| Abd paracentesis w/imaging (49083) |
$1,480 |
$1,850 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,280 |
$1,600 |
1.3× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$12,000 |
$15,000 |
1.0× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$12,000 |
$15,000 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,310.40 |
$2,888 |
1.0× |
| Amniocentesis diagnostic (59000) |
$615.20 |
$769 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,941.60 |
$4,927 |
1.1× |
| Amputation Finger/Thumb (26951) |
$3,941.60 |
$4,927 |
1.1× |
| Anoscopy diagnostic (46600) |
$295.20 |
$369 |
2.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,360 |
$1,700 |
1.3× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,596 |
$1,995 |
0.9× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$286.40 |
$358 |
1.6× |
| Appl Multlay Comprs Arm/Hand (29584) |
$286.40 |
$358 |
1.6× |
| Application cast elbow finger short arm (29075) |
$483.20 |
$604 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$483.20 |
$604 |
1.6× |
| Application finger splint static (29130) |
$265.60 |
$332 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$268.40 |
$335.50 |
1.5× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$800 |
$1,000 |
2.6× |
| Application of rigid total contact leg cast (29445) |
$542.40 |
$678 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$268.40 |
$335.50 |
1.8× |
| Apply long leg splint (29505) |
$265.60 |
$332 |
1.5× |
| Apply short leg cast (29425) |
$265.60 |
$332 |
0.9× |
| Apply short leg splint (29515) |
$265.60 |
$332 |
1.5× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$1,626.40 |
$2,033 |
0.5× |
| Arterial puncture (36600) |
$268 |
$335 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$420 |
$525 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$479.60 |
$599.50 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$516.80 |
$646 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$329.60 |
$412 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$1,277.60 |
$1,597 |
1.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$495.20 |
$619 |
1.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,791.20 |
$2,239 |
2.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,200 |
$4,000 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$336 |
$420 |
1.5× |
| Biopsy bone trocar/needle deep (20225) |
$2,040 |
$2,550 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,300 |
$2,875 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,776 |
$2,220 |
1.0× |
| Biopsy pleura percutaneous needle (32400) |
$2,483.20 |
$3,104 |
1.3× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$1,770.40 |
$2,213 |
0.5× |
| Biopsy Salivary Gland,Needle (42400) |
$1,186.40 |
$1,483 |
1.5× |
| Biopsy soft tissue back,superf (21920) |
$2,143.20 |
$2,679 |
1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,428.80 |
$3,036 |
1.3× |
| Biopsy soft tissue neck/thorax (21550) |
$3,188.80 |
$3,986 |
1.7× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$1,920 |
$2,400 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$3,116.80 |
$3,896 |
1.7× |
| Biopsy, prostate, transperineal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55712) |
$1,770.40 |
$2,213 |
0.5× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) |
$1,770.40 |
$2,213 |
0.5× |
| Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) |
$1,770.40 |
$2,213 |
0.5× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$1,770.40 |
$2,213 |
0.5× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$1,770.40 |
$2,213 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$600 |
$750 |
0.8× |
| Bladder Irrigation Simple (51700) |
$383.20 |
$479 |
1.4× |
| Blepharotomy drain absc eyelid (67700) |
$472 |
$590 |
1.3× |
| Blood patch (62273) |
$988.80 |
$1,236 |
1.3× |
| Blood transfusion service (36430) |
$800.80 |
$1,001 |
1.6× |
| Bone marrow aspiration only (38220) |
$2,436.80 |
$3,046 |
1.3× |
| Bone Marrow Biopsy (38221) |
$1,598.40 |
$1,998 |
0.9× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$2,380.80 |
$2,976 |
1.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,920 |
$2,400 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$2,000 |
$2,500 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$2,144.80 |
$2,681 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$2,000 |
$2,500 |
1.1× |
| Bx Prostate Transperineal Ultrasound-Guided (55709) |
$1,770.40 |
$2,213 |
0.5× |
Bx prst8 in-bore CT/MRI 1 (55714)
likely a partial charge, not the full procedure |
$1,770.40 |
$2,213 |
0.3× |
Bx prst8 in-bore CT/MRI bx 1 (55713)
likely a partial charge, not the full procedure |
$800 |
$1,000 |
0.1× |
| Bx/exc lymph node needle superficial (38505) |
$2,000 |
$2,500 |
1.1× |
| Change of cystostomy tube simple (51705) |
$401.60 |
$502 |
1.4× |
| Chemical cautery tissue (17250) |
$321.60 |
$402 |
1.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,576 |
$4,470 |
0.9× |
| Circumcision (54150) |
$279.20 |
$349 |
0.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$387.20 |
