| Abd paracentesis w/imaging (49083) |
$1,442.40 |
$2,404 |
1.5× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$15,616.83 |
$26,028.05 |
1.4× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$19,300.23 |
$32,167.05 |
1.1× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$6,326.40 |
$10,544 |
1.0× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$15,616.83 |
$26,028.05 |
1.4× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$8,043 |
$13,405 |
0.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$5,854.80 |
$9,758 |
0.8× |
| Amniocentesis diagnostic (59000) |
$622.80 |
$1,038 |
0.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,557.44 |
$4,262.40 |
0.8× |
| Anoscopy diagnostic (46600) |
$340.20 |
$567 |
2.5× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,527.60 |
$2,546 |
2.0× |
| Application finger splint static (29130) |
$268.20 |
$447 |
1.9× |
| Application of long leg cast (thigh to toes); (29345) |
$398.37 |
$663.95 |
1.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$354.60 |
$591 |
2.1× |
| Application of short arm splint (forearm to hand); static (29125) |
$279 |
$465 |
2.0× |
| Application of short leg cast (below knee to toes); (29405) |
$297.96 |
$496.60 |
1.0× |
| Application of short leg splint (calf to foot) (29515) |
$307.20 |
$512 |
1.8× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$237.30 |
$395.50 |
1.4× |
| Application rigid total contact leg cast (29445) |
$269.46 |
$449.10 |
0.9× |
| Application, cast; shoulder to hand (long arm) (29065) |
$637.40 |
$1,062.32 |
2.2× |
| Apply long arm splint (29105) |
$280.80 |
$468 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$508.20 |
$847 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$553.80 |
$923 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$313.80 |
$523 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$677.45 |
$1,129.08 |
2.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$27,585.08 |
$45,975.13 |
1.5× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$19,300.23 |
$32,167.05 |
1.4× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$7,340.45 |
$12,234.07 |
10.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,135.40 |
$3,559 |
1.0× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$298.05 |
$496.75 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$2,746.90 |
$4,578.16 |
1.6× |
| Biopsy liver needle percutaneous (47000) |
$2,128.80 |
$3,548 |
1.2× |
| Biopsy lymph node (38505) |
$1,797.60 |
$2,996 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,999.20 |
$3,332 |
1.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,841.40 |
$3,069 |
1.1× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$2,379.60 |
$3,966 |
1.4× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$2,205 |
$3,675 |
1.3× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$2,430.36 |
$4,050.60 |
0.6× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$3,243.98 |
$5,406.63 |
1.9× |
| Bladder irrigation (51700) |
$385.20 |
$642 |
1.5× |
| Bx breast 1st lesion strtctc (19081) |
$3,942.60 |
$6,571 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$2,465.40 |
$4,109 |
1.4× |
| Bx pancreas ndl perc (48102) |
$2,383.80 |
$3,973 |
1.4× |
| Cast short arm (29075) |
$528.30 |
$880.50 |
1.8× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$3,899.28 |
$6,498.80 |
1.2× |
| Change g-tube to g-j perc (49446) |
$1,651.80 |
$2,753 |
0.8× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$1,001.12 |
$1,668.53 |
1.4× |
| Change of windpipe airway (31502) |
$314.24 |
$523.73 |
1.3× |
| Chemical cauterization of granulation tissue (17250) |
$388.80 |
$648 |
1.9× |
| Chest tube placement (32551) |
$1,712.40 |
$2,854 |
1.0× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$3,135 |
$5,225 |
0.8× |
| Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350) |
$7,404.68 |
$12,341.13 |
1.4× |
| Circumcision, Newborn (54150) |
$142.80 |
$238 |
0.1× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$3,072.77 |
$5,121.28 |
1.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$346.20 |
$577 |
1.4× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,400.62 |
$4,001.03 |
1.4× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,270.20 |
$2,117 |
0.8× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$575.72 |
$959.52 |
2.2× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$231.72 |
$386.20 |
0.9× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$276.72 |
$461.20 |
1.1× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$283.20 |
$472 |
1.1× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$359.82 |
$599.70 |
1.4× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,270.20 |
$2,117 |
