| Abd paracentesis w/imaging (49083) |
$1,372.25 |
$2,744.50 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,279.25 |
$2,558.50 |
1.5× |
| Abdomen Surgery Procedure (22999) |
$1,313 |
$2,626 |
5.5× |
| Ablate inf turbinate submuc (30802) |
$1,783.50 |
$3,567 |
1.2× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$7,847.50 |
$15,695 |
0.5× |
| Acne surgery (10040) |
$231 |
$462 |
1.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,371.50 |
$4,743 |
1.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,371.50 |
$4,743 |
1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,073.50 |
$8,147 |
1.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,371.50 |
$4,743 |
1.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,371.50 |
$4,743 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,371.50 |
$4,743 |
1.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,371.50 |
$4,743 |
1.2× |
| Amniocentesis diagnostic (59000) |
$1,059 |
$2,118 |
1.2× |
| Amniocentesis therapeutic (59001) |
$434 |
$868 |
1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,761 |
$7,522 |
1.2× |
| Amputation Finger/Thumb (26951) |
$4,308.25 |
$8,616.50 |
1.4× |
| Amputation metatarsal with toe single (28810) |
$3,799.50 |
$7,599 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$3,761 |
$7,522 |
1.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,922.75 |
$7,845.50 |
1.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$187 |
$374 |
1.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$184.50 |
$369 |
1.2× |
| Appl Multlay Comprs Arm/Hand (29584) |
$197.50 |
$395 |
1.3× |
| Application cast elbow finger short arm (29075) |
$354.75 |
$709.50 |
1.3× |
| Application Cast Finger (29086) |
$187 |
$374 |
1.2× |
| Application cast shoulder hand long arm (29065) |
$330.25 |
$660.50 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$168 |
$336 |
2.9× |
| Application finger splint static (29130) |
$175.50 |
$351 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$221 |
$442 |
1.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$391.50 |
$783 |
1.4× |
| Application of cylinder cast (thigh to ankle) (29365) |
$321.50 |
$643 |
1.2× |
| Application of long leg cast (29345) |
$356.50 |
$713 |
1.3× |
| Application of rigid total contact leg cast (29445) |
$382 |
$764 |
1.4× |
| Application Patellar Tendon Bearing Cast (29435) |
$321.50 |
$643 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$223.75 |
$447.50 |
1.7× |
| Application short arm splint forearm-hand static (29125) |
$175.50 |
$351 |
1.4× |
| Application uniplane external fixation system (20690) |
$5,801 |
$11,602 |
0.8× |
| Apply Hand/Wrist Cast (29085) |
$184 |
$368 |
1.2× |
| Apply long leg splint (29505) |
$217 |
$434 |
1.4× |
| Apply short leg cast (29405) |
$330.25 |
$660.50 |
1.2× |
| Apply short leg cast (29425) |
$331.75 |
$663.50 |
1.2× |
| Apply short leg splint (29515) |
$221 |
$442 |
1.4× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
$3,427 |
$6,854 |
0.7× |
| Arterial puncture (36600) |
$69.50 |
$139 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$442.25 |
$884.50 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$919 |
$1,838 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$378 |
$756 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$418.75 |
$837.50 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$359.25 |
$718.50 |
1.2× |
Arthrodesis sacroiliac joint percutaneous (27279) unusually low: confirm this is the full procedure |
$7,847.50 |
$15,695 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$1,394.50 |
$2,789 |
2.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$364.75 |
$729.50 |
1.2× |
| Aspiration and injection for treatment of bone cyst (20615) |
$814 |
$1,628 |
1.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$763.50 |
$1,527 |
1.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,511 |
$5,022 |
1.2× |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
$3,111 |
$6,222 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$230 |
$460 |
1.2× |
| Biliary endoscopy percut,dil strict (47555) |
$5,945 |
$11,890 |
0.9× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,522 |
$21,044 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,181 |
$6,362 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$2,816.50 |
$5,633 |
1.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,962.50 |
$3,925 |
1.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$1,478 |
$2,956 |
1.7× |
| Biopsy External Auditory Canal (69105) |
$1,783.50 |
$3,567 |
1.2× |
| Biopsy external ear (69100) |
$272.50 |
$545 |
1.2× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy intranasal (30100) |
$1,783.50 |
$3,567 |
1.2× |
| Biopsy muscle deep (20205) |
$3,339 |
$6,678 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,972.75 |
$3,945.50 |
1.2× |
| Biopsy Nail Unit Separate Procedure (11755) |
$814 |
$1,628 |
1.2× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$3,811 |
$7,622 |
1.2× |
| Biopsy of breast; open, incisional (19101) |
$4,500.50 |
$9,001 |
1.2× |
| Biopsy of eyelid lining (68100) |
$2,733 |
$5,466 |
1.2× |
| Biopsy of floor of mouth (41108) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy of lip (40490) |
$272.50 |
$545 |
1.2× |
| Biopsy of mouth lesion (40808) |
$620 |
$1,240 |
1.2× |
| Biopsy of palate, uvula (42100) |
$1,783.50 |
$3,567 |
1.2× |
| Biopsy of penis (54100) |
$1,904 |
$3,808 |
1.2× |
| Biopsy of tongue (41100) |
$620 |
$1,240 |
1.2× |
| Biopsy of urethra (53200) |
$2,403 |
$4,806 |
1.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$4,500.50 |
$9,001 |
1.2× |
| Biopsy Oropharynx (42800) |
$1,783.50 |
$3,567 |
1.2× |
| Biopsy pleura percutaneous needle (32400) |
$1,507 |
$3,014 |
0.9× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy Salivary Gland Incisional (42405) |
$1,783.50 |
$3,567 |
1.2× |
| Biopsy Salivary Gland,Needle (42400) |
$814 |
$1,628 |
1.2× |
| Biopsy soft tissue back,superf (21920) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,904 |
$3,808 |
1.2× |
| Biopsy soft tissue neck/thorax (21550) |
$1,968 |
$3,936 |
1.2× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,898.50 |
$3,797 |
1.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,460.50 |
$4,921 |
1.5× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,811 |
$7,622 |
1.2× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,721 |
$7,442 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,042 |
$2,084 |
1.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,065.50 |
$2,131 |
1.2× |
| Biopsy, prostate, transrectal, MRI-ultrasound-fusion guided, targeted lesion(s) only, first targeted lesion (55711) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy, prostate; incisional, any approach Facility (55705) |
$4,051.50 |
$8,103 |
1.2× |
| Biopsy; nasopharynx, survey for unknown primary lesion Facility (42806) |
$3,811 |
$7,622 |
1.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$988.50 |
$1,977 |
1.5× |
| Bladder Irrigation Simple (51700) |
$325.25 |
$650.50 |
1.3× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,013.50 |
$4,027 |
1.3× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,586 |
$5,172 |
1.3× |
| Blepharotomy drain absc eyelid (67700) |
$416 |
$832 |
1.4× |
| Blood patch (62273) |
$894.50 |
$1,789 |
1.3× |
| Blood transfusion service (36430) |
$923 |
$1,846 |
2.2× |
| Bone marrow aspiration only (38220) |
$1,898.50 |
$3,797 |
1.2× |
| Bone Marrow Biopsy (38221) |
$1,898.50 |
$3,797 |
1.2× |
| Breast surgery procedure (19499) |
$4,555.50 |
$9,111 |
1.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,770 |
$5,540 |
1.6× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$4,326 |
$8,652 |
1.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$2,046.50 |
$4,093 |
1.2× |
Bronchoscopic Thermoplasty 2/> Lobes (31661) unusually low: confirm this is the full procedure |
$2,624 |
$5,248 |
0.4× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,326 |
$8,652 |
1.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,305.50 |
$4,611 |
1.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$2,984.50 |
$5,969 |
1.7× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$512.50 |
$1,025 |
1.4× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$2,046 |
$4,092 |
1.2× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,257.50 |
$4,515 |
1.4× |
| Bx anorectal wall anal approach (45100) |
$3,211 |
$6,422 |
1.2× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$3,339 |
$6,678 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$2,635 |
$5,270 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$2,569.50 |
$5,139 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$2,345.50 |
$4,691 |
1.5× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,166.50 |
$4,333 |
1.4× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$2,273.50 |
$4,547 |
0.8× |
| Bx/exc lymph node needle superficial (38505) |
$1,972.75 |
$3,945.50 |
1.2× |
| Canthoplasty (67950) |
$2,907 |
$5,814 |
1.3× |
| Car-t admn autologous (38228) |
$416 |
$832 |
1.3× |
| Casting/strapping procedure (29799) |
$222 |
$444 |
1.4× |
| Cauterization,cervix,electro/thermal (57510) |
$3,721 |
$7,442 |
1.2× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$350.50 |
$701 |
1.2× |
| Cessj Therapy Cath Removal (37214) |
$2,865.50 |
$5,731 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$863.75 |
$1,727.50 |
1.3× |
| Change of cystostomy tube simple (51705) |
$299.75 |
$599.50 |
1.2× |
| Chemical cautery tissue (17250) |
$230 |
$460 |
1.2× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$814.50 |
$1,629 |
1.2× |
| Chemodenerv Eccrine Glands (64650) |
$353 |
$706 |
1.2× |
| Chemodenerv musc migraine (64615) |
$353 |
$706 |
1.2× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$353 |
$706 |
1.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$811.50 |
$1,623 |
1.2× |
| Chemodenerv trunk musc 6/> (64647) |
$811.50 |
$1,623 |
1.2× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$811.50 |
$1,623 |
1.2× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
