| 68399-unlisted Procedures Conjunctiva (68399) |
$1,881.22 |
$4,180.47 |
5.6× |
| Abd paracentesis (49082) |
$1,211.85 |
$2,693 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$1,297.35 |
$2,883 |
1.4× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$15,053.40 |
$33,452 |
0.8× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$8,108.55 |
$18,019 |
1.3× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$14,123.25 |
$31,385 |
1.3× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$9,277.65 |
$20,617 |
0.8× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$10,038.60 |
$22,308 |
1.3× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$8,108.71 |
$18,019.34 |
1.3× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$5,762.70 |
$12,806 |
1.5× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$2,803.05 |
$6,229 |
1.3× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$2,803.05 |
$6,229 |
1.3× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$3,083.40 |
$6,852 |
1.4× |
| Amniocentesis diagnostic (59000) |
$1,033.20 |
$2,296 |
1.1× |
| Amniocentesis therapeutic (59001) |
$909.90 |
$2,022 |
2.8× |
| Amnioinfusion (59070) |
$1,114.20 |
$2,476 |
3.5× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$4,535.55 |
$10,079 |
1.3× |
| Amputation of finger/thumb (26952) |
$4,406.40 |
$9,792 |
1.3× |
| Amputation of toe (28820) |
$4,535.55 |
$10,079 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$4,424.85 |
$9,833 |
1.3× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$4,578.75 |
$10,175 |
1.3× |
| Analyze infusn pump+reprogram (62368) |
$596.70 |
$1,326 |
1.8× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$272.25 |
$605 |
0.8× |
| Anoscopy diagnostic (46600) |
$179.55 |
$399 |
1.3× |
| Anoscopy remove for body (46608) |
$1,271.70 |
$2,826 |
1.3× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,650.60 |
$3,668 |
2.1× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$5,762.70 |
$12,806 |
2.6× |
| Application cast finger (29086) |
$226.35 |
$503 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$212.85 |
$473 |
3.4× |
| Application finger splint static (29130) |
$299.70 |
$666 |
2.1× |
| Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) |
$305.55 |
$679 |
1.8× |
| Application of halo, including removal; cranial (20661) |
$4,535.55 |
$10,079 |
2.7× |
| Application of hip spica cast; 1 leg Age Under 21 (29305) |
$521.55 |
$1,159 |
1.8× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$386.55 |
$859 |
1.3× |
| Application of long leg cast (thigh to toes); (29345) |
$469.80 |
$1,044 |
1.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$273.60 |
$608 |
1.6× |
| Application of short arm splint (forearm to hand); static (29125) |
$282.15 |
$627 |
2.0× |
| Application of short leg cast (below knee to toes); (29405) |
$386.55 |
$859 |
1.3× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$356.40 |
$792 |
1.2× |
| Application of short leg splint (calf to foot) (29515) |
$261.90 |
$582 |
1.5× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$2,803.05 |
$6,229 |
1.3× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$309.60 |
$688 |
1.8× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$229.05 |
$509 |
1.3× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$499.50 |
$1,110 |
1.7× |
| Application rigid total contact leg cast (29445) |
$386.55 |
$859 |
1.3× |
| Application, cast; shoulder to hand (long arm) (29065) |
$256.95 |
$571 |
0.9× |
| Apply hand/wrist cast (29085) |
$255.60 |
$568 |
1.5× |
| Apply long arm splint (29105) |
$226.35 |
$503 |
1.3× |
| Apply splint short arm dynamic (29126) |
$360.45 |
$801 |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$428.85 |
$953 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,020.15 |
$2,267 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$634.50 |
$1,410 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$825.75 |
$1,835 |
2.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$417.15 |
$927 |
1.3× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$830.25 |
$1,845 |
2.6× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,305.35 |
$5,123 |
1.4× |
| Aspirate pleura w/o imaging (32554) |
$1,012.05 |
$2,249 |
1.5× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$427.50 |
$950 |
1.3× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,665.90 |
$3,702 |
2.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$996.75 |
$2,215 |
1.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,551.05 |
$5,669 |
1.2× |
| Aspiration bladder needle (51100) |
$426.60 |
$948 |
1.6× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$1,454.40 |
$3,232 |
1.6× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$287.55 |
$639 |
1.4× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$8,464.50 |
$18,810 |
1.2× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556) |
$14,123.25 |
$31,385 |
1.3× |
| Biopsy bone open superficial (20240) |
$3,797.55 |
$8,439 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$2,961.45 |
$6,581 |
1.7× |
| Biopsy external ear (69100) |
$1,381.05 |
$3,069 |
5.5× |
| Biopsy intranasal (30100) |
$1,317.60 |
$2,928 |
0.8× |
| Biopsy liver needle percutaneous (47000) |
$1,573.65 |
$3,497 |
0.9× |
| Biopsy lymph node (38505) |
$1,708.20 |
$3,796 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,496.70 |
$3,326 |
0.9× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$3,915 |
$8,700 |
1.3× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$2,302.65 |
$5,117 |
1.3× |
| Biopsy of cervix (57500) |
$971.55 |
$2,159 |
1.0× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,662.75 |
$3,695 |
1.3× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,662.75 |
$3,695 |
1.7× |
| Biopsy of ovary(s) (58900) |
$4,203.45 |
$9,341 |
1.2× |
| Biopsy of salivary gland; needle (42400) |
$903.15 |
$2,007 |
1.2× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$1,662.75 |
$3,695 |
1.7× |
| Biopsy of uterus lining (58100) |
$323.55 |
$719 |
1.5× |
| Biopsy pleura percutaneous needle (32400) |
$1,569.60 |
$3,488 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$3,139.20 |
$6,976 |
1.8× |
| Biopsy soft tissue upper arm/elbow superficial (24065) |
$2,254.50 |
$5,010 |
1.3× |
| Biopsy thyroid percutaneous core needle (60100) |
$996.75 |
$2,215 |
1.3× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,728.45 |
$3,841 |
1.0× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,496.70 |
$3,326 |
0.9× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$5,175 |
$11,500 |
1.3× |
| Biopsy, muscle; superficial (20200) |
$2,370.60 |
$5,268 |
1.4× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$3,721.95 |
$8,271 |
2.1× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$2,652.30 |
$5,894 |
1.5× |
| Bladder irrigation (51700) |
$520.20 |
$1,156 |
2.0× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$816.30 |
$1,814 |
2.4× |
| Brain canal shunt procedure (61070) |
$1,146.15 |
$2,547 |
1.5× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$5,167.80 |
$11,484 |
1.3× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$3,009.60 |
$6,688 |
0.8× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$3,982.50 |
$8,850 |
1.0× |
| Bronch foreign body removal (31635) |
$2,862 |
$6,360 |
1.5× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,226.50 |
$7,170 |
0.8× |
| Bronchoscopy w biopsy (31625) |
$2,540.25 |
$5,645 |
1.4× |
| Bronchoscopy w/markers (31626) |
$6,064.65 |
$13,477 |
0.8× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,401.65 |
$5,337 |
1.3× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$814.50 |
$1,810 |
2.0× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$2,163.15 |
$4,807 |
1.2× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634) |
$6,064.65 |
$13,477 |
0.8× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$4,115.70 |
$9,146 |
1.0× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) |
$6,064.65 |
$13,477 |
0.8× |
| Bronchoscopy/lung bx each (31628) |
$3,226.50 |
$7,170 |
0.8× |
| Bx breast 1st lesion mr imag (19085) |
$4,151.25 |
$9,225 |
2.4× |
| Bx breast 1st lesion strtctc (19081) |
$3,898.35 |
$8,663 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$2,034.45 |
$4,521 |
1.2× |
| Bx pancreas ndl perc (48102) |
$2,254.50 |
$5,010 |
1.3× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$272.93 |
$606.50 |
1.3× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) |
$2,231.10 |
$4,958 |
1.3× |
| Cardiac surg procedure unlist (33999) |
$861.58 |
$1,914.61 |
1.3× |
| Care of miscarriage (59820) |
$4,203.45 |
$9,341 |
1.2× |
| Cast short arm (29075) |
