| 68399-unlisted Procedures Conjunctiva (68399) |
$307.48 |
$1,024.92 |
0.9× |
| Abd paracentesis (49082) |
$1,455 |
$4,850 |
1.5× |
| Abd paracentesis w/imaging (49083) |
$719.10 |
$2,397 |
0.8× |
Ablation bone tumor rf perq w/img gdn when done (20982) unusually low — confirm this is the full procedure |
$6,830.10 |
$22,767 |
0.4× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$9,011.70 |
$30,039 |
1.4× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$7,595.40 |
$25,318 |
0.7× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$7,656 |
$25,520 |
1.0× |
| Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) |
$941.10 |
$3,137 |
0.5× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$8,070.20 |
$26,900.65 |
1.3× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,549.20 |
$5,164 |
0.7× |
| Amniocentesis diagnostic (59000) |
$660.60 |
$2,202 |
0.7× |
| Amniocentesis therapeutic (59001) |
$282.90 |
$943 |
0.9× |
| Amnioinfusion (59070) |
$330.30 |
$1,101 |
1.0× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,751 |
$9,170 |
0.8× |
| Amputation of toe (28820) |
$2,141.70 |
$7,139 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$2,089.50 |
$6,965 |
0.6× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$2,141.70 |
$7,139 |
0.6× |
| Analyze infusn pump+reprogram (62368) |
$404.40 |
$1,348 |
1.2× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$178.50 |
$595 |
0.6× |
| Anoscopy diagnostic (46600) |
$223.80 |
$746 |
1.6× |
| Anoscopy remove for body (46608) |
$773.10 |
$2,577 |
0.8× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,011 |
$3,370 |
1.3× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$1,666.80 |
$5,556 |
0.8× |
| Application cast finger (29086) |
$144 |
$480 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$80.40 |
$268 |
1.3× |
| Application finger splint static (29130) |
$295.80 |
$986 |
2.1× |
| Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) |
$295.80 |
$986 |
1.7× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$325.50 |
$1,085 |
1.1× |
| Application of long leg cast (thigh to toes); (29345) |
$318.60 |
$1,062 |
1.1× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$203.40 |
$678 |
1.2× |
| Application of short arm splint (forearm to hand); static (29125) |
$322.80 |
$1,076 |
2.3× |
| Application of short leg cast (below knee to toes); (29405) |
$242.40 |
$808 |
0.8× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$160.20 |
$534 |
0.5× |
| Application of short leg splint (calf to foot) (29515) |
$225.90 |
$753 |
1.3× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,100.40 |
$3,668 |
0.5× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$179.10 |
$597 |
1.0× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$82.50 |
$275 |
0.5× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$262.50 |
$875 |
0.9× |
| Application rigid total contact leg cast (29445) |
$260.40 |
$868 |
0.9× |
| Application, cast; shoulder to hand (long arm) (29065) |
$230.10 |
$767 |
0.8× |
| Apply hand/wrist cast (29085) |
$228.90 |
$763 |
1.3× |
| Apply long arm splint (29105) |
$342.30 |
$1,141 |
2.0× |
| Apply splint short arm dynamic (29126) |
$149.70 |
$499 |
1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$553.80 |
$1,846 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$716.70 |
$2,389 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$553.80 |
$1,846 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$716.70 |
$2,389 |
2.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$411 |
$1,370 |
1.3× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$534 |
$1,780 |
1.6× |
| Aspirate pleura w/o imaging (32554) |
$576.30 |
$1,921 |
0.9× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$177.90 |
$593 |
0.5× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,262.40 |
$4,208 |
1.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$451.20 |
$1,504 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,153.40 |
$7,178 |
1.0× |
| Aspiration bladder needle (51100) |
$233.70 |
$779 |
0.9× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$1,922.40 |
$6,408 |
2.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$232.50 |
$775 |
1.1× |
Biliary endo prq t-tube dx w/collect spec brush (47552) unusually low — confirm this is the full procedure |
$3,228.30 |
$10,761 |
0.5× |
Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556) likely a partial charge — not the full procedure |
$2,389.80 |
$7,966 |
0.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$3,839.40 |
$12,798 |
0.6× |
| Biopsy bone open superficial (20240) |
$2,583.60 |
$8,612 |
0.8× |
| Biopsy bone trocar/needle deep (20225) |
$1,888.20 |
$6,294 |
1.1× |
| Biopsy liver needle percutaneous (47000) |
$1,241.40 |
$4,138 |
0.7× |
| Biopsy lymph node (38505) |
$1,293.60 |
$4,312 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,746.30 |
$5,821 |
1.0× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$687.60 |
$2,292 |
0.4× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,040.25 |
$3,467.50 |
0.8× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$911.85 |
$3,039.50 |
0.9× |
| Biopsy of salivary gland; needle (42400) |
$796.50 |
$2,655 |
1.1× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$1,127.10 |
$3,757 |
1.2× |
| Biopsy of uterus lining (58100) |
$207.30 |
$691 |
1.0× |
| Biopsy pleura percutaneous needle (32400) |
$1,075.80 |
$3,586 |
0.6× |
| Biopsy soft tissue neck/thorax (21550) |
$2,224.20 |
$7,414 |
1.3× |
| Biopsy soft tissue upper arm/elbow superficial (24065) |
$1,184.10 |
$3,947 |
0.7× |
| Biopsy thyroid percutaneous core needle (60100) |
$671.40 |
$2,238 |
0.9× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,134 |
$3,780 |
0.7× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,832.70 |
$6,109 |
1.1× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$2,642.10 |
$8,807 |
1.5× |
| Bladder irrigation (51700) |
$509.70 |
$1,699 |
1.9× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$490.80 |
$1,636 |
1.5× |
| Brain canal shunt procedure (61070) |
$685.80 |
$2,286 |
0.9× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$3,150.90 |
$10,503 |
0.8× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$1,716.30 |
$5,721 |
0.4× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$1,901.70 |
$6,339 |
0.5× |
| Bronch foreign body removal (31635) |
$1,366.50 |
$4,555 |
0.7× |
| Bronch thermoplsty 1 lobe (31660) |
$5,493 |
$18,310 |
0.7× |
| Bronchoscopy dilate/fx repr (31630) |
$1,900.80 |
$6,336 |
0.5× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,454.10 |
$4,847 |
0.4× |
| Bronchoscopy w biopsy (31625) |
$1,212.90 |
$4,043 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,055.55 |
$3,518.50 |
0.6× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$964.20 |
$3,214 |
2.3× |
| Bronchoscopy w/tumor excise (31640) |
$1,528.50 |
$5,095 |
0.4× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$1,032.90 |
$3,443 |
0.6× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634) likely a partial charge — not the full procedure |
$1,470 |
$4,900 |
0.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661) |
$5,820.90 |
$19,403 |
0.8× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$1,965.30 |
$6,551 |
0.5× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) likely a partial charge — not the full procedure |
$1,766.40 |
$5,888 |
0.2× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638) unusually low — confirm this is the full procedure |
$3,570.30 |
$11,901 |
0.5× |
| Bronchoscopy/lung bx each (31628) |
$1,364.10 |
$4,547 |
0.3× |
| Bx breast 1st lesion mr imag (19085) |
$3,167.70 |
$10,559 |
1.8× |
| Bx breast 1st lesion strtctc (19081) |
$2,551.20 |
$8,504 |
1.5× |
| Bx breast 1st lesion us imag (19083) |
$1,389.60 |
$4,632 |
0.8× |
| Bx pancreas ndl perc (48102) |
$1,599.90 |
$5,333 |
0.9× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$157.23 |
$524.10 |
0.7× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) |
$1,863 |
$6,210 |
1.1× |
| Care of miscarriage (59820) |
$1,864.80 |
$6,216 |
0.5× |
| Cast short arm (29075) |
$213.60 |
$712 |
0.7× |
| Casting/strapping procedure (29799) |
$49.51 |
$165.02 |
0.3× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$2,685 |
$8,950 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$230.70 |
$769 |
0.9× |
| Change g-tube to g-j perc (49446) |
$798.60 |
$2,662 |