$484 |
1.4× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$387.20 |
$484 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$387.20 |
$484 |
1.4× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,848 |
$2,310 |
1.1× |
| Closed Rx Radial Shaft Fx (25500) |
$387.20 |
$484 |
1.4× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,920 |
$2,400 |
1.1× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$387.20 |
$484 |
1.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$387.20 |
$484 |
1.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$369.60 |
$462 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$369.60 |
$462 |
1.3× |
| Closed treat wrist dislocation (25660) |
$387.20 |
$484 |
1.4× |
| Closed Treatment Coccygeal Fracture (27200) |
$387.20 |
$484 |
1.4× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,800.80 |
$4,751 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$387.20 |
$484 |
1.4× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$815.20 |
$1,019 |
1.4× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,596 |
$1,995 |
0.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,596 |
$1,995 |
0.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$387.20 |
$484 |
1.4× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$1,596 |
$1,995 |
0.9× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,800 |
$3,500 |
1.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$387.20 |
$484 |
1.4× |
| Closed Treatment Sternum Fracture (21820) |
$369.60 |
$462 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,920 |
$2,400 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$369.60 |
$462 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,920 |
$2,400 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$387.20 |
$484 |
1.4× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$815.20 |
$1,019 |
1.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,596 |
$1,995 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$2,268 |
$2,835 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$387.20 |
$484 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,596 |
$1,995 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,596 |
$1,995 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,920 |
$2,400 |
1.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$387.20 |
$484 |
1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$387.20 |
$484 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$369.60 |
$462 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,596 |
$1,995 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$387.20 |
$484 |
1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$387.20 |
$484 |
1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$387.20 |
$484 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$387.20 |
$484 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,596 |
$1,995 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$387.20 |
$484 |
1.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,920 |
$2,400 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,920 |
$2,400 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$369.60 |
$462 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$387.20 |
$484 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$369.60 |
$462 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$387.20 |
$484 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,920 |
$2,400 |
1.1× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,720 |
$3,400 |
1.5× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,596 |
$1,995 |
0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$387.20 |
$484 |
1.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$387.20 |
$484 |
1.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,596 |
$1,995 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$369.60 |
$462 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,920 |
$2,400 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$387.20 |
$484 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$420 |
$525 |
1.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$387.20 |
$484 |
0.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,596 |
$1,995 |
0.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,596 |
$1,995 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$420 |
$525 |
1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$960 |
$1,200 |
3.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$369.60 |
$462 |
1.3× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,596 |
$1,995 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$369.60 |
$462 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$369.60 |
$462 |
1.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$369.60 |
$462 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$369.60 |
$462 |
1.3× |
| Cltx post ankle fx w/mnpj (27768) |
$1,596 |
$1,995 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,596 |
$1,995 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$387.20 |
