| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$9,420 |
$9,420 |
10.3× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$25,390.50 |
$25,390.50 |
16.3× |
| Abortion (59841) |
$11,002 |
$11,002 |
3.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$25,390.50 |
$25,390.50 |
7.7× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$9,420 |
$9,420 |
4.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$11,420 |
$11,420 |
3.2× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$9,420 |
$9,420 |
4.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$11,002 |
$11,002 |
5.3× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$9,420 |
$9,420 |
4.5× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$11,002 |
$11,002 |
1.5× |
| Amputate lower leg at knee (27598) |
$25,390.50 |
$25,390.50 |
7.7× |
| Amputation Finger/Thumb (26951) |
$25,390.50 |
$25,390.50 |
7.7× |
| Amputation Foot Midtarsal (28800) |
$25,390.50 |
$25,390.50 |
7.7× |
| Amputation metatarsal with toe single (28810) |
$25,390.50 |
$25,390.50 |
7.7× |
| Amputation of finger/thumb (26952) |
$11,002 |
$11,002 |
3.3× |
| Amputation of penis; partial (54120) |
$25,390.50 |
$25,390.50 |
7.2× |
| Amputation toe interphalangeal joint (28825) |
$25,390.50 |
$25,390.50 |
7.7× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$25,390.50 |
$25,390.50 |
7.7× |
| Amputation, foot; transmetatarsal (28805) |
$32,081 |
$32,081 |
9.8× |
| Amputation, leg, through tibia and fibula; (27880) |
$25,390.50 |
$25,390.50 |
3.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$25,390.50 |
$25,390.50 |
7.7× |
| Ankle arthroscopy/surgery (29892) |
$25,390.50 |
$25,390.50 |
3.5× |
| Ankle arthroscopy/surgery (29894) |
$11,002 |
$11,002 |
3.3× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$11,002 |
$11,002 |
3.3× |
| Ankle scope,part synovectomy (29895) |
$25,390.50 |
$25,390.50 |
7.7× |
| Anoscopy diagnostic (46600) |
$11,002 |
$11,002 |
82.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$3,073 |
$3,073 |
3.3× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$9,420 |
$9,420 |
3.4× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$32,081 |
$32,081 |
6.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$25,390.50 |
$25,390.50 |
5.1× |
| Appendectomy (44950) |
$25,390.50 |
$25,390.50 |
3.9× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$11,002 |
$11,002 |
6.8× |
| Application cast elbow finger short arm (29075) |
$904 |
$904 |
3.2× |
| Application Cast Finger (29086) |
$1,304 |
$1,304 |
8.0× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$998 |
$998 |
6.1× |
| Application cast shoulder hand long arm (29065) |
$801 |
$801 |
2.9× |
| Application Finger Splint Dynamic (29131) |
$853 |
$853 |
14.4× |
| Application finger splint static (29130) |
$523 |
$523 |
3.9× |
| Application long arm splint shoulder hand (29105) |
$1,455 |
$1,455 |
8.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$1,798 |
$1,798 |
6.4× |
| Application long leg splint thigh ankle/toes (29505) |
$1,379 |
$1,379 |
8.4× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$9,420 |
$9,420 |
0.7× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$9,420 |
$9,420 |
1.3× |
| Application of cylinder cast (thigh to ankle) (29365) |
$2,044 |
$2,044 |
7.3× |
| Application of long leg cast (29345) |
$2,266 |
$2,266 |
8.1× |
| Application Short Arm Splint Dynamic (29126) |
$1,268 |
$1,268 |
9.5× |
| Application short arm splint forearm-hand static (29125) |
$843 |
$843 |
6.3× |
| Application short leg splint calf foot (29515) |
$2,643 |
$2,643 |
16.2× |
| Application, cast; figure-of-eight (29049) |
$1,275 |
$1,275 |
4.5× |
| Apply patella tendon bearing cast (29435) |
$1,916 |
$1,916 |
6.8× |
| Apply short leg cast (29405) |
$1,346 |
$1,346 |
4.8× |
| Apply short leg cast (29425) |
$1,304 |
$1,304 |
4.6× |
| Arterial puncture (36600) |
$553 |
$553 |
4.1× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$25,390.50 |
$25,390.50 |
3.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$2,643 |
$2,643 |
8.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,014 |
$1,014 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$2,643 |
$2,643 |
8.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$9,420 |
$9,420 |
30.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$2,643 |
$2,643 |
8.6× |
| Arthrodesis ankle open (27870) |
$32,081 |
$32,081 |
2.5× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$39,791 |
$39,791 |
3.1× |
| Arthrodesis great toe interphalangeal joint (28755) |
$25,390.50 |
$25,390.50 |
3.5× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$39,791 |
$39,791 |
2.3× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$39,791 |
$39,791 |
3.1× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$39,791 |
$39,791 |
1.5× |
| Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for… (22556) |
$39,791 |
$39,791 |
2.3× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$39,791 |
$39,791 |
1.5× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$25,390.50 |
$25,390.50 |
3.5× |
| Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22532) |
$39,791 |
$39,791 |
3.1× |
| Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) |
$39,791 |
$39,791 |
2.3× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$39,791 |
$39,791 |
1.5× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$39,791 |
$39,791 |
2.3× |
| Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610) |
$39,791 |
$39,791 |
2.3× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$39,791 |
$39,791 |
2.3× |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) |
$39,791 |
$39,791 |
2.3× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
$25,390.50 |
$25,390.50 |
2.0× |
| Arthrodesis; subtalar (28725) |
$25,390.50 |
$25,390.50 |
2.0× |
| Arthroplasty Ankle W/Implant (27702) |
$35,370 |
$35,370 |
1.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$35,370 |
$35,370 |
2.0× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$35,370 |
$35,370 |
2.7× |
| Arthroplasty with prosthetic replacement; distal radius (25441) |
$9,420 |
$9,420 |
0.7× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$32,081 |
$32,081 |
4.4× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$25,390.50 |
$25,390.50 |
15.7× |
| Arthroscopy ankle; ext debridem (29898) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy of joint (29999) |
$25,390.50 |
$25,390.50 |
102.5× |
| Arthroscopy subtalar joint (29906) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$11,002 |
$11,002 |
3.3× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) |
$11,002 |
$11,002 |
1.5× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$32,081 |
$32,081 |
4.4× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$32,081 |
$32,081 |
4.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$32,081 |
$32,081 |
9.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$32,081 |
$32,081 |
4.4× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$32,081 |
$32,081 |
4.4× |
| Arthrotomy hip w/drainage (27030) |
$11,002 |
$11,002 |
1.5× |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
$11,002 |
$11,002 |
3.3× |
| Arthrotomy, elbow; with synovectomy (24102) |
$11,002 |
$11,002 |
3.3× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$25,390.50 |
$25,390.50 |
7.7× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$11,002 |
$11,002 |
3.3× |
| Aspir/inj thyroid cyst (60300) |
$9,420 |
$9,420 |
13.2× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$11,002 |
$11,002 |
35.7× |
| Augmentation cheek bone (21270) |
$11,002 |
$11,002 |
1.9× |
| Augmentation lower jaw bone (21125) |
$25,390.50 |
$25,390.50 |
4.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$2,643 |
$2,643 |
13.1× |
| Biopsy bone open superficial (20240) |
$11,002 |
$11,002 |
3.8× |
| Biopsy bone trocar/needle deep (20225) |
$9,420 |
$9,420 |
5.7× |
| Biopsy Breast Open Incisional (19101) |
$11,002 |
$11,002 |
2.8× |
| Biopsy external auditory canal (69105) |
$11,002 |
$11,002 |
7.1× |
| Biopsy intranasal (30100) |
$11,002 |
$11,002 |
7.1× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$11,002 |
$11,002 |
3.8× |
| Biopsy of mouth lesion (40808) |
$11,002 |
$11,002 |
20.3× |
| Biopsy of nail unit (11755) |
$9,420 |
$9,420 |
13.2× |
| Biopsy of palate, uvula (42100) |
$9,420 |
$9,420 |
6.0× |
| Biopsy of penis (54100) |
$11,002 |
$11,002 |
6.6× |
| Biopsy of tongue (41100) |
$11,002 |
$11,002 |
20.3× |
| Biopsy of uterus lining (58100) |
$11,002 |
$11,002 |
54.2× |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) |
$11,002 |
$11,002 |
2.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$9,420 |
$9,420 |
2.4× |
| Biopsy Oropharynx (42800) |
$9,420 |
$9,420 |
6.0× |
| Biopsy soft tissue neck/thorax (21550) |
$11,002 |
$11,002 |
6.6× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$11,002 |
$11,002 |
6.6× |
| Biopsy/removal lymph nodes (38525) |
$18,846 |
$18,846 |
4.8× |
| Biopsy/removal lymph nodes (38510) |
$11,002 |
$11,002 |
2.8× |
| Bladder Irrigation Simple (51700) |
$1,040 |
$1,040 |
4.1× |
| Bladder Scan (51798) |
$1,262 |
$1,262 |
21.3× |
| Blepharoplasty lower eyelid (15820) |
$11,002 |
$11,002 |
5.3× |
| Blepharoplasty upper eyelid (15822) |
$32,081 |
$32,081 |
15.5× |
| Blood patch (62273) |
$9,420 |
$9,420 |
13.3× |
| Blood transfusion service (36430) |
$685 |
$685 |
1.5× |
| Bone graft, any donor area; major or large (20902) |
$11,002 |
$11,002 |
1.5× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$11,002 |
$11,002 |
1.5× |
| Bone marrow aspiration only (38220) |
$11,002 |
$11,002 |
6.6× |
| Bone Marrow Biopsy (38221) |
$9,420 |
$9,420 |
5.7× |
| Bone Marrow Harvest Autolog (38232) |
$11,002 |
$11,002 |
2.5× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$9,420 |
$9,420 |
13.3× |
| Breast augmentation with implant (19325) |
$11,002 |
$11,002 |
1.3× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$9,420 |
$9,420 |
5.3× |
| Bx anorectal wall anal approach (45100) |
$9,420 |
$9,420 |
3.4× |
| Bx breast 1st lesion strtctc (19081) |
$9,717 |
$9,717 |
5.9× |
| Bx breast 1st lesion us imag (19083) |
$11,002 |
$11,002 |
6.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$11,002 |
$11,002 |
6.6× |
| Bx/exc lymph node needle superficial (38505) |
$25,390.50 |
$25,390.50 |
15.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$25,390.50 |
$25,390.50 |
7.7× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$11,002 |
$11,002 |
3.3× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$25,390.50 |
$25,390.50 |
3.5× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$25,390.50 |
$25,390.50 |
15.7× |
| Carpectomy All Bones Proximal Row (25215) |
$25,390.50 |
$25,390.50 |
7.7× |
| Cataract surgery complex (66982) |
$32,081 |
$32,081 |
13.8× |
| Cautery Cervix Electro/Thermal (57510) |
$11,002 |
$11,002 |
3.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$11,002 |
$11,002 |
3.4× |
| Cerv artific diskectomy (22856) |
$39,791 |
$39,791 |
2.3× |
| Cervical lymphadenectomy (complete) (38720) |
$25,390.50 |
$25,390.50 |
3.8× |
| Change Cystostomy Tube Simple (51705) |
$712 |
$712 |
2.8× |
| Chemodenerv Musc Migraine (64615) |
$2,540 |
$2,540 |
8.2× |
| Chemodenerv trunk musc 6/> (64647) |
$5,930 |
$5,930 |
8.4× |
| Chest tube placement (32551) |
$11,002 |
$11,002 |
7.0× |
| Chromotubation of oviduct, including materials (58350) |
$25,390.50 |
$25,390.50 |
5.1× |
| Circum 28 days or older (54161) |
$11,002 |
$11,002 |
5.2× |
| Circumcision (54150) |
$11,002 |
$11,002 |
5.2× |
| Claviculectomy; partial (23120) |
$25,390.50 |
$25,390.50 |
7.7× |
| Clean out mastoid cavity (69222) |
$25,390.50 |
$25,390.50 |
46.9× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$4,671 |
$4,671 |
2.9× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$25,390.50 |
$25,390.50 |
102.5× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$4,859 |
$4,859 |
19.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$9,888 |
$9,888 |
6.3× |
| Closed Rx Med Malleolus Fx (27760) |
$4,307 |
$4,307 |
17.4× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$6,645 |
$6,645 |
4.1× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$25,390.50 |
$25,390.50 |
15.7× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$11,002 |
$11,002 |
6.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$4,442 |
$4,442 |
17.9× |
| Closed Rx Trimalleolar Fx (27816) |
$11,002 |
$11,002 |
44.4× |
| Closed treat wrist dislocation (25660) |
$5,205 |
$5,205 |
21.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$25,390.50 |
