| Abd paracentesis w/imaging (49083) |
$800 |
$2,000 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$800 |
$2,000 |
1.0× |
Ablation 1/> Liver Tumor Perq Cryoablation (47383) unusually low: confirm this is the full procedure |
$4,200 |
$10,500 |
0.4× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$5,600 |
$14,000 |
0.4× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$8,000 |
$20,000 |
0.8× |
Ablation ther 1+ pulm tumors perq cryoablation (32994) unusually low: confirm this is the full procedure |
$4,000 |
$10,000 |
0.4× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$5,600 |
$14,000 |
0.9× |
| Abltj 1/> lvr tum prq rf (47382) |
$4,000 |
$10,000 |
0.7× |
| Adding Walker Previously Applied Cast (29440) |
$140 |
$350 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$2,800 |
$7,000 |
0.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,640 |
$4,100 |
0.9× |
| Allogeneic lymphocyte infusions (38242) |
$1,160 |
$2,900 |
0.8× |
| Amniocentesis diagnostic (59000) |
$560 |
$1,400 |
0.7× |
| Amniocentesis therapeutic (59001) |
$288 |
$720 |
1.0× |
| Amputate metacarpal bone (26910) |
$2,400 |
$6,000 |
0.8× |
| Amputation Finger/Thumb (26951) |
$2,400 |
$6,000 |
0.8× |
| Amputation of finger/thumb (26952) |
$2,400 |
$6,000 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$2,400 |
$6,000 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$2,400 |
$6,000 |
0.8× |
| Analyze infusn pump+reprogram (62368) |
$270 |
$675 |
1.0× |
| Analyze spine infus pump (62367) |
$270 |
$675 |
1.0× |
| Anoscopy diagnostic (46600) |
$100 |
$250 |
0.8× |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
$100 |
$250 |
0.2× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$960 |
$2,400 |
0.9× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$2,360 |
$5,900 |
0.9× |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$1,200 |
$3,000 |
0.9× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$140 |
$350 |
1.0× |
| Application cast elbow finger short arm (29075) |
$204 |
$510 |
0.8× |
| Application Cast Finger (29086) |
$140 |
$350 |
1.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$140 |
$350 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$222 |
$555 |
0.9× |
| Application Cast Shoulder Spica (29055) |
$221.20 |
$553 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$50 |
$125 |
0.9× |
| Application finger splint static (29130) |
$116 |
$290 |
1.0× |
| Application halo type body cast (29000) |
$221.20 |
$553 |
0.9× |
| Application Hip Spica Cast 1 Leg (29305) |
$246.40 |
$616 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$140 |
$350 |
1.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$246.40 |
$616 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$140 |
$350 |
1.0× |
| Application Of Body Cast (29015) |
$221.20 |
$553 |
0.9× |
| Application of body cast, shoulder to hips; including both thighs Other Surgical Services (29046) |
$246.40 |
$616 |
1.0× |
| Application of body cast, shoulder to hips; including head, Minerva type Other Surgical Services (29040) |
$204 |
$510 |
0.8× |
| Application of body cast, shoulder to hips; Other Surgical Services (29035) |
$204 |
$510 |
0.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$246.40 |
$616 |
1.0× |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
$246.40 |
$616 |
1.0× |
| Application of long leg cast (29345) |
$240 |
$600 |
1.0× |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
$204 |
$510 |
0.8× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$240 |
$600 |
1.0× |
| Application of shoulder to hip body cast and thigh (29044) |
$140 |
$350 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$100 |
$250 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$116 |
$290 |
1.0× |
| Application short leg splint calf foot (29515) |
$140 |
$350 |
1.0× |
| Application, cast; figure-of-eight (29049) |
$221.20 |
$553 |
0.9× |
| Apply Body Cast,Risser Jacket (29010) |
$221.20 |
$553 |
0.9× |
| Apply long leg cast brace (29358) |
$246.40 |
$616 |
1.0× |
| Apply multlay comprs arm/hand (29584) |
$140 |
$350 |
1.0× |
| Apply of clubfoot cast (29450) |
$140 |
$350 |
1.0× |
| Apply patella tendon bearing cast (29435) |
$204 |
$510 |
0.8× |
| Apply short leg cast (29405) |
$204 |
$510 |
0.8× |
| Apply short leg cast (29425) |
$204 |
$510 |
0.8× |
| Apply/remove halo cranial (20661) |
$525.20 |
$1,313 |
0.4× |
| Arterial puncture (36600) |
$116 |
$290 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$2,200 |
$5,500 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$264 |
$660 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$520 |
$1,300 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$396 |
$990 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$264 |
$660 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$264 |
$660 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$14,000 |
$35,000 |
0.9× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$17,756.40 |
$44,391 |
1.1× |
| Aspir/inj thyroid cyst (60300) |
$600 |
$1,500 |
0.9× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$262.40 |
$656 |
0.9× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,520 |
$3,800 |
0.8× |
| Aspiration bladder needle (51100) |
$272 |
$680 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$183.60 |
$459 |
1.0× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$960 |
$2,400 |
0.9× |
Biliary Endoscopy Percut,Dil Strict (47555) unusually low: confirm this is the full procedure |
$2,400 |
$6,000 |
0.4× |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
$10,411.20 |
$26,028 |
1.1× |
Biliary ndsc prq t-tube dilat strix w/stent (47556) unusually low: confirm this is the full procedure |
$4,000 |
$10,000 |
0.4× |
| Biopsy bone trocar/needle deep (20225) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Breast Open Incisional (19101) |
$3,029.60 |
$7,574 |
0.9× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$560 |
$1,400 |
0.7× |
| Biopsy intranasal (30100) |
$1,200 |
$3,000 |
0.9× |
| Biopsy muscle deep (20205) |
$2,320 |
$5,800 |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Nerve (64795) |
$1,480 |
$3,700 |
0.8× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$2,000 |
$5,000 |
0.8× |
| Biopsy of floor of mouth (41108) |
$1,400 |
$3,500 |
0.9× |
Biopsy of fluid collection of lung using an endoscope (32607) unusually low: confirm this is the full procedure |
$4,000 |
$10,000 |
0.4× |
| Biopsy of mouth lesion (40808) |
$400 |
$1,000 |
0.8× |
| Biopsy of penis (54100) |
$1,400 |
$3,500 |
0.9× |
| Biopsy of tongue (41100) |
$400 |
$1,000 |
0.8× |
| Biopsy of uterus lining (58100) |
$160 |
$400 |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,029.60 |
$7,574 |
0.9× |
| Biopsy Oropharynx (42800) |
$1,200 |
$3,000 |
0.9× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,400 |
$3,500 |
0.9× |
| Biopsy pleura percutaneous needle (32400) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Salivary Gland,Needle (42400) |
$600 |
$1,500 |
0.9× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$2,000 |
$5,000 |
0.8× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,400 |
$3,500 |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,400 |
$3,500 |
0.9× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,000 |
$5,000 |
0.8× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,000 |
$5,000 |
0.8× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,400 |
$3,500 |
0.9× |
| Biopsy Testis Needle Separate Procedure (54500) |
$2,320 |
$5,800 |
0.9× |
| Biopsy tongue posterior one-third (41105) |
$2,600 |
$6,500 |
0.9× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$2,260 |
$5,650 |
0.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$560 |
$1,400 |
0.7× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$2,000 |
$5,000 |
0.8× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$1,400 |
$3,500 |
0.9× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$1,400 |
$3,500 |
0.9× |
| Bl push transfuse 2 yr/< (36440) |
$405.20 |
$1,013 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$240 |
$600 |
0.4× |
| Bladder Irrigation Simple (51700) |
$240 |
$600 |
1.1× |
| Bladder Scan (51798) |
$50 |
$125 |
0.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$1,160 |
$2,900 |
0.8× |
| Blood patch (62273) |
$520 |
$1,300 |
0.8× |
| Blood transfusion service (36430) |
$396 |
$990 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$396 |
$990 |
1.0× |
| Bone marrow aspiration only (38220) |
$1,400 |
$3,500 |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,400 |
$3,500 |
0.9× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$520 |
$1,300 |
0.8× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (0138U) |
$468.40 |
$1,171 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,400 |
$3,500 |
0.9× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,400 |
$3,500 |
0.9× |
| Brnchsc removal bronchial valve initial (31648) |
$2,600 |
$6,500 |
0.8× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$5,947.60 |
$14,869 |
0.9× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$2,600 |
$6,500 |
0.8× |
| Bronch ebus samplng 1/2 node (31652) |
$2,600 |
$6,500 |
0.8× |
| Bronch ebus samplng 3/> node (31653) |
$2,600 |
$6,500 |
0.8× |
| Bronch Thermoplsty 1 Lobe (31660) |
$6,187.20 |
$15,468 |
1.0× |
| Bronchial Valve Init Insert (31647) |
$5,200 |
$13,000 |
0.8× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,400 |
$3,500 |
0.9× |
| Bronchoscopy Balloon Occlusion (31634) |
$6,187.20 |
$15,468 |
1.0× |
| Bronchoscopy bronch stents (31636) |
$5,200 |
$13,000 |
0.8× |
| Bronchoscopy dilate/fx repr (31630) |
$2,600 |
$6,500 |
0.8× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$2,600 |
$6,500 |
0.8× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,400 |
$3,500 |
0.9× |
| Bronchoscopy w/markers (31626) |
$5,200 |
$13,000 |
0.8× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$5,200 |
$13,000 |
0.8× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,400 |
$3,500 |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,528 |
$3,820 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,600 |
$6,500 |
0.8× |
| Bronchoscopy w/tumor excise (31640) |
$2,293.20 |
$5,733 |
0.7× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,400 |
$3,500 |
0.9× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,400 |
$3,500 |
0.9× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,400 |
$3,500 |
0.9× |
| Bx anorectal wall anal approach (45100) |
$2,360 |
$5,900 |
0.9× |
| Bx breast 1st lesion mr imag (19085) |
$1,400 |
$3,500 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$1,400 |
$3,500 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,400 |
$3,500 |
0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,400 |
$3,500 |
0.9× |
| Bx vulva/perineum 1 lesion (56605) |
$560 |
$1,400 |
0.7× |
| Bx/exc lymph node needle superficial (38505) |
$1,400 |
$3,500 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$1,800 |
$4,500 |
0.8× |
| Car-t admn autologous (38228) |
$1,948.80 |
$4,872 |
6.5× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$192 |
$480 |
1.0× |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
$288 |
$720 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$2,520 |