$484 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$387.20 |
$484 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,596 |
$1,995 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$387.20 |
$484 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,073.60 |
$1,342 |
0.6× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,112.80 |
$2,641 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,596 |
$1,995 |
0.9× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$387.20 |
$484 |
0.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,596 |
$1,995 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$340 |
$425 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$193.60 |
$242 |
1.3× |
| Conversion ext bil drg cath (47535) |
$3,840 |
$4,800 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$4,057.60 |
$5,072 |
1.9× |
| Convert nephrostomy catheter (50434) |
$2,800 |
$3,500 |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,944.80 |
$2,431 |
1.1× |
| Curettage postpartum (59160) |
$2,424 |
$3,030 |
0.7× |
| Curette/treat cornea (65436) |
$2,628 |
$3,285 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,800 |
$3,500 |
1.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,478.40 |
$3,098 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$820 |
$1,025 |
1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,280 |
$4,100 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$987.20 |
$1,234 |
1.3× |
| Debride nail 1-5 (11720) |
$172 |
$215 |
2.6× |
| Debride nail 6 or more (11721) |
$247.20 |
$309 |
3.8× |
| Debride tissue/muscle (11043) |
$1,008 |
$1,260 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$664 |
$830 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,596 |
$1,995 |
0.9× |
| Declot vascular device (36593) |
$425.60 |
$532 |
1.2× |
| Delivery placenta separate procedure (59414) |
$3,200 |
$4,000 |
0.9× |
| Derma-fat-fascia graft (15770) |
$3,920 |
$4,900 |
1.0× |
| Destruction of skin lesions (17106) |
$632 |
$790 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$321.60 |
$402 |
1.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,120 |
$1,400 |
1.4× |
| Dilate Urethra Stricture (53620) |
$1,062.40 |
$1,328 |
1.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,151.20 |
$1,439 |
1.5× |
| Drainage Finger Abscess Complicated (26011) |
$1,920 |
$2,400 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$328 |
$410 |
1.5× |
| Drainage of gum lesion (41800) |
$206.40 |
$258 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,960 |
$2,450 |
1.1× |
| Drainage of hydrocele (55000) |
$1,080 |
$1,350 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$2,400 |
$3,000 |
1.3× |
| Draw blood off venous device (36591) |
$172 |
$215 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$632 |
$790 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$321.60 |
$402 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$321.60 |
$402 |
1.4× |
| Dx bone marrow bx & aspir (38222) |
$2,903.20 |
$3,629 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$4,000 |
$5,000 |
1.1× |
| Escharotomy initial incision (16035) |
$632 |
$790 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$206.40 |
$258 |
1.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,596 |
$1,995 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,596 |
$1,995 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,596 |
$1,995 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,596 |
$1,995 |
2.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$564.80 |
$706 |
1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,596 |
$1,995 |
0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,840 |
$4,800 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,800 |
$3,500 |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,920 |
$2,400 |
0.9× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,596 |
$1,995 |
0.9× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,838.40 |
$2,298 |
1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,310.40 |
$2,888 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$2,310.40 |
$2,888 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,955.20 |
$2,444 |
1.1× |
| Exploration Penetrating Wound Spx Neck (20100) |
$815.20 |
$1,019 |
1.4× |
| External cephalic version (59412) |
$1,721.60 |
$2,152 |
0.5× |
| Fetal contraction stress test (59020) |
$648.80 |
$811 |
2.9× |
| Fetal non-stress test (59025) |
$464.80 |
$581 |
2.1× |
| Filleted finger/toe flap (14350) |
$2,310.40 |
$2,888 |
1.0× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$990.40 |
$1,238 |
1.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,060 |
$2,575 |
2.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,352.80 |
$1,691 |
1.7× |
| Fine needle aspiration without imaging guidance (10021) |
$602.40 |
$753 |
1.3× |
| Fluid pressure muscle (20950) |
$1,033.60 |
$1,292 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$300 |
$375 |
1.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,244.80 |