$25,390.50 |
7.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$5,653 |
$5,653 |
22.8× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$5,772 |
$5,772 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$3,158 |
$3,158 |
12.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$6,233 |
$6,233 |
25.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$4,768 |
$4,768 |
19.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$6,016 |
$6,016 |
3.7× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$3,242 |
$3,242 |
13.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$6,549 |
$6,549 |
26.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$6,347 |
$6,347 |
25.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$3,158 |
$3,158 |
12.7× |
| Closed tx nasal fracture w/o stabilization (21315) |
$3,690 |
$3,690 |
2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$4,674 |
$4,674 |
18.9× |
| Closed tx patellar fracture w/o manipulation (27520) |
$4,161 |
$4,161 |
16.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$25,390.50 |
$25,390.50 |
15.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$3,364 |
$3,364 |
13.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$6,412 |
$6,412 |
4.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$2,962 |
$2,962 |
12.0× |
| Closed tx septal&nose fx (21337) |
$25,390.50 |
$25,390.50 |
7.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$1,281 |
$1,281 |
5.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$5,817 |
$5,817 |
3.6× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$3,737 |
$3,737 |
15.1× |
| Closure of esophagostomy or fistula; cervical approach (43420) |
$25,390.50 |
$25,390.50 |
7.6× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$4,492 |
$4,492 |
2.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$2,805 |
$2,805 |
11.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$11,002 |
$11,002 |
6.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$4,030 |
$4,030 |
16.3× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$4,688 |
$4,688 |
18.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$4,078 |
$4,078 |
16.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$4,512 |
$4,512 |
18.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$2,364 |
$2,364 |
9.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,583 |
$1,583 |
6.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$6,988 |
$6,988 |
4.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$9,716 |
$9,716 |
6.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$3,158 |
$3,158 |
12.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,899 |
$1,899 |
7.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$2,087 |
$2,087 |
8.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$6,902 |
$6,902 |
4.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$3,995 |
$3,995 |
16.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,277 |
$2,277 |
9.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$1,506 |
$1,506 |
6.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$11,002 |
$11,002 |
6.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$3,541 |
$3,541 |
14.3× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$7,607 |
$7,607 |
2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$4,120 |
$4,120 |
16.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$3,780 |
$3,780 |
15.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$5,270 |
$5,270 |
3.3× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$4,140 |
$4,140 |
16.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$25,390.50 |
$25,390.50 |
102.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$4,306 |
$4,306 |
17.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$2,551 |
$2,551 |
10.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$3,950 |
$3,950 |
15.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,833 |
$1,833 |
7.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$7,808 |
$7,808 |
4.8× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$6,843 |
$6,843 |
4.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$6,195 |
$6,195 |
3.8× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$25,390.50 |
$25,390.50 |
5.1× |
| Colonoscopy flex w/rem forcep (45384) |
$11,002 |
$11,002 |
9.2× |
| Colonoscopy stoma w/biopsy (44389) |
$11,002 |
$11,002 |
9.2× |
| Colonoscopy thru stoma (44388) |
$11,002 |
$11,002 |
11.8× |
| Colonoscopy w/band ligation (45398) |
$18,564 |
$18,564 |
15.4× |
| Colonoscopy w/resection (45390) |
$11,002 |
$11,002 |
3.9× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$25,390.50 |
$25,390.50 |
3.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$9,420 |
$9,420 |
46.4× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$25,390.50 |
$25,390.50 |
7.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$25,390.50 |
$25,390.50 |
82.9× |
| Colpotomy; with exploration (57000) |
$9,420 |
$9,420 |
2.9× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$6,122 |
$6,122 |
5.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$11,002 |
$11,002 |
9.2× |
| Complex Drainage, Wound (10180) |
$11,002 |
$11,002 |
3.8× |
| Conization of cervix (57520) |
$25,390.50 |
$25,390.50 |
7.8× |
| Conization of cervix (57522) |
$25,390.50 |
$25,390.50 |
7.8× |
| Contour of face bone lesion (21029) |
$11,002 |
$11,002 |
3.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$9,420 |
$9,420 |
44.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$2,707 |
$2,707 |
20.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$1,230 |
$1,230 |
9.2× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$11,002 |
$11,002 |
20.3× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$25,390.50 |
$25,390.50 |
7.6× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$35,370 |
$35,370 |
2.7× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$25,390.50 |
$25,390.50 |
3.5× |
| Correction hammertoe (28285) |
$32,081 |
$32,081 |
9.8× |
| Correction of bunion (28298) |
$25,390.50 |
$25,390.50 |
3.5× |
| Correction of bunion (28292) |
$32,081 |
$32,081 |
9.8× |
| Correction of bunion (28299) |
$32,081 |
$32,081 |
4.4× |
| Correction of bunion (28297) |
$32,081 |
$32,081 |
2.5× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$32,081 |
$32,081 |
9.8× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$32,081 |
$32,081 |
9.8× |
| Cover eye w/membrane suture (65779) |
$11,002 |
$11,002 |
2.8× |
| Create eardrum opening (69436) |
$11,002 |
$11,002 |
7.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$3,367 |
$3,367 |
25.2× |
| Curette/treat cornea (65436) |
$9,420 |
$9,420 |
3.9× |
| Curette/treat cornea (65435) |
$1,549 |
$1,549 |
1.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) |
$25,390.50 |
$25,390.50 |
4.7× |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$25,390.50 |
$25,390.50 |
4.7× |
| Cysto w/destruction of lesions (52214) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w/removal of tumors small (52234) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w/renal stricture tx (52343) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w/ureter stricture tx (52341) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$25,390.50 |
$25,390.50 |
4.7× |
| Cysto/pyeloscopy rescj pelvic tumor (52355) |
$25,390.50 |
$25,390.50 |
4.7× |
| Cysto/uretero w/lithotripsy (52356) |
$11,814 |
$11,814 |
2.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$19,940 |
$19,940 |
3.7× |
| Cystoscopy & duct catheter (52010) |
$25,390.50 |
$25,390.50 |
36.2× |
| Cystoscopy and treatment (52290) |
$5,230 |
$5,230 |
2.5× |
| Cystoscopy and treatment (52330) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cystoscopy and treatment (52301) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cystoscopy implant stent (52282) |
$32,081 |
$32,081 |
9.1× |
| Cystoscopy inject material (52327) |
$25,390.50 |
$25,390.50 |
4.7× |
| Cystoscopy stone removal (52325) |
$25,390.50 |
$25,390.50 |
4.7× |
| Cystoscopy w/biopsy (52204) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystoscopy w/complex removal stone & stent (52315) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystoscopy,insert ureteral stent (52332) |
$32,081 |
$32,081 |
9.1× |
| Cystourethro cut ejacul duct (52402) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cystourethroscopy (52000) |
$25,390.50 |
$25,390.50 |
36.2× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$25,390.50 |
$25,390.50 |
36.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$32,081 |
$32,081 |
9.1× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services (52277) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cystourethroscopy, with steroid injection into stricture (52283) |
$25,390.50 |
$25,390.50 |
12.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$25,390.50 |
$25,390.50 |
7.2× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$25,390.50 |
$25,390.50 |
7.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$2,643 |
$2,643 |
6.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$9,420 |
$9,420 |
3.2× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$25,390.50 |
$25,390.50 |
7.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$9,420 |
$9,420 |
13.2× |
| Debride nail 1-5 (11720) |
$409 |
$409 |
6.9× |
| Debride skin musc at fx site (11011) |
$9,420 |
$9,420 |
13.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$4,512 |
$4,512 |
22.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$2,643 |
$2,643 |
6.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$25,390.50 |
$25,390.50 |
34.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$11,002 |
$11,002 |
6.6× |
| Decomp forearm,1 compart,w/o debride (25020) |
$11,002 |
$11,002 |
6.8× |
| Decompress forearm 2 spaces (25025) |
$11,002 |
$11,002 |
6.8× |
| Decompression of forearm (24495) |
$25,390.50 |
$25,390.50 |
3.5× |
| Decompression of leg (27894) |
$25,390.50 |
$25,390.50 |
7.7× |
| Decompression of tibia nerve (28035) |
$11,002 |
$11,002 |
5.6× |
| Decompression; plantar digital nerve (64726) |
$25,390.50 |
$25,390.50 |
12.9× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$35,370 |
$35,370 |
18.0× |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
$11,002 |
$11,002 |
5.3× |
| Destr penis lesn,simpl,laser surg (54057) |
$11,002 |
$11,002 |
5.3× |
| Destroy cerv/thor facet jnt (64633) |
$9,420 |
$9,420 |
4.8× |
| Destroy lumb/sac facet jnt (64635) |
$9,420 |
$9,420 |
4.8× |
| Destruction anal lesion(s) (46924) |
$11,002 |
$11,002 |
3.9× |
| Destruction benign lesions 15 or more (17111) |
$11,002 |
$11,002 |
54.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$3,158 |
$3,158 |
15.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$9,420 |
$9,420 |
10.6× |
| Destruction Lesions Vulva Extensive (56515) |
$11,002 |
$11,002 |
5.3× |
| Destruction Lesions Vulva Simple (56501) |
$32,081 |
$32,081 |
15.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$9,420 |
$9,420 |
4.8× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$9,420 |
$9,420 |
23.1× |
| Destruction of multiple growths of penis (54065) |
$32,081 |
$32,081 |
15.5× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$9,420 |
$9,420 |
13.3× |
| Diagnostic sigmoidoscopy (45330) |
$11,002 |
$11,002 |
11.8× |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
$25,390.50 |
$25,390.50 |
7.2× |
| Dilate urethra stricture (53620) |
$25,390.50 |
$25,390.50 |
36.2× |
| Dilate Urethra Stricture (53600) |
$25,390.50 |
$25,390.50 |
101.2× |
| Dilation & curettage cervical stump (57558) |
$11,002 |
$11,002 |
3.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$11,002 |
$11,002 |
3.4× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$25,390.50 |
$25,390.50 |
27.9× |
| Dilation of vagina (57400) |
$18 |
$18 |
0.0× |
| Dissection, deep jugular node(s) (38542) |
$25,390.50 |
$25,390.50 |
4.2× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
$25,390.50 |
$25,390.50 |
4.3× |
Division of scalenus anticus; with resection of cervical rib (21705) unusually low: confirm this is the full procedure |
$2,302 |
$2,302 |
0.3× |
| Divisn plantar fascia/muscle (28250) |
$25,390.50 |
$25,390.50 |
7.7× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$9,420 |
$9,420 |
5.7× |
| Drain hand tendon sheath (26020) |
$9,420 |
$9,420 |
2.9× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$2,810 |
$2,810 |
4.0× |
| Drain shoulder lesion (23030) |
$11,002 |
$11,002 |
3.8× |
| Drain/inj small joint/bursa w/us (20604) |
