| Abd paracentesis w/imaging (49083) |
$652 |
$1,630 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$652 |
$1,630 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,944.80 |
$4,862 |
0.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$130 |
$325 |
0.9× |
| Application cast elbow finger short arm (29075) |
$193.20 |
$483 |
0.8× |
| Application Cast Finger (29086) |
$115.60 |
$289 |
0.8× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$193.20 |
$483 |
1.4× |
| Application cast shoulder hand long arm (29065) |
$193.20 |
$483 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$45.20 |
$113 |
0.9× |
| Application finger splint static (29130) |
$55.20 |
$138 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$124.80 |
$312 |
0.9× |
| Application long leg splint thigh ankle/toes (29505) |
$124.80 |
$312 |
0.9× |
| Application of long leg cast (29345) |
$204 |
$510 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$258 |
$645 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$92.40 |
$231 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$128 |
$320 |
1.1× |
| Application short leg splint calf foot (29515) |
$118.80 |
$297 |
0.8× |
| Apply patella tendon bearing cast (29435) |
$193.20 |
$483 |
0.8× |
| Arterial puncture (36600) |
$132 |
$330 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$254 |
$635 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$306.80 |
$767 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$146.40 |
$366 |
0.8× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$720.80 |
$1,802 |
0.7× |
| Biopsy bone trocar/needle deep (20225) |
$1,330 |
$3,325 |
0.9× |
| Biopsy Nerve (64795) |
$1,197.20 |
$2,993 |
0.7× |
| Biopsy of tongue (41100) |
$559.20 |
$1,398 |
1.2× |
| Biopsy soft tissue neck/thorax (21550) |
$1,160 |
$2,900 |
0.8× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$714.80 |
$1,787 |
0.5× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,578 |
$3,945 |
0.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$714.80 |
$1,787 |
0.5× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$714.80 |
$1,787 |
0.5× |
| Bl push transfuse 2 yr/< (36440) |
$388 |
$970 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$224.40 |
$561 |
0.4× |
| Bladder Scan (51798) |
$64 |
$160 |
1.3× |
| Blood patch (62273) |
$878 |
$2,195 |
1.4× |
| Blood transfusion service (36430) |
$403.20 |
$1,008 |
1.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,144.80 |
$2,862 |
0.7× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$1,952 |
$4,880 |
0.6× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,160.40 |
$2,901 |
0.8× |
| Bronchoscopy bronch stents (31636) |
$3,480 |
$8,700 |
0.6× |
| Bronchoscopy dilate/fx repr (31630) |
$1,952 |
$4,880 |
0.6× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,952 |
$4,880 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,160.40 |
$2,901 |
0.8× |
Bronchoscopy w/markers (31626) unusually low: confirm this is the full procedure |
$1,952 |
$4,880 |
0.3× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$3,480 |
$8,700 |
0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,144.80 |
$2,862 |
0.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$1,952 |
$4,880 |
0.6× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,160.40 |
$2,901 |
0.8× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,160.40 |
$2,901 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$1,182 |
$2,955 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$1,359.20 |
$3,398 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$163.60 |
$409 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$234.80 |
$587 |
1.1× |
| Chest tube placement (32551) |
$861.60 |
$2,154 |
0.6× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$58 |
$145 |
0.5× |
| Circumcision (54150) |
$164.40 |
$411 |
0.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$971.20 |
$2,428 |
0.7× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$412.80 |
$1,032 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$214 |
$535 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,548 |
$3,870 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$169.20 |
$423 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$215.60 |
$539 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$167.60 |
$419 |
0.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$363.20 |
$908 |
1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$215.60 |
$539 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$319.60 |
$799 |
1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$214 |
