| Apheresis Platelets (36513) |
$652.53 |
— |
1.1× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$250 |
— |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,800 |
— |
0.8× |
| Biopsy muscle percutaneous needle (20206) |
$1,800 |
— |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$1,800 |
— |
0.8× |
| Bone Marrow Biopsy (38221) |
$2,442.86 |
— |
1.1× |
| Bone Marrow; Aspiration Only (38220) |
$2,442.86 |
— |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$10.74 |
— |
1.1× |
| Colonoscopy Flexible With Decompression (45393) |
$2,694 |
— |
1.8× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$2,694 |
— |
1.8× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,694 |
— |
1.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$2,694 |
— |
1.8× |
| Colonoscopy stoma w/balloon dilation (44405) |
$2,694 |
— |
1.8× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$1,582 |
— |
1.3× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$2,694 |
— |
1.8× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,582 |
— |
1.3× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$2,694 |
— |
1.8× |
| Colonoscopy thru stoma (44388) |
$1,582 |
— |
1.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,694 |
— |
1.8× |
| Colonoscopy W/Resection (45390) |
$2,694 |
— |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$2,694 |
— |
1.8× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,800 |
— |
1.6× |
| Egd control bleeding any (43255) |
$2,694 |
— |
1.1× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,694 |
— |
1.1× |
| Egd endo mucosal resection (43254) |
$2,694 |
— |
1.1× |
| Egd Endoscopic Stent Place (43266) |
$7,487 |
— |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,582 |
— |
1.4× |
| Egd guide wire insertion (43248) |
$1,582 |
— |
1.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,694 |
— |
1.1× |
| Egd lesion ablation (43270) |
$2,694 |
— |
1.1× |
| Egd place gastrostomy tube (43246) |
$2,694 |
— |
1.1× |
| Egd remove lesion snare (43251) |
$2,694 |
— |
1.1× |
| Egd Tube/Cath Insertion (43241) |
$43,241 |
— |
17.5× |
| Egd Varices Ligation (43244) |
$2,694 |
— |
1.1× |
| Egd W/Transmural Drain Cyst (43240) |
$7,487 |
— |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,694 |
— |
1.1× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,694 |
— |
1.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,841.74 |
— |
0.8× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,582 |
— |
1.4× |
| Exchange Transfusion Blood Newborn (36450) |
$652.53 |
— |
1.1× |
| Fine needle aspiration without imaging guidance (10021) |
$601.27 |
— |
1.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,800 |
— |
2.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$4,400 |
— |
1.8× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$5,547 |
— |
0.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,547 |
— |
0.5× |
Insrt heart pm atrial & vent (33208)
unusually low: confirm this is the full procedure |
$5,547 |
— |
0.4× |
| N Block Inj Celiac Pelus (64530) |
$1,800 |
— |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$479.29 |
— |
1.1× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,000 |
— |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,800 |
— |
2.0× |
| Pseudoaneurysm Injection Trt (36002) |
$806.82 |
— |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,800 |
— |
3.4× |
| Puncture Aspiration Cyst Breast (19000) |
$1,800 |
— |
2.0× |
| Remove&replace pm gen singl (33227) |
$5,547 |
— |
0.5× |
Remv&replc pm gen dual lead (33228)
unusually low: confirm this is the full procedure |
$5,547 |
— |
0.4× |
| Remv&replc pm gen mult leads (33229) |
$19,971 |
— |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,694 |
— |
2.3× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$2,694 |
— |
1.8× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$2,694 |
— |
1.8× |
| Sigmoidoscopy w/fb removal (45332) |
$2,694 |
— |
1.8× |
| Sigmoidoscopy w/plcmt stent (45347) |
$7,487 |
— |
1.0× |
| Sigmoidoscopy W/Resection (45349) |
$2,694 |
— |
0.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$2,694 |
— |
1.8× |
| Small bowel endoscopy (44366) |
$2,694 |
— |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$420 |
— |
0.5× |
| Thrombolytic Venous Therapy (37212) |
$3,510 |
— |
0.9× |
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure |
$5,547 |
— |
0.4× |
| Vasc Embolize/Occlude Organ (37243) |
$13,745.22 |
— |
0.9× |