| Abd paracentesis (49082) |
$293.59 |
$499.50 |
0.3× |
| Abd paracentesis w/imaging (49083) |
$430.62 |
$733 |
0.5× |
| Adding walker to previously applied cast (29440) |
$35.94 |
$60 |
0.2× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$828.42 |
$1,383 |
0.2× |
| Amputate metacarpal bone (26910) |
$914.07 |
$1,526 |
0.3× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$171.88 |
$239 |
0.5× |
| Anoscopy remove for body (46608) |
$106.02 |
$177 |
0.1× |
| Application Finger Splint Dynamic (29131) |
$42.53 |
$71 |
0.7× |
| Application finger splint static (29130) |
$37.14 |
$62 |
0.3× |
| Application of long leg cast (thigh to toes); (29345) |
$124.59 |
$208 |
0.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$62.89 |
$105 |
0.4× |
| Application of short arm splint (forearm to hand); static (29125) |
$49.12 |
$82 |
0.4× |
| Application of short leg cast (below knee to toes); (29405) |
$73.08 |
$122 |
0.3× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$68.88 |
$115 |
0.2× |
| Application of short leg splint (calf to foot) (29515) |
$61.70 |
$103 |
0.4× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$164.22 |
$238 |
1.0× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$132.98 |
$222 |
0.5× |
| Application rigid total contact leg cast (29445) |
$553.38 |
$802 |
1.9× |
| Application, cast; shoulder to hand (long arm) (29065) |
$84.46 |
$141 |
0.3× |
| Apply hand/wrist cast (29085) |
$83.26 |
$139 |
0.5× |
| Apply long arm splint (29105) |
$52.71 |
$88 |
0.3× |
| Apply patella tendon bearing cast (29435) |
$101.83 |
$170 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$185.93 |
$258 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$227.01 |
$315 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$297.28 |
$413 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$149.15 |
$249 |
0.5× |
| Aspirate pleura w/o imaging (32554) |
$438.10 |
$591 |
0.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$365.66 |
$493 |
0.5× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$68.29 |
$114 |
0.3× |
| Biopsy liver needle percutaneous (47000) |
$593.32 |
$800 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$1,317.68 |
$2,353 |
0.8× |
| Biopsy pleura percutaneous needle (32400) |
$605.58 |
$816.50 |
0.4× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$520.99 |
$702.50 |
0.3× |
| Bladder irrigation (51700) |
$240.22 |
$358 |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$1,460.48 |
$1,969 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,088.02 |
$1,467 |
0.6× |
| Cast short arm (29075) |
$76.67 |
$128 |
0.3× |
| Change Cystostomy Tube Simple (51705) |
$265.64 |
$358 |
1.0× |
| Change of windpipe airway (31502) |
$299.77 |
$404 |
1.2× |
| Chemical cauterization of granulation tissue (17250) |
$46.72 |
$78 |
0.2× |
| Chest tube placement (32551) |
$197.67 |
$330 |
0.1× |
| Circumcision, Newborn (54150) |
$434.59 |
$538 |
0.2× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$564.26 |
$942 |
2.2× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$283.33 |
$473 |
1.1× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$351.61 |
$587 |
1.4× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$349.22 |
$583 |
1.4× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$383.96 |
$641 |
1.5× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$415.71 |
$694 |
0.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$279.13 |
$466 |
1.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$480.40 |
$802 |
1.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$357 |
$596 |
1.4× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$231.81 |
$387 |
0.9× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$849.38 |
$1,418 |
0.5× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$591.81 |
$988 |
2.3× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$153.94 |
$257 |
0.6× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$943.42 |
$1,575 |
0.6× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$409.12 |
$683 |
1.6× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$784.69 |
$1,310 |
0.5× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$603.79 |
$1,008 |
2.4× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$540.30 |
$902 |
0.3× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$380.96 |
$636 |
1.5× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$365.39 |
$610 |
1.4× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$348.62 |
$582 |
1.4× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$369.58 |
$617 |
1.5× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$377.97 |
$631 |
1.5× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$230.02 |
$384 |
0.9× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$349.82 |
$584 |
1.4× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$530.12 |
$885 |
0.3× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$385.76 |
$644 |
1.5× |
| Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age Under 21 (27831) |
$503.16 |
$840 |
0.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$316.27 |
$528 |
