| Abd paracentesis (49082) |
$1,221 |
$1,628 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$1,341.75 |
$1,789 |
1.4× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$3,020.25 |
$4,027 |
0.8× |
| Amniocentesis diagnostic (59000) |
$687.75 |
$917 |
0.7× |
| Amnioinfusion (59070) |
$1,806 |
$2,408 |
5.6× |
| Amputation of finger/thumb (26952) |
$3,301.50 |
$4,402 |
1.0× |
| Anoscopy diagnostic (46600) |
$168.75 |
$225 |
1.2× |
| Application Finger Splint Dynamic (29131) |
$297.38 |
$396.50 |
4.8× |
| Application finger splint static (29130) |
$229.88 |
$306.50 |
1.6× |
| Application of long leg cast (thigh to toes); (29345) |
$531.75 |
$709 |
1.8× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$386.25 |
$515 |
2.3× |
| Application of short arm splint (forearm to hand); static (29125) |
$304.12 |
$405.50 |
2.2× |
| Application of short leg cast (below knee to toes); (29405) |
$400.50 |
$534 |
1.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$557.25 |
$743 |
1.9× |
| Application of short leg splint (calf to foot) (29515) |
$368.25 |
$491 |
2.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$362.25 |
$483 |
1.2× |
| Apply hand/wrist cast (29085) |
$342 |
$456 |
2.0× |
| Apply long arm splint (29105) |
$333.75 |
$445 |
1.9× |
| Apply splint short arm dynamic (29126) |
$366 |
$488 |
2.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$659.25 |
$879 |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$511.50 |
$682 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$669.75 |
$893 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$419.62 |
$559.50 |
1.3× |
| Aspirate pleura w/o imaging (32554) |
$1,230.75 |
$1,641 |
1.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,674.25 |
$4,899 |
1.7× |
| Aspiration bladder needle (51100) |
$244.50 |
$326 |
0.9× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$332.25 |
$443 |
1.6× |
| Biopsy lymph node (38505) |
$658.50 |
$878 |
0.4× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$1,718.25 |
$2,291 |
1.8× |
| Biopsy soft tissue neck/thorax (21550) |
$2,133.75 |
$2,845 |
1.2× |
| Biopsy, soft tissue of shoulder area; deep Age Under 21 (23066) |
$4,591.50 |
$6,122 |
1.5× |
| Bladder irrigation (51700) |
$322.50 |
$430 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$3,155.25 |
$4,207 |
1.8× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$1,185 |
$1,580 |
5.6× |
| Cast short arm (29075) |
$402.75 |
$537 |
1.4× |
| Change Cystostomy Tube Simple (51705) |
$408 |
$544 |
1.5× |
| Change of windpipe airway (31502) |
$444.75 |
$593 |
1.8× |
| Chest tube placement (32551) |
$1,427.25 |
$1,903 |
0.9× |
| Circumcision, Newborn (54150) |
$4,142.25 |
$5,523 |
1.9× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$357.75 |
$477 |
1.4× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,467.75 |
$1,957 |
0.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$401.25 |
$535 |
1.5× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$486 |
$648 |
1.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$627 |
$836 |
2.4× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$391.50 |
$522 |
1.5× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$1,296 |
$1,728 |
0.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$458.25 |
$611 |
1.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$551.25 |
$735 |
2.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$470.25 |
$627 |
1.8× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$423 |
$564 |
1.6× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,277.25 |
$1,703 |
0.8× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$470.25 |
$627 |
1.8× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$426.75 |
$569 |
0.8× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$470.25 |
$627 |
1.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$5,107.50 |
$6,810 |
3.0× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$465 |
$620 |
1.8× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$638.25 |
$851 |
2.5× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$570 |
$760 |
2.2× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$495.75 |
$661 |
1.9× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$445.50 |
$594 |
1.7× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$432 |
$576 |
1.7× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$477 |
$636 |
1.8× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$377.25 |
$503 |
1.4× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$2,133.75 |
$2,845 |
1.3× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$465.75 |
$621 |
1.8× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$463.50 |
$618 |
1.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$464.25 |
$619 |
1.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$499.50 |
$666 |
1.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$515.25 |
$687 |
2.0× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,403.25 |
$1,871 |
0.8× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$699 |
$932 |
2.7× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$444.75 |
$593 |
1.7× |
| Closed treatment of talus fracture; without manipulation (28430) |
$576.75 |
$769 |
2.2× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$401.25 |
$535 |
1.5× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$384 |
