| Abd paracentesis w/imaging (49083) |
$878.50 |
$1,757 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,193 |
$2,386 |
1.4× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$6,540 |
$13,080 |
0.4× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,976.50 |
$3,953 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,976.50 |
$3,953 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,976.50 |
$3,953 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,976.50 |
$3,953 |
1.0× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$226.50 |
$453 |
1.5× |
| Application cast elbow finger short arm (29075) |
$268 |
$536 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$268 |
$536 |
1.0× |
| Application finger splint static (29130) |
$127.75 |
$255.50 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$248.50 |
$497 |
1.6× |
| Application of rigid total contact leg cast (29445) |
$268 |
$536 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$127.50 |
$255 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$152.50 |
$305 |
1.2× |
| Apply Hand/Wrist Cast (29085) |
$156 |
$312 |
1.0× |
| Apply long leg splint (29505) |
$200.25 |
$400.50 |
1.3× |
| Apply short leg cast (29405) |
$268 |
$536 |
1.0× |
| Apply short leg cast (29425) |
$268 |
$536 |
1.0× |
| Apply short leg splint (29515) |
$260.25 |
$520.50 |
1.7× |
| Arterial puncture (36600) |
$127.50 |
$255 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$294 |
$588 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$677.75 |
$1,355.50 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$294 |
$588 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$441.75 |
$883.50 |
1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$294 |
$588 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$1,022.50 |
$2,045 |
1.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$294 |
$588 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$192.50 |
$385 |
1.0× |
| Biopsy external ear (69100) |
$227 |
$454 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,586.50 |
$3,173 |
1.0× |
| Biopsy Nail Unit Separate Procedure (11755) |
$678.50 |
$1,357 |
1.0× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$3,376 |
$6,752 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$882 |
$1,764 |
1.0× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$1,812.50 |
$3,625 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$673 |
$1,346 |
1.0× |
| Bladder Irrigation Simple (51700) |
$239.50 |
$479 |
1.0× |
| Blood patch (62273) |
$676 |
$1,352 |
1.0× |
| Blood transfusion service (36430) |
$423 |
$846 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,011 |
$4,022 |
1.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,273.50 |
$4,547 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$1,940.50 |
$3,881 |
1.2× |
| Bx/exc lymph node needle superficial (38505) |
$2,380 |
$4,760 |
1.5× |
| Change Cystostomy Tube Complicated (51710) |
$673 |
$1,346 |
1.0× |
| Change of cystostomy tube simple (51705) |
$239.50 |
$479 |
1.0× |
| Chemical cautery tissue (17250) |
$192.50 |
$385 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,467.50 |
$6,935 |
1.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$236.50 |
$473 |
1.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$261.50 |
$523 |
1.1× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$236.50 |
$473 |
1.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$236.50 |
$473 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$236.50 |
$473 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$236.50 |
$473 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$236.50 |
$473 |
1.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$236.50 |
$473 |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$236.50 |
$473 |
1.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$236.50 |
$473 |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$236.50 |
$473 |
1.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,105.50 |
$4,211 |
1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$236.50 |
$473 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$285 |
$570 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$236.50 |
$473 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,556 |
$3,112 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$236.50 |
$473 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$285 |
$570 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$236.50 |
$473 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$285 |
$570 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$236.50 |
$473 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$236.50 |
$473 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$236.50 |
$473 |
1.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$236.50 |
$473 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,972.50 |
$3,945 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$365.50 |
$731 |
1.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$236.50 |
$473 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,467.50 |
$4,935 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$236.50 |
$473 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$236.50 |
$473 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$236.50 |
$473 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,548.50 |
$3,097 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$236.50 |
$473 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$236.50 |
$473 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$236.50 |
$473 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$236.50 |
$473 |
1.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,540.50 |
$3,081 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$237.75 |
$475.50 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$285 |
$570 |
1.2× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$236.50 |
$473 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$236.50 |
$473 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$237.75 |
$475.50 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,756.25 |
