| Amniocentesis diagnostic (59000) |
$597.50 |
$1,195 |
0.7× |
| Amniocentesis therapeutic (59001) |
$884.25 |
$1,768.50 |
3.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$186 |
$372 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$233.50 |
$467 |
0.9× |
| Arterial puncture (36600) |
$71 |
$142 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$594 |
$1,188 |
3.0× |
| Blood patch (62273) |
$1,215 |
$2,430 |
1.8× |
| Blood transfusion service (36430) |
$702.50 |
$1,405 |
1.6× |
| Bone marrow aspiration only (38220) |
$2,506 |
$5,012 |
1.6× |
| Bone Marrow Biopsy (38221) |
$2,506 |
$5,012 |
1.6× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$128 |
$256 |
0.6× |
| Chemical Cautery Tissue (17250) |
$256.50 |
$513 |
1.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$108.50 |
$217 |
0.8× |
| Cordocentesis (59012) |
$697 |
$1,394 |
2.4× |
| 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) |
$408.50 |
$817 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$974.50 |
$1,949 |
0.6× |
| Declot vascular device (36593) |
$435 |
$870 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,298 |
$2,596 |
0.8× |
| Draw blood off venous device (36591) |
$108.50 |
$217 |
0.8× |
| Dry Needling 3+ Muscles (20561) |
$39.50 |
$79 |
1.4× |
| Exchange transfusion, blood; other than newborn (36455) |
$2,530.50 |
$5,061 |
5.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,519 |
$3,038 |
0.9× |
| External Cephalic Version (59412) |
$2,919 |
$5,838 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$296 |
$592 |
1.5× |
| Fetal non-stress test (59025) |
$322.25 |
$644.50 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$616.50 |
$1,233 |
1.6× |
| I&d abscess simple (10060) |
$294.50 |
$589 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$321.50 |
$643 |
0.8× |
| 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) |
$1,286 |
$2,572 |
2.1× |
| Insert Bladder Cath Complex (51703) |
$231.50 |
$463 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$137.50 |
$275 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$501.50 |
$1,003 |
2.2× |
| 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× |
| Removal of nail bed (11750) |
$419 |
$838 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$556.50 |
$1,113 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,496.50 |
$2,993 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,298 |
$4,596 |
3.2× |
| Strapping unna boot (29580) |
$108 |
$216 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$217.50 |
$435 |
0.6× |
| Ther Apheresis,Plasma Pheresis (36514) |
$3,159 |
$6,318 |
2.1× |
| Ther Apheresis,Platelets (36513) |
$2,530.50 |
$5,061 |
5.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,530.50 |
$5,061 |
1.7× |
| Ther Apheresis,White Blood Cells (36511) |
$1,920.50 |
$3,841 |
1.3× |
| Trach Tube Change (31502) |
$432.50 |
$865 |
1.9× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$737 |
$1,474 |
2.5× |
| Trim skin lesion (11055) |
$173.50 |
$347 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$173.50 |
$347 |
0.9× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$4,059.50 |
$8,119 |
9.5× |
| Unlisted Procedure Nervous System (64999) |
$820 |
$1,640 |
2.7× |
| Venipuncture (36415) |
$15.50 |
$31 |
1.7× |