| Abd paracentesis w/imaging (49083) |
$961.60 |
$2,404 |
1.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$10,411.22 |
$26,028.05 |
0.9× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$12,866.82 |
$32,167.05 |
0.7× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$4,217.60 |
$10,544 |
0.7× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$10,411.22 |
$26,028.05 |
0.9× |
Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593)
unusually low — confirm this is the full procedure |
$5,362 |
$13,405 |
0.5× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$3,903.20 |
$9,758 |
0.5× |
| Amniocentesis diagnostic (59000) |
$415.20 |
$1,038 |
0.4× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,704.96 |
$4,262.40 |
0.5× |
| Anoscopy diagnostic (46600) |
$226.80 |
$567 |
1.6× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,018.40 |
$2,546 |
1.3× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$3,660.98 |
$9,152.43 |
1.7× |
| Application finger splint static (29130) |
$178.80 |
$447 |
1.3× |
| Application of long leg cast (thigh to toes); (29345) |
$265.58 |
$663.95 |
0.9× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$236.40 |
$591 |
1.4× |
| Application of short arm splint (forearm to hand); static (29125) |
$186 |
$465 |
1.3× |
| Application of short leg cast (below knee to toes); (29405) |
$198.64 |
$496.60 |
0.7× |
| Application of short leg splint (calf to foot) (29515) |
$204.80 |
$512 |
1.2× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,829.24 |
$4,573.08 |
0.8× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$158.20 |
$395.50 |
0.9× |
| Application rigid total contact leg cast (29445) |
$179.64 |
$449.10 |
0.6× |
| Application, cast; shoulder to hand (long arm) (29065) |
$424.93 |
$1,062.32 |
1.4× |
| Apply long arm splint (29105) |
$187.20 |
$468 |
1.1× |
| Apply splint short arm dynamic (29126) |
$128.90 |
$322.25 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$338.80 |
$847 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$369.20 |
$923 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$209.20 |
$523 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$451.64 |
$1,129.08 |
1.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,390.06 |
$45,975.13 |
1.0× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$12,866.82 |
$32,167.05 |
1.0× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$4,893.63 |
$12,234.07 |
6.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,423.60 |
$3,559 |
0.6× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$198.70 |
$496.75 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$1,831.27 |
$4,578.16 |
1.1× |
| Biopsy liver needle percutaneous (47000) |
$1,419.20 |
$3,548 |
0.8× |
| Biopsy lymph node (38505) |
$1,198.40 |
$2,996 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,332.80 |
$3,332 |
0.8× |
| Biopsy pleura percutaneous needle (32400) |
$1,227.60 |
$3,069 |
0.7× |
| Biopsy soft tissue neck/thorax (21550) |
$1,620.24 |
$4,050.60 |
0.9× |
| Biopsy thyroid percutaneous core needle (60100) |
$703.60 |
$1,758.98 |
0.9× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,586.40 |
$3,966 |
0.9× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,470 |
$3,675 |
0.8× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$1,620.24 |
$4,050.60 |
0.4× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$2,162.66 |
$5,406.63 |
1.2× |
| Bladder irrigation (51700) |
$256.80 |
$642 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$2,628.40 |
$6,571 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$1,643.60 |
$4,109 |
0.9× |
| Bx pancreas ndl perc (48102) |
$1,589.20 |
$3,973 |
0.9× |
| Cast short arm (29075) |
$352.20 |
$880.50 |
1.2× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$2,599.52 |
$6,498.80 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$243.22 |
$608.03 |
0.9× |
| Change g-tube to g-j perc (49446) |
$1,101.20 |
$2,753 |
0.5× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$667.42 |
$1,668.53 |
0.9× |
| Change of windpipe airway (31502) |
$209.50 |
$523.73 |
0.8× |
| Chemical cauterization of granulation tissue (17250) |
$259.20 |
$648 |
1.2× |
| Chest tube placement (32551) |
$1,141.60 |
$2,854 |
0.7× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$2,090 |
$5,225 |
0.6× |
| Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350) |
$4,936.46 |
$12,341.13 |
0.9× |
| Circumcision, Newborn (54150) |
$95.20 |
$238 |
0.0× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$2,048.52 |
$5,121.28 |
0.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$230.80 |
$577 |
0.9× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,600.42 |
$4,001.03 |
0.9× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$846.80 |
$2,117 |
0.5× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$383.81 |
$959.52 |
1.5× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$154.48 |
$386.20 |
