| Abd paracentesis w/imaging (49083) |
$1,120.50 |
$2,241 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,093 |
$2,186 |
1.3× |
| Abltj 1/> lvr tum prq rf (47382) |
$6,964 |
$13,928 |
1.3× |
| Amniocentesis diagnostic (59000) |
$970.50 |
$1,941 |
1.2× |
| Amputation Finger/Thumb (26951) |
$3,906 |
$7,812 |
1.3× |
| Amputation of finger/thumb (26952) |
$3,906 |
$7,812 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$2,100.50 |
$4,201 |
0.7× |
| Anoscopy diagnostic (46600) |
$154.50 |
$309 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,103.50 |
$2,207 |
1.3× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$2,098 |
$4,196 |
1.4× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$248 |
$496 |
1.7× |
| Application cast elbow finger short arm (29075) |
$324 |
$648 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$324 |
$648 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$165.50 |
$331 |
3.1× |
| Application finger splint static (29130) |
$154.50 |
$309 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$191 |
$382 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$191 |
$382 |
1.3× |
| Application of long leg cast (29345) |
$324 |
$648 |
1.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$432 |
$864 |
1.7× |
| Application Short Arm Splint Dynamic (29126) |
$244.50 |
$489 |
2.0× |
| Application short arm splint forearm-hand static (29125) |
$154.50 |
$309 |
1.3× |
| Application short leg splint calf foot (29515) |
$296.50 |
$593 |
2.0× |
| Apply short leg cast (29405) |
$324 |
$648 |
1.3× |
| Arterial puncture (36600) |
$154.50 |
$309 |
1.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$6,686 |
$13,372 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$358 |
$716 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$849.25 |
$1,698.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$358 |
$716 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$358 |
$716 |
1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$358 |
$716 |
1.3× |
| Aspir/inj thyroid cyst (60300) |
$582.25 |
$1,164.50 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$358 |
$716 |
1.3× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,458 |
$4,916 |
1.3× |
| Aspiration bladder needle (51100) |
$299 |
$598 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$242 |
$484 |
1.3× |
| Biopsy bone open superficial (20240) |
$1,771.50 |
$3,543 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,957 |
$3,914 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,957 |
$3,914 |
1.3× |
| Biopsy muscle deep (20205) |
$3,429.50 |
$6,859 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,957 |
$3,914 |
1.3× |
| Biopsy of uterus lining (58100) |
$241 |
$482 |
1.3× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,596 |
$9,192 |
1.3× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,957 |
$3,914 |
1.3× |
| Biopsy Salivary Gland,Needle (42400) |
$244.50 |
$489 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$1,957 |
$3,914 |
1.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,957 |
$3,914 |
1.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$824 |
$1,648 |
1.3× |
| Bladder Irrigation Simple (51700) |
$299 |
$598 |
1.3× |
| Bladder Scan (51798) |
$74 |
$148 |
1.4× |
| Blood patch (62273) |
$834.50 |
$1,669 |
1.3× |
| Blood transfusion service (36430) |
$552.50 |
$1,105 |
1.4× |
| Bone marrow aspiration only (38220) |
$1,957 |
$3,914 |
1.3× |
| Bone Marrow Biopsy (38221) |
$1,957 |
$3,914 |
1.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,049 |
$4,098 |
1.3× |
| Bronch ebus samplng 1/2 node (31652) |
$4,514.50 |
$9,029 |
1.3× |
| Bronch ebus samplng 3/> node (31653) |
$4,514.50 |
$9,029 |
1.3× |
| Bronch Thermoplsty 1 Lobe (31660) |
$8,260 |
$16,520 |
1.3× |
| Bronchial thermoplasty 2 or more lobes (31661) |
$8,260 |
$16,520 |
1.3× |
| Bronchial Valve Init Insert (31647) |
$8,260 |
$16,520 |
1.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,049 |
$4,098 |
1.3× |
| Bronchoscopy Balloon Occlusion (31634) |
$8,260 |
$16,520 |
1.3× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,520 |
$9,040 |
1.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,049 |
$4,098 |
1.3× |
| Bronchoscopy w/markers (31626) |
$8,260 |
$16,520 |
1.3× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,049 |
$4,098 |
1.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,049 |
$4,098 |
1.3× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$798.50 |
$1,597 |
2.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,520 |
$9,040 |
1.3× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,049 |
$4,098 |
1.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,957 |
$3,914 |
1.3× |
| Bx anorectal wall anal approach (45100) |
$3,389 |
$6,778 |
1.3× |
| Bx breast 1st lesion mr imag (19085) |
$2,246.50 |
$4,493 |
1.5× |
| Bx breast 1st lesion strtctc (19081) |
$2,242 |
$4,484 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$2,090.50 |
$4,181 |
1.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,957 |
$3,914 |
1.3× |
| Bx vulva/perineum 1 lesion (56605) |
$970.50 |
$1,941 |
1.2× |
| Bx/exc lymph node needle superficial (38505) |
$1,957 |
$3,914 |
1.3× |
| Canthotomy Separate Procedure (67715) |
$2,820.50 |
$5,641 |
1.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$258 |
$516 |
1.3× |
| Cessj Therapy Cath Removal (37214) |
$3,843.50 |