$535 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$228.80 |
$572 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$169.20 |
$423 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,183.60 |
$2,959 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$169.20 |
$423 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$169.20 |
$423 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$730.40 |
$1,826 |
3.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$169.20 |
$423 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$169.20 |
$423 |
0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$215.60 |
$539 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$214 |
$535 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$169.20 |
$423 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$214 |
$535 |
1.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$215.60 |
$539 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$971.20 |
$2,428 |
0.7× |
| Colonoscopy flex w/rem forcep (45384) |
$920 |
$2,300 |
0.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$800 |
$2,000 |
0.8× |
| Colonoscopy for bleeding (44391) |
$800 |
$2,000 |
0.8× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$800 |
$2,000 |
0.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$800 |
$2,000 |
0.8× |
| Colonoscopy stoma w/biopsy (44389) |
$800 |
$2,000 |
0.8× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$800 |
$2,000 |
0.8× |
| Colonoscopy stoma w/snare (44394) |
$800 |
$2,000 |
0.8× |
| Colonoscopy through stoma with decompression (44408) |
$800 |
$2,000 |
1.0× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$800 |
$2,000 |
0.8× |
| Colonoscopy thru stoma (44388) |
$920 |
$2,300 |
1.1× |
| Colonoscopy w/ablation (45388) |
$800 |
$2,000 |
0.8× |
| Colonoscopy w/band ligation (45398) |
$800 |
$2,000 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$800 |
$2,000 |
0.8× |
| Colonoscopy w/resection (45390) |
$800 |
$2,000 |
0.3× |
| Colonoscopy w/stent plcmt (45389) |
$4,918 |
$12,295 |
0.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$800 |
$2,000 |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$800 |
$2,000 |
0.8× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$800 |
$2,000 |
0.8× |
| Complete replacement picc rs&i (36584) |
$740 |
$1,850 |
0.5× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$207.20 |
$518 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$109.20 |
$273 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$116 |
$290 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,263.20 |
$3,158 |
0.9× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,182 |
$2,955 |
0.8× |
| Delivery placenta separate procedure (59414) |
$1,600 |
$4,000 |
0.6× |
| Destroy cerv/thor facet jnt (64633) |
$978.80 |
$2,447 |
0.6× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$244.80 |
$612 |
0.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$85.20 |
$213 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$126.40 |
$316 |
0.7× |
| Diagnostic sigmoidoscopy (45330) |
$491.20 |
$1,228 |
0.6× |
| Drainage abscess/hematoma nasal int approach (30000) |
$148.80 |
$372 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$452.80 |
$1,132 |
0.7× |
| Drainage Finger Abscess Complicated (26011) |
$1,372.80 |
$3,432 |
1.0× |
| Drainage of gum lesion (41800) |
$162 |
$405 |
1.4× |
| Draw blood off venous device (36591) |
$92 |
$230 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$283.20 |
$708 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$146 |
$365 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$148 |
$370 |
0.9× |
| Dx bone marrow bx & aspir (38222) |
$396.40 |
$991 |
0.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$920 |
$2,300 |
0.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$920 |
$2,300 |
0.6× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$920 |
$2,300 |
0.6× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$920 |
$2,300 |
0.6× |
| Egd Endo Mucosal Resection (43254) |
$920 |
$2,300 |
0.6× |
| Egd endoscopic stent place (43266) |
$2,746 |
$6,865 |
0.5× |
| Egd flexible foreign body removal (43247) |
$644.80 |
$1,612 |
0.8× |
| Egd guide wire insertion (43248) |
$644.80 |
$1,612 |
0.8× |
| Egd injection varices (43243) |
$644.80 |
$1,612 |
0.4× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$920 |
$2,300 |
0.6× |
| Egd place gastrostomy tube (43246) |
$920 |
$2,300 |
0.6× |
| Egd rem tumr/polyp forcep (43250) |
$920 |
$2,300 |
0.6× |
| Egd remove lesion snare (43251) |
$920 |
$2,300 |
0.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$920 |
$2,300 |
0.6× |