$9,420 |
$9,420 |
30.5× |
| Drainage abscess/hematoma nasal int approach (30000) |
$9,420 |
$9,420 |
39.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$11,002 |
$11,002 |
20.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$4,512 |
$4,512 |
6.3× |
| Drainage Finger Abscess Complicated (26011) |
$5,048 |
$5,048 |
3.0× |
| Drainage of eyelid abscess (67700) |
$3,516 |
$3,516 |
11.0× |
| Drainage of gum lesion (41800) |
$3,661 |
$3,661 |
27.4× |
| Drainage of hematoma/fluid (10140) |
$2,643 |
$2,643 |
1.6× |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
$3,662 |
$3,662 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
$9,420 |
$9,420 |
5.7× |
| Draw blood off venous device (36591) |
$298 |
$298 |
2.2× |
| Dressing change under anesthesia (15852) |
$791 |
$791 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$4,512 |
$4,512 |
11.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$4,512 |
$4,512 |
22.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$3,158 |
$3,158 |
15.7× |
| Dstrj lesion anus simple chemical (46900) |
$11,002 |
$11,002 |
26.9× |
| Dstrj lesion anus simple surg excision (46922) |
$11,002 |
$11,002 |
3.9× |
| Dstrj lesion penis simple surg excision (54060) |
$11,002 |
$11,002 |
5.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$6,167 |
$6,167 |
3.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$11,002 |
$11,002 |
5.7× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$11,002 |
$11,002 |
5.7× |
| Egd flexible foreign body removal (43247) |
$11,002 |
$11,002 |
12.1× |
| Egd guide wire insertion (43248) |
$11,002 |
$11,002 |
12.1× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$11,002 |
$11,002 |
5.7× |
| Egd rem tumr/polyp forcep (43250) |
$11,002 |
$11,002 |
5.7× |
| Egd remove lesion snare (43251) |
$5,063 |
$5,063 |
2.6× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$5,949 |
$5,949 |
3.1× |
| Egd Varices Ligation (43244) |
$6,896 |
$6,896 |
3.6× |
| Elbow arthroscopy (29830) |
$25,390.50 |
$25,390.50 |
7.7× |
| Elbow arthroscopy/surgery (29838) |
$25,390.50 |
$25,390.50 |
7.7× |
| Electrical stimulation bone healing noninvasive (20974) |
$11,002 |
$11,002 |
115.6× |
| Endocervical Curettage (57505) |
$11,002 |
$11,002 |
11.9× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$11,002 |
$11,002 |
2.2× |
| Endoscopic Injection/Implant (51715) |
$25,390.50 |
$25,390.50 |
7.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$25,390.50 |
$25,390.50 |
7.7× |
| Endovenous rf 1st vein (36475) |
$18,140 |
$18,140 |
5.7× |
| Epididymectomy unilateral (54860) |
$11,002 |
$11,002 |
3.1× |
| Ercp Duct Stent Placement (43274) |
$9,420 |
$9,420 |
1.5× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$6,062 |
$6,062 |
1.6× |
| Ercp ea duct/ampulla dilate (43277) |
$25,390.50 |
$25,390.50 |
6.6× |
| Ercp remove forgn body duct (43275) |
$25,390.50 |
$25,390.50 |
13.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$25,390.50 |
$25,390.50 |
6.6× |
| Esophagosc dilate balloon 30 (43214) |
$6,502 |
$6,502 |
3.4× |
| Esophagoscopy flex biopsy (43202) |
$9,420 |
$9,420 |
4.9× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$9,420 |
$9,420 |
10.3× |
| Esophagoscopy Rigid Balloon (43195) |
$9,420 |
$9,420 |
2.4× |
| Esophagoscopy rigid trnso dx (43191) |
$9,420 |
$9,420 |
4.9× |
| Esophagus Surg Procedure Unlisted (43499) |
$25,390.50 |
$25,390.50 |
27.9× |
| Evacuation of subungual hematoma (11740) |
$2,643 |
$2,643 |
19.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$11,002 |
$11,002 |
6.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$11,002 |
$11,002 |
6.6× |
| Exc abd les sc 3 cm/> (22903) |
$11,002 |
$11,002 |
3.8× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$11,002 |
$11,002 |
3.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$11,002 |
$11,002 |
6.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$9,420 |
$9,420 |
5.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$9,420 |
$9,420 |
5.7× |
| Exc back les sc < 3 cm (21930) |
$11,002 |
$11,002 |
6.6× |
| Exc back tum deep < 5 cm (21932) |
$11,002 |
$11,002 |
3.8× |
| Exc face les sbq 2 cm/> (21012) |
$9,420 |
$9,420 |
5.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$9,420 |
$9,420 |
13.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$9,420 |
$9,420 |
5.7× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$11,002 |
$11,002 |
6.6× |
| Exc forearm les sc 3 cm/> (25071) |
$11,002 |
$11,002 |
6.6× |
| Exc forearm les sc < 3 cm (25075) |
$11,002 |
$11,002 |
6.6× |
| Exc hand les sc < 1.5 cm (26115) |
$11,002 |
$11,002 |
6.6× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$11,002 |
$11,002 |
3.1× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$11,002 |
$11,002 |
3.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$11,002 |
$11,002 |
6.8× |
| Exc neck tum deep < 5 cm (21556) |
$25,390.50 |
$25,390.50 |
8.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$11,002 |
$11,002 |
5.6× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$25,390.50 |
$25,390.50 |
4.3× |
| Exc Rect Tum Transanal Full (45172) |
$11,002 |
$11,002 |
3.9× |
| Exc rect tum transanal part (45171) |
$11,002 |
$11,002 |
3.9× |
| Exc shoulder les sc 3 cm/> (23071) |
$25,390.50 |
$25,390.50 |
15.3× |
| Exc shoulder tum deep 5 cm/> (23073) |
$11,002 |
$11,002 |
3.8× |
| Exc skin abd (15830) |
$25,390.50 |
$25,390.50 |
3.8× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$9,420 |
$9,420 |
13.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$9,420 |
$9,420 |
23.1× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$9,420 |
$9,420 |
13.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$9,420 |
$9,420 |
13.2× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$9,420 |
$9,420 |
5.7× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$9,420 |
$9,420 |
5.7× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$9,420 |
$9,420 |
3.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$9,420 |
$9,420 |
3.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$9,420 |
$9,420 |
5.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$9,420 |
$9,420 |
3.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$11,002 |
$11,002 |
6.6× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$9,420 |
$9,420 |
3.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$11,002 |
$11,002 |
3.8× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$9,420 |
$9,420 |
3.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$11,002 |
$11,002 |
9.2× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$11,002 |
$11,002 |
3.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$9,420 |
$9,420 |
13.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$11,002 |
$11,002 |
6.6× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$11,002 |
$11,002 |
3.8× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$11,002 |
$11,002 |
6.6× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$11,002 |
$11,002 |
6.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$11,002 |
$11,002 |
3.8× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$25,390.50 |
$25,390.50 |
8.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$11,002 |
$11,002 |
6.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$11,002 |
$11,002 |
3.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$11,002 |
$11,002 |
3.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$11,002 |
$11,002 |
6.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$25,390.50 |
$25,390.50 |
8.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$11,002 |
$11,002 |
3.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$11,002 |
$11,002 |
6.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$11,002 |
$11,002 |
3.8× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$11,002 |
$11,002 |
3.8× |
| Exc urethral diverticulum spx female (53230) |
$9,420 |
$9,420 |
1.7× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$11,002 |
$11,002 |
3.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$25,390.50 |
$25,390.50 |
7.7× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$25,390.50 |
$25,390.50 |
15.7× |
| Exchange intraocular lens (66986) |
$25,390.50 |
$25,390.50 |
11.0× |
| Excis lesn,palete/uvula-flap clos (42107) |
$11,002 |
$11,002 |
1.9× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$11,002 |
$11,002 |
6.8× |
| Excise excess skin & tissue (15839) |
$25,390.50 |
$25,390.50 |
8.7× |
| Excise excess skin fat pad (15838) |
$25,390.50 |
$25,390.50 |
8.7× |
| Excise excess skin tissue,thigh (15832) |
$11,002 |
$11,002 |
3.8× |
| Excise excessive skin arm (15836) |
$11,002 |
$11,002 |
3.8× |
| Excise excessive skin hip (15834) |
$11,002 |
$11,002 |
3.8× |
| Excise Inferior Turbinate (30130) |
$11,002 |
$11,002 |
3.3× |
| Excise lesion testis (54512) |
$11,002 |
$11,002 |
3.1× |
| Excise parotid gland/lesion (42410) |
$25,390.50 |
$25,390.50 |
4.3× |
| Excise parotid gland/lesion (42420) |
$25,390.50 |
$25,390.50 |
4.3× |
| Excise pharynx lesion (42808) |
$11,002 |
$11,002 |
3.3× |
| Excise/repair mouth lesion (40812) |
$11,002 |
$11,002 |
7.1× |
| Excision brach clft cyst,superficial (42810) |
$11,002 |
$11,002 |
3.3× |
| Excision Breast Lesion (19125) |
$9,420 |
$9,420 |
2.4× |
| Excision Distal Ulna Partial/Complete (25240) |
$25,390.50 |
$25,390.50 |
7.7× |
| Excision external ear partial simple repair (69110) |
$9,420 |
$9,420 |
3.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$9,420 |
$9,420 |
3.2× |
| Excision hidradenitis axillary complex repair (11451) |
$9,420 |
$9,420 |
3.2× |
| Excision hydrocele bilateral (55041) |
$11,002 |
$11,002 |
3.1× |
| Excision lesion mouth roof (42104) |
$11,002 |
$11,002 |
3.3× |
| Excision Lingual Frenum Frenectomy (41115) |
$11,002 |
$11,002 |
7.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$9,420 |
$9,420 |
23.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$9,420 |
$9,420 |
13.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$9,420 |
$9,420 |
13.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$9,420 |
$9,420 |
13.2× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$9,420 |
$9,420 |
13.2× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$9,420 |
$9,420 |
5.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$9,420 |
$9,420 |
13.2× |
| Excision of bartholin's gland or cyst (56740) |
$11,002 |
$11,002 |
3.4× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$9,420 |
$9,420 |
13.2× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$9,420 |
$9,420 |
13.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$25,390.50 |
$25,390.50 |
15.7× |
| Excision of hydrocele; unilateral (55040) |
$11,002 |
$11,002 |
3.1× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$11,002 |
$11,002 |
3.3× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
$11,002 |
$11,002 |
3.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$11,002 |
$11,002 |
6.6× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$9,420 |
$9,420 |
5.7× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$11,002 |
$11,002 |
6.8× |
| Excision of lingual tonsil (42870) |
$25,390.50 |
$25,390.50 |
4.3× |
| Excision of nail fold toe (11765) |
$2,132 |
$2,132 |
5.2× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$11,002 |
$11,002 |
5.6× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$11,002 |
$11,002 |
3.8× |
| Excision of rib partial (21600) |
$49,351 |
$49,351 |
6.8× |
| Excision of single external papilla or tag, anus (46220) |
$25,390.50 |
$25,390.50 |
21.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$11,002 |
$11,002 |
3.8× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$11,002 |
$11,002 |
5.2× |
| Excision of submandibular (submaxillary) gland (42440) |
$11,002 |
$11,002 |
1.9× |
| Excision of tongue lesion (41112) |
$11,002 |
$11,002 |
3.3× |
| Excision of tongue lesion (41114) |
$11,002 |
$11,002 |
3.3× |
| Excision of vaginal cyst or tumor (57135) |
$11,002 |
$11,002 |
3.4× |
| Excision olecranon bursa (24105) |
$25,390.50 |
$25,390.50 |
7.7× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$11,002 |
$11,002 |
6.8× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$25,390.50 |
$25,390.50 |
7.7× |
| Excision or fulguration; urethral caruncle (53265) |
$25,390.50 |
$25,390.50 |
12.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$11,002 |
$11,002 |
3.8× |
| Excision sacral pressure ulcer w/skin flap clsr (15934) |
$25,390.50 |
$25,390.50 |
7.1× |
| Excision soft tissue lesion, external auditory canal (69145) |
