| Abd paracentesis (49082) |
$1,494.32 |
$1,494.32 |
1.6× |
| Abd paracentesis w/imaging (49083) |
$6,528.41 |
$6,528.41 |
6.8× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$22,024.06 |
$22,024.06 |
2.0× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$23,192.96 |
$23,192.96 |
1.3× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$15,426.67 |
$15,426.67 |
1.4× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$23,192.96 |
$23,192.96 |
3.0× |
| Abltn, 1/more adrnl glnd lsn, cryoabltn/cryothrp, w/wo imgng gdnc unltrl (60699) |
$15,191.33 |
$15,191.33 |
2.4× |
| Acne surgery (10040) |
$1,262.85 |
$1,262.85 |
6.0× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$8,292.12 |
$8,292.12 |
2.4× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$8,292.12 |
$8,292.12 |
2.4× |
| Adenoidectomy, secondary; age 12 or over Age Under 21 (42836) |
$8,292.12 |
$8,292.12 |
2.4× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$5,030.19 |
$5,030.19 |
2.3× |
| Amniocentesis diagnostic (59000) |
$2,245.33 |
$2,245.33 |
2.3× |
| Amniocentesis therapeutic (59001) |
$3,676.76 |
$3,676.76 |
11.4× |
| Amnioinfusion (59070) |
$1,938.27 |
$1,938.27 |
6.0× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$5,886.91 |
$5,886.91 |
1.7× |
| Amputation of finger/thumb (26952) |
$5,886.91 |
$5,886.91 |
1.7× |
| Amputation of toe (28820) |
$10,833.90 |
$10,833.90 |
3.1× |
| Amputation toe interphalangeal joint (28825) |
$6,107.06 |
$6,107.06 |
1.8× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Age Under 21 (27594) |
$8,675.77 |
$8,675.77 |
2.5× |
| Analyze infusn pump+reprogram (62368) |
$1,516.38 |
$1,516.38 |
4.7× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$1,393.40 |
$1,393.40 |
4.3× |
| Anoscopy and biopsy (46606) |
$3,156.25 |
$3,156.25 |
2.5× |
| Anoscopy diagnostic (46600) |
$1,039.38 |
$1,039.38 |
7.4× |
| Anoscopy remove for body (46608) |
$1,716.70 |
$1,716.70 |
1.7× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$7,488.98 |
$7,488.98 |
2.6× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21 (46610) |
$7,488.98 |
$7,488.98 |
2.6× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (46611) |
$2,422.15 |
$2,422.15 |
2.5× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$3,059.13 |
$3,059.13 |
3.9× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$5,894.94 |
$5,894.94 |
2.7× |
| Application cast finger (29086) |
$267.48 |
$267.48 |
1.6× |
| Application Finger Splint Dynamic (29131) |
$156.75 |
$156.75 |
2.5× |
| Application finger splint static (29130) |
$315.27 |
$315.27 |
2.2× |
| Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) (20660) |
$2,207.18 |
$2,207.18 |
1.3× |
| Application of long leg cast (thigh to toes); (29345) |
$711.26 |
$711.26 |
2.4× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$473.79 |
$473.79 |
2.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$868.34 |
$868.34 |
6.2× |
| Application of short leg cast (below knee to toes); (29405) |
$686.36 |
$686.36 |
2.3× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$810.04 |
$810.04 |
2.7× |
| Application of short leg splint (calf to foot) (29515) |
$357.58 |
$357.58 |
2.1× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$6,718.19 |
$6,718.19 |
3.1× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$612.02 |
$612.02 |
3.6× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$228.18 |
$228.18 |
1.3× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$925.30 |
$925.30 |
3.1× |
| Application rigid total contact leg cast (29445) |
$2,011.81 |
$2,011.81 |
6.8× |
| Application, cast; shoulder spica Age Under 21 (29055) |
$814.29 |
$814.29 |
2.8× |
| Application, cast; shoulder to hand (long arm) (29065) |
$730.98 |
$730.98 |
2.5× |
| Apply hand/wrist cast (29085) |
$549.16 |
$549.16 |
3.2× |
| Apply long arm splint (29105) |
$1,067.28 |
$1,067.28 |
6.2× |
| Apply splint short arm dynamic (29126) |
$435.03 |
$435.03 |
3.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$2,014.73 |
$2,014.73 |
6.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,838.94 |
$2,838.94 |
3.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$2,490.93 |
$2,490.93 |
7.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$3,223.56 |
$3,223.56 |
10.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,959.78 |
$1,959.78 |
6.1× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$2,490.93 |
$2,490.93 |
7.7× |
| Arthrodesis, ankle, open Age Under 21 (27870) |
$38,029.94 |
$38,029.94 |
2.8× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$8,675.77 |
$8,675.77 |
2.5× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850) |
$19,279.01 |
$19,279.01 |
2.5× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446) |
$38,029.94 |
$38,029.94 |
2.8× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age Under 21 (27626) |
$8,675.77 |
$8,675.77 |
2.5× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$8,675.77 |
$8,675.77 |
2.5× |
| Aspirate pleura w/o imaging (32554) |
$2,940.09 |
$2,940.09 |
4.4× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$4,527.80 |
$4,527.80 |
6.1× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$2,928.19 |
$2,928.19 |
9.0× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$3,033.72 |
$3,033.72 |
4.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$2,270.34 |
$2,270.34 |
3.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$9,133.25 |
$9,133.25 |
4.1× |
| Aspiration bladder needle (51100) |
$1,402.98 |
$1,402.98 |
5.3× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$4,818.12 |
$4,818.12 |
5.2× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$931.12 |
$931.12 |
4.4× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$7,301.04 |
$7,301.04 |
1.1× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21 (47553) |
$10,240.56 |
$10,240.56 |
1.5× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556) |
$10,240.56 |
$10,240.56 |
0.9× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554) |
$10,240.56 |
$10,240.56 |
0.9× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$10,240.56 |
$10,240.56 |
1.5× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$9,341.65 |
$9,341.65 |
2.5× |
| Biopsy bone open superficial (20240) |
$3,273.83 |
$3,273.83 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$4,585.57 |
$4,585.57 |
2.6× |
| Biopsy external auditory canal (69105) |
$4,045.88 |
$4,045.88 |
2.5× |
| Biopsy external ear (69100) |
$605.74 |
$605.74 |
2.4× |
| Biopsy liver needle percutaneous (47000) |
$4,151.58 |
$4,151.58 |
2.4× |
| Biopsy lymph node (38505) |
$4,904.02 |
$4,904.02 |
2.8× |
| Biopsy muscle percutaneous needle (20206) |
$3,184.43 |
$3,184.43 |
1.8× |
| Biopsy nail unit (11755) |
$1,891.49 |
$1,891.49 |
2.5× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$7,488.98 |
$7,488.98 |
2.6× |
| Biopsy of cervix (57500) |
$1,088.95 |
$1,088.95 |
1.1× |
| Biopsy of eyelid (67810) |
$771.52 |
$771.52 |
2.3× |
| Biopsy of salivary gland; needle (42400) |
$4,430.81 |
$4,430.81 |
5.9× |
| Biopsy of spinal cord, percutaneous needle Age Under 21 (62269) |
$4,665.98 |
$4,665.98 |
2.7× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$1,331.45 |
$1,331.45 |
2.3× |
| Biopsy of uterus lining (58100) |
$1,580.33 |
$1,580.33 |
7.4× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$20,159.77 |
$20,159.77 |
4.9× |
| Biopsy oropharynx (42800) |
$4,045.88 |
$4,045.88 |
2.5× |
| Biopsy pleura percutaneous needle (32400) |
$4,151.58 |
$4,151.58 |
2.4× |
| Biopsy roof of mouth (42100) |
$4,045.88 |
$4,045.88 |
2.5× |
| Biopsy soft tissue neck/thorax (21550) |
$4,370.59 |
$4,370.59 |
2.5× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$4,370.59 |
$4,370.59 |
2.5× |
| Biopsy thyroid percutaneous core needle (60100) |
$4,151.58 |
$4,151.58 |
5.6× |
| Biopsy tongue,poster 1/3 (41105) |
$8,292.12 |
$8,292.12 |
2.4× |
| Biopsy vaginal mucosa simple (57100) |
$2,050.33 |
$2,050.33 |
2.1× |
| Biopsy vestibule mouth (40808) |
$1,224.63 |
$1,224.63 |
2.2× |
| Biopsy vulva/perineum 1 lesion (56605) |
$2,050.33 |
$2,050.33 |
2.1× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$4,143.76 |
$4,143.76 |
2.4× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$8,027.94 |
$8,027.94 |
2.6× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$3,821.31 |
$3,821.31 |
2.2× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$10,019.82 |
$10,019.82 |
2.4× |
| Biopsy, soft tissue of back or flank; deep Age Under 21 (21925) |
$4,370.59 |
$4,370.59 |
2.5× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$4,370.59 |
$4,370.59 |
2.5× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$4,370.59 |
$4,370.59 |
2.5× |
| Biopsy, soft tissue of shoulder area; superficial Age Under 21 (23065) |
$4,370.59 |
$4,370.59 |
2.5× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$4,370.59 |
$4,370.59 |
2.5× |
| Bladder irrigation (51700) |
$588.82 |
$588.82 |
2.2× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$736.56 |
$736.56 |
2.2× |
| Brain canal shunt procedure (61070) |
$1,758.12 |
$1,758.12 |
2.4× |
| Bronch foreign body removal (31635) |
$5,186.15 |
$5,186.15 |
2.8× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$5,186.15 |
$5,186.15 |
2.8× |
| Bx breast 1st lesion mr imag (19085) |
$12,299.13 |
$12,299.13 |
7.1× |
| Bx breast 1st lesion strtctc (19081) |
$9,845.18 |
$9,845.18 |
5.7× |
| Bx breast 1st lesion us imag (19083) |
$6,985.13 |
$6,985.13 |
4.0× |
| Bx pancreas ndl perc (48102) |
$4,392.40 |
$4,392.40 |
2.5× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$19,279.01 |
$19,279.01 |
2.5× |
| Cardiac surg procedure unlist (33999) |
$21,153.31 |
$21,153.31 |
32.0× |
| Cast short arm (29075) |
$519.14 |
$519.14 |
1.8× |
| Casting/strapping procedure (29799) |
$703.22 |
$703.22 |
4.1× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$18,710.40 |
$18,710.40 |
5.6× |
| Change Cystostomy Tube Simple (51705) |
$917.30 |
$917.30 |
3.5× |
| Change g-tube to g-j perc (49446) |
$2,465.81 |
$2,465.81 |
1.2× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$2,488.45 |
$2,488.45 |
3.4× |
| Change of windpipe airway (31502) |
$719.56 |
$719.56 |
2.9× |
| Chemical cauterization of granulation tissue (17250) |
$543.07 |
$543.07 |
2.6× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$1,228.09 |
$1,228.09 |
3.8× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$1,700.37 |
$1,700.37 |
5.3× |
| Chest tube placement (32551) |
$2,699.58 |
$2,699.58 |
1.6× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$7,750.26 |
$7,750.26 |
3.5× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$5,318.08 |
$5,318.08 |
1.4× |
| Chorionic villus sampling, any method Age Under 21 (59015) |
$2,050.33 |
$2,050.33 |
2.1× |
| Circumcision, Newborn (54150) |
$406.19 |
$406.19 |
0.2× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$406.19 |
$406.19 |
0.6× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$5,406.23 |
