| Abd paracentesis (49082) |
$980.10 |
$1,633.50 |
1.1× |
| Abd paracentesis w/imaging (49083) |
$1,178.85 |
$1,964.75 |
1.3× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$9,290.70 |
$15,484.50 |
0.5× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$7,870.05 |
$13,116.75 |
0.7× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$3,430.65 |
$5,717.75 |
0.6× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,626.30 |
$2,710.50 |
0.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$2,105.40 |
$3,509 |
1.0× |
| Amniocentesis diagnostic (59000) |
$943.50 |
$1,572.50 |
1.0× |
| Amniocentesis therapeutic (59001) |
$530.25 |
$883.75 |
1.7× |
| Amnioinfusion (59070) |
$313.95 |
$523.25 |
1.0× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,738.90 |
$6,231.50 |
1.1× |
| Amputation of finger/thumb (26952) |
$1,924.65 |
$3,207.75 |
0.6× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$493.65 |
$822.75 |
1.6× |
| Anoscopy diagnostic (46600) |
$134.02 |
$223.38 |
1.0× |
| Anoscopy remove for body (46608) |
$1,208.40 |
$2,014 |
1.3× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (46604) |
$748.50 |
$1,247.50 |
0.6× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21 (46610) |
$1,771.80 |
$2,953 |
0.6× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$2,189.70 |
$3,649.50 |
2.9× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$3,840.60 |
$6,401 |
1.9× |
| Application cast finger (29086) |
$268.20 |
$447 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$154.65 |
$257.75 |
2.6× |
| Application finger splint static (29130) |
$154.65 |
$257.75 |
1.2× |
| Application of halo, including removal; cranial (20661) |
$1,799.70 |
$2,999.50 |
1.1× |
| Application of long leg cast (thigh to toes); (29345) |
$337.05 |
$561.75 |
1.2× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$349.95 |
$583.25 |
2.1× |
| Application of short arm splint (forearm to hand); static (29125) |
$154.05 |
$256.75 |
1.2× |
| Application of short leg cast (below knee to toes); (29405) |
$339.15 |
$565.25 |
1.2× |
| Application of short leg splint (calf to foot) (29515) |
$188.85 |
$314.75 |
1.2× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$2,105.40 |
$3,509 |
1.0× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$192.60 |
$321 |
1.2× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$450.90 |
$751.50 |
1.6× |
| Application rigid total contact leg cast (29445) |
$332.62 |
$554.38 |
1.2× |
| Application, cast; shoulder to hand (long arm) (29065) |
$356.85 |
$594.75 |
1.3× |
| Apply hand/wrist cast (29085) |
$294.90 |
$491.50 |
1.8× |
| Apply long arm splint (29105) |
$356.85 |
$594.75 |
2.2× |
| Apply splint short arm dynamic (29126) |
$407.55 |
$679.25 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$926.10 |
$1,543.50 |
3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,045.65 |
$1,742.75 |
1.5× |
| 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× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$447.75 |
$746.25 |
1.5× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,422.60 |
$2,371 |
0.9× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$2,593.50 |
$4,322.50 |
0.8× |
| Aspirate pleura w/o imaging (32554) |
$1,039.58 |
$1,732.62 |
1.6× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$441.30 |
$735.50 |
1.4× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,053 |
$1,755 |
1.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$735.75 |
$1,226.25 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,009.45 |
$5,015.75 |
1.4× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$235.35 |
$392.25 |
1.2× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$4,498.20 |
$7,497 |
0.7× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21 (47553) |
$4,498.20 |
$7,497 |
0.7× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556) |
$8,456.40 |
$14,094 |
0.8× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554) |
$8,880.60 |
$14,801 |
0.8× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low — confirm this is the full procedure |
$2,571 |
$4,285 |
0.4× |
| Biopsy bone trocar/needle deep (20225) |
$1,935.75 |
$3,226.25 |
1.2× |
| Biopsy liver needle percutaneous (47000) |
$1,265.25 |
$2,108.75 |
0.8× |
| Biopsy lymph node (38505) |
$2,853 |
$4,755 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,459.95 |
$2,433.25 |
0.9× |
| Biopsy of cervix (57500) |
$1,097.85 |
$1,829.75 |
1.2× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$760.95 |
$1,268.25 |
0.6× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$547.05 |
$911.75 |
0.6× |
| Biopsy of salivary gland; needle (42400) |
$888.75 |
$1,481.25 |
1.2× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$562.65 |
$937.75 |
0.6× |
| Biopsy of uterus lining (58100) |
$148.80 |
$248 |
0.7× |
| Biopsy pleura percutaneous needle (32400) |
$1,112.10 |
$1,853.50 |
0.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,469.30 |
$4,115.50 |
1.5× |
| Biopsy soft tissue neck/thorax (21550) |
$4,562.25 |
$7,603.75 |
2.7× |
| Biopsy thyroid percutaneous core needle (60100) |
$718.95 |
$1,198.25 |
1.0× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,117.80 |
$1,863 |
0.7× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,935.75 |
$3,226.25 |
1.2× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$3,426.15 |
$5,710.25 |
0.9× |
| Biopsy, soft tissue of back or flank; deep Age Under 21 (21925) |
$4,301.25 |
$7,168.75 |
2.6× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$1,387.72 |
$2,312.88 |
0.8× |
| Bladder irrigation (51700) |
$279.90 |
$466.50 |
1.1× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$360.45 |
$600.75 |
1.1× |
| Brain canal shunt procedure (61070) |
$822 |
$1,370 |
1.2× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$2,229 |
$3,715 |
0.6× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$2,229 |
$3,715 |
0.6× |
| Brnchsc occlusion&insert bronch valve init lobe (31647) |
$5,165.70 |
$8,609.50 |
0.7× |
| Brnchsc removal bronchial valve initial (31648) |
$5,165.70 |
$8,609.50 |
1.4× |
| Bronch foreign body removal (31635) |
$1,034.70 |
$1,724.50 |
0.6× |
| 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 (31625) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/markers (31626) |
$4,153.50 |
$6,922.50 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,606.80 |
$2,678 |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$2,178.90 |
$3,631.50 |
5.5× |
| Bronchoscopy w/tumor excise (31640) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$2,137.05 |
$3,561.75 |
1.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634) |
$4,153.50 |
$6,922.50 |
0.6× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s)… (31636) |
$5,183.70 |
$8,639.50 |
0.7× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) |
$4,153.50 |
$6,922.50 |
0.6× |
| Bronchoscopy/lung bx each (31628) |
$2,229 |
$3,715 |
0.6× |
| 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 pancreas ndl perc (48102) |
$1,096.28 |
$1,827.12 |
0.7× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$513.30 |
$855.50 |
2.5× |
| Cardiac surg procedure unlist (33999) |
$5,115.45 |
$8,525.75 |
8.1× |
| Care of miscarriage (59820) |
$1,858.95 |
$3,098.25 |
0.6× |
| Cast short arm (29075) |
$306.75 |
$511.25 |
1.1× |
| Casting/strapping procedure (29799) |
$136.50 |
$227.50 |