0.6× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$239.88 |
$599.70 |
0.9× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$184.48 |
$461.20 |
0.7× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$188.80 |
$472 |
0.7× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$239.88 |
$599.70 |
0.9× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$846.80 |
$2,117 |
0.5× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$470 |
$1,175 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$184.48 |
$461.20 |
0.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$846.80 |
$2,117 |
0.5× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$230.80 |
$577 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$383.81 |
$959.52 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$846.80 |
$2,117 |
0.5× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,049.60 |
$2,624 |
0.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$256.01 |
$640.01 |
1.0× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$3,243.08 |
$8,107.68 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,472 |
$3,680 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,450.13 |
$6,125.32 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$291.60 |
$729 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,092.40 |
$2,731 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$239.88 |
$599.70 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$353.20 |
$883 |
1.4× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$239.88 |
$599.70 |
0.9× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$864.04 |
$2,160.10 |
0.5× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$846.80 |
$2,117 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$902 |
$2,255 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$654.44 |
$1,636.10 |
2.5× |
| Collect blood from catheter venous nos (36592) |
$113.56 |
$283.90 |
0.8× |
| Collect blood from implant venous access device (36591) |
$113.56 |
$283.90 |
0.8× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$1,179.08 |
$2,947.70 |
0.9× |
| Complete replacement picc rs&i (36584) |
$1,291 |
$3,227.50 |
0.8× |
| Contrast injection perq radiologic eval gi tube (49465) |
$483.44 |
$1,208.60 |
1.9× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$424.20 |
$1,060.50 |
1.9× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$326.12 |
$815.30 |
2.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$237.60 |
$594 |
1.7× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$2,657.24 |
$6,643.10 |
0.7× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$2,252.92 |
$5,632.30 |
1.0× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,824.80 |
$7,062 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$298.40 |
$746 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$205.88 |
$514.69 |
0.8× |
| Curettage postpartum (59160) |
$164.88 |
$412.20 |
0.0× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$3,448.98 |
$8,622.43 |
0.9× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$399.54 |
$998.83 |
0.9× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,620.24 |
$4,050.60 |
0.9× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$612.14 |
$1,530.33 |
0.8× |
| Declot vascular device (36593) |
$255.20 |
$638 |
0.7× |
| Destruction benign lesions up to 14 (17110) |
$198.70 |
$496.75 |
0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$890.30 |
$2,225.73 |
1.0× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$1,319.60 |
$3,299 |
1.4× |
| Diagnostic bone marrow biopsies (38221) |
$1,464.80 |
$3,662 |
0.8× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$1,571.88 |
$3,929.70 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$940.32 |
$2,350.80 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,458.74 |
$3,646.84 |
1.5× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$3,179.54 |
$7,948.83 |
0.9× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$243.22 |
$608.03 |
0.9× |
| Drainage finger abscess simple (26010) |
$359.20 |
$898 |
1.7× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,620.24 |
$4,050.60 |
0.9× |
| Drainage of nose lesion (30020) |
$509.26 |
$1,273.13 |
0.9× |
| Dry needling (20999) |
$198.70 |
$496.75 |
0.8× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,974.36 |
$9,935.90 |
1.9× |
| Dx bronchoscope/lavage (31624) |
$235.58 |
$588.95 |
0.1× |
| Ed proc insert intraosseous IV (36680) |
$254.80 |
$637 |
0.5× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$300 |
$750 |
2.2× |
| Ed proc remve fb nasal- hospital (30300) |
$206.24 |
$515.60 |
1.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$63.56 |
$158.90 |
0.5× |
| Ed prof burn small - hospital (16020) |
$198.40 |
$496 |
0.9× |
| Ed prof catheterization/straight (51701) |
$128.90 |
$322.25 |
0.9× |
| Ed prof closed tx post hip arthroplasty (27265) |
$306 |
$765 |
1.2× |
| Ed prof drain dental abscess-hospital (41800) |
$314 |
$785 |
2.2× |
