| Abd paracentesis w/imaging (49083) |
$1,178.85 |
$1,964.75 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$980.10 |
$1,633.50 |
1.1× |
| Amniocentesis diagnostic (59000) |
$943.50 |
$1,572.50 |
1.0× |
| Amputation Finger/Thumb (26951) |
$3,738.90 |
$6,231.50 |
1.1× |
| Amputation of finger/thumb (26952) |
$1,924.65 |
$3,207.75 |
0.6× |
| Anoscopy diagnostic (46600) |
$134.02 |
$223.38 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,208.40 |
$2,014 |
1.3× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$748.50 |
$1,247.50 |
0.6× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$192.60 |
$321 |
1.2× |
| Application cast elbow finger short arm (29075) |
$306.75 |
$511.25 |
1.1× |
| Application Cast Finger (29086) |
$268.20 |
$447 |
1.6× |
| Application cast shoulder hand long arm (29065) |
$356.85 |
$594.75 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$154.65 |
$257.75 |
2.6× |
| Application finger splint static (29130) |
$154.65 |
$257.75 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$356.85 |
$594.75 |
2.2× |
| Application long leg splint thigh ankle/toes (29505) |
$356.85 |
$594.75 |
2.2× |
| Application of long leg cast (29345) |
$337.05 |
$561.75 |
1.2× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$339.15 |
$565.25 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$407.55 |
$679.25 |
3.0× |
| Application short arm splint forearm-hand static (29125) |
$154.05 |
$256.75 |
1.2× |
| Application short leg splint calf foot (29515) |
$188.85 |
$314.75 |
1.2× |
| Apply multlay comprs arm/hand (29584) |
$185.10 |
$308.50 |
1.1× |
| Apply short leg cast (29405) |
$339.15 |
$565.25 |
1.2× |
| Apply short leg cast (29425) |
$326.10 |
$543.50 |
1.2× |
| Arterial puncture (36600) |
$77.40 |
$129 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$926.10 |
$1,543.50 |
3.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$441.30 |
$735.50 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$441.30 |
$735.50 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$354.75 |
$591.25 |
1.2× |
| Aspir/inj thyroid cyst (60300) |
$418.50 |
$697.50 |
0.6× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$441.30 |
$735.50 |
1.4× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,009.45 |
$5,015.75 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$235.35 |
$392.25 |
1.2× |
| Biopsy bone open superficial (20240) |
$3,295.35 |
$5,492.25 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$1,879.65 |
$3,132.75 |
1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,935.75 |
$3,226.25 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,459.95 |
$2,433.25 |
0.9× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,096.28 |
$1,827.12 |
0.7× |
| Biopsy pleura percutaneous needle (32400) |
$1,112.10 |
$1,853.50 |
0.7× |
| Biopsy Salivary Gland,Needle (42400) |
$888.75 |
$1,481.25 |
1.2× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$4,301.25 |
$7,168.75 |
2.6× |
| Biopsy soft tissue neck/thorax (21550) |
$4,562.25 |
$7,603.75 |
2.7× |
| Bladder Irrigation Simple (51700) |
$279.90 |
$466.50 |
1.1× |
| Blood patch (62273) |
$1,045.65 |
$1,742.75 |
1.5× |
| Blood transfusion service (36430) |
$1,158.38 |
$1,930.62 |
2.6× |
| Bone marrow aspiration only (38220) |
$1,800 |
$3,000 |
1.1× |
| Bone Marrow Biopsy (38221) |
$2,605.72 |
$4,342.88 |
1.6× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,034.70 |
$1,724.50 |
0.6× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,229 |
$3,715 |
0.6× |
| Bronch ebus samplng 1/2 node (31652) |
$2,229 |
$3,715 |
0.6× |
| Bronch ebus samplng 3/> node (31653) |
$2,229 |
$3,715 |
0.6× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,137.05 |
$3,561.75 |
1.2× |
| Bronchoscopy dilate/fx repr (31630) |
$5,183.70 |
$8,639.50 |
1.4× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/markers (31626) |
$4,153.50 |
$6,922.50 |
0.6× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$4,153.50 |
$6,922.50 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,117.80 |
$1,863 |
0.7× |
| Bx breast 1st lesion mr imag (19085) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,069.20 |
$1,782 |
0.6× |
| Bx/exc lymph node needle superficial (38505) |
$2,853 |
$4,755 |
1.7× |
| Canthotomy Separate Procedure (67715) |
$3,993.45 |
$6,655.75 |
1.7× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$150.45 |
$250.75 |
0.7× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,891.90 |
$6,486.50 |
1.2× |
| Cessj Therapy Cath Removal (37214) |
$4,250.25 |
$7,083.75 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$390.75 |