$3,512.50 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$364.50 |
$729 |
1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$236.50 |
$473 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$237.50 |
$475 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$127.50 |
$255 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$292 |
$584 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$292 |
$584 |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$292 |
$584 |
1.0× |
| Complex Uroflowmetry (51741) |
$207 |
$414 |
1.0× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Facility (68750) |
$3,311 |
$6,622 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$159.50 |
$319 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$169.50 |
$339 |
1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,380 |
$4,760 |
1.5× |
| Correction of trichiasis; incision of lid margin Facility (67830) |
$955 |
$1,910 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$194.50 |
$389 |
1.5× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$2,881 |
$5,762 |
0.9× |
| Cystourethroscopy (52000) |
$571 |
$1,142 |
0.9× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$4,834 |
$9,668 |
0.7× |
| Debride nail 1-5 (11720) |
$90.50 |
$181 |
1.6× |
| Debride nail 6 or more (11721) |
$99 |
$198 |
1.7× |
| Debride tissue/muscle (11043) |
$708 |
$1,416 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$389.50 |
$779 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,582 |
$3,164 |
1.0× |
| Declot vascular device (36593) |
$449 |
$898 |
1.4× |
| Destroy internal hemorrhoids (46930) |
$1,146.50 |
$2,293 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$341 |
$682 |
1.8× |
| Destruction premalignant lesion 1st (17000) |
$196 |
$392 |
1.0× |
| Diagnostic anoscopy (46601) |
$428 |
$856 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,115 |
$2,230 |
1.6× |
| Dilate Urethra Stricture (53620) |
$668 |
$1,336 |
1.0× |
| Dilate urethra stricture (53621) |
$239.50 |
$479 |
1.0× |
| Dilate urethra stricture (53600) |
$239.50 |
$479 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$847.50 |
$1,695 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$294 |
$588 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$192.50 |
$385 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,596.75 |
$3,193.50 |
1.0× |
| Drainage of hydrocele (55000) |
$678.50 |
$1,357 |
1.0× |
| Draw blood off venous device (36591) |
$127.50 |
$255 |
1.0× |
| Dressing change under anesthesia (15852) |
$708 |
$1,416 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$192.50 |
$385 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$325.50 |
$651 |
1.7× |
| Dx gastr intub w/asp spec (43754) |
$411.50 |
$823 |
2.0× |
| Egd place gastrostomy tube (43246) |
$3,611.50 |
$7,223 |
2.0× |
| Evacuation of subungual hematoma (11740) |
$127.75 |
$255.50 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,554 |
$5,108 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,582 |
$3,164 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$685 |
$1,370 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,782 |
$5,564 |
1.0× |
| Exc ganglion wrist recurrent (25112) |
$1,540.50 |
$3,081 |
1.0× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$3,321.50 |
$6,643 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$685 |
$1,370 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$714 |
$1,428 |
1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$678.50 |
$1,357 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,582 |
$3,164 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,582 |
$3,164 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,782.50 |
$5,565 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,582 |
$3,164 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,782.50 |
$5,565 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$678.50 |
$1,357 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$678.50 |
$1,357 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$389.50 |
$779 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$678.50 |
$1,357 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$678.50 |
$1,357 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$678.50 |
$1,357 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$678.50 |
$1,357 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,582 |
$3,164 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,582 |
$3,164 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,582 |
$3,164 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$678.50 |
$1,357 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$678.50 |
$1,357 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,582 |
$3,164 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,582 |
$3,164 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$876 |
$1,752 |
1.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,582 |
$3,164 |
1.0× |
| Fetal non-stress test (59025) |
$588.50 |
$1,177 |
3.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,439 |
$2,878 |
2.1× |
| Fine needle aspiration without imaging guidance (10021) |
$389.50 |
$779 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$286 |
$572 |
1.3× |
| I&d abscess simple (10060) |
$265.75 |
$531.50 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$851.75 |
$1,703.50 |
1.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,584.25 |
$3,168.50 |
1.0× |
| I&d vulva/perineal abscess (56405) |
$293.25 |
$586.50 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,586.50 |
$3,173 |
1.0× |
| Incise external hemorrhoid (46083) |
$470.50 |
$941 |
2.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$397 |
$794 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$392.75 |
$785.50 |
1.0× |
| Incision and drainage perianal abscess superficial (46050) |
$1,403 |
$2,806 |
1.6× |
| Incision of eyelid fold (67715) |
$2,277.50 |
$4,555 |
1.0× |
| Incision of rectal abscess (46040) |
$1,957 |
$3,914 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$708 |
$1,416 |
1.0× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$294 |
$588 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$294 |
$588 |