$7,687 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$824 |
$1,648 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$299 |
$598 |
1.3× |
| Chemical Cautery Tissue (17250) |
$224.75 |
$449.50 |
1.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$834.50 |
$1,669 |
1.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$834.50 |
$1,669 |
1.3× |
| Chemodenerv Musc Migraine (64615) |
$358 |
$716 |
1.3× |
| Chemodenerv Musc Neck Dyston (64616) |
$358 |
$716 |
1.3× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$834.50 |
$1,669 |
1.3× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$358 |
$716 |
1.3× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$358 |
$716 |
1.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$358 |
$716 |
1.3× |
| Chest tube placement (32551) |
$1,933 |
$3,866 |
1.4× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$154.50 |
$309 |
1.3× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$4,175.50 |
$8,351 |
1.3× |
| Circumcision (54150) |
$2,458 |
$4,916 |
1.3× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$863 |
$1,726 |
3.1× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,940 |
$3,880 |
1.3× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$308 |
$616 |
1.4× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$781.75 |
$1,563.50 |
3.5× |
| Closed Rx Med Malleolus Fx (27760) |
$285 |
$570 |
1.3× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,940 |
$3,880 |
1.3× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,940 |
$3,880 |
1.3× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,363.50 |
$2,727 |
0.9× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,940 |
$3,880 |
1.3× |
| Closed Rx Radial Shaft Fx (25500) |
$646.25 |
$1,292.50 |
2.9× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,940 |
$3,880 |
1.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$285 |
$570 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$285 |
$570 |
1.3× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,940 |
$3,880 |
1.3× |
| Closed Rx Trimalleolar Fx (27816) |
$285 |
$570 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$378 |
$756 |
1.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$285 |
$570 |
1.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,886 |
$7,772 |
1.3× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$285 |
$570 |
1.3× |
| Closed treatment of talus fracture; without manipulation (28430) |
$285 |
$570 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$948.50 |
$1,897 |
4.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$285 |
$570 |
1.3× |
| Closed Treatment Sesamoid Fracture (28530) |
$297 |
$594 |
1.3× |
| Closed Treatment Sternum Fracture (21820) |
$285 |
$570 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$285 |
$570 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$285 |
$570 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,940 |
$3,880 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$285 |
$570 |
1.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$439.50 |
$879 |
2.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$285 |
$570 |
1.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$378 |
$756 |
1.7× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,940 |
$3,880 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$285 |
$570 |
1.3× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$664.50 |
$1,329 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$285 |
$570 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,757.75 |
$3,515.50 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,062 |
$2,124 |
4.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$285 |
$570 |
1.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$712 |
$1,424 |
3.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,940 |
$3,880 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$285 |
$570 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,940 |
$3,880 |
1.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$285 |
$570 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$285 |
$570 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,391.25 |
$2,782.50 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$190.75 |
$381.50 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,940 |
$3,880 |
1.3× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$285 |
$570 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$824.25 |
$1,648.50 |
3.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$323.50 |
$647 |
1.5× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$664.50 |
$1,329 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$285 |
$570 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,940 |
$3,880 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$285 |
$570 |
1.3× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$664.50 |
$1,329 |
1.4× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$285 |
$570 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,940 |
$3,880 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$285 |
$570 |
1.3× |
| Cltr skin autograft t/a/l 1st 25 cm/< (15150) |
$2,201 |
$4,402 |
1.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$285 |
$570 |
1.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$285 |
$570 |
1.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$285 |
$570 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$285 |
