| Apheresis therapeutic rbc (36512) |
$1,090.75 |
$4,363 |
0.7× |
| Appl finger splint static (29130) |
$181.75 |
$727 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$181.75 |
$727 |
1.1× |
| Apply Lower Leg Splint (29515) |
$181.75 |
$727 |
1.1× |
| Apply short arm splint static (29125) |
$181.75 |
$727 |
1.3× |
| Arterial puncture (36600) |
$85.75 |
$343 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$86.06 |
$344.25 |
0.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$575 |
$2,300 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$603 |
$2,412 |
1.9× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$94.50 |
$378 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$791.75 |
$3,167 |
0.5× |
| Biopsy thyroid percutaneous core needle (60100) |
$758.50 |
$3,034 |
1.0× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services (49180) |
$868.75 |
$3,475 |
0.5× |
| Bladder irrigation (51700) |
$101.36 |
$405.45 |
0.4× |
| Bladder Scan (51798) |
$93.08 |
$372.30 |
1.5× |
| Blood transfusion service (36430) |
$369.25 |
$1,477 |
0.8× |
| Bone Biopsy Deep (20225) |
$1,113 |
$4,452 |
0.6× |
| Bone Biopsy Superficial (20220) |
$816.75 |
$3,267 |
0.5× |
| Bone Marrow Biopsy (38221) |
$1,078 |
$4,312 |
0.6× |
| Bronch diagnostic (31622) |
$2,018 |
$8,072 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$1,879.50 |
$7,518 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$187.50 |
$750 |
0.7× |
| Chest tube placement (32551) |
$524.75 |
$2,099 |
0.3× |
| Close Rx Dist Fingr Fx (26750) |
$336.75 |
$1,347 |
1.3× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$336.75 |
$1,347 |
1.3× |
| Closed rx acetabular fx (27220) |
$418.50 |
$1,674 |
1.6× |
| Closed Rx Big Toe Fx,Manip (28495) |
$248.75 |
$995 |
1.0× |
| Closed Rx Dist Fibula Fx (27786) |
$309.50 |
$1,238 |
1.2× |
| Closed Rx Femur Shaft Fx+Manip (27502) |
$418.50 |
$1,674 |
0.2× |
| Closed rx humer epicondylr fx,manip (24565) |
$418.50 |
$1,674 |
0.2× |
| Closed Rx Med Malleolus Fx (27760) |
$248.75 |
$995 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$248.75 |
$995 |
0.1× |
| Closed Rx Metacarpal Fx (26600) |
$336.75 |
$1,347 |
1.3× |
| Closed Rx Monteggia Fx/Disloc Elbow (24620) |
$336.75 |
$1,347 |
0.2× |
| Closed Rx Prox Humerus Fx,Manip (23605) |
$418.50 |
$1,674 |
0.2× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$336.75 |
$1,347 |
0.2× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$237.25 |
$949 |
0.1× |
| Closed Rx Talus Fx,Manipulatn (28435) |
$248.75 |
$995 |
0.1× |
| Closed Rx Tib Plat Fx+Manip (27532) |
$418.50 |
$1,674 |
0.1× |
| Closed Rx Tibia Shaft Fx (27750) |
$309.50 |
$1,238 |
1.2× |
| Closed Rx Tibial Plateau Fx (27530) |
$418.50 |
$1,674 |
1.6× |
| Closed Rx Toe Fx (28510) |
$248.75 |
$995 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$234.25 |
$937 |
0.1× |
| Closed Rx Trimalleolar Fx (27816) |
$248.75 |
$995 |
1.0× |
| Closed Rx Ulna Shaft Fx (25530) |
$336.75 |
$1,347 |
1.3× |
| Closed Rx Ulna Styloid Fx (25650) |
$336.75 |
$1,347 |
1.3× |
| Closed Treat Vert Body Fract (22310) |
$309.50 |
$1,238 |
1.2× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$336.75 |
$1,347 |
1.3× |
| Closed treatment of dislocated jaw joint (21480) |
$134.50 |
$538 |
0.5× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$418.50 |
$1,674 |
0.2× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$309.50 |
$1,238 |
1.2× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Other Surgical Services (27510) |
$418.50 |
$1,674 |
0.2× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Other Surgical Services (27230) |
$418.50 |
$1,674 |
1.6× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$336.75 |
$1,347 |
1.3× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,330.75 |
$5,323 |
5.2× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$234.25 |
$937 |
0.9× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$336.75 |
$1,347 |
1.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$227.50 |
$910 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$173.25 |
$693 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$248.75 |
$995 |
0.1× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$248.75 |
$995 |
1.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$248.75 |
$995 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$234.25 |
$937 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$336.75 |
$1,347 |
0.2× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$336.75 |
$1,347 |
0.2× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$418.50 |
$1,674 |
1.6× |
| Closed tx ulnar shaft fracture w/manipulation (25535) |
$336.75 |
$1,347 |
1.3× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$418.50 |
$1,674 |
0.2× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$248.75 |
$995 |
0.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$336.75 |
$1,347 |
0.2× |
| Cltx carpo/metacarpal fx dislc thumb w/manj (26645) |
$336.75 |
$1,347 |
0.2× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$336.75 |
