| Abd paracentesis w/imaging (49083) |
$1,445.60 |
$2,780 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,204.58 |
$2,316.50 |
1.5× |
| Amputate Thigh,Re-Amputatn (27596) |
$971.36 |
$1,868 |
0.3× |
| Amputation Finger/Thumb (26951) |
$962.52 |
$1,851 |
0.3× |
| Amputation Foot Midtarsal (28800) |
$743.08 |
$1,429 |
0.2× |
| Amputation metatarsal with toe single (28810) |
$589.68 |
$1,134 |
0.2× |
| Amputation thigh through femur any level (27590) |
$1,069.12 |
$2,056 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,225.12 |
$2,356 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$258.96 |
$498 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$73.84 |
$142 |
1.4× |
| Application finger splint static (29130) |
$60.84 |
$117 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$165.10 |
$317.50 |
1.1× |
| Application long leg splint thigh ankle/toes (29505) |
$180.18 |
$346.50 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$106.60 |
$205 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$95.16 |
$183 |
0.8× |
| Application short leg splint calf foot (29515) |
$156 |
$300 |
1.1× |
| Arterial puncture (36600) |
$282.88 |
$544 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$489.32 |
$941 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$411.06 |
$790.50 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$250.38 |
$481.50 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$652.08 |
$1,254 |
2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$207.48 |
$399 |
1.1× |
| Biopsy Breast Open Incisional (19101) |
$305.24 |
$587 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$79.56 |
$153 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$3,509.48 |
$6,749 |
2.3× |
| Bladder Irrigation Simple (51700) |
$224.38 |
$431.50 |
1.0× |
| Bladder Scan (51798) |
$109.72 |
$211 |
2.0× |
| Blood patch (62273) |
$720.20 |
$1,385 |
1.1× |
| Blood transfusion service (36430) |
$348.92 |
$671 |
0.9× |
| Bone marrow aspiration only (38220) |
$2,917.72 |
$5,611 |
1.9× |
Breast augmentation with implant (19325)
likely a partial charge, not the full procedure |
$1,365 |
$2,625 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$3,509.48 |
$6,749 |
2.3× |
| Bx/exc lymph node needle superficial (38505) |
$3,509.48 |
$6,749 |
2.3× |
| Cataract surgery complex (66982) |
$2,865.20 |
$5,510 |
1.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$465.40 |
$895 |
2.3× |
| Chemical Cautery Tissue (17250) |
$193.18 |
$371.50 |
1.1× |
| Chemodenerv Musc Migraine (64615) |
$319.02 |
$613.50 |
1.1× |
| Chemodenerv Musc Neck Dyston (64616) |
$168.48 |
$324 |
0.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$319.54 |
$614.50 |
1.1× |
| Chest tube placement (32551) |
$1,390.22 |
$2,673.50 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$212.16 |
$408 |
1.8× |
| Circum 28 days or older (54161) |
$276.64 |
$532 |
0.1× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$393.12 |
$756 |
1.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,562.56 |
$4,928 |
1.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,748.76 |
$3,363 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$446.68 |
$859 |
2.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$2,562.56 |
$4,928 |
1.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$502.58 |
$966.50 |
2.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$471.64 |
$907 |
2.1× |
| Closed Rx Trimalleolar Fx (27816) |
$483.86 |
$930.50 |
2.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$643.50 |
$1,237.50 |
2.9× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$505.18 |
$971.50 |
2.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$393.12 |
$756 |
1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$494.52 |
$951 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$611 |
$1,175 |
2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,707.42 |
$3,283.50 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$389.22 |
$748.50 |
1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$560.30 |
$1,077.50 |
2.5× |
| Closed tx patellar fracture w/o manipulation (27520) |
$481.52 |
$926 |
2.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,685.84 |
$3,242 |
1.2× |
| Closed tx scapular fracture w/o manipulation (23570) |
$428.22 |
$823.50 |
1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$109.20 |
$210 |
0.5× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$393.12 |
$756 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$429 |
$825 |
1.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$431.34 |
$829.50 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$420.68 |
$809 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,666.08 |
$3,204 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$532.22 |
$1,023.50 |
2.4× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$549.12 |
$1,056 |
2.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$523.90 |
$1,007.50 |
2.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$576.94 |
$1,109.50 |
2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$393.12 |
$756 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$471.12 |
$906 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$386.88 |
$744 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$508.82 |
$978.50 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,785.68 |
$3,434 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$647.40 |
$1,245 |
2.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,977.82 |
$3,803.50 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$340.08 |
$654 |