$570 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$285 |
$570 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$700.50 |
$1,401 |
3.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$285 |
$570 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$285 |
$570 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$285 |
$570 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,940 |
$3,880 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,940 |
$3,880 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$285 |
$570 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,279 |
$4,558 |
1.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$285 |
$570 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$285 |
$570 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$318 |
$636 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$285 |
$570 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,940 |
$3,880 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$285 |
$570 |
1.3× |
| Cltx greater trochanteric fx w/o manj (27246) |
$285 |
$570 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$285 |
$570 |
1.3× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$332.50 |
$665 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$285 |
$570 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$285 |
$570 |
1.3× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$2,631.50 |
$5,263 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$285 |
$570 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$285 |
$570 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$285 |
$570 |
1.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$285 |
$570 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$285 |
$570 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$285 |
$570 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$285 |
$570 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$285 |
$570 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,940 |
$3,880 |
1.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$702 |
$1,404 |
3.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$285 |
$570 |
1.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,940 |
$3,880 |
1.3× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,692.50 |
$3,385 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,940 |
$3,880 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$285 |
$570 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$285 |
$570 |
1.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,940 |
$3,880 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,940 |
$3,880 |
1.3× |
| Colporrhaphy suture injury vagina (57200) |
$3,773.50 |
$7,547 |
1.3× |
| Complete replacement picc rs&i (36584) |
$1,933 |
$3,866 |
1.4× |
| Complex Drainage, Wound (10180) |
$3,429.50 |
$6,859 |
1.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$259 |
$518 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$231.50 |
$463 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$162 |
$324 |
1.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$664.50 |
$1,329 |
1.4× |
| Conversion ext bil drg cath (47535) |
$4,175.50 |
$8,351 |
1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,957 |
$3,914 |
1.3× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
$4,600.50 |
$9,201 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$154.50 |
$309 |
1.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$295 |
$590 |
1.4× |
| Cult skin graft f/n/hf/g (15155) |
$4,330 |
$8,660 |
1.3× |
| Curettage postpartum (59160) |
$3,773.50 |
$7,547 |
1.3× |
| Curette/treat cornea (65435) |
$1,222 |
$2,444 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$758.50 |
$1,517 |
2.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,429.50 |
$6,859 |
1.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$849 |
$1,698 |
1.3× |
| Debride nail 1-5 (11720) |
$74 |
$148 |
1.4× |
| Debride nail 6 or more (11721) |
$101.50 |
$203 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$481.50 |
$963 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$807.50 |
$1,615 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,957 |
$3,914 |
1.3× |
| Declot vascular device (36593) |
$409 |
$818 |
1.4× |
| Delivery placenta separate procedure (59414) |
$3,773.50 |
$7,547 |
1.3× |
| Destruction premalignant lesion 1st (17000) |
$242 |
$484 |
1.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$864 |
$1,728 |
1.4× |
| Dilate urethra stricture (53620) |
$1,873.50 |
$3,747 |
3.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,957 |
$3,914 |
1.3× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$849 |
$1,698 |
1.3× |
| Drain/inj small joint/bursa w/us (20604) |
$358 |
$716 |
1.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$295 |
$590 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$849 |
$1,698 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,957 |
$3,914 |
1.3× |
| Drainage Finger Abscess Simple (26010) |
$242 |
$484 |
1.3× |
| Drainage mouth roof lesion (42000) |
$295 |
$590 |
1.4× |
| Drainage of eyelid abscess (67700) |
$445.50 |
$891 |
1.5× |
| Drainage of gum lesion (41800) |
$177.50 |
$355 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$1,957 |
$3,914 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$1,957 |
$3,914 |
1.3× |
| Draw blood off venous device (36591) |
$154.50 |