0.4× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$524.70 |
$1,749 |
0.7× |
| Change of windpipe airway (31502) |
$159.30 |
$531 |
0.6× |
| Chemical cauterization of granulation tissue (17250) |
$175.50 |
$585 |
0.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$458.40 |
$1,528 |
0.6× |
| Chemodenerv 1 extremity 1-4 (64642) |
$416.70 |
$1,389 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$416.70 |
$1,389 |
0.6× |
| Chemodenerv trunk musc 6/> (64647) |
$472.20 |
$1,574 |
0.6× |
| Chemodenervation Internal Anal Sphincter (46505) |
$3,282.30 |
$10,941 |
2.6× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$276.60 |
$922 |
0.9× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$124.80 |
$416 |
0.4× |
| Chest tube placement (32551) |
$754.20 |
$2,514 |
0.5× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,699.80 |
$5,666 |
0.8× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$3,505.80 |
$11,686 |
0.9× |
| Circumcision, Newborn (54150) |
$850.50 |
$2,835 |
0.4× |
| Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21 (61050) |
$1,263.60 |
$4,212 |
3.9× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$1,389.90 |
$4,633 |
4.3× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,362 |
$4,540 |
0.8× |
| Closed rx shldr disloc,prox hum fx (23675) |
$657.90 |
$2,193 |
0.4× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$355.80 |
$1,186 |
1.4× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$334.80 |
$1,116 |
1.3× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$198.90 |
$663 |
0.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$264.60 |
$882 |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$269.70 |
$899 |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$217.80 |
$726 |
0.8× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$168 |
$560 |
0.6× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,399.20 |
$4,664 |
0.8× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,548.90 |
$5,163 |
0.9× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,298.70 |
$4,329 |
0.8× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$834 |
$2,780 |
3.2× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$999.60 |
$3,332 |
0.6× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$562.20 |
$1,874 |
2.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$327 |
$1,090 |
1.3× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,389.60 |
$4,632 |
0.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$392.40 |
$1,308 |
1.5× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$168 |
$560 |
0.6× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,198.50 |
$3,995 |
0.7× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,284.90 |
$4,283 |
0.8× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,128.30 |
$3,761 |
0.7× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$472.50 |
$1,575 |
1.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$264.60 |
$882 |
1.0× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$718.80 |
$2,396 |
2.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$269.40 |
$898 |
1.0× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$697.80 |
$2,326 |
0.4× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$878.10 |
$2,927 |
3.4× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,522.50 |
$5,075 |
0.9× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$664.20 |
$2,214 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$255.90 |
$853 |
1.0× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$657.90 |
$2,193 |
0.4× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$285.90 |
$953 |
1.1× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$269.70 |
$899 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$168 |
$560 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$670.50 |
$2,235 |
0.4× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$657.90 |
$2,193 |
0.4× |
| Closed tx septal&nose fx (21337) |
$2,563.50 |
$8,545 |
0.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$264 |
$880 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$253.80 |
$846 |
1.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,949.10 |
$6,497 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$332.40 |
$1,108 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,022.10 |
$3,407 |
1.8× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$783 |
$2,610 |
0.5× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$1,818.90 |
$6,063 |
0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$657.90 |
$2,193 |
0.4× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$269.70 |
$899 |
1.0× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$327 |
$1,090 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$269.70 |
$899 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$657.90 |
$2,193 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$482.70 |
$1,609 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$269.70 |
$899 |
1.0× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$657.90 |
$2,193 |
0.4× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$1,793.10 |
$5,977 |
6.1× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$161.70 |
$539 |
0.6× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$572.70 |
$1,909 |
2.2× |
| Cltx metar fx w/manj (28475) |
$259.20 |
$864 |
1.0× |
| Cltx post ankle fx (27767) |
$402.60 |
$1,342 |
1.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,278.90 |
$4,263 |
0.8× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,105.50 |
$3,685 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$697.80 |
$2,326 |
0.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$435.60 |
$1,452 |
1.7× |
| Collect blood from catheter venous nos (36592) |
$97.50 |
$325 |
0.7× |
| Collect blood from implant venous access device (36591) |
$80.10 |
$267 |
0.6× |
| Colonoscopy flexible with decompression (45393) |
$2,149.20 |
$7,164 |
1.7× |
| Colonoscopy thru stoma spx (44388) |
$869.40 |
$2,898 |
0.9× |
| Colonoscopy w/ablation (45388) |
$2,314.20 |
$7,714 |
1.8× |
| Colonoscopy w/control bleed (45382) |
$2,215.80 |
$7,386 |
1.8× |
| Colonoscopy w/fb removal (45379) |
$2,042.10 |
$6,807 |
1.6× |
| Colonoscopy w/resection (45390) |
$1,474.80 |
$4,916 |
0.5× |
Colonoscopy w/stent plcmt (45389) unusually low — confirm this is the full procedure |
$2,473.50 |
$8,245 |
0.4× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,019 |
$6,730 |
1.6× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,961.10 |
$6,537 |
1.6× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$1,661.10 |
$5,537 |
1.3× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$2,598.30 |
$8,661 |
2.1× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$2,808 |
$9,360 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,637.40 |
$5,458 |
1.3× |
| Complete replacement picc rs&i (36584) |
$1,194.30 |
$3,981 |
0.7× |
| Contrast injection perq radiologic eval gi tube (49465) |
$322.80 |
$1,076 |
1.3× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$387.30 |
$1,291 |
1.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$477 |
$1,590 |
3.4× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$318 |
$1,060 |
2.3× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$1,271.40 |
$4,238 |
1.0× |
| Control throat bleeding (42960) |
$209.40 |
$698 |
0.4× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$2,923.50 |
$9,745 |
0.8× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$850.50 |
$2,835 |
0.4× |
| Conz of cervix w/scope leep (57461) |
$1,864.80 |
$6,216 |
0.5× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,121.30 |
$7,071 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$198.90 |
$663 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$198.90 |
$663 |
0.8× |
| Curettage postpartum (59160) |
$1,864.80 |
$6,216 |
0.5× |
| Cysto/uretero w/lithotripsy (52356) |
$3,658.80 |
$12,196 |
0.6× |
| Cystoscopy and treatment (52310) |
$1,780.20 |
$5,934 |
0.8× |
| Cystourethroscopy (52000) |
$626.70 |
$2,089 |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) |
$1,469.70 |
$4,899 |
0.4× |
| Deb skin bone at fx site (11012) |
$2,040.60 |
$6,802 |
0.7× |
| Debride skin at fx site (11010) |
$298.20 |
$994 |
0.4× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$368.70 |
$1,229 |
0.9× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$66 |
$220 |
