| Application risser jacket localizer body only (29010) |
$1,230.65 |
$3,001.60 |
4.3× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$4,003.56 |
$9,764.80 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) likely a partial charge, not the full procedure |
$3,421.86 |
$8,346 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$272.38 |
$664.35 |
1.3× |
Blood Transfusion Service (36430) range across 4 matching MRF lines |
$547.49–$637.38 |
$1,335.35–$1,554.60 |
varies |
| Bx breast 1st lesion us imag (19083) |
$631.44 |
$1,540.10 |
0.4× |
Collection of venous blood by venipuncture (36415) range across 8 matching MRF lines |
$11.48–$21.44 |
$28–$52.30 |
varies |
| Colonoscopy w/fb removal (45379) |
$935.31 |
$2,281.25 |
0.8× |
| Colonoscopy w/submucosal inj (45381) |
$935.31 |
$2,281.25 |
0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$935.31 |
$2,281.25 |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$935.31 |
$2,281.25 |
0.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$935.31 |
$2,281.25 |
0.8× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$935.31 |
$2,281.25 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$315.51 |
$769.55 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$213.17 |
$519.95 |
1.6× |
| Control oropharyngeal hemorrhage simple (42960) |
$344.46 |
$840.15 |
0.6× |
| Drain Cerebro Spinal Fluid (62272) |
$460.34 |
$1,122.80 |
0.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,710.93 |
$4,173 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,710.93 |
$4,173 |
0.9× |
| Egd cautery tumor polyp (43250) |
$1,710.93 |
$4,173 |
0.9× |
| Egd control bleeding any (43255) |
$1,710.93 |
$4,173 |
0.9× |
| Egd endo mucosal resection (43254) |
$935.31 |
$2,281.25 |
0.5× |
| Egd Flexible Foreign Body Removal (43247) |
$935.31 |
$2,281.25 |
1.0× |
| Egd guide wire insertion (43248) |
$935.31 |
$2,281.25 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$935.31 |
$2,281.25 |
0.5× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,710.93 |
$4,173 |
0.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,710.93 |
$4,173 |
0.9× |
| Egd Optical Endomicroscopy (43252) |
$1,710.93 |
$4,173 |
0.9× |
| Egd place gastrostomy tube (43246) |
$1,710.93 |
$4,173 |
0.9× |
| Egd remove lesion snare (43251) |
$1,710.93 |
$4,173 |
0.9× |
| Egd Tube/Cath Insertion (43241) |
$935.31 |
$2,281.25 |
0.5× |
| Egd us transmural injxn/mark (43253) |
$1,710.93 |
$4,173 |
0.9× |
| Egd Varices Ligation (43244) |
$1,710.93 |
$4,173 |
0.9× |
| Egd W/Thrml Txmnt Gerd (43257) |
$3,524.52 |
$8,596.40 |
0.9× |
Egd W/Transmural Drain Cyst (43240) likely a partial charge, not the full procedure |
$1,710.93 |
$4,173 |
0.3× |
| Endoscopic us exam esoph (43237) |
$1,710.93 |
$4,173 |
0.9× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$935.31 |
$2,281.25 |
1.0× |
Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
$556.61–$610.44 |
$1,357.60–$1,488.90 |
varies |
| I&d abscess simple (10060) |
$294.72 |
$718.85 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$489.10 |
$1,192.95 |
1.2× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$547.49 |
$1,335.35 |
0.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$547.49 |
$1,335.35 |
0.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$547.49 |
$1,335.35 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$373.65 |
$911.35 |
1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$547.49 |
$1,335.35 |
0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$547.49 |
$1,335.35 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$406.06 |
$990.40 |
1.7× |
| N Block Lumbar/Thoracic (64520) |
$547.49 |
$1,335.35 |
0.6× |
| Perq Cervicothoracic Inject (22510) |
$704.19 |
$1,717.55 |
0.2× |
| Perq dev breast 1st strtctc (19283) |
$1,870.62 |
$4,562.50 |
2.6× |
| Perq device breast 1st imag (19281) |
$935.31 |
$2,281.25 |
0.6× |
| Perq Lumbosacral Injection (22511) |
$719.75 |
$1,755.50 |
0.2× |
| Plmt expandable cath brst following prtl mast (19296) |
$8,309.57 |
$20,267.25 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$294.72 |
$718.85 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$1,967.56 |
$4,798.95 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$350.38 |
$854.60 |
5.8× |
| Removal implantable contraceptive capsules (11976) |
$983.67 |
$2,399.20 |
1.4× |
| Remove Intrauterine Device (58301) |
$262.37 |
$639.95 |
0.8× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
— |
$1,680.25 |
— |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) |
— |
$1,680.25 |
— |