$651.25 |
1.6× |
| Chemical Cautery Tissue (17250) |
$293.25 |
$488.75 |
1.5× |
| Chest tube placement (32551) |
$1,448.70 |
$2,414.50 |
0.9× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$94.50 |
$157.50 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,978.95 |
$3,298.25 |
0.9× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,482.60 |
$7,471 |
1.2× |
| Circumcision (54150) |
$1,229.25 |
$2,048.75 |
0.6× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$746.85 |
$1,244.75 |
2.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,862.25 |
$3,103.75 |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$424.50 |
$707.50 |
1.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,396.80 |
$2,328 |
0.9× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,023.90 |
$1,706.50 |
0.6× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,396.80 |
$2,328 |
0.9× |
| Closed Rx Trimalleolar Fx (27816) |
$279.90 |
$466.50 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$429.45 |
$715.75 |
1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$343.95 |
$573.25 |
1.4× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$294.15 |
$490.25 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$520.80 |
$868 |
2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,396.80 |
$2,328 |
0.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,023.90 |
$1,706.50 |
0.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$520.80 |
$868 |
2.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,292.70 |
$2,154.50 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$279.90 |
$466.50 |
1.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$279.90 |
$466.50 |
1.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,536 |
$2,560 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,440.30 |
$2,400.50 |
5.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$279.90 |
$466.50 |
1.1× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,862.25 |
$3,103.75 |
1.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$1,267.50 |
$2,112.50 |
5.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$2,247.45 |
$3,745.75 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$217.20 |
$362 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$286.50 |
$477.50 |
1.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,409.40 |
$2,349 |
2.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$520.80 |
$868 |
2.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$424.50 |
$707.50 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,408.80 |
$2,348 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$211.95 |
$353.25 |
0.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,292.70 |
$2,154.50 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$424.50 |
$707.50 |
1.7× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$279.90 |
$466.50 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$2,665.20 |
$4,442 |
1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$211.95 |
$353.25 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$211.95 |
$353.25 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$279.90 |
$466.50 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,163.85 |
$1,939.75 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,327.55 |
$3,879.25 |
1.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$211.95 |
$353.25 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$211.95 |
$353.25 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$279.90 |
$466.50 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$389.40 |
$649 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$211.95 |
$353.25 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$211.95 |
$353.25 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$279.90 |
$466.50 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$279.90 |
$466.50 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,894.05 |
$3,156.75 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$211.95 |
$353.25 |
0.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,459.50 |
$2,432.50 |
0.9× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$211.95 |
$353.25 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$211.95 |
$353.25 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$211.95 |
$353.25 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$256.95 |
$428.25 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$279.90 |
$466.50 |
1.1× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$2,327.55 |