1.1× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$118.20 |
$394 |
1.9× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$561.90 |
$1,873 |
1.3× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,262.10 |
$4,207 |
0.7× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$672.90 |
$2,243 |
0.9× |
| Declot vascular device (36593) |
$234.30 |
$781 |
0.7× |
| Deep muscle biopsy (20205) |
$2,104.80 |
$7,016 |
0.7× |
| Delivery of placenta (59414) |
$1,125 |
$3,750 |
0.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$135.30 |
$451 |
0.6× |
| Destruction benign lesions up to 14 (17110) |
$120.30 |
$401 |
0.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$535.20 |
$1,784 |
0.6× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$1,049.40 |
$3,498 |
1.1× |
| Destruction by neurolytic agent; pudendal nerve Age Under 21 (64630) |
$966 |
$3,220 |
1.0× |
| Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age Under 21 (42160) |
$1,818.90 |
$6,063 |
0.5× |
| Diagnostic bone marrow aspirations (38220) |
$667.80 |
$2,226 |
0.4× |
| Diagnostic bone marrow biopsies (38221) |
$687.60 |
$2,292 |
0.4× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$1,688.40 |
$5,628 |
0.6× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$783 |
$2,610 |
1.1× |
| Diagnostic sigmoidoscopy (45330) |
$549 |
$1,830 |
0.6× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$1,864.80 |
$6,216 |
0.5× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$230.70 |
$769 |
0.9× |
| Drain neck/chest lesion (21501) |
$3,212.70 |
$10,709 |
1.0× |
| Drainage external auditory canal, abscess (69020) |
$297.60 |
$992 |
0.4× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$1,379.40 |
$4,598 |
0.8× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$297.60 |
$992 |
0.4× |
| Drainage finger abscess simple (26010) |
$370.20 |
$1,234 |
1.7× |
| Drainage of abscess of palate, uvula (42000) |
$326.70 |
$1,089 |
1.3× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$297.60 |
$992 |
0.4× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$1,178.70 |
$3,929 |
0.7× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$971.40 |
$3,238 |
0.6× |
| Drainage of hydrocele (55000) |
$578.40 |
$1,928 |
0.8× |
| Drainage of nose lesion (30020) |
$951.60 |
$3,172 |
1.7× |
| Drainage of scrotal wall abscess (55100) |
$940.80 |
$3,136 |
0.5× |
| Drainage of scrotum (54700) |
$1,595.10 |
$5,317 |
0.7× |
| Drainage of tonsil abscess (42700) |
$405.90 |
$1,353 |
1.6× |
| Dry needling (20999) |
$869.33 |
$2,897.76 |
3.3× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,258.50 |
$4,195 |
0.6× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,164.90 |
$3,883 |
0.6× |
| Dx bronchoscope/brush (31623) |
$1,027.50 |
$3,425 |
0.5× |
| Dx bronchoscope/lavage (31624) |
$1,043.40 |
$3,478 |
0.6× |
| Dx laryngoscopy excl nb (31525) |
$1,032.90 |
$3,443 |
0.6× |
| Ed proc insert intraosseous IV (36680) |
$173.10 |
$577 |
0.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$509.70 |
$1,699 |
3.8× |
| Ed proc remve fb nasal- hospital (30300) |
$152.70 |
$509 |
1.1× |
| Ed prof arthrocentesis sm - hospital (20551) |
$177.90 |
$593 |
0.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$77.70 |
$259 |
0.6× |
| Ed prof burn - large - hospital (16030) |
$397.20 |
$1,324 |
0.9× |
| Ed prof burn medium - hospital (16025) |
$167.10 |
$557 |
0.8× |
| Ed prof burn small - hospital (16020) |
$320.10 |
$1,067 |
1.5× |
| Ed prof catheterization/straight (51701) |
$130.80 |
$436 |
0.9× |
| Ed prof closed tx post hip arthroplasty (27265) |
$476.70 |
$1,589 |
1.8× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,371.30 |
$4,571 |
0.8× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$754.80 |
$2,516 |
0.4× |
| Ed prof drain dental abscess-hospital (41800) |
$248.10 |
$827 |
1.8× |
| Ed prof insert foley cath simple (51702) |
$111.30 |
$371 |
0.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,616.10 |
$5,387 |
0.5× |
Ed prof insertion of heart electr (33210) unusually low — confirm this is the full procedure |
$3,161.40 |
$10,538 |
0.4× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$674.70 |
$2,249 |
1.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$676.20 |
$2,254 |
1.6× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$210.60 |
$702 |
0.8× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$300.60 |
$1,002 |
0.6× |
| Egd endo mucosal resection (43254) |
$1,815 |
$6,050 |
0.9× |
Egd endoscopic stent place (43266) likely a partial charge — not the full procedure |
$1,558.20 |
$5,194 |
0.2× |
| Egd injection varices (43243) |
$1,251 |
$4,170 |
0.6× |
| Egd lesion ablation (43270) |
$1,609.20 |
$5,364 |
0.8× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,437.30 |
$4,791 |
0.7× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,403.40 |
$4,678 |
0.7× |
| Egd transoral control bleeding any method (43255) |
$1,434.90 |
$4,783 |
0.7× |
| Egd tube/cath insertion (43241) |
$1,079.70 |
$3,599 |
0.5× |
| Egd us exam duodenum/jejunum (43259) |
$1,618.80 |
$5,396 |
0.8× |
| Egd us fine needle bx/aspir (43242) |
$2,204.70 |
$7,349 |
1.1× |
| Egd us transmural injxn/mark (43253) |
$1,877.70 |
$6,259 |
0.9× |
Egd w/transmural drain cyst (43240) unusually low — confirm this is the full procedure |
$2,792.40 |
$9,308 |
0.4× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$299.10 |
$997 |
0.9× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$240.30 |
$801 |
0.7× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$330 |
$1,100 |
1.0× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$946.80 |
$3,156 |
1.0× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$1,021.50 |
$3,405 |
1.0× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$1,947.90 |
$6,493 |
0.5× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$2,611.50 |
$8,705 |
0.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$2,042.10 |
$6,807 |
0.5× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$2,154.90 |
$7,183 |
0.5× |
| Endoscopic us exam esoph (43237) |
$1,398.60 |
$4,662 |
0.7× |
| Endoscopy upper small intestine (44360) |
$1,593 |
$5,310 |
0.8× |
Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) unusually low — confirm this is the full procedure |
$4,903.80 |
$16,346 |
0.4× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$3,662.10 |
$12,207 |
0.6× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$2,437.80 |
$8,126 |
0.7× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$4,646.10 |
$15,487 |
2.1× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$3,019.80 |
$10,066 |
1.4× |
| Episiotomy or vaginal repair (59300) |
$1,864.80 |
$6,216 |
0.5× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$545.40 |
$1,818 |
0.7× |
| Ercp duct stent placement (43274) |
$3,370.20 |
$11,234 |
0.5× |
| Ercp ea duct/ampulla dilate (43277) |
$2,283.90 |
$7,613 |
0.6× |
Ercp lithotripsy calculi (43265) unusually low — confirm this is the full procedure |
$2,607.30 |
$8,691 |
0.4× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,199.90 |
$7,333 |
0.5× |
| Ercp remove forgn body duct (43275) |
$2,483.40 |
$8,278 |
1.2× |
Ercp stent exchange w/dilate (43276) unusually low — confirm this is the full procedure |
$2,902.50 |
$9,675 |
0.5× |
| Esoph egd dilation <30 mm (43249) |
$1,101 |
$3,670 |
0.5× |
| Esoph scope w/submucous inj (43201) |
$1,041.60 |
$3,472 |
0.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$992.10 |
$3,307 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,749.60 |
$5,832 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon (43290) |
$1,996.50 |
$6,655 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$1,643.10 |
$5,477 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,267.80 |
$4,226 |
0.6× |
Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes… (43210) unusually low — confirm this is the full procedure |
$5,172 |
$17,240 |
0.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,190.40 |
$3,968 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,317.90 |
$4,393 |
1.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) (43291) |
$1,113.30 |
$3,711 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,198.35 |
$3,994.50 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$1,664.70 |
$5,549 |
0.8× |
Esophagoscop stent placement (43212) likely a partial charge — not the full procedure |
$1,897.80 |
$6,326 |
0.3× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,422.60 |
