| Abd paracentesis w/imaging (49083) |
$1,115.20 |
$1,394 |
1.2× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$7,336 |
$9,170 |
2.1× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$385.60 |
$482 |
2.2× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$265.60 |
$332 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$658.40 |
$823 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$814.40 |
$1,018 |
2.5× |
| Aspirate pleura w/o imaging (32554) |
$959.20 |
$1,199 |
1.4× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$686.40 |
$858 |
2.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$472 |
$590 |
2.2× |
| Biopsy liver needle percutaneous (47000) |
$557.60 |
$697 |
0.3× |
| Biopsy lymph node (38505) |
$1,168.80 |
$1,461 |
0.7× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$1,420.80 |
$1,776 |
1.1× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,165.60 |
$1,457 |
1.2× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$1,369.60 |
$1,712 |
1.4× |
| Bladder irrigation (51700) |
$574.40 |
$718 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$1,121.60 |
$1,402 |
0.6× |
| Change g-tube to g-j perc (49446) |
$383.20 |
$479 |
0.2× |
| Chemodenervation Internal Anal Sphincter (46505) |
$2,593.60 |
$3,242 |
2.1× |
| Chest tube placement (32551) |
$1,582.40 |
$1,978 |
1.0× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,651.20 |
$2,064 |
1.0× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,153.60 |
$1,442 |
4.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,733.60 |
$2,167 |
6.7× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$3,771.20 |
$4,714 |
2.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$1,733.60 |
$2,167 |
6.7× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$3,647.20 |
$4,559 |
2.2× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$3,475.20 |
$4,344 |
2.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$674.40 |
$843 |
2.6× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$3,236 |
$4,045 |
12.4× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$2,882.40 |
$3,603 |
1.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,216 |
$1,520 |
4.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,651.20 |
$2,064 |
6.3× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,460.80 |
$1,826 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,651.20 |
$2,064 |
6.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,306.40 |
$4,133 |
1.9× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,224 |
$2,780 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,910.40 |
$3,638 |
1.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,711.20 |
$2,139 |
1.0× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$1,651.20 |
$2,064 |
6.3× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$686.40 |
$858 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,537.60 |
$1,922 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$686.40 |
$858 |
2.6× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$3,217.60 |
$4,022 |
1.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,225.60 |
$1,532 |
4.7× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$2,562.40 |
$3,203 |
1.5× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$720.80 |
$901 |
2.8× |
| Cltx metar fx w/manj (28475) |
$1,643.20 |
$2,054 |
6.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$4,080.80 |
$5,101 |
2.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$3,475.20 |
$4,344 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,537.60 |
$1,922 |
0.9× |
| Collect blood from catheter venous nos (36592) |
$190.40 |
$238 |
1.4× |
| Collect blood from implant venous access device (36591) |
$190.40 |
$238 |
1.4× |
| Colonoscopy thru stoma spx (44388) |
$1,295.20 |
$1,619 |
1.3× |
| Colonoscopy w/ablation (45388) |
$2,146.40 |
$2,683 |
1.7× |
| Colonoscopy w/control bleed (45382) |
$2,055.20 |
$2,569 |
1.6× |
| Colonoscopy w/fb removal (45379) |
$1,893.60 |
$2,367 |
1.5× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$1,872 |
$2,340 |
1.5× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,818.40 |
$2,273 |
1.4× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$1,689.60 |
$2,112 |
1.3× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$2,409.60 |
$3,012 |
1.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,600.80 |
$2,001 |
1.3× |
| Contrast injection perq radiologic eval gi tube (49465) |
$701.60 |
$877 |
2.8× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$463.20 |
$579 |
3.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$504 |
$630 |
3.6× |
| Deb skin bone at fx site (11012) |
$5,441.60 |
$6,802 |
1.8× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$749.60 |
$937 |
1.7× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,900.80 |
$2,376 |
1.1× |
| Declot vascular device (36593) |
$524.80 |
$656 |
1.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$927.20 |
$1,159 |
1.2× |
| Drainage finger abscess simple (26010) |
$548 |
$685 |
2.6× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$3,180.80 |
$3,976 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$2,247.20 |
$2,809 |
1.3× |
| Drainage of tonsil abscess (42700) |
$126.40 |
$158 |
0.5× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$4,392.80 |
$5,491 |
2.1× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,783.20 |
$4,729 |
1.8× |
| Ed proc insert intraosseous IV (36680) |
$486.40 |
$608 |
1.0× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$156 |
$195 |
1.1× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,733.60 |
$2,167 |
6.7× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,651.20 |
$2,064 |
1.0× |
| Ed prof drain dental abscess-hospital (41800) |
$890.40 |
$1,113 |
6.3× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,415.20 |
$1,769 |