$3,879.25 |
1.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$2,327.55 |
$3,879.25 |
1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,327.55 |
$3,879.25 |
1.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$256.95 |
$428.25 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,163.85 |
$1,939.75 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy stoma w/snare (44394) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/ablation (45388) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/stent plcmt (45389) |
$3,571.80 |
$5,953 |
0.6× |
| Colporrhaphy suture injury vagina (57200) |
$2,070.30 |
$3,450.50 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$760.95 |
$1,268.25 |
0.6× |
| Complex Drainage, Wound (10180) |
$3,295.35 |
$5,492.25 |
1.1× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$198.60 |
$331 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$261.30 |
$435.50 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$284.40 |
$474 |
2.1× |
| Convert nephrostomy catheter (50434) |
$3,009.45 |
$5,015.75 |
1.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$972.15 |
$1,620.25 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$284.40 |
$474 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$284.40 |
$474 |
1.2× |
| Curettage postpartum (59160) |
$3,827.25 |
$6,378.75 |
1.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$5,179.50 |
$8,632.50 |
2.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$668.55 |
$1,114.25 |
1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,015 |
$5,025 |
1.0× |
| Debride nail 1-5 (11720) |
$82.50 |
$137.50 |
1.4× |
| Debride nail 6 or more (11721) |
$84.15 |
$140.25 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,115.25 |
$1,858.75 |
2.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,266.60 |
$2,111 |
1.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,896.60 |
$3,161 |
1.1× |
| Declot vascular device (36593) |
$540 |
$900 |
1.6× |
| Delivery placenta separate procedure (59414) |
$1,907.85 |
$3,179.75 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,776.65 |
$4,627.75 |
3.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,094.55 |
$1,824.25 |
1.2× |
| Dilate urethra stricture (53620) |
$1,600.35 |
$2,667.25 |
2.3× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$562.65 |
$937.75 |
0.6× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$2,428.35 |
$4,047.25 |
1.5× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$1,053 |
$1,755 |
1.5× |
| Drain outer ear canal lesion (69020) |
$1,053 |
$1,755 |
1.5× |
| Drainage abscess/hematoma nasal int approach (30000) |
$424.80 |
$708 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$631.80 |
$1,053 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,051.50 |
$1,752.50 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$258.15 |
$430.25 |
1.3× |
| Drainage mouth roof lesion (42000) |
$286.50 |
$477.50 |
1.2× |
| Drainage of eyelid abscess (67700) |
$360.45 |
$600.75 |
1.1× |
| Drainage of gum lesion (41800) |
$217.20 |
$362 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$1,946.55 |
$3,244.25 |
1.2× |
| Drainage of pelvic abscess (45000) |
$2,635.50 |
$4,392.50 |
2.2× |
| Drainage of scrotal wall abscess (55100) |
$1,051.50 |
$1,752.50 |
0.6× |
| Draw blood off venous device (36591) |
$77.40 |
$129 |
0.6× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$1,552.95 |
$2,588.25 |
2.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$449.25 |
$748.75 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$235.35 |
$392.25 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$235.35 |
$392.25 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$2,661.60 |
$4,436 |
0.9× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,138.20 |
$1,897 |
0.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Endo Mucosal Resection (43254) |
$1,138.20 |
$1,897 |
0.6× |
| Egd endoscopic stent place (43266) |
$3,571.80 |
$5,953 |
0.6× |
| Egd flexible foreign body removal (43247) |
$731.70 |
$1,219.50 |
0.8× |
| Egd guide wire insertion (43248) |
$731.70 |
$1,219.50 |
0.8× |
| Egd injection varices (43243) |
$1,138.20 |
$1,897 |
0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,138.20 |
$1,897 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,138.20 |
$1,897 |
0.6× |
| Egd rem tumr/polyp forcep (43250) |
$1,138.20 |
$1,897 |
0.6× |
| Egd remove lesion snare (43251) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,138.20 |
$1,897 |
0.6× |
| Egd tube/cath insertion (43241) |
$1,138.20 |
$1,897 |