$1,347 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$336.75 |
$1,347 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$336.75 |
$1,347 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$248.75 |
$995 |
1.0× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$418.50 |
$1,674 |
1.6× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$418.50 |
$1,674 |
0.2× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$418.50 |
$1,674 |
0.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/mnpj (23665) |
$418.50 |
$1,674 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$418.50 |
$1,674 |
0.2× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$418.50 |
$1,674 |
1.6× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$309.50 |
$1,238 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$248.75 |
$995 |
0.1× |
| Collect blood from catheter venous nos (36592) |
$60.38 |
$241.50 |
0.4× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$646.25 |
$2,585 |
2.9× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$325.25 |
$1,301 |
2.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$325.25 |
$1,301 |
2.3× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,669.75 |
$6,679 |
1.0× |
| CT Biopsy Lymph Node (38505) |
$1,194.75 |
$4,779 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$325.25 |
$1,301 |
2.3× |
| Deb musc/fascia 20 sq cm/< (11043) |
$731.75 |
$2,927 |
0.9× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$571.75 |
$2,287 |
1.3× |
| Declot vascular device (36593) |
$268.50 |
$1,074 |
0.8× |
| Diagnostic bone marrow aspirations (38220) |
$1,078 |
$4,312 |
0.6× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$1,537.50 |
$6,150 |
0.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$977.50 |
$3,910 |
1.3× |
| Dilation/Curettage,Diagnostic (58120) |
$2,038 |
$8,152 |
0.6× |
| Drain blood under nail (11740) |
$64 |
$256 |
0.5× |
| Draw blood off venous device (36591) |
$60.50 |
$242 |
0.4× |
| Ed proc remve fb nasal- hospital (30300) |
$30 |
$120 |
0.2× |
| Ed prof burn - large - hospital (16030) |
$163 |
$652 |
0.4× |
| Ed prof burn medium - hospital (16025) |
$163 |
$652 |
0.8× |
| Ed prof burn small - hospital (16020) |
$163 |
$652 |
0.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$425.25 |
$1,701 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$130 |
$520 |
0.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$130 |
$520 |
0.3× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$118.75 |
$475 |
0.5× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$27.75 |
$111 |
0.1× |
| External cephalic version (59412) |
$2,757.50 |
$11,030 |
0.8× |
| Fetal Non Stress Test (59025) |
$482.25 |
$1,929 |
2.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$570 |
$2,280 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,187.75 |
$4,751 |
1.6× |
| I&d bartholins gland abscess (56420) |
$54 |
$216 |
0.3× |
| Image cath fluid colxn visc (49405) |
$1,206 |
$4,824 |
0.7× |
| Image-guided catheter fluid collection drainage (10030) |
$889.75 |
$3,559 |
1.2× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$1,206 |
$4,824 |
0.7× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$243.25 |
$973 |
0.6× |
| Incision & Drainage Abscess Simple/Single (10060) |
$158.50 |
$634 |
0.8× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$81.25 |
$325 |
0.0× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$60.25 |
$241 |
0.1× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$26 |
$104 |
0.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$292 |
$1,168 |
0.4× |
| Inj,Lumb Epidur,Blood/Clot Patch (62273) |
$229.50 |
$918 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$292 |
$1,168 |
0.3× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$292 |
$1,168 |
0.3× |
| Inject Nerv Blck,Intercostal,One (64420) |
$292 |
$1,168 |
0.4× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$292 |
$1,168 |
0.4× |
| Inject Nerv Blck,Suprascap N. (64418) |
$292 |
$1,168 |
0.4× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$292 |
$1,168 |
0.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$292 |
$1,168 |
0.9× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$292 |
$1,168 |
0.4× |
| Injection aa&/strd pudendal nerve (64430) |
$292 |
$1,168 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$292 |
$1,168 |
0.4× |
| Injection for identification of sentinel node (38792) |
$197.75 |
$791 |
0.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$216 |
$864 |
0.7× |
| Ins cath ren art 1st bilat (36252) |
$2,955.79 |
$11,823.15 |
0.9× |
| Ins cath ren art 1st unilat (36251) |
$2,303.75 |
$9,215 |
0.7× |
Ins endovas vena cava filtr (37191)
unusually low: confirm this is the full procedure |
$2,419.88 |
$9,679.50 |
0.4× |
Ins new/rplcmt prm pacemakr w/trans eltrd atrial (33206)
unusually low: confirm this is the full procedure |
$3,964.25 |
$15,857 |
0.4× |
Ins/rep subq defibrillator (33270)
unusually low: confirm this is the full procedure |
$9,948.25 |
$39,793 |
0.3× |
Insert heart pm ventricular (33207)
