| Abd paracentesis w/imaging (49083) |
$344.40 |
$1,148 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$602.40 |
$2,008 |
0.7× |
| Acne surgery (10040) |
$237.60 |
$792 |
1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$1,240.80 |
$4,136 |
0.4× |
| Amputation Finger/Thumb (26951) |
$1,240.80 |
$4,136 |
0.4× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,060.30 |
$10,201 |
1.0× |
| Anoscopy diagnostic (46600) |
$48.60 |
$162 |
0.4× |
| Application cast elbow finger short arm (29075) |
$99.90 |
$333 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$99.90 |
$333 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$243.60 |
$812 |
4.2× |
| Application finger splint static (29130) |
$243.60 |
$812 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$243.60 |
$812 |
1.5× |
| Application of long leg cast (29345) |
$99.90 |
$333 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$243.60 |
$812 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$243.60 |
$812 |
1.9× |
| Apply long leg splint (29505) |
$243.60 |
$812 |
1.5× |
| Apply short leg cast (29405) |
$99.90 |
$333 |
0.4× |
| Apply short leg cast (29425) |
$99.90 |
$333 |
0.4× |
| Apply short leg splint (29515) |
$243.60 |
$812 |
1.5× |
| Arterial puncture (36600) |
$196.20 |
$654 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$131.10 |
$437 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,074.30 |
$3,581 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$131.10 |
$437 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$597.90 |
$1,993 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$597.90 |
$1,993 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,935.90 |
$6,453 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$321.30 |
$1,071 |
1.6× |
| Bladder Irrigation Simple (51700) |
$138 |
$460 |
0.6× |
| Blepharotomy drain absc eyelid (67700) |
$110.70 |
$369 |
0.4× |
| Blood patch (62273) |
$470.40 |
$1,568 |
0.7× |
| Blood transfusion service (36430) |
$977.40 |
$3,258 |
2.3× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,290 |
$4,300 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,665.60 |
$5,552 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$95.40 |
$318 |
0.4× |
| Change of cystostomy tube simple (51705) |
$89.70 |
$299 |
0.4× |
| Chemical cautery tissue (17250) |
$75.30 |
$251 |
0.4× |
| Circum 28 days or older (54161) |
$773.10 |
$2,577 |
0.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$86.40 |
$288 |
0.4× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$597.90 |
$1,993 |
0.4× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$86.40 |
$288 |
0.4× |
| Closed Treatment Coccygeal Fracture (27200) |
$86.40 |
$288 |
0.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$86.40 |
$288 |
0.4× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$190.50 |
$635 |
0.4× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$86.40 |
$288 |
0.4× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$86.40 |
$288 |
0.4× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$597.90 |
$1,993 |
0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$343.50 |
$1,145 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$86.40 |
$288 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$597.90 |
$1,993 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$86.40 |
$288 |
0.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$86.40 |
$288 |
0.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$597.90 |
$1,993 |
0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$86.40 |
$288 |
0.4× |
| Closed tx lunate dislocation w/manipulation (25690) |
$597.90 |
$1,993 |
0.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$597.90 |
$1,993 |
0.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,023.90 |
$3,413 |
0.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$86.40 |
$288 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$86.40 |
$288 |
0.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$597.90 |
$1,993 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$86.40 |
$288 |
0.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$597.90 |
$1,993 |
0.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$597.90 |
$1,993 |
0.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$215.70 |
$719 |
0.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$86.40 |
$288 |
0.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$597.90 |
$1,993 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$86.40 |
$288 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$597.90 |
$1,993 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$87 |
$290 |
0.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$215.70 |
$719 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$238.20 |
$794 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$597.90 |
$1,993 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$86.40 |
$288 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$597.90 |
$1,993 |
0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$86.40 |
$288 |
0.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$86.40 |
$288 |
0.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$86.40 |
$288 |
0.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$86.40 |
$288 |
0.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$597.90 |
$1,993 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,023.90 |
$3,413 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$597.90 |
$1,993 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$86.40 |
$288 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$86.40 |
$288 |
0.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$597.90 |
$1,993 |
0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$86.40 |
$288 |
0.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,023.90 |
$3,413 |
0.7× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$597.90 |
$1,993 |
0.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$86.40 |
$288 |
