| Allogeneic lymphocyte infusions (38242) |
$1,767.25 |
$3,534.50 |
1.2× |
| Amniocentesis diagnostic (59000) |
$525.50 |
$1,051 |
0.6× |
| Amniocentesis therapeutic (59001) |
$806.50 |
$1,613 |
2.7× |
| Anoscopy diagnostic (46600) |
$138.50 |
$277 |
1.1× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,269.50 |
$2,539 |
1.1× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$212 |
$424 |
0.8× |
| Arterial puncture (36600) |
$71 |
$142 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$594 |
$1,188 |
3.0× |
| Biopsy Breast Open Incisional (19101) |
$3,869 |
$7,738 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$852 |
$1,704 |
1.0× |
| Biopsy of floor of mouth (41108) |
$1,753 |
$3,506 |
1.1× |
| Biopsy of mouth lesion (40808) |
$563.50 |
$1,127 |
1.1× |
| Biopsy of palate, uvula (42100) |
$1,723.50 |
$3,447 |
1.1× |
| Biopsy of tongue (41100) |
$756.50 |
$1,513 |
1.4× |
| Biopsy of urethra (53200) |
$2,066.50 |
$4,133 |
1.0× |
| Biopsy of uterus lining (58100) |
$395 |
$790 |
2.0× |
| Biopsy Oropharynx (42800) |
$2,334.50 |
$4,669 |
1.5× |
| Biopsy Salivary Gland Incisional (42405) |
$2,200.50 |
$4,401 |
1.5× |
| Biopsy tongue posterior one-third (41105) |
$3,313.50 |
$6,627 |
1.0× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,160 |
$6,320 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$852 |
$1,704 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$387 |
$774 |
0.6× |
| Bladder Irrigation Simple (51700) |
$376 |
$752 |
1.5× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$3,146.25 |
$6,292.50 |
2.1× |
| Blood patch (62273) |
$1,177 |
$2,354 |
1.7× |
| Blood transfusion service (36430) |
$702.50 |
$1,405 |
1.6× |
| Blood/Lymph System Procedure (38999) |
$22,273.50 |
$44,547 |
52.0× |
| Bone marrow aspiration only (38220) |
$1,232 |
$2,464 |
0.8× |
| Bone Marrow Biopsy (38221) |
$1,232 |
$2,464 |
0.8× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$723 |
$1,446 |
1.1× |
| Bx vulva/perineum 1 lesion (56605) |
$852 |
$1,704 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,753 |
$3,506 |
1.1× |
| Car-t admn autologous (38228) |
$2,947 |
$5,894 |
9.2× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$128 |
$256 |
0.6× |
| Chemical Cautery Tissue (17250) |
$240.25 |
$480.50 |
1.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$107.75 |
$215.50 |
0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$395 |
$790 |
1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$229 |
$458 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,480 |
$4,960 |
0.8× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,190 |
$4,380 |
0.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$395 |
$790 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$414 |
$828 |
1.4× |
| Colposcopy vulva (56820) |
$229 |
$458 |
1.2× |
| Colposcopy vulva w/biopsy (56821) |
$395 |
$790 |
1.3× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$384 |
$768 |
1.3× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$852 |
$1,704 |
1.0× |
| Conization of cervix (57522) |
$3,160 |
$6,320 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$191.50 |
$383 |
1.5× |
| Cordocentesis (59012) |
$655 |
$1,310 |
2.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,240 |
$4,480 |
1.1× |
| Cystoscopy w/complex removal stone & stent (52315) |
$2,663 |
$5,326 |
1.3× |
| Cystourethroscopy (52000) |
$703.50 |
$1,407 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$516 |
$1,032 |
0.7× |
| Debride nail 1-5 (11720) |
$94 |
$188 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$405 |
$810 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$659 |
$1,318 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$784.25 |
$1,568.50 |
0.5× |
| Declot vascular device (36593) |
$372.25 |
$744.50 |
1.2× |
| Destruction Lesions Vulva Extensive (56515) |
$2,052 |
$4,104 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$1,111 |
$2,222 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$966 |
$1,932 |
1.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,133.50 |
$8,267 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$1,285.50 |
$2,571 |
0.8× |
| Draw blood off venous device (36591) |
$98 |
$196 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$361.25 |
$722.50 |
1.9× |
| Dry Needling 3+ Muscles (20561) |
$39.50 |
$79 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$2,993 |
$5,986 |
1.1× |
| Dx bone marrow bx & aspir (38222) |
$1,736 |
$3,472 |
0.6× |
| Endocervical Curettage (57505) |
$694 |
$1,388 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,527.50 |
$5,055 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$900 |
$1,800 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$405 |
$810 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$900 |
$1,800 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$771.50 |
$1,543 |
1.1× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,753 |
$3,506 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,686.50 |
$3,373 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,703 |
$3,406 |
1.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$4,252 |
$8,504 |
1.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,753 |
$3,506 |
1.1× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$779.50 |
$1,559 |
1.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,753 |
$3,506 |
1.1× |
| Exchange transfusion, blood; other than newborn (36455) |
$2,530.50 |
$5,061 |
5.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$771.50 |
$1,543 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$404 |
$808 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$771.50 |
$1,543 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$771.50 |
$1,543 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$779.50 |
$1,559 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,753 |
$3,506 |
1.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,035 |
$2,070 |
0.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,736 |
