| Abd paracentesis (49082) |
$1,283.10 |
$1,833 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$1,913.80 |
$2,734 |
2.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$13,377 |
$19,110 |
1.2× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$11,655.70 |
$16,651 |
0.6× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$12,520.20 |
$17,886 |
1.1× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$10,876.60 |
$15,538 |
1.4× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$4,999.03 |
$7,141.46 |
0.8× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$6,316.80 |
$9,024 |
1.7× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$3,837.40 |
$5,482 |
1.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$2,637.60 |
$3,768 |
1.2× |
| Amniocentesis diagnostic (59000) |
$982.10 |
$1,403 |
1.0× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,257.10 |
$4,653 |
0.9× |
| Amputation of finger/thumb (26952) |
$3,257.10 |
$4,653 |
0.9× |
| Amputation of toe (28820) |
$5,534.90 |
$7,907 |
1.6× |
| Amputation toe interphalangeal joint (28825) |
$5,669.30 |
$8,099 |
1.6× |
| Anoscopy and biopsy (46606) |
$1,479.80 |
$2,114 |
1.2× |
| Anoscopy diagnostic (46600) |
$238 |
$340 |
1.7× |
| Anoscopy remove for body (46608) |
$1,628.20 |
$2,326 |
1.7× |
| Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,… (46615) |
$3,735.90 |
$5,337 |
1.3× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,890 |
$2,700 |
2.4× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$3,880.80 |
$5,544 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$205.10 |
$293 |
3.3× |
| Application finger splint static (29130) |
$196 |
$280 |
1.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$401.80 |
$574 |
2.3× |
| Application of short arm splint (forearm to hand); static (29125) |
$234.50 |
$335 |
1.7× |
| Application of short leg cast (below knee to toes); (29405) |
$466.90 |
$667 |
1.6× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$401.80 |
$574 |
1.4× |
| Application of short leg splint (calf to foot) (29515) |
$389.20 |
$556 |
2.3× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$2,697.10 |
$3,853 |
1.2× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$386.40 |
$552 |
2.3× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$306.60 |
$438 |
1.8× |
| Application rigid total contact leg cast (29445) |
$542.50 |
$775 |
1.8× |
| Application uniplane external fixation system (20690) |
$12,261.90 |
$17,517 |
1.6× |
| Apply long arm splint (29105) |
$232.40 |
$332 |
1.4× |
| Apply splint short arm dynamic (29126) |
$246.40 |
$352 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$532 |
$760 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$973.70 |
$1,391 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$620.20 |
$886 |
1.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,104.60 |
$1,578 |
3.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$542.50 |
$775 |
1.7× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$704.90 |
$1,007 |
2.2× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,916.90 |
$4,167 |
1.7× |
| Aspirate pleura w/o imaging (32554) |
$1,027.60 |
$1,468 |
1.6× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$415.80 |
$594 |
1.3× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$3,060.40 |
$4,372 |
4.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,010.10 |
$1,443 |
1.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,618.60 |
$6,598 |
2.1× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$1,852.90 |
$2,647 |
2.0× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$304.50 |
$435 |
1.4× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$9,271.50 |
$13,245 |
1.4× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556) |
$12,246.50 |
$17,495 |
1.1× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$11,027.10 |
$15,753 |
1.6× |
| Biopsy bone open superficial (20240) |
$5,686.80 |
$8,124 |
1.9× |
| Biopsy bone trocar/needle deep (20225) |
$3,324.30 |
$4,749 |
1.9× |
| Biopsy liver needle percutaneous (47000) |
$3,433.50 |
$4,905 |
2.0× |
| Biopsy lymph node (38505) |
$2,206.40 |
$3,152 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$2,198 |
$3,140 |
1.3× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$1,579.90 |
$2,257 |
0.9× |
| Biopsy of cervix (57500) |
$1,292.20 |
$1,846 |
1.3× |
| Biopsy of eyelid lining (68100) |
$2,228.10 |
$3,183 |
0.9× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$2,470.30 |
$3,529 |
2.0× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,627.50 |
$2,325 |
1.7× |
| Biopsy of ovary(s) (58900) |
$6,818.70 |
$9,741 |
2.0× |
| Biopsy of salivary gland (42405) |
$5,922 |
$8,460 |
3.6× |
| Biopsy of salivary gland; needle (42400) |
$1,239.70 |
$1,771 |
1.7× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$2,426.20 |
$3,466 |
2.5× |
| Biopsy of uterus lining (58100) |
$277.20 |
$396 |
1.3× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$3,844.40 |
$5,492 |
0.9× |
| Biopsy pleura percutaneous needle (32400) |
$2,600.50 |
$3,715 |
1.5× |
| Biopsy soft tissue neck/thorax (21550) |
$3,856.30 |
$5,509 |
2.2× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$2,198 |
$3,140 |
1.3× |
| Biopsy thyroid percutaneous core needle (60100) |
$1,417.50 |
$2,025 |
1.9× |
| Biopsy vaginal mucosa simple (57100) |
$1,292.20 |
$1,846 |
1.3× |
| Biopsy vestibule mouth (40808) |
$1,081.50 |
$1,545 |
1.9× |
| Biopsy vulva/perineum 1 lesion (56605) |
$775.60 |
$1,108 |
0.8× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$3,060.40 |
$4,372 |
1.8× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$2,691.50 |
$3,845 |
1.5× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$3,128.40 |
$4,469.14 |
0.8× |
| Biopsy, muscle; superficial (20200) |
$2,749.60 |
$3,928 |
1.6× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$2,937.20 |
$4,196 |
1.7× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$2,714.60 |
$3,878 |
1.6× |
| Bladder irrigation (51700) |
$333.90 |
$477 |
1.3× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$670.60 |
$958 |
2.0× |
| Brain canal shunt procedure (61070) |
$1,113.70 |
$1,591 |
1.5× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$5,308.80 |
$7,584 |
1.3× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$4,008.90 |
$5,727 |
1.0× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$4,442.20 |
$6,346 |
1.1× |
| Brnchsc occlusion&insert bronch valve init lobe (31647) |
$7,721.70 |
$11,031 |
1.0× |
| Brnchsc removal bronchial valve initial (31648) |
$4,109 |
$5,870 |
1.0× |
| Bronch foreign body removal (31635) |
$3,192.70 |
$4,561 |
1.7× |
| Bronch thermoplsty 1 lobe (31660) |
$7,884.10 |
$11,263 |
1.1× |
| Bronchoscopy dilate/fx repr (31630) |
$4,022.90 |
$5,747 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,396.40 |
$4,852 |
0.9× |
| Bronchoscopy w biopsy (31625) |
$2,833.60 |
$4,048 |
1.5× |
| Bronchoscopy w/markers (31626) |
$4,022.90 |
$5,747 |
0.5× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,678.90 |
$3,827 |
1.4× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$2,598.40 |
$3,712 |
6.3× |
| Bronchoscopy w/tumor excise (31640) |
$4,479.30 |
$6,399 |
1.1× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$2,412.90 |
$3,447 |
1.3× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634) |
$7,841.40 |
$11,202 |
1.1× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661) |
$8,354.50 |
$11,935 |
1.1× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$4,590.60 |
$6,558 |
1.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s)… (31636) |
$4,510.10 |
$6,443 |
0.6× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) |
$4,126.50 |
$5,895 |
0.6× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638) |
$4,479.30 |
$6,399 |
0.6× |
| Bronchoscopy/lung bx each (31628) |
$3,186.40 |
$4,552 |
0.8× |
| Bx breast 1st lesion mr imag (19085) |
$6,848.80 |
$9,784 |
3.9× |
| Bx breast 1st lesion strtctc (19081) |
$5,635 |
$8,050 |
3.2× |
| Bx breast 1st lesion us imag (19083) |
$4,689.30 |
$6,699 |
2.7× |
| Bx pancreas ndl perc (48102) |
$3,060.40 |
$4,372 |
1.8× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$268.40 |
$383.42 |
1.0× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$1,059.08 |
$1,512.97 |
5.0× |
| Canthoplasty (67950) |
$3,689.70 |
$5,271 |
1.5× |
| Cardiac surg procedure unlist (33999) |
$26,180.06 |
$37,400.08 |
39.6× |
| Care of miscarriage (59820) |
$4,271.40 |
$6,102 |
1.3× |
| Casting/strapping procedure (29799) |
$205.19 |
$293.12 |