$6,300 |
0.9× |
| Cautery cervix laser ablation (57513) |
$2,520 |
$6,300 |
0.9× |
| Cessj Therapy Cath Removal (37214) |
$2,200 |
$5,500 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$480 |
$1,200 |
0.8× |
| Change Cystostomy Tube Simple (51705) |
$272 |
$680 |
1.2× |
| Change g-tube to g-j perc (49446) |
$1,480 |
$3,700 |
0.9× |
| Change Ureter Stent, Percut (50382) |
$1,800 |
$4,500 |
1.0× |
| Chemical Cautery Tissue (17250) |
$183.60 |
$459 |
1.0× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$520 |
$1,300 |
0.8× |
| Chemodenerv 1 extremity 1-4 (64642) |
$520 |
$1,300 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$264 |
$660 |
1.0× |
| Chemodenerv Musc Neck Dyston (64616) |
$264 |
$660 |
1.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$520 |
$1,300 |
0.8× |
| Chemodenerv trunk musc 6/> (64647) |
$520 |
$1,300 |
0.8× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$264 |
$660 |
0.4× |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
$266.80 |
$667 |
1.0× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$264 |
$660 |
1.0× |
| Chest tube placement (32551) |
$1,200 |
$3,000 |
0.8× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$116 |
$290 |
1.0× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$1,440 |
$3,600 |
0.8× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$2,400 |
$6,000 |
0.7× |
| Circum 28 days or older (54161) |
$1,800 |
$4,500 |
1.0× |
| Circumcision (54150) |
$1,520 |
$3,800 |
0.8× |
| Circumcision Neonate (54160) |
$480 |
$1,200 |
0.8× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$264 |
$660 |
1.0× |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
$264 |
$660 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,200 |
$3,000 |
0.8× |
| Close tear duct opening (68761) |
$264 |
$660 |
0.9× |
| Close Tear Duct Opening (68760) |
$264 |
$660 |
0.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$230 |
$575 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,200 |
$3,000 |
0.8× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$200 |
$500 |
0.9× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,200 |
$3,000 |
0.9× |
| Closed Rx Med Malleolus Fx (27760) |
$210.80 |
$527 |
0.9× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,200 |
$3,000 |
0.8× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,200 |
$3,000 |
0.8× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,200 |
$3,000 |
0.8× |
| Closed Rx Radial Shaft Fx (25500) |
$200 |
$500 |
0.9× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,200 |
$3,000 |
0.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,200 |
$3,000 |
0.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$210.80 |
$527 |
0.9× |
| Closed Rx Tibia Shaft Fx (27750) |
$200 |
$500 |
0.9× |
| Closed Rx Tibial Plateau Fx (27530) |
$200 |
$500 |
0.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,200 |
$3,000 |
0.8× |
| Closed Rx Trimalleolar Fx (27816) |
$210.80 |
$527 |
0.9× |
| Closed Treat Vert Body Fract (22310) |
$210.80 |
$527 |
0.9× |
| Closed treat wrist dislocation (25660) |
$210.80 |
$527 |
0.9× |
| Closed treatment nasal fracture w/stabilization (21320) |
$2,600 |
$6,500 |
0.9× |
| Closed treatment of broken top of shin bone at knee (27538) |
$210.80 |
$527 |
0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$200 |
$500 |
0.9× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$210.80 |
$527 |
0.9× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$210.80 |
$527 |
0.9× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$2,400 |
$6,000 |
0.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$200 |
$500 |
0.9× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$200 |
$500 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$200 |
$500 |
0.9× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,434.40 |
$3,586 |
1.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$210.80 |
$527 |
0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$200 |
$500 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$200 |
$500 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,200 |
$3,000 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$200 |
$500 |
0.9× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$210.80 |
$527 |
0.9× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$200 |
$500 |
0.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,200 |
$3,000 |
0.8× |
| Closed tx femoral fracture prox head w manip (27268) |
$200 |
$500 |
0.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$210.80 |
$527 |
0.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,400 |
$3,500 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$200 |
$500 |
0.9× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,200 |
$3,000 |
0.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$400 |
$1,000 |
0.8× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$4,000 |
$10,000 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$210.80 |
$527 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,200 |
$3,000 |
0.8× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,200 |
$3,000 |
0.9× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$2,600 |
$6,500 |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$210.80 |
$527 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$200 |
$500 |
0.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$200 |
$500 |
0.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,200 |
$3,000 |
0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$210.80 |
$527 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,200 |
$3,000 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$210.80 |
$527 |
0.9× |
| Closed tx septal&nose fx (21337) |
$2,600 |
$6,500 |
0.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,200 |
$3,000 |
0.8× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$210.80 |
$527 |
0.9× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,200 |
$3,000 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$210.80 |
$527 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,200 |
$3,000 |
0.8× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$210.80 |
$527 |
0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$200 |
$500 |
0.9× |
| Closure of gastrostomy surgical (43870) |
$2,440 |
$6,100 |
0.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$200 |
$500 |
0.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$400 |
$1,000 |
0.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$210.80 |
$527 |
0.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$210.80 |
$527 |
0.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,400 |
$3,500 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$200 |
$500 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,200 |
$3,000 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$200 |
$500 |
0.9× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$224.80 |
$562 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,200 |
$3,000 |
0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$210.80 |
$527 |
0.9× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$210.80 |
$527 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$200 |
$500 |
0.9× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,400 |
$3,500 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$200 |
$500 |
0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$200 |
$500 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$200 |
$500 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$210.80 |
$527 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$200 |
$500 |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,200 |
$3,000 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,200 |
$3,000 |
0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,200 |
$3,000 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$200 |
$500 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$210.80 |
$527 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$200 |
$500 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$210.80 |
$527 |
0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,200 |
$3,000 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$200 |
$500 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$200 |
$500 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$210.80 |
$527 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$200 |
$500 |
0.9× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$2,600 |
$6,500 |
0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$200 |
$500 |
0.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$200 |
$500 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,200 |
$3,000 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$200 |
$500 |
0.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,400 |
$3,500 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$200 |
$500 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$200 |
$500 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$210.80 |
$527 |
0.9× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,200 |
$3,000 |
0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$200 |
$500 |
0.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,200 |
$3,000 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$210.80 |
$527 |
0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,200 |
$3,000 |
0.8× |
| Cltx prox tibfib jt dislc req anes (27831) |
$2,400 |
$6,000 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$200 |
$500 |
0.9× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,422.40 |
$3,556 |
1.0× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,200 |
$3,000 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,200 |
$3,000 |
0.8× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,217.60 |
$3,044 |
0.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,200 |
$3,000 |
0.8× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$210.80 |
$527 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,200 |
$3,000 |
0.8× |
| Colonoscopy flex w/rem forcep (45384) |
$960 |
$2,400 |
0.9× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$960 |
$2,400 |
0.9× |
| Colonoscopy for bleeding (44391) |
$960 |
$2,400 |
0.9× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$960 |
$2,400 |
0.9× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$960 |
$2,400 |
0.9× |
| Colonoscopy stoma w/balloon dilation (44405) |
$960 |
$2,400 |
0.9× |
| Colonoscopy stoma w/biopsy (44389) |
$960 |
$2,400 |
0.9× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$960 |
$2,400 |
0.9× |
| Colonoscopy stoma w/snare (44394) |
$960 |
$2,400 |
0.9× |
| Colonoscopy through stoma with decompression (44408) |
$720 |
$1,800 |
0.9× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$960 |
$2,400 |
0.9× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$960 |
$2,400 |
0.9× |
| Colonoscopy thru stoma (44388) |
$832 |
$2,080 |
1.0× |
| Colonoscopy w/ablation (45388) |
$960 |
$2,400 |
0.9× |
| Colonoscopy w/band ligation (45398) |
$960 |
$2,400 |
0.9× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,060 |
$2,650 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$960 |
$2,400 |
0.9× |
| Colonoscopy w/ndl aspir/bx (44407) |
$960 |
$2,400 |
0.9× |
