| Abd paracentesis w/imaging (49083) |
$1,698 |
$2,830 |
1.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,226.40 |
$2,044 |
1.4× |
| Allogeneic lymphocyte infusions (38242) |
$2,266.50 |
$3,777.50 |
1.5× |
| Amniocentesis diagnostic (59000) |
$717 |
$1,195 |
0.8× |
| Amniocentesis therapeutic (59001) |
$994.20 |
$1,657 |
3.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$316.20 |
$527 |
2.0× |
| Application finger splint static (29130) |
$201 |
$335 |
1.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$254.40 |
$424 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$201 |
$335 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$381.60 |
$636 |
1.3× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,022.40 |
$1,704 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,946 |
$4,910 |
1.8× |
| Biopsy of mouth lesion (40808) |
$676.20 |
$1,127 |
1.3× |
| Biopsy of tongue (41100) |
$907.80 |
$1,513 |
1.7× |
| Biopsy of uterus lining (58100) |
$474 |
$790 |
2.4× |
| Biopsy Oropharynx (42800) |
$2,801.40 |
$4,669 |
1.9× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,792 |
$6,320 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,022.40 |
$1,704 |
1.1× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$419.40 |
$699 |
0.6× |
| Bladder Irrigation Simple (51700) |
$451.20 |
$752 |
1.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$3,457.20 |
$5,762 |
2.3× |
| Blood patch (62273) |
$1,450.20 |
$2,417 |
2.1× |
| Blood transfusion service (36430) |
$585.60 |
$976 |
1.4× |
| Blood/Lymph System Procedure (38999) |
$26,728.20 |
$44,547 |
62.5× |
| Bone marrow aspiration only (38220) |
$2,242.80 |
$3,738 |
1.4× |
| Bone Marrow Biopsy (38221) |
$1,478.40 |
$2,464 |
0.9× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$867.60 |
$1,446 |
1.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,099.40 |
$3,499 |
1.2× |
| Bx vulva/perineum 1 lesion (56605) |
$1,022.40 |
$1,704 |
1.1× |
| Car-t admn autologous (38228) |
$3,510.60 |
$5,851 |
11.0× |
| Chemical Cautery Tissue (17250) |
$371.40 |
$619 |
1.9× |
| Chemodenerv Musc Migraine (64615) |
$800.56 |
$1,334.26 |
2.7× |
| Chest tube placement (32551) |
$1,891.20 |
$3,152 |
1.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$128.40 |
$214 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$474 |
$790 |
1.6× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$274.80 |
$458 |
1.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,976 |
$4,960 |
0.9× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,628 |
$4,380 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$474 |
$790 |
1.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$501.60 |
$836 |
1.7× |
| Colposcopy vulva w/biopsy (56821) |
$474 |
$790 |
1.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$460.80 |
$768 |
1.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,022.40 |
$1,704 |
1.1× |
| Cordocentesis (59012) |
$836.40 |
$1,394 |
2.8× |
| Cystoscopy w/complex removal stone & stent (52315) |
$3,195.60 |
$5,326 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$490.20 |
$817 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,107 |
$1,845 |
0.7× |
| Declot vascular device (36593) |
$377.10 |
$628.50 |
1.2× |
| Destruction Lesions Vulva Simple (56501) |
$1,245.60 |
$2,076 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,262.40 |
$2,104 |
1.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,960.20 |
$8,267 |
1.6× |
| Draw blood off venous device (36591) |
$84.60 |
$141 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$388.20 |
$647 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$388.20 |
$647 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$388.20 |
$647 |
2.0× |
| Dry Needling 3+ Muscles (20561) |
$47.88 |
$79.80 |
1.7× |
| Dx bone marrow bx & aspir (38222) |
$2,083.20 |
$3,472 |
0.7× |
| Egd place gastrostomy tube (43246) |
$2,309.40 |
$3,849 |
1.2× |
| Endocervical Curettage (57505) |
$832.80 |
$1,388 |
0.9× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,669.40 |
$4,449 |
1.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,033 |
$5,055 |
1.9× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$4,976.90 |
$8,294.84 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$925.80 |
$1,543 |
1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,043.60 |
$3,406 |
1.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$5,102.40 |
$8,504 |
1.8× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,042.80 |
$1,738 |
1.5× |
| Exchange transfusion, blood; other than newborn (36455) |
$2,681.40 |
$4,469 |
6.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$925.80 |
$1,543 |
1.3× |
| Excision of vaginal cyst or tumor (57135) |
$5,456.40 |