$9,420 |
$9,420 |
3.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$9,420 |
$9,420 |
2.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$11,002 |
$11,002 |
6.6× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$11,002 |
$11,002 |
6.6× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$11,002 |
$11,002 |
6.8× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$11,002 |
$11,002 |
6.8× |
| Excision, nasal polyp(s), simple (30110) |
$11,002 |
$11,002 |
7.1× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$25,390.50 |
$25,390.50 |
8.7× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$11,002 |
$11,002 |
3.8× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$9,420 |
$9,420 |
5.7× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$11,002 |
$11,002 |
3.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$11,002 |
$11,002 |
3.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$11,002 |
$11,002 |
6.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$11,002 |
$11,002 |
3.8× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$25,390.50 |
$25,390.50 |
7.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$32,081 |
$32,081 |
9.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$25,390.50 |
$25,390.50 |
12.3× |
| Expl retroperitoneum w/wo bx spx (49010) |
$9,420 |
$9,420 |
1.4× |
| Explo/Drain Breast Abscess (19020) |
$9,420 |
$9,420 |
5.7× |
| Exploration behind upper jaw (31040) |
$25,390.50 |
$25,390.50 |
4.3× |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
$11,002 |
$11,002 |
3.1× |
| Exploration of ankle joint (27612) |
$11,002 |
$11,002 |
3.3× |
| Exploration of knee joint (27310) |
$25,390.50 |
$25,390.50 |
7.7× |
| Exploration of spinal fusion (22830) |
$39,791 |
$39,791 |
5.5× |
| Exploration penetrating wound spx extremity (20103) |
$9,420 |
$9,420 |
5.7× |
| Exploration Penetrating Wound Spx Neck (20100) |
$11,002 |
$11,002 |
20.3× |
| Explore/treat ankle joint (27620) |
$25,390.50 |
$25,390.50 |
7.7× |
| Explore/treat ankle joint (27610) |
$11,002 |
$11,002 |
3.3× |
| Explore/treat elbow joint (24101) |
$11,002 |
$11,002 |
3.3× |
| Explore/treat hand joint (26070) |
$9,420 |
$9,420 |
5.8× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$9,420 |
$9,420 |
5.8× |
| Extensive surgery of throat (42842) |
$9,420 |
$9,420 |
1.6× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$11,002 |
$11,002 |
3.3× |
| Fasciotomy foot and/or toe (28008) |
$11,002 |
$11,002 |
3.3× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$11,002 |
$11,002 |
3.3× |
| Fasciotomy palmar open partial (26045) |
$11,002 |
$11,002 |
3.3× |
| Fasciotomy palmar percutaneous (26040) |
$11,002 |
$11,002 |
6.8× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$11,002 |
$11,002 |
3.3× |
| Fetal non-stress test (59025) |
$457 |
$457 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$1,927 |
$1,927 |
4.7× |
| Fix ectropion,entensv lid repair (67917) |
$25,390.50 |
$25,390.50 |
10.6× |
| Fixation of knee joint (27570) |
$11,002 |
$11,002 |
6.8× |
| Fixation of shoulder (23700) |
$11,002 |
$11,002 |
6.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$11,002 |
$11,002 |
3.3× |
| Frenulotomy of penis (54164) |
$11,002 |
$11,002 |
5.2× |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
$25,390.50 |
$25,390.50 |
12.3× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$11,002 |
$11,002 |
5.3× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$11,002 |
$11,002 |
5.3× |
| Fusion Finger Joint (26860) |
$25,390.50 |
$25,390.50 |
7.7× |
| Fusion of foot bones (28715) |
$25,390.50 |
$25,390.50 |
2.0× |
| Fusion of foot bones (28730) |
$32,081 |
$32,081 |
2.5× |
| Fusion of foot bones (28735) |
$25,390.50 |
$25,390.50 |
2.0× |
| Fusion of foot bones (28740) |
$25,390.50 |
$25,390.50 |
3.5× |
| Fusion of toes (28280) |
$11,002 |
$11,002 |
3.3× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$465 |
$465 |
2.1× |
| Gastrocnemius Recession (27687) |
$25,390.50 |
$25,390.50 |
7.7× |
| Genioplasty Augmentation (21120) |
$11,002 |
$11,002 |
1.9× |
| Graft ear crtlg autogenous nose/ear (21235) |
$11,002 |
$11,002 |
1.9× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$11,002 |
$11,002 |
5.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$13,502 |
$13,502 |
3.8× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$11,002 |
$11,002 |
3.1× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$25,390.50 |
$25,390.50 |
3.5× |
| Hemiarthroplasty Hip Partial (27125) |
$35,370 |
$35,370 |
2.7× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$25,390.50 |
$25,390.50 |
7.7× |
| Hemorrhoidectomy (46255) |
$11,002 |
$11,002 |
3.9× |
| Hemorrhoidectomy external complete (46250) |
$25,390.50 |
$25,390.50 |
9.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
$11,002 |
$11,002 |
3.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$11,002 |
$11,002 |
3.9× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$11,002 |
$11,002 |
3.9× |
| Hysteroscopy ablation (58563) |
$11,002 |
$11,002 |
2.2× |
| Hysteroscopy biopsy (58558) |
$11,002 |
$11,002 |
3.4× |
| Hysteroscopy dx sep proc (58555) |
$11,002 |
$11,002 |
3.4× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$11,002 |
$11,002 |
2.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$11,002 |
$11,002 |
3.4× |
| Hysteroscopy resect septum (58560) |
$11,002 |
$11,002 |
2.2× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$11,002 |
$11,002 |
2.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$11,002 |
$11,002 |
3.3× |
| I&D Abscess Peritonsillar (42700) |
$3,158 |
$3,158 |
13.3× |
| I&d abscess simple (10060) |
$2,643 |
$2,643 |
13.1× |
| I&d below fascia foot 1 bursal space (28002) |
$11,002 |
$11,002 |
6.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$11,002 |
$11,002 |
3.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$5,914 |
$5,914 |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,289 |
$3,289 |
1.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$11,002 |
$11,002 |
3.3× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$11,002 |
$11,002 |
3.3× |
| I&d perianal abscess superficial (46050) |
$3,158 |
$3,158 |
3.4× |
| I&d pilonidal cyst simple (10080) |
$2,319 |
$2,319 |
3.3× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$6,871 |
$6,871 |
2.5× |
| I&d submucosal abscess rectum (45005) |
$9,420 |
$9,420 |
7.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$11,002 |
$11,002 |
3.8× |
| Immediate breast prosthesis (19340) |
$25,390.50 |
$25,390.50 |
3.1× |
| Implant neuroelectrodes (63650) |
$39,791 |
$39,791 |
6.2× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$35,370 |
$35,370 |
4.0× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$32,081 |
$32,081 |
1.8× |
| Incise finger tendon sheath (26055) |
$25,390.50 |
$25,390.50 |
15.7× |
| Incise inner ear (69801) |
$9,420 |
$9,420 |
6.0× |
| Incise wrist/forearm tendon (25290) |
$25,390.50 |
$25,390.50 |
7.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$2,643 |
$2,643 |
6.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$11,002 |
$11,002 |
3.8× |
| Incision & drainage pilonidal cyst complicated (10081) |
$3,504 |
$3,504 |
4.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,531 |
$3,531 |
2.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$2,643 |
$2,643 |
6.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$3,158 |
$3,158 |
15.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$3,158 |
$3,158 |
10.3× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010) |
$11,002 |
$11,002 |
1.5× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
$25,390.50 |
$25,390.50 |
3.5× |
| Incision bone cortex foot (28005) |
$11,002 |
$11,002 |
3.3× |
| Incision extensor tendon sheath wrist (25000) |
$11,002 |
$11,002 |
6.8× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$11,002 |
$11,002 |
1.7× |
| Incision of achilles tendon (27605) |
$25,390.50 |
$25,390.50 |
15.7× |
| Incision of eardrum (69421) |
$9,420 |
$9,420 |
2.8× |
| Incision of heel bone (28300) |
$32,081 |
$32,081 |
4.4× |
| Incision of metatarsal (28308) |
$32,081 |
$32,081 |
9.8× |
| Incision of rectal abscess (46045) |
$11,002 |
$11,002 |
3.9× |
| Incision of rectal abscess (46040) |
$11,002 |
$11,002 |
9.2× |
| Incision of spinal column (single column osteotomy) in 1 vertebral segment of upper back (thoracic spine) to correct… (22212) |
$32,081 |
$32,081 |
4.4× |
| Incision of thigh tendons (27307) |
$25,390.50 |
$25,390.50 |
7.7× |
| Incision of urethra (53020) |
$11,002 |
$11,002 |
5.2× |
| Incision thrombosed hemorrhoid external (46083) |
$2,293 |
$2,293 |
9.1× |
| Induced abortion by d&c (59840) |
$25,390.50 |
$25,390.50 |
7.8× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$25,390.50 |
$25,390.50 |
3.8× |
| Initial tx 1st degree burn local tx (16000) |
$872 |
$872 |
4.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$9,420 |
$9,420 |
10.6× |
| Inj tendon sheath/ligament (20550) |
$9,420 |
$9,420 |
30.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$9,420 |
$9,420 |
10.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$9,420 |
$9,420 |
10.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$9,420 |
$9,420 |
13.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$9,420 |
$9,420 |
10.6× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$2,643 |
$2,643 |
8.6× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$9,420 |
$9,420 |
10.6× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$9,420 |
$9,420 |
10.6× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$9,420 |
$9,420 |
13.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$9,420 |
$9,420 |
10.6× |
| Inject Nerv Blck,Intercostal,One (64420) |
$2,643 |
$2,643 |
3.7× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$9,420 |
$9,420 |
10.6× |
| Inject Nerv Blck,Pudendal (64430) |
$1,751 |
$1,751 |
2.0× |
| Inject Tendon Origin/Insert (20551) |
$2,643 |
$2,643 |
8.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$9,420 |
$9,420 |
13.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$9,420 |
$9,420 |
13.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$9,420 |
$9,420 |
13.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$2,643 |
$2,643 |
3.7× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,578 |
$1,578 |
5.1× |
| Injection anes other peripheral nerve/branch (64450) |
$9,420 |
$9,420 |
13.3× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$9,420 |
$9,420 |
10.6× |
| Injection for identification of sentinel node (38792) |
$11,002 |
$11,002 |
27.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$2,643 |
$2,643 |
8.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$9,420 |
$9,420 |
30.5× |
| Injection therapeutic carpal tunnel (20526) |
$9,420 |
$9,420 |
30.5× |
| Injection(s) spider veins (36468) |
$2,651 |
$2,651 |
6.5× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$9,420 |
$9,420 |
10.6× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$2,643 |
$2,643 |
8.6× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$2,643 |
$2,643 |
8.6× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$9,420 |
$9,420 |
46.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$9,420 |
$9,420 |
46.7× |
| Ins endovas vena cava filtr (37191) |
$9,420 |
$9,420 |
1.7× |
| Insert Bladder Cath Complex (51703) |
$1,228.50 |
$1,228.50 |
9.5× |
| Insert Drug Implant Device (11981) |
$11,002 |
$11,002 |
82.3× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$9,420 |
$9,420 |
4.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$9,420 |
$9,420 |
4.9× |
| Insert non-tunnel cv cath (36556) |
$3,158 |
$3,158 |
1.0× |
| Insert picc cath (36569) |
$2,122 |
$2,122 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$895 |
$895 |
6.7× |
| Insert Tissue Expander(S) (11960) |
$11,002 |
$11,002 |
3.1× |
| Insert tunneled cv cath (36561) |
$25,390.50 |
$25,390.50 |
8.0× |
| Insert Tunneled Cv Cath With Pump (36563) |
$25,390.50 |
$25,390.50 |
4.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$690 |
$690 |
5.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$10,357 |
$10,357 |
2.9× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$32,081 |
$32,081 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$4,459.50 |
$4,459.50 |
2.8× |
| Insj inflatable urethral/bladder neck sphincter (53445) |
$25,390.50 |
$25,390.50 |
1.2× |
| Insj multi-component inflatable penile prosth (54405) |
$25,390.50 |
$25,390.50 |
1.2× |
| Insj penile prosthesis non-inflatable semi-rigid (54400) |
$35,370 |