$1,556 |
1.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,310.40 |
$2,888 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$504.80 |
$631 |
2.1× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,310.40 |
$2,888 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$1,200 |
$1,500 |
1.5× |
| I&D Abscess Peritonsillar (42700) |
$428 |
$535 |
1.6× |
| I&d abscess simple (10060) |
$387.20 |
$484 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$920 |
$1,150 |
1.2× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,386.40 |
$4,233 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,596 |
$1,995 |
0.9× |
| I&d vulva/perineal abscess (56405) |
$520.80 |
$651 |
1.5× |
| Image Cath Fluid Colxn Visc (49405) |
$1,816.80 |
$2,271 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,816.80 |
$2,271 |
1.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,718.40 |
$2,148 |
0.9× |
| Incise external hemorrhoid (46083) |
$395.20 |
$494 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,028.80 |
$1,286 |
2.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,028.80 |
$1,286 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,960 |
$2,450 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$592.80 |
$741 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$317.60 |
$397 |
1.4× |
| Incision and drainage perianal abscess superficial (46050) |
$1,280 |
$1,600 |
1.2× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,583.20 |
$4,479 |
1.1× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$2,520 |
$3,150 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,786.40 |
$2,233 |
1.0× |
| Incision of rectal abscess (46040) |
$1,721.60 |
$2,152 |
1.3× |
| Initial tx 1st degree burn local tx (16000) |
$321.60 |
$402 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,440 |
$1,800 |
1.5× |
| Inj tendon sheath/ligament (20550) |
$484 |
$605 |
1.4× |
| Inj therapeutic carpal tunnel (20526) |
$484 |
$605 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,478.40 |
$1,848 |
1.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,478.40 |
$1,848 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,455.20 |
$1,819 |
1.9× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$1,120 |
$1,400 |
1.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$483.20 |
$604 |
1.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,110 |
$1,387.50 |
1.4× |
| Injection for identification of sentinel node (38792) |
$1,488 |
$1,860 |
3.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$490.40 |
$613 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$484 |
$605 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$6,439.20 |
$8,049 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$248 |
$310 |
1.7× |
| Insert cath pleura w/ image (32557) |
$1,920 |
$2,400 |
1.1× |
| Insert cervical dilator (59200) |
$468 |
$585 |
1.4× |
| Insert gastrostomy tube percutaneous (49440) |
$2,320 |
$2,900 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$3,360 |
$4,200 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$217.60 |
$272 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$239.20 |
$299 |
1.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,466.40 |
$6,833 |
1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$14,400 |
$18,000 |
1.6× |
| Insj picc rs&i 5 yr+ (36573) |
$1,920 |
$2,400 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,800 |
$6,000 |
1.4× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,440 |
$1,800 |
0.9× |
| Intro Gastrointestinal Tube (44500) |
$1,028 |
$1,285 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$639.20 |
$799 |
2.4× |
| Laryngoscopy diagnostic (31505) |
$325.60 |
$407 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$359.20 |
$449 |
1.6× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$684.80 |
$856 |
1.6× |
| Late closure of wound (13160) |
$2,310.40 |
$2,888 |
0.6× |
| Liver Biopsy (47000) |
$1,816.80 |
$2,271 |
1.0× |
| Myelography Lumbar Injection (62305) |
$2,008.80 |
$2,511 |
2.3× |
| Myelography Lumbar Injection (62304) |
$2,008.80 |
$2,511 |
2.3× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,008.80 |
$2,511 |
2.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,008.80 |
$2,511 |
2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,264 |
$1,580 |
1.6× |
| N Block Inj, Plantar Digit (64455) |
$483.20 |
$604 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$540 |
$675 |
1.1× |
| Needle biopsy of pancreas (48102) |
$2,556.80 |
$3,196 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$76 |
$95 |
2.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$120 |
$150 |
3.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,840 |
$4,800 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,840 |
$4,800 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,684 |
$2,105 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,124.80 |
$1,406 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,124.80 |
$1,406 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,200 |
$1,500 |