1.3× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$301.30 |
$503 |
1.2× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$98.24 |
$164 |
0.4× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$313.88 |
$524 |
1.2× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$493.58 |
$824 |
0.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$361.80 |
$604 |
1.4× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$402.53 |
$672 |
0.2× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$352.81 |
$589 |
1.4× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$330.05 |
$551 |
1.3× |
| Closed treatment of ulnar styloid fracture (25650) |
$376.17 |
$628 |
1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$469.02 |
$783 |
1.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$527.72 |
$881 |
0.3× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$376.17 |
$628 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$253.38 |
$423 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$606.19 |
$1,012 |
2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$427.69 |
$714 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$571.45 |
$954 |
0.3× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$578.63 |
$966 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$298.30 |
$498 |
1.2× |
| Closed tx septal&nose fx (21337) |
$364.19 |
$608 |
0.1× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$430.68 |
$719 |
1.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$229.42 |
$383 |
0.9× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$186.89 |
$312 |
0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$503.76 |
$841 |
0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$416.90 |
$696 |
0.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$431.28 |
$720 |
1.7× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$598.40 |
$999 |
2.4× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$340.83 |
$569 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$391.75 |
$654 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$637.34 |
$1,064 |
0.4× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$935.04 |
$1,561 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$176.70 |
$295 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$230.61 |
$385 |
0.9× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$559.47 |
$934 |
0.3× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$113.81 |
$190 |
0.5× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$383.36 |
$640 |
1.5× |
| Cltx metar fx w/manj (28475) |
$282.13 |
$471 |
1.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$445.06 |
$743 |
1.8× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$469.02 |
$783 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$706.82 |
$1,180 |
0.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$613.98 |
$1,025 |
0.4× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$397.14 |
$663 |
1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$542.69 |
$906 |
0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$361.80 |
$604 |
1.4× |
| Collect blood from catheter venous nos (36592) |
$120.96 |
$216 |
0.9× |
| Collect blood from implant venous access device (36591) |
$170.80 |
$305 |
1.3× |
| Complete replacement picc rs&i (36584) |
$1,081.36 |
$1,931 |
0.7× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$346.40 |
$467 |
1.6× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$98.83 |
$165 |
0.7× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$71.28 |
$119 |
0.5× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,745.93 |
$2,353 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$132.98 |
$222 |
1.0× |
| Debride skin at fx site (11010) |
$344.42 |
$575 |
0.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$18.57 |
$31 |
0.3× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$76.07 |
$127 |
0.2× |
| Declot vascular device (36593) |
$272.77 |
$419 |
0.8× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$320.86 |
$463 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$726.43 |
$1,008 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$445.37 |
$412 |
0.6× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$283.93 |
$474 |
0.1× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$150.35 |
$251 |
0.2× |
| Drainage finger abscess simple (26010) |
$171.91 |
$287 |
0.8× |
| Drainage of abscess of palate, uvula (42000) |
$129.38 |
$216 |
0.5× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$153.94 |
$257 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$207.85 |
$347 |
0.1× |
| Drainage of scrotum (54700) |
$267.75 |
$447 |
0.1× |
| Drainage of tonsil abscess (42700) |
$167.12 |
$279 |
0.7× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,109.11 |
$1,539 |
0.6× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,093.97 |
$1,518 |
0.5× |
| Dx laryngoscopy excl nb (31525) |
$197.67 |
$330 |
0.1× |
| Ed proc insert intraosseous IV (36680) |
$179.34 |
$299 |
0.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$240.41 |
$324 |
1.8× |
| Ed proc remve fb nasal- hospital (30300) |
$140.17 |
$234 |
1.0× |