1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$393.12 |
$756 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$331.24 |
$637 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$230.88 |
$444 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$488.28 |
$939 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$393.12 |
$756 |
1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$289.90 |
$557.50 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$478.14 |
$919.50 |
2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$482.30 |
$927.50 |
2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$471.64 |
$907 |
2.1× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$516.10 |
$992.50 |
2.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$393.12 |
$756 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$492.18 |
$946.50 |
2.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$647.66 |
$1,245.50 |
2.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,656.46 |
$3,185.50 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$469.56 |
$903 |
2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,686.36 |
$3,243 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$265.46 |
$510.50 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,719.12 |
$3,306 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$314.60 |
$605 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$172.38 |
$331.50 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$153.40 |
$295 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$199.42 |
$383.50 |
1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$301.86 |
$580.50 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$647.92 |
$1,246 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$647.92 |
$1,246 |
1.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$695.76 |
$1,338 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,472.64 |
$2,832 |
1.0× |
| Declot vascular device (36593) |
$351 |
$675 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,031.12 |
$3,906 |
1.1× |
| Destroy lumb/sac facet jnt (64635) |
$2,031.12 |
$3,906 |
1.1× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$926.12 |
$1,781 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,031.12 |
$3,906 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$76.44 |
$147 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,125.28 |
$2,164 |
1.8× |
| Diagnostic sigmoidoscopy (45330) |
$78 |
$150 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$110.24 |
$212 |
0.1× |
| Dilation of anal sphincter (45905) |
$239.20 |
$460 |
0.2× |
| Drainage Finger Abscess Simple (26010) |
$293.54 |
$564.50 |
1.6× |
| Drainage of gum lesion (41800) |
$277.94 |
$534.50 |
2.3× |
| Drainage of hematoma/fluid (10140) |
$1,424.28 |
$2,739 |
0.9× |
| Drainage of hydrocele (55000) |
$752.44 |
$1,447 |
1.2× |
| Draw blood off venous device (36591) |
$212.16 |
$408 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$647.92 |
$1,246 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$266.50 |
$512.50 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$266.50 |
$512.50 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$190.32 |
$366 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$187.72 |
$361 |
0.1× |
| Egd remove lesion snare (43251) |
$271.44 |
$522 |
0.2× |
Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380)
likely a partial charge, not the full procedure |
$1,167.40 |
$2,245 |
0.2× |
Ercp Duct Stent Placement (43274)
likely a partial charge, not the full procedure |
$1,443.13 |
$2,775.25 |
0.3× |
| Ercp remove forgn body duct (43275) |
$1,443.13 |
$2,775.25 |
0.8× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$1,443.13 |
$2,775.25 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$135.46 |
$260.50 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$218.40 |
$420 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$252.72 |
$486 |
0.2× |
Exc skin abd (15830)
likely a partial charge, not the full procedure |
$1,365 |
$2,625 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$206.96 |
$398 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$496.60 |
$955 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$342.68 |
$659 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$319.80 |
$615 |
0.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$537.68 |
$1,034 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$401.44 |
$772 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$443.56 |
$853 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,460.68 |
$2,809 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,008.80 |
$1,940 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$615.68 |
$1,184 |
0.2× |
| Exchange nephrostomy cath (50435) |
$4,442.36 |
$8,543 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$267.80 |
$515 |
0.4× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$252.20 |
$485 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$389.48 |
$749 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$235.04 |
$452 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$289.64 |
$557 |
0.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$203.32 |
$391 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$555.88 |
$1,069 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$188.24 |
$362 |
0.1× |
| Explo/Drain Breast Abscess (19020) |
$2,632.24 |
$5,062 |
1.8× |
| Fetal non-stress test (59025) |
$214.76 |
$413 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,504.88 |
$2,894 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$647.92 |
$1,246 |