1.2× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$362.60 |
$518 |
1.1× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$3,719.80 |
$5,314 |
1.1× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$8,738.80 |
$12,484 |
2.6× |
| Change Cystostomy Tube Simple (51705) |
$543.90 |
$777 |
2.1× |
| Change g-tube to g-j perc (49446) |
$2,389.10 |
$3,413 |
1.2× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$2,004.10 |
$2,863 |
2.7× |
| Change of windpipe airway (31502) |
$521.50 |
$745 |
2.1× |
| Chemical cauterization of granulation tissue (17250) |
$571.20 |
$816 |
2.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$973.70 |
$1,391 |
1.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$898.80 |
$1,284 |
1.2× |
| Chemodenerv saliv glands (64611) |
$650.30 |
$929 |
2.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$858.90 |
$1,227 |
1.2× |
| Chemodenerv trunk musc 6/> (64647) |
$973.70 |
$1,391 |
1.3× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$620.90 |
$887 |
1.9× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$678.30 |
$969 |
2.1× |
| Chest tube placement (32551) |
$1,877.40 |
$2,682 |
1.1× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,048.50 |
$4,355 |
1.4× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$4,422.60 |
$6,318 |
1.2× |
| Circumcision, Newborn (54150) |
$2,039.10 |
$2,913 |
0.9× |
| Closed rx humer epicondylr fx,manip (24565) |
$2,950.50 |
$4,215 |
1.7× |
| Closed rx radial shaft fx w/dislocation (25520) |
$3,240.30 |
$4,629 |
1.9× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,560.30 |
$2,229 |
0.9× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$674.10 |
$963 |
2.6× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$721.70 |
$1,031 |
2.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$501.90 |
$717 |
1.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$721.70 |
$1,031 |
2.8× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$674.10 |
$963 |
2.6× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$3,835.30 |
$5,479 |
2.3× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$4,246.90 |
$6,067 |
2.5× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$501.90 |
$717 |
1.9× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$501.90 |
$717 |
1.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,687.60 |
$5,268 |
2.2× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$808.50 |
$1,155 |
3.1× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,560.30 |
$2,229 |
0.9× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$721.70 |
$1,031 |
2.8× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,560.30 |
$2,229 |
0.9× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,074.50 |
$1,535 |
4.1× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$650.30 |
$929 |
2.5× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,186.80 |
$3,124 |
1.3× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$2,412.90 |
$3,447 |
1.4× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,560.30 |
$2,229 |
0.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$613.20 |
$876 |
2.4× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$2,688 |
$3,840 |
10.3× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,560.30 |
$2,229 |
0.9× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,074.50 |
$1,535 |
4.1× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$3,835.30 |
$5,479 |
2.3× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,560.30 |
$2,229 |
0.9× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$676.20 |
$966 |
2.6× |
| Closed treatment of ulnar styloid fracture (25650) |
$721.70 |
$1,031 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$634.90 |
$907 |
2.4× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,560.30 |
$2,229 |
0.9× |
| Closed tx femoral fracture prox head w/manj (27268) |
$4,936.40 |
$7,052 |
2.9× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$627.90 |
$897 |
2.4× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,260.60 |
$4,658 |
2.0× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$7,924 |
$11,320 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$721.70 |
$1,031 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,740.90 |
$2,487 |
1.0× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,560.30 |
$2,229 |
0.9× |
| Closed tx septal&nose fx (21337) |
$3,208.10 |
$4,583 |
0.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$541.80 |
$774 |
2.1× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$721.70 |
$1,031 |
2.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$720.30 |
$1,029 |
2.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,177.40 |
$1,682 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$653.10 |
$933 |
2.5× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,052.40 |
$2,932 |
1.3× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$4,496.10 |
$6,423 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,560.30 |
$2,229 |
0.9× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$501.90 |
$717 |
1.9× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$1,074.50 |
$1,535 |
4.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$721.70 |
$1,031 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,560.30 |
$2,229 |
0.9× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$1,607.90 |
$2,297 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$862.40 |
$1,232 |
3.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$721.70 |
$1,031 |
2.8× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,560.30 |
$2,229 |
0.9× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$548.80 |
$784 |
2.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$1,074.50 |
$1,535 |
4.1× |
| Cltx metar fx w/manj (28475) |
$534.10 |
$763 |
2.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,560.30 |
$2,229 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$569.80 |
$814 |
2.2× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,560.30 |
$2,229 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,560.30 |
$2,229 |
0.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$501.90 |
$717 |
1.9× |
| Collect blood from catheter venous nos (36592) |
$169.40 |
$242 |
1.2× |
| Collect blood from implant venous access device (36591) |
$169.40 |
$242 |
1.2× |
| Colonoscopy flexible with decompression (45393) |
$2,387.70 |
$3,411 |
1.9× |
| Colonoscopy through stoma; with transendoscopic balloon dilation Age Under 21 (44405) |
$2,630.60 |
$3,758 |
2.1× |
| Colonoscopy thru stoma spx (44388) |
$2,252.60 |
$3,218 |
2.3× |
| Colonoscopy w/ablation (45388) |
$2,571.10 |
$3,673 |
2.0× |
| Colonoscopy w/control bleed (45382) |
$2,461.20 |
$3,516 |
1.9× |
| Colonoscopy w/fb removal (45379) |
$2,268.70 |
$3,241 |
1.8× |
| Colonoscopy w/resection (45390) |
$3,153.50 |
$4,505 |
1.1× |
Colonoscopy w/stent plcmt (45389) unusually low — confirm this is the full procedure |
$2,748.20 |
$3,926 |
0.4× |
| Colonoscopy with ablation (44401) |
$3,463.60 |
$4,948 |
2.7× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,242.80 |
$3,204 |
1.8× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,178.40 |
$3,112 |
1.7× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$2,023.70 |
$2,891 |
1.6× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$2,886.10 |
$4,123 |
2.3× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$4,272.80 |
$6,104 |
1.3× |
| Colposcopy cervix (57452) |
$469 |
$670 |
2.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$574 |
$820 |
1.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$613.20 |
$876 |
1.9× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$755.30 |
$1,079 |
2.3× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$1,292.20 |
$1,846 |
1.3× |
| Colposcopy vulva (56820) |
$469 |
$670 |
2.2× |
| Colposcopy vulva w/biopsy (56821) |
$639.80 |
$914 |
2.0× |
| Colposcopy w/endocervical curettage (57456) |
$574 |
$820 |
1.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,170.70 |
$3,101 |
1.7× |
| Complete replacement picc rs&i (36584) |
$4,643.10 |
$6,633 |
2.8× |
| Complex cystometrogram voiding pressure studies (51728) |
$1,263.50 |
$1,805 |
1.7× |
| Contrast injection perq radiologic eval gi tube (49465) |
$460.60 |
$658 |
1.8× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$334.60 |
$478 |
1.5× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$434 |
$620 |
3.1× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$401.80 |
$574 |
2.9× |
| Control throat bleeding (42960) |
$721.70 |