$386.55 |
$859 |
1.3× |
| Casting/strapping procedure (29799) |
$229.18 |
$509.28 |
1.3× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$4,023.90 |
$8,942 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$426.60 |
$948 |
1.6× |
| Change g-tube to g-j perc (49446) |
$1,692.45 |
$3,761 |
0.8× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$644.85 |
$1,433 |
0.9× |
| Change of windpipe airway (31502) |
$230.40 |
$512 |
0.9× |
| Chemical cauterization of granulation tissue (17250) |
$324.45 |
$721 |
1.5× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,039.05 |
$2,309 |
1.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$958.95 |
$2,131 |
1.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,039.05 |
$2,309 |
1.4× |
| Chemodenerv trunk musc 6/> (64647) |
$1,177.65 |
$2,617 |
1.6× |
| Chemodenervation Internal Anal Sphincter (46505) |
$2,288.70 |
$5,086 |
1.8× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$447.30 |
$994 |
1.4× |
| Chest tube placement (32551) |
$3,042 |
$6,760 |
1.8× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,973.95 |
$8,831 |
1.8× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$3,315.60 |
$7,368 |
0.9× |
| Circumcision, Newborn (54150) |
$1,849.05 |
$4,109 |
0.8× |
| Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21 (61050) |
$1,246.95 |
$2,771 |
3.9× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$1,790.10 |
$3,978 |
5.5× |
| Closed rx acetabular fx (27220) |
$691.65 |
$1,537 |
2.7× |
| Closed rx humer epicondylr fx,manip (24565) |
$2,231.10 |
$4,958 |
1.3× |
| Closed rx radial shaft fx w/dislocation (25520) |
$2,231.10 |
$4,958 |
1.3× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,925.55 |
$4,279 |
1.1× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$445.50 |
$990 |
1.7× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$2,013.75 |
$4,475 |
1.2× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$925.65 |
$2,057 |
3.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$694.35 |
$1,543 |
2.7× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$337.05 |
$749 |
1.3× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,559.60 |
$5,688 |
1.5× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,821.50 |
$6,270 |
1.7× |
| Closed treatment of fracture of orbit, except blowout; with manipulation Age Under 21 (21401) |
$2,167.65 |
$4,817 |
1.3× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,793.60 |
$6,208 |
1.6× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$3,011.85 |
$6,693 |
1.8× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$2,416.05 |
$5,369 |
1.4× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,161 |
$2,580 |
4.5× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,687.95 |
$3,751 |
1.0× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$843.30 |
$1,874 |
3.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$2,257.20 |
$5,016 |
1.3× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$457.65 |
$1,017 |
1.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,201.40 |
$4,892 |
1.3× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$2,231.10 |
$4,958 |
1.3× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$2,231.10 |
$4,958 |
1.3× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$925.65 |
$2,057 |
3.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$728.10 |
$1,618 |
2.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$859.95 |
$1,911 |
3.3× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$463.05 |
$1,029 |
1.8× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,556.10 |
$3,458 |
0.9× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$981 |
$2,180 |
3.8× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$3,011.85 |
$6,693 |
1.8× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$2,231.10 |
$4,958 |
1.3× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$398.70 |
$886 |
1.5× |
| Closed treatment of ulnar styloid fracture (25650) |
$925.65 |
$2,057 |
3.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$925.65 |
$2,057 |
3.6× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,651.50 |
$3,670 |
1.0× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$925.65 |
$2,057 |
3.6× |
| Closed tx femoral fracture prox head w/manj (27268) |
$4,247.55 |
$9,439 |
2.5× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$925.65 |
$2,057 |
3.6× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,421.90 |
$5,382 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$655.65 |
$1,457 |
2.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$728.10 |
$1,618 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,231.10 |
$4,958 |
1.3× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,568.60 |
$5,708 |
1.5× |
| Closed tx septal&nose fx (21337) |
$4,384.80 |
$9,744 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$728.10 |
$1,618 |
2.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$728.10 |
$1,618 |
2.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$470.25 |
$1,045 |
1.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,759.50 |
$3,910 |
3.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$426.60 |
$948 |
1.6× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,926.35 |
$6,503 |
1.8× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$4,384.80 |
$9,744 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,571.40 |
$3,492 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,450.35 |
$3,223 |
0.9× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$1,161 |
$2,580 |
4.5× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$482.40 |
$1,072 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$728.10 |
$1,618 |
2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,969.65 |
$4,377 |
1.2× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$2,714.85 |
$6,033 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$560.25 |
$1,245 |
2.2× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$2,231.10 |
$4,958 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$647.10 |
$1,438 |
2.5× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$2,231.10 |
$4,958 |
1.3× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$539.55 |
$1,199 |
2.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$925.65 |
$2,057 |
3.6× |
| Cltx metar fx w/manj (28475) |
$728.10 |
$1,618 |
2.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$771.75 |
$1,715 |
3.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,231.10 |
$4,958 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$426.60 |
$948 |
1.6× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,876.05 |
$4,169 |
1.1× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$728.10 |
$1,618 |
2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,695.60 |
$3,768 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$925.65 |
$2,057 |
3.6× |
| Collect blood from catheter venous nos (36592) |
$145.35 |
$323 |
1.0× |
| Collect blood from implant venous access device (36591) |
$196.65 |
$437 |
1.4× |
| Colonoscopy flexible with decompression (45393) |
$2,258.10 |
$5,018 |
1.8× |
| Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including… (44408) |
$1,889.10 |
$4,198 |
1.9× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$1,872.90 |
$4,162 |
1.5× |
| Colonoscopy through stoma; with transendoscopic balloon dilation Age Under 21 (44405) |
$1,662.75 |
$3,695 |
1.3× |
| Colonoscopy thru stoma spx (44388) |
$1,282.50 |
$2,850 |
1.3× |
| Colonoscopy w/ablation (45388) |
$2,431.35 |
$5,403 |
1.9× |
| Colonoscopy w/control bleed (45382) |
$2,328.30 |
$5,174 |
1.8× |
| Colonoscopy w/fb removal (45379) |
$2,145.60 |
$4,768 |
1.7× |
| Colonoscopy w/resection (45390) |
$2,982.60 |
$6,628 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$5,237.55 |
$11,639 |
0.8× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,121.30 |
$4,714 |
1.7× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,060.10 |
$4,578 |
1.6× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$1,914.30 |
$4,254 |
1.5× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$2,729.70 |
$6,066 |
2.2× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$4,033.35 |
$8,963 |
1.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,813.95 |
$4,031 |
1.4× |
| Complete replacement picc rs&i (36584) |
$2,253.15 |
$5,007 |
1.4× |
| Contrast injection perq radiologic eval gi tube (49465) |
$476.55 |
$1,059 |
1.9× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$605.70 |
$1,346 |
2.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$285.75 |
$635 |
2.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$205.20 |