0.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$86.40 |
$288 |
0.4× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$597.90 |
$1,993 |
0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$86.40 |
$288 |
0.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$86.40 |
$288 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$86.40 |
$288 |
0.4× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$86.40 |
$288 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$86.40 |
$288 |
0.4× |
| Cltx post ankle fx w/mnpj (27768) |
$597.90 |
$1,993 |
0.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,519.50 |
$5,065 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$86.40 |
$288 |
0.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$597.90 |
$1,993 |
0.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$597.90 |
$1,993 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$86.40 |
$288 |
0.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$597.90 |
$1,993 |
0.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$597.90 |
$1,993 |
0.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$597.90 |
$1,993 |
0.4× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$597.90 |
$1,993 |
0.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$597.90 |
$1,993 |
0.4× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$86.40 |
$288 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$72.60 |
$242 |
0.6× |
| Colonoscopy flex w/inj submuc (45381) |
$8,941.07 |
$14,901.78 |
7.7× |
| Colporrhaphy Suture Injury Vagina (57200) |
$1,178.40 |
$3,928 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$48.60 |
$162 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$104.10 |
$347 |
0.8× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$190.50 |
$635 |
0.4× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$1,185.90 |
$3,953 |
0.4× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$1,335.90 |
$4,453 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$126 |
$420 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$773.10 |
$2,577 |
0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$773.10 |
$2,577 |
0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$773.10 |
$2,577 |
0.4× |
| Cystourethroscopy (52000) |
$3,878.50 |
$6,464.17 |
5.7× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$773.10 |
$2,577 |
0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$242.70 |
$809 |
0.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,076.70 |
$3,589 |
0.4× |
| Debride tissue/muscle (11043) |
$242.70 |
$809 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$155.70 |
$519 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$625.20 |
$2,084 |
0.4× |
| Declot vascular device (36593) |
$318.30 |
$1,061 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$75.30 |
$251 |
0.4× |
| Dilate Urethra Stricture (53620) |
$260.70 |
$869 |
0.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$4,274.40 |
$7,124 |
4.8× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$625.20 |
$2,084 |
0.4× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$270.60 |
$902 |
0.4× |
| Drainage external auditory canal abscess (69020) |
$270.60 |
$902 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$270.60 |
$902 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$625.20 |
$2,084 |
0.4× |
| Drainage Finger Abscess Simple (26010) |
$216.60 |
$722 |
1.1× |
| Drainage Mouth Roof Lesion (42000) |
$87 |
$290 |
0.4× |
| Drainage of gum lesion (41800) |
$48.60 |
$162 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$624.60 |
$2,082 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$625.20 |
$2,084 |
0.4× |
| Draw blood off venous device (36591) |
$78.90 |
$263 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$155.70 |
$519 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$75.30 |
$251 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$143.10 |
$477 |
0.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$6,067.30 |
$10,112.17 |
3.2× |
| Egd flexible foreign body removal (43247) |
$344.40 |
$1,148 |
0.4× |
| Egd remove lesion snare (43251) |
$8,459.09 |
$14,098.48 |
4.5× |
| Escharotomy initial incision (16035) |
$155.70 |
$519 |
0.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$726 |
$2,420 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$726 |
$2,420 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$48.60 |
$162 |
0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$270.60 |
$902 |
0.4× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$625.20 |
$2,084 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$270.60 |
$902 |
0.4× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$554.40 |
$1,848 |
0.8× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$155.70 |
$519 |
0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,076.70 |
$3,589 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$625.20 |
$2,084 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$625.20 |
$2,084 |
0.4× |
| Fluid pressure muscle (20950) |
$270.60 |
$902 |
0.4× |
| Foreskin manipulation (54450) |
$89.70 |
$299 |
0.4× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$212.40 |
$708 |
1.0× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$1,185.90 |
$3,953 |
0.4× |
| I&D Abscess Peritonsillar (42700) |
$87 |
$290 |
0.4× |
| I&d abscess simple (10060) |
$177.90 |
$593 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$773.10 |
$2,577 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$177.90 |
$593 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$561 |
$1,870 |
0.5× |
| I&D Upper Arm/Elbow Bursa (23931) |
$625.20 |
$2,084 |
0.4× |
| I&d vulva/perineal abscess (56405) |
$230.10 |
$767 |
0.8× |
| Incise external hemorrhoid (46083) |
$425.40 |
$1,418 |
1.7× |
| Incise finger tendon sheath (26055) |
$597.90 |
$1,993 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$177.90 |
$593 |
0.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$177.90 |
$593 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$624.60 |