0.8× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$4,250.25 |
$7,083.75 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$390.75 |
$651.25 |
1.6× |
| Change g-tube to g-j perc (49446) |
$1,862.85 |
$3,104.75 |
1.0× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$1,959.45 |
$3,265.75 |
2.8× |
| Change of windpipe airway (31502) |
$517.50 |
$862.50 |
2.2× |
| Chemical cauterization of granulation tissue (17250) |
$293.25 |
$488.75 |
1.5× |
| Chest tube placement (32551) |
$1,448.70 |
$2,414.50 |
0.9× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,978.95 |
$3,298.25 |
0.9× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$4,482.60 |
$7,471 |
1.2× |
| Circumcision, Newborn (54150) |
$1,229.25 |
$2,048.75 |
0.6× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$746.85 |
$1,244.75 |
2.4× |
| Closed rx humer epicondylr fx,manip (24565) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,023.90 |
$1,706.50 |
0.6× |
| Closed rx shldr disloc,prox hum fx (23675) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$343.95 |
$573.25 |
1.4× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$194.40 |
$324 |
0.8× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,292.70 |
$2,154.50 |
0.8× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$424.50 |
$707.50 |
1.7× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$211.95 |
$353.25 |
0.9× |
| Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) |
$500.70 |
$834.50 |
2.0× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$2,665.20 |
$4,442 |
1.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$211.95 |
$353.25 |
0.9× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$211.95 |
$353.25 |
0.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,408.80 |
$2,348 |
0.9× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,292.70 |
$2,154.50 |
0.8× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$1,894.05 |
$3,156.75 |
1.2× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$211.95 |
$353.25 |
0.9× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$211.95 |
$353.25 |
0.9× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,921.85 |
$4,869.75 |
1.8× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,650.90 |
$2,751.50 |
1.0× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,396.80 |
$2,328 |
0.9× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$211.95 |
$353.25 |
0.9× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$2,661.45 |
$4,435.75 |
1.6× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$2,327.55 |
$3,879.25 |
1.4× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$256.95 |
$428.25 |
1.0× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$279.90 |
$466.50 |
1.1× |
| Closed treatment of ulnar styloid fracture (25650) |
$279.90 |
$466.50 |
1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$520.80 |
$868 |
2.1× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,396.80 |
$2,328 |
0.9× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$279.90 |
$466.50 |
1.1× |
| Closed tx femoral fracture prox head w/manj (27268) |
$4,967.10 |
$8,278.50 |
3.1× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$520.80 |
$868 |
2.1× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$523.95 |
$873.25 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$279.90 |
$466.50 |
1.1× |
| 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 shaft fracture w/manipulation (25505) |
$1,862.25 |
$3,103.75 |
1.2× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,396.80 |
$2,328 |
0.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$211.95 |
$353.25 |
0.9× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$279.90 |
$466.50 |
1.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$1,267.50 |
$2,112.50 |
5.1× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$424.50 |
$707.50 |
1.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$314.85 |
$524.75 |
1.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$2,247.45 |
$3,745.75 |
1.4× |
| Closed tx vert fx w/o manj (22310) |
$408.15 |
$680.25 |
1.6× |
| 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 nsl fx mnpj wo stblj (21315) |
$1,536 |
$2,560 |
1.0× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$4,616.10 |
$7,693.50 |
1.4× |
| Clsd tx pelvic ring fx (27197) |
$424.50 |
$707.50 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,408.80 |
$2,348 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,862.25 |
$3,103.75 |
1.2× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$279.90 |
$466.50 |
1.1× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$424.50 |
$707.50 |
1.7× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$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/o manj (27508) |
$380.85 |
$634.75 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$211.95 |
$353.25 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$279.90 |
$466.50 |
1.1× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$424.50 |
$707.50 |
1.7× |
| 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 humeral epicondylar fx medial/lat w/o manj (24560) |
$408.15 |
$680.25 |
1.6× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$2,327.55 |
$3,879.25 |
1.4× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$424.50 |
$707.50 |
1.7× |
| 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 METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$211.95 |
$353.25 |
0.9× |
| Cltx metar fx w/manj (28475) |
$429.45 |
$715.75 |
1.7× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$1,459.50 |
$2,432.50 |
0.9× |
| Cltx post ankle fx (27767) |
$294.15 |
$490.25 |
1.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$408.15 |
$680.25 |
1.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$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 sprcndylr/trnscndylr fem fx w/o manj (27501) |
$268.20 |
$447 |
1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$345.75 |
$576.25 |
1.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,650.90 |
$2,751.50 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$256.95 |
$428.25 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,163.85 |
$1,939.75 |
0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$279.90 |
$466.50 |
1.1× |
| Collect blood from catheter venous nos (36592) |
$94.50 |
$157.50 |
0.7× |
| Collect blood from implant venous access device (36591) |
$77.40 |
$129 |
0.6× |
| Colonoscopy flexible with decompression (45393) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy thru stoma spx (44388) |
$1,899 |
$3,165 |
2.0× |
| Colonoscopy w/ablation (45388) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/control bleed (45382) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/resection (45390) |
$1,671.30 |
$2,785.50 |
0.6× |
| Colonoscopy w/stent plcmt (45389) |
$3,571.80 |
$5,953 |
0.6× |
| Colonoscopy w/stent plcmt (44402) |
$3,571.80 |
$5,953 |
0.6× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$760.95 |
$1,268.25 |
0.6× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$2,070.30 |
$3,450.50 |
0.6× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$760.95 |
$1,268.25 |
0.6× |
| Complete replacement picc rs&i (36584) |
$2,414.10 |
$4,023.50 |
1.5× |
| Contrast injection perq radiologic eval gi tube (49465) |
$290.18 |
$483.62 |