$353 |
$706 |
1.2× |
| Chemodenervation of extraocular muscle (67345) |
$390.75 |
$781.50 |
1.3× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$814.50 |
$1,629 |
1.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$351.50 |
$703 |
1.2× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,417 |
$4,834 |
1.2× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,426.50 |
$6,853 |
1.0× |
| Chorionic villus sampling (59015) |
$1,059 |
$2,118 |
1.2× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
$2,653 |
$5,306 |
1.2× |
| Circum 28 days or older (54161) |
$2,403 |
$4,806 |
1.2× |
| Circumcision Neonate (54160) |
$801.50 |
$1,603 |
1.2× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$844.50 |
$1,689 |
2.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$312.25 |
$624.50 |
1.3× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$281.50 |
$563 |
1.2× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$284 |
$568 |
1.2× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,848.50 |
$3,697 |
1.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$331 |
$662 |
1.4× |
| Closed Rx Radial Shaft Fx (25500) |
$284 |
$568 |
1.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$311.25 |
$622.50 |
1.3× |
| Closed Rx Tibial Plateau Fx (27530) |
$284 |
$568 |
1.2× |
| Closed Treat Vert Body Fract (22310) |
$284 |
$568 |
1.2× |
| Closed treat wrist dislocation (25660) |
$284 |
$568 |
1.2× |
| Closed Treatment Coccygeal Fracture (27200) |
$284 |
$568 |
1.2× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,899.75 |
$7,799.50 |
1.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$311.25 |
$622.50 |
1.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$284 |
$568 |
1.2× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$284 |
$568 |
1.2× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$3,761 |
$7,522 |
1.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$311.25 |
$622.50 |
1.3× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$284 |
$568 |
1.2× |
| Closed treatment of talus fracture; without manipulation (28430) |
$284 |
$568 |
1.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$284 |
$568 |
1.2× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$2,057.75 |
$4,115.50 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$311.25 |
$622.50 |
1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$284 |
$568 |
1.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$284 |
$568 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$284 |
$568 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$311.25 |
$622.50 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,094.25 |
$4,188.50 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$284 |
$568 |
1.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$284 |
$568 |
1.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,848.50 |
$3,697 |
1.2× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,960.50 |
$3,921 |
1.3× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$3,761 |
$7,522 |
1.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$284 |
$568 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$311.25 |
$622.50 |
1.3× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,848.50 |
$3,697 |
1.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$620 |
$1,240 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$284 |
$568 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,340 |
$4,680 |
1.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,783.50 |
$3,567 |
1.2× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,827.50 |
$7,655 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$338.50 |
$677 |
1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,919.75 |
$3,839.50 |
1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$284 |
$568 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,094.25 |
$4,188.50 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$2,012.50 |
$4,025 |
1.3× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$286.50 |
$573 |
1.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$283.50 |
$567 |
1.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,094.25 |
$4,188.50 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$338.50 |
$677 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,094.25 |
$4,188.50 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$284 |
$568 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$286.50 |
$573 |
1.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$275.50 |
$551 |
1.2× |
| Closure of the lacrimal punctum; by plug, each (68761) |
$382 |
$764 |
1.2× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery (68760) |
$365 |
$730 |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$286.50 |
$573 |
1.2× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$284 |
$568 |
1.2× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$284 |
$568 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,340 |
$4,680 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$348.25 |
$696.50 |
1.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$284 |
$568 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,321.50 |
$4,643 |
1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,340 |
$4,680 |
1.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$284 |
$568 |
1.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$284 |
$568 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$308.50 |
$617 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$312.50 |
$625 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$311.25 |
$622.50 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$286.50 |
$573 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$295.50 |
$591 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,164.75 |
$4,329.50 |
1.4× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,340 |
$4,680 |
1.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$311.25 |
$622.50 |
1.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$284 |
$568 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,867.50 |
$3,735 |
1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$284 |
$568 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$284 |
$568 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$311.25 |
$622.50 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$284 |
$568 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,094.25 |
$4,188.50 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$284 |
$568 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$325.50 |
$651 |
1.4× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$284 |
$568 |
1.2× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,988 |
$3,976 |
1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$387 |
$774 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$311.25 |
$622.50 |
1.3× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$311.25 |
$622.50 |
1.3× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$311.25 |
$622.50 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$312.25 |
$624.50 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$288.25 |
$576.50 |
1.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,867.50 |
$3,735 |
1.2× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$284 |
$568 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$335.50 |
$671 |
1.4× |
| Cltx post ankle fx w/mnpj (27768) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,741 |
$5,482 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$510.50 |
$1,021 |
2.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$284 |
$568 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,784 |
$3,568 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$338.50 |
$677 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$311.25 |
$622.50 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,900.50 |
$3,801 |
1.2× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,919.75 |
$3,839.50 |
1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,848.50 |
$3,697 |
1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$284 |
$568 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,094.25 |
$4,188.50 |
1.3× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$284 |
$568 |
1.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$284 |
$568 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$197.50 |
$395 |
1.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$331 |
$662 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$232.50 |
$465 |
1.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$350.50 |
$701 |
1.2× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,721 |
$7,442 |
1.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,721 |
$7,442 |
1.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$350.50 |
$701 |
1.2× |
| Colposcopy vulva (56820) |
$232.50 |
$465 |
1.2× |
| Colposcopy vulva w/biopsy (56821) |
$350 |
$700 |
1.2× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$350.50 |
$701 |
1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,255.50 |
$2,511 |
1.4× |
| Complex Cystometrogram (51726) |
$287.50 |
$575 |
1.2× |
| Complex Uroflowmetry (51741) |
$248.50 |
$497 |
1.2× |
| Conization of cervix (57520) |
$3,118.50 |
$6,237 |
1.0× |
| Conization of cervix (57522) |
$3,721 |
$7,442 |
1.2× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$490 |
$980 |
2.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$171.25 |
$342.50 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$187 |
$374 |
1.5× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$620 |
$1,240 |
1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,175 |
$4,350 |
1.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,346.50 |
$4,693 |
1.5× |
| Correction eyelid w/implant (67912) |
$2,733 |
$5,466 |
1.2× |
| Correction Trichiasis Epilation Forceps Only (67820) |
$153 |
$306 |
1.2× |
| Cover eye w/membrane (65778) |
$1,146 |
$2,292 |
1.2× |
| Csf shunt reprogram (62252) |
$467.75 |
$935.50 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$167 |
$334 |
