| Abd paracentesis w/imaging (49083) |
$1,684.20 |
$2,807 |
1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,684.20 |
$2,807 |
1.8× |
| Ablate inf turbinate submuc (30802) |
$2,833.80 |
$4,723 |
1.8× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$19,125.60 |
$31,876 |
1.8× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$19,125.60 |
$31,876 |
1.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$24,453 |
$40,755 |
1.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$13,292.40 |
$22,154 |
1.8× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$2,707.80 |
$4,513 |
1.7× |
| Acne surgery (10040) |
$372 |
$620 |
1.8× |
| Acromiopl/Acromionect Partial (23130) |
$5,931.60 |
$9,886 |
1.8× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$3,388.20 |
$5,647 |
1.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$6,666 |
$11,110 |
1.9× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$3,388.20 |
$5,647 |
1.6× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,388.20 |
$5,647 |
1.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$3,388.20 |
$5,647 |
1.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$3,388.20 |
$5,647 |
1.6× |
| Allogeneic lymphocyte infusions (38242) |
$2,851.20 |
$4,752 |
1.8× |
| Amniocentesis diagnostic (59000) |
$1,494 |
$2,490 |
1.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$6,014.40 |
$10,024 |
1.8× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$555 |
$925 |
1.8× |
| Anal/Urinary Muscle Study (51784) |
$290.40 |
$484 |
2.2× |
| Anoscopy diagnostic (46600) |
$237.60 |
$396 |
1.8× |
Apheresis Platelets (36513) range across 2 matching MRF lines |
$799.20–$807 |
$1,332–$1,345 |
varies |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$292.80 |
$488 |
1.8× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$499.20 |
$832 |
1.8× |
| Application cast elbow finger short arm (29075) |
$499.20 |
$832 |
1.8× |
| Application Cast Finger (29086) |
$288.60 |
$481 |
1.8× |
| Application Cast Shoulder Spica (29055) |
$499.20 |
$832 |
1.8× |
| Application finger splint static (29130) |
$237.60 |
$396 |
1.8× |
| Application Hip Spica Cast 1 Leg (29305) |
$499.20 |
$832 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$292.80 |
$488 |
1.8× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$499.20 |
$832 |
1.8× |
| Application Long Leg Splint (29505) |
$292.80 |
$488 |
1.8× |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
$292.80 |
$488 |
1.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$499.20 |
$832 |
1.8× |
| Application of long leg cast (29345) |
$499.20 |
$832 |
1.8× |
| Application of rigid total contact leg cast (29445) |
$499.20 |
$832 |
1.8× |
| Application Patellar Tendon Bearing Cast (29435) |
$499.20 |
$832 |
1.8× |
| Application risser jacket localizer body only (29010) |
$499.20 |
$832 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$237.60 |
$396 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$237.60 |
$396 |
1.8× |
| Application short leg splint calf foot (29515) |
$292.80 |
$488 |
1.8× |
| Apply hand/wrist cast (29085) |
$292.80 |
$488 |
1.8× |
| Apply long arm cast (29065) |
$499.20 |
$832 |
1.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$292.80 |
$488 |
1.8× |
| Apply Short Leg Cast (29405) |
$499.20 |
$832 |
1.8× |
| Apply short leg cast (29425) |
$499.20 |
$832 |
1.8× |
| Arterial puncture (36600) |
$237.60 |
$396 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$550.80 |
$918 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,285.20 |
$2,142 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$550.80 |
$918 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$550.80 |
$918 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$550.80 |
$918 |
1.8× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$2,986.20 |
$4,977 |
1.8× |
| Artificial insemination intra-uterine (58322) |
$370.80 |
$618 |
1.8× |
| Aspirate pleura w/ imaging (32555) |
$1,167.60 |
$1,946 |
1.9× |
| Aspirate Pleura W/O Imaging (32554) |
$1,167.60 |
$1,946 |
1.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$550.80 |
$918 |
1.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,784.80 |
$6,308 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$372 |
$620 |
1.8× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$14,056.80 |
$23,428 |
2.2× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
$19,125.60 |
$31,876 |
1.8× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$19,125.60 |
$31,876 |
1.8× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$14,056.80 |
$23,428 |
2.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$12,090.60 |
$20,151 |
1.9× |
| Biopsy Abdominal Mass (49180) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy bone trocar/needle deep (20225) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy external ear (69100) |
$454.20 |
$757 |
1.9× |
| Biopsy muscle percutaneous needle (20206) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy nail unit (11755) |
$1,307.40 |
$2,179 |
1.8× |
| Biopsy of conjunctiva (68100) |
$4,342.20 |
$7,237 |
1.8× |
| Biopsy of floor of mouth (41108) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy of lip (40490) |
$454.20 |
$757 |
1.9× |
| Biopsy of liver, needle; percutaneous (47000) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy of palate, uvula (42100) |
$2,833.80 |
$4,723 |
1.8× |
| Biopsy of penis (54100) |
$2,961.60 |
$4,936 |
1.8× |
| Biopsy Oropharynx (42800) |
$2,833.80 |
$4,723 |
1.8× |
| Biopsy Pleura Percutaneous Needle (32400) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$6,583.20 |
$10,972 |
1.9× |
| Biopsy Salivary Gland Incisional (42405) |
$2,833.80 |
$4,723 |
1.8× |
| Biopsy Salivary Gland Needle (42400) |
$1,307.40 |
$2,179 |
1.8× |
| Biopsy soft tissue neck/thorax (21550) |
$3,012.60 |
$5,021 |
1.8× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$1,022.40 |
$1,704 |
1.9× |
| Biopsy Tongue Posterior One-Third (41105) |
$5,928.60 |
$9,881 |
1.8× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$5,811.60 |
$9,686 |
1.8× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,494 |
$2,490 |
1.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,494 |
$2,490 |
1.6× |
| Biopsy, vestibule of mouth (40808) |
$1,022.40 |
$1,704 |
1.9× |
| Bladder instillation anticarcinogenic agent (51720) |
$1,269.60 |
$2,116 |
1.8× |
| Bladder Irrigation (51700) |
$459.60 |
$766 |
1.8× |
| Bladder Scan (51798) |
$114 |
$190 |
1.9× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$2,851.20 |
$4,752 |
1.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,388.20 |
$5,647 |
1.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$541.80 |
$903 |
1.7× |
| Blood Transfusion Service (36430) |
$807 |
$1,345 |
1.8× |
| Bone Marrow Biopsy (38221) |
$3,012.60 |
$5,021 |
1.8× |
| Bone marrow harvest allogen (38230) |
$2,851.20 |
$4,752 |
1.8× |
| Bone Marrow Harvest Autolog (38232) |
$8,598.60 |
$14,331 |
2.0× |
| Bone Marrow; Aspiration Only (38220) |
$3,012.60 |
$5,021 |
1.8× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$6,958.20 |
$11,597 |
1.9× |
| Bx breast 1st lesion mr imag (19085) |
$3,012.60 |
$5,021 |
1.8× |
| Bx breast 1st lesion strtctc (19081) |
$3,012.60 |
$5,021 |
1.8× |
| Bx breast 1st lesion us imag (19083) |
$3,012.60 |
$5,021 |
1.8× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$3,012.60 |
$5,021 |
1.8× |
| Bx Cervix (57500) |
$1,494 |
$2,490 |
1.6× |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
$10,014 |
$16,690 |
1.9× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$6,583.20 |
$10,972 |
1.9× |
| Bx prostate transperineal ultrasound-guided (55709) |
$6,583.20 |
$10,972 |
1.9× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$6,583.20 |
$10,972 |
1.9× |
| Bx prst8 in-bore CT/MRI bx 1 (55713) |
$10,014 |
$16,690 |
1.9× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$6,583.20 |
$10,972 |
1.9× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$6,583.20 |
$10,972 |
1.9× |