0.6× |
| Egd us exam duodenum/jejunum (43259) |
$1,138.20 |
$1,897 |
0.6× |
| Egd us fine needle bx/aspir (43242) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Varices Ligation (43244) |
$1,138.20 |
$1,897 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,138.20 |
$1,897 |
0.6× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$2,045.40 |
$3,409 |
1.1× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,497.65 |
$19,162.75 |
1.0× |
| Ercp Duct Stent Placement (43274) |
$3,571.80 |
$5,953 |
0.6× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,494.90 |
$7,491.50 |
1.2× |
| Ercp ea duct/ampulla dilate (43277) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp lithotripsy calculi (43265) |
$3,571.80 |
$5,953 |
0.6× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp remove forgn body duct (43275) |
$2,144.25 |
$3,573.75 |
1.1× |
| Ercp Stent Exchange W/Dilate (43276) |
$3,571.80 |
$5,953 |
0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,282.85 |
$3,804.75 |
0.6× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,282.85 |
$3,804.75 |
0.6× |
| Esoph endoscopy dilation (43226) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$731.70 |
$1,219.50 |
0.8× |
| Esophagosc dilate balloon 30 (43214) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy flex biopsy (43202) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,824.75 |
$3,041.25 |
2.0× |
| Esophagoscopy lesion ablate (43229) |
$2,282.85 |
$3,804.75 |
0.6× |
| Esophagoscopy Transoral Stent Placement (43212) |
$3,571.80 |
$5,953 |
0.6× |
| Esophagoscopy w/us needle bx (43232) |
$1,138.20 |
$1,897 |
0.6× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,138.20 |
$1,897 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$97.35 |
$162.25 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,409 |
$4,015 |
1.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,860.08 |
$3,100.12 |
1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$549.60 |
$916 |
0.8× |
| Exc hand les sc < 1.5 cm (26115) |
$1,743.60 |
$2,906 |
1.1× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$827.40 |
$1,379 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$431.85 |
$719.75 |
1.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$811.42 |
$1,352.38 |
1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$811.42 |
$1,352.38 |
1.1× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,823.55 |
$3,039.25 |
1.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,295.35 |
$5,492.25 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,896.60 |
$3,161 |
1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,915.20 |
$3,192 |
1.6× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$827.40 |
$1,379 |
1.2× |
| Exchange nephrostomy cath (50435) |
$3,009.45 |
$5,015.75 |
1.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,183.95 |
$1,973.25 |
0.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,896.60 |
$3,161 |
1.1× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,896.60 |
$3,161 |
1.1× |
| Excision of nail fold toe (11765) |
$639.52 |
$1,065.88 |
1.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,813.35 |
$3,022.25 |
0.6× |
| Excision of vaginal cyst or tumor (57135) |
$3,843.60 |
$6,406 |
1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,681.65 |
$2,802.75 |
0.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$4,662.30 |
$7,770.50 |
2.9× |
| Explo/Drain Breast Abscess (19020) |
$1,611 |
$2,685 |
1.0× |
| External Cephalic Version (59412) |
$1,907.85 |
$3,179.75 |
0.6× |
| Fetal non-stress test (59025) |
$337.50 |
$562.50 |
1.7× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$526.50 |
$877.50 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$283.05 |
$471.75 |
1.2× |
| I&d abscess simple (10060) |
$467.85 |
$779.75 |
2.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$4,191.30 |
$6,985.50 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,689.60 |
$2,816 |
0.6× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,085.80 |
$5,143 |
1.5× |
| I&d forearm/wrist bursa (25031) |
$2,562.60 |
$4,271 |
1.6× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$3,482.40 |
$5,804 |
1.1× |
| I&d perianal abscess superficial (46050) |
$1,020.15 |
$1,700.25 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$526.50 |
$877.50 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,611 |
$2,685 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$2,104.50 |
$3,507.50 |
2.3× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$562.65 |
$937.75 |
0.6× |
| Image Cath Fluid Colxn Visc (49405) |