1.3× |
| Curettage postpartum (59160) |
$3,721 |
$7,442 |
1.2× |
| Curette/treat cornea (65436) |
$2,733 |
$5,466 |
1.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,841.25 |
$5,682.50 |
1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,896 |
$5,792 |
1.4× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$4,051.50 |
$8,103 |
1.2× |
| Cysto w/insert ureteral stent (52332) |
$5,228 |
$10,456 |
1.5× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,051.50 |
$8,103 |
1.2× |
| Cysto w/removal of tumors small (52234) |
$4,051.50 |
$8,103 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,473.25 |
$4,946.50 |
1.2× |
| Cysto/uretero w/lithotripsy (52356) |
$4,929 |
$9,858 |
1.0× |
| Cystometrogram w/vp (51728) |
$801.50 |
$1,603 |
1.2× |
| Cystometrogram W/Vp&Up (51729) |
$801.50 |
$1,603 |
1.2× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,026 |
$6,052 |
1.5× |
| Cystourethroscopy (52000) |
$908.75 |
$1,817.50 |
1.3× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$4,051.50 |
$8,103 |
1.2× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,417 |
$4,834 |
1.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$801.50 |
$1,603 |
1.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,409 |
$4,818 |
1.2× |
| Cystourethroscopy with biopsy (52204) |
$2,403 |
$4,806 |
1.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,403 |
$4,806 |
1.2× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$2,417 |
$4,834 |
1.2× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Facility (68720) |
$3,973 |
$7,946 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,306.50 |
$6,613 |
1.2× |
| Dcmprn prq rmv lig flv 1lmbr (62330) |
$5,800.50 |
$11,601 |
0.8× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$814 |
$1,628 |
1.2× |
| Debride nail 1-5 (11720) |
$68 |
$136 |
1.2× |
| Debride nail 6 or more (11721) |
$68.25 |
$136.50 |
1.2× |
| Debride skin musc at fx site (11011) |
$814 |
$1,628 |
1.2× |
| Debride tissue/muscle (11043) |
$1,212.75 |
$2,425.50 |
1.7× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$620 |
$1,240 |
1.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$263 |
$526 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$515.25 |
$1,030.50 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,901.25 |
$3,802.50 |
1.2× |
| Declot vascular device (36593) |
$426.75 |
$853.50 |
1.3× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,371.50 |
$4,743 |
1.2× |
| Dermabrasion superficial any site (15783) |
$467.50 |
$935 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,244.50 |
$4,489 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,244.50 |
$4,489 |
1.2× |
| Destruc,Ciliary Body,Cyclophotocoag (66710) |
$2,977.50 |
$5,955 |
1.3× |
| Destruction Benign Lesions 15/> (17111) |
$231 |
$462 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$230 |
$460 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,017 |
$2,034 |
1.2× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$2,244.50 |
$4,489 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,017 |
$2,034 |
1.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$353 |
$706 |
1.2× |
| Destruction Lesions Vulva Simple (56501) |
$2,371.50 |
$4,743 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$231 |
$462 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$231 |
$462 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$467.50 |
$935 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$849.50 |
$1,699 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$849.50 |
$1,699 |
1.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$467.50 |
$935 |
1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$231 |
$462 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$231 |
$462 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$231 |
$462 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$231 |
$462 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$467.50 |
$935 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$467.50 |
$935 |
1.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$231 |
$462 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,250 |
$4,500 |
1.2× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Facility (67227) |
$3,862.50 |
$7,725 |
1.0× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
$365 |
$730 |
1.2× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$1,269 |
$2,538 |
1.3× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Facility (67210) |
$632.50 |
$1,265 |
1.2× |
| Destruction Premalignant Lesion 15/> (17004) |
$467.50 |
$935 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$229.25 |
$458.50 |
1.2× |
| Destruction Vaginal Lesions Simple (57061) |
$3,721 |
$7,442 |
1.2× |
| Diagnostic anoscopy (46601) |
$513.50 |
$1,027 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,073.50 |
$2,147 |
1.6× |
| Dil urethra,female,subsequent (53661) |
$153 |
$306 |
1.2× |
| Dilate Urethra Stricture (53620) |
$801.50 |
$1,603 |
1.2× |
| Dilate urethra stricture (53621) |
$287.50 |
$575 |
1.2× |
| Dilate urethra stricture (53600) |
$287.50 |
$575 |
1.2× |
| Dilation and curettage (58120) |
$3,780.50 |
$7,561 |
1.2× |
| Dilation Nasolacrimal Duct (68801) |
$536.75 |
$1,073.50 |
1.2× |
| Dilation of cervical canal (57800) |
$3,721 |
$7,442 |
1.2× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$149.50 |
$299 |
1.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
$153 |
$306 |
1.2× |
| Dilation Salivary Duct (42650) |
$1,783.50 |
$3,567 |
1.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,898.50 |
$3,797 |
1.2× |
| Drain lower leg bursa (27604) |
$3,761 |
$7,522 |
1.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$936.25 |
$1,872.50 |
1.4× |
| Drain Spinal Cord Cyst (62268) |
$1,017 |
$2,034 |
1.2× |
| Drain/inj small joint/bursa w/us (20604) |
$346.50 |
$693 |
1.2× |
| Drainage Abscess Parotid Simple (42300) |
$1,783.50 |
$3,567 |
1.2× |
| Drainage abscess/hematoma nasal int approach (30000) |
$272.50 |
$545 |
1.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$682.50 |
$1,365 |
1.3× |
| Drainage external auditory canal abscess (69020) |
$936.25 |
$1,872.50 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$936.25 |
$1,872.50 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,898.50 |
$3,797 |
1.2× |
| Drainage Finger Abscess Simple (26010) |
$285.50 |
$571 |
1.5× |
| Drainage of eye (65810) |
$2,653 |
$5,306 |
1.2× |
| Drainage of eye (65800) |
$3,087.75 |
$6,175.50 |
1.4× |
| Drainage of gum lesion (41800) |
$171.50 |
$343 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$2,091.75 |
$4,183.50 |
1.3× |
| Drainage of hydrocele (55000) |
$814 |
$1,628 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$1,978.75 |
$3,957.50 |
1.2× |
| Drainage tendon sheath digit&/palm each (26020) |
$3,761 |
$7,522 |
1.2× |
| Draw blood off venous device (36591) |
$195.50 |
$391 |
1.5× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$707.50 |
$1,415 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$533.50 |
$1,067 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$229.50 |
$459 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$295.50 |
$591 |
1.5× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$849.50 |
$1,699 |
1.2× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$2,371.50 |
$4,743 |
1.2× |
| Dstrj Les/Scar Vestibule Mouth Physical Meths (40820) |
$3,811 |
$7,622 |
1.2× |
| Dstrj lesion anus simple chemical (46900) |
$467.50 |
$935 |
1.2× |
| Dstrj lesion anus simple cryosurgery (46916) |
$231 |
$462 |
1.2× |
| Dstrj lesion anus simple surg excision (46922) |
$3,682 |
$7,364 |
1.4× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$467.50 |
$935 |
1.2× |
| Dstrj lesion penis simple surg excision (54060) |
$2,371.50 |
$4,743 |
1.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$467.50 |
$935 |
1.2× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$1,017 |
$2,034 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$3,339 |
$6,678 |
1.2× |
| Dx gastr intub w/asp spec (43754) |
$377 |
$754 |
1.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,326.50 |
$4,653 |
1.4× |
| Dx laryngoscopy w/oper scope (31526) |
$2,326.50 |
$4,653 |
1.4× |
| Egd flexible foreign body removal (43247) |
$1,280 |
$2,560 |
1.5× |
| Egd place gastrostomy tube (43246) |
$2,340.50 |
$4,681 |
1.3× |
| Egd tube/cath insertion (43241) |
$2,340.50 |
$4,681 |
1.3× |
| Electrical stimulation bone healing noninvasive (20974) |
$33 |
$66 |
0.3× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$849.50 |
$1,699 |
1.2× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) |
$5,069.50 |
$10,139 |
0.9× |
| EMG anal/urethral sphincter (51785) |
$334.25 |
$668.50 |
1.4× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$149.50 |
$299 |
1.2× |
| Endocervical Curettage (57505) |
$1,059 |
$2,118 |
1.2× |
| Endometrial Biopsy (58100) |
$201.50 |
$403 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$2,865.50 |
$5,731 |
0.9× |
| Endovenous rf 1st vein (36475) |
$2,865.50 |
$5,731 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$3,721 |
$7,442 |
1.2× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,381 |
$6,762 |
0.9× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,369.50 |
$6,739 |
0.9× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,369.50 |
$6,739 |
0.9× |
| Escharotomy initial incision (16035) |
$467.50 |
$935 |
1.2× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,042.50 |
$2,085 |
1.2× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$1,042.50 |
$2,085 |
1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,042.50 |
$2,085 |
1.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,206 |
$4,412 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$153.50 |
$307 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,898.50 |
$3,797 |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,898.50 |
$3,797 |
1.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$814 |
$1,628 |
1.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,901.25 |
$3,802.50 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,898.50 |
