| Application cast elbow finger short arm (29075) |
$376 |
$752 |
1.3× |
| Application Cast Finger (29086) |
$228.50 |
$457 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$376 |
$752 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$91 |
$182 |
1.5× |
| Application finger splint static (29130) |
$192.75 |
$385.50 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$201 |
$402 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$916.50 |
$1,833 |
6.9× |
| Application short arm splint forearm-hand static (29125) |
$426 |
$852 |
3.2× |
| Arterial puncture (36600) |
$241 |
$482 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$425 |
$850 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,087 |
$2,174 |
1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$816.25 |
$1,632.50 |
2.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$719.50 |
$1,439 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$531.25 |
$1,062.50 |
1.7× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$441 |
$882 |
1.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$980.50 |
$1,961 |
0.6× |
| Bladder Scan (51798) |
$138 |
$276 |
2.3× |
| Blood patch (62273) |
$1,062 |
$2,124 |
1.5× |
| Blood transfusion service (36430) |
$267 |
$534 |
0.6× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$1,072 |
$2,144 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,297.50 |
$4,595 |
1.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$2,533 |
$5,066 |
1.6× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$797 |
$1,594 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,003.50 |
$2,007 |
7.5× |
| Destroy cerv/thor facet jnt (64633) |
$2,642.50 |
$5,285 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,642.50 |
$5,285 |
1.3× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,159.50 |
$2,319 |
1.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$275.50 |
$551 |
0.2× |
| Dressing change under anesthesia (15852) |
$902.50 |
$1,805 |
1.2× |
| Dry Needling 3+ Muscles (20561) |
$44 |
$88 |
1.5× |
| Epidural lysis on single day (62264) |
$1,143.50 |
$2,287 |
1.3× |
| Fasciotomy foot and/or toe (28008) |
$4,501.50 |
$9,003 |
1.4× |
| Guide Cathet Fluid Drainage (10030) |
$988 |
$1,976 |
1.4× |
| Incision of achilles tendon (27605) |
$2,297.50 |
$4,595 |
1.4× |
| Incision of thigh tendons (27307) |
$4,501.50 |
$9,003 |
1.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,469 |
$2,938 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$544.50 |
$1,089 |
1.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,143.50 |
$2,287 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,143.50 |
$2,287 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,387.50 |
$2,775 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,159.50 |
$2,319 |
1.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,143.50 |
$2,287 |
1.3× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,159.50 |
$2,319 |
1.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$937 |
$1,874 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,159.50 |
$2,319 |
1.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$925 |
$1,850 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,159.50 |
$2,319 |
1.3× |
| Inject Nerv Blck,Pudendal (64430) |
$1,159.50 |
$2,319 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$449.50 |
$899 |
1.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,143.50 |
$2,287 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$937 |
$1,874 |
1.3× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,143.50 |
$2,287 |
1.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$925 |
$1,850 |
1.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$790 |
$1,580 |
2.6× |
| Injection anes other peripheral nerve/branch (64450) |
$937 |
$1,874 |
1.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,159.50 |
$2,319 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$542 |
$1,084 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$542 |
$1,084 |
1.8× |
| Injection therapeutic carpal tunnel (20526) |
$417.50 |
$835 |
1.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$762.50 |
$1,525 |
2.5× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$423 |
$846 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$5,018.50 |
$10,037 |
1.6× |
| Insert picc cath (36569) |
$2,412.50 |
$4,825 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$193.50 |
$387 |
1.4× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$395 |
$790 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40 |
$80 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,159.50 |
$2,319 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,469 |
$2,938 |
1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$925 |
$1,850 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$925 |
$1,850 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,020 |
$4,040 |
2.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,143.50 |
$2,287 |
1.3× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$19,673 |
$39,346 |
1.5× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$10,228.50 |
$20,457 |
1.6× |
| Pvb thoracic single inj site (64461) |
$1,087 |
$2,174 |
1.5× |
| Repair elbow perc (24357) |
$3,000 |
$6,000 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$595.50 |
$1,191 |
1.5× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$18,738.50 |
$37,477 |
1.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$5,467 |
$10,934 |
1.6× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$2,524 |
$5,048 |
1.6× |
| Strapping elbow/wrist (29260) |
$91 |
$182 |
1.5× |
| Strapping hand/finger (29280) |
$91 |
$182 |
1.5× |
| Strapping shoulder (29240) |
$182.50 |
$365 |
1.4× |
| Strapping thorax (29200) |
$228.50 |
$457 |
1.4× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$4,285.50 |
$8,571 |
1.3× |
| Tenotomy adductor hip percutaneous spx (27000) |
$2,297.50 |
$4,595 |
1.4× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,297.50 |
$4,595 |
0.7× |
| Tenotomy shoulder area single tendon (23405) |
$9,081.50 |
$18,163 |
1.2× |
| Unlisted procedure femur or knee (27599) |
$743.50 |
$1,487 |
3.0× |
| Unlisted procedure foot or toes (28899) |
$743.50 |
$1,487 |
3.0× |
| Unlisted procedure humerus/elbow (24999) |
$743.50 |
$1,487 |
3.0× |
| Unlisted procedure leg/ankle (27899) |
$743.50 |
$1,487 |
3.0× |
| Unlisted Procedure Nervous System (64999) |
$1,104.50 |
$2,209 |
3.6× |
| Unlisted procedure pelvis/hip joint (27299) |
$743.50 |
$1,487 |
3.0× |
| Unlisted procedure shoulder (23929) |
$743.50 |
$1,487 |
3.0× |
| Venipuncture (36415) |
$20.50 |
$41 |
2.2× |