| Ed prof arthrocentesis sm - hospital (20551) |
$197.82 |
$183 |
0.6× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$44.24 |
$70 |
0.3× |
| Ed prof burn - large - hospital (16030) |
$166.52 |
$278 |
0.4× |
| Ed prof burn medium - hospital (16025) |
$137.77 |
$230 |
0.7× |
| Ed prof burn small - hospital (16020) |
$67.69 |
$113 |
0.3× |
| Ed prof catheterization/straight (51701) |
$136.30 |
$235 |
1.0× |
| Ed prof closed tx post hip arthroplasty (27265) |
$504.36 |
$842 |
2.0× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$496.57 |
$829 |
0.3× |
| Ed prof drain dental abscess-hospital (41800) |
$189.28 |
$316 |
1.4× |
| Ed prof insert foley cath simple (51702) |
$162.98 |
$281 |
1.2× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$270.96 |
$391 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$300.10 |
$501 |
0.7× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$255.77 |
$427 |
0.6× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$320.46 |
$535 |
1.3× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$51.51 |
$86 |
0.1× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$253.12 |
$452 |
0.8× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$207.81 |
$244.50 |
0.3× |
| Evac subungual hematoma (11740) |
$38.93 |
$65 |
0.3× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$421.98 |
$569 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$139.57 |
$233 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$183.29 |
$306 |
0.3× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$160.53 |
$268 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$433.08 |
$723 |
0.3× |
| Explore wound neck (20100) |
$755.34 |
$1,261 |
1.4× |
| Fetal contraction stress test (59020) |
$674.54 |
$752 |
3.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,186.84 |
$1,600 |
1.6× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$144.10 |
$195 |
0.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$110.85 |
$150 |
0.2× |
| Fluid pressure muscle (20950) |
$344.31 |
$574 |
0.5× |
| Ganglion impar nerve block (64999) |
$399.94 |
$539 |
1.3× |
| Gastric lavage (43753) |
$28.15 |
$47 |
0.1× |
| I&d abscess simple/single (10060) |
$124.59 |
$208 |
0.6× |
| I&d hematoma/seroma/fluid (10140) |
$464.73 |
$811 |
0.3× |
| I&d pilonidal cyst simple (10080) |
$127.59 |
$213 |
0.2× |
| Incise external hemorrhoid (46083) |
$135.37 |
$226 |
0.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$225.82 |
$377 |
0.5× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$128.78 |
$215 |
0.6× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$213.24 |
$356 |
0.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$148.55 |
$248 |
0.5× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$221.03 |
$369 |
0.1× |
| Incision and drainage, perianal abscess, superficial (46050) |
$123.39 |
$206 |
0.1× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$193.48 |
$323 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$230.61 |
$385 |
0.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$127.59 |
$213 |
0.3× |
| Incision of rectal abscess (46040) |
$525.92 |
$878 |
0.4× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$50.32 |
$84 |
0.1× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$60.50 |
$101 |
0.4× |
| Incision of windpipe (31603) |
$402.53 |
$672 |
0.3× |
| Infectious disease (bacteria and fungi), gram-negative bacterial identification and drug resistance element detection,… (0142U) |
$338.65 |
$471 |
2.2× |
| Infectious disease (bacteria and fungi), gram-positive organism identification and drug resistance element detection,… (0141U) |
$338.65 |
$471 |
2.2× |
| Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory… (0225U) |
$899.47 |
$1,251 |
2.2× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$57.50 |
$96 |
0.3× |
| Inj epidural blood or clot patch (62273) |
$558.54 |
$963 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$940.61 |
$1,635 |
1.0× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,070.38 |
$1,873.50 |
1.2× |
| Inj tx nerve (64640) |
$558.56 |
$806 |
0.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$418.23 |
$703.50 |
0.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$300.52 |
$417 |
0.3× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$475.47 |
$814.50 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$405.38 |
$563 |
0.6× |
| Injection aa&/strd greater occipital nerve (64405) |
$267.01 |
$371 |
0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$122.99 |
$174 |
0.1× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$296.19 |
$411 |
0.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$393.48 |
$546 |
0.5× |
| Injection aa&/strd pudendal nerve (64430) |
$273.49 |
$379 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$267.01 |
$371 |
0.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$406.31 |
$679 |
0.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$270.78 |
$344 |
0.9× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$408.62 |
$378 |
0.5× |
| Injection anes superior hypogastric plexus (64517) |
$618.33 |
$572 |
0.7× |
