| Abd paracentesis w/imaging (49083) |
$1,249.04 |
$2,402 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,268.28 |
$2,439 |
1.2× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$8,882.64 |
$17,082 |
0.7× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$7,297.68 |
$14,034 |
0.4× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$20,375.68 |
$39,184 |
1.7× |
| Ablation Ther 1+ Pulm Tumors Perq Cryoablation (32994) |
$9,350.64 |
$17,982 |
0.8× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$14,727.44 |
$28,322 |
1.8× |
| Abltj 1/> lvr tum prq rf (47382) |
$9,256.52 |
$17,801 |
1.3× |
| Abrasion single lesion (15786) |
$360.88 |
$694 |
1.6× |
| Acne surgery (10040) |
$360.88 |
$694 |
1.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,100.72 |
$7,886 |
1.7× |
| Amniocentesis diagnostic (59000) |
$1,941.16 |
$3,733 |
1.9× |
| Amniocentesis therapeutic (59001) |
$1,164.80 |
$2,240 |
3.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$4,449.64 |
$8,557 |
1.2× |
| Amputation Finger/Thumb (26951) |
$4,434.04 |
$8,527 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,486.04 |
$8,627 |
1.2× |
| Anoscopy diagnostic (46600) |
$136.76 |
$263 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,933.36 |
$3,718 |
1.8× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$395.72 |
$761 |
2.1× |
| Application cast elbow finger short arm (29075) |
$634.40 |
$1,220 |
2.0× |
| Application Cast Finger (29086) |
$364 |
$700 |
2.0× |
| Application cast shoulder hand long arm (29065) |
$634.40 |
$1,220 |
2.0× |
| Application Finger Splint Dynamic (29131) |
$100.36 |
$193 |
1.5× |
| Application finger splint static (29130) |
$191.36 |
$368 |
1.3× |
| Application Halo Cranial Including Removal (20661) |
$720.20 |
$1,385 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$465.40 |
$895 |
2.5× |
| Application of long leg cast (29345) |
$634.40 |
$1,220 |
2.0× |
| Application of rigid total contact leg cast (29445) |
$698.36 |
$1,343 |
2.2× |
| Application Short Arm Splint Dynamic (29126) |
$312.52 |
$601 |
2.1× |
| Application short arm splint forearm-hand static (29125) |
$478.92 |
$921 |
3.2× |
| Apply Hand/Wrist Cast (29085) |
$702 |
$1,350 |
3.8× |
| Apply long leg splint (29505) |
$364 |
$700 |
2.0× |
| Apply short leg cast (29405) |
$634.40 |
$1,220 |
2.0× |
| Apply short leg cast (29425) |
$810.68 |
$1,559 |
2.5× |
| Apply short leg splint (29515) |
$364 |
$700 |
2.0× |
| Arterial puncture (36600) |
$278.72 |
$536 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$683.28 |
$1,314 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$683.28 |
$1,314 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$683.28 |
$1,314 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$683.28 |
$1,314 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$683.28 |
$1,314 |
2.0× |
| Aspirate pleura w/ imaging (32555) |
$1,529.84 |
$2,942 |
2.1× |
| Aspirate/Inj Ganglion Cyst (20612) |
$683.28 |
$1,314 |
2.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,465.36 |
$2,818 |
1.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,589.52 |
$8,826 |
1.9× |
| Aspiration bladder needle (51100) |
$1,926.08 |
$3,704 |
6.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$531.44 |
$1,022 |
2.3× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$4,501.12 |
$8,656 |
0.6× |
| Biliary endoscopy percut,dil strict (47555) |
$5,591.04 |
$10,752 |
0.8× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$10,575.76 |
$20,338 |
0.9× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,575.76 |
$20,338 |
0.9× |
| Biopsy bone open superficial (20240) |
$6,131.84 |
$11,792 |
1.9× |
| Biopsy bone trocar/needle deep (20225) |
$4,308.20 |
$8,285 |
2.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,870.92 |
$5,521 |
1.5× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,941.16 |
$3,733 |
1.9× |
| Biopsy muscle percutaneous needle (20206) |
$2,870.92 |
$5,521 |
1.5× |
| Biopsy Nail Unit Separate Procedure (11755) |
$1,465.36 |
$2,818 |
1.8× |
| Biopsy pleura percutaneous needle (32400) |
$2,033.20 |
$3,910 |
1.1× |
| Biopsy Salivary Gland,Needle (42400) |
$2,870.92 |
$5,521 |
3.6× |
| Biopsy soft tissue neck/thorax (21550) |
$3,078.92 |
$5,921 |
1.6× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$2,398.24 |
$4,612 |
1.3× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$2,712.84 |
$5,217 |
1.4× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,458.08 |
$2,804 |
0.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,084.72 |
$2,086 |
1.0× |
| Bl exchange/transfuse nb (36450) |
$166.92 |
$321 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$899.08 |
$1,729 |
1.1× |
| Bladder Irrigation Simple (51700) |
$776.88 |
$1,494 |
2.7× |
| Blepharotomy drain absc eyelid (67700) |
$1,082.64 |
$2,082 |
3.0× |
| Blood patch (62273) |
$1,783.60 |
$3,430 |
2.2× |
| Blood transfusion service (36430) |
$334.36 |
$643 |
0.7× |
| Blood/Lymph System Procedure (38999) |
$754.52 |
$1,451 |
1.5× |
| Bone marrow aspiration only (38220) |
$2,870.92 |
$5,521 |
1.5× |
| Bone Marrow Biopsy (38221) |
$4,308.20 |
$8,285 |
2.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,870.92 |
$5,521 |
1.5× |
| Bx anorectal wall anal approach (45100) |
$5,062.20 |
$9,735 |
1.6× |
| Bx breast 1st lesion mr imag (19085) |
$3,051.36 |
$5,868 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$2,033.20 |
$3,910 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$2,033.20 |
$3,910 |
1.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$675.48 |
$1,299 |
0.4× |
| Bx/exc lymph node needle superficial (38505) |
$2,870.92 |
$5,521 |
1.5× |
| Casting/strapping procedure (29799) |
$364 |
$700 |
2.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$457.08 |
$879 |
1.8× |
| Cessj Therapy Cath Removal (37214) |
$4,848.48 |
$9,324 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$1,367.60 |
$2,630 |
1.7× |
| Change of cystostomy tube simple (51705) |
$600.60 |
$1,155 |
2.1× |
| Change Ureter Stent, Percut (50382) |
$4,589.52 |
$8,826 |
1.9× |
| Chemical cautery tissue (17250) |
$531.44 |
$1,022 |
2.3× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,681.08 |
$7,079 |
1.5× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,696.64 |
$9,032 |
1.2× |
| Circumcision (54150) |
$376.74 |
$724.50 |
0.2× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$1,463.28 |
$2,814 |
4.2× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$527.28 |
$1,014 |
1.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$1,539.72 |
$2,961 |
5.5× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$725.92 |
$1,396 |
2.6× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$3,341 |
$6,425 |
1.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$725.92 |
$1,396 |
2.6× |
| Closed Rx Radial Shaft Fx (25500) |
$527.28 |
$1,014 |
1.9× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$374.92 |
$721 |
0.2× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$527.28 |
$1,014 |
1.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$539.24 |
$1,037 |
1.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$776.88 |
$1,494 |
2.8× |
| Closed Treat Vert Body Fract (22310) |
$614.64 |
$1,182 |
2.2× |
| Closed treat wrist dislocation (25660) |
$725.92 |
$1,396 |
2.6× |
| Closed Treatment Coccygeal Fracture (27200) |
$646.88 |
$1,244 |
2.3× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$4,925.96 |
$9,473 |
1.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$725.92 |
$1,396 |
2.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$725.92 |
$1,396 |
2.6× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$3,341 |
$6,425 |
1.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$3,822.52 |
$7,351 |