$4,742 |
0.7× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$883.20 |
$2,944 |
0.9× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,031.40 |
$3,438 |
0.5× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) |
$1,875.30 |
$6,251 |
0.9× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes… (43213) |
$1,838.40 |
$6,128 |
0.9× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,190.10 |
$3,967 |
0.6× |
| Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, zenker's diverticulum),… (43180) |
$4,543.20 |
$15,144 |
0.7× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$1,166.40 |
$3,888 |
0.6× |
| Evac subungual hematoma (11740) |
$114.60 |
$382 |
0.8× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$739.50 |
$2,465 |
1.3× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$940.80 |
$3,136 |
0.5× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$282.60 |
$942 |
0.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$384.90 |
$1,283 |
0.5× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$1,976.10 |
$6,587 |
0.5× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$850.50 |
$2,835 |
0.4× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$368.10 |
$1,227 |
0.8× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,746.60 |
$5,822 |
0.9× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,069.40 |
$6,898 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$470.10 |
$1,567 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$852 |
$2,840 |
1.1× |
| Excision multiple external papillae/tags anus (46230) |
$1,178.10 |
$3,927 |
0.4× |
| Excision of bartholin's gland or cyst (56740) |
$2,904.60 |
$9,682 |
0.9× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$657.90 |
$2,193 |
0.4× |
| Excision of penile plaque (Peyronie disease); Age Under 21 (54110) |
$1,917.30 |
$6,391 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$3,375.90 |
$11,253 |
2.7× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$169.46 |
$564.86 |
0.8× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,551.30 |
$5,171 |
1.2× |
| Excision of vaginal septum (57130) |
$2,368.20 |
$7,894 |
0.7× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,709.40 |
$5,698 |
1.0× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,252.20 |
$4,174 |
0.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$352.80 |
$1,176 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,293.60 |
$4,312 |
0.7× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,197.90 |
$3,993 |
0.7× |
| Exploration penetrating wound spx extremity (20103) |
$1,140.90 |
$3,803 |
0.7× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$2,823.60 |
$9,412 |
1.7× |
| Explore wound abdomen (20102) |
$1,631.70 |
$5,439 |
0.7× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$2,329.50 |
$7,765 |
0.7× |
| Fetal contraction stress test (59020) |
$177 |
$590 |
0.8× |
| Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age Under 21 (59074) |
$393.30 |
$1,311 |
1.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$872.10 |
$2,907 |
1.2× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$762.90 |
$2,543 |
1.0× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$354.60 |
$1,182 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$762.90 |
$2,543 |
1.0× |
| Fluid pressure muscle (20950) |
$528.30 |
$1,761 |
0.7× |
| Ganglion impar nerve block (64999) |
$267.80 |
$892.65 |
0.8× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$128.40 |
$428 |
0.6× |
| Gastric lavage (43753) |
$171.30 |
$571 |
0.8× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$369.68 |
$1,232.25 |
10.1× |
| Guide cathet fluid drainage (10030) |
$3,112.80 |
$10,376 |
4.2× |
| Harvest cultured skin graft (15040) |
$791.40 |
$2,638 |
0.4× |
Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous to Allogeneic Unrelated - 1st… (38240) likely a partial charge — not the full procedure |
$19,365 |
$64,550 |
0.3× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,025.10 |
$3,417 |
1.0× |
| I&d abscess simple/single (10060) |
$384.30 |
$1,281 |
1.8× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,709.40 |
$5,698 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$1,439.40 |
$4,798 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$359.10 |
$1,197 |
0.5× |
| I&d thyroglossal duct cyst infected (60000) |
$1,794 |
$5,980 |
1.1× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,971.60 |
$6,572 |
1.0× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$549.30 |
$1,831 |
0.6× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$124.55 |
$415.14 |
0.5× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$1,514.40 |
$5,048 |
0.9× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$3,378.90 |
$11,263 |
1.9× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$3,228.30 |
$10,761 |
1.9× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) |
$17,840.40 |
$59,468 |
0.9× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Age Under 21 (62360) |
$14,512.50 |
$48,375 |
0.8× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350) unusually low — confirm this is the full procedure |
$3,157.20 |
$10,524 |
0.3× |
| Incise external hemorrhoid (46083) |
$345 |
$1,150 |
1.3× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$525 |
$1,750 |
1.2× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$1,790.70 |
$5,969 |
1.1× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$456.90 |
$1,523 |
2.1× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,461.60 |
$4,872 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$395.70 |
$1,319 |
1.2× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$1,688.40 |
$5,628 |
0.6× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,075.80 |
$3,586 |
1.1× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$972.30 |
$3,241 |
0.6× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$687.60 |
$2,292 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$377.40 |
$1,258 |
0.9× |
| Incision of eyelid fold (67715) |
$1,584 |
$5,280 |
0.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$878.40 |
$2,928 |
0.5× |
| Incision of rectal abscess (46040) |
$3,009 |
$10,030 |
2.4× |
| Incision of windpipe (31600) |
$1,755 |
$5,850 |
0.5× |
| Incision of windpipe (31603) |
$1,011.90 |
$3,373 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$368.70 |
$1,229 |
0.5× |
| Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation… (0480U) |
$2,700 |
$9,000 |
1.3× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$875.10 |
$2,917 |
2.1× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$309.60 |
$1,032 |
0.9× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$159 |
$530 |
0.8× |
| Inj epidural blood or clot patch (62273) |
$807.60 |
$2,692 |
1.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,238.70 |
$4,129 |
1.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,238.70 |
$4,129 |
1.3× |
| Inj tx nerve (64640) |
$941.10 |
$3,137 |
1.0× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$1,268.51 |
$4,228.34 |
5.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$550.50 |
$1,835 |
0.7× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$723.19 |
$2,410.62 |
0.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$534.90 |
$1,783 |
0.6× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$534.90 |
$1,783 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$849.90 |
$2,833 |
1.1× |
| Injection aa&/strd greater occipital nerve (64405) |
$357.90 |
$1,193 |
1.1× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$416.70 |
$1,389 |
0.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$657 |
$2,190 |
0.7× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$416.70 |
$1,389 |
0.6× |
| Injection aa&/strd pudendal nerve (64430) |
$712.80 |
$2,376 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$839.10 |
$2,797 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$495.60 |
$1,652 |
0.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$356.10 |
$1,187 |
1.1× |
| Injection aa&/strd vagus nerve (64408) |
$232.80 |
$776 |
0.7× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$534.90 |
$1,783 |
0.6× |
| Injection anes superior hypogastric plexus (64517) |
$696 |
$2,320 |
0.7× |
| Injection for identification of sentinel node (38792) |
$373.50 |
$1,245 |
0.9× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$878.40 |
$2,928 |