| Bx/exc lymph node open superficial (38500) |
$7,082.40 |
$11,804 |
1.8× |
| Car-t admn autologous (38228) |
$2,178 |
$3,630 |
6.6× |
| Cessj Therapy Cath Removal (37214) |
$5,922.60 |
$9,871 |
1.9× |
| Change Cystostomy Tube Complicated (51710) |
$1,269.60 |
$2,116 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$459.60 |
$766 |
1.8× |
| Change of Windpipe Airway (31502) |
$454.20 |
$757 |
1.9× |
| Change ureter stent percut (50382) |
$3,784.80 |
$6,308 |
1.8× |
| Chemical Cautery Tissue (17250) |
$372 |
$620 |
1.8× |
| Chemical Pleurodesis (32560) |
$1,094.40 |
$1,824 |
1.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,285.20 |
$2,142 |
1.8× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,285.20 |
$2,142 |
1.8× |
| Chemodenerv Eccrine Glands (64650) |
$550.80 |
$918 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$550.80 |
$918 |
1.8× |
| Chemodenerv musc neck dyston (64616) |
$550.80 |
$918 |
1.8× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$550.80 |
$918 |
1.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,285.20 |
$2,142 |
1.8× |
| Chemodenerv trunk musc 6/> (64647) |
$1,285.20 |
$2,142 |
1.8× |
| Chemodenervation eccrine glands oth area per day (64653) |
$550.80 |
$918 |
1.8× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$1,285.20 |
$2,142 |
1.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$550.80 |
$918 |
1.8× |
| Chest tube placement (32551) |
$2,976 |
$4,960 |
1.9× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$3,744.60 |
$6,241 |
1.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$6,428.40 |
$10,714 |
1.8× |
| Circumcision 28 days or older (54161) |
$3,784.80 |
$6,308 |
1.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$3,784.80 |
$6,308 |
1.8× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,986.20 |
$4,977 |
1.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,986.20 |
$4,977 |
1.8× |
| Clear outer ear canal (69200) |
$237.60 |
$396 |
1.8× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$438.60 |
$731 |
1.8× |
| Closed Treat Vert Body Fract (22310) |
$438.60 |
$731 |
1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$438.60 |
$731 |
1.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$438.60 |
$731 |
1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$438.60 |
$731 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$438.60 |
$731 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,986.20 |
$4,977 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$438.60 |
$731 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$438.60 |
$731 |
1.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$438.60 |
$731 |
1.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$438.60 |
$731 |
1.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,986.20 |
$4,977 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$438.60 |
$731 |
1.8× |
| Closed tx mandibular fracture w/manipulation (21451) |
$2,833.80 |
$4,723 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$438.60 |
$731 |
1.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,986.20 |
$4,977 |
1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$5,982 |
$9,970 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$438.60 |
$731 |
1.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$438.60 |
$731 |
1.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,986.20 |
$4,977 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$438.60 |
$731 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,986.20 |
$4,977 |
1.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$438.60 |
$731 |
1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,986.20 |
$4,977 |
1.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$438.60 |
$731 |
1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$438.60 |
$731 |
1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$438.60 |
$731 |
1.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,986.20 |
$4,977 |
1.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$438.60 |
$731 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$438.60 |
$731 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,986.20 |
$4,977 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$438.60 |
$731 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$438.60 |
$731 |
1.8× |
| Closure lacrimal punctum (68760) |
$541.80 |
$903 |
1.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,986.20 |
$4,977 |
1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$438.60 |
$731 |
1.8× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$438.60 |
$731 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,986.20 |
$4,977 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$438.60 |
$731 |
1.8× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$541.80 |
$903 |
1.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$438.60 |
$731 |
1.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$438.60 |
$731 |
1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$438.60 |
$731 |
1.8× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$438.60 |
$731 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$438.60 |
$731 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$438.60 |
$731 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$438.60 |
$731 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$438.60 |
$731 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$438.60 |
$731 |
1.8× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$438.60 |
$731 |
1.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$438.60 |
$731 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$438.60 |
$731 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$438.60 |
$731 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$438.60 |
$731 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$438.60 |
$731 |
1.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$438.60 |
$731 |
1.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$438.60 |
$731 |
1.8× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$438.60 |
$731 |
1.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$438.60 |
$731 |
1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$438.60 |
$731 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$438.60 |
$731 |
1.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx Medial Ankle Fx (27760) |
$438.60 |
$731 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$438.60 |
$731 |
1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$438.60 |
$731 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$438.60 |
$731 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$438.60 |
$731 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$438.60 |
$731 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$438.60 |
$731 |
1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$438.60 |
$731 |
1.8× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$438.60 |
$731 |
1.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$438.60 |
$731 |
1.8× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$438.60 |
$731 |
1.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$438.60 |
$731 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,986.20 |
$4,977 |
1.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$438.60 |
$731 |
1.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$237.60 |
$396 |
1.8× |
| Collection of venous blood by venipuncture (36415) |
$17.40 |
$29 |
1.9× |
| Colonoscopy thru stoma (44388) |
$1,698.60 |
$2,831 |
1.8× |
| Colonoscopy w/fb removal (45379) |
$2,193 |
$3,655 |
1.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$596.40 |
$994 |
1.9× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$596.40 |
$994 |
1.9× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$370.80 |
$618 |
1.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$596.40 |
$994 |
1.9× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$5,809.20 |
$9,682 |
1.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$596.40 |