1.2× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$198.60 |
$331 |
0.9× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$261.30 |
$435.50 |
2.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$284.40 |
$474 |
2.1× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$760.95 |
$1,268.25 |
0.6× |
| Control throat bleeding (42960) |
$741.45 |
$1,235.75 |
1.4× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$2,790.30 |
$4,650.50 |
0.8× |
| Convert nephrostomy cath to nephrourtrl cath prq (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× |
| Cystourethroscopy (52000) |
$1,594.35 |
$2,657.25 |
2.3× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$828.75 |
$1,381.25 |
1.2× |
| Deb skin bone at fx site (11012) |
$3,015 |
$5,025 |
1.0× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$668.55 |
$1,114.25 |
1.6× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$82.50 |
$137.50 |
1.4× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$84.15 |
$140.25 |
1.4× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,115.25 |
$1,858.75 |
2.7× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,896.60 |
$3,161 |
1.1× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,266.60 |
$2,111 |
1.7× |
| Declot vascular device (36593) |
$540 |
$900 |
1.6× |
| Delivery of placenta (59414) |
$1,907.85 |
$3,179.75 |
0.6× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$1,382.70 |
$2,304.50 |
1.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$5,903.55 |
$9,839.25 |
2.1× |
| Diagnostic bone marrow aspirations (38220) |
$1,800 |
$3,000 |
1.1× |
| Diagnostic bone marrow biopsies (38221) |
$2,661.60 |
$4,436 |
1.6× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,689.28 |
$4,482.12 |
0.9× |
| 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× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$562.65 |
$937.75 |
0.6× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$1,600.35 |
$2,667.25 |
2.3× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$577.80 |
$963 |
2.3× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$2,883.90 |
$4,806.50 |
1.6× |
| Drain bladder by trocar/cath (51101) |
$621.75 |
$1,036.25 |
0.7× |
| Drain lower leg lesion (27603) |
$4,191.30 |
$6,985.50 |
1.4× |
| Drain neck/chest lesion (21501) |
$1,689.60 |
$2,816 |
0.6× |
| Drain penis lesion (54015) |
$1,611 |
$2,685 |
1.0× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$424.80 |
$708 |
1.8× |
| Drainage external auditory canal, abscess (69020) |
$1,053 |
$1,755 |
1.5× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$2,428.35 |
$4,047.25 |
1.5× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$631.80 |
$1,053 |
0.9× |
| Drainage finger abscess simple (26010) |
$258.15 |
$430.25 |
1.3× |
| Drainage of abscess of palate, uvula (42000) |
$286.50 |
$477.50 |
1.2× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$1,552.95 |
$2,588.25 |
2.9× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$1,053 |
$1,755 |
1.5× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$1,476.90 |
$2,461.50 |
0.9× |
| Drainage of eye (65810) |
$1,876.35 |
$3,127.25 |
0.8× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,051.50 |
$1,752.50 |
0.6× |
| Drainage of mouth lesion (41018) |
$2,247.45 |
$3,745.75 |
1.4× |
| Drainage of nose lesion (30020) |
$462.15 |
$770.25 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,051.50 |
$1,752.50 |
0.6× |
| Drainage of scrotum (54700) |
$3,085.80 |
$5,143 |
1.5× |
| Drainage of tonsil abscess (42700) |
$283.05 |
$471.75 |
1.2× |
| Dry needling (20999) |
$4,575.90 |
$7,626.50 |
18.5× |
| Dx bronchoscope/brush (31623) |
$1,034.70 |
$1,724.50 |
0.6× |
| Dx bronchoscope/lavage (31624) |
$1,034.70 |
$1,724.50 |
0.6× |
| Dx laryngoscopy excl nb (31525) |
$3,648.60 |
$6,081 |
2.0× |
| Ed proc insert intraosseous IV (36680) |
$361.95 |
$603.25 |
0.8× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$375 |
$625 |
2.9× |
| Ed proc remve fb nasal- hospital (30300) |
$217.20 |
$362 |
1.6× |
| Ed prof arthrocentesis sm - hospital (20551) |
$521.70 |
$869.50 |
1.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$77.40 |
$129 |
0.6× |
| Ed prof burn - large - hospital (16030) |
$449.25 |
$748.75 |
1.1× |
| Ed prof burn medium - hospital (16025) |
$235.35 |
$392.25 |
1.2× |
| Ed prof burn small - hospital (16020) |
$235.35 |
$392.25 |
1.2× |
| Ed prof catheterization/straight (51701) |
$205.20 |
$342 |
1.5× |
| Ed prof closed tx post hip arthroplasty (27265) |
$256.95 |
$428.25 |
1.0× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$2,327.55 |
$3,879.25 |
1.4× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$2,327.55 |
$3,879.25 |
1.4× |
| Ed prof drain dental abscess-hospital (41800) |
$217.20 |
$362 |
1.6× |
| Ed prof insert foley cath simple (51702) |
$188.70 |
$314.50 |
1.4× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,899.95 |
$4,833.25 |
0.9× |
| Ed prof insertion of heart electr (33210) |
$9,014.62 |
$15,024.38 |
1.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$449.25 |
$748.75 |
1.1× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$449.25 |
$748.75 |
1.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$211.95 |
$353.25 |
0.9× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$505.72 |
$842.88 |
1.1× |
| 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 injection varices (43243) |
$1,138.20 |
$1,897 |
0.6× |
| Egd lesion ablation (43270) |
$1,138.20 |
$1,897 |
0.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,641.90 |
$2,736.50 |
0.9× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,138.20 |
$1,897 |
0.6× |
| Egd transoral control bleeding any method (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 us transmural injxn/mark (43253) |
$1,138.20 |
$1,897 |
0.6× |
| Egd w/transmural drain cyst (43240) |
$3,571.80 |
$5,953 |
0.6× |
| Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201) |
$8,303.10 |
$13,838.50 |
1.5× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$1,899 |
$3,165 |
2.0× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$1,899 |
$3,165 |
2.0× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$4,494.90 |
$7,491.50 |
1.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$2,282.85 |
$3,804.75 |
0.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$2,282.85 |
$3,804.75 |
0.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$2,282.85 |
$3,804.75 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,138.20 |
$1,897 |
0.6× |
| Endoscopy upper small intestine (44360) |
$2,045.40 |
$3,409 |
1.1× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$11,497.65 |
$19,162.75 |
1.0× |
| Endovenous rf 1st vein (36475) |
$9,208.95 |
$15,348.25 |
2.9× |
| Episiotomy or vaginal repair (59300) |
$3,843.60 |
$6,406 |
1.2× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,045.65 |
$1,742.75 |
1.5× |
| Ercp duct stent placement (43274) |
$3,571.80 |
$5,953 |
0.6× |
| 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 (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× |
| Esoph egd dilation <30 mm (43249) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$731.70 |
$1,219.50 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal… (43257) |
$2,282.85 |
$3,804.75 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon (43290) |
$1,413 |
$2,355 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes… (43210) |