| Colonoscopy w/resection (45390) |
$2,360 |
$5,900 |
0.9× |
| Colonoscopy w/stent plcmt (44402) |
$4,000 |
$10,000 |
0.7× |
| Colonoscopy w/stent plcmt (45389) |
$4,918 |
$12,295 |
0.9× |
| Colporrhaphy suture injury vagina (57200) |
$2,520 |
$6,300 |
0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$200 |
$500 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$173.60 |
$434 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$2,000 |
$5,000 |
0.7× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$2,000 |
$5,000 |
0.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$317.20 |
$793 |
1.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$200 |
$500 |
0.7× |
| Colposcopy vulva (56820) |
$160 |
$400 |
0.9× |
| Colposcopy vulva w/biopsy (56821) |
$200 |
$500 |
0.7× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$200 |
$500 |
0.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$560 |
$1,400 |
0.7× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$960 |
$2,400 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$960 |
$2,400 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$998.40 |
$2,496 |
0.9× |
| Complete replacement picc rs&i (36584) |
$1,200 |
$3,000 |
0.8× |
| Complex Cystometrogram (51726) |
$240 |
$600 |
1.1× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$480 |
$1,200 |
0.8× |
| Complex Drainage, Wound (10180) |
$2,400 |
$6,000 |
0.9× |
| Complex Uroflowmetry (51741) |
$140 |
$350 |
0.7× |
| Composite skin graft (15760) |
$1,720 |
$4,300 |
0.9× |
| Computer-assisted insertion of tube or probe for radiation placement (61770) |
$5,200 |
$13,000 |
1.7× |
| Conization of cervix (57520) |
$2,520 |
$6,300 |
0.9× |
| Conization of cervix (57522) |
$2,000 |
$5,000 |
0.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$200 |
$500 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$100 |
$250 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$100 |
$250 |
0.8× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$400 |
$1,000 |
0.8× |
| Conversion ext bil drg cath (47535) |
$2,400 |
$6,000 |
0.7× |
| Convert nephrostomy catheter (50434) |
$1,520 |
$3,800 |
0.8× |
| Cordocentesis (59012) |
$288 |
$720 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,400 |
$3,500 |
0.9× |
| Corneal smear (65430) |
$260 |
$650 |
0.6× |
| Cover eye w/membrane (65778) |
$820 |
$2,050 |
0.9× |
| Create eardrum opening (69436) |
$1,200 |
$3,000 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$100 |
$250 |
0.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$204 |
$510 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$1,828.80 |
$4,572 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,520 |
$3,800 |
0.8× |
| Cystometrogram w/vp (51728) |
$480 |
$1,200 |
0.8× |
| Cystometrogram W/Vp&Up (51729) |
$480 |
$1,200 |
0.8× |
| Cystoscopy w/biopsy (52204) |
$1,440 |
$3,600 |
0.8× |
| Cystoscopy w/complex removal stone & stent (52315) |
$1,800 |
$4,500 |
1.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$1,520 |
$3,800 |
0.8× |
| Cystoscopy,insert ureteral stent (52332) |
$3,000 |
$7,500 |
0.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$1,800 |
$4,500 |
1.0× |
| Cystourethroscopy (52000) |
$499.20 |
$1,248 |
0.8× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$1,440 |
$3,600 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$520 |
$1,300 |
1.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,400 |
$6,000 |
0.9× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$600 |
$1,500 |
0.9× |
| Debride nail 1-5 (11720) |
$50 |
$125 |
0.9× |
| Debride nail 6 or more (11721) |
$50 |
$125 |
0.9× |
| Debride skin musc at fx site (11011) |
$635.60 |
$1,589 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$353.20 |
$883 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$520 |
$1,300 |
0.8× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,400 |
$3,500 |
0.9× |
| Declot vascular device (36593) |
$325.60 |
$814 |
1.1× |
| Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including… (64728) |
$2,010.80 |
$5,027 |
1.1× |
| Delivery placenta separate procedure (59414) |
$2,000 |
$5,000 |
0.7× |
| Destroy cerv/thor facet jnt (64633) |
$2,220 |
$5,550 |
1.3× |
| Destroy internal hemorrhoids (46930) |
$1,124.40 |
$2,811 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$2,220 |
$5,550 |
1.3× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$353.20 |
$883 |
1.0× |
| Destruction benign lesions 15 or more (17111) |
$183.60 |
$459 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$183.60 |
$459 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$780 |
$1,950 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,260 |
$3,150 |
1.6× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$282.40 |
$706 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$1,640 |
$4,100 |
0.9× |
| Destruction Lesions Vulva Simple (56501) |
$1,640 |
$4,100 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,719.20 |
$4,298 |
1.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$520 |
$1,300 |
0.8× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$1,640 |
$4,100 |
0.9× |
| Destruction of face nerve branch under X-ray monitoring (64610) |
$1,480 |
$3,700 |
0.8× |
| Destruction of growth of rectum (45190) |
$2,495.20 |
$6,238 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
$160 |
$400 |
0.9× |
| Destruction of multiple growths of penis (54065) |
$1,640 |
$4,100 |
0.9× |
| Destruction of skin lesions (17106) |
$340 |
$850 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$183.60 |
$459 |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$2,520 |
$6,300 |
0.9× |
| Destruction vaginal lesions simple (57061) |
$2,000 |
$5,000 |
0.7× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$520 |
$1,300 |
0.8× |
| Diagnostic sigmoidoscopy (45330) |
$800 |
$2,000 |
1.0× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,078.40 |
$2,696 |
1.0× |
| Dilate urethra stricture (53620) |
$480 |
$1,200 |
0.8× |
| Dilate urethra stricture (53621) |
$240 |
$600 |
1.1× |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
$400 |
$1,000 |
0.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$720 |
$1,800 |
0.9× |
| Dilation Esophagus Guide Wire (43453) |
$1,480 |
$3,700 |
0.9× |
| Dilation of anal sphincter (45905) |
$946.80 |
$2,367 |
0.9× |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
$144 |
$360 |
1.2× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$5,194.40 |
$12,986 |
1.0× |
| Drain bladder by trocar/cath (51101) |
$800 |
$2,000 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,400 |
$3,500 |
0.9× |
| Drain lower leg bursa (27604) |
$2,400 |
$6,000 |
0.8× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$600 |
$1,500 |
0.9× |
| Drain outer ear canal lesion (69020) |
$600 |
$1,500 |
0.9× |
| Drain shoulder bursa (23031) |
$2,320 |
$5,800 |
0.9× |
| Drain shoulder lesion (23030) |
$2,320 |
$5,800 |
0.9× |
| Drain spinal cord cyst (62268) |
$840 |
$2,100 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$262.40 |
$656 |
0.9× |
| Drainage abscess/hematoma nasal int approach (30000) |
$204 |
$510 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$400 |
$1,000 |
0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$600 |
$1,500 |
0.9× |
| Drainage Finger Abscess Complicated (26011) |
$1,400 |
$3,500 |
0.9× |
| Drainage Finger Abscess Simple (26010) |
$183.60 |
$459 |
1.0× |
| Drainage mouth roof lesion (42000) |
$204 |
$510 |
1.0× |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
$400 |
$1,000 |
0.8× |
| Drainage of eye (65810) |
$2,000 |
$5,000 |
1.0× |
| Drainage of eye (65800) |
$2,000 |
$5,000 |
1.0× |
| Drainage of eyelid abscess (67700) |
$264 |
$660 |
0.9× |
| Drainage of gum lesion (41800) |
$116 |
$290 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,400 |
$3,500 |
0.9× |
| Drainage of hydrocele (55000) |
$600 |
$1,500 |
0.9× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$1,400 |
$3,500 |
1.0× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$2,421.60 |
$6,054 |
0.9× |
| Drainage of mouth lesion (41017) |
$2,794 |
$6,985 |
0.9× |
| Drainage of salivary gland (42305) |
$2,600 |
$6,500 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,400 |
$3,500 |
0.9× |
| Drainage skenes gland abscess (53060) |
$1,520 |
$3,800 |
0.8× |
| Draw blood off venous device (36591) |
$116 |
$290 |
1.0× |
| Drg absc cst hmtma vestibule mouth comp (40801) |
$400 |
$1,000 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$340 |
$850 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$183.60 |
$459 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$183.60 |
$459 |
1.0× |
| Dx bone marrow bx & aspir (38222) |
$2,000 |
$5,000 |
0.8× |
| Dx duod intub w/asp specs (43757) |
$720 |
$1,800 |
0.9× |
| Dx gastr intub w/asp spec (43754) |
$240 |
$600 |
1.2× |
| Dx gastr intub w/asp specs (43755) |
$140 |
$350 |
1.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,560 |
$3,900 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,560 |
$3,900 |
0.9× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,622.40 |
$4,056 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,560 |
$3,900 |
0.9× |
| Egd Endo Mucosal Resection (43254) |
$1,560 |
$3,900 |
0.9× |
| Egd endoscopic stent place (43266) |
$4,000 |
$10,000 |
0.7× |
| Egd flexible foreign body removal (43247) |
$800 |
$2,000 |
1.0× |
| Egd guide wire insertion (43248) |
$800 |
$2,000 |
1.0× |
| Egd injection varices (43243) |
$1,480 |
$3,700 |
0.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,560 |
$3,900 |
0.9× |
| Egd place gastrostomy tube (43246) |
$1,622.40 |
$4,056 |
0.9× |
| Egd rem tumr/polyp forcep (43250) |
$1,560 |
$3,900 |
0.9× |
| Egd remove lesion snare (43251) |
$1,560 |
$3,900 |
0.9× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,560 |
$3,900 |
0.9× |
| Egd tube/cath insertion (43241) |
$1,480 |
$3,700 |
0.9× |
| Egd us exam duodenum/jejunum (43259) |
$1,560 |
$3,900 |
0.9× |
| Egd us fine needle bx/aspir (43242) |
$1,560 |
$3,900 |
0.9× |
| Egd us transmural injxn/mark (43253) |
$1,560 |
$3,900 |
0.9× |
| Egd Varices Ligation (43244) |
$1,622.40 |
$4,056 |
0.9× |
| Egd w/transmural drain cyst (43240) |
$4,000 |
$10,000 |
0.7× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$270 |
$675 |
1.0× |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
$270 |
$675 |
1.0× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$2,640 |
$6,600 |
0.5× |
| Emblc/thrmbc popliteal-tibio-proneal art leg inc (34203) |
$2,640 |
$6,600 |
0.5× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$140 |
$350 |
1.2× |
| Endocervical Curettage (57505) |
$560 |
$1,400 |
0.7× |
| Endoscopic Injection/Implant (51715) |
$2,000 |
$5,000 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,560 |
$3,900 |
0.9× |
| Endoscopy of bowel pouch (44385) |
$800 |
$2,000 |
1.0× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,560 |
$3,900 |
0.9× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$7,200 |
$18,000 |
0.7× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$2,400 |
$6,000 |
0.8× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,400 |
$6,000 |
0.8× |
| Endovenous rf 1st vein (36475) |
$2,400 |
$6,000 |
0.8× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,720 |
$4,300 |