| Egd tube/cath insertion (43241) |
$644.80 |
$1,612 |
0.4× |
| Egd us exam duodenum/jejunum (43259) |
$920 |
$2,300 |
0.6× |
| Egd us fine needle bx/aspir (43242) |
$920 |
$2,300 |
0.6× |
| Egd us transmural injxn/mark (43253) |
$920 |
$2,300 |
0.6× |
| Egd Varices Ligation (43244) |
$920 |
$2,300 |
0.6× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$737.60 |
$1,844 |
0.4× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,217.20 |
$3,043 |
0.7× |
| Episiotomy or vaginal repair (59300) |
$1,680 |
$4,200 |
0.6× |
| Ercp remove forgn body duct (43275) |
$1,689.20 |
$4,223 |
1.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$644.80 |
$1,612 |
0.8× |
| Esophagoscopy flexible removal foreign body (43215) |
$921.20 |
$2,303 |
0.6× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$921.20 |
$2,303 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$52.40 |
$131 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,160 |
$2,900 |
0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$452.80 |
$1,132 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$714.80 |
$1,787 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$452.80 |
$1,132 |
0.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,341.20 |
$3,353 |
0.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$452.80 |
$1,132 |
0.7× |
| Exchange transfusion, blood; other than newborn (36455) |
$257.20 |
$643 |
0.7× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$986.40 |
$2,466 |
0.7× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$986.40 |
$2,466 |
0.7× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,355.20 |
$3,388 |
1.0× |
| Fetal Contraction Stress Test (59020) |
$184 |
$460 |
1.1× |
| Fetal non-stress test (59025) |
$162 |
$405 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$579.20 |
$1,448 |
0.9× |
| Fluoro exam of g/colon tube (49465) |
$189.60 |
$474 |
0.9× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$195.20 |
$488 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$587.20 |
$1,468 |
1.0× |
| Harvest stem cell concentrte (38215) |
$543.20 |
$1,358 |
1.4× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$1,596.80 |
$3,992 |
0.6× |
| I&D Abscess Peritonsillar (42700) |
$209.60 |
$524 |
1.0× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,944.80 |
$4,862 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$133.20 |
$333 |
0.8× |
Incision for implantation of neurostimulator electrode array; sacral nerve (64581) unusually low: confirm this is the full procedure |
$2,670 |
$6,675 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$141.60 |
$354 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$593.20 |
$1,483 |
0.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$273.20 |
$683 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$558.80 |
$1,397 |
0.9× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$458 |
$1,145 |
0.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$558.80 |
$1,397 |
0.9× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$458 |
$1,145 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$355.20 |
$888 |
1.3× |
| Injection anes other peripheral nerve/branch (64450) |
$476.40 |
$1,191 |
0.8× |
| Injection for identification of sentinel node (38792) |
$333.20 |
$833 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$338 |
$845 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$152.80 |
$382 |
0.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$234 |
$585 |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$85.20 |
$213 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$1,362 |
$3,405 |
0.3× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$8,211.20 |
$20,528 |
0.9× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$8,211.20 |
$20,528 |
0.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$8,211.20 |
$20,528 |
0.9× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$8,211.20 |
$20,528 |
0.9× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$5,661.20 |
$14,153 |
0.8× |
| Insert 1 electrode pm-defib (33216) |
$5,661.20 |
$14,153 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$986.80 |
$2,467 |
0.4× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$351.60 |
$879 |
0.1× |
| Insert pacing lead & connect (33224) |
$8,211.20 |
$20,528 |
0.9× |
| Insert picc cath (36569) |
$947.60 |
$2,369 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$132 |
$330 |
1.2× |
| Insert tun ip cath perc (49418) |
$2,900 |
$7,250 |
0.9× |
| Insert tunneled cv cath (36561) |
$2,294.40 |
$5,736 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$132 |
$330 |
1.2× |