| Injection for identification of sentinel node (38792) |
$449.65 |
$606 |
1.1× |
| Injection therapeutic carpal tunnel (20526) |
$273.04 |
$394 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$203.74 |
$294 |
0.2× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$547.20 |
$918 |
0.6× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$111.33 |
$177 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$215.12 |
$199 |
0.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$190.84 |
$270 |
0.6× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$568.72 |
$989.50 |
0.6× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$434.56 |
$517 |
1.4× |
| Insert cervical dilator (59200) |
$412.78 |
$511 |
1.3× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$232.41 |
$388 |
0.1× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$1,257.08 |
$1,931 |
0.8× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,289.63 |
$1,981 |
0.8× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,778.53 |
$2,732 |
1.1× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,251.88 |
$1,923 |
2.0× |
| Intubation endotracheal (31500) |
$394.14 |
$658 |
1.6× |
| Laryngoscopy flex diagnostic (31575) |
$217.41 |
$293 |
1.1× |
| Laryngoscopy indirect diagnostic (31505) |
$60.50 |
$101 |
0.3× |
| Lumbar puncture (62270) |
$252.79 |
$285 |
0.4× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$75.68 |
$102 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$51.20 |
$69 |
1.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$55.65 |
$75 |
1.9× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$564.42 |
$785 |
2.2× |
| Nfct ds DNA untrgt ngnrj seq (0152U) |
$4,586.50 |
$6,379 |
2.2× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$647.52 |
$898 |
0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$536.61 |
$926.50 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$857.81 |
$1,473.50 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$638.98 |
$1,087 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$450.62 |
$756 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$633.38 |
$1,077 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$533.68 |
$898.50 |
0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$447.50 |
$751.50 |
0.5× |
| Non stress test (59025) |
$308 |
$353.50 |
1.5× |
| NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (0169U) |
$1,005.88 |
$1,399 |
2.2× |
| Onc Pan-Tumor DNA & RNA Next-Generation Sequencing Other Outpatient (0211U) |
$18,237.43 |
$25,365 |
2.2× |
| Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene… (0313U) |
$7,765.20 |
$10,800 |
2.2× |
| Pericardiocentesis w/img guidance when performed (33016) |
$646.55 |
$1,078 |
0.4× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$384.78 |
$650.50 |
0.4× |
| Perq dev breast 1st strtctc (19283) |
$510.18 |
$688 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$549.55 |
$741 |
0.8× |
| Perq device breast 1st imag (19281) |
$232.05 |
$314 |
0.1× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,142.70 |
$1,541 |
0.7× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,086.82 |
$1,465.50 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$47.92 |
$80 |
0.2× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$3,065.44 |
$5,474 |
0.9× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$3,255.84 |
$5,814 |
1.0× |
| Prineoplasty rpr pr nonobal spx (56810) |
$334.24 |
$558 |
0.1× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$144.84 |
$196 |
0.3× |
| Puncture aspiration of cyst of breast (19000) |
$67.25 |
$91 |
0.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$959.93 |
$1,332 |
0.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$156.90 |
$270.50 |
0.2× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$125.80 |
$200 |
0.1× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$41.93 |
$70 |
0.7× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$182.70 |
$305 |
0.1× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$175.51 |
$293 |
0.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$35.94 |
$60 |
0.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$51.51 |
$86 |
0.1× |
| Removal of iud (58301) |
$84.46 |
$141 |
0.3× |
| Removal of nail bed (11750) |
$126.39 |
$211 |
0.3× |
| Removal/revision of cast (29700) |
$41.93 |
$70 |
0.1× |
| Remove eyelid foreign body (67938) |
$141.96 |
$237 |
0.4× |
| Remove foreign body from eye (65210) |
$45.52 |
$76 |
0.1× |
| Remove hip foreign body (27086) |
$208.45 |
$348 |
0.1× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$941.03 |
$1,571 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$304.89 |
$509 |
0.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$380.96 |
$636 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$324.66 |
$542 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$309.08 |
$516 |
0.4× |
| Repair extensor tendon hand w/o graft each (26410) |
$716.40 |
$1,196 |
0.4× |
| Repair finger tendon (26418) |
$736.77 |
$1,230 |
0.4× |
| Repair finger/hand tendon (26350) |
$900.30 |
$1,503 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$210.25 |