0.9× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,400 |
$6,000 |
0.7× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$1,640 |
$4,100 |
0.9× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,640 |
$4,100 |
0.9× |
| Epidural lysis mult sessions (62263) |
$840 |
$2,100 |
1.1× |
| Epidural lysis on single day (62264) |
$840 |
$2,100 |
1.1× |
| Episiotomy or vaginal repair (59300) |
$2,000 |
$5,000 |
0.7× |
| Ercp Duct Stent Placement (43274) |
$4,000 |
$10,000 |
0.7× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$2,440 |
$6,100 |
0.7× |
| Ercp ea duct/ampulla dilate (43277) |
$2,440 |
$6,100 |
0.7× |
| Ercp lithotripsy calculi (43265) |
$4,000 |
$10,000 |
0.7× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,440 |
$6,100 |
0.7× |
| Ercp remove forgn body duct (43275) |
$2,440 |
$6,100 |
1.4× |
| Ercp Stent Exchange W/Dilate (43276) |
$4,000 |
$10,000 |
0.7× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$2,440 |
$6,100 |
0.7× |
| Ercp W/Biopsy Single/Multiple (43261) |
$2,440 |
$6,100 |
0.7× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$2,440 |
$6,100 |
0.7× |
| Escharotomy initial incision (16035) |
$340 |
$850 |
0.9× |
| Esoph endoscopy dilation (43226) |
$1,560 |
$3,900 |
0.9× |
| Esoph scope w/submucous inj (43201) |
$1,480 |
$3,700 |
0.9× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$832 |
$2,080 |
1.0× |
| Esophagosc dilate balloon 30 (43214) |
$1,480 |
$3,700 |
0.9× |
| Esophagoscop mucosal resect (43211) |
$1,480 |
$3,700 |
0.9× |
| Esophagoscopy flex biopsy (43202) |
$1,560 |
$3,900 |
0.9× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$1,560 |
$3,900 |
0.9× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,480 |
$3,700 |
0.9× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$720 |
$1,800 |
0.9× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$720 |
$1,800 |
0.9× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$720 |
$1,800 |
0.9× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,560 |
$3,900 |
0.9× |
| Esophagoscopy lesion ablate (43229) |
$2,440 |
$6,100 |
0.7× |
| Esophagoscopy Retro Balloon (43213) |
$1,480 |
$3,700 |
0.9× |
| Esophagoscopy Rigid Balloon (43195) |
$2,440 |
$6,100 |
0.7× |
| Esophagoscopy Rigid Transoral Inj Submucosal (43192) |
$1,560 |
$3,900 |
0.9× |
| Esophagoscopy rigid trnso dx (43191) |
$1,480 |
$3,700 |
0.9× |
| Esophagoscopy Transoral Stent Placement (43212) |
$4,000 |
$10,000 |
0.7× |
| Esophagoscopy w/us needle bx (43232) |
$1,560 |
$3,900 |
0.9× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$1,560 |
$3,900 |
0.9× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$1,480 |
$3,700 |
0.9× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$1,480 |
$3,700 |
0.9× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$4,000 |
$10,000 |
0.7× |
| Esophagoscp rig trnso biopsy (43193) |
$1,480 |
$3,700 |
0.9× |
| Esophagus endoscopy/ligation (43205) |
$1,560 |
$3,900 |
0.9× |
| Esophagus Surg Procedure Unlisted (43499) |
$800 |
$2,000 |
1.0× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,560 |
$3,900 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$100 |
$250 |
0.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,400 |
$3,500 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,400 |
$3,500 |
0.9× |
| Exc back les sc < 3 cm (21930) |
$1,400 |
$3,500 |
0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$600 |
$1,500 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,400 |
$3,500 |
0.9× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,400 |
$3,500 |
0.9× |
| Exc frenum labial/buccal (40819) |
$1,200 |
$3,000 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$600 |
$1,500 |
0.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$353.20 |
$883 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$600 |
$1,500 |
0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$600 |
$1,500 |
0.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,400 |
$3,500 |
0.9× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,400 |
$3,500 |
0.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,320 |
$5,800 |
0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,400 |
$3,500 |
0.9× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,400 |
$3,500 |
0.9× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$2,320 |
$5,800 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$960 |
$2,400 |
0.9× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$600 |
$1,500 |
0.9× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,707.20 |
$6,768 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,544.80 |
$3,862 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,400 |
$6,000 |
0.7× |
| Exchange nephrostomy cath (50435) |
$1,828.80 |
$4,572 |
1.0× |
| Exchange transfusion, blood; other than newborn (36455) |
$396 |
$990 |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,560 |
$3,900 |
0.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,200 |
$3,000 |
0.8× |
| Excise/repair mouth lesion (40812) |
$1,200 |
$3,000 |
0.9× |
| Excision Chalazion Single (67800) |
$264 |
$660 |
0.9× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,400 |
$6,000 |
0.9× |
| Excision hidradenitis axillary complex repair (11451) |
$2,320 |
$5,800 |
0.9× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$2,360 |
$5,900 |
0.9× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$600 |
$1,500 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$600 |
$1,500 |
0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$340 |
$850 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$600 |
$1,500 |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$635.60 |
$1,589 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$600 |
$1,500 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$600 |
$1,500 |
0.9× |
| Excision of chalazion; multiple, different lids (67805) |
$264 |
$660 |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,200 |
$3,000 |
0.8× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,400 |
$3,500 |
0.9× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,400 |
$3,500 |
0.9× |
| Excision of nail fold toe (11765) |
$353.20 |
$883 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,320 |
$5,800 |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$960 |
$2,400 |
0.9× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,400 |
$6,000 |
0.9× |
| Excision of vaginal cyst or tumor (57135) |
$2,520 |
$6,300 |
0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,544.80 |
$3,862 |
1.0× |
| Excision, nasal polyp(s), simple (30110) |
$1,200 |
$3,000 |
0.9× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,640 |
$4,100 |
0.9× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$1,400 |
$3,500 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,400 |
$3,500 |
0.9× |
| Exploration penetrating wound spx chest (20101) |
$1,640 |
$4,100 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$600 |
$1,500 |
0.4× |
| Exploration Penetrating Wound Spx Neck (20100) |
$400 |
$1,000 |
0.8× |
| Explore limb vessels (35860) |
$2,400 |
$6,000 |
0.8× |
| Explore/irrigate tear ducts (68840) |
$264 |
$660 |
0.9× |
| External Cephalic Version (59412) |
$2,800 |
$7,000 |
1.0× |
| Eye surgery procedure (66999) |
$2,000 |
$5,000 |
1.0× |
| Fetal Contraction Stress Test (59020) |
$160 |
$400 |
0.9× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$288 |
$720 |
1.0× |
| Fetal non-stress test (59025) |
$160 |
$400 |
0.9× |
| Fetal Scalp Blood Sampling (59030) |
$288 |
$720 |
1.0× |
| Fetal shunt placement w/us (59076) |
$288 |
$720 |
1.0× |
| Fill contour defct <1cc (11950) |
$160 |
$400 |
0.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$600 |
$1,500 |
0.9× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$600 |
$1,500 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$353.20 |
$883 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$236 |
$590 |
1.1× |
| Fna bx w/fluor gdn 1st les (10007) |
$600 |
$1,500 |
0.9× |
| Fna bx w/mr gdn 1st les (10011) |
$600 |
$1,500 |
0.9× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$1,640 |
$4,100 |
0.9× |
| Fusion Finger Joint (26860) |
$2,400 |
$6,000 |
0.8× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$240 |
$600 |
1.2× |
| Gene analysis for detection of infectious agent and drug resistance gene (0112U) |
$162 |
$405 |
0.5× |
| Glycine receptor alpha1 igg serum/csf lcba qual (0431U) |
$22 |
$55 |
0.6× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$1,640 |
$4,100 |
0.9× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$2,800 |
$7,000 |
0.9× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$2,800 |
$7,000 |
0.9× |
| Guide Cathet Fluid Drainage (10030) |
$600 |
$1,500 |
0.9× |
| Harvest stem cell concentrte (38215) |
$396 |
$990 |
1.0× |
| Hemorrhoidectomy (46255) |
$2,443.20 |
$6,108 |
1.0× |
| Hysteroscopy ablation (58563) |
$3,200 |
$8,000 |
0.7× |
| Hysteroscopy biopsy (58558) |
$2,000 |
$5,000 |
0.7× |
| Hysteroscopy dx sep proc (58555) |
$2,000 |
$5,000 |
0.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,000 |
$5,000 |
0.7× |
| I&D Abscess Peritonsillar (42700) |
$200 |
$500 |
0.9× |
| I&d abscess simple (10060) |
$183.60 |
$459 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,320 |
$5,800 |
0.9× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,520 |
$3,800 |
0.8× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,400 |
$6,000 |
0.8× |
| I&d forearm/wrist bursa (25031) |
$1,400 |
$3,500 |
1.0× |
| I&d mouth/tong extra,masticator (41018) |
$1,381.60 |
$3,454 |
1.0× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,400 |
$6,000 |
0.8× |
| I&d perianal abscess superficial (46050) |
$800 |
$2,000 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$600 |
$1,500 |
0.9× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$2,360 |
$5,900 |
0.9× |
| I&d submucosal abscess rectum (45005) |
$960 |
$2,400 |
0.9× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,400 |
$3,500 |
0.9× |
| IDH1, IDH2, and TERT promoter (eg, central nervous system tumors), next-generatin sequencing (single-nucleotide… (0481U) |
$269.60 |
$674 |
0.4× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,480 |
$3,700 |
0.9× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$800 |
$2,000 |
1.0× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$800 |
$2,000 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,400 |
$3,500 |
0.9× |
| Image Cath Fluid Peri/Retro (49406) |
$1,400 |
$3,500 |
0.9× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,400 |
$3,500 |
0.9× |
| Implant neuroelectrodes (63650) |
$6,295.20 |
$15,738 |
1.1× |
| Incise finger tendon sheath (26055) |
$1,200 |
$3,000 |
0.8× |
| Incise skull/brain surgery (61720) |
$5,200 |
$13,000 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$353.20 |
$883 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,320 |
$5,800 |
0.9× |
| Incision & drainage pilonidal cyst complicated (10081) |
$600 |
$1,500 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,400 |
$3,500 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$353.20 |
$883 |
1.0× |
| Incision and drainage of abscess of pelvis (57010) |
$2,000 |
$5,000 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$173.60 |
$434 |