$35,370 |
2.7× |
| Insj penile prosthesos inflatable self-contained (54401) |
$32,081 |
$32,081 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$25,390.50 |
$25,390.50 |
8.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$9,420 |
$9,420 |
3.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$25,390.50 |
$25,390.50 |
3.1× |
| Insrt/redo spine n generator (63685) |
$32,081 |
$32,081 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$16,338 |
$16,338 |
2.9× |
| Intubation endotracheal emergency procedure (31500) |
$1,224 |
$1,224 |
5.1× |
| Irrigate corpora cavernosa for priapism (54220) |
$11,002 |
$11,002 |
43.8× |
| IV injection test vascular flow flap/graft (15860) |
$9,420 |
$9,420 |
21.0× |
| Knee arthroscopy/surgery (29885) |
$25,390.50 |
$25,390.50 |
3.5× |
| Knee arthroscopy/surgery (29876) |
$11,002 |
$11,002 |
3.3× |
| Knee arthroscopy/surgery (29851) |
$11,002 |
$11,002 |
6.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$39,791 |
$39,791 |
5.5× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$39,791 |
$39,791 |
2.0× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$39,791 |
$39,791 |
5.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$39,791 |
$39,791 |
5.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$39,791 |
$39,791 |
5.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$39,791 |
$39,791 |
5.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$39,791 |
$39,791 |
5.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$39,791 |
$39,791 |
5.5× |
| Laminotomy single cervical (63040) |
$39,791 |
$39,791 |
5.5× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$39,791 |
$39,791 |
5.5× |
| Lap ing hernia repair init (49650) |
$32,081 |
$32,081 |
5.3× |
| Lap insert tunnel ip cath (49324) |
$11,002 |
$11,002 |
1.8× |
| Laparo ligate spermatic vein (55550) |
$11,002 |
$11,002 |
1.8× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) |
$32,081 |
$32,081 |
3.0× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$32,081 |
$32,081 |
3.0× |
| Laparoscopy appendectomy (44970) |
$32,081 |
$32,081 |
5.3× |
| Laparoscopy biopsy (49321) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy Remove Adnexa (58661) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laparoscopy tubal block (58671) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy Tubal Cautery (58670) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy w/lysis of adhesions (58660) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$35,370 |
$35,370 |
5.8× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$11,002 |
$11,002 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
$32,081 |
$32,081 |
3.0× |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
$32,081 |
$32,081 |
5.3× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laparoscopy, surgical, splenectomy (38120) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$32,081 |
$32,081 |
5.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$32,081 |
$32,081 |
8.3× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$25,390.50 |
$25,390.50 |
4.2× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$25,390.50 |
$25,390.50 |
2.4× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$32,081 |
$32,081 |
5.3× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$9,420 |
$9,420 |
2.5× |
| Laryngoscopy Flexible Diagnostic (31575) |
$11,002 |
$11,002 |
54.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$3,167 |
$3,167 |
8.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$2,643 |
$2,643 |
13.2× |
| Laryngoscopy indirect with biopsy (31510) |
$25,390.50 |
$25,390.50 |
6.8× |
| Laryngoscopy w/biopsy (31535) |
$25,390.50 |
$25,390.50 |
6.8× |
| Laryngoscopy w/bx op scope (31536) |
$25,390.50 |
$25,390.50 |
6.8× |
| Laryngoscopy w/exc of tumor (31540) |
$25,390.50 |
$25,390.50 |
6.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,540 |
$2,540 |
1.4× |
| Larynscop w/tumr exc + scope (31541) |
$25,390.50 |
$25,390.50 |
6.8× |
| Laser vaporization surgery prostate, complete (52648) |
$32,081 |
$32,081 |
6.0× |
| Late closure of wound (13160) |
$25,390.50 |
$25,390.50 |
7.1× |
| Lateral retinacular release open (27425) |
$25,390.50 |
$25,390.50 |
7.7× |
| Lengthening of hand tendon (26478) |
$33.50 |
$33.50 |
0.0× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$25,390.50 |
$25,390.50 |
7.7× |
| Ligation of hemorrhoid(s) (46221) |
$11,002 |
$11,002 |
11.8× |
| Ligation or biopsy temporal artery (37609) |
$9,420 |
$9,420 |
5.7× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$4,721 |
$4,721 |
1.5× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$32,081 |
$32,081 |
9.1× |
| Lithotripsy (50590) |
$16,471 |
$16,471 |
4.7× |
| Lsh uterus 250 g or less (58541) |
$25,390.50 |
$25,390.50 |
2.4× |
| Lsh uterus above 250 g (58543) |
$25,390.50 |
$25,390.50 |
2.4× |
| Lsh w/t/o uterus above 250 g (58544) |
$25,390.50 |
$25,390.50 |
2.4× |
| Lysis Intranasal Synechia (30560) |
$11,002 |
$11,002 |
20.3× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$11,002 |
$11,002 |
5.2× |
| Manipulation finger joint under anes each joint (26340) |
$11,002 |
$11,002 |
6.8× |
| Marsup Bartholin Gland Cyst (56440) |
$11,002 |
$11,002 |
3.4× |
| Mast mod rad (19307) |
$11,002 |
$11,002 |
1.6× |
| Mastectomy gynecomastia (19300) |
$11,002 |
$11,002 |
2.8× |
| Mastectomy partial (19301) |
$11,002 |
$11,002 |
2.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$25,390.50 |
$25,390.50 |
3.8× |
| Mastectomy simple complete (19303) |
$11,002 |
$11,002 |
1.6× |
| Mastopexy (19316) |
$11,002 |
$11,002 |
1.6× |
| Metatarsectomy (28140) |
$11,002 |
$11,002 |
3.3× |
| Middle ear surgery proc unlisted (69799) |
$25,390.50 |
$25,390.50 |
106.7× |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
$25,390.50 |
$25,390.50 |
7.1× |
| Muscle-skin graft trunk (15734) |
$11,002 |
$11,002 |
3.1× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$11,002 |
$11,002 |
3.4× |
| Myringoplasty (69620) |
$25,390.50 |
$25,390.50 |
7.6× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$25,390.50 |
$25,390.50 |
126.6× |
| Nasal surgery procedure (30999) |
$25,390.50 |
$25,390.50 |
106.7× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$25,390.50 |
$25,390.50 |
64.6× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$25,390.50 |
$25,390.50 |
14.2× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$25,390.50 |
$25,390.50 |
6.8× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$25,390.50 |
$25,390.50 |
14.2× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression (31292) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/sinus endoscopy, surgical; with optic nerve decompression (31294) |
$25,390.50 |
$25,390.50 |
3.6× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$11,002 |
$11,002 |
6.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$25,390.50 |
$25,390.50 |
14.2× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$32,081 |
$32,081 |
4.5× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$32,081 |
$32,081 |
4.5× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$32,081 |
$32,081 |
4.5× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$744 |
$744 |
1.7× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$25,390.50 |
$25,390.50 |
15.7× |
| Nerve repair w/allograft (64910) |
$25,390.50 |
$25,390.50 |
2.9× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$11,002 |
$11,002 |
5.6× |
| Neuroplasty Brachial Plexus,Open (64713) |
$25,390.50 |
$25,390.50 |
12.9× |
| Neuroplasty digital 1/both same digit (64702) |
$25,390.50 |
$25,390.50 |
12.9× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$25,390.50 |
$25,390.50 |
12.9× |
| Neuroplasty; nerve of hand or foot (64704) |
$25,390.50 |
$25,390.50 |
12.9× |
| Nipple/areola reconstruction (19350) |
$9,420 |
$9,420 |
2.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$9,420 |
$9,420 |
10.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$9,420 |
$9,420 |
10.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$9,420 |
$9,420 |
13.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$9,420 |
$9,420 |
13.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$9,420 |
$9,420 |
10.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$9,420 |
$9,420 |
10.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$15,326 |
$15,326 |
21.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$9,420 |
$9,420 |
10.6× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$698 |
$698 |
1.7× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$1,037 |
$1,037 |
2.5× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$32,081 |
$32,081 |
4.5× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$25,390.50 |
$25,390.50 |
3.9× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$11,002 |
$11,002 |
2.8× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$32,081 |
$32,081 |
4.4× |
| Open Treatment Coccygeal Fracture (27202) |
$25,390.50 |
$25,390.50 |
7.7× |
| Open Treatment Humeral Condylar Fracture (24579) |
$11,002 |
$11,002 |
0.9× |
| Open treatment interphalangeal joint dislocation (28675) |
$32,081 |
$32,081 |
9.8× |
| Open Treatment Medial Malleolus Fracture (27766) |
$32,081 |
$32,081 |
4.4× |
| Open treatment metatarsal fracture each (28485) |
$32,081 |
$32,081 |
4.4× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
$25,390.50 |
$25,390.50 |
2.0× |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
$32,081 |
$32,081 |
4.4× |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
$25,390.50 |
$25,390.50 |
2.0× |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$32,081 |
$32,081 |
2.5× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
$32,081 |
$32,081 |
2.5× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$32,081 |
$32,081 |
4.4× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open treatment of ulnar styloid fracture (25652) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$32,081 |
$32,081 |
4.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$25,390.50 |
$25,390.50 |
7.7× |
| Open tx carpal scaphoid navicular fracture (25628) |
$11,002 |
$11,002 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$25,390.50 |
$25,390.50 |
7.7× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$32,081 |
$32,081 |
9.8× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$25,390.50 |
$25,390.50 |
2.0× |
| Open tx interphalangeal joint dislocation (26785) |
$25,390.50 |
$25,390.50 |
7.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$32,081 |
$32,081 |
9.8× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$32,081 |
$32,081 |
9.8× |
| Open tx nose fx uncomplicatd (21325) |
$6,067 |
$6,067 |
1.8× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$25,390.50 |
$25,390.50 |
3.5× |
| Open tx orbital floor blowout fx transantral (21385) |
$25,390.50 |
$25,390.50 |
4.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$32,081 |
$32,081 |
9.8× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$32,081 |
$32,081 |
2.5× |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
$11,002 |
$11,002 |
1.5× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$25,390.50 |
$25,390.50 |
2.0× |
Open tx rib fx w/fixj thoracoscopic vis 4-6 ribs (21812) unusually low: confirm this is the full procedure |
$2,435 |
$2,435 |
0.3× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$25,390.50 |
$25,390.50 |
3.5× |
| Opn tx orbit fx w/o implant (21406) |
$11,002 |
$11,002 |
1.9× |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
$25,390.50 |
$25,390.50 |
7.7× |
| Optx complicated mndblr fx (21470) |
$25,390.50 |
$25,390.50 |
4.3× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$25,390.50 |
$25,390.50 |
2.0× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$25,390.50 |
$25,390.50 |
2.0× |
| Optx orb floor blwt fx pri/bital appr w/allplstc (21390) |
$25,390.50 |
$25,390.50 |
4.3× |
| Optx post ankle fx (27769) |
$32,081 |
$32,081 |
4.4× |
| Orbital implant removal/revision (67560) |
$32,081 |
$32,081 |
8.1× |
| Orchiectomy radical tumor inguinal approach (54530) |
$11,002 |
$11,002 |
3.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$25,390.50 |
$25,390.50 |
7.7× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$25,390.50 |
$25,390.50 |
7.7× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$25,390.50 |
$25,390.50 |
7.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$25,390.50 |
$25,390.50 |
7.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$25,390.50 |
$25,390.50 |