$1,031 |
1.3× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$5,425.70 |
$7,751 |
1.4× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$2,083.90 |
$2,977 |
0.9× |
| Conz of cervix w/scope leep (57461) |
$5,352.20 |
$7,646 |
1.6× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$4,948.30 |
$7,069 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$515.90 |
$737 |
3.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$542.50 |
$775 |
2.2× |
| Curettage postpartum (59160) |
$3,719.80 |
$5,314 |
1.1× |
| Cysto/uretero w/lithotripsy (52356) |
$8,176 |
$11,680 |
1.4× |
| Cystoscopy and treatment (52310) |
$3,222.80 |
$4,604 |
1.5× |
| Cystoscopy removal of clots (52001) |
$5,913.60 |
$8,448 |
1.6× |
| Cystourethroscopy (52000) |
$1,462.30 |
$2,089 |
2.0× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$3,156.30 |
$4,509 |
1.4× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$3,222.80 |
$4,604 |
1.5× |
| Deb skin bone at fx site (11012) |
$3,917.20 |
$5,596 |
1.3× |
| Debride skin at fx site (11010) |
$2,901.50 |
$4,145 |
3.9× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$113.40 |
$162 |
1.8× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$204.40 |
$292 |
3.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,026.90 |
$1,467 |
2.4× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,198 |
$3,140 |
1.3× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,239 |
$1,770 |
1.6× |
| Declot vascular device (36593) |
$632.80 |
$904 |
1.8× |
| Deep incis foot bone infectn (28005) |
$5,451.60 |
$7,788 |
1.6× |
| Deep muscle biopsy (20205) |
$4,858.70 |
$6,941 |
1.6× |
| Delivery of placenta (59414) |
$2,660 |
$3,800 |
0.8× |
| Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15135) |
$6,347.60 |
$9,068 |
1.7× |
| Destroy nerve face muscle (64612) |
$640.50 |
$915 |
2.0× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$349.30 |
$499 |
1.7× |
| Destruction benign lesions up to 14 (17110) |
$278.60 |
$398 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,698.90 |
$2,427 |
1.8× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$2,055.90 |
$2,937 |
2.2× |
| Destruction by neurolytic agent; pudendal nerve Age Under 21 (64630) |
$1,250.20 |
$1,786 |
1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,720.90 |
$3,887 |
1.3× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$4,271.40 |
$6,102 |
1.3× |
| Diagnostic bone marrow aspirations (38220) |
$1,623.30 |
$2,319 |
0.9× |
| Diagnostic bone marrow biopsies (38221) |
$1,671.60 |
$2,388 |
1.0× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,823.80 |
$4,034 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,474.20 |
$2,106 |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,282.40 |
$1,832 |
1.3× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$4,692.80 |
$6,704 |
1.4× |
| Dilation of cervical canal (57800) |
$3,490.20 |
$4,986 |
1.0× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$2,307.90 |
$3,297 |
2.4× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$1,841.70 |
$2,631 |
2.5× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$2,019.50 |
$2,885 |
1.1× |
| Drain lower leg lesion (27603) |
$2,998.10 |
$4,283 |
1.0× |
| Drain neck/chest lesion (21501) |
$4,835.60 |
$6,908 |
1.6× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$539.70 |
$771 |
2.2× |
| Drainage external auditory canal, abscess (69020) |
$721.70 |
$1,031 |
1.0× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$2,198 |
$3,140 |
1.3× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$685.30 |
$979 |
0.9× |
| Drainage finger abscess simple (26010) |
$542.50 |
$775 |
2.6× |
| Drainage of abscess of palate, uvula (42000) |
$639.10 |
$913 |
2.6× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$3,427.20 |
$4,896 |
1.6× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$1,171.10 |
$1,673 |
2.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$721.70 |
$1,031 |
1.0× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$721.70 |
$1,031 |
1.3× |
| Drainage of eye (65800) |
$2,650.20 |
$3,786 |
1.1× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,933.40 |
$2,762 |
1.1× |
| Drainage of hydrocele (55000) |
$1,190 |
$1,700 |
1.6× |
| Drainage of nose lesion (30020) |
$1,029.70 |
$1,471 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$1,933.40 |
$2,762 |
1.1× |
| Drainage of scrotum (54700) |
$3,529.40 |
$5,042 |
1.6× |
| Drainage of tonsil abscess (42700) |
$791.70 |
$1,131 |
3.2× |
| Dry needling (20999) |
$12,313.09 |
$17,590.12 |
47.3× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$2,720.90 |
$3,887 |
1.3× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$2,720.90 |
$3,887 |
1.3× |
| Dx bronchoscope/brush (31623) |
$2,400.30 |
$3,429 |
1.3× |
| Dx bronchoscope/lavage (31624) |
$2,437.40 |
$3,482 |
1.3× |
| Dx laryngoscopy excl nb (31525) |
$2,638.30 |
$3,769 |
1.4× |
| Ed proc insert intraosseous IV (36680) |
$415.80 |
$594 |
0.9× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$427.70 |
$611 |
3.2× |
| Ed proc remve fb nasal- hospital (30300) |
$277.20 |
$396 |
2.0× |
| Ed prof arthrocentesis sm - hospital (20551) |
$557.90 |
$797 |
1.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$181.30 |
$259 |
1.3× |
| Ed prof burn - large - hospital (16030) |
$542.50 |
$775 |
1.3× |
| Ed prof burn medium - hospital (16025) |
$362.60 |
$518 |
1.7× |
| Ed prof burn small - hospital (16020) |
$321.30 |
$459 |
1.5× |
| Ed prof catheterization/straight (51701) |
$181.30 |
$259 |
1.3× |
| Ed prof closed tx post hip arthroplasty (27265) |
$721.70 |
$1,031 |
2.8× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$2,893.80 |
$4,134 |
1.7× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,560.30 |
$2,229 |
0.9× |
| Ed prof drain dental abscess-hospital (41800) |
$721.70 |
$1,031 |
5.1× |
| Ed prof insert foley cath simple (51702) |
$210.70 |
$301 |
1.5× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$3,561.60 |
$5,088 |
1.1× |
| Ed prof insertion of heart electr (33210) |
$6,134.80 |
$8,764 |
0.7× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$666.40 |
$952 |
1.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$634.90 |
$907 |
1.5× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$1,074.50 |
$1,535 |
4.1× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$560 |
$800 |
1.2× |
| Egd endo mucosal resection (43254) |
$2,020.20 |
$2,886 |
1.0× |
| Egd endoscopic stent place (43266) |
$3,577.70 |
$5,111 |
0.6× |
| Egd injection varices (43243) |
$3,268.30 |
$4,669 |
1.6× |
| Egd lesion ablation (43270) |
$3,694.60 |
$5,278 |
1.8× |
| Egd percutaneous placement gastrostomy tube (43246) |
$3,300.50 |
$4,715 |
1.6× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$3,222.10 |
$4,603 |
1.6× |
| Egd transoral control bleeding any method (43255) |
$3,294.90 |
$4,707 |
1.6× |
| Egd tube/cath insertion (43241) |
$2,349.90 |
$3,357 |
1.2× |
| Egd us exam duodenum/jejunum (43259) |
$2,720.90 |
$3,887 |
1.3× |
| Egd us fine needle bx/aspir (43242) |
$3,268.30 |
$4,669 |
1.6× |
| Egd us transmural injxn/mark (43253) |
$4,311.30 |
$6,159 |
2.1× |
| Egd w/transmural drain cyst (43240) |
$5,464.20 |
$7,806 |
0.9× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$548.10 |
$783 |
1.7× |
| Endocervical curettage (57505) |
$1,292.20 |
$1,846 |
1.3× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$2,426.20 |
$3,466 |
2.5× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$2,963.10 |
$4,233 |
3.0× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$4,319 |
$6,170 |
1.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$5,299 |
$7,570 |
1.3× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$4,473.70 |
$6,391 |
1.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$4,638.90 |
$6,627 |
1.1× |
| Endoscopic us exam esoph (43237) |
$3,211.60 |
$4,588 |
1.6× |
| Endoscopy upper small intestine (44360) |
$2,392.60 |
$3,418 |
1.2× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$5,545.40 |
$7,922 |
1.7× |
| Episiotomy or vaginal repair (59300) |
$3,719.80 |
$5,314 |
1.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$747.60 |
$1,068 |
1.0× |
| Ercp duct stent placement (43274) |
$5,539.80 |
$7,914 |
0.9× |
| Ercp ea duct/ampulla dilate (43277) |
$4,638.90 |
$6,627 |
1.1× |
| Ercp lithotripsy calculi (43265) |
$5,539.80 |
$7,914 |
0.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,877.60 |
$6,968 |
1.2× |
| Ercp remove forgn body duct (43275) |
$5,036.50 |
$7,195 |
2.5× |
| Ercp stent exchange w/dilate (43276) |