2.1× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$614.64 |
$1,182 |
2.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$588.12 |
$1,131 |
2.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$527.28 |
$1,014 |
1.9× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$3,341 |
$6,425 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$527.28 |
$1,014 |
1.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$725.92 |
$1,396 |
2.6× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,480.92 |
$4,771 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$725.92 |
$1,396 |
2.6× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$725.92 |
$1,396 |
2.6× |
| Closed Treatment Sternum Fracture (21820) |
$373.36 |
$718 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$725.92 |
$1,396 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$776.88 |
$1,494 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,480.92 |
$4,771 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$588.12 |
$1,131 |
2.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$2,587.52 |
$4,976 |
9.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$3,341 |
$6,425 |
1.8× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,252.68 |
$2,409 |
0.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$3,382.08 |
$6,504 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$725.92 |
$1,396 |
2.6× |
| Closed tx lunate dislocation w/manipulation (25690) |
$3,341 |
$6,425 |
1.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$954.20 |
$1,835 |
1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$776.88 |
$1,494 |
2.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,341 |
$6,425 |
1.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$4,925.96 |
$9,473 |
2.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,587.52 |
$4,976 |
9.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$614.64 |
$1,182 |
2.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,341 |
$6,425 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$527.28 |
$1,014 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,341 |
$6,425 |
1.8× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$3,341 |
$6,425 |
1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$527.28 |
$1,014 |
1.9× |
| Closed tx septal&nose fx (21337) |
$1,955.20 |
$3,760 |
0.5× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$527.28 |
$1,014 |
1.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$527.28 |
$1,014 |
1.9× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$2,048.80 |
$3,940 |
0.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,341 |
$6,425 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$471.64 |
$907 |
1.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$3,341 |
$6,425 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$527.28 |
$1,014 |
1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$588.12 |
$1,131 |
2.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$954.20 |
$1,835 |
3.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$527.28 |
$1,014 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$527.28 |
$1,014 |
1.9× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$585.52 |
$1,126 |
2.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$710.32 |
$1,366 |
2.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$4,171.96 |
$8,023 |
2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$776.88 |
$1,494 |
2.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$4,171.96 |
$8,023 |
2.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,341 |
$6,425 |
1.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$725.92 |
$1,396 |
2.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,118.52 |
$2,151 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$725.92 |
$1,396 |
2.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,020.76 |
$1,963 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$576.68 |
$1,109 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$725.92 |
$1,396 |
2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$776.88 |
$1,494 |
2.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$625.56 |
$1,203 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$725.92 |
$1,396 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,341 |
$6,425 |
1.8× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$4,434.04 |
$8,527 |
2.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,366 |
$4,550 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$776.88 |
$1,494 |
2.8× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,119.04 |
$2,152 |
0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$776.88 |
$1,494 |
2.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,368.56 |
$6,478 |
1.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$527.28 |
$1,014 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$614.64 |
$1,182 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$776.88 |
$1,494 |
2.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$527.28 |
$1,014 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,532.88 |
$6,794 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$539.24 |
$1,037 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$776.88 |
$1,494 |
2.8× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$725.92 |
$1,396 |
2.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$3,341 |
$6,425 |
1.8× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$3,341 |
$6,425 |
1.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$471.12 |
$906 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$614.64 |
$1,182 |
2.2× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,468.48 |
$2,824 |
0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$810.68 |
$1,559 |
2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$614.64 |
$1,182 |
2.2× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,487.12 |
$6,706 |
0.9× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$588.12 |
$1,131 |
2.1× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$3,532.88 |
$6,794 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$725.92 |
$1,396 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$588.12 |
$1,131 |
2.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,276 |
$6,300 |
1.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$776.88 |
$1,494 |
2.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$3,178.76 |
$6,113 |
1.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$776.88 |
$1,494 |
2.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$776.88 |
$1,494 |
2.8× |
| Cltx post ankle fx w/mnpj (27768) |
$3,341 |
$6,425 |
1.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,099.20 |
$5,960 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$576.68 |
$1,109 |
2.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,341 |
$6,425 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$588.12 |
$1,131 |
2.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$4,434.04 |
$8,527 |
2.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$492.44 |
$947 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$725.92 |
$1,396 |
2.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$3,341 |
$6,425 |
1.8× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,547.96 |
$6,823 |
1.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,341 |
$6,425 |
1.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$527.28 |
$1,014 |
1.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,532.88 |
$6,794 |
1.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$725.92 |
$1,396 |
2.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$278.72 |
$536 |
1.8× |
| Colpocentesis (57020) |
