| Abd paracentesis (49082) |
$552.82 |
$844 |
0.6× |
| Abd paracentesis w/imaging (49083) |
$812.86 |
$1,241 |
0.9× |
| Amniocentesis diagnostic (59000) |
$741.19 |
$1,068 |
0.8× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$847.78 |
$1,383 |
0.3× |
| Application finger splint static (29130) |
$38.01 |
$62 |
0.3× |
| Application of long leg cast (thigh to toes); (29345) |
$127.50 |
$208 |
0.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$64.36 |
$105 |
0.4× |
| Application of short arm splint (forearm to hand); static (29125) |
$50.27 |
$82 |
0.4× |
| Application of short leg cast (below knee to toes); (29405) |
$74.79 |
$122 |
0.3× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$70.50 |
$115 |
0.2× |
| Application of short leg splint (calf to foot) (29515) |
$63.14 |
$103 |
0.4× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$171.36 |
$238 |
1.0× |
| Application rigid total contact leg cast (29445) |
$577.44 |
$802 |
2.0× |
| Apply long arm splint (29105) |
$53.94 |
$88 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$271.44 |
$390 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$655.83 |
$945 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$534.48 |
$816 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$711.33 |
$1,086 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$332.09 |
$507 |
1.1× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$457.35 |
$659 |
1.5× |
| Aspirate pleura w/o imaging (32554) |
$381.20 |
$591 |
0.6× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,251.98 |
$1,804 |
1.7× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$69.88 |
$114 |
0.3× |
| Biopsy lymph node (38505) |
$1,632.98 |
$2,353 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,587.10 |
$2,353 |
0.9× |
| Biopsy thyroid percutaneous core needle (60100) |
$714.82 |
$1,030 |
1.0× |
| Bladder irrigation (51700) |
$236.10 |
$358 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,807.18 |
$2,604 |
1.1× |
| Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score… (0119U) |
$151.96 |
$252 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$248.45 |
$358 |
1.0× |
| Change of windpipe airway (31502) |
$280.38 |
$404 |
1.2× |
| Chemical cauterization of granulation tissue (17250) |
$47.81 |
$78 |
0.2× |
| Chest tube placement (32551) |
$202.29 |
$330 |
0.1× |
| Circumcision, Newborn (54150) |
$459.29 |
$538 |
0.2× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$577.45 |
$942 |
2.3× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$628.32 |
$1,025 |
0.4× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$425.42 |
$694 |
0.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$285.66 |
$466 |
1.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$491.63 |
$802 |
2.0× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$869.23 |
$1,418 |
0.5× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$965.48 |
$1,575 |
0.6× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$803.03 |
$1,310 |
0.5× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$373.93 |
$610 |
1.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$378.22 |
$617 |
1.5× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$386.80 |
$631 |
1.5× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$743.57 |
$1,213 |
0.5× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$100.53 |
$164 |
0.4× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$370.25 |
$604 |
1.5× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$411.94 |
$672 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$479.98 |
$783 |
1.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$540.05 |
$881 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$437.68 |
$714 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$584.80 |
$954 |
0.4× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$592.16 |
$966 |
0.4× |
| Closed tx septal&nose fx (21337) |
$372.70 |
$608 |
0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$515.53 |
$841 |
0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$426.65 |
$696 |
0.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$441.36 |
$720 |
1.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$348.80 |
$569 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$652.23 |
$1,064 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$180.84 |
$295 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$236 |
$385 |
0.9× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$572.54 |
$934 |
0.3× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$116.47 |
$190 |
0.5× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$392.32 |
$640 |
1.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$479.98 |
$783 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$723.34 |
$1,180 |
0.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$628.32 |
$1,025 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$555.38 |
$906 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$370.25 |
$604 |
1.5× |
| Collect blood from catheter venous nos (36592) |
$141.48 |
$216 |
1.0× |
| Collect blood from implant venous access device (36591) |
$199.78 |
$305 |
1.5× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$101.14 |
$165 |
0.7× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$72.95 |
$119 |
0.5× |
| Control throat bleeding (42960) |
$209.65 |
$342 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$136.09 |
$222 |
1.0× |
| Debride skin at fx site (11010) |
$352.47 |
$575 |
0.5× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$77.85 |
$127 |
0.2× |
| Declot vascular device (36593) |
$282.62 |
$419 |
0.8× |
| Delivery of placenta (59414) |
$1,271.88 |
$2,035 |
0.4× |
| Destruct lesion 15 or more (17111) |
$103.60 |
$169 |
0.5× |
| Destruction benign lesions up to 14 (17110) |
$84.59 |
$138 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$759.93 |
$1,095 |