7.7× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$32,081 |
$32,081 |
4.4× |
| Osteotomy Clavicle W Bone Graft (23485) |
$25,390.50 |
$25,390.50 |
2.0× |
| Osteotomy Fibula (27707) |
$25,390.50 |
$25,390.50 |
7.7× |
| Osteotomy midtarsal,autograft (28305) |
$25,390.50 |
$25,390.50 |
3.5× |
| Osteotomy Phalanx Finger Each (26567) |
$25,390.50 |
$25,390.50 |
7.7× |
| Osteotomy spine posterior 3 column lumbar (22207) |
$32,081 |
$32,081 |
4.4× |
| Osteotomy spine posterior 3 column thoracic (22206) |
$32,081 |
$32,081 |
4.4× |
| Osteotomy talus (28302) |
$25,390.50 |
$25,390.50 |
3.5× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$25,390.50 |
$25,390.50 |
3.5× |
| Ovarian cystectomy (58925) |
$25,390.50 |
$25,390.50 |
5.1× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$25,390.50 |
$25,390.50 |
4.3× |
| Partial excision bone clavicle (23180) |
$25,390.50 |
$25,390.50 |
3.5× |
| Partial Excision Bone Fibula (27641) |
$25,390.50 |
$25,390.50 |
7.7× |
| Partial excision bone metacarpal (26230) |
$25,390.50 |
$25,390.50 |
7.7× |
| Partial excision bone proximal humerus (23184) |
$25,390.50 |
$25,390.50 |
3.5× |
| Partial excision bone scapula (23182) |
$25,390.50 |
$25,390.50 |
3.5× |
| Partial excision bone talus/calcaneus (28120) |
$25,390.50 |
$25,390.50 |
7.7× |
| Partial Excision Bone Tibia (27640) |
$11,002 |
$11,002 |
3.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$11,002 |
$11,002 |
6.8× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$25,390.50 |
$25,390.50 |
7.7× |
| Partial Removal Foot Fascia (28060) |
$11,002 |
$11,002 |
3.3× |
| Partial removal of pharynx (42890) |
$11,002 |
$11,002 |
1.9× |
| Partial removal of thyroid (60220) |
$25,390.50 |
$25,390.50 |
4.2× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$25,390.50 |
$25,390.50 |
4.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$25,390.50 |
$25,390.50 |
7.7× |
| Penis plastic surgery (54360) |
$11,002 |
$11,002 |
3.1× |
| Perc sk fix metatarsal fx w manip (28476) |
$25,390.50 |
$25,390.50 |
7.7× |
| Percutaneous diskectomy (62287) |
$35,370 |
$35,370 |
18.0× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$25,390.50 |
$25,390.50 |
3.5× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$11,002 |
$11,002 |
3.3× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$25,390.50 |
$25,390.50 |
7.7× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$25,390.50 |
$25,390.50 |
7.7× |
| Peri-implant capsulectomy breast complete (19371) |
$11,002 |
$11,002 |
2.8× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$25,390.50 |
$25,390.50 |
7.8× |
| Peritoneal Lavage (49084) |
$11,002 |
$11,002 |
12.1× |
| Perq dev breast 1st us imag (19285) |
$9,420 |
$9,420 |
13.2× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$39,791 |
$39,791 |
5.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$39,791 |
$39,791 |
5.5× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$39,791 |
$39,791 |
12.1× |
| Phalangectomy toe each toe (28150) |
$1,597 |
$1,597 |
0.5× |
| Pin finger fracture each (26756) |
$25,390.50 |
$25,390.50 |
7.7× |
| Pin hand dislocation (26676) |
$25,390.50 |
$25,390.50 |
7.7× |
| Pin radioulnar dislocation (25671) |
$11,002 |
$11,002 |
3.3× |
| Place ndl musc/tis for rt (20555) |
$9,420 |
$9,420 |
2.9× |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
$25,390.50 |
$25,390.50 |
5.1× |
| Placement of seton (46020) |
$11,002 |
$11,002 |
3.9× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
$11,002 |
$11,002 |
5.7× |
| Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$25,390.50 |
$25,390.50 |
7.2× |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
$25,390.50 |
$25,390.50 |
4.7× |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
$25,390.50 |
$25,390.50 |
2.4× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$25,390.50 |
$25,390.50 |
7.7× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$25,390.50 |
$25,390.50 |
4.2× |
| Preputial Stretching (54450) |
$857 |
$857 |
3.4× |
| Proctopexy Perineal Approach (45541) |
$11,002 |
$11,002 |
3.9× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$11,002 |
$11,002 |
11.8× |
| Prostatectomy (turp) (52601) |
$32,081 |
$32,081 |
6.0× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$39,791 |
$39,791 |
6.2× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$35,370 |
$35,370 |
5.5× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$25,390.50 |
$25,390.50 |
7.7× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$11,002 |
$11,002 |
3.3× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$25,390.50 |
$25,390.50 |
3.5× |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
$25,390.50 |
$25,390.50 |
4.2× |
| Punch biopsy skin single lesion (11104) |
$9,420 |
$9,420 |
23.1× |
| Puncture Aspiration (10160) |
$1,665 |
$1,665 |
4.1× |
| Puncture Aspiration Cyst Breast (19000) |
$9,420 |
$9,420 |
13.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$25,390.50 |
$25,390.50 |
15.7× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$11,002 |
$11,002 |
3.8× |
| Rad resect tumor soft tiss neck/ant thorax <5cm (21557) |
$11,002 |
$11,002 |
3.8× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$11,002 |
$11,002 |
3.8× |
| Rad resect tumor soft tissue thigh/knee <5cm (27329) |
$11,002 |
$11,002 |
3.8× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$11,002 |
$11,002 |
3.8× |
| Radial styloidectomy (25230) |
$11,002 |
$11,002 |
3.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
$11,002 |
$11,002 |
3.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) |
$11,002 |
$11,002 |
3.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
$11,002 |
$11,002 |
3.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
$11,002 |
$11,002 |
3.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
$11,002 |
$11,002 |
3.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) |
$11,002 |
$11,002 |
3.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$9,420 |
$9,420 |
4.8× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$25,390.50 |
$25,390.50 |
3.5× |
| Reconstr disloc patella w mscl adv (27422) |
$25,390.50 |
$25,390.50 |
3.5× |
| Reconstruc toe deform,soft tissue (28313) |
$11,002 |
$11,002 |
3.3× |
| Reconstruct Shoulder Joint (23470) |
$32,081 |
$32,081 |
2.5× |
| Reconstruct ulna/radioulnar (25337) |
$11,002 |
$11,002 |
1.5× |
| Reconstruct wrist joint (25445) |
$25,390.50 |
$25,390.50 |
3.5× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$11,002 |
$11,002 |
3.3× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$25,390.50 |
$25,390.50 |
3.5× |
| Reconstruction of nail bed with graft (11762) |
$9,420 |
$9,420 |
4.5× |
| Reconstruction of nose (30400) |
$11,002 |
$11,002 |
1.9× |
| Reconstruction of throat (42950) |
$25,390.50 |
$25,390.50 |
4.3× |
| Reconstruction tongue fold (41520) |
$11,002 |
$11,002 |
3.3× |
| Reduction of Large Breast (19318) |
$11,002 |
$11,002 |
1.6× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$35,370 |
$35,370 |
4.9× |
| Reinsertion Spinal Fixation Device (22849) |
$39,791 |
$39,791 |
3.1× |
| Release hip flexion contracture (27036) |
$11,002 |
$11,002 |
1.5× |
| Release i-p jt contracture (26525) |
$11,002 |
$11,002 |
6.8× |
| Release of big toe (28240) |
$11,002 |
$11,002 |
3.3× |
| Release of lower leg tendons (27681) |
$11,002 |
$11,002 |
3.3× |
| Release palm contracture (26121) |
$25,390.50 |
$25,390.50 |
7.7× |
| Release thumb contracture (26508) |
$11,002 |
$11,002 |
3.3× |
| Removal fb intranasal (30300) |
$3,088 |
$3,088 |
23.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$7,813 |
$7,813 |
2.7× |
| Removal Foreign Body Foot Complicated (28193) |
$6,147 |
$6,147 |
3.7× |
| Removal foreign body foot deep (28192) |
$25,390.50 |
$25,390.50 |
15.3× |
| Removal foreign body foot subcutaneous (28190) |
$11,002 |
$11,002 |
15.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$9,420 |
$9,420 |
5.7× |
| Removal foreign body pharynx (42809) |
$2,264 |
$2,264 |
5.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$9,420 |
$9,420 |
2.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$2,643 |
$2,643 |
44.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$9,420 |
$9,420 |
159.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,171 |
$4,171 |
1.3× |
| Removal Implant Deep (20680) |
$11,002 |
$11,002 |
3.8× |
| Removal Implant From Finger/Hand (26320) |
$11,002 |
$11,002 |
6.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$25,390.50 |
$25,390.50 |
15.3× |
| Removal Intact Mammary Implant (19328) |
$11,002 |
$11,002 |
2.8× |
| Removal of adenoids (42831) |
$25,390.50 |
$25,390.50 |
7.6× |
| Removal of adenoids (42830) |
$25,390.50 |
$25,390.50 |
7.6× |
| Removal of adenoids (42836) |
$25,390.50 |
$25,390.50 |
7.6× |
| Removal of anal fissure (46200) |
$11,002 |
$11,002 |
3.9× |
| Removal of ankle implant (27704) |
$11,002 |
$11,002 |
3.3× |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
$39,791 |
$39,791 |
5.5× |
| Removal of arm foreign body (24200) |
$3,158 |
$3,158 |
1.9× |
| Removal of cervix (57530) |
$11,002 |
$11,002 |
2.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$25,390.50 |
$25,390.50 |
15.7× |
| Removal of finger lesion (26210) |
$11,002 |
$11,002 |
6.8× |
| Removal of heel bone (28118) |
$25,390.50 |
$25,390.50 |
7.7× |
| Removal of heel spur (28119) |
$25,390.50 |
$25,390.50 |
7.7× |
| Removal of hip prosthesis (27090) |
$25,390.50 |
$25,390.50 |
3.5× |
| Removal of intrauterine device (iud) (58301) |
$9,420 |
$9,420 |
30.8× |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
$11,002 |
$11,002 |
0.9× |
| Removal of kneecap (27350) |
$25,390.50 |
$25,390.50 |
3.5× |
| Removal of nail bed (11750) |
$9,420 |
$9,420 |
23.1× |
| Removal of neck wrinkles (15825) |
$11,002 |
$11,002 |
3.1× |
| Removal of nose polyp(s) (30115) |
$25,390.50 |
$25,390.50 |
7.6× |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
$39,791 |
$39,791 |
5.5× |
| Removal of posterior segmental instrumentation (22852) |
$32,081 |
$32,081 |
4.4× |
| Removal of sesamoid bone (28315) |
$25,390.50 |
$25,390.50 |
7.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$9,420 |
$9,420 |
46.7× |
| Removal of sperm cord lesion (55520) |
$11,002 |
$11,002 |
3.1× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$35,370 |
$35,370 |
18.0× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$39,791 |
$39,791 |
11.3× |
| Removal of testis (54520) |
$11,002 |
$11,002 |
3.1× |
| Removal of tonsils (42825) |
$25,390.50 |
$25,390.50 |
4.3× |
| Removal of tonsils (42826) |
$25,390.50 |
$25,390.50 |
7.6× |
| Removal of wrist bone (25210) |
$9,420 |
$9,420 |
2.9× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$11,002 |
$11,002 |
4.6× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$32,081 |
$32,081 |
9.9× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$9,420 |
$9,420 |
4.5× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$9,420 |
$9,420 |
3.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$1,105 |
$1,105 |
3.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$851 |
$851 |
3.0× |
| Remove anal fist 2 stage (46285) |
$25,390.50 |
$25,390.50 |
9.1× |
| Remove anal fist subq (46270) |
$25,390.50 |
$25,390.50 |
9.1× |
| Remove bladder stone (52318) |
$25,390.50 |
$25,390.50 |
7.2× |
| Remove by ligat int hem grp (46945) |
$11,002 |
$11,002 |
3.9× |
| Remove by ligat int hem grps (46946) |
$11,002 |
$11,002 |
3.9× |
| Remove digit nerve lesion (64776) |
$11,002 |
$11,002 |
5.6× |
| Remove drug implant device (11982) |
$11,002 |
$11,002 |
24.5× |
| Remove ear lesion (69540) |
$11,002 |
$11,002 |
7.1× |
| Remove Eyelid Foreign Body (67938) |
$3,176 |
$3,176 |
10.0× |
| Remove femur lesion (27355) |
$25,390.50 |
$25,390.50 |
7.7× |
| Remove foreign body from eye (65235) |
$3,649 |
$3,649 |
1.6× |
| Remove foreign body from eye (65210) |
$894 |
$894 |
2.0× |
| Remove in/ex hem groups 2+ (46260) |
$11,002 |
$11,002 |
3.9× |
| Remove in/ex hem grp w/fistu (46258) |
$11,002 |
$11,002 |
3.9× |
| Remove in/ex hem grps w/fist (46262) |
$11,002 |
$11,002 |
3.9× |
| Remove knee cyst (27347) |
$11,002 |
$11,002 |
3.3× |
| Remove muti-comp penis pros (54406) |
$25,390.50 |
$25,390.50 |
7.2× |
| Remove Pilonidal Cyst Exten (11771) |
$11,002 |
$11,002 |
3.8× |
| Remove prostate regrowth (52630) |
$25,390.50 |
$25,390.50 |
4.7× |
| Remove spinal canal catheter (62355) |
$35,370 |
$35,370 |
18.0× |
| Remove spine infusion device (62365) |
$32,081 |
$32,081 |
9.3× |
| Remove stent via transureth (50386) |
$25,390.50 |
$25,390.50 |
12.1× |