1.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$856.96 |
$1,648 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$191.62 |
$368.50 |
1.0× |
| Hemorrhoidectomy external complete (46250) |
$462.80 |
$890 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$308.10 |
$592.50 |
1.4× |
| I&d abscess simple (10060) |
$319.80 |
$615 |
1.8× |
| I&d epididymis tstis&/scrotal space (54700) |
$297.96 |
$573 |
0.2× |
| I&d perianal abscess superficial (46050) |
$836.68 |
$1,609 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$661.70 |
$1,272.50 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$2,095.08 |
$4,029 |
1.4× |
| Image Cath Fluid Peri/Retro (49406) |
$275.08 |
$529 |
0.2× |
| Incise finger tendon sheath (26055) |
$406.64 |
$782 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$647.92 |
$1,246 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$190.84 |
$367 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$254.80 |
$490 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$351.26 |
$675.50 |
1.3× |
| Incision of lingual frenum (41010) |
$151.32 |
$291 |
0.1× |
| Incision of rectal abscess (46040) |
$1,353.56 |
$2,603 |
1.2× |
| Incision thrombosed hemorrhoid external (46083) |
$199.16 |
$383 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$199.94 |
$384.50 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$553.80 |
$1,065 |
0.7× |
| Inj tendon sheath/ligament (20550) |
$440.44 |
$847 |
1.6× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$130 |
$250 |
0.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$809.38 |
$1,556.50 |
1.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$720.20 |
$1,385 |
1.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$926.12 |
$1,781 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$720.20 |
$1,385 |
1.1× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,879.80 |
$3,615 |
2.3× |
| Inject Tendon Origin/Insert (20551) |
$652.08 |
$1,254 |
2.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$720.20 |
$1,385 |
1.1× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$127.92 |
$246 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$288.08 |
$554 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$720.20 |
$1,385 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$278.98 |
$536.50 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$365.04 |
$702 |
1.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$254.80 |
$490 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$5,032.56 |
$8,065 |
1.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$5,032.56 |
$9,678 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$212.16 |
$408 |
1.8× |
| Insert tunneled cv cath (36561) |
$455.52 |
$876 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$212.16 |
$408 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$377.52 |
$726 |
1.8× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$518.96 |
$998 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$982.80 |
$1,890 |
0.2× |
| Laryngoscopy Direct Aspiration (31515) |
$407.94 |
$784.50 |
1.1× |
| Liver Biopsy (47000) |
$3,509.48 |
$6,749 |
2.3× |
Mast mod rad (19307)
likely a partial charge, not the full procedure |
$1,610.96 |
$3,098 |
0.3× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,309.88 |
$2,519 |
0.2× |
| Myelography Lumbar Injection (62305) |
$1,302.60 |
$2,505 |
1.8× |
| Myelography Lumbar Injection (62304) |
$2,082.60 |
$4,005 |
2.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$868.40 |
$1,670 |
1.2× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$868.40 |
$1,670 |
1.2× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$968.76 |
$1,863 |
2.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,040.26 |
$2,000.50 |
2.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,879.80 |
$3,615 |
2.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$465.40 |
$895 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$926.12 |
$1,781 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$720.20 |
$1,385 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$720.20 |
$1,385 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$720.20 |
$1,385 |
1.1× |
| Percut Drain/Inject Renal Cyst (50390) |
$348.40 |
$670 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$1,446.12 |
$2,781 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,836.38 |
$3,531.50 |
1.2× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$3,058.12 |
$5,881 |
1.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$265.72 |
$511 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$410.54 |
$789.50 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$4,442.36 |
$8,543 |
2.3× |
| Punch biopsy skin single lesion (11104) |
$647.92 |
$1,246 |
1.8× |
| Puncture Aspiration (10160) |
$409.76 |
$788 |
1.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,031.12 |
$3,906 |
1.1× |
| Removal fb intranasal (30300) |
$212.68 |
$409 |
1.8× |
| Removal foreign body foot subcutaneous (28190) |
$685.36 |
$1,318 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$73.32 |
$141 |
1.4× |
| Removal of nail bed (11750) |
$179.92 |
$346 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$445.64 |
$857 |
1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$251.42 |
$483.50 |
1.0× |
| Remove anal fist subq (46270) |
$551.72 |
$1,061 |
0.2× |
| Remove foreign body from eye (65210) |
$385.32 |
$741 |
0.9× |
| Remove in/ex hem groups 2+ (46260) |
$664.56 |
$1,278 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$617.24 |
$1,187 |
0.2× |
| Remove wrist tendon lesion (25111) |
$454.48 |
$874 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$145.86 |