$5,406.23 |
2.5× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$792.45 |
$792.45 |
2.4× |
| Closed rx acetabular fx (27220) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed rx humer epicondylr fx,manip (24565) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,775.34 |
$1,775.34 |
1.0× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,148.68 |
$1,148.68 |
0.7× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,775.34 |
$1,775.34 |
6.8× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$1,096.78 |
$1,096.78 |
4.2× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,213.06 |
$1,213.06 |
0.7× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$1,088.82 |
$1,088.82 |
0.6× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$1,241.93 |
$1,241.93 |
0.7× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,175.65 |
$1,175.65 |
4.5× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$550.94 |
$550.94 |
2.1× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$1,389.92 |
$1,389.92 |
5.3× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,241.93 |
$1,241.93 |
0.7× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,241.93 |
$1,241.93 |
0.7× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of fracture of orbit, except blowout; with manipulation Age Under 21 (21401) |
$4,045.88 |
$4,045.88 |
2.5× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$1,331.45 |
$1,331.45 |
2.3× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$812.54 |
$812.54 |
3.1× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$994.37 |
$994.37 |
0.6× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$22,572.22 |
$22,572.22 |
13.3× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$11,270.44 |
$11,270.44 |
6.6× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,191.42 |
$1,191.42 |
4.6× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$1,389.92 |
$1,389.92 |
5.3× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$1,389.92 |
$1,389.92 |
5.3× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$16,345.07 |
$16,345.07 |
4.7× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$1,389.92 |
$1,389.92 |
0.8× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,319.48 |
$1,319.48 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$1,589.98 |
$1,589.98 |
6.1× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$720.17 |
$720.17 |
2.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$994.37 |
$994.37 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age Under 21 (27831) |
$8,675.77 |
$8,675.77 |
2.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,775.34 |
$1,775.34 |
6.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$1,153 |
$1,153 |
4.4× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,163.28 |
$1,163.28 |
0.7× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,119.72 |
$1,119.72 |
4.3× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,241.93 |
$1,241.93 |
0.7× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) |
$8,675.77 |
$8,675.77 |
2.5× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$4,181.05 |
$4,181.05 |
2.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed treatment of ulnar styloid fracture (25650) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,213.06 |
$1,213.06 |
4.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,429.63 |
$1,429.63 |
0.8× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed tx femoral fracture prox head w/manj (27268) |
$8,675.77 |
$8,675.77 |
5.1× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$8,675.77 |
$8,675.77 |
2.5× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed tx mandibular fracture w/manipulation (21451) |
$4,045.88 |
$4,045.88 |
2.5× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$1,331.45 |
$1,331.45 |
2.3× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$15,563 |
$15,563 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$603.35 |
$603.35 |
2.3× |
| Closed tx nose/jaw fx (21345) |
$4,045.88 |
$4,045.88 |
2.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,036.82 |
$1,036.82 |
4.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,036.82 |
$1,036.82 |
4.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,775.34 |
$1,775.34 |
1.0× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,775.34 |
$1,775.34 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed tx septal&nose fx (21337) |
$8,292.12 |
$8,292.12 |
2.4× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$1,241.93 |
$1,241.93 |
4.8× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,475.97 |
$1,475.97 |
0.9× |
| Closed tx vert fx w/manj (22315) |
$8,675.77 |
$8,675.77 |
2.5× |
| Closed tx vert fx w/o manj (22310) |
$1,520.36 |
$1,520.36 |
5.8× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$2,620.13 |
$2,620.13 |
10.5× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$4,722.77 |
$4,722.77 |
8.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,096.78 |
$1,096.78 |
4.2× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$7,744.72 |
$7,744.72 |
4.7× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$7,744.72 |
$7,744.72 |
2.2× |
| Clsd tx pelvic ring fx (27197) |
$1,520.36 |
$1,520.36 |
5.8× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$1,520.36 |
$1,520.36 |
5.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,775.34 |
$1,775.34 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,158.72 |
$2,158.72 |
1.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$1,520.36 |
$1,520.36 |
5.8× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$1,241.93 |
$1,241.93 |
4.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$1,389.92 |
$1,389.92 |
5.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,060.94 |
$1,060.94 |
4.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,839.53 |
$1,839.53 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,241.93 |
$1,241.93 |
4.8× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$1,520.36 |
$1,520.36 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$807.03 |
$807.03 |
3.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,241.93 |
$1,241.93 |
4.8× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$1,520.36 |
$1,520.36 |
5.8× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$4,181.05 |
$4,181.05 |
2.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$994.37 |
$994.37 |
3.8× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$1,520.36 |
$1,520.36 |
5.8× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$1,520.36 |
$1,520.36 |
5.8× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,248.62 |
$1,248.62 |
0.7× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$1,241.93 |
$1,241.93 |
4.8× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$749.52 |
$749.52 |
2.5× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$699.68 |
$699.68 |
2.7× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$1,389.92 |
$1,389.92 |
5.3× |
| Cltx metar fx w/manj (28475) |
$699.68 |
$699.68 |
2.7× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$4,181.05 |
$4,181.05 |
2.5× |
| Cltx post ankle fx (27767) |
$1,241.93 |
$1,241.93 |
4.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,241.93 |
$1,241.93 |
4.8× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,775.34 |
$1,775.34 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$4,181.05 |
$4,181.05 |
2.5× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$1,241.93 |
$1,241.93 |
4.8× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$1,241.93 |
$1,241.93 |
4.8× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$4,181.05 |
$4,181.05 |
2.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,241.93 |
$1,241.93 |
4.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,429.63 |
$1,429.63 |
0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,241.93 |
$1,241.93 |
4.8× |
| Collect blood from catheter venous nos (36592) |
$589.23 |
$589.23 |
4.2× |
| Collect blood from implant venous access device (36591) |
$551.21 |
$551.21 |
3.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$850.95 |
$850.95 |
2.6× |
| Colposcopy vulva (56820) |
$519.18 |
$519.18 |
2.4× |
| Colposcopy vulva w/biopsy (56821) |
$850.95 |
$850.95 |
2.6× |
| Complete replacement picc rs&i (36584) |
$10,939.76 |
$10,939.76 |
6.6× |
| Complex uroflowmetry (51741) |
$916.67 |
$916.67 |
4.0× |
| Complx cystometro w/void press & urethral profil (51729) |
$6,349.23 |
$6,349.23 |
8.6× |
| Contrast injection perq radiologic eval gi tube (49465) |
$664.34 |
$664.34 |
2.6× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$1,277.70 |
$1,277.70 |
5.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$1,141.23 |
$1,141.23 |
8.1× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$736.10 |
$736.10 |
5.2× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$6,900.75 |
$6,900.75 |
1.8× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$9,238.22 |
$9,238.22 |
4.2× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$6,762.78 |
$6,762.78 |
3.9× |
| Correction of bunion (28292) |
$8,675.77 |
$8,675.77 |
2.5× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299) |
$19,279.01 |
$19,279.01 |
2.5× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) |
$19,279.01 |
$19,279.01 |
1.4× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) |
$19,279.01 |
$19,279.01 |
2.5× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$8,675.77 |
$8,675.77 |
2.5× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$8,675.77 |
$8,675.77 |
2.5× |
| Cryosurgery anal lesion(s) (46916) |
$526.32 |
$526.32 |
2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,303.90 |
$1,303.90 |
9.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$854.94 |
$854.94 |
3.4× |
| Cystoscopy removal of clots (52001) |
$3,455.51 |
$3,455.51 |
0.9× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$783.15 |
$783.15 |
0.4× |
| Deb skin bone at fx site (11012) |
$6,102.89 |
$6,102.89 |
2.0× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$1,175.04 |
$1,175.04 |
2.7× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$232.26 |
$232.26 |
3.7× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$314.25 |
$314.25 |
5.0× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,262.80 |
$1,262.80 |
2.9× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$5,614.71 |
$5,614.71 |
3.2× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$2,807.34 |
$2,807.34 |
3.6× |
| Declot vascular device (36593) |
$1,784.10 |
$1,784.10 |
5.1× |
| Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to… (62287) |
$7,732.65 |
$7,732.65 |
3.8× |
| Deep incis foot bone infectn (28005) |
$8,675.77 |
$8,675.77 |
2.5× |
| Delivery of placenta (59414) |
$5,813.68 |
$5,813.68 |
1.7× |
| Destroy vulva lesion/s compl (56515) |
$5,030.19 |
$5,030.19 |
2.3× |
| Destruct lesion 15 or more (17111) |