0.8× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$705 |
$1,175 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$276.72 |
$461.20 |
1.1× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,270.20 |
$2,117 |
0.8× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$346.20 |
$577 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$575.72 |
$959.52 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,270.20 |
$2,117 |
0.8× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,574.40 |
$2,624 |
0.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$384.01 |
$640.01 |
1.6× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$4,864.61 |
$8,107.68 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,208 |
$3,680 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,675.20 |
$6,125.32 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$437.40 |
$729 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,638.60 |
$2,731 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$359.82 |
$599.70 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$529.80 |
$883 |
2.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$359.82 |
$599.70 |
1.4× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,296.06 |
$2,160.10 |
0.8× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,270.20 |
$2,117 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,353 |
$2,255 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$981.66 |
$1,636.10 |
3.8× |
| Collect blood from catheter venous nos (36592) |
$170.34 |
$283.90 |
1.2× |
| Collect blood from implant venous access device (36591) |
$170.34 |
$283.90 |
1.2× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$1,768.62 |
$2,947.70 |
1.4× |
| Complete replacement picc rs&i (36584) |
$1,936.50 |
$3,227.50 |
1.2× |
| Contrast injection perq radiologic eval gi tube (49465) |
$725.16 |
$1,208.60 |
2.9× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$636.30 |
$1,060.50 |
2.9× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$489.18 |
$815.30 |
3.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$356.40 |
$594 |
2.6× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$3,985.86 |
$6,643.10 |
1.1× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$3,379.38 |
$5,632.30 |
1.6× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$4,237.20 |
$7,062 |
2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$447.60 |
$746 |
3.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$308.82 |
$514.69 |
1.3× |
| Curettage postpartum (59160) |
$247.32 |
$412.20 |
0.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$5,173.46 |
$8,622.43 |
1.4× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$599.30 |
$998.83 |
1.4× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$2,430.36 |
$4,050.60 |
1.4× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$918.20 |
$1,530.33 |
1.2× |
| Declot vascular device (36593) |
$382.80 |
$638 |
1.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,335.44 |
$2,225.73 |
1.5× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$1,979.40 |
$3,299 |
2.2× |
| Diagnostic bone marrow biopsies (38221) |
$2,197.20 |
$3,662 |
1.3× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,357.82 |
$3,929.70 |
0.8× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,782.18 |
$2,970.30 |
2.4× |
| Diagnostic sigmoidoscopy (45330) |
$2,188.11 |
$3,646.84 |
2.3× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$4,769.30 |
$7,948.83 |
1.4× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$364.82 |
$608.03 |
1.4× |
| Drainage finger abscess simple (26010) |
$538.80 |
$898 |
2.6× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$2,430.36 |
$4,050.60 |
1.4× |
| Drainage of nose lesion (30020) |
$763.88 |
$1,273.13 |
1.4× |
| Dry needling (20999) |
$298.05 |
$496.75 |
1.2× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$5,961.54 |
$9,935.90 |
2.9× |
| Dx bronchoscope/lavage (31624) |
$353.37 |
$588.95 |
0.2× |
| Ed proc insert intraosseous IV (36680) |
$382.20 |
$637 |
0.8× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$450 |
$750 |
3.4× |
| Ed proc remve fb nasal- hospital (30300) |
$309.36 |
$515.60 |
2.2× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$95.34 |
$158.90 |
0.7× |
| Ed prof burn small - hospital (16020) |
$297.60 |
$496 |
1.4× |
| Ed prof catheterization/straight (51701) |
$193.35 |
$322.25 |
1.4× |
| Ed prof closed tx post hip arthroplasty (27265) |
$459 |
$765 |
1.8× |
| Ed prof drain dental abscess-hospital (41800) |
$471 |
$785 |
3.4× |
| Ed prof insert foley cath simple (51702) |
$187.20 |
$312 |
1.4× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,661.60 |
$4,436 |
0.8× |
| Ed prof insertion of heart electr (33210) |
$7,225.20 |
$12,042 |