$9,094 |
1.7× |
| External Cephalic Version (59412) |
$3,481.20 |
$5,802 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$348.30 |
$580.50 |
1.8× |
| Fetal non-stress test (59025) |
$373.80 |
$623 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$493.80 |
$823 |
1.3× |
| Harvest stem cell concentrte (38215) |
$811.80 |
$1,353 |
1.9× |
| Hysteroscopy biopsy (58558) |
$3,634.80 |
$6,058 |
1.2× |
| I&d abscess simple (10060) |
$265.80 |
$443 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$717.60 |
$1,196 |
2.4× |
| Inject Intravitreal Pharmcologic (67028) |
$141.60 |
$236 |
0.4× |
| Inject Tendon Origin/Insert (20551) |
$791.40 |
$1,319 |
2.7× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,271.70 |
$2,119.50 |
2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$310.20 |
$517 |
1.6× |
| Insert cervical dilator (59200) |
$243 |
$405 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$3,831.60 |
$6,386 |
1.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,831.60 |
$6,386 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$92.70 |
$154.50 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$245.40 |
$409 |
1.9× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$531 |
$885 |
2.2× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,891.20 |
$3,152 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$420.60 |
$701 |
1.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,192.40 |
$3,654 |
1.3× |
| Mastectomy partial (19301) |
$5,973.60 |
$9,956 |
1.6× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$3,074.40 |
$5,124 |
1.8× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$727.80 |
$1,213 |
1.7× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$399.60 |
$666 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$26.06 |
$43.44 |
0.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$5,973.60 |
$9,956 |
1.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,891.20 |
$3,152 |
1.2× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,309.40 |
$3,849 |
1.2× |
| Photopheresis, extracorporeal (36522) |
$8,666.38 |
$14,443.97 |
2.1× |
| Punch biopsy skin single lesion (11104) |
$442.20 |
$737 |
1.1× |
| Rbc depletion of harvest (38212) |
$811.80 |
$1,353 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$114 |
$190 |
2.0× |
| Removal of intrauterine device (iud) (58301) |
$415.20 |
$692 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$267 |
$445 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$849 |
$1,415 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$872.40 |
$1,454 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$872.40 |
$1,454 |
2.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,387.80 |
$2,313 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$2,757.60 |
$4,596 |
3.8× |
| Skin sub graft trnk/arm/leg (15271) |
$2,757.60 |
$4,596 |
3.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,757.60 |
$4,596 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$2,757.60 |
$4,596 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$655.50 |
$1,092.50 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$843 |
$1,405 |
1.2× |
| Strapping unna boot (29580) |
$115.80 |
$193 |
0.7× |
| T-cell depletion of harvest (38210) |
$811.80 |
$1,353 |
1.9× |
| Thaw preserved stem cells (38208) |
$597.30 |
$995.50 |
1.4× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$8,503.80 |
$14,173 |
2.0× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,505.20 |
$5,842 |
2.3× |
| Ther Apheresis,Platelets (36513) |
$1,797.90 |
$2,996.50 |
4.2× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,771.10 |
$4,618.50 |
1.8× |
| Ther Apheresis,White Blood Cells (36511) |
$2,445.60 |
$4,076 |
1.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,262.40 |
$2,104 |
1.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,337.40 |
$2,229 |
2.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$999.60 |
$1,666 |
1.6× |
| Tracheostomy planned (31600) |
$7,708.80 |
$12,848 |
2.4× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$884.40 |
$1,474 |
3.0× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$4,326.30 |
$7,210.50 |
10.1× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$597.30 |
$995.50 |
1.4× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$811.80 |
$1,353 |
1.9× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$165,692.40 |
$276,154 |
2.7× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$2,363.70 |
$3,939.50 |
1.6× |
| Tumor cell deplete of harvst (38211) |
$811.80 |
$1,353 |
1.9× |
| Venipuncture (36415) |
$19.20 |
$32 |
2.1× |
| Vulvectomy simple partial (56620) |
$3,685.80 |
$6,143 |
1.2× |
| Wash harvest stem cells (38209) |
$811.80 |
$1,353 |
1.9× |