$309 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$481.50 |
$963 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$283.50 |
$567 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$283.50 |
$567 |
1.6× |
| Dry Needling 3+ Muscles (20561) |
$140 |
$280 |
5.3× |
| Dx bone marrow bx & aspir (38222) |
$3,429.50 |
$6,859 |
1.3× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,959.50 |
$7,919 |
1.4× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,201 |
$4,402 |
1.2× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,740 |
$9,480 |
1.4× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,201 |
$4,402 |
1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,201 |
$4,402 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$3,773.50 |
$7,547 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$154.50 |
$309 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$481 |
$962 |
1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$849 |
$1,698 |
1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,810.50 |
$3,621 |
1.7× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$849 |
$1,698 |
1.3× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,175.50 |
$8,351 |
1.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,296.50 |
$4,593 |
1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$481.50 |
$963 |
1.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,957 |
$3,914 |
1.3× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,957 |
$3,914 |
1.3× |
| Excision of nail fold toe (11765) |
$377.50 |
$755 |
1.0× |
| Excision of tongue lesion (41112) |
$3,886 |
$7,772 |
1.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,429.50 |
$6,859 |
1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,210.50 |
$4,421 |
1.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,147 |
$4,294 |
1.5× |
| Explo/Drain Breast Abscess (19020) |
$1,957 |
$3,914 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$1,911.50 |
$3,823 |
1.3× |
| External Cephalic Version (59412) |
$3,773.50 |
$7,547 |
1.3× |
| Fetal Contraction Stress Test (59020) |
$367 |
$734 |
2.0× |
| Fetal non-stress test (59025) |
$286 |
$572 |
1.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$849 |
$1,698 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$849 |
$1,698 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$324.50 |
$649 |
0.9× |
| Fluid pressure muscle (20950) |
$849 |
$1,698 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$302.50 |
$605 |
1.4× |
| Fna bx w/fluor gdn 1st les (10007) |
$849 |
$1,698 |
1.3× |
| Fna bx w/mr gdn 1st les (10011) |
$849 |
$1,698 |
1.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$378.50 |
$757 |
1.9× |
| Guide Cathet Fluid Drainage (10030) |
$849 |
$1,698 |
1.3× |
| I&D Abscess Peritonsillar (42700) |
$184.50 |
$369 |
0.9× |
| I&d abscess simple (10060) |
$278 |
$556 |
1.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,458 |
$4,916 |
1.3× |
| I&d perianal abscess superficial (46050) |
$1,103.50 |
$2,207 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$850 |
$1,700 |
1.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,957 |
$3,914 |
1.3× |
| Image Cath Fluid Colxn Visc (49405) |
$1,957 |
$3,914 |
1.3× |
| Image Cath Fluid Peri/Retro (49406) |
$1,957 |
$3,914 |
1.3× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,957 |
$3,914 |
1.3× |
| Implant neuroelectrodes (63650) |
$8,254 |
$16,508 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$481.50 |
$963 |
1.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$1,174.50 |
$2,349 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,957 |
$3,914 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$481.50 |
$963 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$269 |
$538 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$387.50 |
$775 |
1.4× |
| Incision of lingual frenum (41010) |
$1,841 |
$3,682 |
1.3× |
| Incision of rectal abscess (46040) |
$2,297 |
$4,594 |
2.1× |
| Incision of urethra (53020) |
$2,458 |
$4,916 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$380 |
$760 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$455.50 |
$911 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$242 |
$484 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$358 |
$716 |
1.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,100.50 |
$2,201 |
1.4× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,128.50 |
$2,257 |
1.4× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,100.50 |
$2,201 |
1.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,580 |
$3,160 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$358 |
$716 |
1.3× |
| Injection anes other peripheral nerve/branch (64450) |
$834.50 |
$1,669 |
1.3× |
| Injection for identification of sentinel node (38792) |
$504 |
$1,008 |
1.4× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$758.50 |
$1,517 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$236 |
$472 |
0.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$211 |
$422 |
0.8× |
| Injection(s) spider veins (36468) |
$481 |
$962 |
1.3× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$358 |
$716 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$163 |
$326 |
0.9× |
| Ins cath ren art 1st bilat (36252) |
$3,424.50 |
$6,849 |
1.2× |
| Ins cath ren art 1st unilat (36251) |
$2,688 |
$5,376 |
0.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,680 |
$5,360 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$2,578.50 |