$3,797 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,898.50 |
$3,797 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$814 |
$1,628 |
1.2× |
| Exc back les sc < 3 cm (21930) |
$1,898.50 |
$3,797 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$814 |
$1,628 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,898.50 |
$3,797 |
1.2× |
| Exc Frenum Labial/Buccal (40819) |
$1,783.50 |
$3,567 |
1.2× |
| Exc ganglion wrist recurrent (25112) |
$1,848.50 |
$3,697 |
1.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,811 |
$7,622 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,858 |
$3,716 |
1.2× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,848.50 |
$3,697 |
1.2× |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
$4,011.50 |
$8,023 |
1.3× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$814 |
$1,628 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$553.25 |
$1,106.50 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$818 |
$1,636 |
1.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,898.50 |
$3,797 |
1.2× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,339 |
$6,678 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,339 |
$6,678 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,898.50 |
$3,797 |
1.2× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$3,429.75 |
$6,859.50 |
1.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,339 |
$6,678 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,898.50 |
$3,797 |
1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,901.25 |
$3,802.50 |
1.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,898.50 |
$3,797 |
1.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,898.50 |
$3,797 |
1.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,341.50 |
$6,683 |
1.2× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$3,341.50 |
$6,683 |
1.2× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$3,339 |
$6,678 |
1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,898.50 |
$3,797 |
1.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,341.50 |
$6,683 |
1.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,904 |
$3,808 |
1.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,898.50 |
$3,797 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,898.50 |
$3,797 |
1.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,338.50 |
$6,677 |
1.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,341.50 |
$6,683 |
1.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,426.50 |
$6,853 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,635 |
$5,270 |
1.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$3,018.75 |
$6,037.50 |
1.6× |
| Excise cutaneous neurofibroma (64788) |
$2,244.50 |
$4,489 |
1.2× |
| Excise pharynx lesion (42808) |
$3,811 |
$7,622 |
1.2× |
| Excise/repair mouth lesion (40812) |
$1,783.50 |
$3,567 |
1.2× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$3,208 |
$6,416 |
1.4× |
| Excision Aural Polyp (69540) |
$1,783.50 |
$3,567 |
1.2× |
| Excision Bone Mandible (21025) |
$6,804.50 |
$13,609 |
1.2× |
| Excision Chalazion Single (67800) |
$372.50 |
$745 |
1.2× |
| Excision exostosis(es), external auditory canal Facility (69140) |
$6,804.50 |
$13,609 |
1.2× |
| Excision external ear partial simple repair (69110) |
$3,339 |
$6,678 |
1.2× |
| Excision H/P/P/U Complex Repair (11471) |
$3,339 |
$6,678 |
1.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,339 |
$6,678 |
1.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$3,339 |
$6,678 |
1.2× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$3,339 |
$6,678 |
1.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,339 |
$6,678 |
1.2× |
| Excision lesion mouth roof (42104) |
$3,811 |
$7,622 |
1.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,783.50 |
$3,567 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$814 |
$1,628 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$842.75 |
$1,685.50 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$484.50 |
$969 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$842.75 |
$1,685.50 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$838.25 |
$1,676.50 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$814 |
$1,628 |
1.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$838.25 |
$1,676.50 |
1.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$842.75 |
$1,685.50 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,953.50 |
$3,907 |
1.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,953.50 |
$3,907 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,898.50 |
$3,797 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$842.75 |
$1,685.50 |
1.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$842.75 |
$1,685.50 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,953.50 |
$3,907 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,953.50 |
$3,907 |
1.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$814 |
$1,628 |
1.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$848.75 |
$1,697.50 |
1.2× |
| Excision of chalazion; multiple, different lids (67805) |
$390.75 |
$781.50 |
1.3× |
| Excision of chalazion; multiple, same lid (67801) |
$1,187.25 |
$2,374.50 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,867.50 |
$3,735 |
1.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,142.50 |
$2,285 |
1.2× |
| Excision of lesion of tongue without closure (41110) |
$3,811 |
$7,622 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,898.50 |
$3,797 |
1.2× |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
$2,733 |
$5,466 |
1.2× |
| Excision of lesion, conjunctiva; up to 1 cm (68110) |
$2,732.50 |
$5,465 |
1.2× |
| Excision of malignant tumor of mandible; Facility (21044) |
$6,804.50 |
$13,609 |
1.2× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,429.75 |
$6,859.50 |
1.2× |
| Excision of single external papilla or tag, anus (46220) |
$1,607 |
$3,214 |
1.4× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$3,339 |
$6,678 |
1.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,710.25 |
$3,420.50 |
1.5× |
| Excision of tongue lesion (41112) |
$3,811 |
$7,622 |
1.2× |
| Excision of vaginal cyst or tumor (57135) |
$3,780 |
$7,560 |
1.2× |
| Excision olecranon bursa (24105) |
$3,799.50 |
$7,599 |
1.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,339 |
$6,678 |
1.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,339 |
$6,678 |
1.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$3,761 |
$7,522 |
1.2× |
| Excision tendon finger flexor/extensor each (26180) |
$1,848.50 |
$3,697 |
1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,904 |
$3,808 |
1.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,339 |
$6,678 |
1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,898.50 |
$3,797 |
1.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,898.50 |
$3,797 |
1.2× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$1,898.50 |
$3,797 |
1.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$3,341.50 |
$6,683 |
1.2× |
| Excision, lesion of palate, uvula; with simple primary closure Facility (42106) |
$3,811 |
$7,622 |
1.2× |
| Excision, nasal polyp(s), simple Facility (30110) |
$1,783.50 |
$3,567 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,898.50 |
$3,797 |
1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,898.50 |
$3,797 |
1.2× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,811 |
$7,622 |
1.2× |
| Excision/surgical planing skin nose rhinophyma (30120) |
$3,811 |
$7,622 |
1.2× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$2,777.50 |
$5,555 |
1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,815 |
$5,630 |
1.4× |
| Explo/Drain Breast Abscess (19020) |
$1,898.50 |
$3,797 |
1.2× |
| Exploration of knee joint (27310) |
$4,064.75 |
$8,129.50 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,446 |
$4,892 |
1.5× |
| Explore Parathyroid Glands (60500) |
$6,804.50 |
$13,609 |
1.2× |
| Explore/irrigate tear ducts (68840) |
$371 |
$742 |
1.2× |
| External cephalic version (59412) |
$3,721 |
$7,442 |
1.2× |
| Extraction of lens (66940) |
$2,653 |
$5,306 |
1.2× |
| Eye surgery procedure (67299) |
$2,653 |
$5,306 |
1.2× |
| Eye surgery procedure (66999) |
$2,882 |
$5,764 |
1.3× |
| Fasciectomy Palm Only (26121) |
$3,761 |
$7,522 |
1.2× |
| Fasciotomy palmar open partial (26045) |
$3,799.50 |
$7,599 |
1.2× |
| Fasciotomy palmar percutaneous (26040) |
$1,848.50 |
$3,697 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,799.50 |
$7,599 |
1.2× |
| Fetal contraction stress test (59020) |
$389.50 |
$779 |
2.0× |
| Fetal non-stress test (59025) |
$266.75 |
$533.50 |
1.4× |
| Fine needle aspiration biopsy, including MR guidance; first lesion (10011) |
$1,454.50 |
$2,909 |
2.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,353 |
$2,706 |
2.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,204 |
$2,408 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$467.50 |
$935 |
1.2× |
| Fit/Insert Intravag Support Device (57160) |
$232.50 |
$465 |
1.2× |
| Fitting of diaphragm/cap (57170) |
$232.50 |
$465 |
1.2× |
| Fix Entropion,Extensv Lid Repair (67924) |
$2,777 |
$5,554 |
1.2× |
| Fluoro exam of g/colon tube (49465) |
$354.50 |
$709 |
1.5× |
| Fna bx w/fluor gdn 1st les (10007) |
$1,454.50 |
$2,909 |
2.1× |
| Follow-up surgery of eye (66250) |
$2,733 |
$5,466 |
1.2× |
| Foreskin manipulation (54450) |
$287.50 |
$575 |
1.2× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,404.50 |
$4,809 |
1.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,780.25 |
$5,560.50 |
1.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,371.50 |
$4,743 |
1.2× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$2,371.50 |
$4,743 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$249 |
$498 |
1.2× |
| Graft Composite W/Primary Closure Donor Area (15760) |
$2,371.50 |
$4,743 |
1.2× |
| Gstr rstcv px trnsorl esg (43889) |
$10,522 |
$21,044 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$821.50 |
$1,643 |
1.2× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,211 |