$6,991.95 |
$11,653.25 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$731.70 |
$1,219.50 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$731.70 |
$1,219.50 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) (43291) |
$669.90 |
$1,116.50 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscop stent placement (43212) |
$3,571.80 |
$5,953 |
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 flexible transoral with biopsy (43202) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy lesion ablate (43229) |
$2,282.85 |
$3,804.75 |
0.6× |
| Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age Under 21 (43205) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age… (43226) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,138.20 |
$1,897 |
0.6× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$1,138.20 |
$1,897 |
0.6× |
| Evac subungual hematoma (11740) |
$97.35 |
$162.25 |
0.7× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$1,437.45 |
$2,395.75 |
2.7× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,896.60 |
$3,161 |
1.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$827.40 |
$1,379 |
1.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,896.60 |
$3,161 |
1.1× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$827.40 |
$1,379 |
1.2× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$811.42 |
$1,352.38 |
1.1× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$2,790.30 |
$4,650.50 |
0.8× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$3,009.45 |
$5,015.75 |
1.4× |
| Exchange transfusion, blood; newborn Age Under 21 (36450) |
$566.55 |
$944.25 |
1.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,017.80 |
$3,363 |
1.0× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$1,813.35 |
$3,022.25 |
0.6× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$2,101.95 |
$3,503.25 |
10.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,915.20 |
$3,192 |
1.6× |
| Excision of vaginal cyst or tumor (57135) |
$3,843.60 |
$6,406 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$1,823.55 |
$3,039.25 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$440.55 |
$734.25 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,896.60 |
$3,161 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$811.42 |
$1,352.38 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,896.60 |
$3,161 |
1.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$795.45 |
$1,325.75 |
1.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$549.60 |
$916 |
0.8× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$1,535.55 |
$2,559.25 |
0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$2,469.30 |
$4,115.50 |
1.5× |
| Explantation of cochlear implant electrode coil and/or receiver (69949) |
$1,476.90 |
$2,461.50 |
6.2× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$4,662.30 |
$7,770.50 |
2.9× |
| Explore wound abdomen (20102) |
$1,681.65 |
$2,802.75 |
0.8× |
| Explore wound neck (20100) |
$812.40 |
$1,354 |
1.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$1,914.30 |
$3,190.50 |
0.6× |
| Fetal contraction stress test (59020) |
$441.90 |
$736.50 |
2.2× |
| Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age Under 21 (59074) |
$469.50 |
$782.50 |
1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$526.50 |
$877.50 |
0.7× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$237.15 |
$395.25 |
0.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$526.50 |
$877.50 |
0.7× |
| Fluid pressure muscle (20950) |
$1,053 |
$1,755 |
1.5× |
| Ganglion impar nerve block (64999) |
$832.50 |
$1,387.50 |
2.7× |
| Gastric lavage (43753) |
$196.95 |
$328.25 |
0.9× |
| Guide cathet fluid drainage (10030) |
$631.80 |
$1,053 |
0.9× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$890.85 |
$1,484.75 |
1.0× |
| I&d abscess simple/single (10060) |
$467.85 |
$779.75 |
2.3× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$4,191.30 |
$6,985.50 |
1.4× |
| I&d hematoma/seroma/fluid (10140) |
$1,946.55 |
$3,244.25 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$526.50 |
$877.50 |
0.7× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$2,611.20 |
$4,352 |
0.9× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,138.20 |
$1,897 |
0.6× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$2,104.50 |
$3,507.50 |
2.3× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$269.10 |
$448.50 |
1.1× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$4,171.50 |
$6,952.50 |
2.5× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$3,207.15 |
$5,345.25 |
1.9× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,433 |
$4,055 |
1.5× |
| Incise & drain bladder (51040) |
$5,179.50 |
$8,632.50 |
2.5× |
| Incise external hemorrhoid (46083) |
$322.50 |
$537.50 |
1.3× |
| Incise finger tendon sheath (26055) |
$3,451.50 |
$5,752.50 |
2.1× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$812.40 |
$1,354 |
2.0× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$306.90 |
$511.50 |
1.5× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21 (45020) |
$4,168.80 |
$6,948 |
1.5× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$2,329.35 |
$3,882.25 |
0.8× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,069.20 |
$1,782 |
1.5× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$1,020.15 |
$1,700.25 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$306.90 |
$511.50 |
1.0× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$3,295.35 |
$5,492.25 |
1.1× |
| Incision and drainage, forearm and/or wrist; bursa Age Under 21 (25031) |
$2,562.60 |
$4,271 |
1.6× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$3,863.70 |
$6,439.50 |
1.2× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,020.15 |
$1,700.25 |
1.1× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$1,611 |
$2,685 |
1.0× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,896.60 |
$3,161 |
1.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$484.50 |
$807.50 |
1.2× |
| Incision of eyelid fold (67715) |
$3,993.45 |
$6,655.75 |
1.7× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,183.95 |
$1,973.25 |
0.8× |
| Incision of rectal abscess (46040) |
$1,915.20 |
$3,192 |
1.6× |
| Incision of windpipe (31603) |
$1,529.85 |
$2,549.75 |
1.0× |
| Incision&drainage bursa foot (28001) |
$2,661.45 |
$4,435.75 |
1.6× |
| 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× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$5,052.15 |
$8,420.25 |
15.2× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$230.78 |
$384.62 |
1.1× |
| Inj epidural blood or clot patch (62273) |
$1,045.65 |
$1,742.75 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,482.45 |
$2,470.75 |
1.7× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,482.45 |
$2,470.75 |
1.7× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$211.95 |
$353.25 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$780.60 |
$1,301 |
1.1× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$1,649.62 |
$2,749.38 |
1.8× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$962.32 |
$1,603.88 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,141.35 |
$1,902.25 |
1.6× |
| Injection aa&/strd greater occipital nerve (64405) |
$427.05 |
$711.75 |
1.4× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$962.92 |
$1,604.88 |