$456 |
1.5× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$1,875.60 |
$4,168 |
1.5× |
| Control throat bleeding (42960) |
$1,463.85 |
$3,253 |
2.6× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$5,101.20 |
$11,336 |
1.4× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$2,873.25 |
$6,385 |
1.3× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,254.50 |
$5,010 |
1.3× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$4,535.55 |
$10,079 |
1.3× |
| Csf shunt reprogram (62252) |
$429.30 |
$954 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$387 |
$860 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$457.65 |
$1,017 |
1.8× |
| Curettage postpartum (59160) |
$2,797.20 |
$6,216 |
0.8× |
| Cysto/uretero w/lithotripsy (52356) |
$7,072.65 |
$15,717 |
1.3× |
| Cystoscopy and treatment (52310) |
$2,873.25 |
$6,385 |
1.3× |
| Cystourethroscopy (52000) |
$602.55 |
$1,339 |
0.8× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$1,867.50 |
$4,150 |
0.8× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$3,151.35 |
$7,003 |
1.4× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$2,873.25 |
$6,385 |
1.3× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$4,535.55 |
$10,079 |
1.3× |
| Deb skin bone at fx site (11012) |
$3,995.10 |
$8,878 |
1.3× |
| Debride skin at fx site (11010) |
$1,753.65 |
$3,897 |
2.3× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$839.70 |
$1,866 |
2.0× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$101.70 |
$226 |
1.6× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$184.95 |
$411 |
3.0× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,104.75 |
$2,455 |
2.6× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,944 |
$4,320 |
1.1× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,187.55 |
$2,639 |
1.5× |
| Declot vascular device (36593) |
$351.45 |
$781 |
1.0× |
| Deep muscle biopsy (20205) |
$3,995.10 |
$8,878 |
1.3× |
| Delivery of placenta (59414) |
$2,709.45 |
$6,021 |
0.8× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$634.05 |
$1,409 |
3.0× |
| Destruction benign lesions up to 14 (17110) |
$499.05 |
$1,109 |
2.4× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$2,165.40 |
$4,812 |
2.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,633.30 |
$8,074 |
1.8× |
| Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age Under 21 (42160) |
$4,384.80 |
$9,744 |
1.3× |
| Diagnostic bone marrow aspirations (38220) |
$2,254.50 |
$5,010 |
1.3× |
| Diagnostic bone marrow biopsies (38221) |
$2,322 |
$5,160 |
1.3× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,652.30 |
$5,894 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,223.10 |
$2,718 |
1.6× |
| Diagnostic sigmoidoscopy (45330) |
$826.65 |
$1,837 |
0.8× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$4,203.45 |
$9,341 |
1.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$623.70 |
$1,386 |
2.4× |
| Drain neck/chest lesion (21501) |
$3,721.95 |
$8,271 |
1.2× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$397.35 |
$883 |
1.6× |
| Drainage external auditory canal, abscess (69020) |
$996.75 |
$2,215 |
1.3× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$2,254.50 |
$5,010 |
1.3× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$996.75 |
$2,215 |
1.3× |
| Drainage finger abscess simple (26010) |
$436.95 |
$971 |
2.1× |
| Drainage of abscess of palate, uvula (42000) |
$443.70 |
$986 |
1.8× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$1,086.75 |
$2,415 |
1.5× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$2,373.30 |
$5,274 |
1.5× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$878.85 |
$1,953 |
1.5× |
| Drainage of eye (65800) |
$3,195 |
$7,100 |
1.3× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,465.65 |
$3,257 |
0.8× |
| Drainage of nose lesion (30020) |
$724.95 |
$1,611 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$2,254.50 |
$5,010 |
1.3× |
| Drainage of scrotum (54700) |
$2,873.25 |
$6,385 |
1.3× |
| Drainage of tonsil abscess (42700) |
$514.80 |
$1,144 |
2.1× |
| Dry needling (20999) |
$2,302.60 |
$5,116.87 |
8.8× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,971.90 |
$4,382 |
1.0× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$2,196.45 |
$4,881 |
1.1× |
| Dx bronchoscope/brush (31623) |
$2,151.90 |
$4,782 |
1.1× |
| Dx bronchoscope/lavage (31624) |
$2,185.20 |
$4,856 |
1.2× |
| Dx laryngoscopy excl nb (31525) |
$2,299.95 |
$5,111 |
1.2× |
| Ed proc insert intraosseous IV (36680) |
$359.55 |
$799 |
0.8× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$277.65 |
$617 |
2.0× |
| Ed proc remve fb nasal- hospital (30300) |
$242.10 |
$538 |
1.7× |
| Ed prof arthrocentesis sm - hospital (20551) |
$419.85 |
$933 |
1.3× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$249.30 |
$554 |
1.8× |
| Ed prof burn - large - hospital (16030) |
$776.25 |
$1,725 |
1.8× |
| Ed prof burn medium - hospital (16025) |
$400.05 |
$889 |
1.9× |
| Ed prof burn small - hospital (16020) |
$296.55 |
$659 |
1.4× |
| Ed prof catheterization/straight (51701) |
$205.20 |
$456 |
1.5× |
| Ed prof closed tx post hip arthroplasty (27265) |
$925.65 |
$2,057 |
3.6× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$2,231.10 |
$4,958 |
1.3× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$2,231.10 |
$4,958 |
1.3× |
| Ed prof drain dental abscess-hospital (41800) |
$436.95 |
$971 |
3.1× |
| Ed prof insert foley cath simple (51702) |
$181.35 |
$403 |
1.3× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,980.35 |
$6,623 |
0.9× |
| Ed prof insertion of heart electr (33210) |
$8,800.20 |
$19,556 |
1.0× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$897.75 |
$1,995 |
2.1× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$765.45 |
$1,701 |
1.8× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$925.65 |
$2,057 |
3.6× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$472.05 |
$1,049 |
1.0× |
| Egd endo mucosal resection (43254) |
$3,019.50 |
$6,710 |
1.5× |
| Egd endoscopic stent place (43266) |
$5,237.55 |
$11,639 |
0.8× |
| Egd injection varices (43243) |
$2,663.55 |
$5,919 |
1.3× |
| Egd lesion ablation (43270) |
$2,515.95 |
$5,591 |
1.2× |
| Egd percutaneous placement gastrostomy tube (43246) |
$2,247.30 |
$4,994 |
1.1× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$2,194.65 |
$4,877 |
1.1× |
| Egd transoral control bleeding any method (43255) |
$2,243.70 |
$4,986 |
1.1× |
| Egd tube/cath insertion (43241) |
$1,692.45 |
$3,761 |
0.8× |
| Egd us exam duodenum/jejunum (43259) |
$2,531.25 |
$5,625 |
1.3× |
| Egd us fine needle bx/aspir (43242) |
$3,252.60 |
$7,228 |
1.6× |
| Egd us transmural injxn/mark (43253) |
$2,936.25 |
$6,525 |
1.5× |
| Egd w/transmural drain cyst (43240) |
$4,730.85 |
$10,513 |
0.7× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$386.10 |
$858 |
1.2× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$596.70 |
$1,326 |
1.8× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$516.15 |
$1,147 |
1.6× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$2,318.85 |
$5,153 |
2.4× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$2,831.85 |
$6,293 |
2.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$3,208.95 |
$7,131 |
0.8× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$4,302 |
$9,560 |
1.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$3,364.20 |
$7,476 |
0.8× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$3,549.60 |
$7,888 |
0.9× |
| Endoscopic us exam esoph (43237) |
$2,187 |
$4,860 |
1.1× |
| Endoscopy upper small intestine (44360) |
$2,453.40 |
$5,452 |
1.2× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$16,092.45 |
$35,761 |
1.3× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$6,854.40 |
$15,232 |
3.1× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$6,854.40 |
$15,232 |
3.1× |
| Episiotomy or vaginal repair (59300) |
$3,387.15 |
$7,527 |
1.0× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,403.10 |
$3,118 |
1.9× |
| Ercp duct stent placement (43274) |
$5,270.40 |
$11,712 |
0.8× |
| Ercp ea duct/ampulla dilate (43277) |
$3,762.45 |
$8,361 |
0.9× |
| Ercp lithotripsy calculi (43265) |
$5,237.55 |
$11,639 |
0.8× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,623.85 |
$8,053 |
0.9× |
| Ercp remove forgn body duct (43275) |
$3,883.50 |
$8,630 |
1.9× |
| Ercp stent exchange w/dilate (43276) |
$5,237.55 |
$11,639 |
0.8× |
| Esoph egd dilation <30 mm (43249) |
$1,721.70 |
$3,826 |
0.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,551.15 |
$3,447 |
1.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$2,735.55 |