$5,539.80 |
$7,914 |
0.9× |
| Escharotomy 1st incision (16035) |
$458.50 |
$655 |
1.1× |
| Esoph egd dilation <30 mm (43249) |
$2,527.70 |
$3,611 |
1.2× |
| Esoph scope w/submucous inj (43201) |
$2,183.30 |
$3,119 |
1.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$2,277.80 |
$3,254 |
2.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$4,016.60 |
$5,738 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal… (43257) |
$4,442.90 |
$6,347 |
1.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$2,837.10 |
$4,053 |
1.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$2,911.30 |
$4,159 |
1.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes… (43210) |
$11,062.80 |
$15,804 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$2,733.50 |
$3,905 |
2.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,905.70 |
$4,151 |
3.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$2,811.20 |
$4,016 |
1.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$3,268.30 |
$4,669 |
1.6× |
| Esophagoscop mucosal resect (43211) |
$2,263.80 |
$3,234 |
1.1× |
| Esophagoscop stent placement (43212) |
$3,978.80 |
$5,684 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$2,982 |
$4,260 |
1.5× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,851.50 |
$2,645 |
1.9× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$2,162.30 |
$3,089 |
1.1× |
| Esophagoscopy lesion ablate (43229) |
$4,113.20 |
$5,876 |
1.0× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) |
$2,837.10 |
$4,053 |
1.4× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes… (43213) |
$2,289 |
$3,270 |
1.1× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$2,870.70 |
$4,101 |
1.4× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age… (43226) |
$2,762.90 |
$3,947 |
1.4× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$2,494.80 |
$3,564 |
1.2× |
| Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, zenker's diverticulum),… (43180) |
$9,160.90 |
$13,087 |
1.5× |
| Evac subungual hematoma (11740) |
$187.60 |
$268 |
1.3× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$2,443.70 |
$3,491 |
4.3× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$3,581.20 |
$5,116 |
1.6× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$2,198 |
$3,140 |
1.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$778.40 |
$1,112 |
1.0× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$780.50 |
$1,115 |
1.0× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$4,422.60 |
$6,318 |
1.2× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$3,299.80 |
$4,714 |
1.5× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$1,002.40 |
$1,432 |
2.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$4,074.70 |
$5,821 |
2.0× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$4,561.20 |
$6,516 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$919.10 |
$1,313 |
2.1× |
| Excision multiple external papillae/tags anus (46230) |
$3,735.90 |
$5,337 |
1.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$2,247 |
$3,210 |
1.4× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$3,944.50 |
$5,635 |
1.3× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$2,443.56 |
$3,490.79 |
11.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,980.90 |
$5,687 |
3.2× |
| Excision of tongue fold (41115) |
$2,565.50 |
$3,665 |
1.6× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$3,944.50 |
$5,635 |
1.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,065.30 |
$4,379 |
1.8× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$3,944.50 |
$5,635 |
1.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$3,928.40 |
$5,612 |
2.3× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$1,490.30 |
$2,129 |
0.9× |
| Exploration of arm or leg for bleeding, blood clot, or infection after surgery (35860) |
$6,352.50 |
$9,075 |
1.9× |
| Exploration penetrating wound spx extremity (20103) |
$1,842.40 |
$2,632 |
1.1× |
| Explore wound abdomen (20102) |
$3,515.40 |
$5,022 |
1.6× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$5,217.80 |
$7,454 |
1.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21 (41016) |
$7,924 |
$11,320 |
1.3× |
| Fetal contraction stress test (59020) |
$733.60 |
$1,048 |
3.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,320.90 |
$1,887 |
1.8× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$1,320.90 |
$1,887 |
1.8× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$697.90 |
$997 |
1.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,222.90 |
$1,747 |
1.6× |
| Fluid pressure muscle (20950) |
$898.80 |
$1,284 |
1.2× |
| Ganglion impar nerve block (64999) |
$548.27 |
$783.23 |
1.7× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$328.30 |
$469 |
1.4× |
| Gastric lavage (43753) |
$539.70 |
$771 |
2.4× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$697.82 |
$996.88 |
19.1× |
| Guide cathet fluid drainage (10030) |
$4,265.80 |
$6,094 |
5.7× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,282.40 |
$1,832 |
1.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$2,692.20 |
$3,846 |
0.9× |
| I&d abscess simple/single (10060) |
$463.40 |
$662 |
2.2× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$3,181.50 |
$4,545 |
1.0× |
| I&d hematoma/seroma/fluid (10140) |
$1,933.40 |
$2,762 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$721.70 |
$1,031 |
1.0× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,755.20 |
$3,936 |
1.4× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$2,387 |
$3,410 |
2.5× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$415.22 |
$593.16 |
1.6× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$3,802.40 |
$5,432 |
2.2× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$4,127.20 |
$5,896 |
2.4× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$4,127.20 |
$5,896 |
2.4× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350) |
$8,617 |
$12,310 |
0.9× |
| Incise & drain bladder (51040) |
$3,591.70 |
$5,131 |
1.6× |
| Incise external hemorrhoid (46083) |
$839.30 |
$1,199 |
3.2× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$886.20 |
$1,266 |
2.1× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$5,933.90 |
$8,477 |
3.5× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$631.40 |
$902 |
3.0× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$2,165.10 |
$3,093 |
2.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$721.70 |
$1,031 |
2.2× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$2,971.50 |
$4,245 |
1.0× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,282.40 |
$1,832 |
1.3× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$1,579.90 |
$2,257 |
0.9× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,579.90 |
$2,257 |
0.9× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$613.90 |
$877 |
1.4× |
| Incision of eyelid fold (67715) |
$3,357.20 |
$4,796 |
1.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,052.40 |
$2,932 |
1.3× |
| Incision of rectal abscess (46040) |
$2,478 |
$3,540 |
2.0× |
| Incision of windpipe (31600) |
$2,396.10 |
$3,423 |
0.7× |
| Incision of windpipe (31603) |
$2,509.50 |
$3,585 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$861.70 |
$1,231 |
1.1× |
| Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation… (0480U) |
$5,250 |
$7,500 |
2.5× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$1,272.60 |
$1,818 |
3.1× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$587.30 |
$839 |
1.7× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$280 |
$400 |
1.3× |
| Inj epidural blood or clot patch (62273) |
$849.10 |
$1,213 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,080 |
$4,400 |
3.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,658.60 |
$3,798 |
2.8× |
| Inj tx nerve (64640) |
$1,249.50 |
$1,785 |
1.3× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$667.09 |
$952.98 |
2.7× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$699.30 |
$999 |
0.9× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$2,852.20 |
$4,074.57 |
3.0× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,574.30 |
$2,249 |
1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,332.80 |
$1,904 |
1.8× |
| Injection aa&/strd greater occipital nerve (64405) |
$678.30 |
$969 |
2.1× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,033.90 |
$1,477 |
1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,255.80 |
$1,794 |
1.3× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$973.70 |
$1,391 |
1.3× |
| Injection aa&/strd pudendal nerve (64430) |