0.5× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$360.30 |
$1,201 |
0.5× |
| Injection sclerosant multiple incmptnt veins (36471) |
$1,268.40 |
$4,228 |
3.0× |
| Injection sclerosant single incmptnt vein (36470) |
$824.40 |
$2,748 |
1.9× |
| Injection therapeutic carpal tunnel (20526) |
$124.80 |
$416 |
0.4× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$771.30 |
$2,571 |
0.8× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$1,332.90 |
$4,443 |
1.4× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$550.50 |
$1,835 |
0.7× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$701.10 |
$2,337 |
0.8× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$181.20 |
$604 |
0.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$206.10 |
$687 |
0.6× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$229.20 |
$764 |
0.7× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$741.30 |
$2,471 |
0.8× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$288.90 |
$963 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$153.30 |
$511 |
0.7× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$1,709.40 |
$5,698 |
1.8× |
| Ins cath ren art 1st bilat (36252) |
$4,953 |
$16,510 |
1.5× |
| Ins cath ren art 1st unilat (36251) |
$3,508.20 |
$11,694 |
1.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$8,578.50 |
$28,595 |
2.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,265.70 |
$24,219 |
1.2× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$4,845.60 |
$16,152 |
0.8× |
| Ins vag brachytx device (57156) |
$465.30 |
$1,551 |
1.4× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$22,573.20 |
$75,244 |
0.7× |
| Insert and remove bone pin (20650) |
$2,850 |
$9,500 |
0.8× |
| Insert cervical dilator (59200) |
$305.70 |
$1,019 |
1.0× |
| Insert gastrostomy tube percutaneous (49440) |
$1,680.30 |
$5,601 |
0.8× |
| Insert heart pm atrial (33206) |
$5,844.60 |
$19,482 |
0.5× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$1,365.90 |
$4,553 |
0.4× |
| Insert pessary/other device (57160) |
$151.80 |
$506 |
0.7× |
| Insert pulse gen mult leads (33221) |
$12,365.10 |
$41,217 |
0.6× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low — confirm this is the full procedure |
$2,356.80 |
$7,856 |
0.4× |
Insert uteri tandem/ovoids (57155) unusually low — confirm this is the full procedure |
$2,554.20 |
$8,514 |
0.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,086.80 |
$6,956 |
0.6× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$22,080.30 |
$73,601 |
0.9× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$6,148.20 |
$20,494 |
0.6× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$1,213.50 |
$4,045 |
0.7× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$2,311.20 |
$7,704 |
0.6× |
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) unusually low — confirm this is the full procedure |
$5,825.10 |
$19,417 |
0.3× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$87.90 |
$293 |
0.4× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$2,633.70 |
$8,779 |
0.8× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$1,672.80 |
$5,576 |
0.5× |
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) unusually low — confirm this is the full procedure |
$3,281.40 |
$10,938 |
0.4× |
| Insertion phrenic nerve stimulator system (33276) |
$27,134.70 |
$90,449 |
0.6× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,931.70 |
$6,439 |
1.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,892.10 |
$6,307 |
1.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,401.60 |
$4,672 |
2.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,602.80 |
$28,676 |
1.0× |
Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) unusually low — confirm this is the full procedure |
$4,014.60 |
$13,382 |
0.5× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) unusually low — confirm this is the full procedure |
$4,246.20 |
$14,154 |
0.5× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$7,615.80 |
$25,386 |
0.7× |
| Insj intraperitoneal catheter w/img guid (49418) |
$2,869.80 |
$9,566 |
0.8× |
| Insj of subq implantable defibrillator electrode (33271) |
$6,745.80 |
$22,486 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,672.40 |
$8,908 |
0.8× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$969.30 |
$3,231 |
0.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$4,052.10 |
$13,507 |
1.2× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$22,130.40 |
$73,768 |
0.7× |
| Insrt heart pm atrial & vent (33208) |
$9,300.90 |
$31,003 |
0.8× |
| Insrt pulse gen w/dual leads (33230) |
$22,929.60 |
$76,432 |
1.0× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$678.30 |
$2,261 |
1.0× |
| Interdental wiring (21497) |
$814.20 |
$2,714 |
0.5× |
| Intraoral i&d tongue/floor lingual (41000) |
$595.50 |
$1,985 |
1.0× |
| Intraoral i&d tongue/floor masticator space (41009) |
$699.60 |
$2,332 |
1.2× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,413.90 |
$4,713 |
0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,434.70 |
$41,449 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,116.50 |
$17,055 |
0.9× |
| Intubation endotracheal (31500) |
$546.60 |
$1,822 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$444.60 |
$1,482 |
1.7× |
| IV injection test vascular flow flap/graft (15860) |
$350.40 |
$1,168 |
0.7× |
| Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) |
$39.12 |
$130.40 |
1.1× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$6,415.20 |
$21,384 |
1.0× |
| Laryngoscopy flex diagnostic (31575) |
$233.70 |
$779 |
1.1× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$866.40 |
$2,888 |
2.1× |
| Laryngoscopy indirect diagnostic (31505) |
$182.70 |
$609 |
0.9× |
| Laryngoscopy w/biopsy (31535) |
$2,924.40 |
$9,748 |
0.7× |
| Ligation of a-v fistula (37607) |
$2,470.20 |
$8,234 |
0.7× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$5,322.90 |
$17,743 |
1.4× |
| Long gi tube placement (44500) |
$604.80 |
$2,016 |
0.6× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$1,206.27 |
$4,020.87 |
4.6× |
| Lumbar puncture (62270) |
$745.80 |
$2,486 |
1.0× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$1,362 |
$4,540 |
0.8× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$473.10 |
$1,577 |
0.6× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$46.80 |
$156 |
0.8× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,305.70 |
$4,352.33 |
2.0× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,109.70 |
$3,699 |
0.7× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$1,577.70 |
$5,259 |
0.5× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,597.80 |
$5,326 |
1.9× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,164.60 |
$3,882 |
1.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,333.20 |
$4,444 |
1.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,030.20 |
$3,434 |
1.2× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$1,818.90 |
$6,063 |
0.5× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$224.70 |
$749 |
1.1× |
| Nasal surg proc unlisted (30999) |
$227.46 |
$758.17 |
0.9× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$1,032.90 |
$3,443 |
0.6× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$1,255.17 |
$4,183.89 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$52.50 |
$175 |
1.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$76.20 |
$254 |
2.5× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$154.80 |
$516 |
0.6× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$135 |
$450 |
1.2× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$700.50 |
$2,335 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$534.90 |
$1,783 |
0.6× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$1,624.20 |
$5,414 |
0.4× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$1,976.10 |
$6,587 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$683.10 |
$2,277 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$535.20 |
$1,784 |
0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$550.50 |
$1,835 |
0.7× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,334.60 |
$7,782 |
1.1× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,161.50 |
$7,205 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$647.70 |
$2,159 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$795 |
$2,650 |
1.1× |
| Non stress test (59025) |
$321.60 |