$512 |
1.5× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$558 |
$744 |
2.1× |
| Closed treatment of ulnar styloid fracture (25650) |
$443.25 |
$591 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$732.75 |
$977 |
2.8× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$3,714 |
$4,952 |
2.2× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$477.75 |
$637 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$468 |
$624 |
1.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,170.75 |
$1,561 |
4.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$484.50 |
$646 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,296 |
$1,728 |
0.8× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,296 |
$1,728 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$344.25 |
$459 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$732.75 |
$977 |
2.8× |
| Closed tx vert fx w/o manj (22310) |
$585 |
$780 |
2.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$554.25 |
$739 |
2.1× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$2,655 |
$3,540 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,766 |
$3,688 |
1.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,296 |
$1,728 |
0.8× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$472.50 |
$630 |
1.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$458.25 |
$611 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$470.25 |
$627 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,419 |
$1,892 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$433.50 |
$578 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$918 |
$1,224 |
3.5× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$439.50 |
$586 |
1.7× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,959.75 |
$2,613 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$672.75 |
$897 |
2.6× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$396 |
$528 |
1.5× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,304.25 |
$1,739 |
0.8× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$565.50 |
$754 |
1.9× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$372.75 |
$497 |
1.4× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$548.25 |
$731 |
2.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,296 |
$1,728 |
0.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$188.25 |
$251 |
0.7× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,848 |
$2,464 |
1.1× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$531.75 |
$709 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,643.50 |
$4,858 |
2.1× |
| Collect blood from catheter venous nos (36592) |
$150.75 |
$201 |
1.1× |
| Collect blood from implant venous access device (36591) |
$229.50 |
$306 |
1.6× |
| Colonoscopy flexible with decompression (45393) |
$1,773 |
$2,364 |
1.4× |
| Colonoscopy thru stoma spx (44388) |
$1,708.50 |
$2,278 |
1.7× |
| Colonoscopy w/control bleed (45382) |
$2,624.25 |
$3,499 |
2.1× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,624.25 |
$3,499 |
2.1× |
| Complete replacement picc rs&i (36584) |
$1,758 |
$2,344 |
1.1× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$378 |
$504 |
1.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$325.50 |
$434 |
2.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$404.25 |
$539 |
2.9× |
| Control throat bleeding (42960) |
$1,160.25 |
$1,547 |
2.0× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,329.75 |
$1,773 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$325.50 |
$434 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$973.50 |
$1,298 |
3.9× |
| Cylinder cast (29365) |
$684.75 |
$913 |
2.3× |
| Deb skin bone at fx site (11012) |
$2,564.25 |
$3,419 |
0.8× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$827.25 |
$1,103 |
1.9× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$188.25 |
$251 |
3.0× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$145.50 |
$194 |
2.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,151.25 |
$1,535 |
2.7× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,477.50 |
$1,970 |
1.9× |
| Declot vascular device (36593) |
$293.25 |
$391 |
0.8× |
| Delivery of placenta (59414) |
$2,402.25 |
$3,203 |
0.7× |
| Destruction benign lesions up to 14 (17110) |
$199.50 |
$266 |
0.9× |
| Destruction internal hemorrhoid thermal energy (46930) |
$1,467.75 |
$1,957 |
1.2× |
| Diagnostic bone marrow aspirations (38220) |
$957.75 |
$1,277 |
0.5× |
| Diagnostic bone marrow biopsies (38221) |
$1,231.50 |
$1,642 |
0.7× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$1,474.12 |
$1,965.50 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$1,310.25 |
$1,747 |
1.3× |
| Drain bladder by trocar/cath (51101) |
$3,674.25 |
$4,899 |
4.1× |
| Drainage external auditory canal, abscess (69020) |
$554.25 |
$739 |
0.7× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$579 |
$772 |
0.8× |
| Drainage finger abscess simple (26010) |
$444.75 |
$593 |
2.1× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,503.75 |
$2,005 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$2,421 |
$3,228 |
1.4× |
| Drainage of scrotum (54700) |
$2,118 |
$2,824 |
1.0× |
| Drainage of tonsil abscess (42700) |
$516.75 |
$689 |
2.1× |
| Ed proc insert intraosseous IV (36680) |
$651 |
$868 |
1.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$594.75 |
$793 |