1.0× |
| Inj therapeutic carpal tunnel (20526) |
$294 |
$588 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,390.75 |
$2,781.50 |
1.6× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$304.50 |
$609 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$847.50 |
$1,695 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$847.50 |
$1,695 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$294 |
$588 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$676.50 |
$1,353 |
1.0× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$1,140 |
$2,280 |
1.3× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$677.75 |
$1,355.50 |
1.0× |
| Injection aa&/strd pudendal nerve (64430) |
$847.50 |
$1,695 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$374 |
$748 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$509.50 |
$1,019 |
1.7× |
| Injection anesthetic agent femoral nerve single (64447) |
$677.50 |
$1,355 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$677.50 |
$1,355 |
1.0× |
| Injection into skin lesions (11900) |
$192 |
$384 |
1.0× |
| Injection peyronie disease (54200) |
$239.50 |
$479 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$294 |
$588 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$294 |
$588 |
1.0× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$9,019.50 |
$18,039 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$236.50 |
$473 |
1.9× |
| Insert cath pleura w/ image (32557) |
$1,979.50 |
$3,959 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$2,426.25 |
$4,852.50 |
0.8× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,363 |
$8,726 |
0.4× |
Insert subq implantable defib electrode (33271)
unusually low: confirm this is the full procedure |
$2,620 |
$5,240 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$129.75 |
$259.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.75 |
$255.50 |
1.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure |
$2,619.50 |
$5,239 |
0.3× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$3,697.50 |
$7,395 |
0.2× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216)
unusually low: confirm this is the full procedure |
$2,620 |
$5,240 |
0.3× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure |
$2,620 |
$5,240 |
0.3× |
Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224)
unusually low: confirm this is the full procedure |
$4,363 |
$8,726 |
0.4× |
| Insj picc rs&i 5 yr+ (36573) |
$1,577.25 |
$3,154.50 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,387.50 |
$4,775 |
0.8× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure |
$2,620 |
$5,240 |
0.3× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$227 |
$454 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$310 |
$620 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$295.50 |
$591 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$4,834 |
$9,668 |
0.7× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$382.50 |
$765 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$286.50 |
$573 |
1.5× |
| Liver Biopsy (47000) |
$1,586.50 |
$3,173 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,540.50 |
$3,081 |
1.0× |
| Myelography Lumbar Injection (62304) |
$1,291 |
$2,582 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$752 |
$1,504 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$519.50 |
$1,039 |
1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$53.50 |
$107 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$64 |
$128 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$534 |
$1,068 |
1.3× |
| Njx aa&/strd sciatic nerve (64445) |
$1,072.75 |
$2,145.50 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,073 |
$2,146 |
1.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$1,072.75 |
$2,145.50 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$847 |
$1,694 |
1.0× |
| Occipital Nerve Block (64405) |
$339.50 |
$679 |
1.2× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$250 |
$500 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,250 |
$4,500 |
0.8× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,134 |
$6,268 |
1.0× |
| Percutaneous diskectomy (62287) |
$1,870.50 |
$3,741 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,708.50 |
$5,417 |
1.8× |
| Perq device breast 1st imag (19281) |
$1,725 |
$3,450 |
1.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$458.50 |
$917 |
1.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$693 |
$1,386 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$4,834 |
$9,668 |
0.7× |
| Perq Vertebral Augmentation (22513) |
$4,834 |
$9,668 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,134 |
$6,268 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,150.25 |
$6,300.50 |
1.0× |
| Picc line placement (36569) |
$2,046 |
$4,092 |
1.4× |
| Placement of needle for intraosseous infusion (36680) |
$522 |
$1,044 |
1.2× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,277.50 |
$4,555 |
1.0× |
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure |
$3,018 |
$6,036 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$389.50 |
$779 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$681.75 |
$1,363.50 |
1.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$389.50 |
$779 |
1.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,073 |
$2,146 |
1.6× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$285 |
$570 |
0.4× |
| Reduce testis torsion (54600) |
$3,557 |
$7,114 |
1.1× |
| Relocation of skin pocket for pacemaker (33222) |
$1,976.50 |
$3,953 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,146.50 |
$2,293 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$684.50 |
$1,369 |
1.0× |
| Removal foreign body intranasal (30300) |
$159.50 |
$319 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$97.75 |
$195.50 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$95.25 |
$190.50 |
1.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,279.50 |
$6,559 |
1.1× |
| Removal of anal fissure (46200) |
$2,759.50 |
$5,519 |
1.0× |
| Removal of embedded foreign body, eyelid (67938) |
$304.50 |
$609 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$807.50 |
$1,615 |
1.9× |