1.5× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,040 |
$1,300 |
1.3× |
| Obstructive material removal from gi tube (49460) |
$1,095.20 |
$1,369 |
1.1× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$7,920 |
$9,900 |
1.0× |
| Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Facility (21445) |
$6,400 |
$8,000 |
1.0× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$3,800.80 |
$4,751 |
1.0× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$3,800.80 |
$4,751 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,941.60 |
$4,927 |
1.1× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,880 |
$2,350 |
1.2× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,377.60 |
$2,972 |
3.0× |
| Perq dev breast 1st mr guide (19287) |
$1,176.80 |
$1,471 |
1.5× |
| Perq dev breast 1st strtctc (19283) |
$960 |
$1,200 |
1.2× |
| Perq dev breast 1st us imag (19285) |
$1,176.80 |
$1,471 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,920 |
$2,400 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$445.60 |
$557 |
1.6× |
| Picc line placement (36569) |
$2,389.60 |
$2,987 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$405.60 |
$507 |
0.8× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$6,800 |
$8,500 |
0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,478.40 |
$6,848 |
0.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,797.60 |
$7,247 |
0.9× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$5,478.40 |
$6,848 |
0.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,800 |
$3,500 |
1.2× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,600 |
$4,500 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,600 |
$4,500 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,600 |
$4,500 |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,600 |
$4,500 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,028 |
$1,285 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,320 |
$1,650 |
1.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,840 |
$4,800 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,840 |
$4,800 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$663.20 |
$829 |
1.5× |
| Puncture Aspiration Cyst Breast (19000) |
$681.60 |
$852 |
0.9× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$581.20 |
$726.50 |
1.3× |
| Removal biliary drg cath (47537) |
$1,440 |
$1,800 |
1.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,583.20 |
$4,479 |
1.1× |
| Removal foreign body foot subcutaneous (28190) |
$1,033.60 |
$1,292 |
1.3× |
| Removal foreign body intranasal (30300) |
$172 |
$215 |
1.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,955.20 |
$2,444 |
1.1× |
| Removal foreign body pharynx (42809) |
$408 |
$510 |
0.8× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,596 |
$1,995 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,003.20 |
$2,504 |
1.1× |
| Removal of embedded foreign body, eyelid (67938) |
$472 |
$590 |
1.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,680 |
$2,100 |
1.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$400 |
$500 |
0.8× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$964 |
$1,205 |
1.4× |
| Removal of iud (58301) |
$317.60 |
$397 |
0.9× |
| Removal of nail bed (11750) |
$632 |
$790 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$304 |
$380 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,224.80 |
$1,531 |
1.6× |
| Removal/bivalving full arm/full leg cast (29705) |
$428 |
$535 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$464 |
$580 |
1.5× |
| Remove drug implant device (11982) |
$645.60 |
$807 |
1.3× |
| Remove ureter stent, percut (50384) |
$2,986.40 |
$3,733 |
1.3× |
| Remv Ext Canal Foreign Body (69200) |
$206.40 |
$258 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$206.40 |
$258 |
1.4× |
| Renal Biopsy Percutaneous (50200) |
$1,920 |
$2,400 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,940 |
$3,675 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,033.60 |
$1,292 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,033.60 |
$1,292 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$654.40 |
$818 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,033.60 |
$1,292 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,009.60 |
$1,262 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,009.60 |
$1,262 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,009.60 |
$1,262 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,009.60 |
$1,262 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,920 |
$2,400 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$652 |
$815 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$652 |
$815 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,024.80 |
$1,281 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$652 |
$815 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$652 |
$815 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,024.80 |
$1,281 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,005.60 |