4.4× |
| Ed proc remve fb nasal- hospital (30300) |
$189 |
$252 |
1.3× |
| Ed prof arthrocentesis sm - hospital (20551) |
$288 |
$384 |
0.9× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$120 |
$160 |
0.9× |
| Ed prof burn - large - hospital (16030) |
$387 |
$516 |
0.9× |
| Ed prof burn medium - hospital (16025) |
$387 |
$516 |
1.8× |
| Ed prof burn small - hospital (16020) |
$387 |
$516 |
1.8× |
| Ed prof catheterization/straight (51701) |
$213 |
$284 |
1.5× |
| Ed prof closed tx post hip arthroplasty (27265) |
$630 |
$840 |
2.4× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,692 |
$2,256 |
1.0× |
| Ed prof drain dental abscess-hospital (41800) |
$393 |
$524 |
2.8× |
| Ed prof insert foley cath simple (51702) |
$213 |
$284 |
1.5× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,786.25 |
$3,715 |
0.8× |
| Ed prof insertion of heart electr (33210) |
$9,009 |
$12,012 |
1.0× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,222.50 |
$1,630 |
2.9× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$762 |
$1,016 |
1.8× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$537 |
$716 |
2.1× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,642.50 |
$2,190 |
0.8× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,278.75 |
$1,705 |
1.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,375.50 |
$1,834 |
1.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,510.50 |
$2,014 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$2,375.25 |
$3,167 |
1.2× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$2,647.50 |
$3,530 |
1.3× |
| Evac subungual hematoma (11740) |
$266.25 |
$355 |
1.9× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$809.25 |
$1,079 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,176 |
$1,568 |
0.7× |
| Explore wound abdomen (20102) |
$3,958.50 |
$5,278 |
1.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$580.50 |
$774 |
0.8× |
| Fna bx w/mr gdn 1st les (10011) |
$534.75 |
$713 |
0.7× |
| Ganglion impar nerve block (64999) |
$941.62 |
$1,255.50 |
2.9× |
| Gastric lavage (43753) |
$500.25 |
$667 |
2.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$4,083 |
$5,444 |
1.4× |
| I&d abscess simple/single (10060) |
$393.75 |
$525 |
1.9× |
| I&d hematoma/seroma/fluid (10140) |
$2,537.25 |
$3,383 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$587.25 |
$783 |
0.8× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$1,662.38 |
$2,216.50 |
6.4× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,403.75 |
$3,205 |
1.4× |
| Incise & drain bladder (51040) |
$4,447.50 |
$5,930 |
2.0× |
| Incise external hemorrhoid (46083) |
$647.25 |
$863 |
2.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$393.75 |
$525 |
0.9× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$365.25 |
$487 |
1.7× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$3,474.75 |
$4,633 |
4.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$548.25 |
$731 |
1.7× |
| Incision and drainage, perianal abscess, superficial (46050) |
$3,038.25 |
$4,051 |
3.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$4,720.50 |
$6,294 |
2.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$755.25 |
$1,007 |
1.8× |
| Incision of eyelid fold (67715) |
$2,222.25 |
$2,963 |
0.9× |
| Incision of rectal abscess (46040) |
$2,526.75 |
$3,369 |
2.0× |
| Incision of windpipe (31603) |
$2,229.75 |
$2,973 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$677.25 |
$903 |
0.9× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$464.25 |
$619 |
1.1× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$551.25 |
$735 |
1.6× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$222 |
$296 |
1.0× |
| Inj epidural blood or clot patch (62273) |
$1,302.75 |
$1,737 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$928.50 |
$1,238 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,083.75 |
$1,445 |
1.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,054.88 |
$1,406.50 |
1.1× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,494.75 |
$1,993 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,278.75 |
$1,705 |
1.7× |
| Injection aa&/strd greater occipital nerve (64405) |
$524.25 |
$699 |
1.6× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,536 |
$2,048 |
2.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,480.50 |
$1,974 |
1.6× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$980.25 |
$1,307 |
1.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,505.25 |
$2,007 |
2.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,464 |
$1,952 |
2.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$555 |
$740 |
1.7× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$1,810.50 |
$2,414 |
1.9× |
| Injection for identification of sentinel node (38792) |
$812.25 |
$1,083 |
1.9× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$1,257 |
$1,676 |
0.8× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$1,458.75 |
$1,945 |
1.6× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$1,810.50 |
$2,414 |
1.9× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$2,080.50 |
$2,774 |
2.2× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,248 |
$1,664 |
1.3× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$566.25 |
$755 |
1.7× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$600 |
$800 |
1.9× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$275.25 |