$5,157 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$6,632 |
$13,264 |
1.3× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$12,887.50 |
$25,775 |
1.4× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$12,887.50 |
$25,775 |
1.4× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$14,456 |
$28,912 |
1.5× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$12,887.50 |
$25,775 |
1.4× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$10,253.50 |
$20,507 |
1.4× |
| Ins vag brachytx device (57156) |
$395.50 |
$791 |
1.4× |
| Ins/Rep Subq Defibrillator (33270) |
$43,054.50 |
$86,109 |
1.5× |
| Insert 1 electrode pm-defib (33216) |
$10,253.50 |
$20,507 |
1.4× |
| Insert and remove bone pin (20650) |
$3,906 |
$7,812 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$221 |
$442 |
1.9× |
| Insert cervical dilator (59200) |
$387.50 |
$775 |
1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,296.50 |
$4,593 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$3,847 |
$7,694 |
1.3× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,847 |
$7,694 |
1.3× |
| Insert pacing lead & connect (33224) |
$16,798.75 |
$33,597.50 |
1.8× |
| Insert pessary/other device (57160) |
$241 |
$482 |
1.3× |
| Insert picc cath (36569) |
$1,933 |
$3,866 |
1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,933 |
$3,866 |
1.4× |
| Insert pulse gen mult leads (33221) |
$23,516 |
$47,032 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$154.50 |
$309 |
1.3× |
| Insert tun ip cath perc (49418) |
$4,173.50 |
$8,347 |
1.3× |
| Insert tunneled cv cath (36561) |
$3,847 |
$7,694 |
1.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$154.50 |
$309 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,175.50 |
$8,351 |
1.3× |
| Insertion of cannula (36800) |
$6,659 |
$13,318 |
1.3× |
| Insertion of defibrillator electrode (33271) |
$10,253.50 |
$20,507 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,933 |
$3,866 |
1.4× |
| Insertion picc w/rs&i < 5 yr (36572) |
$989.50 |
$1,979 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,253.50 |
$20,507 |
1.4× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$33,792 |
$67,584 |
1.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,847 |
$7,694 |
1.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,847 |
$7,694 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,847 |
$7,694 |
1.3× |
| Insj/rplcmt defib w/lead(s) (33249) |
$39,704.50 |
$79,409 |
1.4× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,253.50 |
$20,507 |
1.4× |
| Insrt pulse gen w/dual leads (33230) |
$27,252 |
$54,504 |
1.4× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,886 |
$7,772 |
1.3× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,933 |
$3,866 |
1.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$13,704 |
$27,408 |
1.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$6,898.50 |
$13,797 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$295 |
$590 |
1.4× |
| Irrigate corpora cavernosa for priapism (54220) |
$299 |
$598 |
1.3× |
| Laryngoscopy Direct Aspiration (31515) |
$1,432 |
$2,864 |
4.0× |
| Laryngoscopy Flexible Diagnostic (31575) |
$239 |
$478 |
1.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$493 |
$986 |
1.4× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$239 |
$478 |
1.3× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$239 |
$478 |
1.3× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,264 |
$4,528 |
1.4× |
| Laryngoscopy w/wo tracheoscopy dx newborn (31520) |
$493 |
$986 |
1.4× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,049 |
$4,098 |
1.3× |
| Late closure of wound (13160) |
$2,147.50 |
$4,295 |
0.7× |
| Ligation of a-v fistula (37607) |
$3,847 |
$7,694 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$1,957 |
$3,914 |
1.3× |
| Liver Biopsy (47000) |
$1,957 |
$3,914 |
1.3× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$372 |
$744 |
0.6× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,933 |
$3,866 |
1.4× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$3,847 |
$7,694 |
1.3× |
| Myelography Lumbar Injection (62305) |
$2,360.50 |
$4,721 |
3.3× |
| Myelography Lumbar Injection (62304) |
$1,686 |
$3,372 |
2.4× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$2,049 |
$4,098 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$481.50 |
$963 |
1.2× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$329 |
$658 |
1.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$98 |
$196 |
3.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$490 |
$980 |
1.2× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$299 |
$598 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,720.50 |
$3,441 |
0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,720.50 |
$3,441 |
0.5× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$481.50 |
$963 |
1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$481 |
$962 |
1.3× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$395.20 |
$790.40 |
0.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,880.50 |
$9,761 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,906 |
$7,812 |
1.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,249.75 |
$2,499.50 |
0.4× |
| Open/Perq Place Stent Same (37238) |
$13,543.50 |
$27,087 |
1.3× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$13,276.50 |
$26,553 |
1.3× |