1.4× |
| 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 lmbr/thrc paravertbrl sympathetic (64520) |
$1,355.10 |
$2,258.50 |
1.5× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$760.95 |
$1,268.25 |
0.6× |
| Injection for identification of sentinel node (38792) |
$731.25 |
$1,218.75 |
1.8× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$1,994.85 |
$3,324.75 |
3.2× |
| Injection sclerosant multiple incmptnt veins (36471) |
$237.15 |
$395.25 |
0.6× |
| Injection sclerosant single incmptnt vein (36470) |
$244.80 |
$408 |
0.6× |
| Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) |
$237.15 |
$395.25 |
0.6× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$441.30 |
$735.50 |
1.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$441.30 |
$735.50 |
1.4× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$441.30 |
$735.50 |
1.4× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (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 intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$8,028.15 |
$13,380.25 |
1.4× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$32,052.60 |
$53,421 |
1.0× |
| Insert and remove bone pin (20650) |
$5,177.85 |
$8,629.75 |
1.6× |
| Insert cecostomy/other colonic tube percutaneous (49442) |
$2,298.30 |
$3,830.50 |
1.9× |
| Insert cervical dilator (59200) |
$256.12 |
$426.88 |
0.8× |
| Insert gastrostomy tube percutaneous (49440) |
$1,865.10 |
$3,108.50 |
1.0× |
| Insert heart pm atrial (33206) |
$15,654.45 |
$26,090.75 |
1.5× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$2,899.95 |
$4,833.25 |
0.9× |
| Insert pessary/other device (57160) |
$234.30 |
$390.50 |
1.2× |
| Insert pulse gen mult leads (33221) |
$15,107.85 |
$25,179.75 |
0.8× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,267.30 |
$5,445.50 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,035.45 |
$6,725.75 |
1.1× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$16,493.55 |
$27,489.25 |
1.6× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$14,063.40 |
$23,439 |
1.3× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$13,247.55 |
$22,079.25 |
1.6× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$2,780.70 |
$4,634.50 |
1.8× |
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182)
likely a partial charge — not the full procedure |
$4,419.15 |
$7,365.25 |
0.2× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$150.45 |
$250.75 |
0.7× |
| Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566) |
$10,115.70 |
$16,859.50 |
1.8× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$3,648.15 |
$6,080.25 |
1.2× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$3,045.90 |
$5,076.50 |
1.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,510.55 |
$4,184.25 |
1.6× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$2,414.10 |
$4,023.50 |
1.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,277.20 |
$15,462 |
1.1× |
| Insertion tunnel intraperitoneal cath dial open (49421) |
$3,880.20 |
$6,467 |
1.1× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$9,426.60 |
$15,711 |
1.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,134.25 |
$15,223.75 |
1.1× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$33,423.45 |
$55,705.75 |
3.2× |
| Insj intraperitoneal catheter w/img guid (49418) |
$5,882.10 |
$9,803.50 |
1.6× |
| Insj of subq implantable defibrillator electrode (33271) |
$8,937.30 |
$14,895.50 |
1.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,076.05 |
$5,126.75 |
1.0× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$51,832.80 |
$86,388 |
1.6× |
| Insrt heart pm atrial & vent (33208) |
$18,985.80 |
$31,643 |
1.8× |
| Insrt pulse gen w/dual leads (33230) |
$42,952.50 |
$71,587.50 |
1.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,536 |
$2,560 |
2.8× |
| Intraoral i&d tongue/floor masticator space (41009) |
$618.45 |
$1,030.75 |
1.1× |
| Intraoral i&d tongue/floor submental space (41007) |
$3,879.30 |
$6,465.50 |
2.5× |
| 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× |
| Intubation endotracheal (31500) |
$539.85 |
$899.75 |
2.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$457.80 |
$763 |
1.8× |
| Laryngoscopy flex diagnostic (31575) |
$163.05 |
$271.75 |
0.8× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$4,966.80 |
$8,278 |
1.3× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$931.80 |
$1,553 |
2.4× |
| Laryngoscopy indirect diagnostic (31505) |
$163.35 |
$272.25 |
0.8× |
| Laryngoscopy w stroboscopy (31579) |
$1,453.35 |
$2,422.25 |
3.7× |
| Laryngoscopy w/foreign body removal (31530) |
$2,174.85 |
$3,624.75 |
1.2× |
| Laryngoscopy,direct, injctn arytenoid/larynx, agmenttn,w/ or w/o mcrscp (31599) |
$221.40 |
$369 |
0.9× |
| Ligation of a-v fistula (37607) |
$8,234.70 |
$13,724.50 |
2.6× |
| Ligation or biopsy, temporal artery (37609) |
$1,355.85 |
$2,259.75 |
0.8× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$18,406.05 |
$30,676.75 |
5.2× |
| Long gi tube placement (44500) |
$669.90 |
$1,116.50 |
0.7× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$1,117.80 |
$1,863 |
4.5× |
| Lumbar puncture (62270) |
$1,045.65 |
$1,742.75 |
1.5× |
| Mastotomy expl drg absc dp (19020) |
$1,611 |
$2,685 |
1.0× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,070.85 |
$1,784.75 |
1.7× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,186.35 |
$1,977.25 |
0.8× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$3,167.85 |
$5,279.75 |
1.0× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,275.15 |
$2,125.25 |
1.6× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,275.15 |
$2,125.25 |
1.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,300.20 |
$2,167 |
1.7× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$322.50 |
$537.50 |
1.6× |
| Nasal surg proc unlisted (30999) |
$217.20 |
$362 |
0.9× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$1,779.15 |
$2,965.25 |
1.0× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$508.20 |
$847 |
2.0× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$1,041 |
$1,735 |
4.0× |
| Nfct ds DNA untrgt ngnrj seq (0152U) |
$1,800 |
$3,000 |
0.8× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$2,494.35 |
$4,157.25 |
0.7× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$3,103.35 |
$5,172.25 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,045.65 |
$1,742.75 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,261.20 |
$2,102 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,001.25 |
$1,668.75 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,261.95 |
$2,103.25 |
1.4× |
| 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× |
| Non stress test (59025) |
$330.98 |
$551.62 |
1.6× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$5,377.65 |
$8,962.75 |
1.7× |
| Obstructive material removal from gi tube (49460) |
$710.40 |
$1,184 |
0.8× |
| Open Treatment Distal Fracture (25608) |
$12,184.35 |
$20,307.25 |
1.7× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$5,611.05 |
$9,351.75 |
1.7× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$3,331.35 |
$5,552.25 |
1.0× |
| Open treatment of nasal fracture; uncomplicated Age Under 21 (21325) |
$5,143.95 |
$8,573.25 |
1.5× |
| Open tx distal phalangeal fracture each (26765) |
$3,331.35 |
$5,552.25 |
1.0× |
| Open tx metacarpal fracture single ea bone (26615) |