$2,082 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$624.60 |
$2,082 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$74.40 |
$248 |
0.4× |
| Incision and drainage perianal abscess superficial (46050) |
$346.50 |
$1,155 |
0.4× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$1,076.70 |
$3,589 |
0.4× |
| Incision of eyelid fold (67715) |
$881.40 |
$2,938 |
0.4× |
| Incision of rectal abscess (46040) |
$451.50 |
$1,505 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$242.70 |
$809 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$216.90 |
$723 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$887.70 |
$2,959 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$621.45 |
$2,071.50 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$887.70 |
$2,959 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,094.40 |
$3,648 |
1.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$887.70 |
$2,959 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$671.70 |
$2,239 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$887.70 |
$2,959 |
1.0× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$887.70 |
$2,959 |
1.0× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$887.70 |
$2,959 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$563.55 |
$1,878.50 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$594 |
$1,980 |
2.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$113.40 |
$378 |
0.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$671.70 |
$2,239 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$671.70 |
$2,239 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$113.40 |
$378 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$113.40 |
$378 |
0.4× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$887.70 |
$2,959 |
1.0× |
| Insert and remove bone pin (20650) |
$1,240.80 |
$4,136 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$60.90 |
$203 |
0.5× |
| Insert cath pleura w/o image (32556) |
$726 |
$2,420 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$1,241.70 |
$4,139 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,398.30 |
$4,661 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$93.75 |
$312.50 |
0.7× |
| Insert tun ip cath perc (49418) |
$3,535.80 |
$11,786 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$62.10 |
$207 |
0.5× |
| Insj picc rs&i 5 yr+ (36573) |
$1,230.15 |
$4,100.50 |
0.8× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure |
$3,402 |
$11,340 |
0.4× |
| Interdental Fixation (21110) |
$578.40 |
$1,928 |
0.4× |
| Intraoral i&d tongue/floor masticator space (41009) |
$481.20 |
$1,604 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$458.40 |
$1,528 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$297.60 |
$992 |
1.2× |
| Laryngoscopy flexible diagnostic (31575) |
$74.70 |
$249 |
0.4× |
| Late closure of wound (13160) |
$1,724.40 |
$5,748 |
0.5× |
| Ligation Internal/Common Carotid Artery (37605) |
$1,241.70 |
$4,139 |
0.4× |
| Lip Surgery Procedure (40799) |
$87 |
$290 |
0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$671.70 |
$2,239 |
1.0× |
| N Block Inj, Plantar Digit (64455) |
$283.50 |
$945 |
0.9× |
| Nasal endoscopy dx (31231) |
$74.70 |
$249 |
0.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$666.60 |
$2,222 |
0.4× |
| Nfct ds csf metag ngs alys (0480U) |
$3,189.30 |
$10,631 |
1.5× |
| Njx aa&/strd sciatic nerve (64445) |
$671.70 |
$2,239 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$887.70 |
$2,959 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$979.20 |
$3,264 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,073.10 |
$3,577 |
1.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$908.10 |
$3,027 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$671.70 |
$2,239 |
1.0× |
| Ob pe sflt-1/plgf ia srm/pls (0524U) |
$135 |
$450 |
1.0× |
| Occipital Nerve Block (64405) |
$594 |
$1,980 |
2.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$597.90 |
$1,993 |
0.4× |
| Pericardiocentesis W/Imaging (33016) |
$620.10 |
$2,067 |
0.4× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$735.60 |
$2,452 |
3.0× |
| Picc line placement (36569) |
$889.80 |
$2,966 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$176.10 |
$587 |
0.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$1,071 |
$3,570 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$155.70 |
$519 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$213.60 |
$712 |
0.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$671.70 |
$2,239 |
1.0× |
| Rdctj Procidentia Under Anes Separate Procedure (45900) |
$346.50 |
$1,155 |
0.4× |
| Removal foreign body foot subcutaneous (28190) |
$270.60 |
$902 |
0.4× |
| Removal foreign body intranasal (30300) |
$139.20 |
$464 |
1.1× |
| Removal foreign body jawbone (41806) |
$578.40 |
$1,928 |
0.4× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$624.60 |
$2,082 |
0.4× |
| Removal foreign body pharynx (42809) |
$213.60 |
$712 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$74.70 |
$249 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$97.20 |
$324 |
1.7× |
| Removal of embedded foreign body, eyelid (67938) |
$110.70 |
$369 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$206.40 |
$688 |
0.5× |
| Removal of iud (58301) |
$121.80 |
$406 |
0.4× |
| Removal of nail bed (11750) |
$155.70 |
$519 |
0.4× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,103.80 |
$10,346 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$75.30 |
$251 |
0.4× |
| Remove foreign body from eye (65235) |
$900.30 |
$3,001 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$125.70 |
$419 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$48.60 |
$162 |
0.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$1,241.70 |
$4,139 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$960.90 |
$3,203 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$388.80 |
$1,296 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$605.40 |