$1,249.50 |
$1,785 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,454.60 |
$2,078 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$301 |
$430 |
0.9× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$1,446.20 |
$2,066 |
1.6× |
| Injection anes superior hypogastric plexus (64517) |
$1,713.60 |
$2,448 |
1.8× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$2,435.30 |
$3,479 |
1.9× |
| Injection eye drug (67028) |
$567.70 |
$811 |
1.6× |
| Injection for identification of sentinel node (38792) |
$423.50 |
$605 |
1.0× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$1,553.30 |
$2,219 |
0.9× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$842.10 |
$1,203 |
1.3× |
| Injection sclerosing solution hemorrhoids (46500) |
$1,591.10 |
$2,273 |
1.6× |
| Injection therapeutic carpal tunnel (20526) |
$570.50 |
$815 |
1.8× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$1,664.60 |
$2,378 |
1.8× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$1,565.90 |
$2,237 |
1.7× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$415.80 |
$594 |
1.3× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$473.20 |
$676 |
1.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$578.90 |
$827 |
1.8× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,689.10 |
$2,413 |
1.8× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$604.10 |
$863 |
1.9× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62281) |
$1,805.30 |
$2,579 |
1.9× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$1,805.30 |
$2,579 |
1.9× |
| Ins cath ren art 1st bilat (36252) |
$3,152.80 |
$4,504 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$2,251.90 |
$3,217 |
0.7× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,291.30 |
$7,559 |
0.9× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$23,017.40 |
$32,882 |
3.9× |
| Ins vag brachytx device (57156) |
$732.90 |
$1,047 |
2.3× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$57,112.30 |
$81,589 |
1.7× |
| Insert and remove bone pin (20650) |
$3,561.60 |
$5,088 |
1.0× |
| Insert cervical dilator (59200) |
$601.30 |
$859 |
1.9× |
| Insert drug implant device (11981) |
$294.70 |
$421 |
2.1× |
| Insert gastrostomy tube percutaneous (49440) |
$2,447.20 |
$3,496 |
1.2× |
| Insert heart pm atrial (33206) |
$14,210.70 |
$20,301 |
1.3× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$3,686.20 |
$5,266 |
1.1× |
| Insert pulse gen mult leads (33221) |
$14,100.10 |
$20,143 |
0.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,064.50 |
$7,235 |
1.3× |
| Insertion of breast implant on same day of mastectomy (ie, immediate) Age Under 21 (19340) |
$10,496.50 |
$14,995 |
1.2× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$23,130.80 |
$33,044 |
1.0× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$14,949.20 |
$21,356 |
1.4× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$12,051.90 |
$17,217 |
1.1× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$11,478.60 |
$16,398 |
1.3× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$1,803.90 |
$2,577 |
1.1× |
| Insertion of probe to widen saliva gland duct (42650) |
$2,881.20 |
$4,116 |
1.8× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$5,194.70 |
$7,421 |
1.4× |
| Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) |
$17,054.80 |
$24,364 |
0.9× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$292.60 |
$418 |
1.3× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$8,866.20 |
$12,666 |
2.7× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$5,464.90 |
$7,807 |
1.6× |
| Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) |
$10,357.90 |
$14,797 |
1.2× |
| Insertion phrenic nerve stimulator system (33276) |
$63,394.10 |
$90,563 |
1.4× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$3,466.40 |
$4,952 |
2.1× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$3,353 |
$4,790 |
2.0× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,567.60 |
$3,668 |
3.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,689 |
$15,270 |
1.2× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$8,474.90 |
$12,107 |
1.0× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,107 |
$13,010 |
1.0× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$9,800.70 |
$14,001 |
0.9× |
| Insj intraperitoneal catheter w/img guid (49418) |
$7,999.60 |
$11,428 |
2.1× |
| Insj of subq implantable defibrillator electrode (33271) |
$7,781.20 |
$11,116 |
0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,292 |
$7,560 |
1.6× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$48,923.70 |
$69,891 |
1.5× |
| Insrt heart pm atrial & vent (33208) |
$18,132.80 |
$25,904 |
1.6× |
| Insrt pulse gen w/dual leads (33230) |
$39,494 |
$56,420 |
1.7× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$1,054.20 |
$1,506 |
1.6× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$1,138.90 |
$1,627 |
1.7× |
| Intraoral i&d tongue/floor lingual (41000) |
$2,246.30 |
$3,209 |
3.9× |
| Intraoral i&d tongue/floor masticator space (41009) |
$4,184.60 |
$5,978 |
7.4× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$917.70 |
$1,311 |
3.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,830.40 |
$5,472 |
1.1× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$2,680.30 |
$3,829 |
1.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$21,802.90 |
$31,147 |
1.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$9,934.40 |
$14,192 |
1.7× |
| Intubation endotracheal (31500) |
$859.60 |
$1,228 |
3.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$756.70 |
$1,081 |
2.9× |
| Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) |
$83.18 |
$118.82 |
2.3× |
| Laryngoscopy flex diagnostic (31575) |
$397.60 |
$568 |
1.9× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$3,131.80 |
$4,474 |
7.6× |
| Laryngoscopy indirect diagnostic (31505) |
$287 |
$410 |
1.4× |
| Laryngoscopy w/biopsy (31535) |
$4,455.50 |
$6,365 |
1.1× |
| Laryngoscopy w/foreign body removal (31530) |
$2,585.80 |
$3,694 |
1.4× |
| Laryngoscopy,direct, injctn arytenoid/larynx, agmenttn,w/ or w/o mcrscp (31599) |
$2,443.56 |
$3,490.79 |
9.8× |
| Ligation of a-v fistula (37607) |
$5,614 |
$8,020 |
1.7× |
| Ligation or biopsy, temporal artery (37609) |
$3,021.20 |
$4,316 |
1.7× |
| Lip mucosa excision and reapproximation (40799) |
$534.73 |
$763.89 |
2.1× |
| Long gi tube placement (44500) |
$1,283.10 |
$1,833 |
1.3× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$2,003.12 |
$2,861.60 |
7.7× |
| Lumbar puncture (62270) |
$973.70 |
$1,391 |
1.3× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$1,595.30 |
$2,279 |
0.9× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$2,916.90 |
$4,167 |
1.7× |
| Mastotomy expl drg absc dp (19020) |
$2,515.10 |
$3,593 |
1.4× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$190.40 |
$272 |
3.1× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,059.08 |
$1,512.97 |
1.6× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,803.90 |
$2,577 |
1.1× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$3,190.60 |
$4,558 |
1.0× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$2,370.90 |
$3,387 |
2.9× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$2,473.10 |
$3,533 |
3.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$2,405.20 |
$3,436 |
2.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,405.20 |
$3,436 |
2.9× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$752.50 |
$1,075 |
3.0× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$275.80 |
$394 |
1.3× |
| Nasal surg proc unlisted (30999) |
$534.73 |
$763.89 |
2.1× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$2,638.30 |
$3,769 |
1.4× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$5,426.39 |
$7,751.98 |
5.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$49 |
$70 |
1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$53.90 |
$77 |
1.8× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$532 |
$760 |
2.0× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$262.50 |
$375 |
2.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$2,977.10 |
$4,253 |
3.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,249.50 |
$1,785 |
1.3× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$4,159.40 |
$5,942 |
1.1× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$5,468.40 |
$7,812 |
1.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,964.90 |
$2,807 |
2.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,811.60 |
$2,588 |