$526.32 |
$526.32 |
2.5× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$292.05 |
$292.05 |
1.4× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$510.36 |
$510.36 |
1.2× |
| Destruction benign lesions up to 14 (17110) |
$273.45 |
$273.45 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,845.91 |
$1,845.91 |
2.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age Under 21 (64605) |
$5,989.98 |
$5,989.98 |
2.9× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$7,187.99 |
$7,187.99 |
3.5× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$5,989.98 |
$5,989.98 |
6.4× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$5,491.63 |
$5,491.63 |
5.9× |
| Destruction by neurolytic agent; pudendal nerve Age Under 21 (64630) |
$1,845.91 |
$1,845.91 |
2.0× |
| Destruction lesions vulva simple (56501) |
$5,030.19 |
$5,030.19 |
2.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$11,080.22 |
$11,080.22 |
5.4× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) |
$1,693.24 |
$1,693.24 |
2.2× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$1,087.35 |
$1,087.35 |
2.5× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) |
$5,030.19 |
$5,030.19 |
2.3× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$1,087.35 |
$1,087.35 |
2.5× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$7,488.98 |
$7,488.98 |
2.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$7,488.98 |
$7,488.98 |
2.6× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$5,030.19 |
$5,030.19 |
2.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$394.17 |
$394.17 |
1.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$1,660.41 |
$1,660.41 |
7.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$567.59 |
$567.59 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$328.46 |
$328.46 |
1.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$3,587.12 |
$3,587.12 |
8.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$2,052.02 |
$2,052.02 |
9.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$273.72 |
$273.72 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$472.99 |
$472.99 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) |
$681.12 |
$681.12 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$2,866.56 |
$2,866.56 |
13.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$394.17 |
$394.17 |
1.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$273.72 |
$273.72 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$2,592.44 |
$2,592.44 |
12.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$567.59 |
$567.59 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$3,062.36 |
$3,062.36 |
7.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$328.46 |
$328.46 |
1.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$472.99 |
$472.99 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$681.12 |
$681.12 |
1.6× |
| Diagnostic bone marrow aspirations (38220) |
$8,946.10 |
$8,946.10 |
5.1× |
| Diagnostic bone marrow biopsies (38221) |
$9,350.70 |
$9,350.70 |
5.4× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$9,980.06 |
$9,980.06 |
3.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$3,447.89 |
$3,447.89 |
4.6× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$519.18 |
$519.18 |
2.4× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$2,406.03 |
$2,406.03 |
2.5× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Age Under 21 (28250) |
$8,675.77 |
$8,675.77 |
2.5× |
| Drain bladder by trocar/cath (51101) |
$1,402.98 |
$1,402.98 |
1.5× |
| Drain lower leg lesion (27603) |
$7,529.14 |
$7,529.14 |
2.5× |
| Drain neck/chest lesion (21501) |
$7,529.14 |
$7,529.14 |
2.5× |
| Drain shoulder lesion (23030) |
$7,529.14 |
$7,529.14 |
2.5× |
| Drainage external auditory canal, abscess (69020) |
$1,891.49 |
$1,891.49 |
2.5× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$1,635.15 |
$1,635.15 |
0.9× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$1,445.77 |
$1,445.77 |
1.9× |
| Drainage finger abscess simple (26010) |
$1,551.82 |
$1,551.82 |
7.3× |
| Drainage of abscess of palate, uvula (42000) |
$605.74 |
$605.74 |
2.4× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$1,726.38 |
$1,726.38 |
3.0× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$1,633.62 |
$1,633.62 |
2.2× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$4,370.59 |
$4,370.59 |
2.5× |
| Drainage of hydrocele (55000) |
$2,756.59 |
$2,756.59 |
3.7× |
| Drainage of nose lesion (30020) |
$3,115.67 |
$3,115.67 |
5.5× |
| Drainage of ovarian cyst(s) (58800) |
$8,240.86 |
$8,240.86 |
2.4× |
| Drainage of scrotal wall abscess (55100) |
$3,022.12 |
$3,022.12 |
1.7× |
| Drainage of scrotum (54700) |
$3,022.12 |
$3,022.12 |
1.4× |
| Drainage of tonsil abscess (42700) |
$3,918.67 |
$3,918.67 |
15.7× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$5,071.14 |
$5,071.14 |
2.5× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$5,071.14 |
$5,071.14 |
2.5× |
| Dx bronchoscope/lavage (31624) |
$1,778.67 |
$1,778.67 |
0.9× |
| Ed proc insert intraosseous IV (36680) |
$1,554.21 |
$1,554.21 |
3.3× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$1,179.90 |
$1,179.90 |
8.7× |
| Ed proc remve fb nasal- hospital (30300) |
$918.66 |
$918.66 |
6.5× |
| Ed prof arthrocentesis sm - hospital (20551) |
$1,845.91 |
$1,845.91 |
5.7× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$558.61 |
$558.61 |
4.0× |
| Ed prof burn - large - hospital (16030) |
$1,252.88 |
$1,252.88 |
2.9× |
| Ed prof burn medium - hospital (16025) |
$1,018.91 |
$1,018.91 |
4.8× |
| Ed prof burn small - hospital (16020) |
$711.52 |
$711.52 |
3.4× |
| Ed prof catheterization/straight (51701) |
$1,640.60 |
$1,640.60 |
11.7× |
| Ed prof closed tx post hip arthroplasty (27265) |
$994.37 |
$994.37 |
3.8× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$4,181.05 |
$4,181.05 |
2.5× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,153 |
$1,153 |
0.7× |
| Ed prof drain dental abscess-hospital (41800) |
$1,094.56 |
$1,094.56 |
7.8× |
| Ed prof insert foley cath simple (51702) |
$808.26 |
$808.26 |
5.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$3,185.45 |
$3,185.45 |
1.0× |
| Ed prof insertion of heart electr (33210) |
$9,999.79 |
$9,999.79 |
1.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$2,418.66 |
$2,418.66 |
5.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$2,162.37 |
$2,162.37 |
5.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$537.08 |
$537.08 |
2.1× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$1,250.75 |
$1,250.75 |
2.7× |
| Egd percutaneous placement gastrostomy tube (43246) |
$4,086.64 |
$4,086.64 |
2.0× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$4,086.64 |
$4,086.64 |
2.0× |
| Egd transoral control bleeding any method (43255) |
$4,086.64 |
$4,086.64 |
2.0× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$630.96 |
$630.96 |
1.9× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$1,819.70 |
$1,819.70 |
5.6× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$806.33 |
$806.33 |
2.5× |
| Endoscopy upper small intestine (44360) |
$5,076.04 |
$5,076.04 |
2.5× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$18,211.44 |
$18,211.44 |
1.5× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$21,603.68 |
$21,603.68 |
3.7× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$13,069.31 |
$13,069.31 |
3.9× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$13,530.81 |
$13,530.81 |
4.1× |
| Endovenous rf 1st vein (36475) |
$21,603.68 |
$21,603.68 |
6.5× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$2,589.63 |
$2,589.63 |
1.2× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$2,454.72 |
$2,454.72 |
1.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$2,928.19 |
$2,928.19 |
3.9× |
| Escharotomy 1st incision (16035) |
$1,087.35 |
$1,087.35 |
2.5× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,937.06 |
$1,937.06 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$4,086.64 |
$4,086.64 |
2.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$2,735.55 |
$2,735.55 |
2.9× |
| Esophagoscopy flexible removal foreign body (43215) |
$994.39 |
$994.39 |
0.5× |
| Evac subungual hematoma (11740) |
$835.80 |
$835.80 |
6.0× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$4,370.59 |
$4,370.59 |
2.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$4,370.59 |
$4,370.59 |
2.5× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$1,891.49 |
$1,891.49 |
2.5× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,942.37 |
$1,942.37 |
1.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$2,576.78 |
$2,576.78 |
3.4× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$3,211.18 |
$3,211.18 |
1.8× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$4,181.05 |
$4,181.05 |
2.5× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$1,997.20 |
$1,997.20 |
2.7× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$2,733.41 |
$2,733.41 |
3.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$4,370.59 |
$4,370.59 |
2.5× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$7,529.14 |
$7,529.14 |
2.5× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$7,529.14 |
$7,529.14 |
2.5× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$6,900.75 |
$6,900.75 |
1.8× |
| Exchange intraocular lens (66986) |
$6,293.91 |
$6,293.91 |
2.6× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$4,081.99 |
$4,081.99 |
1.9× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$3,421.10 |
$3,421.10 |
1.7× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Age Under 21 (42810) |
$8,292.12 |
$8,292.12 |
2.4× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$4,181.05 |
$4,181.05 |
2.5× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$7,620.59 |
$7,620.59 |
2.5× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$7,620.59 |
$7,620.59 |
2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$3,485.30 |
$3,485.30 |
4.7× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$3,782.93 |
$3,782.93 |
8.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$4,519.14 |
$4,519.14 |
6.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$4,973.41 |
$4,973.41 |
6.7× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$7,529.14 |
$7,529.14 |
2.5× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$2,905.73 |
$2,905.73 |
1.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$3,500.97 |
$3,500.97 |
4.7× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$3,970.89 |
$3,970.89 |
5.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$4,895.09 |
$4,895.09 |
2.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$5,568.64 |
$5,568.64 |
3.2× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$8,675.77 |
$8,675.77 |
2.5× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$4,045.88 |
$4,045.88 |
2.5× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$8,675.77 |
