| Abd paracentesis w/imaging (49083) |
$1,408.50 |
$1,565 |
1.7× |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
$8,077.50 |
$8,975 |
0.8× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$12,546 |
$13,940 |
1.3× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$261 |
$290 |
1.8× |
| Application cast elbow finger short arm (29075) |
$414 |
$460 |
1.6× |
| Application finger splint static (29130) |
$130.50 |
$145 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$243 |
$270 |
1.6× |
| Application long leg splint thigh ankle/toes (29505) |
$243 |
$270 |
1.6× |
| Application of long leg cast (29345) |
$414 |
$460 |
1.6× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$432 |
$480 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$198 |
$220 |
1.6× |
| Application short leg splint calf foot (29515) |
$243 |
$270 |
1.6× |
| Apply short leg cast (29405) |
$414 |
$460 |
1.6× |
| Arterial puncture (36600) |
$202.50 |
$225 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$481.50 |
$535 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$686.25 |
$762.50 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$481.50 |
$535 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$357.75 |
$397.50 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$103.50 |
$115 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$99 |
$110 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$315 |
$350 |
1.7× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$2,025 |
$2,250 |
1.9× |
| Biopsy bone trocar/needle deep (20225) |
$2,227.50 |
$2,475 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,227.50 |
$2,475 |
1.5× |
| Biopsy muscle percutaneous needle (20206) |
$2,504.25 |
$2,782.50 |
1.7× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$2,227.50 |
$2,475 |
1.5× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$2,227.50 |
$2,475 |
1.5× |
| Biopsy; nasopharynx, survey for unknown primary lesion (42806) |
$4,716 |
$5,240 |
1.6× |
| Bladder Irrigation Simple (51700) |
$423 |
$470 |
1.9× |
| Blood patch (62273) |
$976.50 |
$1,085 |
1.5× |
| Blood transfusion service (36430) |
$702 |
$780 |
1.7× |
| Bone marrow aspiration only (38220) |
$2,227.50 |
$2,475 |
1.5× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,227.50 |
$2,475 |
1.5× |
| Bx/exc lymph node needle superficial (38505) |
$2,504.25 |
$2,782.50 |
1.7× |
| Chemical Cautery Tissue (17250) |
$229.05 |
$254.50 |
1.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$769.50 |
$855 |
1.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$744.75 |
$827.50 |
1.2× |
| Chemodenerv Musc Migraine (64615) |
$411.75 |
$457.50 |
1.5× |
| Chemodenerv Musc Neck Dyston (64616) |
$468 |
$520 |
1.7× |
| Chemodenerv trunk musc 6/> (64647) |
$1,188 |
$1,320 |
1.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$416.25 |
$462.50 |
1.5× |
| Chest tube placement (32551) |
$2,938.50 |
$3,265 |
2.1× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$198 |
$220 |
1.6× |
| Circum 28 days or older (54161) |
$378 |
$420 |
0.2× |
| Circumcision (54150) |
$348.75 |
$387.50 |
0.2× |
| Circumcision Neonate (54160) |
$477 |
$530 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$391.50 |
$435 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$391.50 |
$435 |
1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$391.50 |
$435 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,443.50 |
$2,715 |
1.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$391.50 |
$435 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$391.50 |
$435 |
1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$391.50 |
$435 |
1.7× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$2,025 |
$2,250 |
1.9× |
| Colonoscopy stoma w/balloon dilation (44405) |
$2,025 |
$2,250 |
1.9× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$2,025 |
$2,250 |
1.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$369 |
$410 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$198 |
$220 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$576 |
$640 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,044 |
$1,160 |
1.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,700 |
$3,000 |
1.8× |
| Destroy cerv/thor facet jnt (64633) |
$3,312 |
$3,680 |
1.9× |
| Destroy lumb/sac facet jnt (64635) |
$3,312 |
$3,680 |
1.9× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$258.75 |
$287.50 |
0.7× |
| Destruction benign lesions 15 or more (17111) |
$206.55 |
$229.50 |
1.1× |
| Destruction Benign Lesions Up To 14 (17110) |
$188.10 |
$209 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,561.50 |
$1,735 |
1.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$978.75 |
$1,087.50 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,312 |
$3,680 |
1.9× |
| Destruction premalignant lesion 1st (17000) |
$123.30 |
$137 |
0.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,188 |
$1,320 |
1.8× |
| Drainage Finger Abscess Simple (26010) |
$315 |
$350 |
1.7× |
| Drainage of hematoma/fluid (10140) |
$1,498.50 |
$1,665 |
1.0× |
| Draw blood off venous device (36591) |
$198 |
$220 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$670.50 |
$745 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$319.50 |
$355 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$324 |
$360 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$198 |
$220 |
1.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,170 |
$1,300 |
1.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,809 |
$2,010 |
1.7× |
| Fluoro exam of g/colon tube (49465) |
$418.50 |
$465 |
1.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$459 |
$510 |
2.3× |
| I&d abscess simple (10060) |
$265.50 |
$295 |
1.5× |
| I&d perianal abscess superficial (46050) |
$288.90 |
$321 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$328.50 |
$365 |
0.5× |
| Image Cath Fluid Peri/Retro (49406) |
$2,227.50 |
$2,475 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$479.25 |
$532.50 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$432 |
$480 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$505.80 |
$562 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$576 |
$640 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$301.50 |
$335 |
1.6× |
| Incisional biopsy skin single lesion (11106) |
$204.30 |
$227 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$983.25 |
$1,092.50 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$108.45 |
$120.50 |
0.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,480.50 |
$1,645 |
1.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,041.75 |
$1,157.50 |
1.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$978.75 |
$1,087.50 |
1.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,356.75 |
$1,507.50 |