1.0× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$2,320 |
$5,800 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$288 |
$720 |
1.0× |
| Incision bone cortex foot (28005) |
$2,400 |
$6,000 |
0.8× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$5,979.60 |
$14,949 |
1.0× |
| Incision of eardrum (69421) |
$2,600 |
$6,500 |
0.9× |
| Incision of eardrum (69420) |
$204 |
$510 |
1.0× |
| Incision of lingual frenum (41010) |
$1,200 |
$3,000 |
0.9× |
| Incision of rectal abscess (46040) |
$1,060 |
$2,650 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$240 |
$600 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$520 |
$1,300 |
0.8× |
| Initial tx 1st degree burn local tx (16000) |
$183.60 |
$459 |
1.0× |
| Inj dupuytren cord w/enzyme (20527) |
$260.80 |
$652 |
0.9× |
| Inj paravert f jnt c/t 1 lev (64490) |
$780 |
$1,950 |
1.0× |
| Inj subq fill material 1.1-5.0 (11951) |
$520 |
$1,300 |
0.8× |
| Inj tendon sheath/ligament (20550) |
$262.40 |
$656 |
0.9× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$840 |
$2,100 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$840 |
$2,100 |
1.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$520 |
$1,300 |
0.8× |
| Inj,Ther Agent Into Tenon's Capsule (67515) |
$264 |
$660 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$840 |
$2,100 |
1.1× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$840 |
$2,100 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$780 |
$1,950 |
1.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$600 |
$1,500 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$840 |
$2,100 |
1.1× |
| Inject Nerv Blck,Intercostal,One (64420) |
$780 |
$1,950 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$780 |
$1,950 |
1.0× |
| Inject Nerv Blck,Pudendal (64430) |
$840 |
$2,100 |
1.1× |
| Inject Rx Celiac Plexus Nerve (64680) |
$840 |
$2,100 |
1.1× |
| Inject Sinus Tract Theraputic (20500) |
$1,200 |
$3,000 |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$264 |
$660 |
1.0× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$840 |
$2,100 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$625.20 |
$1,563 |
1.0× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$840 |
$2,100 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$648.40 |
$1,621 |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$520 |
$1,300 |
0.8× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$840 |
$2,100 |
1.1× |
| Injection aa&/strd suprascapular nerve (64418) |
$600 |
$1,500 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$396 |
$990 |
1.4× |
| Injection anes other peripheral nerve/branch (64450) |
$780 |
$1,950 |
1.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$780 |
$1,950 |
1.0× |
| Injection for identification of sentinel node (38792) |
$384.80 |
$962 |
1.1× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$840 |
$2,100 |
1.1× |
| Injection of drug into cavity behind eye (67500) |
$264 |
$660 |
0.9× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$520 |
$1,300 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$396 |
$990 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$396 |
$990 |
1.4× |
| Injection therapeutic carpal tunnel (20526) |
$262.80 |
$657 |
0.9× |
| Injection(s) spider veins (36468) |
$340 |
$850 |
0.9× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$396 |
$990 |
1.4× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$558.80 |
$1,397 |
0.9× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$396 |
$990 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$183.60 |
$459 |
1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$183.60 |
$459 |
1.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$868.40 |
$2,171 |
1.1× |
| Ins cath ren art 1st bilat (36252) |
$2,400 |
$6,000 |
0.8× |
| Ins cath ren art 1st unilat (36251) |
$2,200 |
$5,500 |
0.8× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,200 |
$5,500 |
0.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$2,640 |
$6,600 |
0.5× |
| Ins endovas vena cava filtr (37191) |
$2,640 |
$6,600 |
0.5× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$9,600 |
$24,000 |
1.0× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$8,800 |
$22,000 |
0.9× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$9,600 |
$24,000 |
1.0× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$8,800 |
$22,000 |
0.9× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$6,400 |
$16,000 |
0.9× |
| Ins/Rep Subq Defibrillator (33270) |
$34,496 |
$86,240 |
1.2× |
| Insert 1 electrode pm-defib (33216) |
$6,400 |
$16,000 |
0.9× |
| Insert and remove bone pin (20650) |
$2,892.40 |
$7,231 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$140 |
$350 |
1.2× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$960 |
$2,400 |
0.9× |
| Insert cervical dilator (59200) |
$288 |
$720 |
1.0× |
| Insert Drug Implant Device (11981) |
$100 |
$250 |
0.8× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$1,480 |
$3,700 |
0.9× |
| Insert eye socket implant (67550) |
$3,200 |
$8,000 |
0.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,520 |
$3,800 |
0.9× |
Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$5,240 |
$13,100 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$2,200 |
$5,500 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$2,200 |
$5,500 |
0.8× |
| Insert pacing lead & connect (33224) |
$9,600 |
$24,000 |
1.0× |
| Insert pessary/other device (57160) |
$160 |
$400 |
0.9× |
| Insert picc cath (36569) |
$1,200 |
$3,000 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,200 |
$3,000 |
0.8× |
| Insert picvad cath (36570) |
$2,200 |
$5,500 |
0.8× |
| Insert pulse gen mult leads (33221) |
$14,400 |
$36,000 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$116 |
$290 |
1.0× |
| Insert tun ip cath perc (49418) |
$2,400 |
$6,000 |
0.7× |
| Insert tunneled cv cath (36561) |
$2,400 |
$6,000 |
0.8× |
| Insert Tunneled Cv Cath With Pump (36563) |
$2,640 |
$6,600 |
0.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$2,640 |
$6,600 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$116 |
$290 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,400 |
$6,000 |
0.7× |
| Insertion of brain neurostimulator pulse with connection to single (61885) |
$19,264 |
$48,160 |
0.7× |
| Insertion of defibrillator electrode (33271) |
$8,000 |
$20,000 |
1.1× |
| Insertion of device to close opening of voice box using an endoscope (31527) |
$2,600 |
$6,500 |
0.8× |
| Insertion of permanent stomach tube with dilation of esophagus (43510) |
$720 |
$1,800 |
0.9× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$2,440 |
$6,100 |
1.4× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$1,480 |
$3,700 |
0.9× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$2,800 |
$7,000 |
0.9× |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
$2,440 |
$6,100 |
1.4× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$18,707.20 |
$46,768 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,200 |
$3,000 |
0.8× |
| Insertion picc w/rs&i < 5 yr (36572) |
$596.40 |
$1,491 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,200 |
$18,000 |
1.0× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$6,400 |
$16,000 |
0.9× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$20,000 |
$50,000 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,200 |
$5,500 |
0.8× |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
$12,000 |
$30,000 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,200 |
$5,500 |
0.8× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$2,640 |
$6,600 |
0.5× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,200 |
$5,500 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,400 |
$6,000 |
0.8× |
| Insj/rplcmt defib w/lead(s) (33249) |
$24,600 |
$61,500 |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,400 |
$16,000 |
0.9× |
| Insrt pulse gen w/dual leads (33230) |
$20,000 |
$50,000 |
1.0× |
| Insrt pulse gen w/mult leads (33231) |
$21,930 |
$54,825 |
0.8× |
| Interdental wiring (21497) |
$1,200 |
$3,000 |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$400 |
$1,000 |
0.8× |
| Intraoral i&d tongue/floor masticator space (41009) |
$400 |
$1,000 |
0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,600 |
$6,500 |
0.9× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,200 |
$3,000 |
0.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$8,000 |
$20,000 |
0.8× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$4,400 |
$11,000 |
0.9× |
| Intro Gastrointestinal Tube (44500) |
$720 |
$1,800 |
0.9× |
| Intro windpipe wire/tube (31730) |
$1,496.40 |
$3,741 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$200 |
$500 |
0.9× |
| Irrigate corpora cavernosa for priapism (54220) |
$272 |
$680 |
1.2× |
| Irrigate vagina w meds (57150) |
$112 |
$280 |
2.1× |
| Irrigation maxillary sinus (31000) |
$204 |
$510 |
1.0× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$210 |
$525 |
5.7× |
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) unusually low: confirm this is the full procedure |
$3,200 |
$8,000 |
0.3× |
Laparoscopy, surgical, ablation of one of more liver tumor(s); cryosurgical (47371) unusually low: confirm this is the full procedure |
$3,758.40 |
$9,396 |
0.4× |
| Laryngoscopy Flexible Diagnostic (31575) |
$168 |
$420 |
0.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$168 |
$420 |
0.5× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$168 |
$420 |
0.5× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$168 |
$420 |
0.9× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$168 |
$420 |
0.9× |
| Laryngoscopy w/biopsy (31535) |
$2,600 |
$6,500 |
0.8× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,400 |
$3,500 |
0.9× |
| Laser repair to improve eye fluid flow (65855) |
$514 |
$1,285 |
1.0× |
| Late closure of wound (13160) |
$1,640 |
$4,100 |
0.5× |
| Lavage by cannulation; sphenoid sinus (31002) |
$1,200 |
$3,000 |
0.9× |
| Ligation of a-v fistula (37607) |
$2,200 |
$5,500 |
0.8× |
| Ligation of hemorrhoid(s) (46221) |
$720 |
$1,800 |
0.9× |
| Ligation Of Neck Artery (37615) |
$2,200 |
$5,500 |
0.8× |
| Ligation or biopsy temporal artery (37609) |
$1,400 |
$3,500 |
0.9× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$2,400 |
$6,000 |
0.8× |
| Lip Surgery Procedure (40799) |
$204 |
$510 |
1.0× |
| Lithotripsy (50590) |
$3,000 |
$7,500 |
0.9× |
| Liver Biopsy (47000) |
$1,400 |
$3,500 |
0.9× |
| Lyse Chest Fibrin Init Day (32561) |
$520 |
$1,300 |
0.9× |
| Lyse Chest Fibrin Subq Day (32562) |
$520 |
$1,300 |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$1,520 |
$3,800 |
0.8× |
| Marsup Bartholin Gland Cyst (56440) |
$2,520 |
$6,300 |
0.9× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,200 |
$3,000 |
0.8× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$2,200 |
$5,500 |
0.8× |
| Musculoskeletal surgery (20999) |
$4,255.20 |
$10,638 |
19.1× |
| Myelography Lumbar Injection (62305) |
$730.80 |
$1,827 |
1.0× |
| Myelography Lumbar Injection (62304) |
$730.80 |
$1,827 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$730.80 |
$1,827 |
1.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$730.80 |
$1,827 |
1.0× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$168 |