| Penile Plethysmography (54240) |
$378.50 |
$757 |
1.9× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,672.50 |
$3,345 |
1.3× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$6,964 |
$13,928 |
1.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$849 |
$1,698 |
1.3× |
| Percut Mech Thrombectomy, Venous (37187) |
$13,276.50 |
$26,553 |
1.3× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,847 |
$7,694 |
1.3× |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
$6,244.50 |
$12,489 |
1.3× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$8,634 |
$17,268 |
1.3× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$3,906 |
$7,812 |
1.3× |
| Pericardiocentesis W/Imaging (33016) |
$2,265 |
$4,530 |
1.6× |
| Perq dev breast 1st mr guide (19287) |
$891.50 |
$1,783 |
1.4× |
| Perq dev breast 1st strtctc (19283) |
$891.50 |
$1,783 |
1.4× |
| Perq dev breast 1st us imag (19285) |
$849 |
$1,698 |
1.3× |
| Perq device breast 1st imag (19281) |
$891.50 |
$1,783 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,208 |
$8,416 |
1.3× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,208 |
$8,416 |
1.3× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,933 |
$3,866 |
1.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$2,296.50 |
$4,593 |
1.3× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,964 |
$13,928 |
1.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$298.50 |
$597 |
1.3× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$21,162.50 |
$42,325 |
1.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$13,704 |
$27,408 |
1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,898.50 |
$13,797 |
1.3× |
| Phleb Veins - Extrem 20+ (37766) |
$3,847 |
$7,694 |
1.3× |
| Pin finger fracture each (26756) |
$3,906 |
$7,812 |
1.3× |
| Place Cath Subclavian Art (36225) |
$5,839.50 |
$11,679 |
2.0× |
| Place Cath Thoracic Aorta (36221) |
$3,903 |
$7,806 |
1.4× |
| Place Cath Vertebral Art (36226) |
$6,013 |
$12,026 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$481 |
$962 |
1.2× |
| Plmt expandable cath brst following prtl mast (19296) |
$11,376.50 |
$22,753 |
1.5× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,458 |
$4,916 |
1.3× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,208 |
$8,416 |
1.3× |
| Preputial Stretching (54450) |
$352.50 |
$705 |
1.6× |
| Prim art mech thrombectomy (37184) |
$21,162.50 |
$42,325 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,175.50 |
$8,351 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,175.50 |
$8,351 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$317 |
$634 |
0.9× |
| Puncture Aspiration (10160) |
$481 |
$962 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$855 |
$1,710 |
1.3× |
| Reconstruct extra finger (26587) |
$3,906 |
$7,812 |
1.3× |
| Reduction of rectal prolapse (45900) |
$1,103.50 |
$2,207 |
1.3× |
| Relocation of skin pocket for pacemaker (33222) |
$2,201 |
$4,402 |
1.2× |
| Rem endovas vena cava filter (37193) |
$3,847 |
$7,694 |
1.3× |
| Removal fb intranasal (30300) |
$154.50 |
$309 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,429.50 |
$6,859 |
1.3× |
| Removal foreign body foot deep (28192) |
$1,957 |
$3,914 |
1.3× |
| Removal foreign body foot subcutaneous (28190) |
$849 |
$1,698 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,957 |
$3,914 |
1.3× |
| Removal foreign body pharynx (42809) |
$481 |
$962 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$74.50 |
$149 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$88 |
$176 |
1.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,773.50 |
$7,547 |
1.3× |
| Removal Implant Deep (20680) |
$2,070 |
$4,140 |
0.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,558 |
$3,116 |
1.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$849 |
$1,698 |
1.3× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$4,740 |
$9,480 |
1.4× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$869 |
$1,738 |
1.5× |
| Removal of intrauterine device (iud) (58301) |
$387.50 |
$775 |
1.4× |
| Removal of nail bed (11750) |
$481.50 |
$963 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$242 |
$484 |
1.3× |
| Removal ppm generator only (33233) |
$4,406 |
$8,812 |
0.6× |
| Removal subq cardiac rhythm monitor (33286) |
$1,074.50 |
$2,149 |
1.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$324 |
$648 |
1.3× |
| Remove Eyelid Foreign Body (67938) |
$351.50 |
$703 |
1.2× |
| Remove foreign body from eye (65210) |
$481 |
$962 |
1.2× |
| Remove intrvas foreign body (37197) |
$4,479.50 |
$8,959 |
1.6× |
| Remove&replace pm gen singl (33227) |
$14,186.50 |
$28,373 |
1.9× |
| Remv Ext Canal Foreign Body (69200) |
$154.50 |
$309 |
1.3× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$154.50 |
$309 |
1.3× |
| Remv&replc cvd gen dual lead (33263) |
$28,447.50 |
$56,895 |
1.4× |
| Remv&replc cvd gen mult lead (33264) |
$39,704.50 |
$79,409 |
1.4× |
| Remv&replc cvd gen sing lead (33262) |
$36,422 |
$72,844 |
1.8× |
| Remv&replc pm gen dual lead (33228) |
$15,041.50 |
$30,083 |
1.6× |
| Remv&replc pm gen mult leads (33229) |
$23,516 |
$47,032 |
1.3× |
| Renal biopsy (50200) |
$1,957 |
$3,914 |
1.3× |
| Repair achilles tendon (27650) |
$8,634 |
$17,268 |
1.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,847 |
$7,694 |
1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$758.50 |
$1,517 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$758.50 |