$6,079 |
1.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon (43290) |
$3,065.85 |
$6,813 |
1.5× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$2,569.05 |
$5,709 |
1.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,982.70 |
$4,406 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,861.65 |
$4,137 |
1.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,143.35 |
$4,763 |
2.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) (43291) |
$1,168.65 |
$2,597 |
1.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,914.75 |
$4,255 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$2,603.25 |
$5,785 |
1.3× |
| Esophagoscop stent placement (43212) |
$5,237.55 |
$11,639 |
0.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$2,224.35 |
$4,943 |
1.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,381.05 |
$3,069 |
1.4× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,692.45 |
$3,761 |
0.8× |
| Esophagoscopy lesion ablate (43229) |
$3,208.95 |
$7,131 |
0.8× |
| Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age Under 21 (43205) |
$2,198.25 |
$4,885 |
1.1× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method Age Under 21 (43227) |
$2,577.60 |
$5,728 |
1.3× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) |
$3,067.65 |
$6,817 |
1.5× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes… (43213) |
$3,515.40 |
$7,812 |
1.7× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$2,430 |
$5,400 |
1.2× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age… (43226) |
$2,061 |
$4,580 |
1.0× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,860.75 |
$4,135 |
0.9× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$3,088.80 |
$6,864 |
1.5× |
| Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, zenker's diverticulum),… (43180) |
$7,566.75 |
$16,815 |
1.2× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$2,603.70 |
$5,786 |
1.3× |
| Evac subungual hematoma (11740) |
$179.55 |
$399 |
1.3× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$1,321.65 |
$2,937 |
2.3× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,411.20 |
$3,136 |
0.8× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$2,126.25 |
$4,725 |
2.8× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$2,217.60 |
$4,928 |
1.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$738.45 |
$1,641 |
1.0× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$854.55 |
$1,899 |
1.1× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$3,315.60 |
$7,368 |
0.9× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$1,867.50 |
$4,150 |
0.8× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$772.20 |
$1,716 |
1.7× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,692.45 |
$3,761 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$782.10 |
$1,738 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$897.75 |
$1,995 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$1,192.50 |
$2,650 |
1.6× |
| Excision multiple external papillae/tags anus (46230) |
$3,915 |
$8,700 |
1.3× |
| Excision of bartholin's gland or cyst (56740) |
$4,285.35 |
$9,523 |
1.3× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$2,231.10 |
$4,958 |
1.3× |
| Excision of single external papilla or tag, anus (46220) |
$2,558.25 |
$5,685 |
2.0× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,288.70 |
$5,086 |
1.8× |
| Excision of tongue fold (41115) |
$1,965.15 |
$4,367 |
1.2× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$3,721.95 |
$8,271 |
2.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,254.50 |
$5,010 |
1.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,254.50 |
$5,010 |
1.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$2,309.40 |
$5,132 |
1.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$777.15 |
$1,727 |
1.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$2,254.50 |
$5,010 |
1.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$1,240.65 |
$2,757 |
1.7× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,571.85 |
$3,493 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$2,254.50 |
$5,010 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,197.80 |
$4,884 |
1.3× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$2,231.10 |
$4,958 |
1.3× |
| Explore wound abdomen (20102) |
$2,803.05 |
$6,229 |
1.3× |
| Fetal contraction stress test (59020) |
$351.45 |
$781 |
1.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,192.95 |
$2,651 |
1.6× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$1,125.45 |
$2,501 |
1.5× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$486 |
$1,080 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,610.55 |
$3,579 |
2.2× |
| Ganglion impar nerve block (64999) |
$418.50 |
$930 |
1.3× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$500.40 |
$1,112 |
2.2× |
| Gastric lavage (43753) |
$500.40 |
$1,112 |
2.2× |
| Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative Other Outpatient (0431U) |
$417.62 |
$928.02 |
11.4× |
| Guide cathet fluid drainage (10030) |
$1,405.80 |
$3,124 |
1.9× |
| Harvest cultured skin graft (15040) |
$2,803.05 |
$6,229 |
1.3× |
| Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous to Allogeneic Unrelated - 1st… (38240) |
$65,740.50 |
$146,090 |
1.0× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,463.85 |
$3,253 |
1.5× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$4,384.80 |
$9,744 |
1.3× |
| I&d abscess simple/single (10060) |
$404.55 |
$899 |
1.9× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$3,797.55 |
$8,439 |
1.2× |
| I&d hematoma/seroma/fluid (10140) |
$1,501.65 |
$3,337 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$969.30 |
$2,154 |
1.3× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,603.70 |
$5,786 |
1.3× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$1,480.05 |
$3,289 |
1.5× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$539.42 |
$1,198.71 |
2.1× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$2,223 |
$4,940 |
1.3× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$3,429 |
$7,620 |
2.0× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$4,272.30 |
$9,494 |
2.5× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) |
$24,451.65 |
$54,337 |
1.3× |
| Incise & drain bladder (51040) |
$2,450.25 |
$5,445 |
1.1× |
| Incise external hemorrhoid (46083) |
$575.55 |
$1,279 |
2.2× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$689.85 |
$1,533 |
1.6× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$2,231.10 |
$4,958 |
1.3× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$410.40 |
$912 |
1.9× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$1,211.85 |
$2,693 |
1.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$477 |
$1,060 |
1.5× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$3,443.85 |
$7,653 |
1.1× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,224 |
$2,720 |
1.2× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$2,254.50 |
$5,010 |
1.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$2,310.75 |
$5,135 |
1.3× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$565.65 |
$1,257 |
1.3× |
| Incision of eyelid fold (67715) |
$3,208.50 |
$7,130 |
1.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,167.65 |
$4,817 |
1.3× |
| Incision of rectal abscess (46040) |
$2,556.90 |
$5,682 |
2.0× |
| Incision of windpipe (31600) |
$3,955.50 |
$8,790 |
1.1× |
| Incision of windpipe (31603) |
$4,142.70 |
$9,206 |
2.5× |
| Incision&drainage bursa foot (28001) |
$2,244.60 |
$4,988 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$897.75 |
$1,995 |
1.2× |
| Induced abortion dilation & evacuation (59841) |
$4,064.40 |
$9,032 |
1.2× |
| Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation… (0480U) |
$4,050 |
$9,000 |
1.9× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$1,395 |
$3,100 |
3.3× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$498.15 |
$1,107 |
1.4× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$245.25 |
$545 |
1.2× |
| Inj epidural blood or clot patch (62273) |
$1,170.45 |
$2,601 |
1.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,937.25 |
$4,305 |
2.1× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,882.35 |
$4,183 |
2.0× |
| Inj tx nerve (64640) |
$1,349.10 |
$2,998 |
1.4× |
| Inj, intralesional; tongue/ floor of mouth, up to n include 7 lesions (41599) |
$1,759.31 |
$3,909.57 |
7.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,403.10 |
$3,118 |
1.9× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$1,419.76 |
$3,155.02 |
1.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,347.30 |