unusually low: confirm this is the full procedure |
$3,964.25 |
$15,857 |
0.4× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$1,879.75 |
$7,519 |
0.6× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$5,217.50 |
$20,870 |
0.5× |
| Insert pulse gen sngl lead (33212) |
$5,217.50 |
$20,870 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$18.75 |
$75 |
0.1× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$38 |
$152 |
0.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,229.25 |
$4,917 |
0.3× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,120.50 |
$4,482 |
0.7× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,120.50 |
$4,482 |
1.7× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$2,262 |
$9,048 |
0.3× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$4,798.25 |
$19,193 |
0.6× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$4,798.25 |
$19,193 |
0.6× |
Insj eltrd car ven sys attch prev pm/dfb pls gen (33224)
unusually low: confirm this is the full procedure |
$4,798.25 |
$19,193 |
0.4× |
Insj implntbl defib pulse gen w/1 existing ld (33240)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
| Insj intraperitoneal catheter w/img guid (49418) |
$1,330.84 |
$5,323.35 |
0.4× |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
$1,229.38 |
$4,917.50 |
0.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,265.50 |
$9,062 |
0.7× |
Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249)
unusually low: confirm this is the full procedure |
$9,948.25 |
$39,793 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$2,074.50 |
$8,298 |
0.2× |
| Insrt heart pm atrial & vent (33208) |
$6,753.50 |
$27,014 |
0.6× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,511.25 |
$6,045 |
0.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$2,972 |
$11,888 |
0.5× |
| Intubation endotracheal (31500) |
$227.41 |
$909.65 |
0.9× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Other Surgical Services (31515) |
$249.50 |
$998 |
0.6× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$130 |
$520 |
0.3× |
| Lumbar puncture (62270) |
$612.50 |
$2,450 |
0.8× |
| Needle Biopsy Liver (47000) |
$846.75 |
$3,387 |
0.5× |
| Nicu/Picu Insert Picc W/O Imag<5yrs (36568) |
$156 |
$624 |
0.1× |
| Njx dx/ther agt pvrt facet jt crv/thrc 1 level (64490) |
$292 |
$1,168 |
0.3× |
Open/perq placement intravascular stent initial (37236)
likely a partial charge, not the full procedure |
$2,255.75 |
$9,023 |
0.2× |
Open/perq placement intravascular stent same 1st (37238)
likely a partial charge, not the full procedure |
$2,255.75 |
$9,023 |
0.2× |
| Percutaneous cholecystostomy (47490) |
$1,380.50 |
$5,522 |
0.4× |
| Pericardiocentesis w/img guidance when performed (33016) |
$999.25 |
$3,997 |
0.6× |
| Perq dev breast 1st mr guide (19287) |
$468.25 |
$1,873 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$780 |
$3,120 |
1.1× |
| Perq device breast 1st imag (19281) |
$1,946.75 |
$7,787 |
1.1× |
| Perq drainage pleura insert cath w/imaging (32557) |
$575.25 |
$2,301 |
0.3× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$141.75 |
$567 |
0.5× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$346.25 |
$1,385 |
0.5× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
likely a partial charge, not the full procedure |
$3,808.75 |
$15,235 |
0.2× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge, not the full procedure |
$3,348.80 |
$13,395.20 |
0.3× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$971.75 |
$3,887 |
0.6× |
| Placement Needle Intraosseous Infusion (36680) |
$42.50 |
$170 |
0.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$590.75 |
$2,363 |
0.3× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$1,282.50 |
$5,130 |
0.3× |
Prq transluminal mechanical thrombectomy vein (37187)
unusually low: confirm this is the full procedure |
$3,751.50 |
$15,006 |
0.3× |
| Puncture Aspiration (10160) |
$83.75 |
$335 |
0.2× |
| Relocate skin pocket implantable defibrillator (33223) |
$3,312.25 |
$13,249 |
1.5× |
| Relocation of skin pocket for pacemaker (33222) |
$3,312.25 |
$13,249 |
1.5× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$107.75 |
$431 |
1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$107.75 |
$431 |
1.7× |
| Removal implantable defib pulse generator only (33241) |
$2,951 |
$11,804 |
0.8× |
| Removal of nail bed (11750) |
$87 |
$348 |
0.2× |
Removal of pm generator (33233)
unusually low: confirm this is the full procedure |
$2,951 |
$11,804 |
0.3× |
| Removal of transvenous pacemaker electrode(s); dual lead system Other Surgical Services (33235) |
$4,705.50 |
$18,822 |
1.2× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Other Surgical Services (33234) |
$4,705.50 |
$18,822 |
1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,029.50 |
$8,118 |
2.7× |
| Remove pharynx foreign body (42809) |
$50.25 |
$201 |
0.1× |
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure |
$2,532.75 |
$10,131 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$59 |