$1,072 |
1.5× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$3,817.20 |
$12,724 |
1.1× |
| Obstructive material removal from gi tube (49460) |
$1,407.60 |
$4,692 |
1.5× |
| Open treatment bimalleolar ankle fracture (27814) |
$5,437.50 |
$18,125 |
0.7× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) unusually low — confirm this is the full procedure |
$3,033 |
$10,110 |
0.4× |
| Open tx distal fibular fracture lat malleolus (27792) |
$4,506.30 |
$15,021 |
0.6× |
| Open tx distal phalangeal fracture each (26765) |
$2,401.20 |
$8,004 |
0.7× |
| Open/perq placement intravascular stent initial (37236) |
$7,727.40 |
$25,758 |
0.6× |
| Open/perq placement intravascular stent same 1st (37238) |
$7,727.40 |
$25,758 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Age Under 21 (67405) |
$1,822.80 |
$6,076 |
0.7× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$2,472.30 |
$8,241 |
0.7× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$1,833.90 |
$6,113 |
0.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$1,811.10 |
$6,037 |
0.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$1,833.90 |
$6,113 |
0.5× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$2,562.60 |
$8,542 |
0.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$114.60 |
$382 |
0.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$145.80 |
$486 |
0.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$85.80 |
$286 |
0.4× |
| Partial excision distal phalanx finger (26236) |
$1,366.50 |
$4,555 |
0.8× |
| Penile injection (54235) |
$220.20 |
$734 |
0.8× |
| Perc rf ablate renal tumor (50592) |
$5,673 |
$18,910 |
0.9× |
| Percut ablate liver rf (47382) |
$6,979.20 |
$23,264 |
1.1× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$1,249.50 |
$4,165 |
1.7× |
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) unusually low — confirm this is the full procedure |
$3,227.70 |
$10,759 |
0.4× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$1,115.16 |
$3,717.17 |
4.3× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$2,944.80 |
$9,816 |
0.9× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$2,995.80 |
$9,986 |
0.7× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,602.30 |
$5,341 |
1.0× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$378.60 |
$1,262 |
0.4× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$1,316.40 |
$4,388 |
1.8× |
| Perq dev breast 1st strtctc (19283) |
$1,059.90 |
$3,533 |
1.4× |
| Perq dev breast 1st us imag (19285) |
$1,059.90 |
$3,533 |
1.4× |
| Perq device breast 1st imag (19281) |
$972.30 |
$3,241 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$1,917.30 |
$6,391 |
0.5× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$2,835.90 |
$9,453 |
0.8× |
| Perq drainage pleura insert cath w/imaging (32557) |
$3,477.90 |
$11,593 |
2.1× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,483.20 |
$4,944 |
0.7× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$11,668.80 |
$38,896 |
0.6× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$12,168.60 |
$40,562 |
1.0× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$11,850.30 |
$39,501 |
1.0× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$9,013.80 |
$30,046 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$454.80 |
$1,516 |
1.7× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$15,438.60 |
$51,462 |
0.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$9,546 |
$31,820 |
0.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,859.90 |
$19,533 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$6,972.90 |
$23,243 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,812.40 |
$22,708 |
0.9× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$3,168.90 |
$10,563 |
0.9× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$3,393.90 |
$11,313 |
1.0× |
| Place duod/jej tube perc (49441) |
$1,908.60 |
$6,362 |
0.9× |
| Placement needle head/neck radioelement applicat (41019) |
$3,167.10 |
$10,557 |
0.5× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$974.10 |
$3,247 |
0.7× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$853.20 |
$2,844 |
0.6× |
Plmt access thru biliary tree into small bwl new (47541) unusually low — confirm this is the full procedure |
$3,228.30 |
$10,761 |
0.5× |
| Plmt bile duct stent prq existing access (47538) |
$7,553.10 |
$25,177 |
1.2× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$8,501.70 |
$28,339 |
1.3× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$8,511.90 |
$28,373 |
1.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,827.60 |
$6,092 |
0.8× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,153.40 |
$7,178 |
0.6× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$787.20 |
$2,624 |
1.1× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$3,169.50 |
$10,565 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$2,311.20 |
$7,704 |
0.6× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$3,018.60 |
$10,062 |
0.8× |
| Pr transfusion intrauterine fetal (36460) |
$426 |
$1,420 |
0.9× |
| Preputial stretching (54450) |
$107.40 |
$358 |
0.4× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) likely a partial charge — not the full procedure |
$5,133.30 |
$17,111 |
0.3× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (45309) |
$631.50 |
$2,105 |
0.5× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$2,350.20 |
$7,834 |
0.6× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$2,582.40 |
$8,608 |
0.7× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$3,920.40 |
$13,068 |
1.1× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$3,787.80 |
$12,626 |
1.1× |
Prq transluminal mechanical thrombectomy vein (37187) unusually low — confirm this is the full procedure |
$4,867.50 |
$16,225 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$295.50 |
$985 |
0.7× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$588 |
$1,960 |
1.4× |
| Puncture aspiration of cyst of breast (19000) |
$524.70 |
$1,749 |
0.7× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$1,043.69 |
$3,478.96 |
1.1× |
| Radiant-neck/chest procedure unlisted (21899) |
$199.68 |
$665.57 |
0.8× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$170.10 |
$567 |
0.8× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$762.90 |
$2,543 |
0.8× |
| Relocate skin pocket implantable defibrillator (33223) |
$2,050.20 |
$6,834 |
0.9× |
| Relocation of skin pocket for pacemaker (33222) |
$1,620.30 |
$5,401 |
0.7× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$2,030.40 |
$6,768 |
0.9× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$992.10 |
$3,307 |
1.0× |
| Removal entire oi implt skl mag tc attch esp<100 (69727) |
$2,882.40 |
$9,608 |
0.8× |
| Removal entire oi implt skl perq attachment esp (69726) |
$2,583.60 |
$8,612 |
0.7× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$979.80 |
$3,266 |
1.3× |
| Removal foreign body mouth (40804) |
$808.20 |
$2,694 |
0.8× |
| Removal foreign body shoulder subcutaneous (23330) |
$941.10 |
$3,137 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$183.60 |
$612 |
3.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$187.50 |
$625 |
3.0× |
| Removal implant deep (20680) |
$1,906.50 |
$6,355 |
0.6× |
| Removal implantable defib pulse generator only (33241) |
$1,728.90 |
$5,763 |
0.4× |
| Removal of blood from fetal umbilical cord (59012) |
$393.30 |
$1,311 |
1.2× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$1,864.80 |
$6,216 |
0.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$496.50 |
$1,655 |
0.4× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$940.80 |
$3,136 |
0.5× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$202.80 |
$676 |
1.0× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$687.60 |
$2,292 |
0.4× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$2,530.20 |
$8,434 |
0.8× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$93.60 |
$312 |
0.7× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$265.50 |
$885 |
0.6× |
| Removal of foreign body, foot; deep (28192) |
$1,268.40 |
$4,228 |
0.7× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$2,091.60 |
$6,972 |
0.9× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$1,110.60 |
$3,702 |
0.9× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,247.10 |
$4,157 |
1.0× |
| Removal of iud (58301) |
$236.40 |
$788 |
0.7× |
| Removal of nail bed (11750) |
$367.20 |