$994 |
1.9× |
| Colposcopy of vulva (56820) |
$370.80 |
$618 |
1.8× |
| Colposcopy Vulva W/Biopsy (56821) |
$596.40 |
$994 |
1.9× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$1,494 |
$2,490 |
1.6× |
| Complex drainage wound (10180) |
$5,279.40 |
$8,799 |
1.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$5,809.20 |
$9,682 |
1.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$237.60 |
$396 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$237.60 |
$396 |
1.8× |
| Control oropharyngeal hemorrhage simple (42960) |
$1,022.40 |
$1,704 |
1.9× |
| Conversion ext bil drg cath (47535) |
$6,428.40 |
$10,714 |
1.8× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,535.80 |
$5,893 |
1.8× |
| Convert Nephrostomy Catheter (50434) |
$3,784.80 |
$6,308 |
1.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,012.60 |
$5,021 |
1.8× |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
$729.60 |
$1,216 |
1.6× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$237.60 |
$396 |
1.8× |
| Create Eardrum Opening (69433) |
$1,022.40 |
$1,704 |
1.9× |
| Csf shunt reprogram (62252) |
$555 |
$925 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$237.60 |
$396 |
1.8× |
| Curette/treat cornea (65435) |
$1,881.60 |
$3,136 |
1.9× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,784.80 |
$6,308 |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,784.80 |
$6,308 |
1.8× |
| Cysto w/complex removal stone & stent (52315) |
$3,784.80 |
$6,308 |
1.8× |
| Cysto w/destruction of lesions (52214) |
$6,583.20 |
$10,972 |
1.9× |
| Cysto w/insert ureteral stent (52332) |
$6,477.60 |
$10,796 |
1.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$6,304.80 |
$10,508 |
1.8× |
| Cysto w/removal of lesions small (52224) |
$6,477.60 |
$10,796 |
1.8× |
| Cysto w/removal of tumors small (52234) |
$6,477.60 |
$10,796 |
1.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,784.80 |
$6,308 |
1.8× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$6,304.80 |
$10,508 |
1.8× |
| Cystometrogram W/Vp (51728) |
$1,269.60 |
$2,116 |
1.8× |
| Cystometrogram W/Vp&Up (51729) |
$1,269.60 |
$2,116 |
1.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,745.20 |
$6,242 |
1.8× |
| Cystourethroscopy (52000) |
$1,269.60 |
$2,116 |
1.8× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,784.80 |
$6,308 |
1.8× |
| Cystourethroscopy with biopsy (52204) |
$3,784.80 |
$6,308 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,167 |
$1,945 |
2.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$5,279.40 |
$8,799 |
1.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,307.40 |
$2,179 |
1.8× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$3,587.40 |
$5,979 |
1.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,167 |
$1,945 |
1.6× |
| Debride nail 1-5 (11720) |
$114 |
$190 |
1.9× |
| Debride nail 6 or more (11721) |
$114 |
$190 |
1.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,012.60 |
$5,021 |
1.8× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$372 |
$620 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$741 |
$1,235 |
1.8× |
| Declot vascular device (36593) |
$629.40 |
$1,049 |
1.9× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$3,388.20 |
$5,647 |
1.6× |
| Delivery of placenta (59414) |
$5,809.20 |
$9,682 |
1.8× |
| Dermabrasion segmental face (15781) |
$1,307.40 |
$2,179 |
1.8× |
| Destr penis lesion(s) (54065) |
$3,853.80 |
$6,423 |
1.9× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,693.80 |
$2,823 |
1.9× |
| Destroy cerv/thor facet jnt (64633) |
$3,569.40 |
$5,949 |
1.8× |
| Destroy lumb/sac facet jnt (64635) |
$3,569.40 |
$5,949 |
1.8× |
| Destruc retinal lesn,photocoag (67210) |
$1,080 |
$1,800 |
2.0× |
| Destruct B9 Lesion 1-14 (17110) |
$372 |
$620 |
1.8× |
| Destruction Benign Lesions 15/> (17111) |
$372 |
$620 |
1.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,652.40 |
$2,754 |
1.9× |
| Destruction Lesions Vulva Extensive (56515) |
$3,388.20 |
$5,647 |
1.6× |
| Destruction Lesions Vulva Simple (56501) |
$3,388.20 |
$5,647 |
1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$741 |
$1,235 |
3.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$372 |
$620 |
1.8× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$372 |
$620 |
1.8× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$156 |
$260 |
0.8× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$741 |
$1,235 |
1.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$741 |
$1,235 |
1.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$372 |
$620 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$372 |
$620 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$372 |
$620 |
1.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$730.80 |
$1,218 |
1.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$372 |
$620 |
1.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,569.40 |
$5,949 |
1.8× |
| Destruction of skin lesions (17106) |
$741 |
$1,235 |
1.8× |
| Destruction Premalignant Lesion 15/> (17004) |
$741 |
$1,235 |
1.8× |
| Destruction premalignant lesion 1st (17000) |
$372 |
$620 |
1.8× |
| Destruction Vaginal Lesions Simple (57061) |
$5,809.20 |
$9,682 |
1.8× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$370.80 |
$618 |
1.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$290.40 |
$484 |
2.2× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$237.60 |
$396 |
1.8× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$235.80 |
$393 |
1.8× |
| Dilat Xst Trc New Access Rcs (50437) |
$6,477.60 |
$10,796 |
1.8× |
| Dilate Urethra Stricture (53600) |
$459.60 |
$766 |
1.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,809.20 |
$9,682 |
1.8× |
| Dilation Esophagus Guide Wire (43453) |
$3,535.80 |
$5,893 |
1.8× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$740.40 |
$1,234 |
1.6× |
| Drain Cerebro Spinal Fluid (62272) |
$1,285.20 |
$2,142 |
1.8× |
| Drain/inj small joint/bursa w/us (20604) |
$550.80 |
$918 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,307.40 |
$2,179 |
1.8× |
| Drainage Finger Abscess Complicated (26011) |
$3,012.60 |
$5,021 |
1.8× |
| Drainage of eye (65800) |
$4,330.20 |
$7,217 |
1.9× |
| Drainage of finger abscess simple (26010) |
$372 |
$620 |
1.8× |
| Drainage of gum lesion (41800) |
$237.60 |
$396 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$3,012.60 |
$5,021 |
1.8× |
| Drainage of hydrocele (55000) |
$1,286.40 |
$2,144 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$3,012.60 |
$5,021 |
1.8× |
| Drainage of scrotum (54700) |
$3,784.80 |
$6,308 |
1.8× |
| Drainage of throat abscess (42725) |
$10,881 |
$18,135 |
1.8× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$5,809.20 |
$9,682 |
1.8× |
| Draw Blood Off Venous Device (36591) |
$237.60 |
$396 |
1.8× |
| Dressing Change Under Anesthesia (15852) |
$1,167 |
$1,945 |
1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,307.40 |
$2,179 |
1.8× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$5,279.40 |
$8,799 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$741 |
$1,235 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$372 |
$620 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$372 |
$620 |
1.8× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,167 |
$1,945 |
1.6× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$3,388.20 |
$5,647 |
1.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$372 |
$620 |
1.8× |
| Dstrj lesion penis simple surg excision (54060) |
$3,343.80 |
$5,573 |
1.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,693.80 |
$2,823 |
1.9× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
$1,693.80 |
$2,823 |
1.9× |
| Dx Bone Marrow Bx & Aspir (38222) |
$5,232 |
$8,720 |
1.8× |
| Dx Bronchoscope/Lavage (31624) |
$3,152.40 |
$5,254 |
1.8× |
| Dx Bronchoscope/Wash (31622) |
$3,153.60 |
$5,256 |
1.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,153.60 |
$5,256 |
1.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,189.20 |