$2,994 |
1.4× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$875.70 |
$1,946 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,149.75 |
$2,555 |
1.5× |
| Injection aa&/strd greater occipital nerve (64405) |
$585 |
$1,300 |
1.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$675.45 |
$1,501 |
0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$875.70 |
$1,946 |
0.9× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$675.45 |
$1,501 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,323.45 |
$2,941 |
1.8× |
| Injection aa&/strd pudendal nerve (64430) |
$1,725.30 |
$3,834 |
1.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,051.65 |
$2,337 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,039.05 |
$2,309 |
1.4× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$418.50 |
$930 |
1.3× |
| Injection aa&/strd vagus nerve (64408) |
$418.50 |
$930 |
1.3× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$992.70 |
$2,206 |
1.1× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$1,662.75 |
$3,695 |
1.3× |
| Injection for identification of sentinel node (38792) |
$661.05 |
$1,469 |
1.6× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$2,373.30 |
$5,274 |
1.5× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$676.80 |
$1,504 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$461.70 |
$1,026 |
1.4× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$1,347.30 |
$2,994 |
1.4× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$1,347.30 |
$2,994 |
1.4× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$1,039.05 |
$2,309 |
1.4× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,207.80 |
$2,684 |
1.3× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$419.85 |
$933 |
1.3× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$477.45 |
$1,061 |
1.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$419.85 |
$933 |
1.3× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,206 |
$2,680 |
1.3× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$418.50 |
$930 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$634.05 |
$1,409 |
3.0× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$1,883.25 |
$4,185 |
2.0× |
| Ins cath ren art 1st bilat (36252) |
$8,136.90 |
$18,082 |
2.4× |
| Ins cath ren art 1st unilat (36251) |
$4,678.20 |
$10,396 |
1.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$14,112 |
$31,360 |
4.2× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,115.05 |
$13,589 |
1.0× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$11,597.85 |
$25,773 |
2.0× |
| Ins vag brachytx device (57156) |
$1,120.05 |
$2,489 |
3.5× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$52,620.30 |
$116,934 |
1.6× |
| Insert and remove bone pin (20650) |
$4,535.55 |
$10,079 |
1.3× |
| Insert cervical dilator (59200) |
$478.35 |
$1,063 |
1.5× |
| Insert gastrostomy tube percutaneous (49440) |
$1,692.45 |
$3,761 |
0.8× |
| Insert heart pm atrial (33206) |
$10,832.40 |
$24,072 |
1.0× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$4,585.50 |
$10,190 |
1.4× |
| Insert pulse gen mult leads (33221) |
$29,822.40 |
$66,272 |
1.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,643.70 |
$16,986 |
1.3× |
| Insert uteri tandem/ovoids (57155) |
$7,065.90 |
$15,702 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,315.60 |
$7,368 |
0.9× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$35,551.35 |
$79,003 |
1.5× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$11,395.35 |
$25,323 |
1.0× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$10,832.40 |
$24,072 |
1.0× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$2,253.15 |
$5,007 |
1.4× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$4,929.30 |
$10,954 |
1.3× |
| Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) |
$10,460.25 |
$23,245 |
0.5× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$234 |
$520 |
1.0× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$3,950.55 |
$8,779 |
1.2× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$4,581 |
$10,180 |
1.4× |
| Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) |
$13,063.50 |
$29,030 |
1.5× |
| Insertion phrenic nerve stimulator system (33276) |
$40,702.05 |
$90,449 |
0.9× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,946.60 |
$6,548 |
1.8× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$3,042 |
$6,760 |
1.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$865.35 |
$1,923 |
1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,491.05 |
$18,869 |
1.0× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$8,675.55 |
$19,279 |
1.0× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$8,628.30 |
$19,174 |
1.0× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$17,284.05 |
$38,409 |
1.6× |
| Insj intraperitoneal catheter w/img guid (49418) |
$4,954.95 |
$11,011 |
1.3× |
| Insj of subq implantable defibrillator electrode (33271) |
$13,063.50 |
$29,030 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,585.50 |
$10,190 |
1.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$4,585.50 |
$10,190 |
1.4× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$38,646.45 |
$85,881 |
1.2× |
| Insrt heart pm atrial & vent (33208) |
$14,164.20 |
$31,476 |
1.3× |
| Insrt pulse gen w/dual leads (33230) |
$36,918.90 |
$82,042 |
1.6× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$868.05 |
$1,929 |
1.3× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$1,369.35 |
$3,043 |
2.1× |
| Interdental fixation (21110) |
$2,664 |
$5,920 |
1.6× |
| Interdental wiring (21497) |
$2,914.65 |
$6,477 |
1.8× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,761.75 |
$3,915 |
3.1× |
| Intraoral i&d tongue/floor masticator space (41009) |
$879.75 |
$1,955 |
1.5× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$525.60 |
$1,168 |
2.1× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$2,668.50 |
$5,930 |
1.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$18,652.05 |
$41,449 |
1.5× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$9,154.35 |
$20,343 |
1.5× |
| Intubation endotracheal (31500) |
$760.95 |
$1,691 |
3.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$491.85 |
$1,093 |
1.9× |
| Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) |
$113.75 |
$252.76 |
3.1× |
| Laryngoscopy flex diagnostic (31575) |
$447.30 |
$994 |
2.1× |
| Laryngoscopy indirect diagnostic (31505) |
$310.05 |
$689 |
1.5× |
| Laryngoscopy w/foreign body removal (31530) |
$2,192.85 |
$4,873 |
1.2× |
| Ligation of a-v fistula (37607) |
$4,585.50 |
$10,190 |
1.4× |
| Long gi tube placement (44500) |
$1,973.25 |
$4,385 |
2.1× |
| Lumbar puncture (62270) |
$1,547.55 |
$3,439 |
2.1× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$921.15 |
$2,047 |
1.3× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$110.25 |
$245 |
1.8× |
| Meatotomy cutting meatus spx except infant (53020) |
$2,376.90 |
$5,282 |
1.1× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$1,012.03 |
$2,248.94 |
1.5× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,637.10 |
$3,638 |
1.0× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$2,980.35 |
$6,623 |
0.9× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$2,245.05 |
$4,989 |
2.7× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$2,801.70 |
$6,226 |
3.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,026.25 |
$6,725 |
3.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,478.60 |
$5,508 |
3.0× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$4,384.80 |
$9,744 |
1.3× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$509.85 |
$1,133 |
2.4× |
| Nasal surg proc unlisted (30999) |
$2,239.14 |
$4,975.86 |
9.0× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$2,340 |
$5,200 |
1.2× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$1,558.35 |
$3,463 |
0.8× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$7,574.40 |
$16,832 |
1.2× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$7,574.40 |
$16,832 |
1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$82.80 |
$184 |
2.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$99.45 |
$221 |
3.3× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$605.70 |
$1,346 |
2.3× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$202.50 |
$450 |
1.7× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,347.30 |
$2,994 |
1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,347.30 |
$2,994 |
1.4× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$5,101.20 |
$11,336 |
1.4× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$5,611.50 |