$5,668.52 |
$10,901 |
1.0× |
| Colporrhaphy Suture Injury Vagina (57200) |
$4,015.44 |
$7,722 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$172.64 |
$332 |
0.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$155.48 |
$299 |
0.4× |
| Colposcopy vulva (56820) |
$67.60 |
$130 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$352.04 |
$677 |
1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$471.64 |
$907 |
3.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$478.92 |
$921 |
3.2× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$471.64 |
$907 |
0.8× |
| Conversion ext bil drg cath (47535) |
$4,696.64 |
$9,032 |
1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,315 |
$6,375 |
1.5× |
| Convert nephrostomy catheter (50434) |
$2,451.80 |
$4,715 |
1.0× |
| Cordocentesis (59012) |
$764.92 |
$1,471 |
2.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,997.32 |
$3,841 |
1.1× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$7,126.08 |
$13,704 |
1.9× |
| Csf shunt reprogram (62252) |
$516.36 |
$993 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,346.28 |
$2,589 |
8.9× |
| Curettage postpartum (59160) |
$4,015.44 |
$7,722 |
1.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,868.80 |
$7,440 |
1.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,868.80 |
$7,440 |
1.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,868.80 |
$7,440 |
1.6× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$5,762.12 |
$11,081 |
1.4× |
| Cysto/uretero w/up stricture (52345) |
$5,762.12 |
$11,081 |
1.4× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,249.48 |
$6,249 |
1.4× |
| Cystouretero & or pyeloscope (52351) |
$5,762.12 |
$11,081 |
1.4× |
| Cystourethroscopy (52000) |
$1,171.56 |
$2,253 |
1.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,307.28 |
$2,514 |
2.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,308.20 |
$8,285 |
1.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$2,870.92 |
$5,521 |
3.6× |
| Debride nail 1-5 (11720) |
$278.72 |
$536 |
4.1× |
| Debride nail 6 or more (11721) |
$265.72 |
$511 |
4.0× |
| Debride skin musc at fx site (11011) |
$1,163.24 |
$2,237 |
1.4× |
| Debride tissue/muscle (11043) |
$1,307.28 |
$2,514 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$687.96 |
$1,323 |
1.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,997.28 |
$5,764 |
1.6× |
| Declot vascular device (36593) |
$609.96 |
$1,173 |
1.6× |
| Decompressive fasciotomy hand (26037) |
$2,192.84 |
$4,217 |
0.6× |
| Delivery placenta separate procedure (59414) |
$6,692.92 |
$12,871 |
1.8× |
| Derma-fat-fascia graft (15770) |
$4,610.32 |
$8,866 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$360.88 |
$694 |
1.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,506.40 |
$4,820 |
2.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,386.28 |
$4,589 |
1.1× |
| Destruction premalignant lesion 1st (17000) |
$360.88 |
$694 |
1.6× |
| Destruction Vaginal Lesions Simple (57061) |
$4,502.16 |
$8,658 |
1.2× |
| Diagnostic anoscopy (46601) |
$276.64 |
$532 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,700.92 |
$3,271 |
2.1× |
| Dilate Urethra Stricture (53620) |
$3,586.44 |
$6,897 |
4.5× |
| Dilate urethra stricture (53600) |
$631.28 |
$1,214 |
2.2× |
| Dilation and curettage (58120) |
$5,668.52 |
$10,901 |
1.5× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$396.24 |
$762 |
2.7× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$4,308.20 |
$8,285 |
2.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$696.80 |
$1,340 |
0.9× |
| Drain/inj small joint/bursa w/us (20604) |
$683.28 |
$1,314 |
2.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,121.64 |
$2,157 |
1.8× |
| Drainage external auditory canal abscess (69020) |
$1,044.68 |
$2,009 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$696.80 |
$1,340 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$3,140.80 |
$6,040 |
1.7× |
| Drainage Finger Abscess Simple (26010) |
$696.80 |
$1,340 |
3.0× |
| Drainage Mouth Roof Lesion (42000) |
$954.20 |
$1,835 |
3.5× |
| Drainage of abscess; submaxillary, external Facility (42320) |
$954.20 |
$1,835 |
1.6× |
| Drainage of gum lesion (41800) |
$588.12 |
$1,131 |
3.9× |
| Drainage of hematoma/fluid (10140) |
$3,140.80 |
$6,040 |
1.7× |
| Drainage of scrotal wall abscess (55100) |
$2,870.92 |
$5,521 |
1.5× |
| Drainage of skene's gland abscess or cyst (53060) |
$4,589.52 |
$8,826 |
1.9× |
| Draw blood off venous device (36591) |
$278.72 |
$536 |
1.8× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$479.96 |
$923 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$687.96 |
$1,323 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$687.96 |
$1,323 |
3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$531.44 |
$1,022 |
2.3× |
| Dx bone marrow bx & aspir (38222) |
$5,743.92 |
$11,046 |
1.7× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,779.40 |
$5,345 |
1.4× |
| Egd flexible foreign body removal (43247) |
$965.64 |
$1,857 |
0.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,234.48 |
$2,374 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,447.68 |
$2,784 |
0.7× |
| Endometrial Biopsy (58100) |
$363.48 |
$699 |
1.6× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$20,577.44 |
$39,572 |
1.6× |
| Endoven ther chem adhes 1st (36482) |
$8,884.72 |
$17,086 |
1.4× |
| Endovenous laser, 1st vein (36478) |
$3,116.88 |
$5,994 |
0.9× |
| Endovenous rf 1st vein (36475) |
$4,995.12 |
$9,606 |
1.4× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,755.52 |
$3,376 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$4,622.28 |
$8,889 |
1.3× |
| Escharotomy initial incision (16035) |
$1,307.28 |
$2,514 |
2.8× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,438.32 |
$2,766 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$191.36 |
$368 |
1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,465.36 |
$2,818 |
1.8× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$988 |
$1,900 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,870.92 |
$5,521 |
1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,465.36 |
$2,818 |
1.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,206.40 |
$2,320 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$562.64 |
$1,082 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$2,870.92 |
$5,521 |
3.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,542.24 |
$6,812 |
1.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,696.64 |
$9,032 |
1.2× |
| Exchange nephrostomy cath (50435) |
$3,462.68 |
$6,659 |
1.5× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,715.44 |
$5,222 |
1.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,921.92 |
$3,696 |
0.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,116.92 |
$4,071 |
0.6× |
| Excision of single external papilla or tag, anus (46220) |
$871.52 |
$1,676 |
0.6× |
| Excision of thrombosed hemorrhoid, external (46320) |
$5,275.92 |
$10,146 |
3.9× |
| Excision pilonidal cyst/sinus complicated (11772) |
$4,308.20 |
$8,285 |
1.3× |
| Excision Synovial Cyst Popliteal Space (27345) |
$7,297.68 |
$14,034 |
2.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,299.88 |
$8,269 |
1.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$4,434.04 |
$8,527 |
2.4× |
| Explo/Drain Breast Abscess (19020) |
$5,929.56 |
$11,403 |
3.2× |
| Exploration of knee joint (27310) |
$2,919.80 |
$5,615 |
0.8× |
| Exploration penetrating wound spx chest (20101) |
$6,512.48 |
$12,524 |
2.8× |
| Exploration penetrating wound spx extremity (20103) |
$2,870.92 |
$5,521 |
1.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$2,101.84 |
$4,042 |
3.4× |
| External cephalic version (59412) |
$4,015.44 |