$1,982 |
1.7× |
| Egd Flexible Foreign Body Removal (43247) |
$1,684.20 |
$2,807 |
1.8× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$555 |
$925 |
1.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$555 |
$925 |
1.8× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$555 |
$925 |
1.8× |
| Electro-Uroflowmetry First (51741) |
$583.20 |
$972 |
2.7× |
| Electrolysis Epilation Each 30 Minutes (17380) |
$1,167 |
$1,945 |
1.6× |
| Endocervical curettage (57505) |
$1,494 |
$2,490 |
1.6× |
| Endometrial Biopsy (58100) |
$370.80 |
$618 |
1.8× |
| Endoscopic injection/implant (51715) |
$6,477.60 |
$10,796 |
1.8× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$20,439.60 |
$34,066 |
1.8× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$5,922.60 |
$9,871 |
1.9× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$5,922.60 |
$9,871 |
1.9× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$5,922.60 |
$9,871 |
1.9× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
$10,589.40 |
$17,649 |
1.7× |
| Epidural Blood Patch (62273) |
$1,285.20 |
$2,142 |
1.8× |
| Esophagosc Dilate Balloon 30 (43214) |
$3,535.80 |
$5,893 |
1.8× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$3,535.80 |
$5,893 |
1.8× |
| Evacuate mole of uterus (59870) |
$5,809.20 |
$9,682 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$237.60 |
$396 |
1.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,307.40 |
$2,179 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,012.60 |
$5,021 |
1.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$7,082.40 |
$11,804 |
1.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$1,307.40 |
$2,179 |
1.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$1,307.40 |
$2,179 |
1.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$2,962.20 |
$4,937 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,307.40 |
$2,179 |
1.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,307.40 |
$2,179 |
1.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,307.40 |
$2,179 |
1.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$3,012.60 |
$5,021 |
1.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$3,012.60 |
$5,021 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,012.60 |
$5,021 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,307.40 |
$2,179 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,012.60 |
$5,021 |
1.8× |
| Exc hand tum deep < 1.5 cm (26116) |
$3,012.60 |
$5,021 |
1.8× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$1,881.60 |
$3,136 |
1.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,307.40 |
$2,179 |
1.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,012.60 |
$5,021 |
1.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$5,279.40 |
$8,799 |
1.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,012.60 |
$5,021 |
1.8× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$5,279.40 |
$8,799 |
1.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$3,012.60 |
$5,021 |
1.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$5,232 |
$8,720 |
1.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$3,012.60 |
$5,021 |
1.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,193 |
$3,655 |
1.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$741 |
$1,235 |
1.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,307.40 |
$2,179 |
1.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$3,012.60 |
$5,021 |
1.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$5,279.40 |
$8,799 |
1.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,428.40 |
$10,714 |
1.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,784.80 |
$6,308 |
1.8× |
| Exchange Transfusion (36455) |
$799.20 |
$1,332 |
1.8× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$3,535.80 |
$5,893 |
1.8× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$2,833.80 |
$4,723 |
1.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,307.40 |
$2,179 |
1.8× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$4,342.20 |
$7,237 |
1.8× |
| Excision Chalazion Multiple Same Lid (67801) |
$1,881.60 |
$3,136 |
1.9× |
| Excision Chalazion Single (67800) |
$541.80 |
$903 |
1.7× |
| Excision External Ear Partial Simple Repair (69110) |
$4,079.40 |
$6,799 |
1.4× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$5,232 |
$8,720 |
1.8× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$5,231.40 |
$8,719 |
1.8× |
| Excision Lesion Conjunctiva </1 Cm (68110) |
$4,342.20 |
$7,237 |
1.8× |
| Excision lesion conjunctiva > 1 cm (68115) |
$4,342.20 |
$7,237 |
1.8× |
| Excision Lesion Tongue W/O Closure (41110) |
$5,982 |
$9,970 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,307.40 |
$2,179 |
1.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$741 |
$1,235 |
1.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,307.40 |
$2,179 |
1.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,307.40 |
$2,179 |
1.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$3,012.60 |
$5,021 |
1.8× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$5,231.40 |
$8,719 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$1,307.40 |
$2,179 |
1.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,307.40 |
$2,179 |
1.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$3,012.60 |
$5,021 |
1.8× |
| Excision of chalazion; multiple, different lids (67805) |
$541.80 |
$903 |
1.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$5,231.40 |
$8,719 |
1.8× |
| Excision of single external papilla or tag, anus (46220) |
$2,193 |
$3,655 |
1.8× |
| Excision of vaginal cyst or tumor (57135) |
$5,809.20 |
$9,682 |
1.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$5,231.40 |
$8,719 |
1.8× |
| Excision/destruction intranasal lesion int appr (30117) |
$5,928.60 |
$9,881 |
1.8× |
| Excision/destruction lesion pharynx any method (42808) |
$5,982 |
$9,970 |
1.8× |
| Explo/Drain Breast Abscess (19020) |
$3,012.60 |
$5,021 |
1.8× |
| Fasciotomy palmar percutaneous (26040) |
$2,925.60 |
$4,876 |
1.8× |
| Fetal non-stress test (59025) |
$370.80 |
$618 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,307.40 |
$2,179 |
1.8× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$1,307.40 |
$2,179 |
1.8× |
| Fine needle aspiration without imaging guidance (10021) |
$741 |
$1,235 |
1.8× |
| Fluoro exam of g/colon tube (49465) |
$455.40 |
$759 |
1.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,307.40 |
$2,179 |
1.8× |
| Fna bx w/us gdn 1st les (10005) |
$1,307.40 |
$2,179 |
1.8× |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
$1,494 |
$2,490 |
1.6× |
| Forehead flap w/vasc pedicle (15731) |
$6,666 |
$11,110 |
1.9× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$5,928 |
$9,880 |
1.8× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$3,388.20 |
$5,647 |
1.6× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,388.20 |
$5,647 |
1.6× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$3,388.20 |
$5,647 |
1.6× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$3,388.20 |
$5,647 |
1.6× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$71.40 |
$119 |
2.0× |
| Guide Cathet Fluid Drainage (10030) |
$1,307.40 |
$2,179 |
1.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,217 |
$8,695 |
1.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,698.60 |
$2,831 |
1.8× |
| Hysteroscopy Biopsy (58558) |
$5,809.20 |
$9,682 |
1.8× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$9,241.80 |
$15,403 |
1.8× |
| Hysteroscopy Dx Sep Proc (58555) |
$5,809.20 |
$9,682 |
1.8× |
| Hysteroscopy Endometrial Ablation (58563) |
$9,241.80 |
$15,403 |
1.8× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$5,809.20 |
$9,682 |
1.8× |
| I&d abscess peritonsillar (42700) |
$454.20 |
$757 |
1.9× |
| I&d abscess simple (10060) |
$372 |
$620 |
1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,279.40 |
$8,799 |
1.8× |
| I&d perianal abscess superficial (46050) |
$1,698.60 |
$2,831 |
1.8× |
| I&d pilonidal cyst complicated (10081) |