$6,422 |
1.2× |
| Hysteroscopy biopsy (58558) |
$3,721 |
$7,442 |
1.2× |
| I&D Abscess Peritonsillar (42700) |
$306 |
$612 |
1.3× |
| I&d abscess simple (10060) |
$273 |
$546 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,824.50 |
$7,649 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,339 |
$6,678 |
1.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$2,784 |
$5,568 |
1.4× |
| I&d forearm/wrist bursa (25031) |
$1,848.50 |
$3,697 |
1.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,495.50 |
$8,991 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$936.25 |
$1,872.50 |
1.4× |
| I&d vulva/perineal abscess (56405) |
$342.25 |
$684.50 |
1.2× |
| Image Cath Fluid Colxn Visc (49405) |
$3,900 |
$7,800 |
2.4× |
| Image Cath Fluid Peri/Retro (49406) |
$4,650 |
$9,300 |
2.9× |
| Implantation of intrastromal corneal ring segments Facility (65785) |
$3,786 |
$7,572 |
0.9× |
| Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Facility (69714) |
$7,598.50 |
$15,197 |
0.6× |
| Impression & Preparation Oral Surgical Splint (21085) |
$326 |
$652 |
1.4× |
| Incise external hemorrhoid (46083) |
$379.75 |
$759.50 |
1.6× |
| Incise finger tendon sheath (26055) |
$1,848.50 |
$3,697 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$467.50 |
$935 |
1.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$936.25 |
$1,872.50 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,059.25 |
$4,118.50 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$489.25 |
$978.50 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$261.50 |
$523 |
1.3× |
| Incision and drainage perianal abscess superficial (46050) |
$1,240 |
$2,480 |
1.4× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,274.50 |
$6,549 |
1.2× |
| Incision Drainage Lacrimal Sac (68420) |
$2,855.25 |
$5,710.50 |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,867.50 |
$3,735 |
1.2× |
| Incision of eardrum (69421) |
$3,811 |
$7,622 |
1.2× |
| Incision of eardrum (69420) |
$272.50 |
$545 |
1.2× |
| Incision of eyelid fold (67715) |
$2,733 |
$5,466 |
1.2× |
| Incision of labial frenum (frenotomy) (40806) |
$620 |
$1,240 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,955 |
$3,910 |
1.3× |
| Incision of rectal abscess (46040) |
$1,638.75 |
$3,277.50 |
1.4× |
| Incision of urethra (53020) |
$2,002 |
$4,004 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$416 |
$832 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$797.50 |
$1,595 |
1.1× |
| Induced abortion by d&c (59840) |
$3,721 |
$7,442 |
1.2× |
| Initial tx 1st degree burn local tx (16000) |
$263 |
$526 |
1.4× |
| Inj Dupuytren Cord W/Enzyme (20527) |
$353 |
$706 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,017 |
$2,034 |
1.2× |
| Inj tendon sheath/ligament (20550) |
$353 |
$706 |
1.2× |
| Inj therapeutic carpal tunnel (20526) |
$255.75 |
$511.50 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,142.75 |
$2,285.50 |
1.3× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$365 |
$730 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,756.50 |
$3,513 |
2.1× |
| Inject Intravitreal Pharmcologic (67028) |
$413 |
$826 |
1.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$1,017 |
$2,034 |
1.2× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,756.50 |
$3,513 |
2.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,185.25 |
$2,370.50 |
1.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$966.25 |
$1,932.50 |
1.4× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,217.75 |
$2,435.50 |
1.4× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,017 |
$2,034 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$353 |
$706 |
1.2× |
| Inject/treat eye socket (67500) |
$380.50 |
$761 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$845 |
$1,690 |
1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$811.50 |
$1,623 |
1.2× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$814.50 |
$1,629 |
1.2× |
| Injection aa&/strd pudendal nerve (64430) |
$1,017 |
$2,034 |
1.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$403 |
$806 |
1.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$424.25 |
$848.50 |
1.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$885.50 |
$1,771 |
1.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$894.50 |
$1,789 |
1.3× |
| Injection for identification of sentinel node (38792) |
$529 |
$1,058 |
1.4× |
| Injection into skin lesions (11900) |
$231 |
$462 |
1.2× |
| Injection peyronie disease (54200) |
$287.50 |
$575 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$404 |
$808 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$353 |
$706 |
1.2× |
| Injection treatment of nerve (64681) |
$1,017 |
$2,034 |
1.2× |
| Injection, anesthetic agent; vagus nerve (64408) |
$378 |
$756 |
1.3× |
| Injection, anterior chamber of eye (separate procedure); medication Facility (66030) |
$2,882 |
$5,764 |
1.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$231 |
$462 |
1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,017.50 |
$2,035 |
1.2× |
| Ins cath ren art 1st bilat (36252) |
$2,865.50 |
$5,731 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$2,865.50 |
$5,731 |
0.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,865.50 |
$5,731 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,069.50 |
$10,139 |
0.9× |
| Ins endovas vena cava filtr (37191) |
$5,069.50 |
$10,139 |
0.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$5,235.50 |
$10,471 |
0.5× |
| Ins tun ip cath for dial opn (49421) |
$3,332.50 |
$6,665 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$353 |
$706 |
1.2× |
Ins/Rep Subq Defibrillator (33270) unusually low: confirm this is the full procedure |
$11,268.50 |
$22,537 |
0.4× |
| Insert and remove bone pin (20650) |
$3,761 |
$7,522 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$182 |
$364 |
1.5× |
| Insert cath pleura w/ image (32557) |
$1,802.50 |
$3,605 |
1.2× |
| Insert cath pleura w/o image (32556) |
$2,353 |
$4,706 |
1.3× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,386 |
$2,772 |
1.2× |
| Insert cervical dilator (59200) |
$350.50 |
$701 |
1.2× |
| Insert Drug Implant Device (11981) |
$153 |
$306 |
1.2× |
| Insert gastrostomy tube percutaneous (49440) |
$2,175 |
$4,350 |
1.2× |
| Insert heart pm atrial (33206) |
$5,235.50 |
$10,471 |
0.5× |
| Insert heart pm ventricular (33207) |
$5,235.50 |
$10,471 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$3,497.50 |
$6,995 |
1.1× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,865.50 |
$5,731 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,802.50 |
$3,605 |
1.2× |
| Insert pulse gen dual leads (33213) |
$5,363 |
$10,726 |
0.5× |
Insert pulse gen sngl lead (33212) unusually low: confirm this is the full procedure |
$3,144 |
$6,288 |
0.4× |
Insert subq implantable defib electrode (33271) unusually low: confirm this is the full procedure |
$3,228.50 |
$6,457 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$200 |
$400 |
1.6× |
| Insert tun ip cath perc (49418) |
$3,332.50 |
$6,665 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,970 |
$5,940 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$159 |
$318 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,332.50 |
$6,665 |
1.0× |
| Insertion Nasal Septal Prosthesis Button (30220) |
$1,783.50 |
$3,567 |
1.2× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$9,382.50 |
$18,765 |
0.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$726.50 |
$1,453 |
1.2× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$12,749.50 |
$25,499 |
1.6× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$4,578 |
$9,156 |
0.9× |
Insertion/rplcmt peripheral/gastric npgr (64590) likely a partial charge, not the full procedure |
$4,259 |
$8,518 |
0.2× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) unusually low: confirm this is the full procedure |
$3,144 |
$6,288 |
0.4× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) unusually low: confirm this is the full procedure |
$3,144 |
$6,288 |
0.4× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$5,235.50 |
$10,471 |
0.5× |
| Insj picc rs&i 5 yr+ (36573) |
$1,809.50 |
$3,619 |
1.2× |
| Insj rx elut implt lac canal (68841) |
$2,733 |
$5,466 |
1.2× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$7,598.50 |
$15,197 |
0.6× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,039.50 |
$10,079 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,980.50 |
$5,961 |
1.0× |
Insj/rplcmt defib w/lead(s) (33249) unusually low: confirm this is the full procedure |
$11,456.50 |
$22,913 |
0.4× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$3,144 |
$6,288 |
0.4× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) unusually low: confirm this is the full procedure |
$3,144 |
$6,288 |
0.4× |
| Interdental Fixation (21110) |
$1,791.50 |
$3,583 |
1.2× |
| Interdental Wiring Other Than Fracture (21497) |
$2,264 |
$4,528 |
1.5× |
| Intro cath dialysis circuit (36901) |
$1,164 |
$2,328 |
0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$7,965.50 |
$15,931 |
0.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$4,984 |
$9,968 |
0.9× |
| Intro Gastrointestinal Tube (44500) |
$1,350.50 |
$2,701 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$308 |
$616 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$285 |
$570 |
1.2× |
| Labyrinthotomy Transcanal (69801) |
$1,783.50 |
$3,567 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$5,801 |
$11,602 |
0.8× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$10,522 |
$21,044 |
1.0× |
| Laryngoplasty, medialization, unilateral Facility (31591) |
$6,804.50 |
$13,609 |
1.2× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$4,285.50 |
$8,571 |
1.2× |
| Laryngoscopy diagnostic (31505) |
$229.50 |
$459 |
1.2× |
| Laryngoscopy Direct Aspiration (31515) |
$445.50 |
$891 |
1.2× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) |
$470 |
$940 |
1.2× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$4,285.50 |
$8,571 |
1.2× |
| Laryngoscopy flexible diagnostic (31575) |
$274.50 |
$549 |