| Ed prof insert foley cath simple (51702) |
$124.80 |
$312 |
0.9× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,774.40 |
$4,436 |
0.5× |
| Ed prof insertion of heart electr (33210) |
$4,816.80 |
$12,042 |
0.6× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$607.88 |
$1,519.68 |
1.4× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$468 |
$1,170 |
1.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$359.20 |
$898 |
1.4× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$538.20 |
$1,345.50 |
1.1× |
| Egd transoral control bleeding any method (43255) |
$2,495.44 |
$6,238.60 |
1.2× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$3,448.98 |
$8,622.43 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$2,672.56 |
$6,681.40 |
0.8× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$879.24 |
$2,198.10 |
1.2× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$1,435 |
$3,587.50 |
0.4× |
| Evac subungual hematoma (11740) |
$118 |
$295 |
0.8× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$509.26 |
$1,273.13 |
0.9× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$612.14 |
$1,530.33 |
0.8× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$2,090 |
$5,225 |
0.6× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$1,696.80 |
$4,242 |
0.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,595.60 |
$3,989 |
0.8× |
| Excision lesion mouth roof (42104) |
$3,243.08 |
$8,107.68 |
0.9× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,122.80 |
$5,307 |
1.7× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$2,862.06 |
$7,155.13 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$885.20 |
$2,213 |
0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,257.48 |
$3,143.70 |
1.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$674 |
$1,685 |
0.9× |
| Ganglion impar nerve block (64999) |
$484.80 |
$1,212 |
1.5× |
| Gastric lavage (43753) |
$268 |
$670 |
1.2× |
| Guide cathet fluid drainage (10030) |
$1,469.36 |
$3,673.40 |
2.0× |
| I&d abscess simple/single (10060) |
$417.60 |
$1,044 |
2.0× |
| I&d hematoma/seroma/fluid (10140) |
$1,853.71 |
$4,634.26 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$420 |
$1,050 |
0.6× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,845.20 |
$4,613 |
1.1× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,379.20 |
$5,948 |
1.4× |
| Incise finger tendon sheath (26055) |
$1,600.42 |
$4,001.03 |
0.9× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$479.20 |
$1,198 |
1.1× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$311.60 |
$779 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$312.80 |
$782 |
1.0× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,620.24 |
$4,050.60 |
0.9× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$1,134.40 |
$2,836 |
2.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,598.36 |
$3,995.89 |
1.0× |
| Incision of rectal abscess (46040) |
$1,303.20 |
$3,258 |
1.0× |
| Incision of windpipe (31603) |
$1,481.28 |
$3,703.20 |
0.9× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$567.40 |
$1,418.50 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,352.40 |
$3,381 |
1.4× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,697.68 |
$4,244.20 |
1.8× |
| Injection aa&/strd greater occipital nerve (64405) |
$1,097.60 |
$2,744 |
3.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,857.20 |
$4,643 |
2.0× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,120.68 |
$2,801.70 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$240.40 |
$601 |
0.7× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$459.60 |
$1,149 |
0.7× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$311.60 |
$779 |
1.0× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$492.80 |
$1,232 |
1.5× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,211.20 |
$3,028 |
1.3× |
| Ins cath ren art 1st bilat (36252) |
$5,219.32 |
$13,048.30 |
1.6× |
| Ins cath ren art 1st unilat (36251) |
$4,081.96 |
$10,204.90 |
1.2× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$5,700.40 |
$14,251 |
1.0× |
| Insert cervical dilator (59200) |
$240.40 |
$601 |
0.7× |
| Insert gastrostomy tube percutaneous (49440) |
$1,718 |
$4,295 |
0.8× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$1,758 |
$4,395 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,271.20 |
$8,178 |
0.9× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$8,778.80 |
$21,947 |
0.8× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$27,209.86 |
$68,024.65 |
2.5× |
| Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) |
$10,349.20 |
$25,873 |
0.5× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$154 |
$385 |
0.7× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$3,942.80 |
$9,857 |
1.2× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$3,431.20 |
$8,578 |
1.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,296 |
$3,240 |
0.8× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,988.82 |