$236 |
0.4× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$5,281 |
$21,124 |
0.2× |
Remv&replc pm gen dual lead (33228)
likely a partial charge, not the full procedure |
$2,835.25 |
$11,341 |
0.3× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$5,217.50 |
$20,870 |
0.3× |
| Renal biopsy percutaneous (50200) |
$586.25 |
$2,345 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$246 |
$984 |
0.6× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$246 |
$984 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$246 |
$984 |
0.6× |
| Repair eyelid wound (67930) |
$214 |
$856 |
0.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$130 |
$520 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$130 |
$520 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$129.95 |
$519.80 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$130 |
$520 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$130 |
$520 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$130 |
$520 |
0.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$130 |
$520 |
0.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$130 |
$520 |
0.3× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$130 |
$520 |
0.2× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$130 |
$520 |
0.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$130 |
$520 |
0.3× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$130 |
$520 |
0.3× |
| Repair Lip,Full Thick,Vermilion (40650) |
$96 |
$384 |
0.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$182 |
$728 |
0.4× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$182 |
$728 |
0.7× |
| Repair of vertical lip wound extending to half of lip (40652) |
$96 |
$384 |
0.2× |
| Repair tongue lacer,post 1/3 (41251) |
$182 |
$728 |
0.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$246 |
$984 |
0.3× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$246 |
$984 |
0.3× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$130 |
$520 |
0.6× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$130 |
$520 |
0.6× |
| Revision of cervix (59320) |
$2,757.50 |
$11,030 |
0.8× |
| Revsc endo iliac vsl w/angio uni cmplx les 1st (37256) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc endo tib/per vsl stnt athrect uni smple (37292) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$3,634.28 |
$14,537.10 |
0.6× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$7,371.39 |
$29,485.57 |
0.6× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$11,705.43 |
$46,821.72 |
0.6× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$11,705.43 |
$46,821.72 |
0.6× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$107 |
$428 |
0.8× |
| Rmvl of access device (36589) |
$979.12 |
$3,916.50 |
1.5× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$4,705.50 |
$18,822 |
1.2× |
| Rpr 1 transvns eltrd prm pm/pacing implntbl dfb (33218) |
$4,705.50 |
$18,822 |
1.2× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$4,705.50 |
$18,822 |
1.4× |
| Rvsc evsc fpvt st athrc sf 1 (37275) |
$11,705.43 |
$46,821.72 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$130 |
$520 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$130 |
$520 |
0.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$130 |
$520 |
0.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$130 |
$520 |
0.6× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$130 |
$520 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$130 |
$520 |
0.6× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$130 |
$520 |
0.6× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$130 |
$520 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$130 |
$520 |
0.3× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$246 |
$984 |
0.1× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
unusually low: confirm this is the full procedure |
$6,753.50 |
$27,014 |
0.3× |
| Therapeutic apheresis plasma (36514) |
$1,022 |
$4,088 |
0.6× |
| Therapeutic apheresis platelet (36513) |
$291 |
$1,164 |
0.6× |
| Therapeutic apheresis white blood cells (36511) |
$1,090.75 |
$4,363 |
0.7× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$977.50 |
$3,910 |
1.3× |
| Therapeutic spinal puncture drainage csf (62272) |
$729.38 |
$2,917.50 |
1.0× |
| Treat dental ridge fracture (21440) |
$248.75 |
$995 |
0.1× |
| Treat humerus fracture (24577) |
$418.50 |
$1,674 |
0.2× |
| Treat lower leg fracture (27825) |
$248.75 |
$995 |
0.1× |
| Treat radius fracture (24655) |
$336.75 |
$1,347 |
0.2× |
| Treat ulnar fracture (24675) |
$336.75 |
$1,347 |
0.2× |
| Treat wrist bone fracture (25635) |
$336.75 |
$1,347 |
0.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$234.25 |
$937 |
0.9× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$234.25 |
$937 |
0.9× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$3,301 |
$13,204 |
0.6× |
| Upgrade impl pacemkr; sc to dc (33214) |
$6,753.50 |
$27,014 |
0.6× |
| Vaginal delivery only (59409) |
$516 |
$2,064 |
0.2× |
| Venipuncture (36415) |
$8.05 |
$32.20 |
0.9× |