1.1× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$153.86 |
$251 |
0.2× |
| Drainage finger abscess simple (26010) |
$175.93 |
$287 |
0.9× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$157.54 |
$257 |
0.2× |
| Drainage of tonsil abscess (42700) |
$171.03 |
$279 |
0.7× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,609.34 |
$2,457 |
0.8× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,594.92 |
$2,435 |
0.8× |
| Ed proc insert intraosseous IV (36680) |
$295 |
$472 |
0.6× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$218.54 |
$324 |
1.7× |
| Ed proc remve fb nasal- hospital (30300) |
$143.44 |
$234 |
1.1× |
| Ed prof arthrocentesis sm - hospital (20551) |
$291.48 |
$445 |
0.9× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$44.40 |
$68 |
0.3× |
| Ed prof burn - large - hospital (16030) |
$170.41 |
$278 |
0.4× |
| Ed prof burn small - hospital (16020) |
$69.27 |
$113 |
0.3× |
| Ed prof catheterization/straight (51701) |
$154.98 |
$235 |
1.1× |
| Ed prof closed tx post hip arthroplasty (27265) |
$516.15 |
$842 |
2.0× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$508.18 |
$829 |
0.3× |
| Ed prof drain dental abscess-hospital (41800) |
$193.71 |
$316 |
1.4× |
| Ed prof insert foley cath simple (51702) |
$179.84 |
$281 |
1.3× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$272.14 |
$391 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$307.11 |
$501 |
0.7× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$261.75 |
$427 |
0.6× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$327.96 |
$535 |
1.3× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$651.07 |
$994 |
0.9× |
| Evac subungual hematoma (11740) |
$39.84 |
$65 |
0.3× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$103.60 |
$169 |
0.1× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$103.60 |
$169 |
0.1× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$156.93 |
$256 |
0.0× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$236.62 |
$386 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$142.83 |
$233 |
0.1× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$153.25 |
$250 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$443.20 |
$723 |
0.3× |
| Fetal contraction stress test (59020) |
$687.33 |
$752 |
3.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,779.42 |
$2,564 |
2.5× |
| Fluid pressure muscle (20950) |
$601.88 |
$963 |
0.8× |
| Gastric lavage (43753) |
$28.81 |
$47 |
0.1× |
| I&d abscess simple/single (10060) |
$127.50 |
$208 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$332.25 |
$542 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$130.57 |
$213 |
0.2× |
| Incise external hemorrhoid (46083) |
$138.54 |
$226 |
0.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$231.10 |
$377 |
0.6× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$131.79 |
$215 |
0.6× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$560.28 |
$914 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$152.02 |
$248 |
0.5× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$198 |
$323 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$130.57 |
$213 |
0.3× |
| Incision of rectal abscess (46040) |
$538.21 |
$878 |
0.4× |
| Infectious disease (bacteria and fungi), gram-negative bacterial identification and drug resistance element detection,… (0142U) |
$284.01 |
$471 |
1.8× |
| Infectious disease (bacteria and fungi), gram-positive organism identification and drug resistance element detection,… (0141U) |
$284.01 |
$471 |
1.8× |
| Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory… (0225U) |
$754.35 |
$1,251 |
1.8× |
| Inj epidural blood or clot patch (62273) |
$601.88 |
$963 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,666.98 |
$2,545 |
1.8× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,173.61 |
$3,132 |
2.4× |
| Inj tx nerve (64640) |
$539.07 |
$823 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$189.30 |
$243 |
0.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$216.56 |
$278 |
0.2× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$226.69 |
$291 |
0.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$347.80 |
$531 |
1.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$876.39 |
$1,338 |
1.0× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$658.93 |
$1,006 |
0.9× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,042.76 |
$1,592 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$632.73 |
$966 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$328.12 |
$525 |
1.0× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$876.39 |
$1,338 |
1.0× |
| Injection anes superior hypogastric plexus (64517) |
$1,524.84 |
$2,328 |
1.7× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$211.89 |
$272 |
0.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$108.50 |
$177 |
0.3× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$429.68 |
$656 |
1.4× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$312.44 |
$477 |
1.0× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,019.18 |
$1,556 |
1.1× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$338.64 |
$517 |
1.1× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$928.57 |
$1,338 |
1.0× |
| Insert cervical dilator (59200) |
$436.24 |
$511 |
1.4× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$1,302.46 |
$1,931 |
0.8× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,336.18 |
$1,981 |
0.8× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,842.74 |
$2,732 |
1.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,297.06 |
$1,923 |
2.0× |
| Intubation endotracheal (31500) |
$457.96 |
$658 |
1.9× |
| Laryngoscopy w/foreign body removal (31530) |
$252.56 |
$412 |
0.1× |
| Lumbar puncture (62270) |
$382.51 |
$557 |
0.5× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$249.49 |
$407 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$47.89 |