1.4× |
| Laryngoscopy Flexible Rmvl Lesion(S) Non-Laser (31578) |
$4,285.50 |
$8,571 |
1.2× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$2,046 |
$4,092 |
1.2× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,065.75 |
$4,131.50 |
1.2× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$2,046 |
$4,092 |
1.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$450 |
$900 |
1.2× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$450 |
$900 |
1.2× |
| Laser surgery of eye (65855) |
$632.50 |
$1,265 |
1.2× |
| Late closure of wound (13160) |
$4,073.50 |
$8,147 |
1.2× |
| Lateral canthopexy (21282) |
$3,811 |
$7,622 |
1.2× |
| Ligation of a-v fistula (37607) |
$2,865.50 |
$5,731 |
0.9× |
| Ligation of hemorrhoid(s) (46221) |
$1,219.25 |
$2,438.50 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$2,368.50 |
$4,737 |
1.5× |
| Liver Biopsy (47000) |
$2,200 |
$4,400 |
1.4× |
| Lyse chest fibrin init day (32561) |
$721.50 |
$1,443 |
1.2× |
| Lysis Intranasal Synechia (30560) |
$620 |
$1,240 |
1.2× |
| Lysis of labial adhesions (56441) |
$3,721 |
$7,442 |
1.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,403 |
$4,806 |
1.2× |
| Manipulat Palm Cord Post Inj (26341) |
$284 |
$568 |
1.2× |
| Manipulation knee joint under general anesthesia (27570) |
$1,848.50 |
$3,697 |
1.2× |
| Middle ear surgery proc unlisted (69799) |
$272.50 |
$545 |
1.2× |
| Mohs 1 stage h/n/hf/g (17311) |
$849.50 |
$1,699 |
1.2× |
| Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) |
$849.50 |
$1,699 |
1.2× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$2,733 |
$5,466 |
1.2× |
| Myelography Lumbar Injection (62305) |
$902.50 |
$1,805 |
1.2× |
| Myelography Lumbar Injection (62304) |
$902.50 |
$1,805 |
1.2× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,232.50 |
$2,465 |
1.6× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,287.50 |
$2,575 |
1.7× |
| Myringoplasty (69620) |
$3,811 |
$7,622 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$811.50 |
$1,623 |
1.2× |
| N Block Inj, Plantar Digit (64455) |
$365.50 |
$731 |
1.2× |
| Nasal endoscopy dx (31231) |
$245.75 |
$491.50 |
1.3× |
| Nasal surgery procedure (30999) |
$339.50 |
$679 |
1.5× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,326 |
$8,652 |
1.2× |
| Nasal/sinus endoscopy, diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) Facility (31233) |
$450 |
$900 |
1.2× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$2,046 |
$4,092 |
1.2× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$2,046 |
$4,092 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,326.50 |
$4,653 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,388 |
$4,776 |
1.4× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$616 |
$1,232 |
1.4× |
| Needle biopsy of pancreas (48102) |
$1,898.50 |
$3,797 |
1.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$50 |
$100 |
1.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$60 |
$120 |
2.1× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,250 |
$4,500 |
1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$534 |
$1,068 |
1.3× |
| Njx aa&/strd sciatic nerve (64445) |
$970.25 |
$1,940.50 |
1.4× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$288.50 |
$577 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,426.50 |
$6,853 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,017 |
$2,034 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$811.50 |
$1,623 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$811.50 |
$1,623 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$1,017 |
$2,034 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$885.50 |
$1,771 |
1.3× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,371.50 |
$4,743 |
1.2× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,371.50 |
$4,743 |
1.2× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$915.50 |
$1,831 |
1.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$467.50 |
$935 |
1.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,139.50 |
$14,279 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$1,077.50 |
$2,155 |
1.2× |
| Occipital Nerve Block (64405) |
$302.75 |
$605.50 |
1.0× |
| Onc Pncrs Dna&Mrna Seq 74 (0313U) |
$750 |
$1,500 |
0.2× |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
$249 |
$498 |
0.3× |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
$2,241 |
$4,482 |
0.8× |
| Open thrombect av fistula (36831) |
$5,039.50 |
$10,079 |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$7,598.50 |
$15,197 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,799.50 |
$7,599 |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$3,799.50 |
$7,599 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,730 |
$7,460 |
1.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,761 |
$7,522 |
1.2× |
| Open/Perq Place Stent Same (37238) |
$11,000 |
$22,000 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$16,000 |
$32,000 |
1.4× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,761 |
$7,522 |
1.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,799.50 |
$7,599 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,094.25 |
$4,188.50 |
1.3× |
| Partial hymenectomy or revision (56700) |
$4,348.50 |
$8,697 |
1.4× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$7,644 |
$15,288 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,142 |
$2,284 |
1.7× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,965 |
$15,930 |
0.7× |
| Percutaneous diskectomy (62287) |
$2,250 |
$4,500 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$2,930 |
$5,860 |
1.9× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,720.50 |
$7,441 |
1.2× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$11,647 |
$23,294 |
0.7× |
| Perq dev breast 1st strtctc (19283) |
$822 |
$1,644 |
1.2× |
| Perq dev breast 1st us imag (19285) |
$821.75 |
$1,643.50 |
1.2× |
| Perq device breast 1st imag (19281) |
$1,232 |
$2,464 |
0.8× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$345 |
$690 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$396 |
$792 |
1.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$818 |
$1,636 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$7,965.50 |
$15,931 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,801 |
$11,602 |
0.8× |
| Perq Vertebral Augmentation (22513) |
$5,801 |
$11,602 |
0.8× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,761 |
$7,522 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,761 |
$7,522 |
1.2× |
| Photopheresis, extracorporeal (36522) |
$5,006.50 |
$10,013 |
1.2× |
| Picc line placement (36569) |
$2,497.50 |
$4,995 |
1.6× |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
$3,973 |
$7,946 |
1.0× |
| Place Cath Subclavian Art (36225) |
$2,865.50 |
$5,731 |
0.9× |
| Place Cath Thoracic Aorta (36221) |
$2,865.50 |
$5,731 |
0.9× |
| Place Cath Vertebral Art (36226) |
$5,069.50 |
$10,139 |
0.9× |
| Place duod/jej tube perc (49441) |
$2,175 |
$4,350 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$513.50 |
$1,027 |
1.2× |
| Placement of seton (46020) |
$3,682 |
$7,364 |
1.4× |
| Plastic repair of canaliculi (68700) |
$2,855.25 |
$5,710.50 |
1.2× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,610 |
$3,220 |
1.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,417.50 |
$4,835 |
1.2× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$5,354.50 |
$10,709 |
1.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$1,443 |
$2,886 |
0.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,599 |
$7,198 |
1.1× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,128.50 |
$10,257 |
1.5× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$353 |
$706 |
1.2× |
| Prim art mech thrombectomy (37184) |
$9,515 |
$19,030 |
0.5× |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
$2,777 |
$5,554 |
1.2× |
| Probe nasolacrimal duct (68810) |
$365 |
$730 |
1.2× |
| Proctopexy Perineal Approach (45541) |
$4,191 |
$8,382 |
1.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,069 |
$2,138 |
1.2× |
| Proctosigmoidoscopy dilate (45303) |
$1,375.50 |
$2,751 |
1.2× |
| Prophylaxis Retina Detach,Photocoag (67145) |
$688.50 |
$1,377 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,724 |
$3,448 |
2.5× |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
$3,621.50 |
$7,243 |
0.6× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$3,621.50 |
$7,243 |
0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,426.50 |
$6,853 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,426.50 |
$6,853 |
1.0× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$3,799.50 |
$7,599 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$590.50 |
$1,181 |
1.5× |
| Puncture Aspiration Cyst Breast (19000) |
$882.50 |
$1,765 |
1.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$509.75 |
$1,019.50 |
1.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,051.50 |
$2,103 |
1.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,244.50 |
$4,489 |
1.2× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$285 |
$570 |
0.4× |
| Reconstruct extra finger (26587) |
$4,855.50 |
$9,711 |
1.5× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage… (67975) |
$3,240 |
$6,480 |
1.4× |
| Relocation of skin pocket for pacemaker (33222) |
$2,404.50 |
$4,809 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$2,870 |
$5,740 |
0.9× |
| Removal Anal Seton Other Marker (46030) |
$1,375.50 |
$2,751 |
1.2× |
| Removal biliary drg cath (47537) |
$1,042.50 |
$2,085 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,904 |
$3,808 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$848.75 |
$1,697.50 |
1.2× |
| Removal foreign body intranasal (30300) |
$162.25 |
$324.50 |
1.3× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$2,446 |
$4,892 |
1.5× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,799.50 |
$7,599 |
1.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,341.50 |
$6,683 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$89.50 |
$179 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$85 |
$170 |