2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,640.80 |
$2,344 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$2,394 |
$3,420 |
2.6× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,422.40 |
$2,032 |
1.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$3,870.30 |
$5,529 |
5.3× |
| Non stress test (59025) |
$359.10 |
$513 |
1.7× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$4,389 |
$6,270 |
1.3× |
| Obstructive material removal from gi tube (49460) |
$1,283.10 |
$1,833 |
1.3× |
| Open treatment bimalleolar ankle fracture (27814) |
$9,616.60 |
$13,738 |
1.3× |
| Open tx distal fibular fracture lat malleolus (27792) |
$6,902 |
$9,860 |
0.9× |
| Open tx distal phalangeal fracture each (26765) |
$4,484.90 |
$6,407 |
1.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$4,284.70 |
$6,121 |
1.2× |
| Open/perq placement intravascular stent initial (37236) |
$26,610.50 |
$38,015 |
2.2× |
| Open/perq placement intravascular stent same 1st (37238) |
$19,711.30 |
$28,159 |
1.6× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$5,416.60 |
$7,738 |
1.6× |
| Other procedure on rectum using an endoscope (45499) |
$10,305.05 |
$14,721.49 |
1.6× |
| Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or… (65815) |
$2,650.20 |
$3,786 |
1.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$304.50 |
$435 |
1.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$331.80 |
$474 |
1.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$280 |
$400 |
1.3× |
| Partial excision distal phalanx finger (26236) |
$2,814 |
$4,020 |
1.7× |
| Partical excision bone phalanx toe (28124) |
$5,669.30 |
$8,099 |
1.6× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$4,356.80 |
$6,224 |
1.3× |
| Penile injection (54235) |
$501.90 |
$717 |
1.9× |
| Perc rf ablate renal tumor (50592) |
$10,180.80 |
$14,544 |
1.6× |
| Percut ablate liver rf (47382) |
$12,477.50 |
$17,825 |
2.0× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$1,055.60 |
$1,508 |
1.4× |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080) |
$16,053.10 |
$22,933 |
1.6× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$3,625.98 |
$5,179.97 |
13.9× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$14,618.80 |
$20,884 |
4.4× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$6,013.70 |
$8,591 |
1.5× |
| Pericardiocentesis w/img guidance when performed (33016) |
$6,199.20 |
$8,856 |
3.7× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$1,283.10 |
$1,833 |
1.3× |
| Perq dev breast 1st strtctc (19283) |
$3,318.70 |
$4,741 |
4.4× |
| Perq dev breast 1st us imag (19285) |
$2,996.70 |
$4,281 |
4.0× |
| Perq device breast 1st imag (19281) |
$3,129 |
$4,470 |
1.8× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,650.10 |
$6,643 |
1.3× |
| Perq drainage pleura insert cath w/imaging (32557) |
$2,608.90 |
$3,727 |
1.6× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,990.10 |
$2,843 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$762.30 |
$1,089 |
2.9× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$24,131.80 |
$34,474 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$22,675.10 |
$32,393 |
1.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$11,667.60 |
$16,668 |
1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$10,035.20 |
$14,336 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$10,212.30 |
$14,589 |
1.3× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$6,176.80 |
$8,824 |
1.8× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$5,186.30 |
$7,409 |
1.5× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$1,836.80 |
$2,624 |
2.4× |
| Place duod/jej tube perc (49441) |
$2,389.10 |
$3,413 |
1.2× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$1,433.60 |
$2,048 |
1.0× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$2,911.30 |
$4,159 |
2.0× |
| Plastic repair of canaliculi (68700) |
$3,317.30 |
$4,739 |
1.3× |
| Plmt access thru biliary tree into small bwl new (47541) |
$7,324.80 |
$10,464 |
1.1× |
| Plmt bile duct stent prq existing access (47538) |
$10,262 |
$14,660 |
1.6× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$11,288.20 |
$16,126 |
1.8× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$12,417.30 |
$17,739 |
1.9× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$7,189 |
$10,270 |
3.3× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$7,093.10 |
$10,133 |
1.9× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,417.50 |
$2,025 |
1.9× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$6,659.10 |
$9,513 |
1.8× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$4,479.30 |
$6,399 |
1.2× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$5,195.40 |
$7,422 |
1.4× |
| Pr brnchsc removal bronchial valve ea addl (31649) |
$1,984.50 |
$2,835 |
1.1× |
| Pr transfusion intrauterine fetal (36460) |
$773.50 |
$1,105 |
1.7× |
| Preputial stretching (54450) |
$895.30 |
$1,279 |
3.4× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$11,993.10 |
$17,133 |
0.6× |
| Probe nasolacrimal duct (68815) |
$3,231.90 |
$4,617 |
1.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$1,905.40 |
$2,722 |
1.5× |
| Prq impltj nstim electrode array epidural (63650) |
$8,572.90 |
$12,247 |
1.3× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$5,236 |
$7,480 |
1.4× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$7,334.60 |
$10,478 |
1.9× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$9,835.70 |
$14,051 |
3.0× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$14,129.50 |
$20,185 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$529.20 |
$756 |
1.2× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$562.80 |
$804 |
1.3× |
| Puncture aspiration of cyst of breast (19000) |
$1,766.10 |
$2,523 |
2.4× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$3,672.59 |
$5,246.55 |
3.8× |
| Radiant-neck/chest procedure unlisted (21899) |
$934.72 |
$1,335.31 |
3.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,720.90 |
$3,887 |
1.3× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$1,890 |
$2,700 |
0.9× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$353.50 |
$505 |
1.7× |
| Relocate skin pocket implantable defibrillator (33223) |
$4,783.80 |
$6,834 |
2.2× |
| Relocation of skin pocket for pacemaker (33222) |
$4,092.20 |
$5,846 |
1.9× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$4,777.50 |
$6,825 |
2.2× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,283.10 |
$1,833 |
1.3× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$898.80 |
$1,284 |
1.2× |
| Removal foreign body mouth (40804) |
$1,610.70 |
$2,301 |
1.7× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,755.60 |
$2,508 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$119.70 |
$171 |
1.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$181.30 |
$259 |
2.9× |
| Removal implant superficial (20670) |
$4,258.80 |
$6,084 |
2.4× |
| Removal implantable contraceptive capsules (11976) |
$2,901.50 |
$4,145 |
3.9× |
| Removal implantable defib pulse generator only (33241) |
$4,039 |
$5,770 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,649.90 |
$2,357 |
1.3× |
| Removal of foreign bodies from large bowel using an endoscope inserted through surgically created opening from large… (44390) |
$2,185.40 |
$3,122 |
2.2× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$2,562.70 |
$3,661 |
1.5× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,549.80 |
$2,214 |
0.9× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$4,835.60 |
$6,908 |
1.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$250.60 |
$358 |
1.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$504.70 |
$721 |
1.1× |
| Removal of foreign body, foot; deep (28192) |
$2,875.60 |
$4,108 |
1.7× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$4,147.50 |
$5,925 |
1.7× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$5,651.10 |
$8,073 |
1.6× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$409.26 |
$584.65 |
1.6× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$3,231.20 |
$4,616 |
2.6× |
| Removal of iud (58301) |
$362.60 |
$518 |
1.1× |
| Removal of lining of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44403) |
$2,946.30 |
$4,209 |
2.3× |
| Removal of nail bed (11750) |
$751.80 |
$1,074 |
1.8× |
| Removal of pm generator (33233) |
$6,350.40 |
$9,072 |
0.7× |
| Removal of salivary stone (42330) |
$3,830.40 |
$5,472 |
1.1× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$5,866.70 |
$8,381 |