0.8× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$911.81 |
$1,519.68 |
2.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$702 |
$1,170 |
1.7× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$538.80 |
$898 |
2.1× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$807.30 |
$1,345.50 |
1.7× |
| Egd transoral control bleeding any method (43255) |
$3,743.16 |
$6,238.60 |
1.9× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$5,173.46 |
$8,622.43 |
1.4× |
| Episiotomy or vaginal repair (59300) |
$4,008.84 |
$6,681.40 |
1.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,318.86 |
$2,198.10 |
1.8× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$2,152.50 |
$3,587.50 |
0.5× |
| Evac subungual hematoma (11740) |
$177 |
$295 |
1.3× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$3,135 |
$5,225 |
0.8× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,545.20 |
$4,242 |
1.2× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,393.40 |
$3,989 |
1.2× |
| Excision lesion mouth roof (42104) |
$4,864.61 |
$8,107.68 |
1.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,184.20 |
$5,307 |
2.6× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$4,293.08 |
$7,155.13 |
1.4× |
| Exploration penetrating wound spx extremity (20103) |
$1,327.80 |
$2,213 |
0.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,886.22 |
$3,143.70 |
2.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,011 |
$1,685 |
1.4× |
| Ganglion impar nerve block (64999) |
$727.20 |
$1,212 |
2.3× |
| Gastric lavage (43753) |
$402 |
$670 |
1.8× |
| Grf facial nrv palyss fr muscle flap microsurg (15842) |
$95.22 |
$158.70 |
0.0× |
| Guide cathet fluid drainage (10030) |
$2,204.04 |
$3,673.40 |
3.0× |
| I&d abscess simple/single (10060) |
$626.40 |
$1,044 |
3.0× |
| I&d hematoma/seroma/fluid (10140) |
$2,780.56 |
$4,634.26 |
1.6× |
| I&d pilonidal cyst simple (10080) |
$630 |
$1,050 |
0.9× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$2,767.80 |
$4,613 |
1.6× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$3,568.80 |
$5,948 |
2.1× |
| Incise finger tendon sheath (26055) |
$2,400.62 |
$4,001.03 |
1.4× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$718.80 |
$1,198 |
1.7× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$467.40 |
$779 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$469.20 |
$782 |
1.5× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$2,430.36 |
$4,050.60 |
1.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$1,701.60 |
$2,836 |
4.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,397.54 |
$3,995.89 |
1.5× |
| Incision of rectal abscess (46040) |
$1,954.80 |
$3,258 |
1.6× |
| Incision of windpipe (31603) |
$2,221.92 |
$3,703.20 |
1.4× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$851.10 |
$1,418.50 |
2.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,028.60 |
$3,381 |
2.2× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,546.52 |
$4,244.20 |
2.8× |
| Injection aa&/strd greater occipital nerve (64405) |
$1,646.40 |
$2,744 |
5.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,785.80 |
$4,643 |
3.0× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,681.02 |
$2,801.70 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$360.60 |
$601 |
1.1× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$689.40 |
$1,149 |
1.1× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$467.40 |
$779 |
1.5× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$739.20 |
$1,232 |
2.3× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,816.80 |
$3,028 |
2.0× |
| Ins cath ren art 1st bilat (36252) |
$7,828.98 |
$13,048.30 |
2.4× |
| Ins cath ren art 1st unilat (36251) |
$6,122.94 |
$10,204.90 |
1.9× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$8,550.60 |
$14,251 |
1.5× |
| Insert cervical dilator (59200) |
$360.60 |
$601 |
1.1× |
| Insert gastrostomy tube percutaneous (49440) |
$2,577 |
$4,295 |
1.3× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$2,637 |
$4,395 |
0.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,906.80 |
$8,178 |
1.3× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$13,168.20 |
$21,947 |
1.2× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$40,814.79 |
$68,024.65 |
3.8× |
| Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) |
$15,523.80 |
$25,873 |
0.8× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$231 |
$385 |
1.0× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$5,914.20 |
$9,857 |
1.8× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$5,146.80 |
$8,578 |
1.6× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,944 |
$3,240 |
1.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$2,983.23 |
$4,972.05 |