$12,470 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$918 |
$2,040 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$842.40 |
$1,872 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,347.30 |
$2,994 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$918 |
$2,040 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$1,685.25 |
$3,745 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,347.30 |
$2,994 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$921.15 |
$2,047 |
1.3× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,013.40 |
$2,252 |
1.4× |
| Non stress test (59025) |
$341.10 |
$758 |
1.6× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$6,229.35 |
$13,843 |
1.9× |
| Obstructive material removal from gi tube (49460) |
$1,297.35 |
$2,883 |
1.4× |
| Open treatment bimalleolar ankle fracture (27814) |
$10,038.60 |
$22,308 |
1.3× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,535.55 |
$10,079 |
1.3× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$4,535.55 |
$10,079 |
1.3× |
| Open tx distal fibular fracture lat malleolus (27792) |
$9,056.70 |
$20,126 |
1.2× |
| Open tx distal phalangeal fracture each (26765) |
$4,535.55 |
$10,079 |
1.3× |
| Open/perq placement intravascular stent initial (37236) |
$13,472.10 |
$29,938 |
1.1× |
| Open/perq placement intravascular stent same 1st (37238) |
$16,859.25 |
$37,465 |
1.4× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$6,114.15 |
$13,587 |
1.8× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$4,535.55 |
$10,079 |
1.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$4,479.30 |
$9,954 |
1.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$4,535.55 |
$10,079 |
1.3× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$4,535.55 |
$10,079 |
1.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$374.40 |
$832 |
1.8× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$672.30 |
$1,494 |
3.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$343.80 |
$764 |
1.6× |
| Partical excision bone phalanx toe (28124) |
$4,535.55 |
$10,079 |
1.3× |
| Pelvis/hip joint surgery unlisted (27299) |
$1,293.03 |
$2,873.38 |
5.0× |
| Penile injection (54235) |
$1,871.10 |
$4,158 |
7.1× |
| Perc rf ablate renal tumor (50592) |
$8,108.55 |
$18,019 |
1.3× |
| Percut ablate liver rf (47382) |
$5,435.10 |
$12,078 |
0.9× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$1,103.85 |
$2,453 |
1.5× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$10,038.60 |
$22,308 |
1.3× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$4,585.50 |
$10,190 |
1.4× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,686.60 |
$3,748 |
1.0× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$1,405.80 |
$3,124 |
1.5× |
| Perq av fistula creation uxtr sep access sites (36837) |
$24,318.90 |
$54,042 |
1.3× |
| Perq av fistula creation uxtr single access (36836) |
$24,318.90 |
$54,042 |
1.3× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$1,657.80 |
$3,684 |
2.2× |
| Perq dev breast 1st strtctc (19283) |
$1,657.80 |
$3,684 |
2.2× |
| Perq dev breast 1st us imag (19285) |
$2,237.85 |
$4,973 |
3.0× |
| Perq device breast 1st imag (19281) |
$1,428.75 |
$3,175 |
0.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,929.30 |
$10,954 |
1.3× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$5,406.30 |
$12,014 |
1.5× |
| Perq drainage pleura insert cath w/imaging (32557) |
$2,008.80 |
$4,464 |
1.2× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,692.45 |
$3,761 |
0.8× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$24,318.90 |
$54,042 |
1.3× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$36,478.35 |
$81,063 |
3.0× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$22,542.75 |
$50,095 |
1.9× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$15,028.65 |
$33,397 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$530.10 |
$1,178 |
2.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$19,290.60 |
$42,868 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$13,205.25 |
$29,345 |
1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$9,612 |
$21,360 |
1.6× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$6,647.85 |
$14,773 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,607.80 |
$14,684 |
0.9× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$3,256.65 |
$7,237 |
0.9× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$5,235.75 |
$11,635 |
1.5× |
| Photopheresis extracorporeal (36522) |
$6,470.10 |
$14,378 |
1.4× |
| Place duod/jej tube perc (49441) |
$1,692.45 |
$3,761 |
0.8× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$2,880 |
$6,400 |
2.0× |
| Plmt access thru biliary tree into small bwl new (47541) |
$8,464.50 |
$18,810 |
1.2× |
| Plmt bile duct stent prq existing access (47538) |
$7,290.45 |
$16,201 |
1.1× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$8,108.55 |
$18,019 |
1.3× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$8,383.95 |
$18,631 |
1.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,018.60 |
$6,708 |
1.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,684.60 |
$8,188 |
1.0× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$1,345.50 |
$2,990 |
1.8× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$6,318 |
$14,040 |
1.7× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,950.55 |
$8,779 |
1.1× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$4,929.30 |
$10,954 |
1.3× |
| Pr transfusion intrauterine fetal (36460) |
$1,242.90 |
$2,762 |
2.7× |
| Preputial stretching (54450) |
$810.90 |
$1,802 |
3.1× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$24,359.40 |
$54,132 |
1.3× |
| Proctopexy (eg, for prolapse); perineal approach Age Under 21 (45541) |
$3,466.80 |
$7,704 |
1.2× |
| Proctosigmoidoscopy dx (45300) |
$1,271.70 |
$2,826 |
1.3× |
| Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (45303) |
$1,696.95 |
$3,771 |
1.3× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$3,315.60 |
$7,368 |
0.9× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$5,101.20 |
$11,336 |
1.4× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$6,200.10 |
$13,778 |
1.9× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$16,092.45 |
$35,761 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$897.75 |
$1,995 |
2.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$630.45 |
$1,401 |
1.5× |
| Puncture aspiration of cyst of breast (19000) |
$650.25 |
$1,445 |
0.9× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$1,973.21 |
$4,384.90 |
2.1× |
| Pvb thoracic cont infusion (64463) |
$1,039.05 |
$2,309 |
1.4× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,039.05 |
$2,309 |
1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,269.35 |
$5,043 |
1.1× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$773.27 |
$1,718.37 |
3.6× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$1,479.15 |
$3,287 |
1.5× |
| Relocate skin pocket implantable defibrillator (33223) |
$5,406.75 |
$12,015 |
2.5× |
| Relocation of skin pocket for pacemaker (33222) |
$5,406.75 |
$12,015 |
2.5× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$2,345.40 |
$5,212 |
1.1× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,080.45 |
$2,401 |
1.1× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$1,345.50 |
$2,990 |
1.8× |
| Removal foreign body mouth (40804) |
$824.40 |
$1,832 |
0.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,713.40 |
$8,252 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$161.55 |
$359 |
2.6× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$177.75 |
$395 |
2.9× |
| Removal implant deep (20680) |
$3,797.55 |
$8,439 |
1.2× |
| Removal implant superficial (20670) |
$2,254.50 |
$5,010 |
1.3× |
| Removal implantable contraceptive capsules (11976) |
$996.75 |
$2,215 |
1.3× |
| Removal implantable defib pulse generator only (33241) |
$17,661.60 |
$39,248 |
4.5× |
| Removal of blood from fetal umbilical cord (59012) |
$604.35 |
$1,343 |
1.9× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$4,203.45 |
$9,341 |
1.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,503.45 |
$3,341 |
1.2× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$2,302.65 |
$5,117 |
1.3× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$2,254.50 |
$5,010 |
1.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$248.40 |
$552 |
1.8× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$629.10 |
$1,398 |
1.3× |
| Removal of foreign body, foot; deep (28192) |
$2,254.50 |
$5,010 |
1.3× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$3,331.80 |
$7,404 |