$69 |
1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$52.05 |
$75 |
1.8× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$473.35 |
$785 |
1.8× |
| Nfct ds DNA untrgt ngnrj seq (0152U) |
$3,846.54 |
$6,379 |
1.8× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,330.31 |
$2,031 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$876.39 |
$1,338 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,656.57 |
$2,456 |
2.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,125.94 |
$1,719 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,112.85 |
$1,699 |
1.5× |
| Non stress test (59025) |
$590.44 |
$646 |
2.9× |
| NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (0169U) |
$843.60 |
$1,399 |
1.8× |
| Onc Pan-Tumor DNA & RNA Next-Generation Sequencing Other Outpatient (0211U) |
$15,295.09 |
$25,365 |
1.8× |
| Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene… (0313U) |
$6,512.40 |
$10,800 |
1.8× |
| Open treatment interphalangeal joint dislocation (28675) |
$514.31 |
$839 |
0.2× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,038.12 |
$1,661 |
0.6× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$421.27 |
$650.50 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$903.59 |
$1,302 |
1.2× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,235.32 |
$1,780 |
1.7× |
| Proctosigmoidoscopy dx (45300) |
$61.30 |
$100 |
0.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$120.15 |
$196 |
0.3× |
| Puncture aspiration of cyst of breast (19000) |
$342.14 |
$493 |
0.5× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$242.75 |
$396 |
0.1× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$170.41 |
$278 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22.38 |
$36.50 |
0.4× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$42.91 |
$70 |
0.7× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$186.96 |
$305 |
0.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$36.78 |
$60 |
0.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$52.72 |
$86 |
0.1× |
| Removal of iud (58301) |
$188.52 |
$303 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$93.18 |
$152 |
0.5× |
| Remove eyelid foreign body (67938) |
$145.28 |
$237 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$312.02 |
$509 |
0.8× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$389.87 |
$636 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$332.25 |
$542 |
0.8× |
| Repair finger tendon (26418) |
$753.99 |
$1,230 |
0.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$215.16 |
$351 |
0.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$254.39 |
$415 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$281.37 |
$459 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$383.74 |
$626 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$186.96 |
$305 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$250.10 |
$408 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$193.10 |
$315 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$242.14 |
$395 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$361.06 |
$589 |
0.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$274.62 |
$448 |
0.7× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$421.74 |
$688 |
0.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$196.16 |
$320 |
0.4× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$266.04 |
$434 |
1.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$357.99 |
$584 |
0.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$431.55 |
$704 |
0.6× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$296.08 |
$483 |
0.7× |
| Reset dislocated jaw (21480) |
$41.07 |
$67 |
0.2× |
| Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial… (0115U) |
$498.68 |
$827 |
1.8× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$60.07 |
$98 |
0.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$64.98 |
$106 |
0.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$315.08 |
$514 |
0.1× |
| Rmvl of access device (36589) |
$427.72 |
$653 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$72.33 |
$118 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$76.62 |
$125 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$97.47 |
$159 |
0.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$123.21 |
$201 |
0.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$57.62 |
$94 |
0.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$187.58 |
$306 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$95.63 |
$156 |
0.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$76.62 |
$125 |
0.4× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$124.44 |
$203 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$152.02 |
$248 |
0.4× |
| Strapping unna boot (29580) |
$169.20 |
$235 |
1.0× |
| Therapeutic spinal puncture drainage csf (62272) |
$314.72 |
$404 |
0.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$761.11 |
$1,162 |
1.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$429.71 |
$701 |
1.8× |
| Transfusion, blood or blood components (36430) |
$882.96 |
$1,415 |
2.0× |
| Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) |
$4,980.78 |
$8,260 |
1.8× |
| Treat dental ridge fracture (21440) |
$639.36 |
$1,043 |
0.2× |
| Treat finger dislocation (26775) |
$440.75 |
$719 |
1.5× |
| Treat fx distal radial (25606) |
$845.94 |
$1,380 |
0.3× |
| Treat hip socket fracture (27222) |
$1,245 |
$2,031 |
4.9× |
| Treat lower leg fracture (27825) |
$630.78 |
$1,029 |
0.4× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$603.80 |
$985 |
0.4× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$429.71 |
$701 |
1.7× |
| Vaginal delivery (59409) |
$1,041.49 |
$1,699 |
0.3× |
| Venipuncture (36415) |
$45.71 |
$70 |
4.9× |
| Version cephalic external (59412) |
$665.88 |
$780 |
0.2× |
| Wedge excision skin nail fold (11765) |
$117.08 |
$191 |
0.3× |