$1,517 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$481.50 |
$963 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$758.50 |
$1,517 |
2.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$758.50 |
$1,517 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$758.50 |
$1,517 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$758.50 |
$1,517 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,940 |
$3,880 |
1.3× |
| Repair forearm tendon/muscle (25260) |
$3,906 |
$7,812 |
1.3× |
| Repair hand tendon (26410) |
$1,940 |
$3,880 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$481.50 |
$963 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$481.50 |
$963 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$481.50 |
$963 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$481.50 |
$963 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$481.50 |
$963 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$481.50 |
$963 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$758.50 |
$1,517 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$481.50 |
$963 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$481.50 |
$963 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$758.50 |
$1,517 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$481.50 |
$963 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$481.50 |
$963 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$481.50 |
$963 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$758.50 |
$1,517 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$481.50 |
$963 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,201 |
$4,402 |
1.2× |
| Repair lead pace-defib dual (33220) |
$4,740 |
$9,480 |
1.4× |
| Repair lead pace-defib one (33218) |
$4,740 |
$9,480 |
1.4× |
| Repair Of Foot Tendon (28208) |
$3,906 |
$7,812 |
1.3× |
| Repair of nail bed (11760) |
$758.50 |
$1,517 |
1.1× |
| Repair of tibia (27720) |
$5,595.50 |
$11,191 |
0.9× |
| Repair Tongue Laceration (41250) |
$481 |
$962 |
1.2× |
| Repair tooth socket (41874) |
$3,886 |
$7,772 |
1.3× |
| Replace duod/jej tube perc (49451) |
$1,094 |
$2,188 |
1.3× |
| Replace g/c tube perc (49450) |
$1,094 |
$2,188 |
1.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,740 |
$9,480 |
1.4× |
| Reposition gastrostomy tube (43761) |
$772 |
$1,544 |
3.4× |
| Reposition pacing-defib lead (33215) |
$3,847 |
$7,694 |
1.3× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,847 |
$7,694 |
1.3× |
| Revision of penis (54435) |
$4,208 |
$8,416 |
1.3× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$6,597.50 |
$13,195 |
1.3× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$6,597.50 |
$13,195 |
1.3× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$6,597.50 |
$13,195 |
1.3× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$6,597.50 |
$13,195 |
1.3× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$13,382 |
$26,764 |
1.3× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$21,250 |
$42,500 |
1.3× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$21,250 |
$42,500 |
1.3× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,458 |
$4,916 |
1.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,406 |
$4,812 |
1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,094 |
$2,188 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$481 |
$962 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$218 |
$436 |
1.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,430 |
$2,860 |
1.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,429.50 |
$6,859 |
1.3× |
| Rmvl of subq defibrillator (33272) |
$4,740 |
$9,480 |
1.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,740 |
$9,480 |
1.4× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,740 |
$9,480 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$981 |
$1,962 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$758.50 |
$1,517 |
1.3× |
| Rplc gtube revj gstrst trc (43763) |
$329 |
$658 |
1.5× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,847 |
$7,694 |
1.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,847 |
$7,694 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,847 |
$7,694 |
1.3× |
| Rpr blood vessel direct lower extremity (35226) |
$2,358 |
$4,716 |
3.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,933 |
$3,866 |
1.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$295 |
$590 |
1.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$696 |
$1,392 |
3.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$779 |
$1,558 |
1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$779 |
$1,558 |
1.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,841 |
$3,682 |
1.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$907 |
$1,814 |
1.6× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,847 |
$7,694 |
1.3× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,933 |
$3,866 |
1.4× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$21,250 |
$42,500 |
1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$481.50 |
$963 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$242 |
$484 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$242 |
$484 |
1.3× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$481.50 |
$963 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$242 |
$484 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$242 |
$484 |