$8,675.77 |
2.5× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$4,181.05 |
$4,181.05 |
2.5× |
| Excision of lesion of tongue with closure; posterior one-third Age Under 21 (41113) |
$8,292.12 |
$8,292.12 |
2.4× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$5,239.05 |
$5,239.05 |
2.5× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$7,620.59 |
$7,620.59 |
2.5× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$7,620.59 |
$7,620.59 |
2.5× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$7,620.59 |
$7,620.59 |
2.5× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) |
$7,620.59 |
$7,620.59 |
2.5× |
| Excision of thrombosed hemorrhoid, external (46320) |
$3,854.38 |
$3,854.38 |
3.1× |
| Excision of tongue lesion (41112) |
$8,292.12 |
$8,292.12 |
2.4× |
| Excision olecranon bursa (24105) |
$8,675.77 |
$8,675.77 |
2.5× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$4,181.05 |
$4,181.05 |
2.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$8,675.77 |
$8,675.77 |
2.5× |
| Excision pilonidal cyst/sinus complicated (11772) |
$7,529.14 |
$7,529.14 |
2.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$6,899.27 |
$6,899.27 |
4.0× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$7,529.14 |
$7,529.14 |
2.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$4,370.59 |
$4,370.59 |
2.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$3,712.43 |
$3,712.43 |
2.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$6,312.71 |
$6,312.71 |
2.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$4,276.34 |
$4,276.34 |
2.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$2,498.45 |
$2,498.45 |
5.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$3,892.57 |
$3,892.57 |
2.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$3,540.13 |
$3,540.13 |
4.7× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$5,866.26 |
$5,866.26 |
3.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830) |
$17,321.90 |
$17,321.90 |
2.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$7,529.14 |
$7,529.14 |
2.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh (15832) |
$7,529.14 |
$7,529.14 |
2.5× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$4,181.05 |
$4,181.05 |
2.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$1,883.74 |
$1,883.74 |
2.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$1,883.74 |
$1,883.74 |
2.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$4,370.59 |
$4,370.59 |
2.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$4,370.59 |
$4,370.59 |
2.5× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$6,806.12 |
$6,806.12 |
2.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$2,882.22 |
$2,882.22 |
3.9× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$7,409.20 |
$7,409.20 |
4.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$923.06 |
$923.06 |
1.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$923.06 |
$923.06 |
1.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$4,423.68 |
$4,423.68 |
2.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$923.06 |
$923.06 |
1.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$4,423.68 |
$4,423.68 |
2.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$7,620.59 |
$7,620.59 |
2.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$4,370.59 |
$4,370.59 |
2.5× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$7,529.14 |
$7,529.14 |
2.5× |
| Exploration penetrating wound spx extremity (20103) |
$7,851.72 |
$7,851.72 |
4.5× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$4,181.05 |
$4,181.05 |
2.5× |
| External cannula declotting (36860) |
$3,491.24 |
$3,491.24 |
2.1× |
| External cannula declotting (separate procedure); with balloon catheter Age Under 21 (36861) |
$12,060.45 |
$12,060.45 |
2.1× |
| Fasciectomy plantar fascia partial spx (28060) |
$8,017.78 |
$8,017.78 |
2.3× |
| Fetal contraction stress test (59020) |
$519.18 |
$519.18 |
2.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$5,857.19 |
$5,857.19 |
7.8× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$4,850.48 |
$4,850.48 |
6.5× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$2,983.50 |
$2,983.50 |
7.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$3,953.60 |
$3,953.60 |
5.3× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$8,675.77 |
$8,675.77 |
2.5× |
| Fluid pressure muscle (20950) |
$2,478 |
$2,478 |
3.3× |
| Frenulotomy of penis (54164) |
$5,406.23 |
$5,406.23 |
2.5× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$5,030.19 |
$5,030.19 |
2.3× |
| Ganglion impar nerve block (64999) |
$4,013.06 |
$4,013.06 |
12.4× |
| Gastric lavage (43753) |
$816.27 |
$816.27 |
3.6× |
| Gastrocnemius recession (27687) |
$8,675.77 |
$8,675.77 |
2.5× |
| Guide cathet fluid drainage (10030) |
$11,207.86 |
$11,207.86 |
15.0× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$8,675.77 |
$8,675.77 |
2.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$19,279.01 |
$19,279.01 |
2.5× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$2,422.15 |
$2,422.15 |
2.5× |
| Hysteroscopy biopsy (58558) |
$8,240.86 |
$8,240.86 |
2.4× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$13,509.49 |
$13,509.49 |
2.6× |
| I&d abscess simple/single (10060) |
$956.60 |
$956.60 |
4.5× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,241.93 |
$1,241.93 |
0.4× |
| I&d hematoma/seroma/fluid (10140) |
$3,830.35 |
$3,830.35 |
2.2× |
| I&d pilonidal cyst simple (10080) |
$2,076.88 |
$2,076.88 |
2.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$7,529.14 |
$7,529.14 |
2.5× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$5,005.31 |
$5,005.31 |
2.9× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$10,622.95 |
$10,622.95 |
6.1× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$10,622.95 |
$10,622.95 |
6.1× |
| Implant subq hormone pellet (11980) |
$1,100.47 |
$1,100.47 |
2.3× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) |
$88,012.27 |
$88,012.27 |
4.6× |
| Incise external hemorrhoid (46083) |
$3,854.38 |
$3,854.38 |
14.6× |
| Incise finger tendon sheath (26055) |
$4,181.05 |
$4,181.05 |
2.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$1,322.11 |
$1,322.11 |
3.1× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$1,223.39 |
$1,223.39 |
5.7× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21 (45020) |
$4,096 |
$4,096 |
1.4× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$3,082.83 |
$3,082.83 |
4.1× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$3,156.25 |
$3,156.25 |
2.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$632.51 |
$632.51 |
2.0× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$1,262.85 |
$1,262.85 |
0.4× |
| Incision and drainage, forearm and/or wrist; bursa Age Under 21 (25031) |
$4,181.05 |
$4,181.05 |
2.5× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$8,675.77 |
$8,675.77 |
2.5× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$8,675.77 |
$8,675.77 |
2.5× |
| Incision and drainage, perianal abscess, superficial (46050) |
$6,860.18 |
$6,860.18 |
7.0× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$7,463.75 |
$7,463.75 |
4.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$3,587.92 |
$3,587.92 |
2.1× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$1,438.58 |
$1,438.58 |
3.4× |
| Incision bone cortex hand/finger (26034) |
$4,181.05 |
$4,181.05 |
2.5× |
| Incision extensor tendon sheath wrist (25000) |
$4,181.05 |
$4,181.05 |
2.5× |
| Incision of connective tissue of foot and/or toe (28008) |
$7,546.32 |
$7,546.32 |
2.2× |
| Incision of eyelid fold (67715) |
$6,162.10 |
$6,162.10 |
2.5× |
| Incision of lingual frenum (frenotomy) (41010) |
$4,045.88 |
$4,045.88 |
2.5× |
| Incision of rectal abscess (46040) |
$6,860.18 |
$6,860.18 |
5.4× |
| Incision of windpipe (31603) |
$1,700.53 |
$1,700.53 |
1.0× |
| Incision&drainage bursa foot (28001) |
$4,370.59 |
$4,370.59 |
2.5× |
| Incisional biopsy skin single lesion (11106) |
$1,299.52 |
$1,299.52 |
1.7× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$1,812.48 |
$1,812.48 |
4.3× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,502.66 |
$1,502.66 |
4.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$722.34 |
$722.34 |
3.4× |
| Inj epidural blood or clot patch (62273) |
$1,853.05 |
$1,853.05 |
2.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$4,963.52 |
$4,963.52 |
5.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$3,175.40 |
$3,175.40 |
3.4× |
| Inj tx nerve (64640) |
$2,847.15 |
$2,847.15 |
3.1× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$2,066.83 |
$2,066.83 |
2.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,928.19 |
$2,928.19 |
3.1× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,564.75 |
$1,564.75 |
1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$4,236.87 |
$4,236.87 |
5.7× |
| Injection aa&/strd greater occipital nerve (64405) |
$1,188.92 |
$1,188.92 |
3.7× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,188.92 |
$1,188.92 |
1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,662.01 |
$2,662.01 |
2.9× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$951.15 |
$951.15 |
1.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$4,236.87 |
$4,236.87 |
5.7× |
| Injection aa&/strd pudendal nerve (64430) |
$2,083.54 |
$2,083.54 |
2.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,377.86 |
$1,377.86 |
1.9× |
| Injection aa&/strd suprascapular nerve (64418) |
$2,928.19 |
$2,928.19 |
3.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$2,928.19 |
$2,928.19 |
9.0× |
| Injection aa&/strd vagus nerve (64408) |
$2,928.19 |
$2,928.19 |
9.0× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$2,079.76 |
$2,079.76 |
2.2× |
| Injection anes superior hypogastric plexus (64517) |
$2,852.91 |
$2,852.91 |
3.1× |
| Injection enzyme palmar fascial cord (20527) |
$792.45 |
$792.45 |
2.4× |
| Injection for identification of sentinel node (38792) |
$1,384.73 |
$1,384.73 |
3.3× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$8,878.85 |
$8,878.85 |
5.4× |
| Injection procedure for Peyronie disease; Age Under 21 (54200) |
$626.26 |
$626.26 |
2.4× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$980.57 |
$980.57 |
1.5× |
| Injection sclerosant multiple incmptnt veins (36471) |
$5,077.35 |
$5,077.35 |
11.8× |
| Injection sclerosant single incmptnt vein (36470) |
$3,385.63 |
$3,385.63 |
7.9× |
| Injection therapeutic carpal tunnel (20526) |
$1,655.85 |
$1,655.85 |
5.1× |
| Injection treatment of nerve (64681) |
$1,343.98 |
$1,343.98 |
1.4× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$4,024.65 |
$4,024.65 |
4.3× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$2,126.70 |
$2,126.70 |
2.3× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$3,917.73 |
$3,917.73 |
4.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$1,870.48 |