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) unusually low: confirm this is the full procedure |
$5,666.40 |
$14,166 |
0.3× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$5,661.20 |
$14,153 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,185.20 |
$5,463 |
0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$5,272 |
$13,180 |
0.7× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$643.20 |
$1,608 |
0.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$6,000 |
$15,000 |
0.6× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$3,000 |
$7,500 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$260 |
$650 |
1.3× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$334.40 |
$836 |
1.0× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$130.40 |
$326 |
0.8× |
| Laryngoscopy w/biopsy (31535) |
$1,738.80 |
$4,347 |
0.5× |
| Ligation of a-v fistula (37607) |
$2,190 |
$5,475 |
0.8× |
| Ligation of hemorrhoid(s) (46221) |
$832.40 |
$2,081 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,341.20 |
$3,353 |
0.9× |
| Liver Biopsy (47000) |
$986.40 |
$2,466 |
0.7× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$709.60 |
$1,774 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$593.20 |
$1,483 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$680 |
$1,700 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$680 |
$1,700 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,966 |
$4,915 |
1.4× |
| Percutaneous diskectomy (62287) |
$666.80 |
$1,667 |
0.4× |
| Perq dev breast 1st strtctc (19283) |
$120.40 |
$301 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$158 |
$395 |
0.3× |
| Perq device breast 1st imag (19281) |
$120.40 |
$301 |
0.1× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$861.60 |
$2,154 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$201.20 |
$503 |
0.9× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) unusually low: confirm this is the full procedure |
$6,800 |
$17,000 |
0.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$9,214.40 |
$23,036 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$2,600 |
$6,500 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$243.60 |
$609 |
0.6× |
| Proctosigmoidoscopy (45303) |
$720.80 |
$1,802 |
0.7× |
| Proctosigmoidoscopy w/bx (45305) |
$720.80 |
$1,802 |
0.7× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$427.20 |
$1,068 |
0.5× |
| Puncture Aspiration (10160) |
$272.40 |
$681 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$374 |
$935 |
0.6× |
| Rbc depletion of harvest (38212) |
$543.20 |
$1,358 |
1.4× |
| Relocation of skin pocket for pacemaker (33222) |
$1,217.20 |
$3,043 |
0.7× |
| Removal fb intranasal (30300) |
$132 |
$330 |
1.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,578 |
$3,945 |
0.6× |
| Removal Foreign Body Foot Complicated (28193) |
$986.40 |
$2,466 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,160 |
$2,900 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$972.80 |
$2,432 |
1.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$986.40 |
$2,466 |
0.7× |
| Removal foreign body pharynx (42809) |
$243.60 |
$609 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$54.40 |
$136 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$57.60 |
$144 |
1.1× |
| Removal of arm foreign body (24200) |
$986.40 |
$2,466 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$141.60 |
$354 |
0.8× |
Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$1,023.20 |
$2,558 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$204 |
$510 |
0.8× |
| Remove Eyelid Foreign Body (67938) |
$258 |
$645 |
0.9× |
| Remove foreign body from eye (65210) |
$243.60 |
$609 |
0.6× |
| Remove intrvas foreign body (37197) |
$1,934.40 |
$4,836 |
0.7× |
| Remove shoulder foreign body (23330) |
$610 |
$1,525 |
0.4× |
| Remv Ext Canal Foreign Body (69200) |
$132 |
$330 |
1.2× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$87.20 |
$218 |
0.8× |
| Renal biopsy (50200) |
$1,236.80 |
$3,092 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$357.20 |
$893 |
1.0× |
| Repair hand tendon (26410) |
$1,500 |
$3,750 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$274 |
$685 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$344 |
$860 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$418.40 |
$1,046 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$319.60 |
$799 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$319.60 |
$799 |
0.9× |
| Repair lead pace-defib dual (33220) |
$2,030 |
$5,075 |
0.6× |
| Repair lead pace-defib one (33218) |
$2,030 |
$5,075 |
0.6× |
| Repair of nail bed (11760) |