| Removal of iud (58301) |
$292 |
$584 |
1.0× |
| Removal of nail bed (11750) |
$389.50 |
$779 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$192.50 |
$385 |
1.0× |
| Remove drug implant device (11982) |
$428 |
$856 |
1.0× |
| Remove/Insert Drug Implant (11983) |
$428 |
$856 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$135.75 |
$271.50 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$211.50 |
$423 |
1.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,388 |
$4,776 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$389.50 |
$779 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$389.50 |
$779 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$823 |
$1,646 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$886.25 |
$1,772.50 |
2.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,972.50 |
$3,945 |
1.3× |
| Repair eyelid defect (67916) |
$2,277.50 |
$4,555 |
1.0× |
| Repair hand tendon (26410) |
$1,556 |
$3,112 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$389.50 |
$779 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$389.50 |
$779 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$501.75 |
$1,003.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$389.50 |
$779 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$513.50 |
$1,027 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$513.50 |
$1,027 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$389.50 |
$779 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$585.50 |
$1,171 |
1.5× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$6,042 |
$12,084 |
1.1× |
| Repair lead pace-defib dual (33220) |
$2,625.50 |
$5,251 |
0.7× |
| Repair lead pace-defib one (33218) |
$2,625.50 |
$5,251 |
0.7× |
| Repair of eye wound (65270) |
$2,277.50 |
$4,555 |
1.0× |
| Repair of nail bed (11760) |
$772.50 |
$1,545 |
1.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,367 |
$14,734 |
1.1× |
| Repeat control of nosebleed (30906) |
$227 |
$454 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,625.50 |
$5,251 |
0.7× |
Revise spine eltrd perq aray (63663)
unusually low: confirm this is the full procedure |
$3,018 |
$6,036 |
0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,135.50 |
$2,271 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$257 |
$514 |
2.0× |
| Rmvl of subq defibrillator (33272) |
$2,625.50 |
$5,251 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,508 |
$3,016 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,117 |
$2,234 |
1.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$708 |
$1,416 |
1.0× |
| Shave skin lesion 0.5 cm/< (11305) |
$211.50 |
$423 |
1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$192.50 |
$385 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$389.50 |
$779 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,188 |
$6,376 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$192.50 |
$385 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$192.50 |
$385 |
1.0× |
| Simple Cystometrogram (51725) |
$239.50 |
$479 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$269.75 |
$539.50 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$248.25 |
$496.50 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$341 |
$682 |
1.8× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$246.50 |
$493 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$237 |
$474 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$266.75 |
$533.50 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,200 |
$2,400 |
1.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,200 |
$2,400 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$259.50 |
$519 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$678.50 |
$1,357 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$1,193.50 |
$2,387 |
1.8× |
| Strapping unna boot (29580) |
$227 |
$454 |
1.5× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$424 |
$848 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$389.50 |
$779 |
1.0× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,540 |
$3,080 |
1.0× |
| Tenotomy percutaneous single each digit (26060) |
$1,540 |
$3,080 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,540.50 |
$3,081 |
1.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$6,332 |
$12,664 |
0.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$608.50 |
$1,217 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$333.50 |
$667 |
1.1× |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
$3,175.50 |
$6,351 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$252 |
$504 |
1.1× |
| Tracheostomy planned (31600) |
$3,175.50 |
$6,351 |
1.0× |
| Treat humerus fracture (24500) |
$236.50 |
$473 |
1.0× |
| Treat humerus fracture (23600) |
$236.50 |
$473 |
1.0× |
| Treat wrist bone fracture (25622) |
$236.50 |
$473 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$236.50 |
$473 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$236.50 |
$473 |
1.0× |
| Trim skin lesion (11055) |
$270 |
$540 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$192.50 |
$385 |
1.0× |
| Trim skin lesions over 4 (11057) |
$192.50 |
$385 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$95.25 |
$190.50 |
1.7× |
| Tube thoracostomy includes water seal (32551) |
$2,046 |
$4,092 |
1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$708 |
$1,416 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$389.50 |
$779 |
1.0× |
| Unlisted procedure colon (45399) |
$1,143 |
$2,286 |
1.3× |
| Unlisted Procedure Conjunctiva (68399) |
$304 |
$608 |
1.0× |
| Unlisted procedure nervous system (64999) |
$294 |
$588 |
1.0× |
| Unlisted procedure, maternity care and delivery (59899) |
$196 |
$392 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$245 |
$490 |
1.3× |
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure |
$4,363 |
$8,726 |
0.4× |
| Us urine capacity measure (51798) |
$103 |
$206 |
1.8× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$3,279.50 |
$6,559 |
1.1× |
| Venipuncture (36415) |
$5.50 |
$11 |
0.6× |
| Wedge excision skin nail fold (11765) |
$389.50 |
$779 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$496 |
$992 |
1.3× |