$367 |
0.9× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$602.25 |
$803 |
1.9× |
| Ins vag brachytx device (57156) |
$1,130.25 |
$1,507 |
3.5× |
| Insert uteri tandem/ovoids (57155) |
$3,433.50 |
$4,578 |
0.7× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$2,162.25 |
$2,883 |
1.3× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$192.75 |
$257 |
0.8× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$5,737.50 |
$7,650 |
1.7× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$3,042.75 |
$4,057 |
1.8× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$3,090 |
$4,120 |
1.9× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,664 |
$3,552 |
0.8× |
| Intubation endotracheal (31500) |
$659.25 |
$879 |
2.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$427.88 |
$570.50 |
1.6× |
| Laryngoscopy flex diagnostic (31575) |
$264 |
$352 |
1.3× |
| Laryngoscopy indirect diagnostic (31505) |
$183 |
$244 |
0.9× |
| Laryngoscopy w stroboscopy (31579) |
$561.75 |
$749 |
1.4× |
| Long gi tube placement (44500) |
$871.50 |
$1,162 |
0.9× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$2,929.50 |
$3,906 |
11.3× |
| Lumbar puncture (62270) |
$1,172.25 |
$1,563 |
1.6× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$2,477.25 |
$3,303 |
1.5× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$2,343 |
$3,124 |
1.4× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$154.50 |
$206 |
2.5× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,976.25 |
$2,635 |
2.4× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,580.25 |
$2,107 |
1.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,625.25 |
$2,167 |
2.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,358.25 |
$1,811 |
1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$58.50 |
$78 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$83.25 |
$111 |
2.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,599 |
$2,132 |
1.7× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$2,958 |
$3,944 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,699.50 |
$2,266 |
2.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$2,140.50 |
$2,854 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$2,140.50 |
$2,854 |
2.3× |
| Non stress test (59025) |
$357.75 |
$477 |
1.7× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$4,938 |
$6,584 |
1.4× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$1,218 |
$1,624 |
1.3× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,923.75 |
$2,565 |
1.2× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,795.50 |
$2,394 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$591.75 |
$789 |
2.2× |
| Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for… (19298) |
$8,151 |
$10,868 |
0.6× |
| Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial… (19296) |
$8,151 |
$10,868 |
0.9× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$582.75 |
$777 |
0.8× |
| Proctosigmoidoscopy dx (45300) |
$1,499.25 |
$1,999 |
1.5× |
| Punch biopsy skin single lesion (11104) |
$332.25 |
$443 |
0.8× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$426.75 |
$569 |
1.0× |
| Puncture aspiration of cyst of breast (19000) |
$310.50 |
$414 |
0.4× |
| Pvb thoracic cont infusion (64463) |
$960.75 |
$1,281 |
1.3× |
| Pvb thoracic single injection site w/img gid (64461) |
$1,464 |
$1,952 |
2.0× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$2,975.25 |
$3,967 |
1.4× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$2,007.75 |
$2,677 |
2.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$132.75 |
$177 |
2.1× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$147.75 |
$197 |
2.4× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$2,402.25 |
$3,203 |
0.7× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$2,925.75 |
$3,901 |
2.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$218.25 |
$291 |
1.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$344.25 |
$459 |
0.7× |
| Removal of foreign body, foot; deep (28192) |
$4,518 |
$6,024 |
2.6× |
| Removal of intact breast implant Age Under 21 (19328) |
$2,712 |
$3,616 |
0.7× |
| Removal of iud (58301) |
$297 |
$396 |
0.9× |
| Removal of nail bed (11750) |
$1,043.25 |
$1,391 |
2.4× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$2,297.25 |
$3,063 |
1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$3,420.75 |
$4,561 |
4.6× |
| Remove eyelid foreign body (67938) |
$688.50 |
$918 |
2.1× |
| Remove foreign body from eye (65210) |
$267 |
$356 |
0.6× |
| Remove spinal canal catheter (62355) |
$2,085.75 |
$2,781 |
1.0× |
| Repair blood vessel lesion (35226) |
$1,473.75 |
$1,965 |
2.0× |
| Repair blood vessel upper ext (35206) |
$3,697.50 |
$4,930 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$888.75 |
$1,185 |
2.1× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,250.25 |
$1,667 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$902.25 |
$1,203 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,523.25 |
$2,031 |
2.0× |
| Repair extensor tendon hand w/o graft each (26410) |
$2,660.25 |
$3,547 |
1.6× |
| Repair finger tendon (26418) |
$2,721.75 |
$3,629 |
1.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$382.50 |
$510 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$406.50 |
$542 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$663 |