$418.40 |
$1,046 |
0.7× |
| Replace duod/jej tube perc (49451) |
$746 |
$1,865 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$362 |
$905 |
0.5× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$1,119.20 |
$2,798 |
0.4× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,227.20 |
$5,568 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$243.60 |
$609 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$92.40 |
$231 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,714 |
$4,285 |
0.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$986.40 |
$2,466 |
0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$334.40 |
$836 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$574.40 |
$1,436 |
1.1× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$658.80 |
$1,647 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,360.80 |
$5,902 |
0.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$646.80 |
$1,617 |
1.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$427.20 |
$1,068 |
0.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$720.80 |
$1,802 |
0.7× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$720.80 |
$1,802 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$141.60 |
$354 |
0.8× |
| Sigmoidoscopy & decompress (45337) |
$720.80 |
$1,802 |
0.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$720.80 |
$1,802 |
0.7× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$720.80 |
$1,802 |
0.7× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$720.80 |
$1,802 |
0.9× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$720.80 |
$1,802 |
0.7× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$427.20 |
$1,068 |
0.5× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$427.20 |
$1,068 |
0.5× |
| Sigmoidoscopy w/fb removal (45332) |
$720.80 |
$1,802 |
0.7× |
| Sigmoidoscopy w/us guide bx (45342) |
$720.80 |
$1,802 |
0.7× |
| Simple biopsy of growth of throat behind nose (42804) |
$1,095.60 |
$2,739 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$146.40 |
$366 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$173.60 |
$434 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$191.60 |
$479 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$115.60 |
$289 |
0.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$308.40 |
$771 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$164 |
$410 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$205.60 |
$514 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,407.20 |
$3,518 |
2.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,407.20 |
$3,518 |
2.2× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,300.80 |
$5,752 |
1.3× |
| Skin tissue rearrangement (14040) |
$1,406 |
$3,515 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$174.80 |
$437 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$256.80 |
$642 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$264 |
$660 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$364.80 |
$912 |
0.6× |
| Spinal Puncture Therapeutic (62272) |
$478.40 |
$1,196 |
0.8× |
| Strapping ankle (29540) |
$115.60 |
$289 |
0.8× |
| Strapping elbow/wrist (29260) |
$45.20 |
$113 |
0.9× |
| Strapping hand/finger (29280) |
$45.20 |
$113 |
0.9× |
| Strapping knee (29530) |
$45.20 |
$113 |
0.4× |
| Strapping shoulder (29240) |
$92.40 |
$231 |
0.8× |
| Strapping toes (29550) |
$45.20 |
$113 |
0.9× |
| Strapping unna boot (29580) |
$118.80 |
$297 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$146 |
$365 |
0.4× |
| Thaw preserved stem cells (38208) |
$297.60 |
$744 |
0.8× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$647.20 |
$1,618 |
1.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$574.40 |
$1,436 |
1.1× |
| Thrombolytic Therapy, Stroke (37195) |
$309.60 |
$774 |
1.1× |
| Tongue and mouth surg unlisted (41599) |
$148.80 |
$372 |
0.7× |
| Trach Tube Change (31502) |
$148.80 |
$372 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$203.60 |
$509 |
1.0× |
| Transcatheter biopsy (37200) |
$1,934.40 |
$4,836 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$214 |
$535 |
1.0× |
| Trim skin lesion (11055) |
$85.20 |
$213 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$126.40 |
$316 |
0.7× |
| Trim skin lesions over 4 (11057) |
$126.40 |
$316 |
0.7× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$297.60 |
$744 |
0.8× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$543.20 |
$1,358 |
1.4× |
| Vaginal delivery only (59409) |
$1,992.40 |
$4,981 |
0.7× |
| Venipuncture (36415) |
$5.60 |
$14 |
0.6× |
| Wash harvest stem cells (38209) |
$257.20 |
$643 |
0.7× |