$3,409.05 |
$5,681.75 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,911.20 |
$4,852 |
0.9× |
| Open/perq placement intravascular stent initial (37236) |
$11,631.90 |
$19,386.50 |
1.0× |
| Open/perq placement intravascular stent same 1st (37238) |
$11,631.90 |
$19,386.50 |
1.0× |
| Palate/uvula surgery (42299) |
$448.95 |
$748.25 |
1.9× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$235.35 |
$392.25 |
1.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$235.35 |
$392.25 |
1.2× |
| Penile injection (54235) |
$386.70 |
$644.50 |
1.5× |
| Perc rf ablate renal tumor (50592) |
$8,181.60 |
$13,636 |
1.3× |
| Percut ablate liver rf (47382) |
$8,181.60 |
$13,636 |
1.3× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$830.10 |
$1,383.50 |
1.2× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$1,393.80 |
$2,323 |
1.6× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$4,478.85 |
$7,464.75 |
18.1× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$5,094.75 |
$8,491.25 |
1.6× |
| Pericardiocentesis w/img guidance when performed (33016) |
$2,976.90 |
$4,961.50 |
1.9× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$970.95 |
$1,618.25 |
1.1× |
| Perq av fistula creation uxtr sep access sites (36837) |
$27,869.10 |
$46,448.50 |
1.5× |
| Perq av fistula creation uxtr single access (36836) |
$27,869.10 |
$46,448.50 |
1.5× |
| 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 dilation xst trc endourologic px w/img (50436) |
$4,213.20 |
$7,022 |
1.2× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,213.20 |
$7,022 |
1.2× |
| 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 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× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$11,531.92 |
$19,219.88 |
1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$11,531.92 |
$19,219.88 |
1.6× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$8,790.30 |
$14,650.50 |
2.7× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$5,623.50 |
$9,372.50 |
1.7× |
| Phleb veins - extrem 20+ (37766) |
$4,691.40 |
$7,819 |
1.5× |
| Pin finger fracture each (26756) |
$5,395.20 |
$8,992 |
1.6× |
| Place duod/jej tube perc (49441) |
$1,862.85 |
$3,104.75 |
1.0× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$2,553.75 |
$4,256.25 |
1.8× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$2,479.50 |
$4,132.50 |
1.8× |
| Plmt access thru biliary tree into small bwl new (47541) |
$4,498.20 |
$7,497 |
0.7× |
| Plmt bile duct stent prq existing access (47538) |
$5,100.60 |
$8,501 |
0.8× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$4,904.40 |
$8,174 |
0.8× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$5,100.60 |
$8,501 |
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 sft tiss loclzj dev perq 1st lesion (10035) |
$969.15 |
$1,615.25 |
1.4× |
| 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× |
| Pr brnchsc removal bronchial valve ea addl (31649) |
$2,611.20 |
$4,352 |
1.5× |
| Pr transfusion intrauterine fetal (36460) |
$589.35 |
$982.25 |
1.3× |
| Preputial stretching (54450) |
$756.45 |
$1,260.75 |
3.0× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$10,774.05 |
$17,956.75 |
0.6× |
| Proctosigmoidoscopy dx (45300) |
$1,094.55 |
$1,824.25 |
1.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$748.50 |
$1,247.50 |
0.6× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$748.50 |
$1,247.50 |
0.6× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Age Under 21 (45321) |
$1,842.75 |
$3,071.25 |
0.7× |
| Prq impltj nstim electrode array epidural (63650) |
$7,672.50 |
$12,787.50 |
1.2× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$5,641.20 |
$9,402 |
1.6× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$5,641.20 |
$9,402 |
1.6× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$5,398.35 |
$8,997.25 |
1.7× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$8,611.50 |
$14,352.50 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$458.25 |
$763.75 |
1.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$484.50 |
$807.50 |
1.2× |
| Puncture aspiration of cyst of breast (19000) |
$1,053 |
$1,755 |
1.5× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$2,144.25 |
$3,573.75 |
2.4× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,045.65 |
$1,742.75 |
1.5× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$443.70 |
$739.50 |
2.2× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$1,355.70 |
$2,259.50 |
1.5× |
| Relocate skin pocket implantable defibrillator (33223) |
$1,665.60 |
$2,776 |
0.8× |
| Relocation of skin pocket for pacemaker (33222) |
$2,431.80 |
$4,053 |
1.2× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$4,353 |
$7,255 |
2.1× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,178.85 |
$1,964.75 |
1.3× |
| Removal foreign body foot complicated (28193) |
$1,401.75 |
$2,336.25 |
0.8× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$694.20 |
$1,157 |
1.0× |
| Removal foreign body mouth (40804) |
$1,339.65 |
$2,232.75 |
1.5× |
| Removal foreign body shoulder subcutaneous (23330) |
$964.05 |
$1,606.75 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,349 |
$3,915 |
0.8× |
| 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 (20670) |
$3,346.05 |
$5,576.75 |
2.0× |
| Removal implantable contraceptive capsules (11976) |
$946.80 |
$1,578 |
1.3× |
| Removal implantable defib pulse generator only (33241) |
$4,986.90 |
$8,311.50 |
1.3× |
| Removal of blood from fetal umbilical cord (59012) |
$271.50 |
$452.50 |
0.9× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$5,702.55 |
$9,504.25 |
1.8× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,020.15 |
$1,700.25 |
0.8× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,896.60 |
$3,161 |
1.1× |
| Removal of foreign body in scrotum (55120) |
$3,347.55 |
$5,579.25 |
1.6× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,822.05 |
$3,036.75 |
1.1× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$1,743.60 |
$2,906 |
0.6× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$339.60 |
$566 |
2.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$339.60 |
$566 |
0.8× |
| Removal of foreign body, foot; deep (28192) |
$1,355.85 |
$2,259.75 |
0.8× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$3,503.70 |
$5,839.50 |
1.5× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$1,770 |
$2,950 |
0.6× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$329.70 |
$549.50 |
1.4× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$760.95 |
$1,268.25 |
0.6× |
| Removal of iud (58301) |
$219.60 |
$366 |
0.7× |
| Removal of nail bed (11750) |
$449.25 |
$748.75 |
1.1× |
| Removal of pm generator (33233) |
$7,946.25 |
$13,243.75 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$235.35 |
$392.25 |
1.2× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$3,027 |
$5,045 |
0.8× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$6,373.35 |
$10,622.25 |
1.7× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,089.85 |
$5,149.75 |
1.0× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$389.40 |
$649 |
1.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,044.15 |
$1,740.25 |
1.5× |
| Removal tunneled cv cath (36590) |
$1,931.40 |
$3,219 |
1.2× |
| Removal, non-biodegradable drug delivery implant (11982) |
$612.90 |