$4,972.05 |
1.2× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,344 |
$3,360 |
2.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,098.80 |
$15,247 |
0.7× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$4,816.80 |
$12,042 |
0.6× |
| Insj intraperitoneal catheter w/img guid (49418) |
$4,345.20 |
$10,863 |
1.2× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,068.44 |
$5,171.10 |
0.6× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$23,066 |
$57,665 |
0.7× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$30,473.60 |
$76,183.98 |
0.9× |
| Insrt heart pm atrial & vent (33208) |
$9,517.60 |
$23,794 |
0.9× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,010.80 |
$2,527 |
0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$10,101.60 |
$25,254 |
0.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$8,794.44 |
$21,986.10 |
1.5× |
| Intubation endotracheal (31500) |
$594.80 |
$1,487 |
2.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$7,566.99 |
$18,917.46 |
1.2× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670) |
$5,834.36 |
$14,585.90 |
0.9× |
| Laser treatment of retina (67040) |
$4,022.86 |
$10,057.15 |
0.9× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$9,798.04 |
$24,495.10 |
2.6× |
| Long gi tube placement (44500) |
$937.56 |
$2,343.90 |
1.0× |
| Lumbar puncture (62270) |
$663.20 |
$1,658 |
0.9× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$112.40 |
$281 |
1.8× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$878 |
$2,195 |
0.5× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,525.76 |
$3,814.40 |
1.8× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,580.12 |
$3,950.30 |
1.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,525.76 |
$3,814.40 |
1.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$5,569.03 |
$13,922.56 |
6.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,600.42 |
$4,001.03 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$14.80 |
$37 |
0.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$14.80 |
$37 |
0.5× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,952.78 |
$4,881.93 |
0.9× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,529.24 |
$3,823.10 |
1.6× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$2,438.40 |
$6,096 |
0.6× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$2,438.40 |
$6,096 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,715.60 |
$4,289 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,715.60 |
$4,289 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$90.30 |
$225.73 |
0.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$430.80 |
$1,077 |
0.6× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$650.86 |
$1,627.15 |
0.9× |
| Non stress test (59025) |
$304.40 |
$761 |
1.4× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$2,542.80 |
$6,357 |
0.8× |
| Open/perq placement intravascular stent initial (37236) |
$6,263.60 |
$15,659 |
0.5× |
| Open/perq placement intravascular stent same 1st (37238) |
$6,263.60 |
$15,659 |
0.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$198.70 |
$496.75 |
0.9× |
| Pelvis/hip joint surgery unlisted (27299) |
$1,600.42 |
$4,001.03 |
6.2× |
| Penile injection (54235) |
$243.22 |
$608.03 |
0.9× |
| Percut ablate liver rf (47382) |
$5,834.36 |
$14,585.90 |
0.9× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$703.60 |
$1,758.98 |
0.9× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$2,315.64 |
$5,789.10 |
0.7× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,469.20 |
$3,673 |
0.9× |
Perq av fistula creation uxtr single access (36836)
unusually low — confirm this is the full procedure |
$7,490 |
$18,725 |
0.4× |
| Perq dev breast 1st us imag (19285) |
$1,152.40 |
$2,881 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,145.24 |
$2,863.10 |
0.7× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,681.20 |
$4,203 |
1.0× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,054.40 |
$2,636 |
0.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$443.60 |
$1,109 |
1.7× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$16,138.40 |
$40,346 |
0.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,650.80 |
$26,627 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,271.20 |
$13,178 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$6,065.44 |
$15,163.60 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,065.44 |
$15,163.60 |
0.8× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$2,527.20 |
$6,318 |
0.7× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$2,527.20 |
$6,318 |
0.7× |
| Place duod/jej tube perc (49441) |
$1,376.40 |
$3,441 |
0.7× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$5,834.36 |
$14,585.90 |
0.9× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,930.40 |
$9,826 |
1.8× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$5,061.60 |
$12,654 |
1.4× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$915.60 |