| Remove thyroid duct lesion (60280) |
$11,002 |
$11,002 |
1.8× |
| Remove tissue expander (11971) |
$9,420 |
$9,420 |
3.2× |
| Remove vc lesion w/scope (31545) |
$25,390.50 |
$25,390.50 |
6.8× |
| Remove wrist joint cartilage (25107) |
$11,002 |
$11,002 |
3.3× |
| Remove wrist tendon lesion (25111) |
$11,002 |
$11,002 |
6.8× |
| Remove/graft foot lesion (28107) |
$11,002 |
$11,002 |
1.5× |
| Remove/graft foot lesion (28103) |
$11,002 |
$11,002 |
1.5× |
| Remove/replace ur sphincter (53447) |
$25,390.50 |
$25,390.50 |
1.2× |
| Remv cartilage for graft nasal (20912) |
$25,390.50 |
$25,390.50 |
7.1× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$25,390.50 |
$25,390.50 |
15.3× |
| Remv Ext Canal Foreign Body (69200) |
$1,623 |
$1,623 |
12.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$723 |
$723 |
5.4× |
| Repair achilles tendon (27650) |
$32,081 |
$32,081 |
4.4× |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
$11,002 |
$11,002 |
3.3× |
| Repair arm tendon/muscle (24341) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$11,002 |
$11,002 |
3.5× |
| Repair brow defect (67900) |
$11,002 |
$11,002 |
4.6× |
| Repair collat ankle ligmnt,secondary (27698) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$5,382 |
$5,382 |
7.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$6,108 |
$6,108 |
8.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$4,927 |
$4,927 |
12.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$6,080 |
$6,080 |
14.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$4,480 |
$4,480 |
11.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$9,420 |
$9,420 |
23.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$9,420 |
$9,420 |
12.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$9,420 |
$9,420 |
12.7× |
| Repair eardrum structures (69635) |
$25,390.50 |
$25,390.50 |
4.3× |
| Repair elbow deb/attch open (24359) |
$32,081 |
$32,081 |
9.8× |
| Repair elbow perc (24357) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair Entropion Suture (67921) |
$11,002 |
$11,002 |
4.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$11,002 |
$11,002 |
6.8× |
| Repair eyelid defect (67908) |
$11,002 |
$11,002 |
4.6× |
| Repair eyelid defect (67904) |
$11,002 |
$11,002 |
4.6× |
| Repair finger tendon (26432) |
$11,002 |
$11,002 |
6.8× |
| Repair finger tendon (26433) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair finger/hand tendon (26350) |
$11,002 |
$11,002 |
3.3× |
| Repair finger/hand tendon (26370) |
$11,002 |
$11,002 |
3.3× |
| Repair foot dislocation (28585) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair forearm tendon/muscle (25270) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair forearm tendon/muscle (25260) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair hallux rigidus (28289) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair hand joint with graft (26542) |
$11,002 |
$11,002 |
3.3× |
| Repair hand tendon (26410) |
$25,390.50 |
$25,390.50 |
15.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$11,002 |
$11,002 |
3.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$25,390.50 |
$25,390.50 |
7.1× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$9,420 |
$9,420 |
23.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$3,315 |
$3,315 |
8.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$9,420 |
$9,420 |
23.1× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$11,002 |
$11,002 |
26.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$9,420 |
$9,420 |
23.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$4,734 |
$4,734 |
11.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$5,150 |
$5,150 |
6.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$3,102 |
$3,102 |
7.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$3,689 |
$3,689 |
9.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$4,611 |
$4,611 |
6.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$4,970 |
$4,970 |
12.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$9,420 |
$9,420 |
23.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$3,902 |
$3,902 |
9.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$3,994 |
$3,994 |
9.8× |
| Repair intrinsic muscles of hand (26591) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair kneecap tendon (27380) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair Laceration Palate </2 Cm (42180) |
$11,002 |
$11,002 |
20.3× |
| Repair lower leg tendons (27676) |
$32,081 |
$32,081 |
4.4× |
| Repair lumbar hernia (49540) |
$25,390.50 |
$25,390.50 |
4.2× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$11,002 |
$11,002 |
1.5× |
| Repair nasal septal perforations (30630) |
$25,390.50 |
$25,390.50 |
7.6× |
| Repair nasal vestibular stenosis (30465) |
$32,081 |
$32,081 |
5.4× |
| Repair of ankle ligament (27695) |
$32,081 |
$32,081 |
4.4× |
| Repair of eardrum structures (69631) |
$25,390.50 |
$25,390.50 |
4.3× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$11,002 |
$11,002 |
1.5× |
| Repair of foot bones (28320) |
$25,390.50 |
$25,390.50 |
2.0× |
| Repair Of Foot Tendon (28208) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair of hammertoe (28286) |
$11,002 |
$11,002 |
3.3× |
| Repair of hydrocele (55060) |
$25,390.50 |
$25,390.50 |
7.2× |
| Repair of knee cartilage (27403) |
$11,002 |
$11,002 |
1.5× |
| Repair of leg tendon each (27658) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair of nail bed (11760) |
$11,002 |
$11,002 |
14.8× |
| Repair of nasal septum (30520) |
$32,081 |
$32,081 |
9.6× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$11,002 |
$11,002 |
1.5× |
| Repair of rectocele (45560) |
$11,002 |
$11,002 |
3.9× |
| Repair of rectum (45505) |
$11,002 |
$11,002 |
3.9× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$32,081 |
$32,081 |
4.4× |
| Repair of shoulder (23420) |
$35,370 |
$35,370 |
4.9× |
| Repair of sperm duct (55400) |
$25,390.50 |
$25,390.50 |
7.2× |
| Repair of thigh musc (27385) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair of vagina (57260) |
$25,390.50 |
$25,390.50 |
5.1× |
| Repair rectum & vagina (57250) |
$11,002 |
$11,002 |
2.2× |
| Repair rotator cuff acute (23410) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair secondary achilles tendon w/wo graft (27654) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair shoulder capsule (23450) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair Tongue Laceration (41250) |
$3,562 |
$3,562 |
7.9× |
| Repair tympanic membrane (69610) |
$25,390.50 |
$25,390.50 |
16.3× |
| Repair wrist joints (25447) |
$32,081 |
$32,081 |
9.8× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$32,081 |
$32,081 |
9.8× |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique, etc) (27470) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair/graft achilles tendon (27652) |
$32,081 |
$32,081 |
4.4× |
| Repair/graft finger tendon (26428) |
$25,390.50 |
$25,390.50 |
7.7× |
| Repair/graft flex foot tendon (28202) |
$25,390.50 |
$25,390.50 |
3.5× |
| Repair/graft hand tendon (26358) |
$32,081 |
$32,081 |
4.4× |
| Repair/graft hand tendon (26352) |
$11,002 |
$11,002 |
1.5× |
| Repair/revise wrist joint (25320) |
$11,002 |
$11,002 |
1.5× |
| Replace g/c tube perc (49450) |
$4,048 |
$4,048 |
4.4× |
| Replace Tissue Expander (11970) |
$11,002 |
$11,002 |
1.5× |
| Reposition gastrostomy tube (43761) |
$1,460 |
$1,460 |
5.8× |
| Repr elbow lat ligmnt w/tiss (24343) |
$32,081 |
$32,081 |
9.8× |
| Rerepair fem hernia blocked (49557) |
$25,390.50 |
$25,390.50 |
7.1× |
| Rerepair ing hernia blocked (49521) |
$25,390.50 |
$25,390.50 |
3.9× |
| Rerepair ing hernia reduce (49520) |
$25,390.50 |
$25,390.50 |
7.1× |
| Resect face/scalp tum < 2 cm (21015) |
$11,002 |
$11,002 |
3.8× |
| Resect Inferior Turbinate (30140) |
$25,390.50 |
$25,390.50 |
7.6× |
| Resection of scrotum (55150) |
$25,390.50 |
$25,390.50 |
7.2× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$25,390.50 |
$25,390.50 |
7.7× |
| Revis reconst shoulder joint (23473) |
$35,370 |
$35,370 |
2.7× |
| Revise arm/leg nerve (64708) |
$25,390.50 |
$25,390.50 |
12.9× |
| Revise external ear (69300) |
$11,002 |
$11,002 |
3.3× |
| Revise finger joint (26535) |
$32,081 |
$32,081 |
9.8× |
| Revise hand/finger tendon (26390) |
$11,002 |
$11,002 |
1.5× |
| Revise hernia & sperm veins (55540) |
$11,002 |
$11,002 |
3.1× |
| Revise knuckle joint (26530) |
$11,002 |
$11,002 |
1.5× |
| Revise knuckle with implant (26531) |
$32,081 |
$32,081 |
4.4× |
| Revise low back nerve(s) (64714) |
$25,390.50 |
$25,390.50 |
12.9× |
| Revise median n/carpal tunnel surg (64721) |
$25,390.50 |
$25,390.50 |
12.9× |
| Revise middle ear & mastoid (69642) |
$11,002 |
$11,002 |
1.9× |
| Revise middle ear & mastoid (69645) |
$25,390.50 |
$25,390.50 |
4.3× |
| Revise middle ear & mastoid (69641) |
$25,390.50 |
$25,390.50 |
4.3× |
| Revise ulnar nerve at elbow (64718) |
$25,390.50 |
$25,390.50 |
12.9× |
| Revise ulnar nerve at wrist (64719) |
$25,390.50 |
$25,390.50 |
12.9× |
| Revise vag graft via vagina (57295) |
$25,390.50 |
$25,390.50 |
7.8× |
| Revise/implant finger joint (26536) |
$11,002 |
$11,002 |
1.5× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$39,791 |
$39,791 |
3.6× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$39,791 |
$39,791 |
2.3× |
| Revision of big toe (28310) |
$25,390.50 |
$25,390.50 |
3.5× |
| Revision of colostomy simple (44340) |
$25,390.50 |
$25,390.50 |
7.1× |
| Revision of cranial nerve (64716) |
$25,390.50 |
$25,390.50 |
12.9× |
| Revision of foot (28116) |
$25,390.50 |
$25,390.50 |
7.7× |
| Revision of lower eyelid (15821) |
$32,081 |
$32,081 |
15.5× |
| Revision of lower leg tendon (27685) |
$25,390.50 |
$25,390.50 |
7.7× |
| Revision of nose (30430) |
$25,390.50 |
$25,390.50 |
4.3× |
| Revision of nose (30450) |
$25,390.50 |
$25,390.50 |
4.3× |
| Revision of reconstructed breast (19380) |
$11,002 |
$11,002 |
1.6× |
| Revision of toe (28312) |
$11,002 |
$11,002 |
3.3× |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
$25,390.50 |
$25,390.50 |
2.0× |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
$39,791 |
$39,791 |
3.1× |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
$39,791 |
$39,791 |
3.1× |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
$35,370 |
$35,370 |
2.0× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$32,081 |
$32,081 |
2.5× |
| Revision of ulna (25360) |
$11,002 |
$11,002 |
1.5× |
| Revision of upper eyelid (15823) |
$32,081 |
$32,081 |
15.5× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$39,791 |
$39,791 |
11.3× |
| Revision peri-implant capsule breast (19370) |
$11,002 |
$11,002 |
2.8× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$39,791 |
$39,791 |
6.2× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$11,002 |
$11,002 |
3.1× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$15,708 |
$15,708 |
2.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$11,002 |
$11,002 |
3.1× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$25,390.50 |
$25,390.50 |
4.3× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$25,390.50 |
$25,390.50 |
4.3× |
| Rhytidectomy; Cheek, Chin, & Neck (15828) |
$11,002 |
$11,002 |
3.1× |
| Rmvl & rplcmt inflatable penile prosth same sess (54410) |
$25,390.50 |
$25,390.50 |
1.2× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$3,275 |
$3,275 |
6.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$2,879 |
$2,879 |
3.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$744 |
$744 |
1.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$876 |
$876 |
6.6× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$11,002 |
$11,002 |
3.8× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$25,390.50 |
$25,390.50 |
6.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$32,081 |
$32,081 |
20.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$25,390.50 |
$25,390.50 |
40.3× |
| Rmvl vitreous ant appr partial removal (67005) |
$25,390.50 |
$25,390.50 |
11.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$46,908 |
$46,908 |
7.7× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$25,390.50 |
$25,390.50 |
7.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$25,390.50 |
$25,390.50 |
16.1× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$25,390.50 |
$25,390.50 |
3.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$3,905 |
$3,905 |
16.4× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$4,156 |
$4,156 |
17.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$5,802 |