1.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$362.60 |
$518 |
1.7× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$5,534.90 |
$7,907 |
1.6× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$5,071.50 |
$7,245 |
1.3× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$4,476.50 |
$6,395 |
1.1× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,591.30 |
$6,559 |
1.4× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$533.40 |
$762 |
1.8× |
| Removal phrenic nerve stimulator system (33278) |
$6,682.20 |
$9,546 |
1.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,736.70 |
$2,481 |
2.3× |
| Removal tunneled cv cath (36590) |
$1,803.90 |
$2,577 |
1.1× |
| Removal, non-biodegradable drug delivery implant (11982) |
$802.20 |
$1,146 |
1.7× |
| Removal/revision of cast (29700) |
$277.20 |
$396 |
0.9× |
| Remove eyelid foreign body (67938) |
$287.70 |
$411 |
0.9× |
| Remove foreign body from eye (65210) |
$560 |
$800 |
1.2× |
| Remove lung catheter (32552) |
$742.70 |
$1,061 |
1.1× |
| Remove pharynx foreign body (42809) |
$456.40 |
$652 |
1.0× |
| Remove stent via transureth (50386) |
$3,587.50 |
$5,125 |
1.6× |
| Remove ureter stent percut (50384) |
$3,989.30 |
$5,699 |
1.8× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$12,015.50 |
$17,165 |
1.1× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$15,616.30 |
$22,309 |
0.8× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$11,478.60 |
$16,398 |
1.3× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$2,347.80 |
$3,354 |
1.3× |
| Repair achilles tendon (27650) |
$6,902 |
$9,860 |
0.9× |
| Repair blood vessel lesion (35226) |
$1,673 |
$2,390 |
2.2× |
| Repair blood vessel upper ext (35206) |
$3,719.80 |
$5,314 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$851.90 |
$1,217 |
2.0× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$896.70 |
$1,281 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$896.70 |
$1,281 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,409.80 |
$2,014 |
1.8× |
| Repair extensor tendon hand w/o graft each (26410) |
$3,257.10 |
$4,653 |
1.9× |
| Repair eyelid wound (67930) |
$2,908.50 |
$4,155 |
1.2× |
| Repair finger tendon (26418) |
$3,257.10 |
$4,653 |
1.9× |
| Repair finger/hand tendon (26350) |
$4,347.70 |
$6,211 |
1.3× |
| Repair forearm tendon/muscle (25260) |
$4,284.70 |
$6,121 |
1.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$602.70 |
$861 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$632.80 |
$904 |
1.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$697.20 |
$996 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$732.20 |
$1,046 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$666.40 |
$952 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$573.30 |
$819 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$602 |
$860 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$634.90 |
$907 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$469 |
$670 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$590.10 |
$843 |
1.4× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$700 |
$1,000 |
0.9× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$664.30 |
$949 |
1.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$768.60 |
$1,098 |
1.8× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,890 |
$2,700 |
0.9× |
| Repair lead pace-defib dual (33220) |
$6,426.70 |
$9,181 |
1.6× |
| Repair lead pace-defib one (33218) |
$5,588.10 |
$7,983 |
1.4× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,113 |
$1,590 |
2.0× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$1,268.40 |
$1,812 |
2.2× |
| Repair of digit nerve (64831) |
$4,043.20 |
$5,776 |
2.0× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$721.70 |
$1,031 |
1.5× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,199.80 |
$1,714 |
4.8× |
| Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age Under 21 (65270) |
$3,231.90 |
$4,617 |
1.3× |
| Repair of nail bed (11760) |
$714 |
$1,020 |
0.9× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$1,078 |
$1,540 |
1.6× |
| Repair tongue lacer,post 1/3 (41251) |
$578.20 |
$826 |
2.3× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$896.70 |
$1,281 |
1.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,022.70 |
$1,461 |
1.3× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$896 |
$1,280 |
2.1× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$1,148 |
$1,640 |
1.5× |
| Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664) |
$6,902 |
$9,860 |
0.9× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$4,061.40 |
$5,802 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,283.10 |
$1,833 |
1.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,283.10 |
$1,833 |
1.3× |
| Replace picvad cath (36585) |
$9,034.20 |
$12,906 |
2.7× |
| Replace tunneled cv cath (36582) |
$5,763.10 |
$8,233 |
1.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,691.20 |
$2,416 |
1.8× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$3,190.60 |
$4,558 |
1.0× |
| Repos previously implanted subq implantable dfb (33273) |
$4,039 |
$5,770 |
1.0× |
| Reposition l ventric lead (33226) |
$3,775.80 |
$5,394 |
1.1× |
| Reposition venous catheter (36597) |
$1,875.30 |
$2,679 |
1.1× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$1,004.50 |
$1,435 |
3.8× |
| Reset dislocated jaw (21480) |
$534.80 |
$764 |
2.1× |
| Revise abdomen-venous shunt (49426) |
$6,373.50 |
$9,105 |
1.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$13,189.40 |
$18,842 |
2.0× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$28,334.60 |
$40,478 |
4.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,697.10 |
$3,853 |
1.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,877 |
$4,110 |
1.8× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$272.30 |
$389 |
1.9× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$373.80 |
$534 |
2.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,736.90 |
$6,767 |
1.5× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$32,533.90 |
$46,477 |
1.0× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$30,027.20 |
$42,896 |
1.3× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$31,226.30 |
$44,609 |
1.3× |
| Rmvl nfros tube req fluoro guidance (50389) |
$938 |
$1,340 |
1.3× |
| Rmvl of access device (36589) |
$1,509.20 |
$2,156 |
2.3× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$4,039 |
$5,770 |
1.0× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$5,412.40 |
$7,732 |
1.5× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$6,013.70 |
$8,591 |
1.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$12,682.60 |
$18,118 |
6.2× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$58,555.70 |
$83,651 |
1.8× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$38,961.30 |
$55,659 |
3.3× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$5,291.30 |
$7,559 |
1.3× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$5,292 |
$7,560 |
3.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,463.50 |
$7,805 |
1.6× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$9,425.50 |
$13,465 |
1.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,728.60 |
$3,898 |
1.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,444.10 |
$2,063 |
1.9× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$1,490.30 |
$2,129 |
0.9× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$5,383.70 |
$7,691 |
1.6× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$17,049.90 |
$24,357 |
5.1× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$3,047.10 |
$4,353 |
1.7× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$4,561.90 |
$6,517 |
1.2× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$2,918.18 |
$4,168.82 |
3.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$562.10 |
$803 |
2.7× |
| Sigmoidoscopy & polypectomy (45333) |
$2,107 |
$3,010 |
2.1× |
| Sigmoidoscopy flx control bleeding (45334) |
$2,617.30 |
$3,739 |
2.1× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$2,572.50 |
$3,675 |
2.6× |
| Sigmoidoscopy w/ablation (45346) |
$3,562.30 |
$5,089 |
2.8× |
| Sigmoidoscopy w/fb removal (45332) |
$2,007.60 |
$2,868 |
1.6× |
| Sigmoidoscopy w/resection (45349) |
$2,729.30 |
$3,899 |
0.9× |
| Sigmoidoscopy w/us guide bx (45342) |
$3,273.90 |
$4,677 |
2.6× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$2,209.20 |
$3,156 |
2.3× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$1,514.80 |
$2,164 |
1.5× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) |