$351 |
0.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$248.58 |
$415 |
0.6× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$274.94 |
$459 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$374.97 |
$626 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$336.04 |
$561 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$182.70 |
$305 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$244.39 |
$408 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$266.56 |
$445 |
0.4× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$188.68 |
$315 |
0.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$236.60 |
$395 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$352.81 |
$589 |
0.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$268.35 |
$448 |
0.6× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$480.40 |
$802 |
1.2× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$531.31 |
$887 |
1.3× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$412.11 |
$688 |
0.2× |
| Repair lac palate<2 cm (42180) |
$228.82 |
$382 |
0.4× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$380.36 |
$635 |
0.7× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$191.68 |
$320 |
0.4× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$259.97 |
$434 |
1.1× |
| Repair of nail bed (11760) |
$142.56 |
$238 |
0.2× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$349.82 |
$584 |
0.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$421.70 |
$704 |
0.6× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$289.32 |
$483 |
0.7× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$251.58 |
$420 |
0.3× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$438.47 |
$732 |
0.2× |
| Reset dislocated jaw (21480) |
$40.13 |
$67 |
0.2× |
| Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial… (0115U) |
$594.61 |
$827 |
2.2× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$58.70 |
$98 |
0.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$63.49 |
$106 |
0.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$392.94 |
$656 |
0.5× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$613.98 |
$1,025 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$58.10 |
$97 |
0.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$70.68 |
$118 |
0.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$74.88 |
$125 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$95.24 |
$159 |
0.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$120.40 |
$201 |
0.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$219.83 |
$367 |
1.1× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$56.31 |
$94 |
0.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$183.29 |
$306 |
0.9× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$194.08 |
$324 |
0.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$163.53 |
$273 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$93.44 |
$156 |
0.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$74.88 |
$125 |
0.4× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$121.60 |
$203 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$148.55 |
$248 |
0.4× |
| Strapping of shoulder (29240) |
$23.36 |
$39 |
0.2× |
| Strapping unna boot (29580) |
$162.15 |
$235 |
1.0× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$716.77 |
$966 |
0.9× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$559.96 |
$518 |
0.8× |
| Therapeutic spinal puncture drainage csf (62272) |
$192.90 |
$296.50 |
0.3× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$560.06 |
$755.50 |
0.9× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$419.90 |
$701 |
1.7× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$1,558.20 |
$2,100 |
0.5× |
| Transfusion, blood or blood components (36430) |
$823.53 |
$1,415 |
1.8× |
| Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) |
$5,938.94 |
$8,260 |
2.2× |
| Treat big toe fracture (28495) |
$183.89 |
$307 |
0.7× |
| Treat dental ridge fracture (21440) |
$624.76 |
$1,043 |
0.2× |
| Treat finger dislocation (26775) |
$430.68 |
$719 |
1.5× |
| Treat hip socket fracture (27222) |
$1,216.57 |
$2,031 |
4.8× |
| Treat humerus fracture (24577) |
$628.95 |
$1,050 |
0.4× |
| Treat lower leg fracture (27825) |
$616.37 |
$1,029 |
0.4× |
| Treat toe dislocation (28630) |
$138.37 |
$231 |
0.5× |
| Treat ulnar fracture (24675) |
$518.73 |
$866 |
0.3× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$590.02 |
$985 |
0.4× |
| Treatment of bladder lesion (51720) |
$459.76 |
$821 |
0.6× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$419.90 |
$701 |
1.7× |
| Treatment of miscarriage (59812) |
$380.36 |
$635 |
0.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$236.60 |
$395 |
0.9× |
| Tx superficial wound dehiscence simple closure (12020) |
$234.81 |
$392 |
0.3× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$320.46 |
$535 |
0.2× |
| Vaginal delivery (59409) |
$1,017.70 |
$1,699 |
0.3× |
| Venipuncture (36415) |
$50.03 |
$75 |
5.4× |
| Version cephalic external (59412) |
$630.08 |
$780 |
0.2× |
| Wedge excision skin nail fold (11765) |
$114.41 |
$191 |
0.3× |