$2,018 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$960.90 |
$3,203 |
2.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$960.90 |
$3,203 |
2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$960.90 |
$3,203 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$960.90 |
$3,203 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$597.90 |
$1,993 |
0.4× |
| Repair Eyelid Wound (67935) |
$881.40 |
$2,938 |
0.4× |
| Repair forearm tendon/muscle (25260) |
$1,240.80 |
$4,136 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$554.40 |
$1,848 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$554.40 |
$1,848 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$554.40 |
$1,848 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$554.40 |
$1,848 |
1.4× |
| Repair of nail bed (11760) |
$242.70 |
$809 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$1,240.80 |
$4,136 |
0.4× |
| Repair tongue laceration (41252) |
$87 |
$290 |
0.4× |
| Repair Tongue Laceration (41250) |
$157.80 |
$526 |
0.4× |
| Repeat control of nosebleed (30906) |
$87 |
$290 |
0.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$344.40 |
$1,148 |
0.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$344.40 |
$1,148 |
0.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$701.40 |
$2,338 |
0.8× |
| Revision of eyelid (67961) |
$881.40 |
$2,938 |
0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$344.40 |
$1,148 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$206.40 |
$688 |
1.6× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$157.80 |
$526 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$835.80 |
$2,786 |
1.4× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$270.60 |
$902 |
0.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$87 |
$290 |
0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$190.50 |
$635 |
0.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$190.50 |
$635 |
0.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$241.50 |
$805 |
0.4× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$1,240.80 |
$4,136 |
0.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$155.70 |
$519 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$470.70 |
$1,569 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$470.70 |
$1,569 |
2.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$470.70 |
$1,569 |
2.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$470.70 |
$1,569 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$470.70 |
$1,569 |
2.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$470.70 |
$1,569 |
2.4× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$470.70 |
$1,569 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$470.70 |
$1,569 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$470.70 |
$1,569 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$470.70 |
$1,569 |
2.4× |
| Skin tissue rearrangement (14040) |
$719.70 |
$2,399 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$470.70 |
$1,569 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$470.70 |
$1,569 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$470.70 |
$1,569 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$902.40 |
$3,008 |
1.3× |
| Spinal Puncture Therapeutic (62272) |
$552.90 |
$1,843 |
0.8× |
| Strapping ankle (29540) |
$60.90 |
$203 |
0.4× |
| Strapping elbow or wrist (29260) |
$24 |
$80 |
0.4× |
| Strapping hand/finger (29280) |
$24 |
$80 |
0.4× |
| Strapping knee (29530) |
$48.60 |
$162 |
0.4× |
| Strapping shoulder (29240) |
$243.60 |
$812 |
1.9× |
| Strapping unna boot (29580) |
$190.50 |
$635 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$75.30 |
$251 |
0.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$241.50 |
$805 |
0.4× |
| Throat Surgery Procedure (42999) |
$87 |
$290 |
0.4× |
| Thrombolytic Therapy Stroke (37195) |
$4,366.50 |
$14,555 |
13.5× |
| Thrombolytic Venous Therapy (37212) |
$1,241.70 |
$4,139 |
0.4× |
| Tongue and mouth surg unlisted (41599) |
$87 |
$290 |
0.4× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$1,178.40 |
$3,928 |
0.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$190.50 |
$635 |
0.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$87 |
$290 |
0.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$578.40 |
$1,928 |
0.4× |
| Tracheotomy tube change (31502) |
$87 |
$290 |
0.4× |
| Treat clavicle dislocation (23540) |
$86.40 |
$288 |
0.4× |
| Treat clavicle fracture (23505) |
$597.90 |
$1,993 |
0.4× |
| Treat humerus fracture (24500) |
$226.80 |
$756 |
0.9× |
| Treat knee fracture (27532) |
$1,240.80 |
$4,136 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$86.40 |
$288 |
0.4× |
| Treat Thigh Fracture (27246) |
$343.50 |
$1,145 |
1.4× |
| Treat Thumb Dislocation (26641) |
$86.40 |
$288 |
0.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$597.90 |
$1,993 |
0.4× |
| Treatment closed elbow dislocation req anes (24605) |
$597.90 |
$1,993 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$86.40 |
$288 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$1,178.40 |
$3,928 |
0.4× |
| Trim skin lesion (11055) |
$75.30 |
$251 |
0.4× |
| Tube thoracostomy includes water seal (32551) |
$620.10 |
$2,067 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,178.40 |
$3,928 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$242.70 |
$809 |
0.3× |
| Unlisted procedure dentoalveolar structures (41899) |
$87 |
$290 |
0.4× |
| Unlisted procedure nervous system (64999) |
$455.10 |
$1,517 |
1.5× |
| Unlisted Procedure Small Intestine (44799) |
$857.10 |
$2,857 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$241.80 |
$806 |
0.4× |
| Unlisted procedure, hands or fingers (26989) |
$238.20 |
$794 |
1.0× |
| Unlisted procedure, vestibule of mouth (40899) |
$230.70 |
$769 |
1.0× |
| Us urine capacity measure (51798) |
$60.60 |
$202 |
1.1× |
| Vaginal delivery only (59409) |
$2,026.20 |
$6,754 |
0.6× |
| Venipuncture (36415) |
$27.60 |
$92 |
3.0× |
| Wedge excision skin nail fold (11765) |
$155.70 |
$519 |
0.4× |