| Abd paracentesis w/imaging (49083) |
$555.12 |
$1,110.25 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$605.30 |
$1,210.60 |
0.7× |
| Amniocentesis diagnostic (59000) |
$850.50 |
$1,701 |
0.9× |
| Amputation of finger/thumb (26952) |
$3,153.15 |
$6,306.30 |
1.0× |
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure |
$2,866.50 |
$5,733 |
0.4× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$859.95 |
$1,719.90 |
0.9× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$261 |
$522 |
1.6× |
| Application cast elbow finger short arm (29075) |
$180.80 |
$361.60 |
0.6× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$86 |
$172 |
0.5× |
| Application finger splint static (29130) |
$180.80 |
$361.60 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$436.05 |
$872.10 |
2.7× |
| Application long leg splint thigh ankle/toes (29505) |
$292.75 |
$585.50 |
1.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$356 |
$712 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$269.60 |
$539.20 |
2.0× |
| Application short leg splint calf foot (29515) |
$252.50 |
$505 |
1.5× |
| Apply short leg cast (29405) |
$180.80 |
$361.60 |
0.6× |
| Arterial puncture (36600) |
$114.30 |
$228.60 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$286.65 |
$573.30 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$131.25 |
$262.50 |
0.7× |
| Bladder Irrigation Simple (51700) |
$233.42 |
$466.85 |
0.9× |
| Bladder Scan (51798) |
$120.75 |
$241.50 |
2.0× |
| Blood patch (62273) |
$745.30 |
$1,490.60 |
1.1× |
| Blood transfusion service (36430) |
$525.22 |
$1,050.45 |
1.2× |
| Bone marrow aspiration only (38220) |
$119.70 |
$239.40 |
0.1× |
| Bone Marrow Biopsy (38221) |
$43.05 |
$86.10 |
0.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$859.95 |
$1,719.90 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$1,760 |
$3,520 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,605.25 |
$3,210.50 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$950 |
$1,900 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$86 |
$172 |
0.4× |
| Change Cystostomy Tube Complicated (51710) |
$636.70 |
$1,273.40 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$344 |
$688 |
1.4× |
| Chemical Cautery Tissue (17250) |
$265.50 |
$531 |
1.3× |
| Chest tube placement (32551) |
$395.80 |
$791.60 |
0.3× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$71.65 |
$143.30 |
0.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,278.90 |
$2,557.80 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$86 |
$172 |
0.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$297.50 |
$595 |
1.2× |
| Complex Drainage, Wound (10180) |
$3,762.50 |
$7,525 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$86 |
$172 |
0.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$86 |
$172 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$86 |
$172 |
0.6× |
| Curette/treat cornea (65435) |
$917.30 |
$1,834.60 |
0.9× |
| Cystourethroscopy (52000) |
$767 |
$1,534 |
1.1× |
| Debride nail 1-5 (11720) |
$81 |
$162 |
1.4× |
| Debride nail 6 or more (11721) |
$81 |
$162 |
1.4× |
| Debride skin musc at fx site (11011) |
$859.95 |
$1,719.90 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$528 |
$1,056 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$832 |
$1,664 |
1.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,147 |
$4,294 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$86 |
$172 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$1,540.95 |
$3,081.90 |
0.9× |
| Draw blood off venous device (36591) |
$71.65 |
$143.30 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$233.32 |
$466.65 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$190.08 |
$380.15 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$255.25 |
$510.50 |
1.3× |
| Dry Needling 3+ Muscles (20561) |
$25 |
$50 |
0.9× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,415 |
$4,830 |
1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,415 |
$4,830 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$86 |
$172 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$613.55 |
$1,227.10 |
0.9× |
| Excise/repair mouth lesion (40812) |
$859.95 |
$1,719.90 |
0.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,565.55 |
$3,131.10 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$1,186.85 |
$2,373.70 |
0.7× |
| Exploration Penetrating Wound Spx Neck (20100) |
$562.30 |
$1,124.60 |
1.0× |
| Eye surgery procedure (66999) |
$264.10 |
$528.20 |
0.1× |
| Fetal Contraction Stress Test (59020) |
$237.05 |
$474.10 |
1.2× |
| Fetal non-stress test (59025) |
$154.95 |
$309.90 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$229.30 |
$458.60 |
0.6× |
| I&d abscess simple (10060) |
$265.50 |
$531 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$932 |
$1,864 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$528 |
$1,056 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$932 |