$420 |
0.9× |
| Nasal surgery procedure (30999) |
$202 |
$505 |
0.9× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$1,400 |
$3,500 |
0.9× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$1,400 |
$3,500 |
0.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,400 |
$3,500 |
0.9× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$260 |
$650 |
0.6× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$240 |
$600 |
1.1× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$832 |
$2,080 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,400 |
$3,500 |
1.0× |
| Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid Other Outpatient (0443U) |
$80 |
$200 |
0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416.80 |
$1,042 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$844.40 |
$2,111 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$780 |
$1,950 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$240 |
$600 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,400 |
$6,000 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,400 |
$6,000 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$947.80 |
$2,369.50 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$648.40 |
$1,621 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$520 |
$1,300 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$520 |
$1,300 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$480 |
$1,200 |
0.8× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$480 |
$1,200 |
0.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$353.20 |
$883 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$353.20 |
$883 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$800 |
$2,000 |
1.0× |
| Open implantation of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode… (64582) |
$30,063.60 |
$75,159 |
1.1× |
| Open rx mandible fx+dental fix (21462) |
$4,000 |
$10,000 |
0.7× |
| Open rx mandible fx+extern fix (21454) |
$4,000 |
$10,000 |
0.7× |
| Open thrombect av fistula (36831) |
$3,200 |
$8,000 |
0.6× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) likely a partial charge, not the full procedure |
$1,200 |
$3,000 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,400 |
$6,000 |
0.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,400 |
$6,000 |
0.8× |
| Open/Perq Place Stent Same (37238) |
$8,000 |
$20,000 |
0.8× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$8,000 |
$20,000 |
0.8× |
| Other procedure on head muscle or head bone (21499) |
$3,800 |
$9,500 |
17.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,312.80 |
$3,282 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$2,400 |
$6,000 |
0.8× |
| Ped Whl Gen Mthyltn Alys 50+ (0318U) |
$1,770.40 |
$4,426 |
1.0× |
| Penile Plethysmography (54240) |
$240 |
$600 |
1.2× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$7,200 |
$18,000 |
0.8× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,289.60 |
$3,224 |
1.0× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$4,000 |
$10,000 |
0.7× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$7,200 |
$18,000 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$600 |
$1,500 |
0.9× |
| Percut Mech Thrombectomy, Venous (37187) |
$7,200 |
$18,000 |
0.7× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,200 |
$5,500 |
0.8× |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
$3,200 |
$8,000 |
0.7× |
| Percutaneous diskectomy (62287) |
$1,480 |
$3,700 |
0.8× |
| Pericardiocentesis W/Imaging (33016) |
$1,200 |
$3,000 |
0.8× |
| Peritoneal Lavage (49084) |
$720 |
$1,800 |
0.9× |
Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$2,000 |
$5,000 |
0.1× |
| Perq av fistula creation uxtr single access (36836) |
$17,177.60 |
$42,944 |
1.0× |
| Perq dev breast 1st mr guide (19287) |
$600 |
$1,500 |
0.9× |
| Perq dev breast 1st strtctc (19283) |
$600 |
$1,500 |
0.9× |
| Perq dev breast 1st us imag (19285) |
$600 |
$1,500 |
0.9× |
| Perq device breast 1st imag (19281) |
$600 |
$1,500 |
0.4× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,000 |
$5,000 |
0.6× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,000 |
$7,500 |
0.9× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,200 |
$3,000 |
0.8× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,560 |
$3,900 |
0.9× |
| Perq p-art revsc 1 nm nt uni (33900) |
$8,000 |
$20,000 |
0.8× |
Perq p-art revsc st 1st abnor connj unilateral (33902) unusually low: confirm this is the full procedure |
$8,000 |
$20,000 |
0.5× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$10,000 |
$25,000 |
1.0× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$9,280.80 |
$23,202 |
0.9× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$4,000 |
$10,000 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$272 |
$680 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$600 |
$1,500 |
0.9× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$12,400 |
$31,000 |
0.7× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$9,752.40 |
$24,381 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$4,400 |
$11,000 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$5,600 |
$14,000 |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$5,600 |
$14,000 |
0.9× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,400 |
$6,000 |
0.8× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,400 |
$6,000 |
0.8× |
| Phleb Veins - Extrem 20+ (37766) |
$2,200 |
$5,500 |
0.8× |
| Photopheresis, extracorporeal (36522) |
$3,434 |
$8,585 |
0.9× |
| Pin finger fracture each (26756) |
$2,400 |
$6,000 |
0.8× |
| Place Cath Subclavian Art (36225) |
$2,400 |
$6,000 |
0.8× |
| Place Cath Thoracic Aorta (36221) |
$2,200 |
$5,500 |
0.8× |
| Place Cath Vertebral Art (36226) |
$4,870 |
$12,175 |
1.0× |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
$1,289.60 |
$3,224 |
1.0× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$3,200 |
$8,000 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$260 |
$650 |
0.6× |
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) unusually low: confirm this is the full procedure |
$2,800 |
$7,000 |
0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$4,000 |
$10,000 |
0.7× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$4,000 |
$10,000 |
0.7× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$4,000 |
$10,000 |
0.7× |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
$1,320.40 |
$3,301 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,828.80 |
$4,572 |
1.0× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$2,400 |
$6,000 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,000 |
$7,500 |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,140 |
$7,850 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,400 |
$6,000 |
0.8× |
| Prepare face/oral prosthesis (21085) |
$204 |
$510 |
1.0× |
| Preputial Stretching (54450) |
$240 |
$600 |
1.1× |
Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$7,200 |
$18,000 |
0.4× |
| Probe nasolacrimal duct (68810) |
$264 |
$660 |
0.9× |
| Probe nasolacrimal duct (68815) |
$1,960 |
$4,900 |
0.9× |
| Proctopexy Perineal Approach (45541) |
$2,360 |
$5,900 |
0.9× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,360 |
$5,900 |
0.9× |
| Proctosigmoidoscopy (45303) |
$960 |
$2,400 |
0.9× |
| Proctosigmoidoscopy w/bx (45305) |
$960 |
$2,400 |
0.9× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$720 |
$1,800 |
0.9× |
| Prostate Saturation Sampling (55706) |
$2,000 |
$5,000 |
0.6× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$635.60 |
$1,589 |
1.0× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$5,979.60 |
$14,949 |
1.0× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$6,562.80 |
$16,407 |
1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,400 |
$6,000 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,400 |
$6,000 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$352.80 |
$882 |
1.0× |
| Puncture Aspiration (10160) |
$353.20 |
$883 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$600 |
$1,500 |
0.9× |
| Puncture/clear windpipe (31612) |
$2,845.20 |
$7,113 |
1.0× |
| Pvb thoracic single inj site (64461) |
$600 |
$1,500 |
0.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,719.20 |
$4,298 |
1.0× |
| Rbc depletion of harvest (38212) |
$396 |
$990 |
1.0× |
| Reattachment of part of cutoff finger (20822) |
$1,400 |
$3,500 |
1.0× |
| Reconstruction of nail bed with graft (11762) |
$1,749.20 |
$4,373 |
0.9× |
| Reduction of rectal prolapse (45900) |
$720 |
$1,800 |
0.9× |
| Relocation of skin pocket for pacemaker (33222) |
$1,720 |
$4,300 |
0.9× |
| Rem endovas vena cava filter (37193) |
$2,200 |
$5,500 |
0.8× |
| Removal biliary drg cath (47537) |
$800 |
$2,000 |
1.0× |
| Removal fb intranasal (30300) |
$100 |
$250 |
0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,320 |
$5,800 |
0.9× |
| Removal Foreign Body Foot Complicated (28193) |
$1,400 |
$3,500 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,400 |
$3,500 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$600 |
$1,500 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,400 |
$3,500 |
0.9× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$2,400 |
$6,000 |
0.8× |
| Removal foreign body pharynx (42809) |
$260 |
$650 |
0.6× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,421.60 |
$6,054 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56.80 |
$142 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$56.80 |
$142 |
1.1× |
| Removal Implant Deep (20680) |
$2,320 |
$5,800 |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,400 |
$3,500 |
0.9× |
| Removal Implantable Contraceptive Capsules (11976) |
$600 |
$1,500 |
0.9× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,400 |
$6,000 |
0.7× |
| Removal of arm foreign body (24200) |
$1,400 |
$3,500 |
0.9× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,260 |
$3,150 |
0.9× |
| Removal of eye lesion (65400) |
$820 |
$2,050 |
0.9× |
| Removal of fixation device (20665) |
$260 |
$650 |
0.6× |
| Removal of growth of chest wall and rib (21601) |
$2,320 |
$5,800 |
0.9× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$6,404 |
$16,010 |
2.1× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$520 |
$1,300 |
0.9× |
| Removal of intrauterine device (iud) (58301) |
$288 |
$720 |
1.0× |
| Removal of kidney stone (50081) |
$8,000 |
$20,000 |
0.9× |
| Removal of lower spinal canal shunt (63746) |
$1,560 |
$3,900 |
0.9× |
| Removal of nail bed (11750) |
$353.20 |
$883 |
1.0× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$1,480 |
$3,700 |
0.9× |
| Removal of salivary stone (42330) |
$2,600 |
$6,500 |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$183.60 |
$459 |
1.0× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$1,560 |
$3,900 |
0.9× |
| Removal or relocation of corneal conjunctiva (65420) |
$1,800 |
$4,500 |
0.8× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$1,960 |
$4,900 |
0.9× |
| Removal ppm generator only (33233) |
$7,200 |
$18,000 |
1.0× |
| Removal subq cardiac rhythm monitor (33286) |
$600 |
$1,500 |
0.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,640 |
$4,100 |
0.9× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$2,200 |
$5,500 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$204 |