1.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$2,016 |
$3,360 |
3.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,148.20 |
$15,247 |
1.1× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$7,225.20 |
$12,042 |
0.8× |
| Insj intraperitoneal catheter w/img guid (49418) |
$6,517.80 |
$10,863 |
1.8× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,102.66 |
$5,171.10 |
0.9× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$34,599 |
$57,665 |
1.1× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$45,710.39 |
$76,183.98 |
1.4× |
| Insrt heart pm atrial & vent (33208) |
$14,276.40 |
$23,794 |
1.3× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,516.20 |
$2,527 |
0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$15,152.40 |
$25,254 |
1.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$13,191.66 |
$21,986.10 |
2.2× |
| Intubation endotracheal (31500) |
$892.20 |
$1,487 |
3.6× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$11,350.48 |
$18,917.46 |
1.8× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670) |
$8,751.54 |
$14,585.90 |
1.4× |
| Laser treatment of retina (67040) |
$6,034.29 |
$10,057.15 |
1.4× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$14,697.06 |
$24,495.10 |
4.0× |
| Long gi tube placement (44500) |
$1,406.34 |
$2,343.90 |
1.5× |
| Lumbar puncture (62270) |
$994.80 |
$1,658 |
1.4× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$168.60 |
$281 |
2.8× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,317 |
$2,195 |
0.8× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$2,288.64 |
$3,814.40 |
2.8× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$2,370.18 |
$3,950.30 |
2.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$8,353.54 |
$13,922.56 |
10.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$2,400.62 |
$4,001.03 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.20 |
$37 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$22.20 |
$37 |
0.7× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$2,929.16 |
$4,881.93 |
1.4× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$2,293.86 |
$3,823.10 |
2.5× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$3,657.60 |
$6,096 |
1.0× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$3,657.60 |
$6,096 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,573.40 |
$4,289 |
3.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,573.40 |
$4,289 |
3.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$135.44 |
$225.73 |
0.1× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$646.20 |
$1,077 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$976.29 |
$1,627.15 |
1.3× |
| Non stress test (59025) |
$456.60 |
$761 |
2.2× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$3,814.20 |
$6,357 |
1.2× |
| Open/perq placement intravascular stent initial (37236) |
$9,395.40 |
$15,659 |
0.8× |
| Open/perq placement intravascular stent same 1st (37238) |
$9,395.40 |
$15,659 |
0.8× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$298.05 |
$496.75 |
1.4× |
| Pelvis/hip joint surgery unlisted (27299) |
$2,400.62 |
$4,001.03 |
9.4× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$1,055.39 |
$1,758.98 |
1.4× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$3,473.46 |
$5,789.10 |
1.1× |
| Pericardiocentesis w/img guidance when performed (33016) |
$2,203.80 |
$3,673 |
1.3× |
| Perq av fistula creation uxtr single access (36836) |
$11,235 |
$18,725 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$1,728.60 |
$2,881 |
2.4× |
| Perq device breast 1st imag (19281) |
$1,717.86 |
$2,863.10 |
1.0× |
| Perq drainage pleura insert cath w/imaging (32557) |
$2,521.80 |
$4,203 |
1.5× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,581.60 |
$2,636 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$665.40 |
$1,109 |
2.6× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$24,207.60 |
$40,346 |
1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$15,976.20 |
$26,627 |
1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,906.80 |
$13,178 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$9,098.16 |
$15,163.60 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,098.16 |
$15,163.60 |
1.2× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$3,790.80 |
$6,318 |
1.1× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$3,790.80 |
$6,318 |
1.1× |
| Place duod/jej tube perc (49441) |
$2,064.60 |
$3,441 |
1.0× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$8,751.54 |
$14,585.90 |
1.4× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$5,895.60 |
$9,826 |
2.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$7,592.40 |
$12,654 |
2.1× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,373.40 |