$3,207.15 |
$5,345.25 |
1.9× |
| Image Cath Fluid Peri/Retro (49406) |
$2,433 |
$4,055 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$812.40 |
$1,354 |
2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$4,191.30 |
$6,985.50 |
1.4× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,069.20 |
$1,782 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,896.60 |
$3,161 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$484.50 |
$807.50 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$306.90 |
$511.50 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$306.90 |
$511.50 |
1.0× |
| Incision of lingual frenum (41010) |
$1,183.95 |
$1,973.25 |
0.8× |
| Incision of rectal abscess (46040) |
$1,915.20 |
$3,192 |
1.6× |
| Incision thrombosed hemorrhoid external (46083) |
$322.50 |
$537.50 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$449.25 |
$748.75 |
0.6× |
| Induced abortion by d&c (59840) |
$1,907.85 |
$3,179.75 |
0.6× |
| Initial tx 1st degree burn local tx (16000) |
$230.78 |
$384.62 |
1.1× |
| Inj tendon sheath/ligament (20550) |
$441.30 |
$735.50 |
1.4× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$962.32 |
$1,603.88 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,382.70 |
$2,304.50 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$780.60 |
$1,301 |
1.1× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$493.65 |
$822.75 |
1.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$1,045.65 |
$1,742.75 |
1.5× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,355.25 |
$2,258.75 |
1.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$962.92 |
$1,604.88 |
1.4× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$264.30 |
$440.50 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection for identification of sentinel node (38792) |
$731.25 |
$1,218.75 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$441.30 |
$735.50 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$441.30 |
$735.50 |
1.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$427.05 |
$711.75 |
1.4× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$456.60 |
$761 |
1.5× |
| Ins cath ren art 1st bilat (36252) |
$5,395.20 |
$8,992 |
1.7× |
| Ins cath ren art 1st unilat (36251) |
$5,395.20 |
$8,992 |
1.7× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,395.20 |
$8,992 |
1.7× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,395.20 |
$8,992 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$8,028.15 |
$13,380.25 |
1.4× |
| Insert cervical dilator (59200) |
$261.15 |
$435.25 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,865.10 |
$3,108.50 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,899.95 |
$4,833.25 |
0.9× |
| Insert pessary/other device (57160) |
$234.30 |
$390.50 |
1.2× |
| Insert picc cath (36569) |
$2,510.55 |
$4,184.25 |
1.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,780.70 |
$4,634.50 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$188.70 |
$314.50 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$205.20 |
$342 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,035.45 |
$6,725.75 |
1.1× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$1,138.20 |
$1,897 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,045.90 |
$5,076.50 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,536 |
$2,560 |
2.8× |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
$635.70 |
$1,059.50 |
2.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,261.15 |
$5,435.25 |
1.0× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,545.15 |
$2,575.25 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$11,787.75 |
$19,646.25 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$9,720.45 |
$16,200.75 |
1.7× |
| Intro Gastrointestinal Tube (44500) |
$669.90 |
$1,116.50 |
0.7× |
| Intro windpipe wire/tube (31730) |
$1,584 |
$2,640 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$539.85 |
$899.75 |
2.3× |
| Irrigate corpora cavernosa for priapism (54220) |
$457.80 |
$763 |
1.8× |
| Laryngoscopy Flexible Diagnostic (31575) |
$163.05 |
$271.75 |
0.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$1,453.35 |
$2,422.25 |
3.7× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$163.35 |
$272.25 |
0.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,720.15 |
$6,200.25 |
2.1× |
| Ligation of hemorrhoid(s) (46221) |
$890.85 |
$1,484.75 |
1.0× |
| Lithotripsy (50590) |
$18,406.05 |
$30,676.75 |
5.2× |
| Liver Biopsy (47000) |
$1,265.25 |
$2,108.75 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,300.20 |