1.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,845.50 |
$7,691 |
1.2× |
| Removal implant deep (20680) |
$3,338.50 |
$6,677 |
1.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,159.25 |
$4,318.50 |
1.4× |
| Removal Implantable Contraceptive Capsules (11976) |
$814 |
$1,628 |
1.2× |
| Removal of arm foreign body (24200) |
$1,904 |
$3,808 |
1.2× |
| Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage) (65435) |
$1,146 |
$2,292 |
1.2× |
| Removal of embedded foreign body, eyelid (67938) |
$432 |
$864 |
1.4× |
| Removal of finger lesion (26210) |
$1,848.50 |
$3,697 |
1.2× |
| Removal of foreign body or dacryolith, lacrimal passages Facility (68530) |
$365 |
$730 |
1.2× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$807.50 |
$1,615 |
1.9× |
| Removal of implant from finger or hand (26320) |
$1,898.50 |
$3,797 |
1.2× |
| Removal of implanted material, posterior segment; intraocular Facility (67121) |
$2,653 |
$5,306 |
1.2× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,134.50 |
$2,269 |
1.9× |
| Removal of intranasal lesion (30118) |
$3,811 |
$7,622 |
1.2× |
| Removal of iud (58301) |
$366.75 |
$733.50 |
1.2× |
| Removal of nail bed (11750) |
$520 |
$1,040 |
1.3× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,744.50 |
$7,489 |
1.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$3,721 |
$7,442 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$230.50 |
$461 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,818.50 |
$3,637 |
2.7× |
| Removal Submand Stone,Complicated (42335) |
$3,811 |
$7,622 |
1.2× |
| Removal/bivalving full arm/full leg cast (29705) |
$391.50 |
$783 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$331.50 |
$663 |
1.2× |
| Remove drug implant device (11982) |
$513.50 |
$1,027 |
1.2× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,477.50 |
$4,955 |
1.2× |
| Remove Pilonidal Cyst Exten (11771) |
$3,339 |
$6,678 |
1.2× |
| Remove renal tube w/fluoro (50389) |
$2,039.50 |
$4,079 |
3.0× |
| Remove spine eltrd perq aray (63661) |
$2,244.50 |
$4,489 |
1.2× |
| Remove Tendon Sheath Lesion (26160) |
$1,867.50 |
$3,735 |
1.2× |
| Remove vagina gland lesion (56740) |
$3,721 |
$7,442 |
1.2× |
| Remove/Insert Drug Implant (11983) |
$513.50 |
$1,027 |
1.2× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,172.25 |
$4,344.50 |
1.4× |
| Remv Ext Canal Foreign Body (69200) |
$187 |
$374 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$162.50 |
$325 |
1.3× |
| Remv&replc pm gen dual lead (33228) |
$14,221 |
$28,442 |
1.4× |
| Renal Biopsy Percutaneous (50200) |
$2,160.50 |
$4,321 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$894 |
$1,788 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$870.50 |
$1,741 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$522.25 |
$1,044.50 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$649.25 |
$1,298.50 |
1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$636 |
$1,272 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$652.25 |
$1,304.50 |
1.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$849.50 |
$1,699 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$876.25 |
$1,752.50 |
1.2× |
| Repair Detached Retina (67101) |
$3,111 |
$6,222 |
1.4× |
| Repair detached retina (67110) |
$2,925.25 |
$5,850.50 |
1.3× |
| Repair Ectropion Extensive (67917) |
$2,733 |
$5,466 |
1.2× |
| Repair ectropion suture (67914) |
$2,733 |
$5,466 |
1.2× |
| Repair Entropion Suture (67921) |
$2,733 |
$5,466 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,094.25 |
$4,188.50 |
1.3× |
| Repair eyelid defect (67916) |
$2,733 |
$5,466 |
1.2× |
| Repair eyelid defect (67908) |
$2,733 |
$5,466 |
1.2× |
| Repair eyelid defect (67904) |
$2,777 |
$5,554 |
1.2× |
| Repair Finger Tendon (26433) |
$3,761 |
$7,522 |
1.2× |
| Repair hand tendon (26410) |
$1,952.50 |
$3,905 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$553 |
$1,106 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$553 |
$1,106 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$510.25 |
$1,020.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$467.50 |
$935 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$510.25 |
$1,020.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$510.25 |
$1,020.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$876.25 |
$1,752.50 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$509.50 |
$1,019 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$552.50 |
$1,105 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$860 |
$1,720 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$808 |
$1,616 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$510.25 |
$1,020.50 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$509.50 |
$1,019 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$552.50 |
$1,105 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,371.50 |
$4,743 |
1.2× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,761 |
$7,522 |
1.2× |
| Repair Laceration Palate </2 Cm (42180) |
$1,050.50 |
$2,101 |
2.0× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$6,955 |
$13,910 |
1.2× |
| Repair lead pace-defib dual (33220) |
$3,273.50 |
$6,547 |
0.9× |
| Repair lead pace-defib one (33218) |
$3,273.50 |
$6,547 |
0.9× |
| Repair of eye wound (65270) |
$2,977.50 |
$5,955 |
1.3× |
| Repair of laceration; application of tissue glue, wounds of cornea and/or sclera (65286) |
$3,522.50 |
$7,045 |
1.6× |
| Repair of nail bed (11760) |
$849.50 |
$1,699 |
1.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$4,855.50 |
$9,711 |
1.5× |
| Repair tongue laceration (41252) |
$339.50 |
$679 |
1.5× |
| Repair Tongue Laceration (41250) |
$616 |
$1,232 |
1.4× |
| Repair tympanic membrane (69610) |
$1,783.50 |
$3,567 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,397.50 |
$2,795 |
1.6× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$1,151.75 |
$2,303.50 |
1.3× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,123 |
$2,246 |
1.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,150.50 |
$6,301 |
0.9× |
| Reposition cv cath w/fluoro (36597) |
$1,802.50 |
$3,605 |
1.2× |
| Reposition gastric feeding tube thru duodenum (43761) |
$288.50 |
$577 |
1.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,761 |
$7,522 |
1.2× |
| Revise eye socket implant (67560) |
$3,862.50 |
$7,725 |
1.0× |
| Revise eyelashes (67825) |
$399.50 |
$799 |
1.3× |
| Revise eyelid defect (67909) |
$2,733 |
$5,466 |
1.2× |
| Revise eyelid lining (68330) |
$2,653 |
$5,306 |
1.2× |
| Revise spine eltrd perq aray (63663) |
$3,621.50 |
$7,243 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$2,250 |
$4,500 |
1.2× |
| Revision eyelid unlisted (67999) |
$365 |
$730 |
1.2× |
| Revision of colostomy simple (44340) |
$4,117.50 |
$8,235 |
1.2× |
| Revision of iris (66761) |
$648.50 |
$1,297 |
1.2× |
| Revision of lower leg tendon (27685) |
$3,761 |
$7,522 |
1.2× |
| Revision of nose (30430) |
$6,804.50 |
$13,609 |
1.2× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$5,039.50 |
$10,079 |
0.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,412 |
$6,824 |
1.0× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$6,661 |
$13,322 |
1.2× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$6,661 |
$13,322 |
1.2× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$14,091.50 |
$28,183 |
1.3× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$14,091.50 |
$28,183 |
1.3× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$4,377 |
$8,754 |
0.8× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$4,377 |
$8,754 |
0.8× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$7,965 |
$15,930 |
0.7× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$7,965 |
$15,930 |
0.7× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$7,965 |
$15,930 |
0.7× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$7,965 |
$15,930 |
0.7× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$9,515 |
$19,030 |
0.5× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$9,515 |
$19,030 |
0.5× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,756.50 |
$5,513 |
1.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,222.50 |
$2,445 |
1.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$166 |
$332 |
1.3× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$513.50 |
$1,027 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$3,339 |
$6,678 |
1.2× |
| Rmvl of subq defibrillator (33272) |
$3,150.50 |
$6,301 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,775 |
$5,550 |
1.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$727 |
$1,454 |
1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,870 |
$5,740 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,062 |
$6,124 |
1.0× |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
$3,973 |
$7,946 |
1.0× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$992.50 |
$1,985 |
1.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$339.50 |
$679 |
1.5× |
| Rpr non-union mtcrpl/phalanx (26546) |
$5,801 |
$11,602 |
0.8× |
| Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc (67105) |
$866 |
$1,732 |
1.6× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$2,980.50 |
$5,961 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,994 |
$3,988 |
1.2× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Facility (65860) |
$632.50 |
$1,265 |
1.2× |
| Severing of tarsorrhaphy (67710) |
$1,146 |
$2,292 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$467.50 |
$935 |
1.2× |
| Shave skin lesion 0.5 cm/< (11305) |
$231 |
$462 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$231 |
$462 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$467.50 |
$935 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$231 |
$462 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$231 |
$462 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$467.50 |
$935 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$231 |
$462 |
1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$467.50 |
$935 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$202.75 |