1.4× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$1,638.45 |
$3,641 |
1.3× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,839.60 |
$4,088 |
1.5× |
| Removal of iud (58301) |
$450.90 |
$1,002 |
1.4× |
| Removal of nail bed (11750) |
$1,082.70 |
$2,406 |
2.5× |
| Removal of pm generator (33233) |
$13,063.50 |
$29,030 |
1.5× |
| Removal of salivary stone (42330) |
$4,384.80 |
$9,744 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$499.05 |
$1,109 |
2.4× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$12,064.50 |
$26,810 |
3.1× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$6,241.50 |
$13,870 |
1.6× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,524.85 |
$7,833 |
1.1× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$525.60 |
$1,168 |
1.8× |
| Removal phrenic nerve stimulator system (33278) |
$4,401 |
$9,780 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,084.95 |
$2,411 |
1.5× |
| Removal tunneled cv cath (36590) |
$1,321.65 |
$2,937 |
0.8× |
| Removal, non-biodegradable drug delivery implant (11982) |
$551.70 |
$1,226 |
1.2× |
| Removal/revision of cast (29700) |
$386.55 |
$859 |
1.3× |
| Remove eyelid foreign body (67938) |
$816.30 |
$1,814 |
2.4× |
| Remove foreign body from eye (65210) |
$551.70 |
$1,226 |
1.2× |
| Remove lung catheter (32552) |
$676.80 |
$1,504 |
1.0× |
| Remove pharynx foreign body (42809) |
$470.70 |
$1,046 |
1.0× |
| Remove ureter stent percut (50384) |
$2,119.95 |
$4,711 |
1.0× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$10,832.40 |
$24,072 |
1.0× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$19,384.20 |
$43,076 |
1.0× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$9,030.60 |
$20,068 |
1.0× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$1,534.50 |
$3,410 |
0.9× |
| Repair blood vessel lesion (35226) |
$2,936.70 |
$6,526 |
3.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$898.20 |
$1,996 |
2.1× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,118.25 |
$2,485 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$956.70 |
$2,126 |
2.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,119.60 |
$2,488 |
1.4× |
| Repair extensor tendon hand w/o graft each (26410) |
$2,274.75 |
$5,055 |
1.3× |
| Repair eyelid wound (67930) |
$3,185.10 |
$7,078 |
1.3× |
| Repair finger tendon (26418) |
$2,370.15 |
$5,267 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$631.80 |
$1,404 |
1.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$745.20 |
$1,656 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$815.40 |
$1,812 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,119.60 |
$2,488 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,014.75 |
$2,255 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$544.05 |
$1,209 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$732.15 |
$1,627 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$800.10 |
$1,778 |
1.0× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$567.45 |
$1,261 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$714.15 |
$1,587 |
1.7× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,046.25 |
$2,325 |
1.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$802.35 |
$1,783 |
1.9× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,433.70 |
$3,186 |
3.3× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,561.95 |
$3,471 |
3.6× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$2,748.60 |
$6,108 |
1.3× |
| Repair lead pace-defib dual (33220) |
$7,546.95 |
$16,771 |
1.9× |
| Repair lead pace-defib one (33218) |
$9,592.20 |
$21,316 |
2.4× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,481.40 |
$3,292 |
2.6× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$1,761.75 |
$3,915 |
3.1× |
| Repair of abnormal anal drainage tract with tissue glue (46706) |
$3,915 |
$8,700 |
1.3× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$577.35 |
$1,283 |
1.2× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$1,761.75 |
$3,915 |
7.1× |
| Repair of nail bed (11760) |
$553.05 |
$1,229 |
0.7× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$1,052.10 |
$2,338 |
1.6× |
| Repair tongue lacer,post 1/3 (41251) |
$1,759.50 |
$3,910 |
7.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,029.60 |
$2,288 |
1.3× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,237.05 |
$2,749 |
1.6× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$858.15 |
$1,907 |
2.0× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$1,033.65 |
$2,297 |
1.3× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$2,748.60 |
$6,108 |
1.3× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$9,600.75 |
$21,335 |
1.3× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$4,535.55 |
$10,079 |
1.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$914.40 |
$2,032 |
1.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$868.50 |
$1,930 |
0.9× |
| Replace picvad cath (36585) |
$4,585.50 |
$10,190 |
1.4× |
| Replace tunneled cv cath (36582) |
$4,585.50 |
$10,190 |
1.4× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$978.30 |
$2,174 |
1.0× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$4,585.50 |
$10,190 |
1.4× |
| Repos previously implanted subq implantable dfb (33273) |
$7,546.95 |
$16,771 |
1.9× |
| Reposition l ventric lead (33226) |
$9,592.20 |
$21,316 |
2.9× |
| Reposition venous catheter (36597) |
$1,464.75 |
$3,255 |
0.9× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$426.60 |
$948 |
1.6× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$4,401 |
$9,780 |
1.2× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,535.55 |
$10,079 |
1.3× |
| Reset dislocated jaw (21480) |
$1,408.95 |
$3,131 |
5.4× |
| Revision of cervix (59320) |
$3,816.90 |
$8,482 |
1.1× |
| Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832) |
$9,500.85 |
$21,113 |
1.6× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$9,500.85 |
$21,113 |
1.6× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,867.50 |
$4,150 |
0.8× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,275.20 |
$5,056 |
1.4× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$906.75 |
$2,015 |
1.6× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$184.50 |
$410 |
1.3× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$199.80 |
$444 |
1.4× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$34,203.15 |
$76,007 |
1.0× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$24,819.30 |
$55,154 |
1.1× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$30,748.05 |
$68,329 |
1.3× |
| Rmvl nfros tube req fluoro guidance (50389) |
$602.55 |
$1,339 |
0.8× |
| Rmvl of access device (36589) |
$1,168.20 |
$2,596 |
1.8× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$7,546.95 |
$16,771 |
1.9× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$2,860.65 |
$6,357 |
0.8× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$3,300.75 |
$7,335 |
0.9× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$26,106.75 |
$58,015 |
0.8× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$23,786.10 |
$52,858 |
2.0× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$14,644.80 |
$32,544 |
3.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,253.15 |
$5,007 |
1.4× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,980.35 |
$6,623 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$3,507.30 |
$7,794 |
2.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,205.55 |
$2,679 |
1.5× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$2,167.65 |
$4,817 |
1.3× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$6,234.75 |
$13,855 |
1.9× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$7,421.85 |
$16,493 |
2.2× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$2,014.65 |
$4,477 |
1.2× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,964.60 |
$6,588 |
0.8× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$1,297.27 |
$2,882.82 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$498.15 |
$1,107 |
2.4× |
| Sigmoidoscopy & polypectomy (45333) |
$1,846.80 |
$4,104 |
1.9× |
| Sigmoidoscopy flx control bleeding (45334) |
$1,887.30 |
$4,194 |
1.5× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$1,778.85 |
$3,953 |
1.8× |
| Sigmoidoscopy w/ablation (45346) |
$2,296.35 |
$5,103 |
1.8× |
| Sigmoidoscopy w/fb removal (45332) |
$1,512.90 |
$3,362 |
1.2× |
| Sigmoidoscopy w/resection (45349) |
$2,832.75 |
$6,295 |
1.0× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,436.30 |
$5,414 |
1.9× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$1,450.35 |
$3,223 |
1.1× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$1,638.90 |