$1,307.40 |
$2,179 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$1,307.40 |
$2,179 |
1.8× |
| Image Cath Fluid Colxn Visc (49405) |
$3,012.60 |
$5,021 |
1.8× |
| Image Cath Fluid Peri/Retro (49406) |
$3,012.60 |
$5,021 |
1.8× |
| Image Cath Fluid Trns/Vgnl (49407) |
$3,012.60 |
$5,021 |
1.8× |
| Implant Neuroelectrodes (64561) |
$12,706.80 |
$21,178 |
2.0× |
| Incise external hemorrhoid (46083) |
$459.60 |
$766 |
1.8× |
| Incise finger tendon sheath (26055) |
$2,986.20 |
$4,977 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$741 |
$1,235 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$5,279.40 |
$8,799 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,012.60 |
$5,021 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$741 |
$1,235 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$370.80 |
$618 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$596.40 |
$994 |
1.9× |
| Incision of eardrum (69420) |
$454.20 |
$757 |
1.9× |
| Incision of rectal abscess (46040) |
$2,193 |
$3,655 |
1.8× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$541.80 |
$903 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$1,167 |
$1,945 |
1.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$372 |
$620 |
1.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,693.80 |
$2,823 |
1.9× |
| Inj W/Fluor Eval Cv Device (36598) |
$398.40 |
$664 |
1.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,693.80 |
$2,823 |
1.9× |
| Inject Intravitreal Pharmcologic (67028) |
$629.40 |
$1,049 |
1.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$550.80 |
$918 |
1.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,693.80 |
$2,823 |
1.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,285.20 |
$2,142 |
1.8× |
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$1,693.80–$3,387.60 |
$2,823–$5,646 |
varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,285.20 |
$2,142 |
1.8× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,285.20 |
$2,142 |
1.8× |
| Injection for identification of sentinel node (38792) |
$766.80 |
$1,278 |
1.9× |
| Injection Into Brain Canal (61055) |
$550.80 |
$918 |
1.8× |
| Injection medication/other subst tenon capsule (67515) |
$541.80 |
$903 |
1.7× |
| Injection procedure for peyronie disease (54200) |
$459.60 |
$766 |
1.8× |
| Injection single tendon origin/insertion (20551) |
$550.80 |
$918 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$550.80 |
$918 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$550.80 |
$918 |
1.8× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$2,833.80 |
$4,723 |
1.8× |
| Injection therapeutic carpal tunnel (20526) |
$550.80 |
$918 |
1.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,693.80 |
$2,823 |
1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,285.20 |
$2,142 |
1.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$550.80 |
$918 |
1.8× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$372 |
$620 |
1.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$372 |
$620 |
1.8× |
| Injx anterior chamber eye air/liquid spx (66020) |
$4,330.20 |
$7,217 |
1.9× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$4,330.20 |
$7,217 |
1.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,693.80 |
$2,823 |
1.9× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,693.80 |
$2,823 |
1.9× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$1,693.80 |
$2,823 |
1.9× |
| Ins cath ren art 1st bilat (36252) |
$5,922.60 |
$9,871 |
1.9× |
| Ins cath ren art 1st unilat (36251) |
$5,922.60 |
$9,871 |
1.9× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,922.60 |
$9,871 |
1.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$10,210.20 |
$17,017 |
1.8× |
| Ins endovas vena cava filtr (37191) |
$10,210.20 |
$17,017 |
1.8× |
| Ins Vag Brachytx Device (57156) |
$596.40 |
$994 |
1.9× |
| Insert Bladder Cath Complex (51703) |
$290.40 |
$484 |
2.2× |
| Insert cath pleura w/ image (32557) |
$2,976 |
$4,960 |
1.9× |
| Insert cath pleura w/o image (32556) |
$3,535.80 |
$5,893 |
1.8× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$2,193 |
$3,655 |
1.8× |
| Insert Drug Implant Device (11981) |
$237.60 |
$396 |
1.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,535.80 |
$5,893 |
1.8× |
| Insert hepatic shunt (tips) (37182) |
$32,579.40 |
$54,299 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$5,922.60 |
$9,871 |
1.9× |
| Insert pessary/other device (57160) |
$370.80 |
$618 |
1.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,976 |
$4,960 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$237.60 |
$396 |
1.8× |
| Insert tun ip cath perc (49418) |
$6,428.40 |
$10,714 |
1.8× |
| Insert tunneled cv cath (36561) |
$5,922.60 |
$9,871 |
1.9× |
| Insert tunneled cv cath (36563) |
$9,570 |
$15,950 |
1.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$10,210.20 |
$17,017 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$237.60 |
$396 |
1.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$6,428.40 |
$10,714 |
1.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,976 |
$4,960 |
1.9× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$6,428.40 |
$10,714 |
1.8× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$10,210.20 |
$17,017 |
1.8× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$9,241.80 |
$15,403 |
1.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$5,922.60 |
$9,871 |
1.9× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,167.60 |
$1,946 |
1.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$5,922.60 |
$9,871 |
1.9× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$5,922.60 |
$9,871 |
1.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,976 |
$4,960 |
1.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,922.60 |
$9,871 |
1.9× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$10,210.20 |
$17,017 |
1.8× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$5,922.60 |
$9,871 |
1.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,551.20 |
$9,252 |
1.8× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
$459.60 |
$766 |
1.8× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,574.60 |
$4,291 |
1.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$741 |
$1,235 |
1.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$741 |
$1,235 |
1.8× |
| Intranasal Biopsy (30100) |
$2,833.80 |
$4,723 |
1.8× |
| Intro cath dialysis circuit (36901) |
$2,976 |
$4,960 |
1.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$20,439.60 |
$34,066 |
1.8× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$10,619.40 |
$17,699 |
1.9× |
| Intro Gastrointestinal Tube (44500) |
$1,684.20 |
$2,807 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$454.20 |
$757 |
1.9× |
| Iridotomy/irridectomy laser surg per session (66761) |
$1,080 |
$1,800 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$459.60 |
$766 |
1.8× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$71.40 |
$119 |
2.0× |
| Labyrinthotomy Transcanal (69801) |
$2,833.80 |
$4,723 |
1.8× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$10,720.80 |
$17,868 |
1.8× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$10,720.80 |
$17,868 |
1.8× |
| Laryngoscopy diagnostic (31505) |
$368.40 |
$614 |
1.8× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$6,958.20 |
$11,597 |
1.9× |
| Laryngoscopy flexible diagnostic (31575) |
$368.40 |
$614 |
1.8× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$6,958.20 |
$11,597 |
1.9× |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
$3,153.60 |
$5,256 |
1.8× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,153.60 |
$5,256 |
1.8× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$3,153.60 |
$5,256 |
1.8× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$759 |
$1,265 |
1.9× |
| Ligation or biopsy temporal artery (37609) |
$3,012.60 |
$5,021 |
1.8× |
| Lyse chest fibrin init day (32561) |
$1,167.60 |
$1,946 |
1.9× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,167.60 |