1.7× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,080 |
$1,200 |
1.7× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$949.50 |
$1,055 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$765 |
$850 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,516.50 |
$1,685 |
1.9× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,118.25 |
$1,242.50 |
1.4× |
| Inject Tendon Origin/Insert (20551) |
$495 |
$550 |
1.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,183.50 |
$1,315 |
1.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$785.25 |
$872.50 |
1.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$918 |
$1,020 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,183.50 |
$1,315 |
1.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$396 |
$440 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$1,129.50 |
$1,255 |
1.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$985.50 |
$1,095 |
1.2× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$1,561.50 |
$1,735 |
1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$301.50 |
$335 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$481.50 |
$535 |
1.7× |
| Injection therapeutic carpal tunnel (20526) |
$481.50 |
$535 |
1.7× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$175.50 |
$195 |
0.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$380.25 |
$422.50 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$122.40 |
$136 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$91.80 |
$102 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$252 |
$280 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$3,928.50 |
$4,365 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$198 |
$220 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$198 |
$220 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$369 |
$410 |
1.7× |
| Liver Biopsy (47000) |
$2,227.50 |
$2,475 |
1.5× |
| Myelography Lumbar Injection (62305) |
$1,372.50 |
$1,525 |
1.9× |
| Myelography Lumbar Injection (62304) |
$1,372.50 |
$1,525 |
1.9× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,372.50 |
$1,525 |
1.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,372.50 |
$1,525 |
1.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$684 |
$760 |
1.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$751.50 |
$835 |
1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$283.50 |
$315 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$5,935.50 |
$6,595 |
1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$879.75 |
$977.50 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$859.50 |
$955 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$535.50 |
$595 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,170 |
$1,300 |
1.8× |
| Percut Drain/Inject Renal Cyst (50390) |
$859.50 |
$955 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$423 |
$470 |
1.9× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,917 |
$2,130 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$657 |
$730 |
1.6× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$972 |
$1,080 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$168.30 |
$187 |
0.5× |
| Puncture Aspiration (10160) |
$382.50 |
$425 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,312 |
$3,680 |
1.9× |
| Removal fb intranasal (30300) |
$270 |
$300 |
2.2× |
| Removal foreign body foot subcutaneous (28190) |
$438.30 |
$487 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$318.15 |
$353.50 |
0.2× |
| Removal foreign body pharynx (42809) |
$657 |
$730 |
1.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$22.05 |
$24.50 |
0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$74.25 |
$82.50 |
1.4× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$153 |
$170 |
0.8× |
| Remove drug implant device (11982) |
$63 |
$70 |
0.2× |
| Remove Eyelid Foreign Body (67938) |
$445.50 |
$495 |
1.5× |
| Remv Ext Canal Foreign Body (69200) |
$173.25 |
$192.50 |
1.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$112.50 |
$125 |
0.9× |
| Renal biopsy (50200) |
$2,227.50 |
$2,475 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$576 |
$640 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$895.50 |
$995 |
2.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$895.50 |
$995 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$576 |
$640 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$576 |
$640 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$576 |
$640 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$427.95 |
$475.50 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$576 |
$640 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$576 |
$640 |
1.6× |
| Repair of nail bed (11760) |
$895.50 |
$995 |
1.3× |
| Reposition gastrostomy tube (43761) |
$423 |
$470 |
1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$121.50 |
$135 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$198 |
$220 |
1.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,093.50 |
$1,215 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$450 |
$500 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$256.50 |
$285 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$211.50 |
$235 |
1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$283.50 |
$315 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$279 |
$310 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$306 |
$340 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$324 |
$360 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$225 |
$250 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$3,105 |
$3,450 |
4.6× |
| Skin sub graft trnk/arm/leg (15271) |
$3,105 |
$3,450 |
4.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$5,359.50 |
$5,955 |
2.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$207 |
$230 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$422.10 |
$469 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$315 |
$350 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,129.50 |
$1,255 |
1.8× |
| Strapping unna boot (29580) |
$261 |
$290 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$324 |
$360 |
0.9× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,188 |
$1,320 |
1.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,138.50 |
$1,265 |
2.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$289.80 |
$322 |
0.5× |
| Thyroid biopsy (60100) |
$972 |
$1,080 |
1.5× |
| Treat finger dislocation (26775) |
$414 |
$460 |
1.6× |
| Treat pleurodesis w/agent (32560) |
$1,233 |
$1,370 |
2.2× |
| Trim skin lesion (11055) |
$324 |
$360 |
1.8× |
| Trim skin lesions 2 to 4 (11056) |
$324 |
$360 |
1.8× |
| Trim skin lesions over 4 (11057) |
$324 |
$360 |
1.8× |
| Vaginal delivery only (59409) |
$4,500 |
$5,000 |
1.5× |
| Venipuncture (36415) |
$9 |
$10 |
1.0× |