$405.50 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$467.50 |
$935 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$231 |
$462 |
1.2× |
| Simple Cystometrogram (51725) |
$287.50 |
$575 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$302 |
$604 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$361.50 |
$723 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$267.50 |
$535 |
1.4× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$267.50 |
$535 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$310.75 |
$621.50 |
1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$312.75 |
$625.50 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$849.50 |
$1,699 |
1.2× |
| Skin sub graft trnk/arm/leg (15271) |
$850 |
$1,700 |
1.2× |
| Skin sub grft t/arm/lg child (15273) |
$2,371.50 |
$4,743 |
1.2× |
| Skin Tissue Procedure (17999) |
$280 |
$560 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$2,371.50 |
$4,743 |
1.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,069.50 |
$10,139 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$2,865.50 |
$5,731 |
0.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,069.50 |
$10,139 |
0.9× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,614 |
$9,228 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$312.50 |
$625 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$553 |
$1,106 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$553 |
$1,106 |
1.4× |
| Snip incision lacrimal punctum (68440) |
$368 |
$736 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,090.50 |
$2,181 |
1.6× |
| Spinal Puncture Therapeutic (62272) |
$1,029 |
$2,058 |
1.5× |
| Spine Surgery Procedure Unlisted (22899) |
$284 |
$568 |
1.2× |
| Stimulus evoked response (51792) |
$70.50 |
$141 |
1.2× |
| Strapping ankle (29540) |
$180 |
$360 |
1.1× |
| Strapping elbow or wrist (29260) |
$133 |
$266 |
2.3× |
| Strapping hand/finger (29280) |
$123 |
$246 |
2.2× |
| Strapping shoulder (29240) |
$229.50 |
$459 |
1.8× |
| Strapping unna boot (29580) |
$247.50 |
$495 |
1.6× |
| Subconjunctival injection (68200) |
$513.50 |
$1,027 |
1.2× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$513.50 |
$1,027 |
1.2× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$231 |
$462 |
1.2× |
| Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) |
$849.50 |
$1,699 |
1.2× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
$849.50 |
$1,699 |
1.2× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$478 |
$956 |
1.5× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$3,811 |
$7,622 |
1.2× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,932.50 |
$5,865 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$467.50 |
$935 |
1.2× |
| Tattooing Incl Micropigmentation 6.0 Cm/< (11920) |
$849.50 |
$1,699 |
1.2× |
| Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) |
$849.50 |
$1,699 |
1.2× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) likely a partial charge, not the full procedure |
$7,672.50 |
$15,345 |
0.3× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) unusually low: confirm this is the full procedure |
$8,276 |
$16,552 |
0.4× |
| Temporary Closure Eyelids Suture (67875) |
$1,144.50 |
$2,289 |
1.2× |
| Tenolysis extensor tendon hand/finger each (26445) |
$3,761 |
$7,522 |
1.2× |
| Tenotomy Elbow Lateral/Medial Percutaneous (24357) |
$3,761 |
$7,522 |
1.2× |
| Tenotomy flexor finger open each tendon (26455) |
$1,848.50 |
$3,697 |
1.2× |
| Tenotomy percutaneous single each digit (26060) |
$1,848.50 |
$3,697 |
1.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,882.50 |
$3,765 |
1.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,848.50 |
$3,697 |
1.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,848.50 |
$3,697 |
1.2× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
$3,761 |
$7,522 |
1.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,848.50 |
$3,697 |
1.2× |
| Ther Apheresis,White Blood Cells (36511) |
$1,773 |
$3,546 |
1.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,073.50 |
$2,147 |
1.6× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$903 |
$1,806 |
1.5× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$5,427 |
$10,854 |
1.0× |
| Throat Surgery Procedure (42999) |
$339.50 |
$679 |
1.5× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,865.50 |
$5,731 |
0.9× |
| Thrombolytic Art Therapy (37211) |
$5,069.50 |
$10,139 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$613.50 |
$1,227 |
1.9× |
| Thrombolytic Venous Therapy (37212) |
$2,865.50 |
$5,731 |
0.9× |
| Thyroid biopsy (60100) |
$854.25 |
$1,708.50 |
1.2× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) |
$9,526 |
$19,052 |
0.7× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,761 |
$7,522 |
1.2× |
| Tongue and mouth surg unlisted (41599) |
$272.50 |
$545 |
1.2× |
| Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) |
$3,721 |
$7,442 |
1.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$620 |
$1,240 |
1.2× |
| Tracheostomy planned (31600) |
$3,810.50 |
$7,621 |
1.2× |
| Tracheotomy tube change (31502) |
$339.50 |
$679 |
1.5× |
| Transcatheter biopsy (37200) |
$5,039.50 |
$10,079 |
0.9× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$4,929 |
$9,858 |
1.0× |
| Transur electr resection of prostate (52601) |
$4,929 |
$9,858 |
1.0× |
| Treat clavicle dislocation (23540) |
$321 |
$642 |
1.3× |
| Treat clavicle fracture (23505) |
$1,848.50 |
$3,697 |
1.2× |
| Treat humerus fracture (24500) |
$326.25 |
$652.50 |
1.4× |
| Treat humerus fracture (23600) |
$311.25 |
$622.50 |
1.3× |
| Treat knee fracture (27532) |
$3,761 |
$7,522 |
1.2× |
| Treat Knee Fracture(S) (27538) |
$284 |
$568 |
1.2× |
| Treat Metatarsal Fracture (28475) |
$284 |
$568 |
1.2× |
| Treat pleurodesis w/agent (32560) |
$721.50 |
$1,443 |
1.2× |
| Treat shoulder blade fx (23575) |
$2,267 |
$4,534 |
1.5× |
| Treat Thigh Fracture (27246) |
$286.50 |
$573 |
1.2× |
| Treat Thumb Dislocation (26641) |
$284 |
$568 |
1.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,848.50 |
$3,697 |
1.2× |
| Treat vagina infection (57150) |
$68 |
$136 |
1.2× |
| Treat wrist bone fracture (25622) |
$284 |
$568 |
1.2× |
| Treat Wrist Bone Fracture (25630) |
$284 |
$568 |
1.2× |
| Treatment closed elbow dislocation req anes (24605) |
$2,340 |
$4,680 |
1.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$311.25 |
$622.50 |
1.3× |
| Treatment extensive retinopathy photocoagulation (67228) |
$632.50 |
$1,265 |
1.2× |
| Treatment of gum lesion (41850) |
$1,783.50 |
$3,567 |
1.2× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$4,476.50 |
$8,953 |
1.4× |
| Treatment of retina (67141) |
$401 |
$802 |
1.3× |
| Treatment of retinal lesion (67208) |
$416.50 |
$833 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$284 |
$568 |
1.2× |
| Trim skin lesion (11055) |
$230 |
$460 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$230 |
$460 |
1.2× |
| Trim skin lesions over 4 (11057) |
$229.25 |
$458.50 |
1.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$68.50 |
$137 |
1.2× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$4,377 |
$8,754 |
0.8× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$4,377 |
$8,754 |
0.8× |
| Tube thoracostomy includes water seal (32551) |
$2,486 |
$4,972 |
1.6× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,783.25 |
$7,566.50 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$874.50 |
$1,749 |
1.2× |
| Tx superficial wound dehiscence w/packing (12021) |
$480.50 |
$961 |
1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,848.50 |
$3,697 |
1.2× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$6,804.50 |
$13,609 |
1.2× |
| Tympanostomy (69433) |
$620 |
$1,240 |
1.2× |
| Tympanostomy general anesthesia (69436) |
$1,993.50 |
$3,987 |
1.3× |
| Unlisted procedure colon (45399) |
$1,212.50 |
$2,425 |
1.3× |
| Unlisted procedure dentoalveolar structures (41899) |
$307.75 |
$615.50 |
1.3× |
| Unlisted Procedure Endocrine System (60699) |
$6,949 |
$13,898 |
1.2× |
| Unlisted procedure femur or knee (27599) |
$311.25 |
$622.50 |
1.3× |
| Unlisted procedure foot or toes (28899) |
$284 |
$568 |
1.2× |
| Unlisted procedure humerus/elbow (24999) |
$496 |
$992 |
2.1× |
| Unlisted procedure larynx (31599) |
$272.50 |
$545 |
1.2× |
| Unlisted Procedure Lungs & Pleura (32999) |
$1,251.50 |
$2,503 |
2.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$338.50 |
$677 |
1.4× |
| Unlisted procedure neck or thorax (21899) |
$272.50 |
$545 |
1.2× |
| Unlisted procedure nervous system (64999) |
$471.25 |
$942.50 |
1.6× |
| Unlisted procedure rectum (45999) |
$1,356 |
$2,712 |
1.5× |
| Unlisted procedure shoulder (23929) |
$284 |
$568 |
1.2× |
| Unlisted Procedure Small Intestine (44799) |
$1,042.50 |
$2,085 |
1.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$832.50 |
$1,665 |
1.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,516 |
$3,032 |
1.7× |
| Unlisted procedure, hands or fingers (26989) |
$284 |
$568 |
1.2× |
| Unlisted procedure, lacrimal system (68899) |
$390.75 |
$781.50 |
1.3× |
| Unlisted procedure, leg or ankle (27899) |
$333 |
$666 |
1.4× |
| Unlisted procedure, maternity care and delivery (59899) |
$61 |
$122 |
0.3× |
| Unlisted procedure, stomach (43999) |
$1,042.50 |
$2,085 |
1.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$248 |
$496 |
1.3× |
| Upgrade of pacemaker system (33214) |
$5,363 |
$10,726 |
0.5× |
| Urine flow measurement (51736) |
$153 |
$306 |
1.2× |
| Us urine capacity measure (51798) |
$95.50 |
$191 |
1.7× |
| Vaginal delivery only (59409) |
$3,447 |
$6,894 |
1.1× |
| Vasc embolize/occlude artery (37242) |
$9,515 |
$19,030 |
0.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$7,965.50 |
$15,931 |
0.7× |
| Vasc embolize/occlude organ (37243) |
$7,965.50 |
$15,931 |
0.7× |
| Venipuncture (36415) |
$18 |
$36 |
1.9× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$1,017 |
$2,034 |
1.2× |
| Wedge excision skin nail fold (11765) |
$463.25 |
$926.50 |
1.2× |
| Wound Prep F/N/Hf/G (15004) |
$466.50 |
$933 |
1.2× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$840 |
$1,680 |
1.2× |