$1,946 |
1.9× |
| Lysis of labial adhesions (56441) |
$5,809.20 |
$9,682 |
1.8× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,784.80 |
$6,308 |
1.8× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,269.60 |
$2,116 |
1.8× |
| Marsupialization of bartholin's gland cyst (56440) |
$5,809.20 |
$9,682 |
1.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,976 |
$4,960 |
1.9× |
| Mech remov tunneled cv cath (36595) |
$5,922.60 |
$9,871 |
1.9× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$1,167 |
$1,945 |
1.6× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$1,167 |
$1,945 |
1.6× |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) |
$22,792.80 |
$37,988 |
2.0× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
$4,342.20 |
$7,237 |
1.8× |
| Myelography Lumbar Injection (62305) |
$1,488 |
$2,480 |
1.9× |
| Myelography Lumbar Injection (62304) |
$1,488 |
$2,480 |
1.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,488 |
$2,480 |
1.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,488 |
$2,480 |
1.9× |
| N Block Inj Celiac Pelus (64530) |
$1,693.80 |
$2,823 |
1.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,285.20 |
$2,142 |
1.8× |
| N block inj intercost sng (64420) |
$1,285.20 |
$2,142 |
1.8× |
| N Block Inj Plantar Digit (64455) |
$550.80 |
$918 |
1.8× |
| N Block Inj Pudendal (64430) |
$1,693.80 |
$2,823 |
1.9× |
| N Block Lumbar/Thoracic (64520) |
$1,693.80 |
$2,823 |
1.9× |
| Nasal Endoscopy Dx (31231) |
$368.40 |
$614 |
1.8× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$740.40 |
$1,234 |
1.6× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$6,958.20 |
$11,597 |
1.9× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
$10,812.60 |
$18,021 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$3,153.60 |
$5,256 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$3,153.60 |
$5,256 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,153.60 |
$5,256 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$12,716.40 |
$21,194 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$12,716.40 |
$21,194 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$12,716.40 |
$21,194 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$12,716.40 |
$21,194 |
1.8× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$459.60 |
$766 |
1.8× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,698.60 |
$2,831 |
1.8× |
| Needle Biopsy Lymph Nodes (38505) |
$3,012.60 |
$5,021 |
1.8× |
| Needle Biopsy Pancreas (48102) |
$3,012.60 |
$5,021 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$55.80 |
$93 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$55.80 |
$93 |
1.9× |
| Neu prksn msfl a-syncln prtn (0393U) |
$1,055.40 |
$1,759 |
2.0× |
| Neuroeltrd Stim Post Tibial (64566) |
$550.80 |
$918 |
1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,693.80 |
$2,823 |
1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$550.80 |
$918 |
1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$6,428.40 |
$10,714 |
1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,428.40 |
$10,714 |
1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,693.80 |
$2,823 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,693.80 |
$2,823 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,285.20 |
$2,142 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,285.20 |
$2,142 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,693.80 |
$2,823 |
1.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,285.20 |
$2,142 |
1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,269.60 |
$2,116 |
1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,269.60 |
$2,116 |
1.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$741 |
$1,235 |
1.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$741 |
$1,235 |
1.8× |
| Obstructive material removal from gi tube (49460) |
$1,684.20 |
$2,807 |
1.8× |
| Occipital Nerve Block (64405) |
$550.80 |
$918 |
1.8× |
| Open/Perq Place Stent 1St (37236) |
$20,439.60 |
$34,066 |
1.8× |
| Open/Perq Place Stent Same (37238) |
$20,439.60 |
$34,066 |
1.8× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$5,809.20 |
$9,682 |
1.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$5,809.20 |
$9,682 |
1.8× |
| Penile Injection (54235) |
$459.60 |
$766 |
1.8× |
| Perc Cryo Ablate Renal Tum (50593) |
$19,125.60 |
$31,876 |
1.8× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$2,574.60 |
$4,291 |
1.9× |
| Perc Rf Ablate Renal Tumor (50592) |
$10,720.80 |
$17,868 |
1.8× |
| Percut Ablate Liver Rf (47382) |
$10,720.80 |
$17,868 |
1.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$20,439.60 |
$34,066 |
1.8× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,307.40 |
$2,179 |
1.8× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$5,922.60 |
$9,871 |
1.9× |
| Pericardiocentesis W/Imaging (33016) |
$2,789.40 |
$4,649 |
1.8× |
| Peritoneal Lavage (49084) |
$1,684.20 |
$2,807 |
1.8× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$32,445 |
$54,075 |
1.8× |
| Perq av fistula creation uxtr sep access sites (36837) |
$32,579.40 |
$54,299 |
1.8× |
| Perq av fistula creation uxtr single access (36836) |
$32,579.40 |
$54,299 |
1.8× |
| Perq Cervicothoracic Inject (22510) |
$6,014.40 |
$10,024 |
1.8× |
| Perq dev breast 1st mr guide (19287) |
$1,307.40 |
$2,179 |
1.8× |
| Perq dev breast 1st strtctc (19283) |
$1,307.40 |
$2,179 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$1,307.40 |
$2,179 |
1.8× |
| Perq device breast 1st imag (19281) |
$3,012.60 |
$5,021 |
1.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$6,477.60 |
$10,796 |
1.8× |
| Perq Lumbosacral Injection (22511) |
$6,014.40 |
$10,024 |
1.8× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$17,116.20 |
$28,527 |
1.8× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$10,720.80 |
$17,868 |
1.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,307.40 |
$2,179 |
1.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$20,439.60 |
$34,066 |
1.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$10,619.40 |
$17,699 |
1.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,292.40 |
$22,154 |
1.8× |
| Perq Vertebral Augmentation (22513) |
$13,292.40 |
$22,154 |
1.8× |
| Phleb Veins - Extrem 20+ (37766) |
$5,922.60 |
$9,871 |
1.9× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
$1,770.60 |
$2,951 |
1.8× |
| Place Cath Subclavian Art (36225) |
$5,922.60 |
$9,871 |
1.9× |
| Place Cath Vertebral Art (36226) |
$10,210.20 |
$17,017 |
1.8× |
| Place Duod/Jej Tube Perc (49441) |
$3,535.80 |
$5,893 |
1.8× |
| Place Rt Device/Marker Pros (55876) |
$2,574.60 |
$4,291 |
1.9× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$9,241.80 |
$15,403 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$740.40 |
$1,234 |
1.6× |
| Plastic Repair Canaliculi (68700) |
$4,342.20 |
$7,237 |
1.8× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$14,056.80 |
$23,428 |
2.2× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$10,720.80 |
$17,868 |
1.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$10,720.80 |
$17,868 |
1.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$10,720.80 |
$17,868 |
1.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,784.80 |
$6,308 |
1.8× |
| Plmt Nephroureteral Catheter (50433) |
$6,477.60 |
$10,796 |
1.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$6,477.60 |
$10,796 |
1.8× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$6,477.60 |
$10,796 |
1.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,477.60 |
$10,796 |
1.8× |
| Prim art mech thrombectomy (37184) |
$32,579.40 |
$54,299 |
1.8× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$4,342.20 |
$7,237 |
1.8× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
$1,080 |
$1,800 |
2.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,307.40 |
$2,179 |
1.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,428.40 |
$10,714 |
1.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$6,428.40 |