$1,870.48 |
5.8× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$2,244.56 |
$2,244.56 |
6.9× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$713.99 |
$713.99 |
2.2× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,826 |
$1,826 |
2.0× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$3,119.74 |
$3,119.74 |
9.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$526.32 |
$526.32 |
2.5× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$2,023.08 |
$2,023.08 |
2.2× |
| Ins cath ren art 1st bilat (36252) |
$19,114.84 |
$19,114.84 |
5.7× |
| Ins cath ren art 1st unilat (36251) |
$12,743.24 |
$12,743.24 |
3.8× |
| Ins cath ren art 2nd+ bilat (36254) |
$15,290.58 |
$15,290.58 |
4.6× |
| Ins cath ren art 2nd+ unilat (36253) |
$15,291.88 |
$15,291.88 |
2.6× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$17,118.22 |
$17,118.22 |
2.9× |
| Ins vag brachytx device (57156) |
$1,822.66 |
$1,822.66 |
5.7× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$109,140.87 |
$109,140.87 |
3.3× |
| Insert and remove bone pin (20650) |
$8,943.79 |
$8,943.79 |
2.6× |
| Insert cecostomy/other colonic tube percutaneous (49442) |
$3,047.67 |
$3,047.67 |
2.4× |
| Insert cervical dilator (59200) |
$1,219.36 |
$1,219.36 |
3.8× |
| Insert drug implant device (11981) |
$338.41 |
$338.41 |
2.4× |
| Insert gastrostomy tube percutaneous (49440) |
$3,418.59 |
$3,418.59 |
1.7× |
| Insert heart pm atrial (33206) |
$17,483.66 |
$17,483.66 |
1.6× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$3,185.45 |
$3,185.45 |
1.0× |
| Insert pessary/other device (57160) |
$519.18 |
$519.18 |
2.4× |
| Insert pulse gen mult leads (33221) |
$24,032.55 |
$24,032.55 |
1.2× |
| Insert tun ip cath w/port (49419) |
$9,319.57 |
$9,319.57 |
1.6× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,986.63 |
$6,986.63 |
1.2× |
| Insert uteri tandem/ovoids (57155) |
$6,290.72 |
$6,290.72 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$7,780.97 |
$7,780.97 |
2.1× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$42,073.04 |
$42,073.04 |
1.8× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$17,483.66 |
$17,483.66 |
1.6× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$21,043.52 |
$21,043.52 |
1.9× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$14,893.55 |
$14,893.55 |
1.7× |
| Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age… (36570) |
$8,541.47 |
$8,541.47 |
2.6× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$3,105.57 |
$3,105.57 |
1.9× |
| Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182) |
$25,404.35 |
$25,404.35 |
1.3× |
| Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566) |
$8,228.41 |
$8,228.41 |
1.4× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$14,377.17 |
$14,377.17 |
4.3× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$4,202.70 |
$4,202.70 |
1.3× |
| Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211) |
$16,767.98 |
$16,767.98 |
1.9× |
| Insertion phrenic nerve stimulator system (33276) |
$68,500 |
$68,500 |
1.5× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$7,385.08 |
$7,385.08 |
4.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$9,256.89 |
$9,256.89 |
5.6× |
| Insertion picc w/rs&i < 5 yr (36572) |
$3,381.67 |
$3,381.67 |
5.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,162.08 |
$10,162.08 |
1.2× |
| Insertion tunnel intraperitoneal cath dial open (49421) |
$8,273.99 |
$8,273.99 |
2.2× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$16,956.16 |
$16,956.16 |
1.9× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$44,466.49 |
$44,466.49 |
5.1× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$32,520.81 |
$32,520.81 |
2.9× |
| Insj intraperitoneal catheter w/img guid (49418) |
$7,766.31 |
$7,766.31 |
2.1× |
| Insj of subq implantable defibrillator electrode (33271) |
$20,075.96 |
$20,075.96 |
2.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$9,581 |
$9,581 |
2.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$8,228.41 |
$8,228.41 |
2.5× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$8,383.96 |
$8,383.96 |
2.5× |
| Insj Tunneled Ctr Vad W/Subq Pump (36563) |
$8,228.41 |
$8,228.41 |
1.4× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$74,039.29 |
$74,039.29 |
2.2× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$85,568.23 |
$85,568.23 |
2.6× |
| Insrt heart pm atrial & vent (33208) |
$20,980.38 |
$20,980.38 |
1.9× |
| Insrt pulse gen w/dual leads (33230) |
$51,601.80 |
$51,601.80 |
2.2× |
| Insrt pulse gen w/mult leads (33231) |
$62,038.99 |
$62,038.99 |
1.9× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$2,065.18 |
$2,065.18 |
3.1× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$2,065.18 |
$2,065.18 |
3.1× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,331.45 |
$1,331.45 |
2.3× |
| Intraoral i&d tongue/floor masticator space (41009) |
$1,331.45 |
$1,331.45 |
2.3× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$1,331.45 |
$1,331.45 |
5.3× |
| Intraoral i&d tongue/floor submental space (41007) |
$4,045.88 |
$4,045.88 |
2.5× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$8,292.12 |
$8,292.12 |
2.4× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$6,750.49 |
$6,750.49 |
4.1× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$44,850.71 |
$44,850.71 |
3.7× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$19,554.57 |
$19,554.57 |
3.3× |
| Intubation endotracheal (31500) |
$3,590.76 |
$3,590.76 |
14.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$1,827.62 |
$1,827.62 |
6.9× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655) |
$62,708.67 |
$62,708.67 |
3.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$19,279.01 |
$19,279.01 |
2.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571) |
$26,485.84 |
$26,485.84 |
2.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552) |
$26,485.84 |
$26,485.84 |
2.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$15,191.33 |
$15,191.33 |
2.4× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670) |
$15,191.33 |
$15,191.33 |
2.4× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$15,191.33 |
$15,191.33 |
2.4× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$15,191.33 |
$15,191.33 |
2.4× |
| Laryngoscopy flex diagnostic (31575) |
$1,827.51 |
$1,827.51 |
8.7× |
| Laryngoscopy indirect diagnostic (31505) |
$427.17 |
$427.17 |
2.0× |
| Laryngoscopy w/foreign body removal (31530) |
$6,316.54 |
$6,316.54 |
3.4× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$8,675.77 |
$8,675.77 |
2.5× |
| Ligamentous reconstruction knee intra-articular (27428) |
$38,029.94 |
$38,029.94 |
2.8× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$31,898.40 |
$31,898.40 |
8.6× |
| Long gi tube placement (44500) |
$2,580.34 |
$2,580.34 |
2.7× |
| Lumbar puncture (62270) |
$2,107.87 |
$2,107.87 |
2.8× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$5,406.23 |
$5,406.23 |
2.5× |
| Manipulate wrist w/anesthes (25259) |
$4,181.05 |
$4,181.05 |
2.5× |
| Manipulation finger joint under anes each joint (26340) |
$4,181.05 |
$4,181.05 |
2.5× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$4,181.05 |
$4,181.05 |
2.5× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$4,181.05 |
$4,181.05 |
2.5× |
| Marsupialization bartholin's gland cyst (56440) |
$8,240.86 |
$8,240.86 |
2.4× |
| Mastotomy expl drg absc dp (19020) |
$4,705.79 |
$4,705.79 |
2.7× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$308.07 |
$308.07 |
5.0× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$2,637.12 |
$2,637.12 |
4.0× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$2,699.58 |
$2,699.58 |
1.6× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$5,057.22 |
$5,057.22 |
1.5× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17311) |
$1,693.24 |
$1,693.24 |
2.2× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17313) |
$1,693.24 |
$1,693.24 |
2.2× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$5,861.53 |
$5,861.53 |
7.1× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$6,929.41 |
$6,929.41 |
8.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$6,419.83 |
$6,419.83 |
7.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$4,301.35 |
$4,301.35 |
5.2× |
| Nasal surg proc unlisted (30999) |
$1,148.14 |
$1,148.14 |
4.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$42.34 |
$42.34 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$63.50 |
$63.50 |
2.1× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$710.23 |
$710.23 |
2.7× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$1,536.95 |
$1,536.95 |
5.9× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$5,239.05 |
$5,239.05 |
2.5× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$5,239.05 |
$5,239.05 |
2.5× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$3,046.98 |
$3,046.98 |
3.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,502.74 |
$1,502.74 |
1.6× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$5,096.69 |
$5,096.69 |
1.3× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$5,096.69 |
$5,096.69 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,920.91 |
$2,920.91 |
3.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,434.09 |
$2,434.09 |
3.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$3,017.89 |
$3,017.89 |
4.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$3,917.73 |
$3,917.73 |
4.2× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$5,077.35 |
$5,077.35 |
2.3× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$5,077.35 |
$5,077.35 |
2.3× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$3,875.34 |
$3,875.34 |
5.3× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$10,964.21 |
$10,964.21 |
14.9× |
| Non stress test (59025) |
$1,679.95 |
$1,679.95 |
7.9× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$25,381.74 |
$25,381.74 |
7.6× |
| Obstructive material removal from gi tube (49460) |
$1,245.88 |
$1,245.88 |
1.3× |
| Open treatment bimalleolar ankle fracture (27814) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment calcaneal fracture (28415) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open Treatment Distal Fracture (25608) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment fracture distal tibia only (27827) |
$38,029.94 |
$38,029.94 |
2.8× |
| Open treatment medial malleolus fracture (27766) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment metatarsal fracture each (28485) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575) |
$37,605.75 |
$37,605.75 |
2.8× |
| Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age Under 21 (28645) |
$1,241.93 |
$1,241.93 |
0.4× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$37,605.75 |
$37,605.75 |