$3,472 |
1.1× |
| Excision of vaginal cyst or tumor (57135) |
$4,133.50 |
$8,267 |
1.3× |
| Explo/Drain Breast Abscess (19020) |
$1,736 |
$3,472 |
1.1× |
| External Cephalic Version (59412) |
$2,740 |
$5,480 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$278.25 |
$556.50 |
1.4× |
| Fetal non-stress test (59025) |
$308.75 |
$617.50 |
1.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$722 |
$1,444 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$418 |
$836 |
1.1× |
| Harvest stem cell concentrte (38215) |
$676.50 |
$1,353 |
1.6× |
| Hysteroscopy biopsy (58558) |
$3,150 |
$6,300 |
1.0× |
| I&d abscess simple (10060) |
$266.25 |
$532.50 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$318 |
$636 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$460.50 |
$921 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$212 |
$424 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$598 |
$1,196 |
2.0× |
| Incisional biopsy skin single lesion (11106) |
$795.50 |
$1,591 |
1.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$723.50 |
$1,447 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,281.50 |
$2,563 |
1.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$898.75 |
$1,797.50 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$772.50 |
$1,545 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,054.25 |
$2,108.50 |
1.2× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,313.75 |
$2,627.50 |
1.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$971 |
$1,942 |
1.4× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$723.50 |
$1,447 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,013.50 |
$2,027 |
1.5× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,699 |
$3,398 |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$769 |
$1,538 |
1.1× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$1,278.50 |
$2,557 |
2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$258.50 |
$517 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$228.75 |
$457.50 |
1.8× |
| Insert cervical dilator (59200) |
$202.50 |
$405 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$134 |
$268 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$327.50 |
$655 |
2.5× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$347.75 |
$695.50 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$501.50 |
$1,003 |
2.2× |
| Laryngoscopy Flexible Diagnostic (31575) |
$198 |
$396 |
1.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,827 |
$3,654 |
1.1× |
| Mastectomy partial (19301) |
$4,978 |
$9,956 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,562 |
$5,124 |
1.5× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$339.50 |
$679 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$21.50 |
$43 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,978 |
$9,956 |
1.3× |
| Pelvic exam under anesthesia (57410) |
$3,160 |
$6,320 |
1.0× |
| Photopheresis, extracorporeal (36522) |
$7,392 |
$14,784 |
1.7× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,645 |
$3,290 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$215.50 |
$431 |
0.5× |
| Puncture Aspiration (10160) |
$209.50 |
$419 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$771.50 |
$1,543 |
1.1× |
| Rbc depletion of harvest (38212) |
$676.50 |
$1,353 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$95 |
$190 |
1.7× |
| Removal of intrauterine device (iud) (58301) |
$342 |
$684 |
1.2× |
| Removal of nail bed (11750) |
$506.50 |
$1,013 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$222.50 |
$445 |
1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$707.50 |
$1,415 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$727 |
$1,454 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$404 |
$808 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$727 |
$1,454 |
1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,156.50 |
$2,313 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$966 |
$1,932 |
1.1× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$966 |
$1,932 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,496.50 |
$2,993 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,286.75 |
$4,573.50 |
3.2× |
| Spinal puncture lumbar diagnostic (62270) |
$702.50 |
$1,405 |
1.0× |
| Strapping unna boot (29580) |
$96.50 |
$193 |
0.6× |
| T-cell depletion of harvest (38210) |
$676.50 |
$1,353 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$217.50 |
$435 |
0.6× |
| Thaw preserved stem cells (38208) |
$498 |
$996 |
1.2× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$7,086.50 |
$14,173 |
1.7× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,786.75 |
$5,573.50 |
1.8× |
| Ther Apheresis,Platelets (36513) |
$1,900 |
$3,800 |
4.4× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,316.50 |
$4,633 |
1.5× |
| Ther Apheresis,White Blood Cells (36511) |
$2,178 |
$4,356 |
1.4× |
| Trach Tube Change (31502) |
$417.75 |
$835.50 |
1.8× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$723 |
$1,446 |
2.4× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$13,211.50 |
$26,423 |
2.5× |
| Trim skin lesion (11055) |
$173.50 |
$347 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$231 |
$462 |
1.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$88.50 |
$177 |
1.5× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$4,180.50 |
$8,361 |
9.8× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$498 |
$996 |
1.2× |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
$676.50 |
$1,353 |
1.6× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$138,077 |
$276,154 |
2.3× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$1,969.75 |
$3,939.50 |
1.3× |
| Tumor cell deplete of harvst (38211) |
$676.50 |
$1,353 |
1.6× |
| Unlisted Procedure Nervous System (64999) |
$820 |
$1,640 |
2.7× |
| Venipuncture (36415) |
$16 |
$32 |
1.7× |
| Vulvectomy simple partial (56620) |
$3,071.50 |
$6,143 |
1.0× |
| Wash harvest stem cells (38209) |
$676.50 |
$1,353 |
1.6× |