1.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$242 |
$484 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$242 |
$484 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$242 |
$484 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$242 |
$484 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$856.50 |
$1,713 |
1.3× |
| Skin sub graft trnk/arm/leg (15271) |
$856.50 |
$1,713 |
1.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,391.50 |
$4,783 |
1.3× |
| Skin Tissue Procedure (17999) |
$242 |
$484 |
1.3× |
| Skin tissue rearrangement (14040) |
$2,201 |
$4,402 |
1.2× |
| Skn sub grft f/n/hf/g child (15277) |
$2,391.50 |
$4,783 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$8,403 |
$16,806 |
1.7× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$5,927.50 |
$11,855 |
2.1× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$8,489 |
$16,978 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$242 |
$484 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$481.50 |
$963 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$481.50 |
$963 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$834.50 |
$1,669 |
1.3× |
| Spinal Puncture Therapeutic (62272) |
$834.50 |
$1,669 |
1.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,847 |
$7,694 |
1.3× |
| Strapping ankle (29540) |
$191 |
$382 |
1.3× |
| Strapping elbow/wrist (29260) |
$74.50 |
$149 |
1.4× |
| Strapping hand/finger (29280) |
$74.50 |
$149 |
1.4× |
| Strapping knee (29530) |
$154.50 |
$309 |
1.3× |
| Strapping shoulder (29240) |
$154.50 |
$309 |
1.3× |
| Strapping thorax (29200) |
$191 |
$382 |
1.3× |
| Strapping toes (29550) |
$74.50 |
$149 |
1.4× |
| Strapping unna boot (29580) |
$248 |
$496 |
1.7× |
| Suture Eyelid Wound,Full Thick (67935) |
$2,820.50 |
$5,641 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$234.75 |
$469.50 |
0.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,141.50 |
$2,283 |
0.8× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$5,585.50 |
$11,171 |
1.4× |
| Therapeutic pneumothorax (32960) |
$714 |
$1,428 |
1.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$758.50 |
$1,517 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$758.50 |
$1,517 |
1.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,847 |
$7,694 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$6,632 |
$13,264 |
1.3× |
| Thrombolytic Therapy, Stroke (37195) |
$641.50 |
$1,283 |
2.1× |
| Thrombolytic Venous Therapy (37212) |
$3,847 |
$7,694 |
1.3× |
| Thyroid biopsy (60100) |
$849 |
$1,698 |
1.3× |
| Trach Tube Change (31502) |
$295 |
$590 |
1.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$664.50 |
$1,329 |
1.4× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$886.25 |
$1,772.50 |
4.1× |
| Treat Fracture Radius & Ulna (25560) |
$588.75 |
$1,177.50 |
2.6× |
| Treat humerus fracture (24500) |
$285 |
$570 |
1.3× |
| Treat humerus fracture (24577) |
$1,940 |
$3,880 |
1.3× |
| Treat humerus fracture (23600) |
$285 |
$570 |
1.3× |
| Treat knee fracture (27532) |
$3,906 |
$7,812 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$285 |
$570 |
1.3× |
| Treat thumb fracture (26665) |
$2,406 |
$4,812 |
0.8× |
| Treat Vaginal Bleeding (57180) |
$225.75 |
$451.50 |
1.2× |
| Treat wrist bone fracture (25635) |
$1,940 |
$3,880 |
1.3× |
| Treat wrist bone fracture (25622) |
$285 |
$570 |
1.3× |
| Treat Wrist Bone Fracture (25630) |
$285 |
$570 |
1.3× |
| Treatment closed elbow dislocation req anes (24605) |
$1,940 |
$3,880 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$774 |
$1,548 |
3.5× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$561.50 |
$1,123 |
2.5× |
| Trim skin lesion (11055) |
$242 |
$484 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$283.50 |
$567 |
1.6× |
| Trim skin lesions over 4 (11057) |
$197.50 |
$395 |
1.1× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$74 |
$148 |
1.4× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$6,898.50 |
$13,797 |
1.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,898.50 |
$13,797 |
1.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,105 |
$4,210 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$659.75 |
$1,319.50 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$191 |
$382 |
1.3× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$295 |
$590 |
1.4× |
| Unlisted procedure femur or knee (27599) |
$315.50 |
$631 |
1.4× |
| Unlisted procedure maternity care & delivery (59899) |
$240 |
$480 |
1.3× |
| Unlisted Procedure Nervous System (64999) |
$358 |
$716 |
1.3× |
| Unlisted Procedure Small Intestine (44799) |
$1,145.50 |
$2,291 |
1.4× |
| Unlisted Procedure Trachea Bronchi (31899) |
$786 |
$1,572 |
4.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$758.50 |
$1,517 |
1.3× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$2,412.75 |
$4,825.50 |
10.8× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$13,542 |
$27,084 |
1.4× |
| Urology Surgery Procedure (53899) |
$225.25 |
$450.50 |
1.0× |
| Vaginal delivery only (59409) |
$3,137 |
$6,274 |
1.1× |
| Vasc embolize/occlude artery (37242) |
$21,162.50 |
$42,325 |
1.3× |
| Vasc Embolize/Occlude Bleed (37244) |
$13,276.50 |
$26,553 |
1.3× |
| Vasc embolize/occlude organ (37243) |
$13,276.50 |
$26,553 |
1.3× |
| Vasc embolize/occlude venous (37241) |
$13,382 |
$26,764 |
1.3× |
| Venipuncture (36415) |
$22 |
$44 |
2.4× |
| Windowing of cast (29730) |
$191 |
$382 |
1.3× |