$1,864 |
1.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,147 |
$4,294 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$279.38 |
$558.75 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$194.25 |
$388.50 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$554.50 |
$1,109 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$86 |
$172 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$859.95 |
$1,719.90 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$186.35 |
$372.70 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$138.25 |
$276.50 |
1.1× |
| Insert cervical dilator (59200) |
$301 |
$602 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$825.80 |
$1,651.60 |
0.3× |
| Insert picc cath (36569) |
$840.10 |
$1,680.20 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$82.95 |
$165.90 |
0.6× |
| Insert tunneled cv cath (36561) |
$2,757.95 |
$5,515.90 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$107.50 |
$215 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,852.20 |
$3,704.40 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$206.75 |
$413.50 |
0.9× |
| Irrigate corpora cavernosa for priapism (54220) |
$254.36 |
$508.71 |
1.0× |
| Laparoscopy biopsy (49321) |
$3,153.15 |
$6,306.30 |
0.5× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$240.87 |
$481.74 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,200 |
$2,400 |
0.8× |
| Perirectal injection of sclerosing solution for prolapse, (45520) |
$800 |
$1,600 |
0.9× |
| Perq dev breast 1st strtctc (19283) |
$796 |
$1,592 |
1.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,719.90 |
$3,439.80 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$344 |
$688 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$86 |
$172 |
0.2× |
| Preputial Stretching (54450) |
$218.30 |
$436.60 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$264 |
$528 |
0.6× |
| Puncture Aspiration (10160) |
$528 |
$1,056 |
1.3× |
| Removal foreign body pharynx (42809) |
$86 |
$172 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$86 |
$172 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$71.68 |
$143.35 |
1.2× |
| Removal of intrauterine device (iud) (58301) |
$109.15 |
$218.30 |
0.4× |
| Removal of nail bed (11750) |
$332.72 |
$665.45 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$68.95 |
$137.90 |
0.3× |
| Removal/bivalving full arm/full leg cast (29705) |
$86 |
$172 |
0.3× |
| Remove drug implant device (11982) |
$117.95 |
$235.90 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$168 |
$336 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$86 |
$172 |
0.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,178.55 |
$4,357.10 |
0.7× |
| Repair of nail bed (11760) |
$258 |
$516 |
0.3× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
unusually low: confirm this is the full procedure |
$3,365.40 |
$6,730.80 |
0.5× |
| Replace g/c tube perc (49450) |
$693 |
$1,386 |
0.8× |
| Reposition gastrostomy tube (43761) |
$642.25 |
$1,284.50 |
2.6× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
likely a partial charge, not the full procedure |
$3,153.15 |
$6,306.30 |
0.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,483.50 |
$2,967 |
2.0× |
| Skin sub graft trnk/arm/leg (15271) |
$1,483.50 |
$2,967 |
2.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,991.50 |
$5,983 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$1,483.50 |
$2,967 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$275.65 |
$551.30 |
0.4× |
| Strapping shoulder (29240) |
$86 |
$172 |
0.6× |
| Strapping unna boot (29580) |
$261 |
$522 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$265.50 |
$531 |
0.7× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$605.30 |
$1,210.60 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$630.65 |
$1,261.30 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$229.30 |
$458.60 |
0.7× |
| Trach Tube Change (31502) |
$175 |
$350 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$562.30 |
$1,124.60 |
2.4× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
likely a partial charge, not the full procedure |
$2,006.55 |
$4,013.10 |
0.3× |
| Trim skin lesion (11055) |
$197.50 |
$395 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$177 |
$354 |
0.9× |
| Trim skin lesions over 4 (11057) |
$221 |
$442 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$54 |
$108 |
0.9× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$3,153.15 |
$6,306.30 |
0.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$86 |
$172 |
0.4× |
| Unlisted Procedure Nervous System (64999) |
$286.65 |
$573.30 |
0.9× |
| Unlisted procedure, stomach (43999) |
$802.60 |
$1,605.20 |
0.9× |
| Urology Surgery Procedure (53899) |
$172 |
$344 |
0.7× |
| Vaginal delivery only (59409) |
$1,468 |
$2,936 |
0.5× |
| Vbac delivery only (59612) |
$2,467.50 |
$4,935 |
0.8× |
| Venipuncture (36415) |
$7.12 |
$14.25 |
0.8× |