$6,433.70 |
$9,191 |
1.0× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$2,684.50 |
$3,835 |
2.1× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$1,740.20 |
$2,486 |
1.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$368.90 |
$527 |
1.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$381.50 |
$545 |
1.8× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$411.60 |
$588 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$520.10 |
$743 |
2.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$333.90 |
$477 |
1.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$542.50 |
$775 |
2.6× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$543.20 |
$776 |
1.3× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$542.50 |
$775 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$407.40 |
$582 |
1.9× |
| Skin tissue procedure unlisted (17999) |
$401.38 |
$573.39 |
1.9× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$10,226.30 |
$14,609 |
1.7× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$9,260.30 |
$13,229 |
2.8× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$12,551.70 |
$17,931 |
2.1× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$13,187.30 |
$18,839 |
4.0× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$15,334.20 |
$21,906 |
2.6× |
| Slitting of prepuce (54001) |
$3,714.90 |
$5,307 |
1.7× |
| Small bowel endoscopy (44366) |
$3,985.80 |
$5,694 |
2.0× |
| Small bowel endoscopy (44376) |
$3,350.20 |
$4,786 |
1.7× |
| Small bowel endoscopy/biopsy (44361) |
$2,646 |
$3,780 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$4,205.60 |
$6,008 |
2.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$3,266.90 |
$4,667 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$3,208.80 |
$4,584 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$3,997 |
$5,710 |
2.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign… (44363) |
$3,336.20 |
$4,766 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$3,268.30 |
$4,669 |
1.6× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$401.80 |
$574 |
1.9× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$416.50 |
$595 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$474.60 |
$678 |
1.1× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$4,813.20 |
$6,876 |
2.2× |
| Stomach surgery procedure unlisted (43999) |
$1,897.70 |
$2,711 |
2.0× |
| Strapping elbow or wrist (29260) |
$136.50 |
$195 |
2.2× |
| Strapping hand/finger (29280) |
$138.60 |
$198 |
2.2× |
| Strapping of knee (29530) |
$268.10 |
$383 |
1.9× |
| Strapping of shoulder (29240) |
$205.10 |
$293 |
1.5× |
| Strapping of toes (29550) |
$90.30 |
$129 |
1.5× |
| Strapping unna boot (29580) |
$286.30 |
$409 |
1.7× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,890 |
$2,700 |
2.4× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$2,126.60 |
$3,038 |
2.7× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$1,472.80 |
$2,104 |
3.4× |
| Suture of facial nerve; extracranial Age Under 21 (64864) |
$6,342 |
$9,060 |
0.7× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$3,231.90 |
$4,617 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$335.30 |
$479 |
0.8× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$42,357 |
$60,510 |
1.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$22,166.20 |
$31,666 |
1.1× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$5,866.70 |
$8,381 |
1.8× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$3,024.70 |
$4,321 |
1.8× |
| Therapeutic apheresis platelet (36513) |
$4,179 |
$5,970 |
9.0× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$6,617.80 |
$9,454 |
4.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,474.20 |
$2,106 |
2.0× |
| Therapeutic spinal puncture drainage csf (62272) |
$973.70 |
$1,391 |
1.3× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,871.10 |
$2,673 |
2.8× |
| Throat surgery procedure (42999) |
$1,322.30 |
$1,888.99 |
5.3× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$4,381.30 |
$6,259 |
1.3× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$6,862.10 |
$9,803 |
1.2× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$5,995.50 |
$8,565 |
1.8× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$2,638.30 |
$3,769 |
10.6× |
| Transcatheter biopsy (37200) |
$5,503.40 |
$7,862 |
0.9× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$7,172.20 |
$10,246 |
0.6× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624) unusually low — confirm this is the full procedure |
$9,247 |
$13,210 |
0.5× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Age Under 21 (15650) |
$3,383.10 |
$4,833 |
1.6× |
| Transfusion, blood or blood components (36430) |
$805 |
$1,150 |
1.7× |
| Transoral lower esophageal myotomy (43497) |
$6,108.20 |
$8,726 |
1.0× |
| Treat big toe fracture (28495) |
$721.70 |
$1,031 |
2.8× |
| Treat dental ridge fracture (21440) |
$4,496.10 |
$6,423 |
1.3× |
| Treat hip socket fracture (27222) |
$1,074.50 |
$1,535 |
4.1× |
| Treat humerus fracture (24577) |
$1,560.30 |
$2,229 |
0.9× |
| Treat knee fracture (27532) |
$3,151.40 |
$4,502 |
0.9× |
| Treat lower leg fracture (27825) |
$1,560.30 |
$2,229 |
0.9× |
| Treat mouth roof fracture (21421) |
$7,289.80 |
$10,414 |
2.1× |
| Treat thumb fracture (26645) |
$1,560.30 |
$2,229 |
0.9× |
| Treat toe dislocation (28630) |
$643.30 |
$919 |
2.5× |
| Treat ulnar fracture (24675) |
$1,560.30 |
$2,229 |
0.9× |
| Treat wrist bone fracture (25635) |
$2,731.40 |
$3,902 |
1.6× |
| Treat wrist bone fracture (25624) |
$2,736.30 |
$3,909 |
1.6× |
| Treat wrist dislocation (25690) |
$1,560.30 |
$2,229 |
0.9× |
| Treat wrist dislocation (25675) |
$378 |
$540 |
1.5× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,323.30 |
$3,319 |
1.4× |
| Treatment of bladder lesion (51720) |
$1,250.90 |
$1,787 |
1.7× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$721.70 |
$1,031 |
2.8× |
| Treatment of foot infection (28003) |
$5,933.90 |
$8,477 |
1.7× |
| Treatment of heel fracture (28405) |
$501.90 |
$717 |
1.9× |
| Treatment of miscarriage (59812) |
$4,271.40 |
$6,102 |
1.3× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$568.40 |
$812 |
2.2× |
| Trimming of nondystrophic nails, any number (11719) |
$143.50 |
$205 |
2.3× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$11,064.20 |
$15,806 |
1.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$15,751.40 |
$22,502 |
2.6× |
| Tx superficial wound dehiscence simple closure (12020) |
$1,085.70 |
$1,551 |
1.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$808.50 |
$1,155 |
1.9× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$2,631.30 |
$3,759 |
1.6× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$1,724.11 |
$2,463.01 |
0.7× |
| Unlisted msk procedure head drainage of a pseudomeningocele in subgaleal most like 10160 (21499) |
$2,246.67 |
$3,209.52 |
9.0× |
| Unlisted procedure anus (46999) |
$647.71 |
$925.29 |
0.7× |
| Unlisted procedure colon (45399) |
$1,628.37 |
$2,326.24 |
1.7× |
| Unlisted procedure leg/ankle (27899) |
$534.73 |
$763.89 |
2.1× |
| Unlisted procedure pancreas (48999) |
$863.21 |
$1,233.15 |
1.2× |
| Unlisted procedure rectum (45999) |
$1,565.74 |
$2,236.77 |
1.6× |
| Unlisted procedure, dentoalveolar structures (41899) |
$406.06 |
$580.08 |
1.6× |
| Unlisted procedure, hands or fingers (26989) |
$794.83 |
$1,135.47 |
3.1× |
| Unlisted procedure, liver (47399) |
$1,237.60 |
$1,768 |
1.7× |
| Unlisted procedure, vestibule of mouth (40899) |
$1,081.48 |
$1,544.96 |
4.3× |
| Upgrade of pacemaker system (33214) |
$13,826.40 |
$19,752 |
1.3× |
| Upper arm/elbow surgery unlisted (24999) |
$401.28 |
$573.25 |
1.5× |
| Urology surgery procedure unlisted (53899) |
$1,144.50 |
$1,635 |
4.3× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$1,310.89 |
$1,872.70 |
2.8× |
| Vaginal delivery (59409) |
$5,516 |
$7,880 |
1.6× |
| Vasc embolize/occlude bleed (37244) |
$13,673.80 |
$19,534 |
1.1× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$12,413.10 |
$17,733 |
0.6× |
| Vascular embolization or occlusion venous rs&i (37241) |
$10,128.30 |
$14,469 |
0.8× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$13,673.80 |
$19,534 |
1.1× |
| Vascular surgery procedure (37799) |
$2,110.90 |
$3,015.56 |
3.2× |
| Venipuncture (36415) |
$34.30 |
$49 |
3.7× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$1,250.20 |
$1,786 |
1.3× |
| Version cephalic external (59412) |
$2,593.50 |
$3,705 |
0.8× |
| Wedge excision skin nail fold (11765) |
$542.50 |
$775 |
1.3× |