$7,722 |
1.1× |
| Fetal contraction stress test (59020) |
$993.72 |
$1,911 |
4.3× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$542.36 |
$1,043 |
1.6× |
| Fetal non-stress test (59025) |
$802.36 |
$1,543 |
3.5× |
| Filleted finger/toe flap (14350) |
$6,512.48 |
$12,524 |
2.8× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,465.36 |
$2,818 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,674.40 |
$3,220 |
2.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,674.40 |
$3,220 |
2.1× |
| Fine needle aspiration without imaging guidance (10021) |
$687.96 |
$1,323 |
1.5× |
| Fit/Insert Intravag Support Device (57160) |
$110.24 |
$212 |
0.5× |
| Fixation of shoulder (23700) |
$3,341 |
$6,425 |
1.8× |
| Fluid pressure muscle (20950) |
$1,465.36 |
$2,818 |
1.8× |
| Fluoro exam of g/colon tube (49465) |
$308.88 |
$594 |
1.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,674.40 |
$3,220 |
2.1× |
| Foreskin manipulation (54450) |
$564.72 |
$1,086 |
2.0× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,287 |
$2,475 |
0.5× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$671.84 |
$1,292 |
2.7× |
| Guide Cathet Fluid Drainage (10030) |
$2,870.92 |
$5,521 |
3.6× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$7,126.08 |
$13,704 |
1.9× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$4,925.96 |
$9,473 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$1,318.20 |
$2,535 |
4.9× |
| I&d abscess simple (10060) |
$588.12 |
$1,131 |
2.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,308.20 |
$8,285 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$4,308.20 |
$8,285 |
1.3× |
| I&d epididymis tstis&/scrotal space (54700) |
$4,589.52 |
$8,826 |
1.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$7,297.68 |
$14,034 |
2.0× |
| I&d pilonidal cyst simple (10080) |
$696.80 |
$1,340 |
0.9× |
| I&d submucosal abscess rectum (45005) |
$859.56 |
$1,653 |
0.6× |
| I&D Upper Arm/Elbow Bursa (23931) |
$3,051.36 |
$5,868 |
1.6× |
| I&d vulva/perineal abscess (56405) |
$821.08 |
$1,579 |
2.4× |
| Image Cath Fluid Colxn Visc (49405) |
$2,219.36 |
$4,268 |
1.2× |
| Image Cath Fluid Peri/Retro (49406) |
$3,051.36 |
$5,868 |
1.6× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,337.40 |
$4,495 |
1.2× |
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350)
unusually low: confirm this is the full procedure |
$3,607.24 |
$6,937 |
0.4× |
| Incise external hemorrhoid (46083) |
$776.88 |
$1,494 |
2.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$696.80 |
$1,340 |
1.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,043.08 |
$3,929 |
0.6× |
| Incision & drainage pilonidal cyst complicated (10081) |
$3,140.80 |
$6,040 |
3.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,308.20 |
$8,285 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$982.02 |
$1,888.50 |
2.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$476.84 |
$917 |
2.1× |
| Incision and drainage perianal abscess superficial (46050) |
$1,605.76 |
$3,088 |
1.5× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$4,308.20 |
$8,285 |
1.3× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$4,308.20 |
$8,285 |
1.3× |
| Incision of conjunctiva, drainage of cyst (68020) |
$1,297.92 |
$2,496 |
1.1× |
| Incision of eardrum (69420) |
$1,122.16 |
$2,158 |
4.2× |
| Incision of eyelid fold (67715) |
$2,593.76 |
$4,988 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,217.32 |
$2,341 |
0.7× |
| Incision of rectal abscess (46045) |
$1,544.40 |
$2,970 |
0.5× |
| Incision of rectal abscess (46040) |
$5,275.92 |
$10,146 |
3.9× |
| Incisional biopsy skin single lesion (11106) |
$786.24 |
$1,512 |
0.9× |
| Initial tx 1st degree burn local tx (16000) |
$360.88 |
$694 |
1.6× |
| Inj neurolytic subarachnoid (62280) |
$1,773.20 |
$3,410 |
1.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,506.40 |
$4,820 |
2.5× |
| Inj tendon sheath/ligament (20550) |
$1,526.72 |
$2,936 |
4.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$2,506.40 |
$4,820 |
2.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,783.60 |
$3,430 |
1.8× |
| Inject Intravitreal Pharmcologic (67028) |
$425.36 |
$818 |
1.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,783.60 |
$3,430 |
1.8× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,506.40 |
$4,820 |
2.5× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,783.60 |
$3,430 |
1.8× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,783.60 |
$3,430 |
2.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$2,090.40 |
$4,020 |
2.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$2,530.84 |
$4,867 |
2.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$650.52 |
$1,251 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$826.28 |
$1,589 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$683.28 |
$1,314 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$766.48 |
$1,474 |
2.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,884.22 |
$3,623.50 |
1.9× |
| Injection anesthetic agent femoral nerve single (64447) |
$1,783.60 |
$3,430 |
2.2× |
| Injection for identification of sentinel node (38792) |
$683.28 |
$1,314 |
1.5× |
| Injection into skin lesions (11900) |
$278.20 |
$535 |
1.2× |
| Injection into spinal artery (62294) |
$3,607.24 |
$6,937 |
3.6× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$460.72 |
$886 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$766.48 |
$1,474 |
2.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,526.72 |
$2,936 |
4.4× |
| Injection(s) spider veins (36468) |
$566.28 |
$1,089 |
1.2× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$278.20 |
$535 |
1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,773.20 |
$3,410 |
1.8× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$2,506.40 |
$4,820 |
2.5× |
| Ins cath ren art 1st bilat (36252) |
$4,772.04 |
$9,177 |
1.3× |
| Ins cath ren art 1st unilat (36251) |
$4,772.04 |
$9,177 |
1.3× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,893.68 |
$11,334 |
1.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,772.04 |
$9,177 |
0.8× |
| Ins endovas vena cava filtr (37191) |
$8,512.40 |
$16,370 |
1.3× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$10,614.24 |
$20,412 |
0.9× |
| Ins tun ip cath for dial opn (49421) |
$5,634.20 |
$10,835 |
1.4× |
| Ins Vag Brachytx Device (57156) |
$510.64 |
$982 |
1.5× |
| Ins/Rep Subq Defibrillator (33270) |
$34,932.56 |
$67,178 |
1.0× |
| Insert and remove bone pin (20650) |
$2,111.20 |
$4,060 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$471.64 |
$907 |
3.2× |
| Insert cath pleura w/ image (32557) |
$1,471.08 |
$2,829 |
0.8× |
| Insert cath pleura w/o image (32556) |
$3,199.56 |
$6,153 |
1.5× |
| Insert cervical dilator (59200) |
$369.72 |
$711 |
1.1× |
| Insert gastrostomy tube percutaneous (49440) |
$3,447.60 |
$6,630 |
1.6× |
| Insert heart pm atrial (33206) |
$10,216.44 |
$19,647 |
0.9× |
| Insert heart pm ventricular (33207) |
$10,216.44 |
$19,647 |
0.9× |
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure |
$10,349.56 |
$19,903 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$2,733.12 |
$5,256 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,628.60 |
$5,055 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,514.76 |
$2,913 |
0.8× |
| Insert pulse gen dual leads (33213) |
$10,216.44 |
$19,647 |
0.9× |
| Insert pulse gen mult leads (33221) |
$20,520.24 |
$39,462 |
0.9× |
| Insert pulse gen sngl lead (33212) |
$7,378.28 |
$14,189 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$278.72 |
$536 |
1.8× |
| Insert tun ip cath perc (49418) |
$6,671.08 |
$12,829 |
1.6× |
| Insert tunneled cv cath (36561) |
$5,868.20 |
$11,285 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$278.72 |