$1,224 |
0.9× |
Removal of pm generator (33233) unusually low — confirm this is the full procedure |
$2,772.60 |
$9,242 |
0.3× |
| Removal of salivary stone (42330) |
$2,246.10 |
$7,487 |
0.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$184.50 |
$615 |
0.9× |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21 (62365) |
$3,410.10 |
$11,367 |
0.9× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$2,294.40 |
$7,648 |
0.6× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$1,918.50 |
$6,395 |
0.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,320.80 |
$7,736 |
0.7× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$144 |
$480 |
0.5× |
| Removal phrenic nerve stimulator system (33278) |
$2,619.60 |
$8,732 |
0.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$739.20 |
$2,464 |
1.0× |
| Removal tunneled cv cath (36590) |
$951 |
$3,170 |
0.6× |
| Removal, non-biodegradable drug delivery implant (11982) |
$425.10 |
$1,417 |
0.9× |
| Removal/revision of cast (29700) |
$110.10 |
$367 |
0.4× |
| Remove eyelid foreign body (67938) |
$271.80 |
$906 |
0.8× |
| Remove foreign body from eye (65210) |
$173.10 |
$577 |
0.4× |
| Remove lung catheter (32552) |
$1,405.20 |
$4,684 |
2.1× |
| Remove pharynx foreign body (42809) |
$240 |
$800 |
0.5× |
| Remove ureter stent percut (50384) |
$1,736.10 |
$5,787 |
0.8× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$6,206.70 |
$20,689 |
0.6× |
Remvl perm pm pls gen w/repl plse gen mult lead (33229) unusually low — confirm this is the full procedure |
$7,758.30 |
$25,861 |
0.4× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$5,189.10 |
$17,297 |
0.6× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$1,148.40 |
$3,828 |
0.7× |
| Repair blood vessel lesion (35226) |
$671.40 |
$2,238 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$612.30 |
$2,041 |
1.4× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$734.40 |
$2,448 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$734.40 |
$2,448 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$734.40 |
$2,448 |
0.9× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,330.50 |
$4,435 |
0.8× |
| Repair eyelid wound (67930) |
$1,896 |
$6,320 |
0.8× |
| Repair finger tendon (26418) |
$1,366.20 |
$4,554 |
0.8× |
| Repair finger/hand tendon (26350) |
$2,007.60 |
$6,692 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$573.90 |
$1,913 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$639.60 |
$2,132 |
1.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$780 |
$2,600 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$809.40 |
$2,698 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$723.30 |
$2,411 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$467.10 |
$1,557 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$627.30 |
$2,091 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$688.80 |
$2,296 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$531.30 |
$1,771 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$613.80 |
$2,046 |
1.4× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$809.40 |
$2,698 |
1.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$671.70 |
$2,239 |
1.6× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$971.40 |
$3,238 |
2.3× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,165.20 |
$3,884 |
2.7× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$971.40 |
$3,238 |
0.4× |
| Repair lead pace-defib dual (33220) |
$2,889.90 |
$9,633 |
0.7× |
| Repair lead pace-defib one (33218) |
$2,609.40 |
$8,698 |
0.7× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$600.30 |
$2,001 |
1.1× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$684.30 |
$2,281 |
1.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$173.10 |
$577 |
0.4× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$675.90 |
$2,253 |
2.7× |
| Repair of nail bed (11760) |
$307.50 |
$1,025 |
0.4× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$960.90 |
$3,203 |
1.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$734.40 |
$2,448 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$911.10 |
$3,037 |
1.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$612.30 |
$2,041 |
1.4× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$612.30 |
$2,041 |
0.8× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$971.40 |
$3,238 |
0.4× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$1,839.30 |
$6,131 |
0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,253.10 |
$4,177 |
1.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,201.20 |
$4,004 |
1.3× |
| Replace picvad cath (36585) |
$2,370.90 |
$7,903 |
0.7× |
| Replace tunneled cv cath (36582) |
$2,362.50 |
$7,875 |
0.7× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,299.30 |
$4,331 |
1.4× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$4,598.70 |
$15,329 |
1.4× |
| Repos previously implanted subq implantable dfb (33273) |
$2,532 |
$8,440 |
0.6× |
| Reposition l ventric lead (33226) |
$1,577.70 |
$5,259 |
0.5× |
| Reposition venous catheter (36597) |
$844.80 |
$2,816 |
0.5× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$332.40 |
$1,108 |
1.3× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$2,619.60 |
$8,732 |
0.7× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,060.90 |
$10,203 |
0.9× |
| Reset dislocated jaw (21480) |
$130.80 |
$436 |
0.5× |
| Revise abdomen-venous shunt (49426) |
$2,709.30 |
$9,031 |
0.7× |
| Revision of cervix (59320) |
$2,440.50 |
$8,135 |
0.7× |
| Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832) |
$8,301.60 |
$27,672 |
1.4× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$10,210.80 |
$34,036 |
1.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,725.30 |
$5,751 |
0.8× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$159.60 |
$532 |
1.1× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$414.90 |
$1,383 |
3.0× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$29,132.10 |
$97,107 |
0.9× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$18,174.60 |
$60,582 |
0.8× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$27,960.90 |
$93,203 |
1.2× |
| Rmvl nfros tube req fluoro guidance (50389) |
$795 |
$2,650 |
1.1× |
| Rmvl of access device (36589) |
$780.90 |
$2,603 |
1.2× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$2,532 |
$8,440 |
0.6× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$2,121.90 |
$7,073 |
0.6× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$2,357.70 |
$7,859 |
0.6× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$23,907.30 |
$79,691 |
0.7× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$10,487.70 |
$34,959 |
0.9× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$1,840.20 |
$6,134 |
0.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$885.60 |
$2,952 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,147.70 |
$7,159 |
0.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,457.70 |
$4,859 |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$809.40 |
$2,698 |
1.0× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$804 |
$2,680 |
0.5× |
Rpr non-union mtcrpl/phalanx (26546) unusually low — confirm this is the full procedure |
$3,227.70 |
$10,759 |
0.4× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$2,753.10 |
$9,177 |
0.8× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$7,301.10 |
$24,337 |
2.2× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$1,746.30 |
$5,821 |
1.0× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,740.30 |
$5,801 |
0.5× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$746.40 |
$2,487.97 |
0.8× |
| Sigmoidoscopy & polypectomy (45333) |
$1,077 |
$3,590 |
1.1× |
| Sigmoidoscopy flx control bleeding (45334) |
$1,199.85 |
$3,999.50 |
1.0× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$1,181.40 |
$3,938 |
1.2× |
| Sigmoidoscopy w/ablation (45346) |
$1,524.90 |
$5,083 |
1.2× |
| Sigmoidoscopy w/fb removal (45332) |
$1,005 |
$3,350 |
0.8× |
| Sigmoidoscopy w/resection (45349) |
$1,881.30 |
$6,271 |
0.6× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,911.45 |
$6,371.50 |
1.5× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$963.30 |
$3,211 |
0.8× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$1,088.40 |
$3,628 |
1.1× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$785.55 |
$2,618.50 |