$510 |
0.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$246.40 |
$616 |
1.0× |
| Remove Brain Cavity Fluid (61020) |
$840 |
$2,100 |
1.1× |
| Remove drug implant device (11982) |
$277.20 |
$693 |
0.7× |
| Remove ear lesion (69540) |
$1,200 |
$3,000 |
0.9× |
| Remove Eyelid Foreign Body (67938) |
$264 |
$660 |
0.9× |
| Remove eyelid lesions (67801) |
$820 |
$2,050 |
0.9× |
| Remove foreign body from eye (65235) |
$2,000 |
$5,000 |
1.0× |
| Remove foreign body from eye (65210) |
$260 |
$650 |
0.6× |
| Remove in/ex hem groups 2+ (46260) |
$2,570 |
$6,425 |
1.0× |
| Remove in/ex hem grps w/fist (46262) |
$2,569.60 |
$6,424 |
1.0× |
| Remove intrvas foreign body (37197) |
$2,200 |
$5,500 |
0.8× |
| Remove renal tube w/fluoro (50389) |
$480 |
$1,200 |
0.8× |
| Remove shoulder foreign body (23330) |
$635.60 |
$1,589 |
0.4× |
| Remove Ureter Stent, Percut (50384) |
$1,828.80 |
$4,572 |
1.0× |
| Remove wrist tendon lesion (25111) |
$1,200 |
$3,000 |
0.8× |
| Remove&replace pm gen singl (33227) |
$6,400 |
$16,000 |
0.9× |
| Remv Ext Canal Foreign Body (69200) |
$100 |
$250 |
0.8× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$100 |
$250 |
0.8× |
| Remv&replc cvd gen dual lead (33263) |
$21,930 |
$54,825 |
1.1× |
| Remv&replc cvd gen mult lead (33264) |
$24,600 |
$61,500 |
0.9× |
| Remv&replc cvd gen sing lead (33262) |
$21,930 |
$54,825 |
1.1× |
| Remv&replc pm gen dual lead (33228) |
$9,600 |
$24,000 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$18,400 |
$46,000 |
1.1× |
| Remv/revisn shldr/hip spica cast (29710) |
$225.20 |
$563 |
0.9× |
| Renal biopsy (50200) |
$1,400 |
$3,500 |
0.9× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$2,400 |
$6,000 |
0.8× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,200 |
$5,500 |
0.8× |
| Repair blood vessel lesion (35190) |
$5,448.80 |
$13,622 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$520 |
$1,300 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$520 |
$1,300 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$353.20 |
$883 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520 |
$1,300 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$520 |
$1,300 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$520 |
$1,300 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$520 |
$1,300 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$520 |
$1,300 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,200 |
$3,000 |
0.8× |
| Repair eyelid wound (67930) |
$1,960 |
$4,900 |
0.9× |
| Repair finger tendon (26432) |
$1,200 |
$3,000 |
0.8× |
| Repair finger/hand tendon (26350) |
$2,400 |
$6,000 |
0.8× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$2,400 |
$6,000 |
0.8× |
| Repair forearm tendon/muscle (25270) |
$2,400 |
$6,000 |
0.8× |
| Repair forearm tendon/muscle (25260) |
$2,400 |
$6,000 |
0.8× |
| Repair hand tendon (26410) |
$1,200 |
$3,000 |
0.8× |
| Repair incomplete circumcision (54163) |
$1,828.80 |
$4,572 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$353.20 |
$883 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$353.20 |
$883 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$353.20 |
$883 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$353.20 |
$883 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$353.20 |
$883 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$353.20 |
$883 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$340 |
$850 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$520 |
$1,300 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$353.20 |
$883 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$353.20 |
$883 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$520 |
$1,300 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,640 |
$4,100 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$353.20 |
$883 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$353.20 |
$883 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$353.20 |
$883 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$520 |
$1,300 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$353.20 |
$883 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,720 |
$4,300 |
0.9× |
| Repair intrinsic muscles of hand (26591) |
$2,400 |
$6,000 |
0.8× |
| Repair Laceration Palate </2 Cm (42180) |
$400 |
$1,000 |
0.8× |
| Repair lead pace-defib dual (33220) |
$2,400 |
$6,000 |
0.7× |
| Repair lead pace-defib one (33218) |
$2,400 |
$6,000 |
0.7× |
| Repair of eye socket wound (65290) |
$3,200 |
$8,000 |
0.9× |
| Repair of eye wound (65275) |
$3,200 |
$8,000 |
0.9× |
| Repair Of Foot Tendon (28208) |
$2,400 |
$6,000 |
0.8× |
| Repair of nail bed (11760) |
$520 |
$1,300 |
0.8× |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$2,000 |
$5,000 |
1.0× |
| Repair Spica/Body/Jacket Cast (29720) |
$140 |
$350 |
1.0× |
| Repair Tongue Laceration (41250) |
$260 |
$650 |
0.6× |
| Repair vagina/perineum (57210) |
$2,520 |
$6,300 |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$2,400 |
$6,000 |
0.8× |
| Replace duod/jej tube perc (49451) |
$800 |
$2,000 |
1.0× |
| Replace g/c tube perc (49450) |
$800 |
$2,000 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$800 |
$2,000 |
1.0× |
| Replacement or irrigation of tube in brain (62225) |
$5,509.20 |
$13,773 |
1.8× |
| Replacement or irrigation of tube in membranes covering brain (62194) |
$1,480 |
$3,700 |
0.8× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,400 |
$6,000 |
0.7× |
| Reposition gastrostomy tube (43761) |
$272 |
$680 |
1.2× |
| Reposition pacing-defib lead (33215) |
$2,400 |
$6,000 |
0.8× |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
$278.80 |
$697 |
1.0× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$2,200 |
$5,500 |
0.8× |
| Rerepair ing hernia reduce (49520) |
$2,800 |
$7,000 |
0.9× |
| Revise Eyelashes,Forceps (67820) |
$100 |
$250 |
0.8× |
| Revise finger joint (26535) |
$2,400 |
$6,000 |
0.8× |
| Revise median n/carpal tunnel surg (64721) |
$1,480 |
$3,700 |
0.8× |
| Revise ulnar nerve at wrist (64719) |
$1,480 |
$3,700 |
0.8× |
| Revision of iris (66761) |
$514 |
$1,285 |
1.0× |
| Revision of penis (54420) |
$3,140 |
$7,850 |
1.0× |
| Revision of testis (54660) |
$4,506 |
$11,265 |
0.9× |
| Revision of tips (37183) |
$4,400 |
$11,000 |
0.9× |
| Revision of urethra (53450) |
$3,000 |
$7,500 |
0.9× |
| Revision or removal of cranial neurostimulator pulse generator or receiver (61888) |
$11,390 |
$28,475 |
1.1× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$5,236 |
$13,090 |
1.0× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$5,861.20 |
$14,653 |
1.1× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$1,828.80 |
$4,572 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,352.80 |
$3,382 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$720 |
$1,800 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$260 |
$650 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$100 |
$250 |
0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$960 |
$2,400 |
0.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,320 |
$5,800 |
0.9× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$2,320 |
$5,800 |
0.9× |
| Rmvl of subq defibrillator (33272) |
$2,400 |
$6,000 |
0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,400 |
$6,000 |
0.7× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,400 |
$6,000 |
0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,200 |
$3,000 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$520 |
$1,300 |
0.9× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$277.20 |
$693 |
0.7× |
| Rplc gtube revj gstrst trc (43763) |
$240 |
$600 |
1.1× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$2,200 |
$5,500 |
0.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,200 |
$3,000 |
0.8× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$2,200 |
$5,500 |
0.8× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$2,640 |
$6,600 |
0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,200 |
$5,500 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,400 |
$6,000 |
0.8× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$3,200 |
$8,000 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$3,200 |
$8,000 |
0.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,200 |
$8,000 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$635.60 |
$1,589 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,080 |
$2,700 |
0.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$520 |
$1,300 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$204 |
$510 |
1.0× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,960 |
$4,900 |
0.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$200 |
$500 |
0.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$400 |
$1,000 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$400 |
$1,000 |
0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,200 |
$3,000 |
0.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$520 |
$1,300 |
0.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,400 |
$6,000 |
0.8× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,200 |
$5,500 |
0.8× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,200 |
$3,000 |
0.8× |
| Sclerotx Fluid Collection (49185) |
$600 |
$1,500 |
0.4× |
Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) unusually low: confirm this is the full procedure |
$3,200 |
$8,000 |
0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$800 |
$2,000 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$998.40 |
$2,496 |
0.9× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,360 |
$5,900 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$160 |
$400 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$183.60 |
$459 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$183.60 |
$459 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$160 |
$400 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$340 |
$850 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$183.60 |
$459 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$720 |
$1,800 |
0.9× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$960 |
$2,400 |
0.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$960 |
$2,400 |
0.9× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$800 |
$2,000 |
1.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$960 |
$2,400 |
0.9× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$832 |
$2,080 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$720 |
$1,800 |
0.9× |
| Sigmoidoscopy w/fb removal (45332) |
$960 |
$2,400 |
0.9× |
| Sigmoidoscopy w/us guide bx (45342) |
$960 |
$2,400 |
0.9× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$5,240.80 |
$13,102 |
1.0× |
| Simple biopsy of growth of throat behind nose (42804) |
$2,400 |
$6,000 |
0.8× |
| Simple Cystometrogram (51725) |
$305 |
$762.50 |
1.4× |
| Simple destruction of growth of penis using electric current (54055) |
$1,640 |
$4,100 |
0.9× |
| Simple drainage of abscess of saliva gland (42300) |
$1,200 |
$3,000 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$353.20 |
$883 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$183.60 |
$459 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$183.60 |