$536 |
1.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$6,671.08 |
$12,829 |
1.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,362.92 |
$2,621 |
1.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,424.92 |
$21,971 |
1.2× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$7,673.12 |
$14,756 |
0.8× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$7,378.28 |
$14,189 |
0.8× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$10,216.44 |
$19,647 |
0.9× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$24,159.72 |
$46,461 |
1.0× |
| Insj picc rs&i 5 yr+ (36573) |
$3,003.52 |
$5,776 |
1.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,846.32 |
$13,166 |
1.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,868.20 |
$11,285 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$7,120.36 |
$13,693 |
2.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$34,932.56 |
$67,178 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,673.12 |
$14,756 |
0.8× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$7,378.28 |
$14,189 |
0.8× |
| Insrt pulse gen w/dual leads (33230) |
$24,159.72 |
$46,461 |
1.0× |
| Insrt pulse gen w/mult leads (33231) |
$33,589.92 |
$64,596 |
0.9× |
| Insrt/redo spine n generator (63685) |
$57,637.32 |
$110,841 |
1.6× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$447.72 |
$861 |
1.6× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$5,062.20 |
$9,735 |
1.6× |
| Interdental Fixation (21110) |
$991.64 |
$1,907 |
0.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,414.36 |
$4,643 |
1.5× |
| Intraoral i&d tongue/floor lingual (41000) |
$2,101.84 |
$4,042 |
3.4× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$5,714.28 |
$10,989 |
1.5× |
| Intro cath dialysis circuit (36901) |
$4,960.28 |
$9,539 |
2.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$10,307.96 |
$19,823 |
0.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,100.16 |
$9,808 |
0.8× |
| Intro Gastrointestinal Tube (44500) |
$1,471.08 |
$2,829 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$334.36 |
$643 |
1.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$776.88 |
$1,494 |
2.7× |
| Kidney endoscopy (50553) |
$8,714.68 |
$16,759 |
1.4× |
| Laryngoscopy diagnostic (31505) |
$327.60 |
$630 |
1.4× |
| Laryngoscopy Direct Aspiration (31515) |
$282.88 |
$544 |
0.6× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$964.60 |
$1,855 |
2.2× |
| Laryngoscopy flexible diagnostic (31575) |
$461.24 |
$887 |
2.0× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$5,114.72 |
$9,836 |
1.2× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,665 |
$5,125 |
1.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$964.60 |
$1,855 |
2.2× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$363.48 |
$699 |
1.6× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$998.40 |
$1,920 |
0.5× |
| Ligation Of Inf Vena Cava (37619) |
$4,181.84 |
$8,042 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$2,580.24 |
$4,962 |
1.4× |
| Liver Biopsy (47000) |
$2,870.92 |
$5,521 |
1.5× |
| Lyse chest fibrin init day (32561) |
$1,240.72 |
$2,386 |
1.7× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,240.72 |
$2,386 |
1.7× |
| Manipulation hip joint general anesthesia (27275) |
$3,341 |
$6,425 |
1.8× |
| Manipulation knee joint under general anesthesia (27570) |
$3,341 |
$6,425 |
1.8× |
| Manipulation, elbow, under anesthesia (24300) |
$1,020.76 |
$1,963 |
0.6× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,599.52 |
$3,076 |
2.0× |
| Marsupialization Bartholins Gland Cyst (56440) |
$5,668.52 |
$10,901 |
1.5× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,516.80 |
$4,840 |
1.4× |
| Mech remov tunneled cv cath (36595) |
$6,846.32 |
$13,166 |
1.9× |
| Myelography Lumbar Injection (62305) |
$1,511.64 |
$2,907 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,511.64 |
$2,907 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,511.64 |
$2,907 |
1.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,511.64 |
$2,907 |
1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,783.60 |
$3,430 |
2.2× |
| N Block Inj, Plantar Digit (64455) |
$683.28 |
$1,314 |
2.0× |
| Nasal endoscopy dx (31231) |
$363.48 |
$699 |
1.6× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,665 |
$5,125 |
1.3× |
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure |
$67.60 |
$130 |
0.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$523.64 |
$1,007 |
1.0× |
| Needle biopsy of pancreas (48102) |
$2,033.20 |
$3,910 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$766.48 |
$1,474 |
23.3× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$1,526.72 |
$2,936 |
46.3× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$4,242.16 |
$8,158 |
1.9× |
| Njx aa&/strd sciatic nerve (64445) |
$1,183.52 |
$2,276 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,783.60 |
$3,430 |
1.8× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$251.16 |
$483 |
0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$617.76 |
$1,188 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,820.96 |
$7,348 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,506.40 |
$4,820 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$2,530.84 |
$4,867 |
2.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,783.60 |
$3,430 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,783.60 |
$3,430 |
2.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$922.48 |
$1,774 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$922.48 |
$1,774 |
1.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$687.96 |
$1,323 |
1.5× |
| Obstructive material removal from gi tube (49460) |
$1,042.60 |
$2,005 |
1.0× |
| Occipital Nerve Block (64405) |
$683.28 |
$1,314 |
2.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,442.36 |
$8,543 |
1.0× |
Open thrombect av fistula (36831)
unusually low: confirm this is the full procedure |
$2,476.76 |
$4,763 |
0.4× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$4,023.76 |
$7,738 |
0.5× |
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure |
$7,247.24 |
$13,937 |
0.5× |
| Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Facility (21445) |
$8,532.16 |
$16,408 |
1.3× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$4,925.96 |
$9,473 |
1.3× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
$5,167.76 |
$9,938 |
1.4× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$7,297.68 |
$14,034 |
2.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$5,243.68 |
$10,084 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$7,404.80 |
$14,240 |
2.0× |
| Open tx interphalangeal joint dislocation (26785) |
$7,297.68 |
$14,034 |
2.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$9,192.04 |
$17,677 |
2.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$5,033.08 |
$9,679 |
0.6× |
| Open/Perq Place Stent Same (37238) |
$10,513.36 |
$20,218 |
0.8× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$10,513.36 |
$20,218 |
0.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,559.92 |
$6,846 |
1.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,045.56 |
$9,703 |
1.4× |
| Pelvic examination under anesthesia (other than local) (57410) |
$5,062.72 |
$9,736 |
1.4× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,932.32 |
$3,716 |
1.2× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$12,544.48 |
$24,124 |
1.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$21,443.76 |
$41,238 |
1.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$2,870.92 |
$5,521 |
3.6× |
| Percut Mech Thrombectomy, Venous (37187) |
$8,184.80 |
$15,740 |
0.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$6,345.56 |