$884 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$852.75 |
$1,137 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$702 |
$936 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$497.25 |
$663 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$723.75 |
$965 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$543 |
$724 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$399.75 |
$533 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$723.75 |
$965 |
1.7× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,287.75 |
$1,717 |
1.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$429.75 |
$573 |
1.0× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,234.50 |
$1,646 |
2.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$437.25 |
$583 |
0.9× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$554.25 |
$739 |
2.2× |
| Repair of nail bed (11760) |
$492.75 |
$657 |
0.6× |
| Repair tongue lacer,post 1/3 (41251) |
$459.75 |
$613 |
1.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,250.25 |
$1,667 |
1.6× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,316.25 |
$1,755 |
1.7× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$888.75 |
$1,185 |
2.1× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$1,036.50 |
$1,382 |
1.3× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,594.50 |
$2,126 |
0.7× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$3,045 |
$4,060 |
0.9× |
| Reset dislocated jaw (21480) |
$468.75 |
$625 |
1.8× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$231.75 |
$309 |
1.7× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$393.75 |
$525 |
2.8× |
| Rmvl of access device (36589) |
$1,115.25 |
$1,487 |
1.7× |
| Rplc gtube revj gstrst trc (43763) |
$672.75 |
$897 |
2.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,037.75 |
$2,717 |
1.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$755.25 |
$1,007 |
1.0× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$4,680.75 |
$6,241 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$241.50 |
$322 |
1.1× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,389 |
$1,852 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$366.75 |
$489 |
1.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$390.75 |
$521 |
1.8× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$411 |
$548 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$580.50 |
$774 |
2.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$366.75 |
$489 |
1.7× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$639.75 |
$853 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$406.50 |
$542 |
1.9× |
| Skin tissue procedure unlisted (17999) |
$1,305 |
$1,740 |
6.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$385.50 |
$514 |
1.8× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$429.75 |
$573 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$453 |
$604 |
1.1× |
| Stomach surgery procedure unlisted (43999) |
$1,100.25 |
$1,467 |
1.1× |
| Strapping ankle (29540) |
$132.75 |
$177 |
0.8× |
| Strapping hand/finger (29280) |
$210.75 |
$281 |
3.4× |
| Strapping of knee (29530) |
$113.25 |
$151 |
0.8× |
| Strapping of shoulder (29240) |
$113.25 |
$151 |
0.8× |
| Strapping of toes (29550) |
$193.50 |
$258 |
3.1× |
| Therapeutic spinal puncture drainage csf (62272) |
$753.75 |
$1,005 |
1.0× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,038.38 |
$1,384.50 |
1.6× |
| Throat surgery procedure (42999) |
$459.75 |
$613 |
1.8× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,726.50 |
$2,302 |
6.9× |
| Transfusion, blood or blood components (36430) |
$421.50 |
$562 |
0.9× |
| Transperi needle place pros (55875) |
$6,717 |
$8,956 |
1.2× |
| Treat big toe fracture (28495) |
$442.50 |
$590 |
1.7× |
| Treat humerus fracture (24577) |
$1,959.75 |
$2,613 |
1.2× |
| Treat lower leg fracture (27825) |
$1,524 |
$2,032 |
0.9× |
| Treat tail bone fracture (27200) |
$313.50 |
$418 |
1.2× |
| Treat thumb fracture (26645) |
$1,743 |
$2,324 |
1.0× |
| Treat toe dislocation (28630) |
$411 |
$548 |
1.6× |
| Treat ulnar fracture (24675) |
$1,304.25 |
$1,739 |
0.8× |
| Treat wrist dislocation (25690) |
$1,446 |
$1,928 |
0.9× |
| Treat wrist dislocation (25675) |
$369.75 |
$493 |
1.4× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,446 |
$1,928 |
0.9× |
| Treatment of bladder lesion (51720) |
$822 |
$1,096 |
1.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$667.50 |
$890 |
2.6× |
| Treatment of miscarriage (59812) |
$3,460.50 |
$4,614 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$526.50 |
$702 |
2.0× |
| Tx superficial wound dehiscence simple closure (12020) |
$1,399.50 |
$1,866 |
1.8× |
| Unlisted procedure anus (46999) |
$738 |
$984 |
0.8× |
| Unlisted procedure rectum (45999) |
$2,925.75 |
$3,901 |
3.0× |
| Unlisted procedure, dentoalveolar structures (41899) |
$390.75 |
$521 |
1.6× |
| Upper arm/elbow surgery unlisted (24999) |
$667.50 |
$890 |
2.6× |
| Vaginal delivery (59409) |
$4,092 |
$5,456 |
1.2× |
Vasc embolize/occlude bleed (37244)
likely a partial charge — not the full procedure |
$534 |
$712 |
0.0× |
| Vascular surgery procedure (37799) |
$2,642.25 |
$3,523 |
4.0× |
| Vbac delivery only (59612) |
$6,747 |
$8,996 |
2.0× |
| Venipuncture (36415) |
$37.50 |
$50 |
4.0× |
| Version cephalic external (59412) |
$2,402.25 |
$3,203 |
0.7× |