3.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$1,239.20 |
$1,549 |
2.9× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$926.40 |
$1,158 |
3.6× |
| Egd endo mucosal resection (43254) |
$1,812.80 |
$2,266 |
0.9× |
Egd endoscopic stent place (43266)
unusually low — confirm this is the full procedure |
$2,079.20 |
$2,599 |
0.3× |
| Egd injection varices (43243) |
$1,596 |
$1,995 |
0.8× |
| Egd lesion ablation (43270) |
$2,147.20 |
$2,684 |
1.1× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,917.60 |
$2,397 |
0.9× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,729.60 |
$2,162 |
0.9× |
| Egd transoral control bleeding any method (43255) |
$1,914.40 |
$2,393 |
0.9× |
| Egd us fine needle bx/aspir (43242) |
$2,502.40 |
$3,128 |
1.2× |
| Egd us transmural injxn/mark (43253) |
$1,700 |
$2,125 |
0.8× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$1,269.60 |
$1,587 |
1.3× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$2,368 |
$2,960 |
0.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$3,174.40 |
$3,968 |
0.8× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$2,482.40 |
$3,103 |
0.6× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$2,619.20 |
$3,274 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,314.40 |
$1,643 |
0.6× |
| Endoscopy upper small intestine (44360) |
$1,936 |
$2,420 |
1.0× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$940.80 |
$1,176 |
1.3× |
| Ercp duct stent placement (43274) |
$3,391.20 |
$4,239 |
0.5× |
| Ercp ea duct/ampulla dilate (43277) |
$2,776 |
$3,470 |
0.7× |
Ercp lithotripsy calculi (43265)
unusually low — confirm this is the full procedure |
$3,169.60 |
$3,962 |
0.5× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$2,674.40 |
$3,343 |
0.7× |
| Ercp remove forgn body duct (43275) |
$2,761.60 |
$3,452 |
1.4× |
| Ercp stent exchange w/dilate (43276) |
$3,528 |
$4,410 |
0.6× |
| Esoph egd dilation <30 mm (43249) |
$1,453.60 |
$1,817 |
0.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,237.60 |
$1,547 |
1.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$1,956 |
$2,445 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$1,692 |
$2,115 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$1,483.20 |
$1,854 |
1.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,688.80 |
$2,111 |
1.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,700 |
$2,125 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$1,481.60 |
$1,852 |
0.7× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,789.60 |
$2,237 |
0.9× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$3,286.40 |
$4,108 |
1.6× |
| Evac subungual hematoma (11740) |
$185.60 |
$232 |
1.3× |
| Exc face les sbq 2 cm/> (21012) |
$2,368 |
$2,960 |
1.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,472 |
$1,840 |
0.8× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$931.20 |
$1,164 |
1.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,516.80 |
$3,146 |
0.8× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$824 |
$1,030 |
1.8× |
| Excision multiple external papillae/tags anus (46230) |
$813.60 |
$1,017 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,255.20 |
$4,069 |
2.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,669.60 |
$3,337 |
1.5× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$2,542.40 |
$3,178 |
1.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$1,619.20 |
$2,024 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$2,255.20 |
$2,819 |
1.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$3,384.80 |
$4,231 |
1.9× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$2,655.20 |
$3,319 |
1.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$2,655.20 |
$3,319 |
1.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,657.60 |
$2,072 |
2.2× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$1,228 |
$1,535 |
1.6× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$904 |
$1,130 |
1.2× |
| Ganglion impar nerve block (64999) |
$730.05 |
$912.56 |
2.3× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$813.60 |
$1,017 |
0.8× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,849.60 |
$2,312 |
0.9× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$3,873.60 |
$4,842 |
2.2× |
| Incise external hemorrhoid (46083) |
$724 |
$905 |
2.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$648.80 |
$811 |
2.0× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$3,644 |
$4,555 |
1.2× |
| Incision and drainage, perianal abscess, superficial (46050) |
$2,065.60 |
$2,582 |
2.1× |
| Incision of rectal abscess (46040) |
$3,672.80 |
$4,591 |
2.9× |
| Inj epidural blood or clot patch (62273) |
$2,788.80 |
$3,486 |
3.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,383.20 |
$4,229 |
3.6× |
| Inj paravert f jnt l/s 1 lev (64493) |
$3,717.60 |
$4,647 |
4.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,178.40 |
$1,473 |
1.6× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,190.40 |
$1,488 |
1.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$977.60 |
$1,222 |
1.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$908.80 |
$1,136 |
2.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,527.20 |
$1,909 |
1.6× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$1,178.40 |
$1,473 |
1.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,340 |
$1,675 |
1.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$571.20 |
$714 |
1.8× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$657.60 |
$822 |
2.0× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$748 |
$935 |
2.3× |
| Insert pessary/other device (57160) |
$221.60 |
$277 |
1.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,383.20 |
$2,979 |
1.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$3,605.60 |
$4,507 |
2.2× |
| Insertion picc w/rs&i < 5 yr (36572) |
$3,517.60 |
$4,397 |
5.3× |