$12,203 |
1.8× |
| Percutaneous diskectomy (62287) |
$10,346.96 |
$19,898 |
4.7× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
unusually low: confirm this is the full procedure |
$4,023.76 |
$7,738 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$554.32 |
$1,066 |
0.3× |
| Peritoneal Lavage (49084) |
$627.64 |
$1,207 |
0.6× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$6,716.32 |
$12,916 |
0.3× |
| Perq dev breast 1st mr guide (19287) |
$1,433.64 |
$2,757 |
1.8× |
| Perq dev breast 1st strtctc (19283) |
$1,433.64 |
$2,757 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$1,433.64 |
$2,757 |
1.8× |
| Perq device breast 1st imag (19281) |
$1,433.64 |
$2,757 |
0.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,472.60 |
$4,755 |
0.6× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,159.48 |
$7,999 |
1.0× |
Perq p-art revsc 1 nm nt uni (33900)
unusually low: confirm this is the full procedure |
$6,073.08 |
$11,679 |
0.5× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$20,676.24 |
$39,762 |
1.0× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$12,971.92 |
$24,946 |
1.0× |
Perq p-art revsc st 1st nml native connj bi (33901)
unusually low: confirm this is the full procedure |
$6,073.08 |
$11,679 |
0.5× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$8,882.64 |
$17,082 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$366.08 |
$704 |
1.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$844.48 |
$1,624 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,298.40 |
$4,420 |
0.6× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$15,623.92 |
$30,046 |
0.7× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,307.96 |
$19,823 |
0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,100.16 |
$9,808 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$15,233.92 |
$29,296 |
1.8× |
| Perq Vertebral Augmentation (22513) |
$15,233.92 |
$29,296 |
1.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$5,167.76 |
$9,938 |
1.4× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$5,167.76 |
$9,938 |
1.4× |
| Picc line placement (36569) |
$2,628.60 |
$5,055 |
1.5× |
| Place Cath Subclavian Art (36225) |
$4,772.04 |
$9,177 |
1.3× |
| Place Cath Thoracic Aorta (36221) |
$4,772.04 |
$9,177 |
1.3× |
| Place Cath Vertebral Art (36226) |
$6,940.96 |
$13,348 |
1.1× |
| Place duod/jej tube perc (49441) |
$3,315 |
$6,375 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$478.92 |
$921 |
0.9× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$4,696.64 |
$9,032 |
0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$9,315.28 |
$17,914 |
1.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$8,882.64 |
$17,082 |
1.3× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$8,882.64 |
$17,082 |
1.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,385.72 |
$6,511 |
1.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,249.48 |
$6,249 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,074.68 |
$9,759 |
1.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$5,074.68 |
$9,759 |
1.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,074.68 |
$9,759 |
1.3× |
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure |
$8,184.80 |
$15,740 |
0.4× |
| Proctopexy Perineal Approach (45541) |
$2,076.36 |
$3,993 |
0.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$530.92 |
$1,021 |
0.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$1,791.40 |
$3,445 |
0.6× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$2,870.92 |
$5,521 |
3.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,925.44 |
$9,472 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,132.92 |
$9,871 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$786.24 |
$1,512 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$1,465.36 |
$2,818 |
1.8× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$696.80 |
$1,340 |
1.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,471.08 |
$2,829 |
1.8× |
| Pvb Thoracic Cont Catheter Infusion W/Img Gid (64463) |
$1,783.60 |
$3,430 |
2.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,783.60 |
$3,430 |
2.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,271.88 |
$4,369 |
1.0× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$1,605.76 |
$3,088 |
1.5× |
| Reconstruct extra finger (26587) |
$2,197 |
$4,225 |
0.6× |
| Reconstruction of nail bed with graft (11762) |
$1,111.24 |
$2,137 |
0.5× |
| Release of big toe (28240) |
$4,434.04 |
$8,527 |
1.2× |
| Relocation of skin pocket for pacemaker (33222) |
$1,555.32 |
$2,991 |
0.7× |
| Rem Endovas Vena Cava Filter (37193) |
$2,476.76 |
$4,763 |
0.7× |
| Removal biliary drg cath (47537) |
$1,042.60 |
$2,005 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$4,308.20 |
$8,285 |
2.3× |
| Removal foreign body foot deep (28192) |
$4,308.20 |
$8,285 |
2.3× |
| Removal foreign body foot subcutaneous (28190) |
$2,496.52 |
$4,801 |
3.1× |
| Removal foreign body intranasal (30300) |
$478.92 |
$921 |
3.2× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,997.28 |
$5,764 |
1.6× |
| Removal foreign body pharynx (42809) |
$366.08 |
$704 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$179.92 |
$346 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$191.88 |
$369 |
2.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,015.44 |
$7,722 |
1.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,622.88 |
$5,044 |
1.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$1,333.28 |
$2,564 |
1.7× |
| Removal Intact Mammary Implant (19328) |
$4,717.96 |
$9,073 |
1.1× |
| Removal of arm foreign body (24200) |
$1,465.36 |
$2,818 |
0.8× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,290.12 |
$2,481 |
1.1× |
| Removal of embedded foreign body, eyelid (67938) |
$414.96 |
$798 |
1.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$5,275.92 |
$10,146 |
3.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$223.08 |
$429 |
0.4× |
| Removal of implant from finger or hand (26320) |
$898.56 |
$1,728 |
0.5× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,471.08 |
$2,829 |
2.1× |
| Removal of iud (58301) |
$821.08 |
$1,579 |
2.4× |
| Removal of kidney stone (50081) |
$16,019.64 |
$30,807 |
1.5× |
| Removal of kidney stone (50080) |
$16,019.64 |
$30,807 |
1.5× |
| Removal of nail bed (11750) |
$1,373.32 |
$2,641 |
3.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$6,846.32 |
$13,166 |
1.9× |
| Removal ppm generator only (33233) |
$7,673.12 |
$14,756 |
0.8× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,767.48 |
$3,399 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$423.80 |
$815 |
1.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$681.20 |
$1,310 |
0.8× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,255.80 |
$2,415 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$634.40 |
$1,220 |
2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$592.28 |
$1,139 |
1.9× |
| Remove drug implant device (11982) |
$463.84 |
$892 |
0.9× |
| Remove foreign body from eye (65235) |
$1,207.96 |
$2,323 |
0.5× |
| Remove intrvas foreign body (37197) |
$4,848.48 |
$9,324 |
1.3× |
| Remove pulse generator (33241) |
$2,853.24 |
$5,487 |
0.7× |
| Remove renal tube w/fluoro (50389) |
$1,132.56 |
$2,178 |
1.4× |
| Remove spine eltrd perq aray (63661) |
$434.20 |
$835 |
0.2× |
| Remove Tendon Sheath Lesion (26160) |
$4,434.04 |
$8,527 |
2.4× |
| Remove tissue expander (11971) |
$1,945.84 |
$3,742 |
0.6× |
| Remove ureter stent, percut (50384) |
$4,589.52 |
$8,826 |
1.9× |
| Remove vagina gland lesion (56740) |
$1,924.52 |
$3,701 |
0.5× |
| Remove&replace pm gen singl (33227) |
$7,378.28 |
$14,189 |
0.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$898.56 |