$1,021.50 |
1.4× |
| Remove eyelid foreign body (67938) |
$360.45 |
$600.75 |
1.1× |
| Remove foreign body from eye (65210) |
$339.60 |
$566 |
0.8× |
| Remove hip foreign body (27086) |
$6,010.35 |
$10,017.25 |
2.1× |
| Remove lung catheter (32552) |
$938.70 |
$1,564.50 |
1.5× |
| Remove pharynx foreign body (42809) |
$407.10 |
$678.50 |
0.9× |
| Remove ureter stent percut (50384) |
$4,353 |
$7,255 |
2.1× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$18,139.20 |
$30,232 |
1.7× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$18,139.20 |
$30,232 |
0.9× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$17,102.25 |
$28,503.75 |
2.1× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$1,241.85 |
$2,069.75 |
0.7× |
| Repair blood vessel lesion (35226) |
$2,439.15 |
$4,065.25 |
3.4× |
| Repair blood vessel upper ext (35206) |
$2,536.80 |
$4,228 |
0.8× |
| 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 TechFee (13132) |
$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 eyelid wound (67930) |
$1,721.70 |
$2,869.50 |
0.7× |
| Repair finger tendon (26418) |
$1,446.15 |
$2,410.25 |
0.9× |
| Repair incomplete circumcision (54163) |
$4,027.05 |
$6,711.75 |
1.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$312.90 |
$521.50 |
0.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$312.90 |
$521.50 |
0.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$312.90 |
$521.50 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$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 2.5 CM/< TechFee (12031) |
$449.25 |
$748.75 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$449.25 |
$748.75 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$695.40 |
$1,159 |
0.9× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$312.90 |
$521.50 |
0.8× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$276.30 |
$460.50 |
0.7× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$3,840.60 |
$6,401 |
1.9× |
| Repair lac palate<2 cm (42180) |
$546 |
$910 |
1.0× |
| Repair lead pace-defib dual (33220) |
$5,222.10 |
$8,703.50 |
1.4× |
| Repair lead pace-defib one (33218) |
$3,886.05 |
$6,476.75 |
1.0× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,536 |
$2,560 |
2.8× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$1,536 |
$2,560 |
2.8× |
| Repair of digit nerve (64831) |
$2,861.70 |
$4,769.50 |
1.5× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$438.90 |
$731.50 |
1.0× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,536 |
$2,560 |
6.5× |
| Repair of nail bed (11760) |
$373.50 |
$622.50 |
0.5× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$1,008.30 |
$1,680.50 |
1.6× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$2,413.80 |
$4,023 |
0.7× |
| Repair tongue lacer,post 1/3 (41251) |
$434.10 |
$723.50 |
1.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$478.95 |
$798.25 |
0.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$487.20 |
$812 |
0.7× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$478.95 |
$798.25 |
1.2× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,365.90 |
$2,276.50 |
0.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,382.70 |
$2,304.50 |
1.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,382.70 |
$2,304.50 |
1.5× |
| Replace tunneled cv cath (36582) |
$3,794.10 |
$6,323.50 |
1.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,382.70 |
$2,304.50 |
1.5× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$3,167.85 |
$5,279.75 |
1.0× |
| Repos previously implanted subq implantable dfb (33273) |
$3,841.05 |
$6,401.75 |
1.0× |
| Reposition l ventric lead (33226) |
$4,504.20 |
$7,507 |
1.4× |
| Reposition venous catheter (36597) |
$1,069.50 |
$1,782.50 |
0.7× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$730.95 |
$1,218.25 |
2.9× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$5,297.10 |
$8,828.50 |
1.7× |
| Reset dislocated jaw (21480) |
$217.20 |
$362 |
0.9× |
| Revision of cervix (59320) |
$3,891.90 |
$6,486.50 |
1.2× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$11,632.05 |
$19,386.75 |
2.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,433.45 |
$4,055.75 |
1.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,053.05 |
$3,421.75 |
1.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$908.10 |
$1,513.50 |
1.7× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$197.25 |
$328.75 |
1.5× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$339.60 |
$566 |
2.5× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,295.35 |
$5,492.25 |
1.1× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$36,434.85 |
$60,724.75 |
1.2× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$36,434.85 |
$60,724.75 |
1.6× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$36,434.85 |
$60,724.75 |
1.6× |
| Rmvl nfros tube req fluoro guidance (50389) |
$613.35 |
$1,022.25 |
0.9× |
| Rmvl of access device (36589) |
$1,877.25 |
$3,128.75 |
3.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,994.80 |
$6,658 |
1.1× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$3,027 |
$5,045 |
0.8× |
| Rplc gtube revj gstrst trc (43763) |
$507.60 |
$846 |
2.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,414.10 |
$4,023.50 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,286.65 |
$5,477.75 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,070.85 |
$1,784.75 |
0.7× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$1,591.05 |
$2,651.75 |
1.0× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$4,504.20 |
$7,507 |
1.4× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$5,509.05 |
$9,181.75 |
1.7× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$1,898.10 |
$3,163.50 |
1.1× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,105.40 |
$3,509 |
0.6× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$2,209.12 |
$3,681.88 |
2.4× |
| Sigmoidoscopy & polypectomy (45333) |
$719.70 |
$1,199.50 |
0.8× |
| Sigmoidoscopy flx control bleeding (45334) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$748.50 |
$1,247.50 |
0.8× |
| Sigmoidoscopy w/ablation (45346) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy w/fb removal (45332) |
$707.55 |
$1,179.25 |
0.6× |
| Sigmoidoscopy w/resection (45349) |
$1,671.30 |
$2,785.50 |
0.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$547.05 |
$911.75 |
0.6× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$547.05 |
$911.75 |
0.6× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) |
$3,571.80 |
$5,953 |
0.6× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$748.50 |
$1,247.50 |
0.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$312.90 |
$521.50 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$312.90 |
$521.50 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$312.90 |
$521.50 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$312.90 |
$521.50 |
1.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$309.60 |
$516 |
1.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$235.35 |
$392.25 |
1.2× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$607.35 |
$1,012.25 |
1.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$607.35 |
$1,012.25 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$235.35 |
$392.25 |
1.2× |
| Skin tissue procedure unlisted (17999) |
$237.60 |
$396 |
1.2× |