$3,642 |
1.7× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$1,361.25 |
$3,025 |
1.4× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) |
$5,237.55 |
$11,639 |
0.8× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,977.30 |
$4,394 |
1.6× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$1,602 |
$3,560 |
1.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$287.55 |
$639 |
1.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$316.35 |
$703 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$348.30 |
$774 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$382.95 |
$851 |
1.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$2,027.70 |
$4,506 |
9.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$287.55 |
$639 |
1.4× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,064.25 |
$2,365 |
5.0× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$609.75 |
$1,355 |
1.4× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$553.95 |
$1,231 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$348.30 |
$774 |
1.6× |
| Skin tissue procedure unlisted (17999) |
$498.87 |
$1,108.60 |
2.4× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$7,535.70 |
$16,746 |
1.3× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$6,477.75 |
$14,395 |
1.9× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$8,463.15 |
$18,807 |
1.4× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$7,489.80 |
$16,644 |
2.2× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$8,401.95 |
$18,671 |
1.4× |
| Small bowel endoscopy (44366) |
$4,086.90 |
$9,082 |
2.0× |
| Small bowel endoscopy (44376) |
$2,603.70 |
$5,786 |
1.3× |
| Small bowel endoscopy/biopsy (44377) |
$2,731.05 |
$6,069 |
1.3× |
| Small bowel endoscopy/biopsy (44361) |
$2,713.05 |
$6,029 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$3,516.30 |
$7,814 |
1.7× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$5,237.55 |
$11,639 |
0.8× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$4,185 |
$9,300 |
2.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$3,290.40 |
$7,312 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$3,515.40 |
$7,812 |
1.7× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign… (44363) |
$3,267.45 |
$7,261 |
1.6× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$3,486.60 |
$7,748 |
1.7× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$3,111.30 |
$6,914 |
1.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370) |
$5,237.55 |
$11,639 |
0.8× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$316.35 |
$703 |
1.5× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$404.55 |
$899 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$559.80 |
$1,244 |
1.3× |
| Stomach surgery procedure unlisted (43999) |
$1,437.66 |
$3,194.79 |
1.5× |
| Strapping of toes (29550) |
$252 |
$560 |
4.0× |
| Strapping unna boot (29580) |
$229.05 |
$509 |
1.3× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,822.05 |
$4,049 |
2.3× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$2,803.05 |
$6,229 |
3.6× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$3,208.50 |
$7,130 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$897.75 |
$1,995 |
2.1× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$30,012.30 |
$66,694 |
1.0× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$25,740.45 |
$57,201 |
1.3× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$4,684.95 |
$10,411 |
1.4× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$2,231.10 |
$4,958 |
1.3× |
| Tenotomy percutaneous toe single tendon (28010) |
$1,450.35 |
$3,223 |
0.9× |
| Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21 (28240) |
$4,535.55 |
$10,079 |
1.3× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$2,231.10 |
$4,958 |
1.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$2,231.10 |
$4,958 |
1.3× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$4,996.35 |
$11,103 |
3.0× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$2,184.30 |
$4,854 |
1.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,223.10 |
$2,718 |
1.6× |
| Therapeutic spinal puncture drainage csf (62272) |
$970.20 |
$2,156 |
1.3× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,041.30 |
$2,314 |
1.6× |
| Throat surgery procedure (42999) |
$1,759.31 |
$3,909.57 |
7.0× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$5,714.55 |
$12,699 |
1.7× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$5,626.80 |
$12,504 |
1.0× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$8,161.20 |
$18,136 |
2.5× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$4,203.45 |
$9,341 |
1.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$4,299.75 |
$9,555 |
17.2× |
| Transcatheter biopsy (37200) |
$4,968.45 |
$11,041 |
0.8× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$11,934.45 |
$26,521 |
1.0× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624) |
$16,731.45 |
$37,181 |
0.9× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$4,203.45 |
$9,341 |
1.2× |
| Transfusion, blood or blood components (36430) |
$702.45 |
$1,561 |
1.5× |
| Transoral lower esophageal myotomy (43497) |
$8,075.25 |
$17,945 |
1.3× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$2,397.60 |
$5,328 |
1.3× |
| Treat big toe fracture (28495) |
$587.25 |
$1,305 |
2.3× |
| Treat dental ridge fracture (21440) |
$4,384.80 |
$9,744 |
1.3× |
| Treat elbow fracture (24586) |
$17,828.55 |
$39,619 |
1.3× |
| Treat hip socket fracture (27222) |
$728.10 |
$1,618 |
2.8× |
| Treat humerus fracture (24577) |
$2,231.10 |
$4,958 |
1.3× |
| Treat knee fracture (27532) |
$4,094.55 |
$9,099 |
1.2× |
| Treat lower leg fracture (27825) |
$2,231.10 |
$4,958 |
1.3× |
| Treat mouth roof fracture (21421) |
$4,384.80 |
$9,744 |
1.3× |
| Treat thumb fracture (26645) |
$2,231.10 |
$4,958 |
1.3× |
| Treat toe dislocation (28630) |
$418.05 |
$929 |
1.6× |
| Treat ulnar fracture (24675) |
$2,231.10 |
$4,958 |
1.3× |
| Treat wrist bone fracture (25635) |
$1,653.75 |
$3,675 |
1.0× |
| Treat wrist bone fracture (25624) |
$2,231.10 |
$4,958 |
1.3× |
| Treat wrist dislocation (25690) |
$2,231.10 |
$4,958 |
1.3× |
| Treat wrist dislocation (25675) |
$728.10 |
$1,618 |
2.8× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,231.10 |
$4,958 |
1.3× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$728.10 |
$1,618 |
2.8× |
| Treatment of heel fracture (28405) |
$728.10 |
$1,618 |
2.8× |
| Treatment of miscarriage (59812) |
$4,203.45 |
$9,341 |
1.2× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$4,106.70 |
$9,126 |
1.2× |
| Trimming of nondystrophic nails, any number (11719) |
$140.40 |
$312 |
2.3× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$10,938.60 |
$24,308 |
1.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$13,622.85 |
$30,273 |
2.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$913.05 |
$2,029 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$553.95 |
$1,231 |
1.3× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$2,231.10 |
$4,958 |
1.3× |
| Unlisted procedure colon (45399) |
$1,180.94 |
$2,624.30 |
1.2× |
| Unlisted procedure leg/ankle (27899) |
$685.60 |
$1,523.55 |
2.6× |
| Unlisted procedure pancreas (48999) |
$996.63 |
$2,214.73 |
1.3× |
| Unlisted procedure rectum (45999) |
$1,344.83 |
$2,988.50 |
1.4× |
| Unlisted procedure, dentoalveolar structures (41899) |
$1,761.71 |
$3,914.91 |
7.1× |
| Unlisted procedure, hands or fingers (26989) |
$539.42 |
$1,198.71 |
2.1× |
| Upgrade of pacemaker system (33214) |
$16,664.85 |
$37,033 |
1.5× |
| Upper arm/elbow surgery unlisted (24999) |
$305.02 |
$677.82 |
1.2× |
| Urology surgery procedure unlisted (53899) |
$703.30 |
$1,562.87 |
2.7× |
| Us ablation superficial lymph node and guidance hemic/lymphatic system (38999) |
$3,364.12 |
$7,475.82 |
7.2× |
| Vaginal delivery (59409) |
$3,818.02 |
$8,484.50 |
1.1× |
| Vasc embolize/occlude bleed (37244) |
$12,036.15 |
$26,747 |
1.0× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$15,833.70 |
$35,186 |
0.8× |
| Vascular embolization or occlusion venous rs&i (37241) |
$10,460.25 |
$23,245 |
0.9× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$10,233 |
$22,740 |
0.8× |
| Vascular surgery procedure (37799) |
$2,146.36 |
$4,769.67 |
3.2× |
| Vbac delivery only (59612) |
$3,793.50 |
$8,430 |
1.1× |
| Venipuncture (36415) |
$13.95 |
$31 |
1.5× |
| Version cephalic external (59412) |
$3,387.15 |
$7,527 |
1.0× |
| Wedge excision skin nail fold (11765) |
$672.30 |
$1,494 |
1.6× |
| Wedging of cast (29740) |
$386.55 |
$859 |
1.3× |
| Windowing of cast (29730) |
$229.05 |
$509 |
1.3× |