$1,728 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$478.92 |
$921 |
3.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$223.08 |
$429 |
1.5× |
| Remv&replc cvd gen dual lead (33263) |
$24,159.72 |
$46,461 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$33,589.92 |
$64,596 |
0.9× |
| Remv&replc cvd gen sing lead (33262) |
$24,159.72 |
$46,461 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,216.44 |
$19,647 |
0.9× |
| Remv&replc pm gen mult leads (33229) |
$19,379.88 |
$37,269 |
0.9× |
| Renal Biopsy Percutaneous (50200) |
$4,489.16 |
$8,633 |
2.4× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$8,714.68 |
$16,759 |
1.4× |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
$5,668.52 |
$10,901 |
1.5× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$179.92 |
$346 |
0.0× |
| Repair blood vessel direct hand finger (35207) |
$1,378.52 |
$2,651 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,476.76 |
$4,763 |
0.7× |
Repair blood vessel lesion (35190)
unusually low: confirm this is the full procedure |
$2,476.76 |
$4,763 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,560 |
$3,000 |
1.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,560 |
$3,000 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,307.28 |
$2,514 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,560 |
$3,000 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,618.24 |
$3,112 |
3.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,560 |
$3,000 |
3.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$4,299.88 |
$8,269 |
5.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,560 |
$3,000 |
1.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$4,434.04 |
$8,527 |
2.4× |
| Repair Eyelid Wound (67935) |
$1,110.72 |
$2,136 |
0.4× |
| Repair Finger Tendon (26433) |
$4,434.04 |
$8,527 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$5,240.04 |
$10,077 |
1.4× |
| Repair hand tendon (26410) |
$4,434.04 |
$8,527 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,425.32 |
$2,741 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,796.04 |
$5,377 |
6.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$3,162.64 |
$6,082 |
6.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$2,165.28 |
$4,164 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$799.76 |
$1,538 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,396.16 |
$4,608 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,560 |
$3,000 |
3.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,560 |
$3,000 |
1.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$799.76 |
$1,538 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$4,299.88 |
$8,269 |
1.8× |
| Repair Laceration Palate </2 Cm (42180) |
$954.20 |
$1,835 |
1.6× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$3,730.48 |
$7,174 |
0.6× |
| Repair lead pace-defib dual (33220) |
$2,875.08 |
$5,529 |
0.7× |
| Repair lead pace-defib one (33218) |
$2,743 |
$5,275 |
0.6× |
| Repair Mouth Laceration (40831) |
$2,600.52 |
$5,001 |
4.2× |
| Repair of eye wound (65270) |
$2,593.76 |
$4,988 |
1.0× |
| Repair of nail bed (11760) |
$1,307.28 |
$2,514 |
1.6× |
| Repair of nasal septum (30520) |
$4,925.96 |
$9,473 |
1.3× |
| Repair Spica Body Cast/Jacket (29720) |
$364 |
$700 |
2.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$7,297.68 |
$14,034 |
2.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$4,993.56 |
$9,603 |
0.6× |
| Repair tongue laceration (41252) |
$1,803.36 |
$3,468 |
6.7× |
| Repair Tongue Laceration (41250) |
$471.64 |
$907 |
0.9× |
| Repeat control of nosebleed (30906) |
$481.52 |
$926 |
1.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,471.08 |
$2,829 |
1.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,471.08 |
$2,829 |
1.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,471.08 |
$2,829 |
1.4× |
| Reposition cv cath w/fluoro (36597) |
$2,902.12 |
$5,581 |
1.6× |
| Reposition gastric feeding tube thru duodenum (43761) |
$2,272.40 |
$4,370 |
8.0× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$2,476.76 |
$4,763 |
0.7× |
| Revise eye socket implant (67560) |
$4,647.24 |
$8,937 |
1.0× |
| Revision of tips (37183) |
$25,560.60 |
$49,155 |
3.9× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$8,758.88 |
$16,844 |
1.4× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$3,681.08 |
$7,079 |
1.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$4,925.96 |
$9,473 |
2.8× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$2,101.84 |
$4,042 |
3.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$478.92 |
$921 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$349.44 |
$672 |
2.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$349.44 |
$672 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,308.20 |
$8,285 |
1.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$4,308.20 |
$8,285 |
1.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,853.24 |
$5,487 |
0.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,853.24 |
$5,487 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,902.12 |
$5,581 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,529.84 |
$2,942 |
2.1× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,853.24 |
$5,487 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$305.24 |
$587 |
1.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,902.12 |
$5,581 |
1.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,902.12 |
$5,581 |
1.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$6,076.20 |
$11,685 |
1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$6,846.32 |
$13,166 |
1.9× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$557.96 |
$1,073 |
0.7× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$4,166.76 |
$8,013 |
0.7× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$7,297.68 |
$14,034 |
2.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,628.60 |
$5,055 |
1.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$2,297.88 |
$4,419 |
2.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$463.84 |
$892 |
1.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$2,101.84 |
$4,042 |
3.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$2,101.84 |
$4,042 |
3.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,101.84 |
$4,042 |
1.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$7,297.68 |
$14,034 |
2.0× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$7,297.68 |
$14,034 |
2.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,471.08 |
$2,829 |
2.1× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$4,760.08 |
$9,154 |
1.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,029.04 |
$3,902 |
0.5× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,476.76 |
$4,763 |
0.7× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$1,687.40 |
$3,245 |
0.5× |
| Sclerotx Fluid Collection (49185) |
$2,870.92 |
$5,521 |
1.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$360.88 |
$694 |
0.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$531.44 |
$1,022 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$360.88 |
$694 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$360.88 |
$694 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$2,230.28 |
$4,289 |
4.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$360.88 |
$694 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$531.44 |
$1,022 |
2.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$2,330.64 |
$4,482 |
10.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$360.88 |
$694 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$687.96 |
$1,323 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$360.88 |
$694 |
1.6× |