$2,507 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,024.80 |
$1,281 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$652 |
$815 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,005.60 |
$2,507 |
0.9× |
| Repair of nail bed (11760) |
$960 |
$1,200 |
1.2× |
| Repair tongue laceration (41252) |
$428 |
$535 |
1.6× |
| Repeat control of nosebleed (30906) |
$376.80 |
$471 |
1.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,095.20 |
$1,369 |
1.1× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,095.20 |
$1,369 |
1.1× |
| Replace tunneled cv cath (36578) |
$4,800 |
$6,000 |
1.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,095.20 |
$1,369 |
1.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$901.60 |
$1,127 |
3.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$214.40 |
$268 |
1.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,444 |
$4,305 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,647.20 |
$2,059 |
2.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,800 |
$3,500 |
1.6× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,341.60 |
$1,677 |
1.7× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,024.80 |
$1,281 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$830.40 |
$1,038 |
1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$980 |
$1,225 |
1.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$564.80 |
$706 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$301.60 |
$377 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$301.60 |
$377 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$431.20 |
$539 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$301.60 |
$377 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$301.60 |
$377 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$301.60 |
$377 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$301.60 |
$377 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$301.60 |
$377 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$301.60 |
$377 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$301.60 |
$377 |
1.3× |
| Skin pinch graft (15050) |
$1,033.60 |
$1,292 |
1.3× |
| Skin Tissue Procedure (17999) |
$332.80 |
$416 |
1.5× |
| Skin tissue rearrangement (14040) |
$2,310.40 |
$2,888 |
1.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,920 |
$4,900 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$301.60 |
$377 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$301.60 |
$377 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$301.60 |
$377 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,492 |
$1,865 |
1.9× |
| Spinal Puncture Therapeutic (62272) |
$960 |
$1,200 |
1.2× |
| Strapping ankle (29540) |
$265.60 |
$332 |
1.5× |
| Strapping elbow or wrist (29260) |
$167.20 |
$209 |
2.5× |
| Strapping Hip (29520) |
$187.20 |
$234 |
1.3× |
| Strapping knee (29530) |
$265.60 |
$332 |
1.8× |
| Strapping shoulder (29240) |
$167.20 |
$209 |
1.1× |
| Strapping toes (29550) |
$265.60 |
$332 |
4.0× |
| Strapping unna boot (29580) |
$279.20 |
$349 |
1.5× |
| Ther Apheresis,Platelets (36513) |
$1,200 |
$1,500 |
2.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,120 |
$1,400 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$972 |
$1,215 |
1.4× |
| Throat Surgery Procedure (42999) |
$440 |
$550 |
1.7× |
| Thrombolytic Therapy Stroke (37195) |
$1,120 |
$1,400 |
3.0× |
| Thyroid biopsy (60100) |
$476 |
$595 |
0.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,848 |
$2,310 |
1.1× |
| Tracheotomy tube change (31502) |
$362.40 |
$453 |
1.4× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$552.80 |
$691 |
1.6× |
| Treat clavicle dislocation (23540) |
$362.40 |
$453 |
1.3× |
| Treat humerus fracture (24500) |
$387.20 |
$484 |
1.4× |
| Treat humerus fracture (23600) |
$387.20 |
$484 |
1.4× |
| Treat knee fracture (27532) |
$3,583.20 |
$4,479 |
1.0× |
| Treat Knee Fracture(S) (27538) |
$387.20 |
$484 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$369.60 |
$462 |
1.3× |
| Treat shoulder blade fx (23575) |
$1,596 |
$1,995 |
0.9× |
| Treat wrist bone fracture (25622) |
$387.20 |
$484 |
1.4× |
| Treatment closed elbow dislocation req anes (24605) |
$1,596 |
$1,995 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$387.20 |
$484 |
1.4× |
| Treatment of fibula fracture (27784) |
$7,156 |
$8,945 |
0.9× |
| Tube thoracostomy includes water seal (32551) |
$1,920 |
$2,400 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,009.60 |
$1,262 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$883.20 |
$1,104 |
1.9× |
| Unlisted Procedure Endocrine System (60699) |
$8,000 |
$10,000 |
1.2× |
| Unlisted procedure shoulder (23929) |
$362.40 |
$453 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$618 |
$772.50 |
0.9× |
| Us urine capacity measure (51798) |
$130.80 |
$163.50 |
2.0× |
| Vaginal delivery only (59409) |
$4,000 |
$5,000 |
1.1× |
| Venipuncture (36415) |
$15.20 |
$19 |
1.6× |
| Wedge excision skin nail fold (11765) |
$632 |
$790 |
1.4× |
| Windowing of cast (29730) |
$265.60 |
$332 |
1.5× |