
$90.44 |
$133 |
0.2× |
| Remv Ext Canal Foreign Body (69200) |
$112.20 |
$165 |
0.9× |
| Repair of nasal septum (30520) |
$1,904 |
$2,800 |
0.6× |
| Revise median n/carpal tunnel surg (64721) |
$504.90 |
$742.50 |
0.3× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$131.24 |
$193 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$1,866.60 |
$2,745 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,866.60 |
$2,745 |
2.6× |
| Spinal puncture lumbar diagnostic (62270) |
$267.92 |
$394 |
0.4× |
| Strapping ankle (29540) |
$79.56 |
$117 |
0.5× |
| Strapping elbow/wrist (29260) |
$79.56 |
$117 |
1.4× |
| Strapping hand/finger (29280) |
$79.56 |
$117 |
1.4× |
| Strapping knee (29530) |
$79.56 |
$117 |
0.6× |
| Strapping shoulder (29240) |
$79.56 |
$117 |
0.6× |
| Strapping unna boot (29580) |
$149.60 |
$220 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$295.80 |
$435 |
1.3× |
| Treat wrist bone fracture (25622) |
$357 |
$525 |
1.5× |
| Treat Wrist Bone Fracture (25630) |
$330.48 |
$486 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$291.04 |
$428 |
1.2× |
| Urology Surgery Procedure (53899) |
$184.96 |
$272 |
0.8× |
| Vasectomy (55250) |
$850 |
$1,250 |
0.4× |
| Venipuncture (36415) |
$7.48 |
$11 |
0.8× |