2.8× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment of ulnar shaft fracture (25545) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment radial shaft fracture (25515) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment talus fracture (28445) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open tx distal fibular fracture lat malleolus (27792) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open tx distal phalangeal fracture each (26765) |
$9,741.65 |
$9,741.65 |
2.8× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,241.93 |
$1,241.93 |
0.4× |
| Open tx metacarpal fracture single ea bone (26615) |
$8,675.77 |
$8,675.77 |
2.5× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$8,675.77 |
$8,675.77 |
2.5× |
| Open tx tarsal fracture xcp talus &calcaneus ea (28465) |
$19,279.01 |
$19,279.01 |
2.5× |
| Open/perq placement intravascular stent initial (37236) |
$32,180.68 |
$32,180.68 |
2.6× |
| Open/perq placement intravascular stent same 1st (37238) |
$34,919.22 |
$34,919.22 |
2.9× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$8,675.77 |
$8,675.77 |
2.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$8,675.77 |
$8,675.77 |
2.5× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$8,675.77 |
$8,675.77 |
2.5× |
| Osteoplasty, radius OR ulna; shortening Age Under 21 (25390) |
$19,279.01 |
$19,279.01 |
2.5× |
| Osteotomy talus (28302) |
$8,675.77 |
$8,675.77 |
1.1× |
| Osteotomy tibia (27705) |
$19,279.01 |
$19,279.01 |
2.5× |
| Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21 (28310) |
$19,279.01 |
$19,279.01 |
2.5× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$19,279.01 |
$19,279.01 |
2.5× |
| Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) Age… (28305) |
$19,279.01 |
$19,279.01 |
2.5× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$8,675.77 |
$8,675.77 |
2.5× |
| Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300) |
$19,279.01 |
$19,279.01 |
2.5× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$649.08 |
$649.08 |
3.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$649.08 |
$649.08 |
3.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$529.44 |
$529.44 |
2.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$8,675.77 |
$8,675.77 |
2.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$8,675.77 |
$8,675.77 |
2.5× |
| Partical excision bone phalanx toe (28124) |
$8,675.77 |
$8,675.77 |
2.5× |
| Pelvis/hip joint surgery unlisted (27299) |
$1,520.36 |
$1,520.36 |
5.8× |
| Penile injection (54235) |
$1,168.79 |
$1,168.79 |
4.4× |
| Perc rf ablate renal tumor (50592) |
$15,880.82 |
$15,880.82 |
2.5× |
| Percut ablate liver rf (47382) |
$15,426.67 |
$15,426.67 |
2.4× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$3,058.94 |
$3,058.94 |
4.1× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$6,274.98 |
$6,274.98 |
6.7× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$8,675.77 |
$8,675.77 |
2.5× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Age Under 21 (28636) |
$1,241.93 |
$1,241.93 |
0.4× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$8,675.77 |
$8,675.77 |
2.5× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$6,991.29 |
$6,991.29 |
2.1× |
| Pericardiocentesis w/img guidance when performed (33016) |
$3,157.33 |
$3,157.33 |
1.9× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$4,927.90 |
$4,927.90 |
5.2× |
| Perq av fistula creation uxtr single access (36836) |
$32,969.64 |
$32,969.64 |
1.7× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$11,002.83 |
$11,002.83 |
14.7× |
| Perq dev breast 1st strtctc (19283) |
$9,314.53 |
$9,314.53 |
12.5× |
| Perq dev breast 1st us imag (19285) |
$5,575.95 |
$5,575.95 |
7.5× |
| Perq device breast 1st imag (19281) |
$4,850.10 |
$4,850.10 |
2.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$7,688.57 |
$7,688.57 |
2.1× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$14,777.39 |
$14,777.39 |
4.0× |
| Perq drainage pleura insert cath w/imaging (32557) |
$15,933.65 |
$15,933.65 |
9.6× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$4,102.80 |
$4,102.80 |
2.0× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$10,351.01 |
$10,351.01 |
0.5× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$10,351.01 |
$10,351.01 |
0.8× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$10,351.01 |
$10,351.01 |
0.8× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$10,351.01 |
$10,351.01 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$4,096 |
$4,096 |
15.5× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$46,932.15 |
$46,932.15 |
2.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$34,440.07 |
$34,440.07 |
2.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$21,635.99 |
$21,635.99 |
3.6× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$16,805.45 |
$16,805.45 |
2.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$16,805.45 |
$16,805.45 |
2.2× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$16,778.05 |
$16,778.05 |
4.9× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$17,003.35 |
$17,003.35 |
4.9× |
| Phleb veins - extrem 20+ (37766) |
$6,446.36 |
$6,446.36 |
1.9× |
| Photopheresis extracorporeal (36522) |
$12,124.74 |
$12,124.74 |
2.6× |
| Place duod/jej tube perc (49441) |
$2,577.56 |
$2,577.56 |
1.3× |
| Placement needle pelvic organ radioelement appl (55920) |
$14,290.25 |
$14,290.25 |
2.7× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$2,804.91 |
$2,804.91 |
1.9× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$2,967.62 |
$2,967.62 |
2.0× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$4,029.43 |
$4,029.43 |
2.8× |
| Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial… (19296) |
$19,849.49 |
$19,849.49 |
2.3× |
| Plmt access thru biliary tree into small bwl new (47541) |
$9,908.44 |
$9,908.44 |
1.5× |
| Plmt bile duct stent prq existing access (47538) |
$5,325.85 |
$5,325.85 |
0.8× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$9,672.68 |
$9,672.68 |
1.5× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$9,962.48 |
$9,962.48 |
1.6× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$7,088.81 |
$7,088.81 |
3.2× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$9,238.22 |
$9,238.22 |
2.5× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$3,754.84 |
$3,754.84 |
5.0× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$16,327.06 |
$16,327.06 |
4.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$9,238.22 |
$9,238.22 |
2.5× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$9,238.22 |
$9,238.22 |
2.5× |
| Pr closed treatment sesamoid fracture (28530) |
$1,241.93 |
$1,241.93 |
4.8× |
| Pr inj. intralesional gt 7 lesions (11901) |
$944 |
$944 |
4.5× |
| Pr transfusion intrauterine fetal (36460) |
$2,679.09 |
$2,679.09 |
5.8× |
| Preputial stretching (54450) |
$626.26 |
$626.26 |
2.4× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$16,398.94 |
$16,398.94 |
0.8× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$17,945.15 |
$17,945.15 |
2.7× |
| Prq impltj nstim electrode array epidural (63650) |
$25,489.32 |
$25,489.32 |
3.8× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$7,850.16 |
$7,850.16 |
2.1× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$9,908.44 |
$9,908.44 |
2.6× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$18,710.40 |
$18,710.40 |
5.6× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$7,743.15 |
$7,743.15 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$730.08 |
$730.08 |
1.7× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$1,338.53 |
$1,338.53 |
3.1× |
| Puncture aspiration of cyst of breast (19000) |
$1,121.45 |
$1,121.45 |
1.5× |
| Pvb thoracic cont infusion (64463) |
$4,231.26 |
$4,231.26 |
5.7× |
| Pvb thoracic single injection site w/img gid (64461) |
$2,796.68 |
$2,796.68 |
3.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$16,620.35 |
$16,620.35 |
8.1× |
| Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly… (28313) |
$8,675.77 |
$8,675.77 |
2.5× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$19,279.01 |
$19,279.01 |
2.5× |
| Release i-p jt contracture (26525) |
$4,181.05 |
$4,181.05 |
2.5× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$5,239.05 |
$5,239.05 |
2.5× |
| Relocate skin pocket implantable defibrillator (33223) |
$15,246.65 |
$15,246.65 |
7.0× |
| Relocation of skin pocket for pacemaker (33222) |
$12,602.75 |
$12,602.75 |
5.8× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$5,187.53 |
$5,187.53 |
2.4× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without… (50385) |
$2,673.99 |
$2,673.99 |
1.2× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,715.22 |
$1,715.22 |
1.8× |
| Removal foreign body foot complicated (28193) |
$4,370.59 |
$4,370.59 |
2.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$1,521.90 |
$1,521.90 |
2.0× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$622.16 |
$622.16 |
0.4× |
| Removal foreign body mouth (40804) |
$1,224.63 |
$1,224.63 |
1.3× |
| Removal foreign body shoulder subcutaneous (23330) |
$4,370.59 |
$4,370.59 |
2.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$7,529.14 |
$7,529.14 |
2.5× |
| Removal foreign body, intranasal; by lateral rhinotomy Age Under 21 (30320) |
$1,148.14 |
$1,148.14 |
0.7× |
| Removal foreign body, intranasal; requiring general anesthesia Age Under 21 (30310) |
$1,148.14 |
$1,148.14 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$104.02 |
$104.02 |
1.7× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$246.48 |
$246.48 |
4.0× |
| Removal implant deep (20680) |
$7,529.14 |
$7,529.14 |
2.5× |
| Removal implantable defib pulse generator only (33241) |
$22,182.27 |
$22,182.27 |
5.6× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$771.52 |
$771.52 |
2.3× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$4,181.05 |
$4,181.05 |
2.5× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,691.86 |
$1,691.86 |
1.0× |
| Removal of foreign body in scrotum (55120) |
$5,406.23 |
$5,406.23 |
2.5× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$8,639.24 |
$8,639.24 |
41.0× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$4,370.59 |
$4,370.59 |
2.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$756.96 |
$756.96 |
5.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$746.56 |
$746.56 |
1.6× |
| Removal of foreign body, foot; deep (28192) |
$4,370.59 |
$4,370.59 |
2.5× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$1,449.06 |
$1,449.06 |
0.6× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$8,675.77 |
$8,675.77 |
2.5× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$7,529.14 |
$7,529.14 |
2.5× |
| Removal of heel spur (28119) |
$8,675.77 |
$8,675.77 |
2.5× |
| Removal of iud (58301) |
$1,182.28 |
$1,182.28 |
3.7× |
| Removal of nail bed (11750) |
$2,093.86 |
$2,093.86 |
4.9× |
| Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) |
$10,323.31 |
$10,323.31 |
2.7× |
| Removal of pm generator (33233) |
$12,399.09 |
$12,399.09 |
1.4× |