$10,714 |
1.8× |
| Pseudoaneurysm Injection Trt (36002) |
$1,167.60 |
$1,946 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$741 |
$1,235 |
1.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$741 |
$1,235 |
1.8× |
| Puncture Aspiration Cyst Breast (19000) |
$1,307.40 |
$2,179 |
1.8× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,285.20 |
$2,142 |
1.8× |
| Redo Endovas Vena Cava Filtr (37192) |
$5,922.60 |
$9,871 |
1.9× |
| Rem Endovas Vena Cava Filter (37193) |
$5,922.60 |
$9,871 |
1.9× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,684.20 |
$2,807 |
1.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$541.80 |
$903 |
1.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,307.40 |
$2,179 |
1.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,012.60 |
$5,021 |
1.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$5,982 |
$9,970 |
1.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$114 |
$190 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$114 |
$190 |
1.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$5,809.20 |
$9,682 |
1.8× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,012.60 |
$5,021 |
1.8× |
| Removal implantable contraceptive capsules (11976) |
$1,307.40 |
$2,179 |
1.8× |
| Removal of foreign body from pharynx (42809) |
$740.40 |
$1,234 |
1.6× |
| Removal of nail bed (11750) |
$741 |
$1,235 |
1.8× |
| Removal of tunneled intraperitoneal catheter (49422) |
$5,922.60 |
$9,871 |
1.9× |
| Removal or bivalving full arm or full leg cast (29705) |
$499.20 |
$832 |
1.8× |
| Removal peritoneal-venous shunt (49429) |
$5,922.60 |
$9,871 |
1.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$372 |
$620 |
1.8× |
| Removal sweat gland lesion (11450) |
$5,231.40 |
$8,719 |
1.8× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$3,784.80 |
$6,308 |
1.8× |
| Remove drug implant device (11982) |
$740.40 |
$1,234 |
1.6× |
| Remove foreign body from eye (65205) |
$237.60 |
$396 |
1.8× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$3,784.80 |
$6,308 |
1.8× |
| Remove Intrauterine Device (58301) |
$596.40 |
$994 |
1.9× |
| Remove intrvas foreign body (37197) |
$5,922.60 |
$9,871 |
1.9× |
| Remove lung catheter (32552) |
$1,167.60 |
$1,946 |
1.9× |
| Remove Nasal Foreign Body (30300) |
$237.60 |
$396 |
1.8× |
| Remove Peritoneal Foreign Body (49402) |
$6,428.40 |
$10,714 |
1.8× |
| Remove renal tube w/fluoro (50389) |
$1,269.60 |
$2,116 |
1.8× |
| Remove ureter stent percut (50384) |
$3,784.80 |
$6,308 |
1.8× |
| Remove/Insert Drug Implant (11983) |
$740.40 |
$1,234 |
1.6× |
| Renal Biopsy Perq (50200) |
$3,012.60 |
$5,021 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,167 |
$1,945 |
1.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,167 |
$1,945 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$741 |
$1,235 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,167 |
$1,945 |
2.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,167 |
$1,945 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,167 |
$1,945 |
2.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,167 |
$1,945 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,167 |
$1,945 |
1.6× |
| Repair Entropion Suture (67921) |
$4,342.20 |
$7,237 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$741 |
$1,235 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$741 |
$1,235 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$741 |
$1,235 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$741 |
$1,235 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$741 |
$1,235 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$741 |
$1,235 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$741 |
$1,235 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,167 |
$1,945 |
1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$741 |
$1,235 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$741 |
$1,235 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$741 |
$1,235 |
1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,167 |
$1,945 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$741 |
$1,235 |
1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,388.20 |
$5,647 |
1.6× |
| Repair of nail bed (11760) |
$1,167 |
$1,945 |
1.6× |
| Repair Spica/Body/Jacket Cast (29720) |
$292.80 |
$488 |
1.8× |
| Repair tongue laceration (41252) |
$454.20 |
$757 |
1.9× |
| Repair tongue laceration (41250) |
$740.40 |
$1,234 |
1.6× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,684.20 |
$2,807 |
1.8× |
| Replace G-J Tube Perc (49452) |
$1,684.20 |
$2,807 |
1.8× |
| Replace g/c tube perc (49450) |
$1,684.20 |
$2,807 |
1.8× |
| Reposition Gastrostomy Tube (43761) |
$459.60 |
$766 |
1.8× |
| Reposition Venous Catheter (36597) |
$2,976 |
$4,960 |
1.9× |
| Revise Abdomen-Venous Shunt (49426) |
$6,428.40 |
$10,714 |
1.8× |
| Revise eyelashes (67825) |
$541.80 |
$903 |
1.7× |
| Revision of eyelid (67880) |
$4,342.20 |
$7,237 |
1.8× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$10,619.40 |
$17,699 |
1.9× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$10,629.60 |
$17,716 |
1.9× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$10,629.60 |
$17,716 |
1.9× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$21,559.80 |
$35,933 |
1.9× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$21,559.80 |
$35,933 |
1.9× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$3,784.80 |
$6,308 |
1.8× |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
$4,342.20 |
$7,237 |
1.8× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$3,012.60 |
$5,021 |
1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$740.40 |
$1,234 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$237.60 |
$396 |
1.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$740.40 |
$1,234 |
1.6× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$541.80 |
$903 |
1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,976 |
$4,960 |
1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,167.60 |
$1,946 |
1.9× |
| Rplc Gtube No Revj Trc (43762) |
$459.60 |
$766 |
1.8× |
| Rplc gtube revj gstrst trc (43763) |
$459.60 |
$766 |
1.8× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$5,922.60 |
$9,871 |
1.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,976 |
$4,960 |
1.9× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$5,922.60 |
$9,871 |
1.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,976 |
$4,960 |
1.9× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$10,210.20 |
$17,017 |
1.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,922.60 |
$9,871 |
1.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,922.60 |
$9,871 |
1.9× |
| Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) |
$7,183.80 |
$11,973 |
1.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,976 |
$4,960 |
1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$372 |
$620 |
1.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$454.20 |
$757 |
1.9× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$4,330.20 |
$7,217 |
1.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,022.40 |
$1,704 |
1.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,022.40 |
$1,704 |
1.9× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$10,812.60 |
$18,021 |
1.8× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$13,292.40 |
$22,154 |
1.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,167.60 |
$1,946 |
1.9× |
| Sclerotx Fluid Collection (49185) |
$3,012.60 |
$5,021 |
1.8× |
| Severing tarsorrhaphy (67710) |
$1,881.60 |
$3,136 |
1.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$741 |
$1,235 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$372 |
$620 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$741 |
$1,235 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$372 |
$620 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$372 |
$620 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$741 |