$280.50 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$130 |
$250 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$811.98 |
$1,561.50 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$855.92 |
$1,646 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$518.96 |
$998 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$564.98 |
$1,086.50 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$647.92 |
$1,246 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$530.14 |
$1,019.50 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,177.80 |
$2,265 |
1.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$803.92 |
$1,546 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$547.56 |
$1,053 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$281.84 |
$542 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$487.76 |
$938 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$650.52 |
$1,251 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$355.16 |
$683 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$373.36 |
$718 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$838.24 |
$1,612 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$244.92 |
$471 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$320.32 |
$616 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$769.34 |
$1,479.50 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$419.64 |
$807 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$449.80 |
$865 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$312.52 |
$601 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$839.80 |
$1,615 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$340.60 |
$655 |
0.9× |
| Repair of nail bed (11760) |
$687.18 |
$1,321.50 |
1.0× |
| Repair Tongue Laceration (41250) |
$509.08 |
$979 |
1.3× |
| Repair vagina/perineum (57210) |
$664.56 |
$1,278 |
0.2× |
| Replace g/c tube perc (49450) |
$391.04 |
$752 |
0.5× |
| Revise median n/carpal tunnel surg (64721) |
$605.28 |
$1,164 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$392.08 |
$754 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$146.90 |
$282.50 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$259.48 |
$499 |
0.2× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,017.64 |
$1,957 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$782.08 |
$1,504 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$466.96 |
$898 |
0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$438.62 |
$843.50 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$101.92 |
$196 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$212.42 |
$408.50 |
1.2× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$467.74 |
$899.50 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$227.50 |
$437.50 |
1.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$244.66 |
$470.50 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$201.24 |
$387 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$286 |
$550 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$227.24 |
$437 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,177.80 |
$2,265 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,177.80 |
$2,265 |
1.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,288.48 |
$6,324 |
1.8× |
| Skn sub grft f/n/hf/g child (15277) |
$3,288.48 |
$6,324 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$213.72 |
$411 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$408.46 |
$785.50 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$426.92 |
$821 |
1.2× |
| Sphincterotomy (46080) |
$217.88 |
$419 |
0.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,125.28 |
$2,164 |
1.8× |
| Strapping ankle (29540) |
$258.96 |
$498 |
1.8× |
| Strapping hand/finger (29280) |
$63.70 |
$122.50 |
1.2× |
| Strapping knee (29530) |
$121.42 |
$233.50 |
1.0× |
| Strapping shoulder (29240) |
$121.42 |
$233.50 |
1.0× |
| Strapping toes (29550) |
$56.68 |
$109 |
1.1× |
| Strapping unna boot (29580) |
$258.96 |
$498 |
1.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$999.96 |
$1,923 |
1.8× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$999.96 |
$1,923 |
1.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$425.88 |
$819 |
0.1× |
| Trach Tube Change (31502) |
$503.36 |
$968 |
2.3× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$569.40 |
$1,095 |
2.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,501.24 |
$2,887 |
1.1× |
| Treat Fracture Radius & Ulna (25560) |
$447.20 |
$860 |
2.0× |
| Treat humerus fracture (24500) |
$516.10 |
$992.50 |
2.3× |
| Treat humerus fracture (23600) |
$500.24 |
$962 |
2.2× |
| Treat Metatarsal Fracture (28475) |
$406.64 |
$782 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$564.46 |
$1,085.50 |
2.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$376.48 |
$724 |
1.7× |
| Trim skin lesion (11055) |
$319.80 |
$615 |
1.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$429 |
$825 |
0.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,588.08 |
$3,054 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$334.36 |
$643 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$449.28 |
$864 |
1.2× |
| Vaginal delivery only (59409) |
$3,246.88 |
$6,244 |
1.1× |
| Vasectomy (55250) |
$321.36 |
$618 |
0.2× |
| Venipuncture (36415) |
$13.52 |
$26 |
1.4× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$189.80 |
$365 |
1.6× |
| Windowing of cast (29730) |
$166.14 |
$319.50 |
1.1× |
| Wound Prep F/N/Hf/G (15004) |
$647.92 |
$1,246 |
1.8× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,177.80 |
$2,265 |
1.8× |