$2,289 |
1.9× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$7,681.44 |
$12,802.40 |
2.1× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$6,386.04 |
$10,643.40 |
1.7× |
| Preputial stretching (54450) |
$364.82 |
$608.03 |
1.4× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
unusually low — confirm this is the full procedure |
$9,395.40 |
$15,659 |
0.5× |
| Prq impltj nstim electrode array epidural (63650) |
$9,844.35 |
$16,407.25 |
1.5× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$3,474.66 |
$5,791.10 |
0.9× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$7,979.40 |
$13,299 |
2.1× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$9,395.40 |
$15,659 |
0.8× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$823.20 |
$1,372 |
2.0× |
| Puncture aspiration of cyst of breast (19000) |
$1,048.80 |
$1,748 |
1.4× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,559.64 |
$2,599.40 |
2.1× |
| Relocation of skin pocket for pacemaker (33222) |
$4,888.20 |
$8,147 |
2.3× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,406.34 |
$2,343.90 |
1.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$982.20 |
$1,637 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$282.60 |
$471 |
4.6× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$441.60 |
$736 |
7.2× |
| Removal implant deep (20680) |
$4,293.08 |
$7,155.13 |
1.4× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$799.95 |
$1,333.25 |
0.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,768.62 |
$2,947.70 |
1.4× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$2,430.36 |
$4,050.60 |
1.4× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$358.20 |
$597 |
2.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$382.20 |
$637 |
0.8× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$3,526.80 |
$5,878 |
0.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,909.80 |
$8,183 |
1.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,603.50 |
$4,339.17 |
3.5× |
| Removal tunneled cv cath (36590) |
$3,576.60 |
$5,961 |
2.2× |
| Remove foreign body from eye (65210) |
$390 |
$650 |
0.8× |
| Remove lung catheter (32552) |
$777 |
$1,295 |
1.2× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$11,758.20 |
$19,597 |
1.1× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$21,192.44 |
$35,320.74 |
2.5× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$2,344.20 |
$3,907 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$911.81 |
$1,519.68 |
2.2× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,054.20 |
$1,757 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$889.20 |
$1,482 |
2.1× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$5,293.59 |
$8,822.65 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$532.20 |
$887 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$562.80 |
$938 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$481.80 |
$803 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$626.40 |
$1,044 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$555.84 |
$926.40 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$599.30 |
$998.83 |
1.4× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$637.80 |
$1,063 |
1.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$642.60 |
$1,071 |
1.5× |
| Repair intrinsic muscles hand each muscle (26591) |
$4,866.92 |
$8,111.53 |
1.4× |
| Repair lead pace-defib one (33218) |
$3,018 |
$5,030 |
0.8× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,187.28 |
$1,978.80 |
2.1× |
| Repair of nail bed (11760) |
$699 |
$1,165 |
0.9× |
| Repair tongue lacer,post 1/3 (41251) |
$834.72 |
$1,391.20 |
3.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$915 |
$1,525 |
1.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$1,235.48 |
$2,059.13 |
2.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,363.20 |
$2,272 |
1.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,291.80 |
$2,153 |
1.4× |
| Replace tunneled cv cath (36582) |
$4,731.60 |
$7,886 |
1.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,042.80 |
$1,738 |
1.1× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$4,117.20 |
$6,862 |
1.3× |
| Reposition venous catheter (36597) |
$1,317 |
$2,195 |
0.8× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$2,637 |
$4,395 |
0.8× |
| Reset dislocated jaw (21480) |
$359.82 |
$599.70 |
1.4× |
| Revision of cervix (59320) |
$4,769.30 |
$7,948.83 |
1.4× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$3,064.20 |
$5,107 |
1.4× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$235.80 |
$393 |
1.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$363 |
$605 |
2.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,279.58 |
$7,132.63 |