| Removal of salivary stone (42330) |
$7,686.78 |
$7,686.78 |
2.2× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$8,682.51 |
$8,682.51 |
2.6× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$439.78 |
$439.78 |
2.1× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$8,675.77 |
$8,675.77 |
2.5× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$9,465.69 |
$9,465.69 |
2.6× |
| Removal of stabilizing device from head originally applied by other provider (20665) |
$1,100.47 |
$1,100.47 |
2.3× |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21 (62365) |
$17,204.82 |
$17,204.82 |
4.8× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$8,372.46 |
$8,372.46 |
2.1× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$6,977.06 |
$6,977.06 |
1.8× |
| Removal of tunneled intraperitoneal catheter (49422) |
$12,536.06 |
$12,536.06 |
3.8× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Age Under 21 (67005) |
$6,293.91 |
$6,293.91 |
2.6× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$1,463.81 |
$1,463.81 |
5.0× |
| Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) |
$6,162.10 |
$6,162.10 |
2.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,616.82 |
$2,616.82 |
3.5× |
| Removal tunneled cv cath (36590) |
$5,724.89 |
$5,724.89 |
3.4× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$2,412.30 |
$2,412.30 |
5.1× |
| Removal, non-biodegradable drug delivery implant (11982) |
$1,707.40 |
$1,707.40 |
3.6× |
| Removal/revision of cast (29700) |
$780.71 |
$780.71 |
2.6× |
| Remove eyelid foreign body (67938) |
$756.96 |
$756.96 |
2.3× |
| Remove foreign body from eye (65210) |
$756.96 |
$756.96 |
1.6× |
| Remove hip foreign body (27086) |
$7,529.14 |
$7,529.14 |
2.5× |
| Remove lung catheter (32552) |
$1,217.97 |
$1,217.97 |
1.8× |
| Remove pharynx foreign body (42809) |
$1,020.06 |
$1,020.06 |
2.2× |
| Remove spinal canal catheter (62355) |
$9,282.41 |
$9,282.41 |
4.5× |
| Remove stent via transureth (50386) |
$3,332.80 |
$3,332.80 |
1.5× |
| Remove ureter stent percut (50384) |
$14,954.75 |
$14,954.75 |
6.8× |
| Remove vaginal foreign body (57415) |
$8,240.86 |
$8,240.86 |
2.4× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$17,792.04 |
$17,792.04 |
1.6× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$23,556.36 |
$23,556.36 |
1.2× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$14,826.72 |
$14,826.72 |
1.7× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$4,151.58 |
$4,151.58 |
2.4× |
| Repair achilles tendon (27650) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair blood vessel lesion (35226) |
$871.34 |
$871.34 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$2,195.58 |
$2,195.58 |
5.1× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$2,454.48 |
$2,454.48 |
5.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$2,454.48 |
$2,454.48 |
5.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,349.78 |
$2,349.78 |
3.0× |
| Repair elbow deb/attch open (24359) |
$7,546.32 |
$7,546.32 |
2.2× |
| Repair eyelid wound (67930) |
$6,162.10 |
$6,162.10 |
2.5× |
| Repair fibula nonunion/malunion w int fixation (27726) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair finger tendon (26418) |
$4,557.20 |
$4,557.20 |
2.7× |
| Repair finger/hand tendon (26350) |
$8,675.77 |
$8,675.77 |
2.5× |
| Repair forearm tendon/muscle (25260) |
$8,675.77 |
$8,675.77 |
2.5× |
| Repair incomplete circumcision (54163) |
$5,406.23 |
$5,406.23 |
2.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$1,875.76 |
$1,875.76 |
4.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$2,025.20 |
$2,025.20 |
4.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$2,129.30 |
$2,129.30 |
5.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$2,542.35 |
$2,542.35 |
5.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$2,365.20 |
$2,365.20 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,817.37 |
$1,817.37 |
4.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,991.86 |
$1,991.86 |
4.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$2,225.60 |
$2,225.60 |
2.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$1,620.19 |
$1,620.19 |
3.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$2,032.29 |
$2,032.29 |
4.7× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$2,754.12 |
$2,754.12 |
3.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$2,104.12 |
$2,104.12 |
4.9× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$2,957.08 |
$2,957.08 |
6.9× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$3,133.38 |
$3,133.38 |
7.3× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$3,120.77 |
$3,120.77 |
1.4× |
| Repair lac palate<2 cm (42180) |
$1,331.45 |
$1,331.45 |
2.3× |
| Repair lead pace-defib dual (33220) |
$12,602.75 |
$12,602.75 |
3.2× |
| Repair lead pace-defib one (33218) |
$11,578.03 |
$11,578.03 |
2.9× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$1,090.52 |
$1,090.52 |
1.9× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$944 |
$944 |
1.7× |
| Repair of biceps tendon at elbow (24340) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair of digit nerve (64831) |
$5,239.05 |
$5,239.05 |
2.5× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Age Under… (26434) |
$8,675.77 |
$8,675.77 |
2.5× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$2,084.81 |
$2,084.81 |
4.4× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$2,084.81 |
$2,084.81 |
8.3× |
| Repair of leg tendon each (27658) |
$8,675.77 |
$8,675.77 |
2.5× |
| Repair of nail bed (11760) |
$1,262.89 |
$1,262.89 |
1.6× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$1,864.66 |
$1,864.66 |
2.8× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$8,675.77 |
$8,675.77 |
2.5× |
| Repair palate (42182) |
$15,563 |
$15,563 |
2.5× |
| Repair tongue lacer,post 1/3 (41251) |
$2,084.81 |
$2,084.81 |
8.3× |
| Repair wrist joints (25447) |
$8,675.77 |
$8,675.77 |
2.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,516.24 |
$1,516.24 |
1.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,694.80 |
$1,694.80 |
2.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$2,195.58 |
$2,195.58 |
5.1× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$2,144.44 |
$2,144.44 |
2.8× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$2,831.16 |
$2,831.16 |
1.3× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21 (27696) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$19,279.01 |
$19,279.01 |
2.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$8,675.77 |
$8,675.77 |
2.5× |
| Repair/graft achilles tendon (27652) |
$19,279.01 |
$19,279.01 |
2.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$2,391.13 |
$2,391.13 |
2.5× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,391.13 |
$2,391.13 |
2.5× |
| Replace picvad cath (36585) |
$14,350.09 |
$14,350.09 |
4.3× |
| Replace tunneled cv cath (36582) |
$6,753.73 |
$6,753.73 |
2.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,391.13 |
$2,391.13 |
2.5× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$5,833.02 |
$5,833.02 |
1.8× |
| Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through… (36583) |
$6,986.63 |
$6,986.63 |
1.2× |
| Repos previously implanted subq implantable dfb (33273) |
$10,110.90 |
$10,110.90 |
2.6× |
| Reposition l ventric lead (33226) |
$19,060.05 |
$19,060.05 |
5.7× |
| Reposition venous catheter (36597) |
$4,341.50 |
$4,341.50 |
2.6× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$2,454.20 |
$2,454.20 |
9.3× |
| Reset dislocated jaw (21480) |
$1,475.97 |
$1,475.97 |
5.7× |
| Revise ulnar nerve at elbow (64718) |
$5,239.05 |
$5,239.05 |
2.5× |
| Revise ulnar nerve at wrist (64719) |
$5,239.05 |
$5,239.05 |
2.5× |
| Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via… (63664) |
$34,837.02 |
$34,837.02 |
3.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$19,247.58 |
$19,247.58 |
2.9× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$22,953.32 |
$22,953.32 |
3.8× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$9,465.69 |
$9,465.69 |
2.6× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$4,308.17 |
$4,308.17 |
2.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$4,045.88 |
$4,045.88 |
2.5× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$1,224.63 |
$1,224.63 |
2.2× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$622.16 |
$622.16 |
4.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$872.28 |
$872.28 |
6.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$7,529.14 |
$7,529.14 |
2.5× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$84,564.76 |
$84,564.76 |
2.6× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$43,919.75 |
$43,919.75 |
1.9× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$60,943.12 |
$60,943.12 |
2.6× |
| Rmvl nfros tube req fluoro guidance (50389) |
$1,299.19 |
$1,299.19 |
1.8× |
| Rmvl of access device (36589) |
$3,230.73 |
$3,230.73 |
4.9× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$10,110.90 |
$10,110.90 |
2.6× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$7,333.05 |
$7,333.05 |
3.6× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$5,716.57 |
$5,716.57 |
1.5× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$6,542.92 |
$6,542.92 |
3.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$8,009.98 |
$8,009.98 |
2.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,699.58 |
$2,699.58 |
1.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$2,617.62 |
$2,617.62 |
3.4× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$1,224.63 |
$1,224.63 |
0.7× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$8,675.77 |
$8,675.77 |
2.5× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$11,282.27 |
$11,282.27 |
3.4× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$13,781.62 |
$13,781.62 |
4.1× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$16,535.35 |
$16,535.35 |
9.5× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$11,281.59 |
$11,281.59 |
3.0× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$271.64 |
$271.64 |
0.6× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$354 |
$354 |
1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$271.64 |
$271.64 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$708 |
$708 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$287.09 |
$287.09 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$354 |
$354 |
1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$472 |
$472 |
2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$708 |
$708 |
1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$354 |
$354 |
1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$472 |
$472 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$708 |
$708 |
1.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$472 |
$472 |
2.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$858 |