$2,289 |
1.2× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$5,120.96 |
$12,802.40 |
1.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,257.36 |
$10,643.40 |
1.1× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$3,448.98 |
$8,622.43 |
0.9× |
| Preputial stretching (54450) |
$243.22 |
$608.03 |
0.9× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
unusually low — confirm this is the full procedure |
$6,263.60 |
$15,659 |
0.3× |
| Prq impltj nstim electrode array epidural (63650) |
$6,562.90 |
$16,407.25 |
1.0× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$2,316.44 |
$5,791.10 |
0.6× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$5,319.60 |
$13,299 |
1.4× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$6,263.60 |
$15,659 |
0.5× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$548.80 |
$1,372 |
1.3× |
| Puncture aspiration of cyst of breast (19000) |
$699.20 |
$1,748 |
0.9× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,039.76 |
$2,599.40 |
1.4× |
| Relocation of skin pocket for pacemaker (33222) |
$3,258.80 |
$8,147 |
1.5× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$937.56 |
$2,343.90 |
1.0× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$654.80 |
$1,637 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$188.40 |
$471 |
3.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$294.40 |
$736 |
4.7× |
| Removal implant deep (20680) |
$2,862.06 |
$7,155.13 |
0.9× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$533.30 |
$1,333.25 |
0.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,179.08 |
$2,947.70 |
0.9× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,620.24 |
$4,050.60 |
0.9× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$2,862.06 |
$7,155.13 |
0.9× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$238.80 |
$597 |
1.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$254.80 |
$637 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$198.70 |
$496.75 |
0.9× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$2,351.20 |
$5,878 |
0.6× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,273.20 |
$8,183 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,735.67 |
$4,339.17 |
2.3× |
| Removal tunneled cv cath (36590) |
$2,384.40 |
$5,961 |
1.4× |
| Remove eyelid foreign body (67938) |
$298.94 |
$747.33 |
0.9× |
| Remove foreign body from eye (65210) |
$260 |
$650 |
0.6× |
| Remove lung catheter (32552) |
$518 |
$1,295 |
0.8× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$7,838.80 |
$19,597 |
0.7× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$14,128.30 |
$35,320.74 |
1.6× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$1,562.80 |
$3,907 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$607.88 |
$1,519.68 |
1.4× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$702.80 |
$1,757 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$592.80 |
$1,482 |
1.4× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$3,529.06 |
$8,822.65 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$354.80 |
$887 |
0.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$375.20 |
$938 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$321.20 |
$803 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$417.60 |
$1,044 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$370.56 |
$926.40 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$399.54 |
$998.83 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$425.20 |
$1,063 |
1.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$428.40 |
$1,071 |
1.0× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,244.62 |
$8,111.53 |
0.9× |
| Repair lead pace-defib one (33218) |
$2,012 |
$5,030 |
0.5× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$791.52 |
$1,978.80 |
1.4× |
| Repair of nail bed (11760) |
$466 |
$1,165 |
0.6× |
| Repair tongue lacer,post 1/3 (41251) |
$556.48 |
$1,391.20 |
2.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$610 |
$1,525 |
0.8× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$823.66 |
$2,059.13 |
1.9× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$612.14 |
$1,530.33 |
0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$908.80 |
$2,272 |
0.9× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$861.20 |
$2,153 |
0.9× |
| Replace tunneled cv cath (36582) |
$3,154.40 |
$7,886 |
0.9× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$695.20 |
$1,738 |
0.7× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$2,744.80 |
$6,862 |
0.8× |
| Reposition venous catheter (36597) |
$878 |
$2,195 |
0.5× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$1,758 |
$4,395 |
0.5× |
| Reset dislocated jaw (21480) |
$239.88 |
$599.70 |
0.9× |
| Revision of cervix (59320) |
$3,179.54 |
$7,948.83 |
0.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,042.80 |
$5,107 |
0.9× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$157.20 |