1.4× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$30,501.78 |
$50,836.30 |
0.9× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$22,944.78 |
$38,241.30 |
1.0× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$23,422.20 |
$39,037 |
1.0× |
| Rmvl nfros tube req fluoro guidance (50389) |
$1,576.44 |
$2,627.40 |
2.2× |
| Rmvl of access device (36589) |
$1,915.20 |
$3,192 |
2.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,410.42 |
$2,350.70 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,146.80 |
$8,578 |
1.6× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$5,832 |
$9,720 |
1.8× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$9,972.42 |
$16,620.70 |
3.0× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$2,091.60 |
$3,486 |
1.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$404.40 |
$674 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$414.60 |
$691 |
2.0× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$437.40 |
$729 |
2.1× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$453 |
$755 |
2.2× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$408 |
$680 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$444 |
$740 |
2.1× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$7,433.40 |
$12,389 |
2.3× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$9,910.80 |
$16,518 |
1.7× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$5,307.60 |
$8,846 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$7,404.68 |
$12,341.13 |
1.4× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$419.40 |
$699 |
2.0× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$472.20 |
$787 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$505.80 |
$843 |
1.2× |
| Stomach surgery procedure unlisted (43999) |
$510.60 |
$851 |
0.5× |
| Strapping ankle (29540) |
$140.22 |
$233.70 |
0.8× |
| Strapping hand/finger (29280) |
$210 |
$350 |
3.4× |
| Strapping of shoulder (29240) |
$174 |
$290 |
1.3× |
| Strapping unna boot (29580) |
$378 |
$630 |
2.2× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,527.60 |
$2,546 |
2.0× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$6,442.01 |
$10,736.67 |
1.9× |
| Tenodesis long tendon biceps (23430) |
$10,715.60 |
$17,859.33 |
1.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,889.10 |
$3,148.50 |
2.6× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$19,300.23 |
$32,167.05 |
1.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,600.80 |
$2,668 |
2.5× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$2,637 |
$4,395 |
0.8× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$5,848.80 |
$9,748 |
1.0× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$5,848.80 |
$9,748 |
1.8× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$348.33 |
$580.55 |
1.4× |
| Transcatheter biopsy (37200) |
$4,549.20 |
$7,582 |
0.8× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$13,201.80 |
$22,003 |
1.1× |
| Transfusion, blood or blood components (36430) |
$801.60 |
$1,336 |
1.7× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$4,078.80 |
$6,798 |
0.7× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$2,586.71 |
$4,311.18 |
1.4× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$7,625.43 |
$12,709.05 |
1.4× |
| Treat finger dislocation (26775) |
$614.12 |
$1,023.52 |
2.1× |
| Treat wrist bone fracture (25635) |
$3,161.63 |
$5,269.37 |
1.9× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,733 |
$4,555 |
1.6× |
| Treatment of bladder lesion (51720) |
$501.27 |
$835.45 |
0.7× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$646.20 |
$1,077 |
2.5× |
Trlml balo angiop open/perq img s&i 1st art (37246)
likely a partial charge — not the full procedure |
$1,412.46 |
$2,354.10 |
0.2× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$8,552.28 |
$14,253.80 |
1.4× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$2,221.92 |
$3,703.20 |
1.4× |
| Unlisted procedure rectum (45999) |
$1,641.08 |
$2,735.12 |
1.7× |
| Unlisted procedure, dentoalveolar structures (41899) |
$834.60 |
$1,391 |
3.4× |
| Vaginal delivery (59409) |
$2,803.56 |
$4,672.60 |
0.8× |
| Vasc embolize/occlude bleed (37244) |
$10,908 |
$18,180 |
0.9× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$18,019.58 |
$30,032.64 |
0.9× |
| Vascular embolization or occlusion venous rs&i (37241) |
$9,395.40 |
$15,659 |
0.8× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$10,843.20 |
$18,072 |
0.9× |
| Venipuncture (36415) |
$33.66 |
$56.10 |
3.6× |
| Version cephalic external (59412) |
$4,769.30 |
$7,948.83 |
1.4× |
| Vitrectomy pars plana remove int memb retina (67042) |
$6,034.29 |
$10,057.15 |
1.4× |
| Wedge excision skin nail fold (11765) |
$385.80 |
$643 |
0.9× |