| 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× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$5,377.65 |
$8,962.75 |
1.7× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$8,795.70 |
$14,659.50 |
1.6× |
| Slitting of prepuce (54001) |
$3,281.10 |
$5,468.50 |
1.6× |
| 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 (44377) |
$1,138.20 |
$1,897 |
0.6× |
| Small bowel endoscopy/biopsy (44361) |
$1,138.20 |
$1,897 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$1,138.20 |
$1,897 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$1,138.20 |
$1,897 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$1,138.20 |
$1,897 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$1,138.20 |
$1,897 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370) |
$3,571.80 |
$5,953 |
0.6× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$312.90 |
$521.50 |
1.6× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (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× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$3,692.85 |
$6,154.75 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,879.20 |
$8,132 |
1.5× |
| Stomach surgery procedure unlisted (43999) |
$731.70 |
$1,219.50 |
0.8× |
| Strapping ankle (29540) |
$205.20 |
$342 |
1.3× |
| Strapping elbow or wrist (29260) |
$225.15 |
$375.25 |
3.8× |
| Strapping hand/finger (29280) |
$225.15 |
$375.25 |
3.8× |
| Strapping of knee (29530) |
$201.22 |
$335.38 |
1.5× |
| Strapping of shoulder (29240) |
$201.22 |
$335.38 |
1.5× |
| Strapping of toes (29550) |
$142.05 |
$236.75 |
2.4× |
| Strapping unna boot (29580) |
$192.60 |
$321 |
1.2× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$2,189.70 |
$3,649.50 |
2.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$2,189.70 |
$3,649.50 |
2.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$695.40 |
$1,159 |
1.7× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$1,854 |
$3,090 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$449.25 |
$748.75 |
1.1× |
| Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq,… (0379U) |
$2,573.10 |
$4,288.50 |
0.8× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$40,452.30 |
$67,420.50 |
1.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$40,546.80 |
$67,578 |
2.1× |
| Therapeutic apheresis platelet (36513) |
$2,772.60 |
$4,621 |
6.3× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$2,772.60 |
$4,621 |
1.8× |
| Therapeutic pneumothorax (32960) |
$435.75 |
$726.25 |
0.7× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$2,776.65 |
$4,627.75 |
3.9× |
| Therapeutic spinal puncture drainage csf (62272) |
$1,045.65 |
$1,742.75 |
1.5× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$21,248.85 |
$35,414.75 |
1.6× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$938.70 |
$1,564.50 |
1.5× |
| Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral (32608) |
$6,120.30 |
$10,200.50 |
0.6× |
| 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× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$3,267.30 |
$5,445.50 |
0.6× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$3,866.70 |
$6,444.50 |
1.2× |
| Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Age Under 21 (31612) |
$2,053.05 |
$3,421.75 |
0.6× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,591.05 |
$2,651.75 |
6.7× |
| Transcatheter biopsy (37200) |
$3,794.10 |
$6,323.50 |
0.7× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$11,497.65 |
$19,162.75 |
1.0× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624)
unusually low — confirm this is the full procedure |
$7,075.50 |
$11,792.50 |
0.4× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$3,328.80 |
$5,548 |
1.0× |
| Transfusion, blood or blood components (36430) |
$1,176.60 |
$1,961 |
2.7× |
| Transoral lower esophageal myotomy (43497) |
$5,503.20 |
$9,172 |
0.9× |
| Transrectal drainage of pelvic abscess Age Under 21 (45000) |
$2,635.50 |
$4,392.50 |
2.2× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$1,584 |
$2,640 |
0.9× |
| Treat big toe fracture (28495) |
$211.95 |
$353.25 |
0.9× |
| Treat finger dislocation (26775) |
$389.40 |
$649 |
1.4× |
| Treat foot dislocation (28545) |
$5,221.80 |
$8,703 |
1.6× |
| Treat hip socket fracture (27222) |
$1,701.75 |
$2,836.25 |
6.9× |
| Treat humerus fracture (24577) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat knee fracture (27532) |
$4,829.55 |
$8,049.25 |
1.5× |
| Treat lower leg fracture (27825) |
$1,650.90 |
$2,751.50 |
1.0× |
| Treat thumb fracture (26645) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat toe dislocation (28630) |
$211.95 |
$353.25 |
0.9× |
| Treat ulnar fracture (24675) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat vaginal bleeding (57180) |
$306.90 |
$511.50 |
1.5× |
| Treat wrist bone fracture (25635) |
$2,327.55 |
$3,879.25 |
1.4× |
| Treat wrist bone fracture (25624) |
$1,023.90 |
$1,706.50 |
0.6× |
| Treat wrist dislocation (25690) |
$1,650.90 |
$2,751.50 |
1.0× |
| Treat wrist dislocation (25675) |
$429.45 |
$715.75 |
1.7× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,408.80 |
$2,348 |
0.9× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$12,184.35 |
$20,307.25 |
1.7× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$279.90 |
$466.50 |
1.1× |
| Treatment of heel fracture (28405) |
$1,650.90 |
$2,751.50 |
6.7× |
| Treatment of miscarriage (59812) |
$1,907.85 |
$3,179.75 |
0.6× |
| Treatment of mouth lesion (40820) |
$4,596.60 |
$7,661 |
1.4× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,292.70 |
$2,154.50 |
0.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$256.95 |
$428.25 |
1.0× |
| 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 superficial wound dehiscence simple closure (12020) |
$695.40 |
$1,159 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$431.85 |
$719.75 |
1.1× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$2,327.55 |
$3,879.25 |
1.4× |
| Unlisted procedure anus (46999) |
$1,680.90 |
$2,801.50 |
1.8× |
| Unlisted procedure colon (45399) |
$746.25 |
$1,243.75 |
0.8× |
| Unlisted procedure pancreas (48999) |
$2,144.25 |
$3,573.75 |
3.0× |
| Unlisted procedure rectum (45999) |
$543.60 |
$906 |
0.6× |
| Unlisted procedure, dentoalveolar structures (41899) |
$505.58 |
$842.62 |
2.1× |
| Unlisted procedure, liver (47399) |
$2,926.80 |
$4,878 |
4.1× |
| Unlisted procedure, vestibule of mouth (40899) |
$646.20 |
$1,077 |
2.7× |
| Upgrade of pacemaker system (33214) |
$18,019.35 |
$30,032.25 |
1.7× |
| Urology surgery procedure unlisted (53899) |
$277.95 |
$463.25 |
1.1× |
| Vaginal delivery (59409) |
$1,907.85 |
$3,179.75 |
0.6× |
| Vasc embolize/occlude bleed (37244) |
$11,865.60 |
$19,776 |
1.0× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$11,865.60 |
$19,776 |
0.6× |
| Vascular embolization or occlusion venous rs&i (37241) |
$11,497.65 |
$19,162.75 |
1.0× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$11,865.60 |
$19,776 |
1.0× |
| Vascular surgery procedure (37799) |
$2,780.70 |
$4,634.50 |
4.4× |
| Vbac delivery only (59612) |
$3,843.60 |
$6,406 |
1.2× |
| Venipuncture (36415) |
$22.80 |
$38 |
2.4× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$1,382.70 |
$2,304.50 |
1.6× |
| Version cephalic external (59412) |
$1,907.85 |
$3,179.75 |
0.6× |
| Wedge excision skin nail fold (11765) |
$449.25 |
$748.75 |
1.1× |