$2,167 |
1.7× |
| Nasal surgery procedure (30999) |
$217.20 |
$362 |
0.9× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,779.15 |
$2,965.25 |
1.0× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$1,041 |
$1,735 |
4.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$386.70 |
$644.50 |
1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,494.35 |
$4,157.25 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,657.05 |
$2,761.75 |
2.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,657.05 |
$2,761.75 |
2.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,911.20 |
$4,852 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,053 |
$1,755 |
1.5× |
| Pericardiocentesis W/Imaging (33016) |
$2,976.90 |
$4,961.50 |
1.9× |
| Peritoneal Lavage (49084) |
$970.95 |
$1,618.25 |
1.1× |
| Perq dev breast 1st strtctc (19283) |
$490.20 |
$817 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$490.20 |
$817 |
0.7× |
| Perq device breast 1st imag (19281) |
$972.15 |
$1,620.25 |
0.6× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$2,414.10 |
$4,023.50 |
1.5× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,825.70 |
$4,709.50 |
1.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$446.55 |
$744.25 |
1.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$969.15 |
$1,615.25 |
1.4× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$17,867.40 |
$29,779 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,787.75 |
$19,646.25 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,720.45 |
$16,200.75 |
1.7× |
| Place Cath Subclavian Art (36225) |
$5,377.65 |
$8,962.75 |
1.7× |
| Place Cath Thoracic Aorta (36221) |
$5,377.65 |
$8,962.75 |
1.7× |
| Place Cath Vertebral Art (36226) |
$8,795.70 |
$14,659.50 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$361.95 |
$603.25 |
0.8× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,150.90 |
$5,251.50 |
1.5× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,150.90 |
$5,251.50 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,272.80 |
$8,788 |
1.5× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$5,272.80 |
$8,788 |
1.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,272.80 |
$8,788 |
1.5× |
| Preputial Stretching (54450) |
$756.45 |
$1,260.75 |
3.0× |
| Prim art mech thrombectomy (37184) |
$10,774.05 |
$17,956.75 |
0.6× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$748.50 |
$1,247.50 |
0.6× |
| Proctosigmoidoscopy w/bx (45305) |
$748.50 |
$1,247.50 |
0.6× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
$1,842.75 |
$3,071.25 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$1,094.55 |
$1,824.25 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$458.25 |
$763.75 |
1.1× |
| Puncture Aspiration (10160) |
$484.50 |
$807.50 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$1,053 |
$1,755 |
1.5× |
| Rem endovas vena cava filter (37193) |
$5,509.05 |
$9,181.75 |
1.7× |
| Removal fb intranasal (30300) |
$217.20 |
$362 |
1.6× |
| Removal Foreign Body Foot Complicated (28193) |
$1,401.75 |
$2,336.25 |
0.8× |
| Removal foreign body foot deep (28192) |
$1,355.85 |
$2,259.75 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$694.20 |
$1,157 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,896.60 |
$3,161 |
1.1× |
| Removal foreign body pharynx (42809) |
$407.10 |
$678.50 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$111.30 |
$185.50 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$82.50 |
$137.50 |
1.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,346.05 |
$5,576.75 |
2.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$946.80 |
$1,578 |
1.3× |
| Removal of arm foreign body (24200) |
$1,822.05 |
$3,036.75 |
1.1× |
| Removal of intrauterine device (iud) (58301) |
$219.60 |
$366 |
0.7× |
| Removal of nail bed (11750) |
$449.25 |
$748.75 |
1.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$235.35 |
$392.25 |
1.2× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,770 |
$2,950 |
0.6× |
| Remove cerclage suture (59871) |
$5,702.55 |
$9,504.25 |
1.8× |
| Remove Eyelid Foreign Body (67938) |
$360.45 |
$600.75 |
1.1× |
| Remove foreign body from eye (65235) |
$3,503.70 |
$5,839.50 |
1.5× |
| Remove foreign body from eye (65210) |
$339.60 |
$566 |
0.8× |
| Remove shoulder foreign body (23330) |
$964.05 |
$1,606.75 |
0.6× |
| Remv Ext Canal Foreign Body (69200) |
$197.25 |
$328.75 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$339.60 |
$566 |
2.5× |
| Renal biopsy (50200) |
$1,241.85 |
$2,069.75 |