$393 |
1.1× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$242 |
$605 |
1.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,853.06 |
$7,132.63 |
0.9× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$20,334.52 |
$50,836.30 |
0.6× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$15,296.52 |
$38,241.30 |
0.7× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$15,614.80 |
$39,037 |
0.7× |
| Rmvl nfros tube req fluoro guidance (50389) |
$1,050.96 |
$2,627.40 |
1.4× |
| Rmvl of access device (36589) |
$1,276.80 |
$3,192 |
1.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$940.28 |
$2,350.70 |
0.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,431.20 |
$8,578 |
1.0× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$3,888 |
$9,720 |
1.2× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$6,648.28 |
$16,620.70 |
2.0× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$1,394.40 |
$3,486 |
0.8× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$269.60 |
$674 |
1.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$276.40 |
$691 |
1.3× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$291.60 |
$729 |
1.4× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$302 |
$755 |
1.4× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$272 |
$680 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$296 |
$740 |
1.4× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$4,955.60 |
$12,389 |
1.5× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$6,607.20 |
$16,518 |
1.1× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$3,538.40 |
$8,846 |
0.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$4,936.46 |
$12,341.13 |
0.9× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$279.60 |
$699 |
1.3× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$314.80 |
$787 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$337.20 |
$843 |
0.8× |
| Stomach surgery procedure unlisted (43999) |
$340.40 |
$851 |
0.4× |
| Strapping ankle (29540) |
$93.48 |
$233.70 |
0.5× |
| Strapping hand/finger (29280) |
$140 |
$350 |
2.2× |
| Strapping of shoulder (29240) |
$122.45 |
$306.12 |
0.9× |
| Strapping unna boot (29580) |
$252 |
$630 |
1.5× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,018.40 |
$2,546 |
1.3× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$4,294.67 |
$10,736.67 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$7,143.74 |
$17,859.33 |
0.9× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,259.40 |
$3,148.50 |
1.7× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$12,866.82 |
$32,167.05 |
1.0× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,067.20 |
$2,668 |
1.6× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$1,758 |
$4,395 |
0.5× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$3,899.20 |
$9,748 |
0.7× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$3,899.20 |
$9,748 |
1.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$232.22 |
$580.55 |
0.9× |
| Transcatheter biopsy (37200) |
$3,032.80 |
$7,582 |
0.5× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$8,801.20 |
$22,003 |
0.7× |
| Transfusion, blood or blood components (36430) |
$534.40 |
$1,336 |
1.1× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874)
unusually low — confirm this is the full procedure |
$2,719.20 |
$6,798 |
0.5× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$1,724.48 |
$4,311.18 |
0.9× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$5,083.62 |
$12,709.05 |
0.9× |
| Treat finger dislocation (26775) |
$409.41 |
$1,023.52 |
1.4× |
| Treat wrist bone fracture (25635) |
$2,107.75 |
$5,269.37 |
1.2× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,822 |
$4,555 |
1.1× |
| Treatment of bladder lesion (51720) |
$334.18 |
$835.45 |
0.5× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$430.80 |
$1,077 |
1.7× |
Trlml balo angiop open/perq img s&i 1st art (37246)
likely a partial charge — not the full procedure |
$941.64 |
$2,354.10 |
0.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,701.52 |
$14,253.80 |
0.9× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$1,481.28 |
$3,703.20 |
0.9× |
| Unlisted procedure rectum (45999) |
$1,094.05 |
$2,735.12 |
1.1× |
| Unlisted procedure, dentoalveolar structures (41899) |
$556.40 |
$1,391 |
2.2× |
| Vaginal delivery (59409) |
$1,869.04 |
$4,672.60 |
0.5× |
| Vasc embolize/occlude bleed (37244) |
$7,272 |
$18,180 |
0.6× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$12,013.06 |
$30,032.64 |
0.6× |
| Vascular embolization or occlusion venous rs&i (37241) |
$6,263.60 |
$15,659 |
0.5× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$7,228.80 |
$18,072 |
0.6× |
| Venipuncture (36415) |
$22.44 |
$56.10 |
2.4× |
| Version cephalic external (59412) |
$3,179.54 |
$7,948.83 |
0.9× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,022.86 |
$10,057.15 |
0.9× |
| Wedge excision skin nail fold (11765) |
$257.20 |
$643 |
0.6× |