0.8× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) unusually low — confirm this is the full procedure |
$2,946 |
$9,820 |
0.5× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,244.85 |
$4,149.50 |
1.0× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$1,085.70 |
$3,619 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$449.10 |
$1,497 |
2.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$502.50 |
$1,675 |
2.4× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$527.70 |
$1,759 |
2.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$554.10 |
$1,847 |
2.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,374.30 |
$4,581 |
6.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$418.50 |
$1,395 |
2.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$608.70 |
$2,029 |
2.9× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$694.80 |
$2,316 |
1.6× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$581.70 |
$1,939 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$525.60 |
$1,752 |
2.5× |
| Skin tissue procedure unlisted (17999) |
$101.48 |
$338.26 |
0.5× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$6,551.70 |
$21,839 |
1.1× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$4,394.70 |
$14,649 |
1.3× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$7,215.90 |
$24,053 |
1.2× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$4,461.60 |
$14,872 |
1.3× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$6,587.40 |
$21,958 |
1.1× |
| Small bowel endoscopy (44366) |
$2,653.80 |
$8,846 |
1.3× |
| Small bowel endoscopy (44376) |
$1,582.80 |
$5,276 |
0.8× |
| Small bowel endoscopy/biopsy (44377) |
$1,660.20 |
$5,534 |
0.8× |
| Small bowel endoscopy/biopsy (44361) |
$1,554.90 |
$5,183 |
0.8× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$2,137.50 |
$7,125 |
1.1× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) unusually low — confirm this is the full procedure |
$2,275.20 |
$7,584 |
0.4× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$1,758 |
$5,860 |
0.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$1,443.30 |
$4,811 |
0.7× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$1,150.50 |
$3,835 |
0.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$2,054.70 |
$6,849 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$2,020.20 |
$6,734 |
1.0× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370) unusually low — confirm this is the full procedure |
$2,740.20 |
$9,134 |
0.4× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$500.70 |
$1,669 |
2.4× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$552 |
$1,840 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$579.60 |
$1,932 |
1.4× |
| Stomach surgery procedure unlisted (43999) |
$791 |
$2,636.65 |
0.8× |
| Strapping elbow or wrist (29260) |
$46.20 |
$154 |
0.7× |
| Strapping hand/finger (29280) |
$46.20 |
$154 |
0.7× |
| Strapping hip (29520) |
$469.50 |
$1,565 |
3.3× |
| Strapping of shoulder (29240) |
$113.40 |
$378 |
0.8× |
| Strapping of toes (29550) |
$64.20 |
$214 |
1.0× |
| Strapping unna boot (29580) |
$127.20 |
$424 |
0.7× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,011 |
$3,370 |
1.3× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$260.70 |
$869 |
0.7× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,100.40 |
$3,668 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$295.50 |
$985 |
0.7× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) unusually low — confirm this is the full procedure |
$14,352.60 |
$47,842 |
0.5× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$10,650 |
$35,500 |
0.5× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,818.80 |
$9,396 |
0.8× |
| Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21 (28240) |
$1,863 |
$6,210 |
0.5× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$1,790.70 |
$5,969 |
1.1× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$2,364.90 |
$7,883 |
1.4× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$831.90 |
$2,773 |
1.1× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,131.90 |
$3,773 |
1.7× |
| Throat surgery procedure (42999) |
$206.90 |
$689.66 |
0.8× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$4,932.90 |
$16,443 |
1.5× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$5,973 |
$19,910 |
1.0× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$5,218.50 |
$17,395 |
1.6× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$677.40 |
$2,258 |
2.7× |
Transcatheter biopsy (37200) unusually low — confirm this is the full procedure |
$2,548.50 |
$8,495 |
0.4× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$8,089.20 |
$26,964 |
0.7× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624) likely a partial charge — not the full procedure |
$2,188.80 |
$7,296 |
0.1× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$1,710.60 |
$5,702 |
0.5× |
| Transfusion, blood or blood components (36430) |
$801 |
$2,670 |
1.7× |
Transoral lower esophageal myotomy (43497) unusually low — confirm this is the full procedure |
$2,797.50 |
$9,325 |
0.4× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$1,367.70 |
$4,559 |
0.7× |
| Treat big toe fracture (28495) |
$259.20 |
$864 |
1.0× |
Treat elbow fracture (24586) unusually low — confirm this is the full procedure |
$6,549.60 |
$21,832 |
0.5× |
| Treat finger dislocation (26775) |
$226.80 |
$756 |
0.8× |
| Treat hip socket fracture (27222) |
$1,472.40 |
$4,908 |
5.7× |
| Treat humerus fracture (24577) |
$657.90 |
$2,193 |
0.4× |
| Treat knee fracture (27532) |
$1,833.90 |
$6,113 |
0.5× |
| Treat lower leg fracture (27825) |
$1,124.70 |
$3,749 |
0.7× |
| Treat pleurodesis w/agent (32560) |
$511.20 |
$1,704 |
0.8× |
| Treat thumb fracture (26645) |
$657.90 |
$2,193 |
0.4× |
| Treat toe dislocation (28630) |
$259.20 |
$864 |
1.0× |
| Treat ulnar fracture (24675) |
$962.70 |
$3,209 |
0.6× |
| Treat vaginal bleeding (57180) |
$212.40 |
$708 |
1.0× |
| Treat wrist bone fracture (25635) |
$657.90 |
$2,193 |
0.4× |
| Treat wrist dislocation (25690) |
$1,270.80 |
$4,236 |
0.7× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,334.10 |
$4,447 |
0.8× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$399.30 |
$1,331 |
1.5× |
| Treatment of miscarriage (59812) |
$1,864.80 |
$6,216 |
0.5× |
| Trimming of nondystrophic nails, any number (11719) |
$66.60 |
$222 |
1.1× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$4,742.10 |
$15,807 |
0.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$9,233.40 |
$30,778 |
1.5× |
| Tx superficial wound dehiscence simple closure (12020) |
$768 |
$2,560 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$359.10 |
$1,197 |
0.8× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$1,284.90 |
$4,283 |
0.8× |
| Unlisted craniofacial and maxillofacial procedure (21299) |
$1,022.01 |
$3,406.70 |
4.1× |
| Unlisted procedure leg/ankle (27899) |
$124.55 |
$415.14 |
0.5× |
| Unlisted procedure pancreas (48999) |
$646.02 |
$2,153.38 |
0.9× |
| Unlisted procedure rectum (45999) |
$802.74 |
$2,675.82 |
0.8× |
| Unlisted procedure, dentoalveolar structures (41899) |
$93.08 |
$310.26 |
0.4× |
| Unlisted procedure, hands or fingers (26989) |
$124.55 |
$415.14 |
0.5× |
| Unlisted procedure, liver (47399) |
$1,268.51 |
$4,228.34 |
1.7× |
| Upgrade of pacemaker system (33214) |
$8,642.40 |
$28,808 |
0.8× |
| Urology surgery procedure unlisted (53899) |
$386.09 |
$1,286.94 |
1.5× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$1,950.19 |
$6,500.61 |
4.2× |
| Vaginal delivery (59409) |
$1,944 |
$6,480 |
0.6× |
| Vasc embolize/occlude bleed (37244) |
$13,196.70 |
$43,989 |
1.1× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$13,390.20 |
$44,634 |
0.7× |
| Vascular embolization or occlusion venous rs&i (37241) |
$9,320.70 |
$31,069 |
0.8× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$13,390.20 |
$44,634 |
1.1× |
| Vascular surgery procedure (37799) |
$1,430.91 |
$4,769.67 |
2.2× |
| Vbac delivery only (59612) |
$1,944 |
$6,480 |
0.6× |
| Venipuncture (36415) |
$9.30 |
$31 |
1.0× |
| Version cephalic external (59412) |
$990 |
$3,300 |
0.3× |
| Wedge excision skin nail fold (11765) |
$201 |
$670 |
0.5× |
| Wedging of cast (29740) |
$110.10 |
$367 |
0.4× |
| Windowing of cast (29730) |
$84.90 |
$283 |
0.5× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$3,796.80 |
$12,656 |
0.7× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$3,796.80 |
$12,656 |
0.7× |