| Skin pinch graft (15050) |
$1,307.28 |
$2,514 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$3,045.12 |
$5,856 |
3.6× |
| Skin sub graft trnk/arm/leg (15271) |
$3,045.12 |
$5,856 |
3.6× |
| Skin sub grft t/arm/lg child (15273) |
$4,610.32 |
$8,866 |
2.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$4,610.32 |
$8,866 |
1.1× |
| Skn sub grft f/n/hf/g child (15277) |
$4,610.32 |
$8,866 |
2.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,940.96 |
$13,348 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$4,772.04 |
$9,177 |
1.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,940.96 |
$13,348 |
1.1× |
| Slitting of prepuce (54001) |
$4,589.52 |
$8,826 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$360.88 |
$694 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$531.44 |
$1,022 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$809.12 |
$1,556 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,783.60 |
$3,430 |
2.2× |
| Spinal Puncture Therapeutic (62272) |
$1,324.44 |
$2,547 |
1.6× |
| Spine Surgery Procedure Unlisted (22899) |
$3,383.12 |
$6,506 |
12.0× |
| Strapping ankle (29540) |
$364 |
$700 |
2.0× |
| Strapping elbow or wrist (29260) |
$481.52 |
$926 |
7.2× |
| Strapping Hip (29520) |
$123.24 |
$237 |
0.8× |
| Strapping knee (29530) |
$239.72 |
$461 |
1.6× |
| Strapping shoulder (29240) |
$378.56 |
$728 |
2.5× |
| Strapping toes (29550) |
$239.72 |
$461 |
3.6× |
| Strapping unna boot (29580) |
$494.52 |
$951 |
2.7× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$10,799.36 |
$20,768 |
1.6× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$10,799.36 |
$20,768 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$786.24 |
$1,512 |
1.7× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$43,533.88 |
$83,719 |
1.3× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$23,693.80 |
$45,565 |
1.1× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,999.84 |
$7,692 |
1.1× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$7,138.56 |
$13,728 |
1.4× |
| Ther Apheresis,Plasma Pheresis (36514) |
$2,173.60 |
$4,180 |
1.2× |
| Ther Apheresis,Platelets (36513) |
$3,192.80 |
$6,140 |
6.4× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,571.32 |
$8,791 |
2.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,698.32 |
$3,266 |
2.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,471.08 |
$2,829 |
2.1× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$4,181.84 |
$8,042 |
0.7× |
| Throat Surgery Procedure (42999) |
$1,840.28 |
$3,539 |
6.8× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,848.48 |
$9,324 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$8,184.80 |
$15,740 |
1.3× |
| Thrombolytic Therapy Stroke (37195) |
$232.44 |
$447 |
0.6× |
| Thrombolytic Venous Therapy (37212) |
$1,861.60 |
$3,580 |
0.5× |
| Thyroid biopsy (60100) |
$1,465.36 |
$2,818 |
1.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,772.68 |
$3,409 |
2.9× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,766.96 |
$3,398 |
6.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,867.84 |
$3,592 |
1.1× |
| Tracheostomy planned (31600) |
$2,184 |
$4,200 |
0.6× |
| Tracheotomy tube change (31502) |
$461.76 |
$888 |
1.7× |
| Transcatheter biopsy (37200) |
$8,184.80 |
$15,740 |
1.3× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$4,839.12 |
$9,306 |
0.8× |
| Treat Big Toe Fracture (28505) |
$7,297.68 |
$14,034 |
2.0× |
| Treat clavicle dislocation (23540) |
$527.28 |
$1,014 |
1.9× |
| Treat clavicle fracture (23505) |
$3,341 |
$6,425 |
1.8× |
| Treat Elbow Fracture (24635) |
$4,987.32 |
$9,591 |
0.6× |
| Treat humerus fracture (24500) |
$725.92 |
$1,396 |
2.6× |
| Treat humerus fracture (23600) |
$776.88 |
$1,494 |
2.8× |
| Treat knee fracture (27532) |
$3,341 |
$6,425 |
0.9× |
| Treat Metatarsal Fracture (28475) |
$527.28 |
$1,014 |
1.9× |
| Treat pleurodesis w/agent (32560) |
$1,524.12 |
$2,931 |
2.1× |
| Treat shoulder blade fx (23575) |
$3,341 |
$6,425 |
1.8× |
| Treat Thigh Fracture (27246) |
$869.44 |
$1,672 |
3.1× |
| Treat Thumb Dislocation (26641) |
$725.92 |
$1,396 |
2.6× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$3,341 |
$6,425 |
1.8× |
| Treat Vaginal Bleeding (57180) |
$447.20 |
$860 |
1.9× |
| Treat wrist bone fracture (25622) |
$527.28 |
$1,014 |
1.9× |
| Treat Wrist Bone Fracture (25630) |
$776.88 |
$1,494 |
2.8× |
| Treatment closed elbow dislocation req anes (24605) |
$2,406.04 |
$4,627 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$527.28 |
$1,014 |
1.9× |
| Treatment mouth roof lesion (42160) |
$4,925.96 |
$9,473 |
1.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$725.92 |
$1,396 |
2.6× |
| Trim skin lesion (11055) |
$360.88 |
$694 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$360.88 |
$694 |
1.6× |
| Trim skin lesions over 4 (11057) |
$687.96 |
$1,323 |
3.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$172.12 |
$331 |
2.6× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,100.16 |
$9,808 |
0.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,100.16 |
$9,808 |
0.8× |
| Tube thoracostomy includes water seal (32551) |
$1,471.08 |
$2,829 |
0.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$6,692.92 |
$12,871 |
1.8× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,151.28 |
$2,214 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,560 |
$3,000 |
1.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,307.28 |
$2,514 |
2.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,341 |
$6,425 |
1.8× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$2,211.04 |
$4,252 |
0.5× |
| Unlisted Cardiac Surgery (33999) |
$1,392.30 |
$2,677.50 |
1.9× |
| Unlisted procedure dentoalveolar structures (41899) |
$382.20 |
$735 |
1.4× |
| Unlisted Procedure Endocrine System (60699) |
$8,629.40 |
$16,595 |
1.3× |
| Unlisted procedure liver (47399) |
$497.64 |
$957 |
0.6× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,277.12 |
$2,456 |
1.8× |
| Unlisted procedure nervous system (64999) |
$484.64 |
$932 |
1.4× |
| Unlisted procedure rectum (45999) |
$573.56 |
$1,103 |
0.5× |
| Unlisted Procedure Small Intestine (44799) |
$567.84 |
$1,092 |
0.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$191.88 |
$369 |
0.3× |
| Unlisted procedure, stomach (43999) |
$1,591.20 |
$3,060 |
1.5× |
| Unlisted px female genital system nonobstetrical (58999) |
$350.48 |
$674 |
1.5× |
| Upgrade of pacemaker system (33214) |
$10,206.56 |
$19,628 |
0.9× |
| Urology Surgery Procedure (53899) |
$447.72 |
$861 |
1.6× |
| Us urine capacity measure (51798) |
$278.72 |
$536 |
4.1× |
| Vaginal delivery only (59409) |
$4,739.28 |
$9,114 |
1.3× |
| Vasc embolize/occlude artery (37242) |
$20,577.44 |
$39,572 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$21,401.12 |
$41,156 |
1.6× |
| Vasc embolize/occlude organ (37243) |
$20,577.44 |
$39,572 |
1.6× |
| Vasc embolize/occlude venous (37241) |
$20,577.44 |
$39,572 |
1.6× |
| Venipuncture (36415) |
$27.04 |
$52 |
2.9× |
| Venipuncture cutdown under age 1 yr (36420) |
$1,169.48 |
$2,249 |
7.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$1,169.48 |
$2,249 |
2.3× |
| Ventricular puncture previous burr hole w/inj (61026) |
$1,548.04 |
$2,977 |
1.9× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,402.44 |
$2,697 |
1.4× |
| Wedge excision skin nail fold (11765) |
$531.44 |
$1,022 |
1.1× |
| Windowing of cast (29730) |
$364 |
$700 |
2.0× |
| Wound Prep F/N/Hf/G (15004) |
$875.68 |
$1,684 |
1.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$3,045.12 |
$5,856 |
3.6× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$4,181.84 |
$8,042 |
0.7× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$950.56 |
$1,828 |
0.5× |