$5,802 |
10.7× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$25,390.50 |
$25,390.50 |
3.5× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$25,390.50 |
$25,390.50 |
3.5× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$25,390.50 |
$25,390.50 |
7.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$32,081 |
$32,081 |
9.8× |
| Scrotal exploration (55110) |
$11,002 |
$11,002 |
3.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$11,002 |
$11,002 |
11.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$11,002 |
$11,002 |
54.6× |
| Shldr arthroscop,lyse adhesns (29825) |
$25,390.50 |
$25,390.50 |
7.7× |
| Shoulder arthroscopy (29805) |
$32,081 |
$32,081 |
9.8× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$11,002 |
$11,002 |
11.8× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$11,002 |
$11,002 |
11.8× |
| Sigmoidoscopy w/fb removal (45332) |
$8,413 |
$8,413 |
7.0× |
| Simple biopsy of growth of throat behind nose (42804) |
$11,002 |
$11,002 |
3.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$2,728 |
$2,728 |
6.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$4,470 |
$4,470 |
22.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,544 |
$1,544 |
7.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,803 |
$1,803 |
8.9× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$2,198 |
$2,198 |
10.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$2,643 |
$2,643 |
13.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,641 |
$1,641 |
8.1× |
| Sinus endo w/balloon dil (31296) |
$32,081 |
$32,081 |
4.5× |
| Sinus endo w/balloon dil (31297) |
$32,081 |
$32,081 |
4.5× |
| Skin splt grft trnk/arm/leg (15100) |
$32,081 |
$32,081 |
15.5× |
| Skin sub graft face/nk/hf/g (15275) |
$11,002 |
$11,002 |
14.8× |
| Skin sub graft trnk/arm/leg (15271) |
$11,002 |
$11,002 |
14.8× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$11,002 |
$11,002 |
5.3× |
| Skin Tissue Procedure (17999) |
$9,420 |
$9,420 |
46.7× |
| Skin tissue rearrangement (14040) |
$11,002 |
$11,002 |
5.3× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$25,390.50 |
$25,390.50 |
7.1× |
| Skn sub grft f/n/hf/g child (15277) |
$11,002 |
$11,002 |
5.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$32,081 |
$32,081 |
6.4× |
| Slitting of prepuce (54001) |
$11,002 |
$11,002 |
5.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$2,643 |
$2,643 |
13.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$2,121 |
$2,121 |
5.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$2,563 |
$2,563 |
6.3× |
| Spinal puncture lumbar diagnostic (62270) |
$2,046 |
$2,046 |
2.9× |
| Spinal Puncture Therapeutic (62272) |
$2,627 |
$2,627 |
3.7× |
| Strapping ankle (29540) |
$615 |
$615 |
3.8× |
| Strapping elbow/wrist (29260) |
$843 |
$843 |
14.2× |
| Strapping hand/finger (29280) |
$832 |
$832 |
14.0× |
| Strapping Hip (29520) |
$791 |
$791 |
5.9× |
| Strapping knee (29530) |
$837 |
$837 |
6.3× |
| Strapping shoulder (29240) |
$943 |
$943 |
7.1× |
| Strapping toes (29550) |
$515 |
$515 |
8.7× |
| Strapping unna boot (29580) |
$2,643 |
$2,643 |
16.2× |
| Suction assisted lipectomy head & neck (15876) |
$25,390.50 |
$25,390.50 |
7.1× |
| Suction assisted lipectomy lower extremity (15879) |
$25,390.50 |
$25,390.50 |
7.1× |
| Suction assisted lipectomy upper extremity (15878) |
$25,390.50 |
$25,390.50 |
12.3× |
| Suction assisted lipectomy; trunk (15877) |
$25,390.50 |
$25,390.50 |
7.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$25,390.50 |
$25,390.50 |
9.1× |
| Suspension of testis (54620) |
$11,002 |
$11,002 |
3.1× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$11,002 |
$11,002 |
3.2× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$25,390.50 |
$25,390.50 |
12.9× |
| Suture of 1 nerve ulnar motor (64836) |
$11,002 |
$11,002 |
3.2× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$11,002 |
$11,002 |
3.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$32,081 |
$32,081 |
19.9× |
| Talectomy (astragalectomy) (28130) |
$32,081 |
$32,081 |
4.4× |
| Tendon excision palm/finger (26145) |
$32,081 |
$32,081 |
19.9× |
| Tendon lengthening (26476) |
$17.50 |
$17.50 |
0.0× |
| Tendon shortening (26477) |
$25,390.50 |
$25,390.50 |
7.7× |
| Tenodesis long tendon biceps (23430) |
$25,390.50 |
$25,390.50 |
3.5× |
| Tenodesis Wrist Extensors Fingers (25301) |
$9,420 |
$9,420 |
2.9× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$25,390.50 |
$25,390.50 |
7.7× |
| Tenolysis flexor foot single tendon (28220) |
$25,390.50 |
$25,390.50 |
15.7× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$11,002 |
$11,002 |
6.8× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$25,390.50 |
$25,390.50 |
7.7× |
| Tenotomy abductors&/extensor hip open spx (27006) |
$25,390.50 |
$25,390.50 |
7.7× |
| Tenotomy adductor hip percutaneous spx (27000) |
$25,390.50 |
$25,390.50 |
15.7× |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
$4,877 |
$4,877 |
1.5× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$25,390.50 |
$25,390.50 |
15.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$25,390.50 |
$25,390.50 |
7.7× |
| Tenotomy shoulder area single tendon (23405) |
$25,390.50 |
$25,390.50 |
3.5× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$2,435 |
$2,435 |
1.5× |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
$25,390.50 |
$25,390.50 |
7.7× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$11,002 |
$11,002 |
6.8× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$9,420 |
$9,420 |
13.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$9,420 |
$9,420 |
14.9× |
| Throat Surgery Procedure (42999) |
$25,390.50 |
$25,390.50 |
106.7× |
| Thrombolytic Therapy, Stroke (37195) |
$1,523 |
$1,523 |
4.6× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$25,390.50 |
$25,390.50 |
4.3× |
| Thyroidectomy, total or complete (60240) |
$25,390.50 |
$25,390.50 |
4.2× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$25,390.50 |
$25,390.50 |
4.3× |
| Tibial arthroscopy/surgery (29855) |
$25,390.50 |
$25,390.50 |
3.5× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$9,420 |
$9,420 |
4.5× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$9,420 |
$9,420 |
4.5× |
| Tissue expander placement breast reconstruction (19357) |
$11,002 |
$11,002 |
0.8× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$25,390.50 |
$25,390.50 |
7.6× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$39,791 |
$39,791 |
2.3× |
| Total hip arthroplasty (27130) |
$39,791 |
$39,791 |
3.1× |
| Total knee arthroplasty (27447) |
$35,370 |
$35,370 |
2.7× |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
$25,390.50 |
$25,390.50 |
3.5× |
| Trach Tube Change (31502) |
$7,085 |
$7,085 |
29.8× |
| Tracheostomy planned (31600) |
$4,347 |
$4,347 |
1.3× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$11,002 |
$11,002 |
5.6× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$39,791 |
$39,791 |
5.5× |
| Transplant forearm tendon (25310) |
$25,390.50 |
$25,390.50 |
7.7× |
| Transplant hand tendon (26480) |
$25,390.50 |
$25,390.50 |
7.7× |
| Transurethral resection of bladder neck (52500) |
$9,420 |
$9,420 |
2.7× |
| Treat clavicle dislocation (23552) |
$25,390.50 |
$25,390.50 |
3.5× |
| Treat ectopic pregnancy (59151) |
$25,390.50 |
$25,390.50 |
4.2× |
| Treat elbow dislocation (24615) |
$11,002 |
$11,002 |
1.5× |
| Treat Finger Fracture Each (26727) |
$32,081 |
$32,081 |
9.8× |
| Treat Fracture Radius & Ulna (25560) |
$3,575 |
$3,575 |
14.4× |
| Treat fracture radius/ulna (25575) |
$11,002 |
$11,002 |
1.5× |
| Treat fx distal radial (25606) |
$11,002 |
$11,002 |
3.3× |
| Treat fx rad extra-articul (25607) |
$25,390.50 |
$25,390.50 |
3.5× |
| Treat heel fracture (28415) |
$25,390.50 |
$25,390.50 |
3.5× |
| Treat humerus fracture (23630) |
$32,081 |
$32,081 |
4.4× |
| Treat humerus fracture (23600) |
$4,200 |
$4,200 |
16.9× |
| Treat lower jaw fracture (21465) |
$25,390.50 |
$25,390.50 |
4.3× |
| Treat lower leg fracture (27828) |
$25,390.50 |
$25,390.50 |
2.0× |
| Treat Lower Leg Fracture (27827) |
$25,390.50 |
$25,390.50 |
2.0× |
| Treat radius fracture (24665) |
$25,390.50 |
$25,390.50 |
3.5× |
| Treat sesamoid bone fracture (28531) |
$32,081 |
$32,081 |
4.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$11,002 |
$11,002 |
6.8× |
| Treat toe fracture (28525) |
$32,081 |
$32,081 |
9.8× |
| Treat ulnar fracture (24685) |
$25,390.50 |
$25,390.50 |
3.5× |
| Treat wrist bone fracture (25635) |
$5,788 |
$5,788 |
3.6× |
| Treat wrist bone fracture (25622) |
$3,911 |
$3,911 |
15.8× |
| Treat Wrist Bone Fracture (25630) |
$3,902 |
$3,902 |
15.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$4,675 |
$4,675 |
18.9× |
| Treatment of ankle fracture (27822) |
$11,002 |
$11,002 |
1.5× |
| Treatment of ankle fracture (27792) |
$32,081 |
$32,081 |
4.4× |
| Treatment of bone cyst (20615) |
$9,420 |
$9,420 |
13.2× |
| Treatment of foot infection (28003) |
$9,420 |
$9,420 |
2.9× |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
$11,002 |
$11,002 |
1.5× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$9,420 |
$9,420 |
2.9× |
| Treatment of tibia fracture (27759) |
$25,390.50 |
$25,390.50 |
2.0× |
| Trim skin lesion (11055) |
$606 |
$606 |
3.0× |
| Trurl dstrj prstate tiss rf thermoth (53852) |
$11,002 |
$11,002 |
3.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$25,390.50 |
$25,390.50 |
9.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$11,002 |
$11,002 |
3.4× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$9,420 |
$9,420 |
2.9× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$25,390.50 |
$25,390.50 |
15.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$3,603 |
$3,603 |
4.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$2,177 |
$2,177 |
5.3× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$25,390.50 |
$25,390.50 |
125.0× |
| Unlisted laparoscopic procedure liver (47379) |
$11,002 |
$11,002 |
1.8× |
| Unlisted laparoscopy procedure, biliary tract (47579) |
$11,002 |
$11,002 |
1.8× |
| Unlisted laparoscopy procedure, bladder (51999) |
$25,390.50 |
$25,390.50 |
4.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$11,002 |
$11,002 |
1.8× |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
$11,002 |
$11,002 |
1.8× |
| Unlisted laparoscopy procedure, stomach (43659) |
$25,390.50 |
$25,390.50 |
4.2× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$25,390.50 |
$25,390.50 |
4.2× |
| Unlisted procedure accessory sinuses (31299) |
$11,002 |
$11,002 |
46.2× |
| Unlisted Procedure Breast (19499) |
$11,002 |
$11,002 |
2.8× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$9,420 |
$9,420 |
39.6× |
| Unlisted procedure femur or knee (27599) |
$11,002 |
$11,002 |
44.4× |
| Unlisted procedure foot or toes (28899) |
$25,390.50 |
$25,390.50 |
102.5× |
| Unlisted procedure humerus/elbow (24999) |
$25,390.50 |
$25,390.50 |
102.5× |
| Unlisted procedure leg/ankle (27899) |
$25,390.50 |
$25,390.50 |
102.5× |
| Unlisted Procedure Nervous System (64999) |
$9,420 |
$9,420 |
30.5× |
| Unlisted procedure shoulder (23929) |
$25,390.50 |
$25,390.50 |
102.5× |
| Unlisted procedure, hands or fingers (26989) |
$11,002 |
$11,002 |
44.4× |
| Unlisted procedure, male genital system (55899) |
$11,002 |
$11,002 |
43.8× |
| Unlisted procedure, stomach (43999) |
$11,002 |
$11,002 |
12.1× |
| Unlisted px female genital system nonobstetrical (58999) |
$11,002 |
$11,002 |
54.2× |
| Urology Surgery Procedure (53899) |
$25,390.50 |
$25,390.50 |
101.2× |
| Vag hyst complex (58290) |
$32,081 |
$32,081 |
4.3× |
| Vaginal delivery only (59409) |
$10,384 |
$10,384 |
3.2× |
| Vaginal hysterectomy (58260) |
$32,081 |
$32,081 |
6.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$25,390.50 |
$25,390.50 |
5.1× |
| Vasectomy (55250) |
$11,002 |
$11,002 |
5.2× |
| Venipuncture (36415) |
$133 |
$133 |
14.2× |
| Ventilating tube removal requiring general anesthesia (69424) |
$9,420 |
$9,420 |
2.8× |
| Vulvectomy simple partial (56620) |
$11,002 |
$11,002 |
3.4× |
| Windowing of cast (29730) |
$1,076 |
$1,076 |
6.6× |
| Wound Prep F/N/Hf/G (15004) |
$11,002 |
$11,002 |
26.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$11,002 |
$11,002 |
14.8× |
| Wrist arthroscop,excis triang cart (29846) |
$25,390.50 |
$25,390.50 |
7.7× |
| Wrist arthroscopy (29840) |
$25,390.50 |
$25,390.50 |
7.7× |
| Wrist arthroscopy/surgery (29845) |
$9,420 |
$9,420 |
2.9× |
| Xfer single deep low leg tendon (27691) |
$25,390.50 |
$25,390.50 |
3.5× |