$459 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$340 |
$850 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$183.60 |
$459 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$183.60 |
$459 |
1.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$183.60 |
$459 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$183.60 |
$459 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$183.60 |
$459 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$183.60 |
$459 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$1,720 |
$4,300 |
2.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,720 |
$4,300 |
2.6× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,800 |
$7,000 |
1.5× |
| Skin Tissue Procedure (17999) |
$183.60 |
$459 |
1.0× |
| Skin tissue rearrangement (14040) |
$1,640 |
$4,100 |
0.9× |
| Skn sub grft f/n/hf/g child (15277) |
$1,351.60 |
$3,379 |
0.7× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$4,870.40 |
$12,176 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$2,923.60 |
$7,309 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$4,870.40 |
$12,176 |
1.0× |
| Slitting of prepuce (54001) |
$2,064.80 |
$5,162 |
1.1× |
| Small Bowel Endoscopy (44373) |
$1,480 |
$3,700 |
0.9× |
| Small bowel endoscopy (44366) |
$1,560 |
$3,900 |
0.9× |
| Small bowel endoscopy (44364) |
$1,480 |
$3,700 |
0.9× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,560 |
$3,900 |
0.9× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,560 |
$3,900 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$183.60 |
$459 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$353.20 |
$883 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$353.20 |
$883 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$520 |
$1,300 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$520 |
$1,300 |
0.8× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,200 |
$5,500 |
0.8× |
| Stimulus evoked response (51792) |
$70 |
$175 |
1.3× |
| Strapping ankle (29540) |
$140 |
$350 |
1.0× |
| Strapping elbow/wrist (29260) |
$56.80 |
$142 |
1.1× |
| Strapping hand/finger (29280) |
$50 |
$125 |
0.9× |
| Strapping Hip (29520) |
$100 |
$250 |
0.8× |
| Strapping knee (29530) |
$100 |
$250 |
0.8× |
| Strapping shoulder (29240) |
$100 |
$250 |
0.8× |
| Strapping thorax (29200) |
$140 |
$350 |
1.0× |
| Strapping toes (29550) |
$50 |
$125 |
0.9× |
| Strapping unna boot (29580) |
$140 |
$350 |
1.0× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Other Surgical Services (11952) |
$520 |
$1,300 |
0.8× |
| Surgery/speech prosthesis (31611) |
$2,600 |
$6,500 |
0.9× |
| Suture Eyelid Wound,Full Thick (67935) |
$1,800 |
$4,500 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$183.60 |
$459 |
0.5× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$26,440 |
$66,100 |
1.0× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$14,780 |
$36,950 |
0.8× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$2,400 |
$6,000 |
0.8× |
| Temporary Closure Eyelids Suture (67875) |
$820 |
$2,050 |
0.9× |
| Thaw preserved stem cells (38208) |
$396 |
$990 |
1.0× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$3,400 |
$8,500 |
0.9× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,160 |
$2,900 |
0.8× |
| Ther Apheresis,Platelets (36513) |
$405.20 |
$1,013 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,160 |
$2,900 |
0.8× |
| Ther Apheresis,White Blood Cells (36511) |
$1,160 |
$2,900 |
0.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$648.40 |
$1,621 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$520 |
$1,300 |
0.9× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$520 |
$1,300 |
0.9× |
Thoracoscopy dx pericardial sac w/biopsy spx (32604) unusually low: confirm this is the full procedure |
$4,000 |
$10,000 |
0.4× |
| Thoracoscopy w/bx pleura (32609) |
$4,000 |
$10,000 |
0.7× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$4,000 |
$10,000 |
0.7× |
| Throat Surgery Procedure (42999) |
$204 |
$510 |
1.0× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) unusually low: confirm this is the full procedure |
$2,000 |
$5,000 |
0.4× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,200 |
$5,500 |
0.8× |
| Thrombolytic Art Therapy (37211) |
$2,640 |
$6,600 |
0.5× |
| Thrombolytic Therapy, Stroke (37195) |
$325.60 |
$814 |
1.1× |
| Thrombolytic Venous Therapy (37212) |
$2,200 |
$5,500 |
0.8× |
| Thyroid biopsy (60100) |
$600 |
$1,500 |
0.9× |
| Tongue and mouth surg unlisted (41599) |
$204 |
$510 |
1.0× |
| Trach Tube Change (31502) |
$200 |
$500 |
0.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$400 |
$1,000 |
0.8× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$204 |
$510 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,200 |
$3,000 |
0.9× |
| Tracheostomy planned (31600) |
$2,600 |
$6,500 |
0.9× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$288 |
$720 |
1.0× |
| Transcatheter biopsy (37200) |
$4,000 |
$10,000 |
0.8× |
| Transfusion intrauterine fetal (36460) |
$405.20 |
$1,013 |
1.0× |
| Transoral Lower Esophageal Myotomy (43497) |
$3,136 |
$7,840 |
0.6× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$3,200 |
$8,000 |
0.7× |
| Transplj Hematopoietic Boost (38243) |
$1,160 |
$2,900 |
0.8× |
| Treat finger dislocation (26775) |
$246.40 |
$616 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$200 |
$500 |
0.9× |
| Treat humerus fracture (24500) |
$200 |
$500 |
0.9× |
| Treat humerus fracture (24577) |
$1,300 |
$3,250 |
0.9× |
| Treat humerus fracture (23600) |
$210.80 |
$527 |
0.9× |
| Treat knee fracture (27532) |
$2,892.40 |
$7,231 |
1.0× |
| Treat knuckle dislocation (26715) |
$2,400 |
$6,000 |
0.8× |
| Treat Lower Leg Fracture (27827) |
$12,593.20 |
$31,483 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$200 |
$500 |
0.9× |
| Treat pleurodesis w/agent (32560) |
$520 |
$1,300 |
0.9× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,200 |
$3,000 |
0.8× |
| Treat Vaginal Bleeding (57180) |
$160 |
$400 |
0.9× |
| Treat wrist bone fracture (25635) |
$1,200 |
$3,000 |
0.8× |
| Treat wrist bone fracture (25622) |
$210.80 |
$527 |
0.9× |
| Treat Wrist Bone Fracture (25630) |
$210.80 |
$527 |
0.9× |
| Treatment closed elbow dislocation req anes (24605) |
$1,200 |
$3,000 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$200 |
$500 |
0.9× |
| Treatment of ankle fracture (27822) |
$4,400 |
$11,000 |
0.7× |
| Treatment of bone cyst (20615) |
$600 |
$1,500 |
0.9× |
| Treatment of broken upper or lower jaw bone (21445) |
$4,000 |
$10,000 |
0.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$200 |
$500 |
0.9× |
| Trim skin lesion (11055) |
$160 |
$400 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$183.60 |
$459 |
1.0× |
| Trim skin lesions over 4 (11057) |
$160 |
$400 |
0.9× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$50 |
$125 |
0.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$4,400 |
$11,000 |
0.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$4,400 |
$11,000 |
0.9× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$396 |
$990 |
1.0× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$405.20 |
$1,013 |
1.0× |
Trnsplj allogeneic hematopoietic cells per donor (38240) unusually low: confirm this is the full procedure |
$26,000 |
$65,000 |
0.5× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$1,160 |
$2,900 |
0.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,000 |
$5,000 |
0.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,520 |
$6,300 |
0.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,400 |
$3,500 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$520 |
$1,300 |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$340 |
$850 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,200 |
$3,000 |
0.8× |
| Tying of external neck artery (37600) |
$2,400 |
$6,000 |
0.8× |
| Tympanostomy (69433) |
$400 |
$1,000 |
0.8× |
| Umbilical cord occlud w/us (59072) |
$288 |
$720 |
1.0× |
| Unlisted Cardiac Surgery (33999) |
$3,960 |
$9,900 |
7.0× |
| Unlisted procedure anus (46999) |
$800 |
$2,000 |
1.0× |
| Unlisted Procedure Breast (19499) |
$1,898.80 |
$4,747 |
0.5× |
| Unlisted Procedure Casting/Strapping (29799) |
$140 |
$350 |
1.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$200 |
$500 |
0.9× |
| Unlisted Procedure External Ear (69399) |
$200 |
$500 |
0.9× |
| Unlisted procedure femur or knee (27599) |
$3,972.40 |
$9,931 |
17.8× |
| Unlisted procedure foot or toes (28899) |
$6,614.80 |
$16,537 |
29.7× |
| Unlisted procedure humerus/elbow (24999) |
$2,091.60 |
$5,229 |
9.4× |
| Unlisted procedure larynx (31599) |
$800 |
$2,000 |
3.7× |
| Unlisted procedure leg/ankle (27899) |
$4,255.20 |
$10,638 |
19.1× |
| Unlisted procedure liver (47399) |
$1,880 |
$4,700 |
2.9× |
| Unlisted Procedure Lungs & Pleura (32999) |
$3,751.20 |
$9,378 |
6.6× |
| Unlisted procedure neck or thorax (21899) |
$3,800 |
$9,500 |
17.8× |
| Unlisted Procedure Nervous System (64999) |
$300 |
$750 |
1.1× |
| Unlisted procedure pancreas (48999) |
$4,800 |
$12,000 |
7.5× |
| Unlisted procedure pelvis/hip joint (27299) |
$2,441.20 |
$6,103 |
11.0× |
| Unlisted Procedure Rectum (45999) |
$800 |
$2,000 |
1.0× |
| Unlisted procedure shoulder (23929) |
$2,227.60 |
$5,569 |
10.0× |
| Unlisted Procedure Small Intestine (44799) |
$720 |
$1,800 |
0.9× |
| Unlisted Procedure Trachea Bronchi (31899) |
$168 |
$420 |
0.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,373 |
$3,432.50 |
2.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$720 |
$1,800 |
0.9× |
| Unlisted procedure, forearm or wrist (25999) |
$2,091.60 |
$5,229 |
9.4× |
| Unlisted procedure, hands or fingers (26989) |
$210.80 |
$527 |
0.9× |
| Unlisted procedure, male genital system (55899) |
$240 |
$600 |
1.1× |
| Unlisted procedure, salivary glands or ducts (42699) |
$204 |
$510 |
1.0× |
| Unlisted procedure, stomach (43999) |
$800 |
$2,000 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$3,023.20 |
$7,558 |
16.6× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$8,800 |
$22,000 |
0.9× |
| Urine Flow Measurement (51736) |
$100 |
$250 |
0.8× |
| Urology Surgery Procedure (53899) |
$2,920 |
$7,300 |
12.9× |
| Vaginal delivery only (59409) |
$2,679.60 |
$6,699 |
0.9× |
Vasc embolize/occlude artery (37242) unusually low: confirm this is the full procedure |
$8,000 |
$20,000 |
0.5× |
| Vasc Embolize/Occlude Bleed (37244) |
$8,000 |
$20,000 |
0.8× |
| Vasc embolize/occlude organ (37243) |
$8,000 |
$20,000 |
0.8× |
| Vasc embolize/occlude venous (37241) |
$8,000 |
$20,000 |
0.8× |
| Vasectomy (55250) |
$1,440 |
$3,600 |
0.8× |
| Venipuncture (36415) |
$11.60 |
$29 |
1.2× |
| Ventricular puncture previous burr hole w/inj (61026) |
$600 |
$1,500 |
0.9× |
| Wash harvest stem cells (38209) |
$405.20 |
$1,013 |
1.0× |
| Wedging of cast (29740) |
$204 |
$510 |
0.8× |
| Wedging of clubfoot cast (29750) |
$204 |
$510 |
0.8× |
| Windowing of cast (29730) |
$140 |
$350 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$580.80 |
$1,452 |
1.6× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$1,737.60 |
$4,344 |
2.6× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$2,640 |
$6,600 |
0.5× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$1,200 |
$3,000 |
0.8× |