$1,235 |
1.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$372 |
$620 |
1.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$741 |
$1,235 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$372 |
$620 |
1.8× |
| Simple Cystometrogram (51725) |
$459.60 |
$766 |
1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$741 |
$1,235 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$372 |
$620 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$372 |
$620 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$372 |
$620 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$372 |
$620 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$372 |
$620 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$372 |
$620 |
1.8× |
| Skin Full Grft Face/Genit/Hf (15240) |
$3,388.20 |
$5,647 |
1.6× |
| Skin sub graft face/nk/hf/g (15275) |
$3,388.20 |
$5,647 |
4.6× |
| Skin sub graft trnk/arm/leg (15271) |
$3,388.20 |
$5,647 |
4.6× |
| Skin sub grft t/arm/lg child (15273) |
$6,666 |
$11,110 |
3.2× |
| Skin Tissue Procedure (17999) |
$372 |
$620 |
1.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$10,210.20 |
$17,017 |
1.8× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$5,922.60 |
$9,871 |
1.9× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$10,210.20 |
$17,017 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$372 |
$620 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$741 |
$1,235 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$741 |
$1,235 |
1.8× |
| Snip Incision Lacrimal Punctum (68440) |
$541.80 |
$903 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,285.20 |
$2,142 |
1.8× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$6,691.80 |
$11,153 |
1.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$3,388.20 |
$5,647 |
1.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$5,922.60 |
$9,871 |
1.9× |
| Strapping elbow or wrist (29260) |
$108.60 |
$181 |
1.8× |
| Strapping hand/finger (29280) |
$108.60 |
$181 |
1.8× |
| Strapping toes (29550) |
$114 |
$190 |
1.9× |
| Strapping Unna Boot (29580) |
$292.80 |
$488 |
1.8× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$740.40 |
$1,234 |
1.6× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$372 |
$620 |
1.8× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$5,982 |
$9,970 |
1.8× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$606.60 |
$1,011 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$372 |
$620 |
0.9× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$1,167 |
$1,945 |
1.6× |
| Temporary Closure Eyelids Suture (67875) |
$1,881.60 |
$3,136 |
1.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,925.60 |
$4,876 |
1.8× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,986.20 |
$4,977 |
1.8× |
| Thaw preserved stem cells (38208) |
$799.20 |
$1,332 |
1.8× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$8,598.60 |
$14,331 |
2.0× |
Ther Apheresis,Red Blood Cells (36512) range across 2 matching MRF lines |
$2,851.20–$2,908.80 |
$4,752–$4,848 |
varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$548.40 |
$914 |
0.8× |
| Therapeutic Apheresis White Blood Cells (36511) |
$2,851.20 |
$4,752 |
1.8× |
Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$2,851.20–$2,908.80 |
$4,752–$4,848 |
varies |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$10,210.20 |
$17,017 |
1.8× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
$10,210.20 |
$17,017 |
1.8× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$32,579.40 |
$54,299 |
1.8× |
| Thromblytic art/ven therapy (37213) |
$5,922.60 |
$9,871 |
1.9× |
| Thrombolytic Art Therapy (37211) |
$10,210.20 |
$17,017 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$629.40 |
$1,049 |
1.9× |
| Thrombolytic Venous Therapy (37212) |
$5,922.60 |
$9,871 |
1.9× |
| Thyroid biopsy (60100) |
$1,307.40 |
$2,179 |
1.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$3,388.20 |
$5,647 |
1.6× |
| Tooth extraction (41899) |
$454.20 |
$757 |
1.9× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$9,613.80 |
$16,023 |
1.8× |
| Trabeculoplasty by laser surgery (65855) |
$1,080 |
$1,800 |
2.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,022.40 |
$1,704 |
1.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$425.40 |
$709 |
1.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,833.80 |
$4,723 |
1.8× |
| Tracheostomy planned (31600) |
$5,982 |
$9,970 |
1.8× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$5,809.20 |
$9,682 |
1.8× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$14,040 |
$23,400 |
1.9× |
| Transfer of embryo (58974) |
$1,494 |
$2,490 |
1.6× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$9,613.80 |
$16,023 |
1.8× |
| Treat Dental Ridge Fracture (21440) |
$5,982 |
$9,970 |
1.8× |
| Treat humerus fracture (24500) |
$438.60 |
$731 |
1.8× |
| Treat Humerus Fracture (24505) |
$2,986.20 |
$4,977 |
1.8× |
| Treat humerus fracture (23600) |
$438.60 |
$731 |
1.8× |
| Treat knee fracture (27532) |
$6,014.40 |
$10,024 |
1.8× |
| Treat Knuckle Dislocation (26700) |
$438.60 |
$731 |
1.8× |
| Treat Tail Bone Fracture (27200) |
$438.60 |
$731 |
1.8× |
| Treat Thumb Fracture (26645) |
$2,986.20 |
$4,977 |
1.8× |
| Treat toe dislocation (28630) |
$438.60 |
$731 |
1.8× |
| Treat vagina infection (57150) |
$114 |
$190 |
1.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,986.20 |
$4,977 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$438.60 |
$731 |
1.8× |
| Treatment extensive retinopathy photocoagulation (67228) |
$1,080 |
$1,800 |
2.0× |
| Treatment of retina (67141) |
$541.80 |
$903 |
1.7× |
| Trim skin lesion (11055) |
$372 |
$620 |
1.8× |
| Trim skin lesions 2 to 4 (11056) |
$372 |
$620 |
1.8× |
| Trim skin lesions over 4 (11057) |
$372 |
$620 |
1.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$108.60 |
$181 |
1.8× |
| Trluml Balo Angiop 1St Art (37246) |
$10,619.40 |
$17,699 |
1.9× |
| Trluml Balo Angiop 1St Vein (37248) |
$10,619.40 |
$17,699 |
1.9× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$799.20 |
$1,332 |
1.8× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$824.40 |
$1,374 |
1.9× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$101,529.60 |
$169,216 |
1.6× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$2,851.20 |
$4,752 |
1.8× |
| Trnsplj Hematopoietic Cell Boost (38243) |
$2,851.20 |
$4,752 |
1.8× |
| Tx Gastro Intub W/Asp (43753) |
$583.20 |
$972 |
2.7× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$5,809.20 |
$9,682 |
1.8× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,925.60 |
$4,876 |
1.8× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,925.60 |
$4,876 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,167 |
$1,945 |
1.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$741 |
$1,235 |
1.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$438.60 |
$731 |
1.8× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,833.80 |
$4,723 |
1.8× |
| Unlisted laparoscopy procedure appendix (44979) |
$10,720.80 |
$17,868 |
1.8× |
| Unlisted procedure liver (47399) |
$1,307.40 |
$2,179 |
1.8× |
| Unlisted px female genital system nonobstetrical (58999) |
$370.80 |
$618 |
1.8× |
| Urine Flow Measurement (51736) |
$237.60 |
$396 |
1.8× |
| Vasc embolize/occlude artery (37242) |
$32,579.40 |
$54,299 |
1.8× |
| Vasc Embolize/Occlude Bleed (37244) |
$20,439.60 |
$34,066 |
1.8× |
| Vasc Embolize/Occlude Organ (37243) |
$20,439.60 |
$34,066 |
1.8× |
| Vasc embolize/occlude venous (37241) |
$20,439.60 |
$34,066 |
1.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,784.80 |
$6,308 |
1.8× |
| Venous Mech Thrombectomy (37187) |
$20,439.60 |
$34,066 |
1.8× |
| Wedge excision skin nail fold (11765) |
$741 |
$1,235 |
1.8× |
| Wedging of cast (29740) |
$499.20 |
$832 |
1.8× |
| Windowing of cast (29730) |
$292.80 |
$488 |
1.8× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$10,210.20 |
$17,017 |
1.8× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$2,976 |
$4,960 |
1.9× |