0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,536.80 |
$4,228 |
0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$478.95 |
$798.25 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$487.20 |
$812 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$449.25 |
$748.75 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$478.95 |
$798.25 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$478.95 |
$798.25 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$478.95 |
$798.25 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$695.40 |
$1,159 |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,446.15 |
$2,410.25 |
0.9× |
| Repair eyelid wound (67930) |
$1,721.70 |
$2,869.50 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$373.50 |
$622.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$373.50 |
$622.50 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$695.40 |
$1,159 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$449.25 |
$748.75 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,840.60 |
$6,401 |
1.9× |
| Repair of nail bed (11760) |
$373.50 |
$622.50 |
0.5× |
| Repair Tongue Laceration (41250) |
$438.90 |
$731.50 |
1.0× |
| Replace duod/jej tube perc (49451) |
$1,382.70 |
$2,304.50 |
1.5× |
| Replace g/c tube perc (49450) |
$1,382.70 |
$2,304.50 |
1.5× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$5,297.10 |
$8,828.50 |
1.7× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,053.05 |
$3,421.75 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,339.65 |
$2,232.75 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$339.60 |
$566 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$339.60 |
$566 |
2.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,877.25 |
$3,128.75 |
3.0× |
| Rplc gtube revj gstrst trc (43763) |
$507.60 |
$846 |
2.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,286.65 |
$5,477.75 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$2,439.15 |
$4,065.25 |
3.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,536 |
$2,560 |
6.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,536 |
$2,560 |
2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,536 |
$2,560 |
2.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,591.05 |
$2,651.75 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$547.05 |
$911.75 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$748.50 |
$1,247.50 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$235.35 |
$392.25 |
1.2× |
| Sigmoidoscopy & decompress (45337) |
$547.05 |
$911.75 |
0.6× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$748.50 |
$1,247.50 |
0.8× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$547.05 |
$911.75 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$719.70 |
$1,199.50 |
0.8× |
| Sigmoidoscopy w/fb removal (45332) |
$707.55 |
$1,179.25 |
0.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$3,571.80 |
$5,953 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$607.35 |
$1,012.25 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$312.90 |
$521.50 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$312.90 |
$521.50 |
1.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$607.35 |
$1,012.25 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$312.90 |
$521.50 |
1.6× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$312.90 |
$521.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$312.90 |
$521.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$235.35 |
$392.25 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$230.78 |
$384.62 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$2,189.70 |
$3,649.50 |
2.9× |
| Skin sub graft trnk/arm/leg (15271) |
$2,189.70 |
$3,649.50 |
2.9× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$3,840.60 |
$6,401 |
1.9× |
| Skin Tissue Procedure (17999) |
$237.60 |
$396 |
1.2× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,692.85 |
$6,154.75 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,105.40 |
$3,509 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,377.65 |
$8,962.75 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$5,377.65 |
$8,962.75 |
1.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$8,795.70 |
$14,659.50 |
1.6× |
| Slitting of prepuce (54001) |
$3,281.10 |
$5,468.50 |
1.6× |
| Small Bowel Endoscopy (44373) |
$1,138.20 |
$1,897 |
0.6× |
| Small bowel endoscopy (44366) |
$1,138.20 |
$1,897 |
0.6× |
| Small bowel endoscopy (44376) |
$2,045.40 |
$3,409 |
1.1× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,138.20 |