$858 |
4.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$891.08 |
$891.08 |
4.2× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$956.01 |
$956.01 |
4.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$1,025.02 |
$1,025.02 |
4.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,844.48 |
$1,844.48 |
8.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$792.26 |
$792.26 |
3.7× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,228.27 |
$1,228.27 |
5.8× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$1,726.48 |
$1,726.48 |
4.0× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$1,614.26 |
$1,614.26 |
3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$918.87 |
$918.87 |
4.3× |
| Skin tissue procedure unlisted (17999) |
$9,343.92 |
$9,343.92 |
44.1× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$27,887.73 |
$27,887.73 |
4.8× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$21,241.86 |
$21,241.86 |
6.4× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$20,823.25 |
$20,823.25 |
3.5× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$27,575.89 |
$27,575.89 |
8.3× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$20,420.16 |
$20,420.16 |
3.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288) |
$13,509.49 |
$13,509.49 |
2.6× |
| Small bowel endoscopy/biopsy (44361) |
$5,076.04 |
$5,076.04 |
2.5× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$5,076.04 |
$5,076.04 |
2.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$855.56 |
$855.56 |
4.0× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$1,030.88 |
$1,030.88 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,129.08 |
$1,129.08 |
2.6× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$5,030.19 |
$5,030.19 |
2.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$5,371.95 |
$5,371.95 |
1.6× |
| Strapping ankle (29540) |
$399.42 |
$399.42 |
2.3× |
| Strapping elbow or wrist (29260) |
$157.46 |
$157.46 |
2.5× |
| Strapping hand/finger (29280) |
$156.44 |
$156.44 |
2.5× |
| Strapping hip (29520) |
$316.74 |
$316.74 |
2.3× |
| Strapping of chest (29200) |
$207.42 |
$207.42 |
1.2× |
| Strapping of knee (29530) |
$316.74 |
$316.74 |
2.3× |
| Strapping of shoulder (29240) |
$293.60 |
$293.60 |
2.1× |
| Strapping of toes (29550) |
$738.89 |
$738.89 |
11.9× |
| Strapping unna boot (29580) |
$760.39 |
$760.39 |
4.4× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$3,059.13 |
$3,059.13 |
3.9× |
| Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age Under 21 (11950) |
$526.32 |
$526.32 |
2.5× |
| Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age Under 21 (11951) |
$1,693.24 |
$1,693.24 |
2.2× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age Under 21 (11952) |
$1,693.24 |
$1,693.24 |
2.2× |
| Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age Under 21 (11954) |
$1,693.24 |
$1,693.24 |
2.2× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$2,685.68 |
$2,685.68 |
3.4× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$2,191.32 |
$2,191.32 |
5.1× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$6,162.10 |
$6,162.10 |
2.5× |
| Syndactylization, toes (eg, webbing or Kelikian type procedure) Age Under 21 (28280) |
$8,675.77 |
$8,675.77 |
2.5× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$4,181.05 |
$4,181.05 |
2.5× |
| Tangential biopsy skin single lesion (11102) |
$730.08 |
$730.08 |
1.7× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$42,308.59 |
$42,308.59 |
1.4× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$24,262.53 |
$24,262.53 |
1.2× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$11,776.79 |
$11,776.79 |
3.5× |
| Tenodesis long tendon biceps (23430) |
$19,279.01 |
$19,279.01 |
2.5× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$8,675.77 |
$8,675.77 |
2.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$4,181.05 |
$4,181.05 |
2.5× |
| Tenotomy adductor hip percutaneous spx (27000) |
$5,905.07 |
$5,905.07 |
3.5× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$8,002.68 |
$8,002.68 |
2.3× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$4,910.18 |
$4,910.18 |
2.9× |
| Tenotomy percutaneous toe single tendon (28010) |
$4,207.84 |
$4,207.84 |
2.5× |
| Tenotomy prq achilles tendon spx local anes (27605) |
$5,916.21 |
$5,916.21 |
3.5× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$9,949.50 |
$9,949.50 |
5.9× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$2,840.91 |
$2,840.91 |
1.7× |
| Tenotomy, percutaneous, adductor or hamstring; multiple tendons Age Under 21 (27307) |
$7,546.32 |
$7,546.32 |
2.2× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21 (27306) |
$8,017.78 |
$8,017.78 |
2.3× |
| Tenotomy, shoulder area; multiple tendons through same incision Age Under 21 (23406) |
$20,180.27 |
$20,180.27 |
2.6× |
| Tenotomy, shoulder area; single tendon Age Under 21 (23405) |
$17,061.57 |
$17,061.57 |
2.2× |
| Therapeutic apheresis platelet (36513) |
$1,188.43 |
$1,188.43 |
2.6× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$13,420.55 |
$13,420.55 |
8.2× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$3,607.24 |
$3,607.24 |
2.2× |
| Therapeutic apheresis; for white blood cells Age Under 21 (36511) |
$3,607.24 |
$3,607.24 |
2.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$3,209.75 |
$3,209.75 |
4.3× |
| Therapeutic spinal puncture drainage csf (62272) |
$2,107.87 |
$2,107.87 |
2.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$18,801.65 |
$18,801.65 |
1.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$4,893.55 |
$4,893.55 |
7.4× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21 (35875) |
$3,751.92 |
$3,751.92 |
0.6× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$11,836.73 |
$11,836.73 |
3.6× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$9,184.34 |
$9,184.34 |
1.6× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$22,194.66 |
$22,194.66 |
6.7× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$8,292.12 |
$8,292.12 |
2.4× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$8,292.12 |
$8,292.12 |
2.4× |
| Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825) |
$8,292.12 |
$8,292.12 |
1.3× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$1,700.53 |
$1,700.53 |
6.8× |
| Transcatheter biopsy (37200) |
$6,986.63 |
$6,986.63 |
1.2× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$19,727.96 |
$19,727.96 |
1.6× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624) |
$14,549.12 |
$14,549.12 |
0.8× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$5,329.09 |
$5,329.09 |
1.6× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691) |
$19,279.01 |
$19,279.01 |
2.5× |
| Transfusion, blood or blood components (36430) |
$3,327.71 |
$3,327.71 |
7.2× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$19,279.01 |
$19,279.01 |
2.5× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$19,279.01 |
$19,279.01 |
2.5× |
| Transperi needle place pros (55875) |
$23,879.03 |
$23,879.03 |
4.2× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$11,682.65 |
$11,682.65 |
2.1× |
| Transplant hand tendon (26480) |
$8,675.77 |
$8,675.77 |
2.5× |
| Treat big toe fracture (28495) |
$1,241.93 |
$1,241.93 |
4.8× |
| Treat craniofacial fracture (21431) |
$8,292.12 |
$8,292.12 |
1.3× |
| Treat dental ridge fracture (21440) |
$8,292.12 |
$8,292.12 |
2.4× |
| Treat finger dislocation (26775) |
$537.08 |
$537.08 |
1.8× |
| Treat foot dislocation (28545) |
$8,675.77 |
$8,675.77 |
2.5× |
| Treat fx rad extra-articul (25607) |
$19,279.01 |
$19,279.01 |
2.5× |
| Treat hip socket fracture (27222) |
$1,520.36 |
$1,520.36 |
5.8× |
| Treat humerus fracture (24577) |
$4,181.05 |
$4,181.05 |
2.5× |
| Treat knee fracture (27532) |
$8,675.77 |
$8,675.77 |
2.5× |
| Treat lower leg fracture (27825) |
$1,422.35 |
$1,422.35 |
0.8× |
| Treat mouth roof fracture (21421) |
$8,292.12 |
$8,292.12 |
2.4× |
| Treat pleurodesis w/agent (32560) |
$3,657.26 |
$3,657.26 |
5.5× |
| Treat tail bone fracture (27200) |
$1,520.36 |
$1,520.36 |
5.8× |
| Treat thumb fracture (26645) |
$4,181.05 |
$4,181.05 |
2.5× |
| Treat toe dislocation (28630) |
$699.68 |
$699.68 |
2.7× |
| Treat ulnar fracture (24675) |
$4,181.05 |
$4,181.05 |
2.5× |
| Treat vaginal bleeding (57180) |
$860.33 |
$860.33 |
4.0× |
| Treat wrist bone fracture (25635) |
$1,221.10 |
$1,221.10 |
0.7× |
| Treat wrist bone fracture (25624) |
$4,181.05 |
$4,181.05 |
2.5× |
| Treat wrist dislocation (25690) |
$4,181.05 |
$4,181.05 |
2.5× |
| Treat wrist dislocation (25675) |
$1,823.40 |
$1,823.40 |
7.0× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,319.48 |
$1,319.48 |
0.8× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$19,279.01 |
$19,279.01 |
2.5× |
| Treatment of ankle fracture (27822) |
$19,279.01 |
$19,279.01 |
2.5× |
| Treatment of bladder lesion (51720) |
$412.86 |
$412.86 |
0.6× |
| Treatment of broken base of forearm bone on small finger side at wrist (25652) |
$19,279.01 |
$19,279.01 |
2.5× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,319.48 |
$1,319.48 |
5.1× |
| Treatment of heel fracture (28405) |
$1,241.93 |
$1,241.93 |
4.8× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$5,693.96 |
$5,693.96 |
21.9× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$4,649.75 |
$4,649.75 |
2.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$4,652.29 |
$4,652.29 |
17.9× |
| Trimming of nondystrophic nails, any number (11719) |
$257.03 |
$257.03 |
4.1× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$23,691.93 |
$23,691.93 |
3.9× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$25,608.15 |
$25,608.15 |
4.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$2,101.66 |
$2,101.66 |
2.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,087.35 |
$1,087.35 |
2.5× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$3,074 |
$3,074 |
1.8× |
| Unlisted procedure, dentoalveolar structures (41899) |
$1,149.32 |
$1,149.32 |
4.6× |
| Upgrade of pacemaker system (33214) |
$23,405.67 |
$23,405.67 |
2.1× |
| Upper arm/elbow surgery unlisted (24999) |
$1,266 |
$1,266 |
4.9× |
| Urology surgery procedure unlisted (53899) |
$3,174.96 |
$3,174.96 |
12.0× |
| Vaginal delivery (59409) |
$9,388.21 |
$9,388.21 |
2.7× |
| Vasc embolize/occlude bleed (37244) |
$39,080.09 |
$39,080.09 |
3.2× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$39,080.09 |
$39,080.09 |
2.0× |
| Vascular embolization or occlusion venous rs&i (37241) |
$39,080.09 |
$39,080.09 |
3.2× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$39,080.09 |
$39,080.09 |
3.2× |
| Vascular surgery procedure (37799) |
$4,407.60 |
$4,407.60 |
6.7× |
| Vasectomy (55250) |
$5,406.23 |
$5,406.23 |
2.5× |
| Venipuncture (36415) |
$45.46 |
$45.46 |
4.9× |
| Version cephalic external (59412) |
$4,067.11 |
$4,067.11 |
1.2× |
| Wedge excision skin nail fold (11765) |
$1,118.42 |
$1,118.42 |
2.6× |