| Intubation endotracheal (31500) |
$2,133.60 |
$2,667 |
8.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$873.60 |
$1,092 |
3.3× |
| Lumbar puncture (62270) |
$575.20 |
$719 |
0.8× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$142.40 |
$178 |
2.3× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,328.80 |
$1,661 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$106.40 |
$133 |
3.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$155.20 |
$194 |
5.1× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$2,459.20 |
$3,074 |
2.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,431.20 |
$1,789 |
1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,432.80 |
$1,791 |
1.9× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$936.80 |
$1,171 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$923.20 |
$1,154 |
3.5× |
| Punch biopsy skin single lesion (11104) |
$1,348 |
$1,685 |
3.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$945.60 |
$1,182 |
2.2× |
| Puncture aspiration of cyst of breast (19000) |
$428.80 |
$536 |
0.6× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$2,113.07 |
$2,641.33 |
2.2× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,628.80 |
$2,036 |
2.2× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$2,329.60 |
$2,912 |
3.1× |
| Removal foreign body shoulder subcutaneous (23330) |
$2,051.20 |
$2,564 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$156.80 |
$196 |
2.5× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$217.60 |
$272 |
3.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$277.60 |
$347 |
0.6× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,857.60 |
$2,322 |
1.5× |
| Removal of nail bed (11750) |
$1,004.80 |
$1,256 |
2.3× |
| Removal tunneled cv cath (36590) |
$2,625.60 |
$3,282 |
1.6× |
| Removal, non-biodegradable drug delivery implant (11982) |
$599.20 |
$749 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,407.20 |
$1,759 |
3.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,614.40 |
$2,018 |
3.8× |
| Repair extensor tendon hand w/o graft each (26410) |
$4,213.60 |
$5,267 |
2.5× |
| Repair eyelid wound (67930) |
$3,560.80 |
$4,451 |
1.4× |
| Repair finger tendon (26418) |
$4,390.40 |
$5,488 |
2.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$859.20 |
$1,074 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,584.80 |
$1,981 |
3.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$2,086.40 |
$2,608 |
4.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,879.20 |
$2,349 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$861.60 |
$1,077 |
2.0× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,937.60 |
$2,422 |
2.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$1,239.20 |
$1,549 |
2.9× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$2,445.60 |
$3,057 |
4.3× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$2,787.20 |
$3,484 |
4.9× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$3,560.80 |
$4,451 |
7.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,943.20 |
$2,429 |
2.5× |
| Reset dislocated jaw (21480) |
$2,216 |
$2,770 |
8.5× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$2,990.40 |
$3,738 |
1.8× |
| Sigmoidoscopy & polypectomy (45333) |
$1,509.60 |
$1,887 |
1.5× |
| Sigmoidoscopy flx control bleeding (45334) |
$1,874.40 |
$2,343 |
1.5× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$1,976.80 |
$2,471 |
2.0× |
| Sigmoidoscopy w/ablation (45346) |
$2,551.20 |
$3,189 |
2.0× |
| Sigmoidoscopy w/us guide bx (45342) |
$2,707.20 |
$3,384 |
2.1× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$1,611.20 |
$2,014 |
1.3× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$1,820.80 |
$2,276 |
1.9× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$1,084.80 |
$1,356 |
1.1× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,923.20 |
$2,404 |
1.5× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$1,246.40 |
$1,558 |
1.0× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$578.40 |
$723 |
2.7× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$589.60 |
$737 |
2.8× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$704 |
$880 |
3.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,062.40 |
$1,328 |
5.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$544.80 |
$681 |
2.6× |
| Small bowel endoscopy (44366) |
$2,434.40 |
$3,043 |
1.2× |
| Small bowel endoscopy (44376) |
$1,906.40 |
$2,383 |
0.9× |
| Small bowel endoscopy/biopsy (44377) |
$1,999.20 |
$2,499 |
1.0× |
| Small bowel endoscopy/biopsy (44361) |
$2,021.60 |
$2,527 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$2,574.40 |
$3,218 |
1.3× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$2,485.60 |
$3,107 |
1.2× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$728 |
$910 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$847.20 |
$1,059 |
2.0× |
| Strapping unna boot (29580) |
$258.40 |
$323 |
1.5× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$927.20 |
$1,159 |
1.2× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,186.40 |
$1,483 |
1.8× |
| Transfusion, blood or blood components (36430) |
$1,656 |
$2,070 |
3.6× |
| Transoral lower esophageal myotomy (43497) |
$5,356.80 |
$6,696 |
0.8× |
| Treat big toe fracture (28495) |
$1,088 |
$1,360 |
4.2× |
| Treat knee fracture (27532) |
$4,100.80 |
$5,126 |
1.2× |
| Treat lower leg fracture (27825) |
$3,498.40 |
$4,373 |
2.1× |
| Treat toe dislocation (28630) |
$869.60 |
$1,087 |
3.3× |
| Treat wrist bone fracture (25624) |
$3,225.60 |
$4,032 |
1.9× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,651.20 |
$2,064 |
6.3× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$4,569.44 |
$5,711.79 |
1.9× |
| Unlisted procedure, dentoalveolar structures (41899) |
$444.32 |
$555.40 |
1.8× |
| Venipuncture (36415) |
$48.80 |
$61 |
5.2× |