$1,897 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312.90 |
$521.50 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$449.25 |
$748.75 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$449.25 |
$748.75 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,045.65 |
$1,742.75 |
1.5× |
| Spinal Puncture Therapeutic (62272) |
$1,045.65 |
$1,742.75 |
1.5× |
| Strapping ankle (29540) |
$205.20 |
$342 |
1.3× |
| Strapping elbow/wrist (29260) |
$225.15 |
$375.25 |
3.8× |
| Strapping hand/finger (29280) |
$225.15 |
$375.25 |
3.8× |
| Strapping knee (29530) |
$201.22 |
$335.38 |
1.5× |
| Strapping shoulder (29240) |
$201.22 |
$335.38 |
1.5× |
| Strapping toes (29550) |
$142.05 |
$236.75 |
2.4× |
| Strapping unna boot (29580) |
$192.60 |
$321 |
1.2× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,854 |
$3,090 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$449.25 |
$748.75 |
1.1× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,776.65 |
$4,627.75 |
3.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$938.70 |
$1,564.50 |
1.5× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,049.55 |
$1,749.25 |
1.7× |
| Throat Surgery Procedure (42999) |
$678 |
$1,130 |
2.8× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$4,250.25 |
$7,083.75 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$3,267.30 |
$5,445.50 |
0.6× |
| Thrombolytic Therapy, Stroke (37195) |
$5,052.15 |
$8,420.25 |
15.2× |
| Thrombolytic Venous Therapy (37212) |
$3,866.70 |
$6,444.50 |
1.2× |
| Thyroid biopsy (60100) |
$718.95 |
$1,198.25 |
1.0× |
| Tongue and mouth surg unlisted (41599) |
$211.95 |
$353.25 |
0.9× |
| Trach Tube Change (31502) |
$517.50 |
$862.50 |
2.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$1,591.05 |
$2,651.75 |
6.7× |
| Transfusion intrauterine fetal (36460) |
$589.35 |
$982.25 |
1.3× |
| Treat finger dislocation (26775) |
$389.40 |
$649 |
1.4× |
| Treat Fracture Radius & Ulna (25560) |
$279.90 |
$466.50 |
1.1× |
| Treat humerus fracture (24500) |
$279.90 |
$466.50 |
1.1× |
| Treat humerus fracture (24577) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat humerus fracture (23600) |
$279.90 |
$466.50 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$429.45 |
$715.75 |
1.7× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat Vaginal Bleeding (57180) |
$306.90 |
$511.50 |
1.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,408.80 |
$2,348 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$279.90 |
$466.50 |
1.1× |
| Trim skin lesion (11055) |
$235.35 |
$392.25 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$235.35 |
$392.25 |
1.2× |
| Trim skin lesions over 4 (11057) |
$226.20 |
$377 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$84.15 |
$140.25 |
1.4× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$9,720.45 |
$16,200.75 |
1.7× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$9,720.45 |
$16,200.75 |
1.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,907.85 |
$3,179.75 |
0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,292.70 |
$2,154.50 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$681.98 |
$1,136.62 |
0.9× |
| Unlisted procedure anus (46999) |
$1,680.90 |
$2,801.50 |
1.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$136.50 |
$227.50 |
0.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$1,536 |
$2,560 |
6.5× |
| Unlisted Procedure External Ear (69399) |
$329.70 |
$549.50 |
1.4× |
| Unlisted procedure maternity care & delivery (59899) |
$372.30 |
$620.50 |
1.8× |
| Unlisted Procedure Nervous System (64999) |
$832.50 |
$1,387.50 |
2.7× |
| Unlisted procedure palate uvula (42299) |
$448.95 |
$748.25 |
1.9× |
| Unlisted Procedure Rectum (45999) |
$543.60 |
$906 |
0.6× |
| Unlisted Procedure Small Intestine (44799) |
$2,163.45 |
$3,605.75 |
2.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$2,334.75 |
$3,891.25 |
3.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,163.45 |
$3,605.75 |
2.4× |
| Unlisted px female genital system nonobstetrical (58999) |
$513.30 |
$855.50 |
2.5× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$2,282.85 |
$3,804.75 |
0.6× |
| Urology Surgery Procedure (53899) |
$277.95 |
$463.25 |
1.1× |
| Vaginal delivery only (59409) |
$1,907.85 |
$3,179.75 |
0.6× |
| Vasc embolize/occlude organ (37243) |
$11,865.60 |
$19,776 |
1.0× |
| Vbac delivery only (59612) |
$3,843.60 |
$6,406 |
1.2× |
| Venipuncture (36415) |
$22.80 |
$38 |
2.4× |
| Wound Prep F/N/Hf/G (15004) |
$695.40 |
$1,159 |
1.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,189.70 |
$3,649.50 |
2.9× |