| Abd paracentesis w/imaging (49083) |
$2,174 |
$2,174 |
2.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,096 |
$2,096 |
2.5× |
| Acne Surgery (10040) |
$236 |
$236 |
1.3× |
| Adding Walker Previously Applied Cast (29440) |
$168 |
$168 |
1.1× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,222 |
$1,222 |
0.6× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,743 |
$1,743 |
0.5× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,534 |
$1,534 |
0.8× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,362 |
$1,362 |
0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,652 |
$1,652 |
0.9× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$1,523.50 |
$1,523.50 |
0.8× |
| Amputation Finger/Thumb (26951) |
$1,333.50 |
$1,333.50 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$1,201 |
$1,201 |
0.4× |
| Amputation of finger/thumb (26952) |
$2,452 |
$2,452 |
0.8× |
| Amputation thigh through femur any level (27590) |
$1,520 |
$1,520 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$1,433.50 |
$1,433.50 |
0.5× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$1,433.50 |
$1,433.50 |
0.5× |
| Amputation, foot; transmetatarsal (28805) |
$1,147 |
$1,147 |
0.4× |
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure |
$1,693 |
$1,693 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$1,237 |
$1,237 |
0.4× |
Ankle arthroscopy/surgery (29892)
likely a partial charge, not the full procedure |
$1,277.50 |
$1,277.50 |
0.2× |
| Ankle arthroscopy/surgery (29894) |
$1,379.50 |
$1,379.50 |
0.5× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$1,118.50 |
$1,118.50 |
0.4× |
| Ankle scope,part synovectomy (29895) |
$935.50 |
$935.50 |
0.3× |
| Anoscopy Ablation Lesion (46615) |
$273.50 |
$273.50 |
0.1× |
| Anoscopy diagnostic (46600) |
$156 |
$156 |
1.3× |
| Anoscopy; with biopsy, single or multiple (46606) |
$440 |
$440 |
0.4× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$215 |
$215 |
0.1× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$972.50 |
$972.50 |
0.2× |
Appendectomy (44950)
likely a partial charge, not the full procedure |
$1,320 |
$1,320 |
0.2× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$523 |
$523 |
3.5× |
| Application cast elbow finger short arm (29075) |
$240 |
$240 |
0.9× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$312.50 |
$312.50 |
2.1× |
| Application cast shoulder hand long arm (29065) |
$256 |
$256 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$546 |
$546 |
10.1× |
| Application finger splint static (29130) |
$188 |
$188 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$508 |
$508 |
3.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$522 |
$522 |
2.0× |
| Application long leg splint thigh ankle/toes (29505) |
$317 |
$317 |
2.1× |
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692)
likely a partial charge, not the full procedure |
$2,217 |
$2,217 |
0.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$412 |
$412 |
1.6× |
| Application of long leg cast (29345) |
$376.50 |
$376.50 |
1.5× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$1,413 |
$1,413 |
5.5× |
| Application Short Arm Splint Dynamic (29126) |
$546 |
$546 |
4.5× |
| Application short arm splint forearm-hand static (29125) |
$362 |
$362 |
3.0× |
| Application short leg splint calf foot (29515) |
$454.50 |
$454.50 |
3.0× |
| Apply long leg cast brace (29358) |
$495 |
$495 |
1.9× |
| Apply multlay comprs arm/hand (29584) |
$207 |
$207 |
1.4× |
| Apply short leg cast (29405) |
$258.50 |
$258.50 |
1.0× |
| Apply short leg cast (29425) |
$337 |
$337 |
1.3× |
| Arterial puncture (36600) |
$210 |
$210 |
1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$150 |
$150 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$156 |
$156 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$215.50 |
$215.50 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$313 |
$313 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$160 |
$160 |
0.6× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure |
$1,114.50 |
$1,114.50 |
0.2× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$3,123.50 |
$3,123.50 |
0.2× |
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446)
likely a partial charge, not the full procedure |
$2,191 |
$2,191 |
0.2× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure |
$1,823 |
$1,823 |
0.3× |
| Arthroscopy ankle; ext debridem (29898) |
$948 |
$948 |
0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,365 |
$1,365 |
0.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$826 |
$826 |
0.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$855 |
$855 |
0.3× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$1,778 |
$1,778 |
0.6× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$1,169 |
$1,169 |
0.4× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,274 |
$1,274 |
0.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$1,606 |
$1,606 |
0.5× |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
$3,507 |
$3,507 |
0.5× |
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867)
likely a partial charge, not the full procedure |
$3,499 |
$3,499 |
0.3× |
Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866)
unusually low: confirm this is the full procedure |
$2,190 |
$2,190 |
0.3× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$1,549 |
$1,549 |
0.5× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,434 |
$1,434 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$1,118.50 |
$1,118.50 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,100 |
$2,100 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure |
$1,305 |
$1,305 |
0.2× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$1,892 |
$1,892 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,147 |
$1,147 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$1,015.50 |
$1,015.50 |
0.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$1,720 |
$1,720 |
0.6× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure |
$1,843.50 |
$1,843.50 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$895.50 |
$895.50 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,219.50 |
$2,219.50 |
0.3× |
| Arthrotomy Elbow W/Synovial Biopsy Only (24100) |
$1,299 |
$1,299 |
0.4× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$1,707.50 |
$1,707.50 |
0.6× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$1,256 |
$1,256 |
0.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$115 |
$115 |
0.4× |
Autochondrocyte implant knee (27412)
unusually low: confirm this is the full procedure |
$3,091 |
$3,091 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$166.50 |
$166.50 |
0.9× |
| Biopsy bone trocar/needle deep (20225) |
$1,505 |
$1,505 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$7,947 |
$7,947 |
5.2× |
| Biopsy Breast Open Incisional (19101) |
$660 |
$660 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$244.50 |
$244.50 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$2,280 |
$2,280 |
1.5× |
| Biopsy of uterus lining (58100) |
$257 |
$257 |
1.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$688 |
$688 |
0.2× |
| Biopsy Salivary Gland,Needle (42400) |
$4,280 |
$4,280 |
6.6× |
| Biopsy soft tissue neck/thorax (21550) |
$9,443 |
$9,443 |
6.2× |
| Biopsy/removal lymph nodes (38525) |
$917 |
$917 |
0.3× |
| Biopsy/removal lymph nodes (38510) |
$1,038 |
$1,038 |
0.3× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$3,062 |
$3,062 |
4.8× |
| Bladder Scan (51798) |
$139 |
$139 |
2.6× |
| Blood patch (62273) |
$799 |
$799 |
1.2× |
| Blood transfusion service (36430) |
$1,175 |
$1,175 |
2.9× |
| Bone marrow aspiration only (38220) |
$487 |
$487 |
0.3× |
| Bone Marrow Biopsy (38221) |
$3,314.50 |
$3,314.50 |
2.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$357 |
$357 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$370 |
$370 |
0.2× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$517 |
$517 |
0.3× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$2,581 |
$2,581 |
1.7× |
| Bx anorectal wall anal approach (45100) |
$579.50 |
$579.50 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$8,309 |
$8,309 |
5.5× |
| Bx vulva/perineum 1 lesion (56605) |
$129 |
$129 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$7,586 |
$7,586 |
5.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$757 |
$757 |
3.8× |
| Change Cystostomy Tube Simple (51705) |
$560.50 |
$560.50 |
2.4× |
| Chemical Cautery Tissue (17250) |
$114 |
$114 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$234 |
$234 |
0.8× |
| Chemodenervation of eccrine glands; both axillae (64650) |
$139 |
$139 |
0.5× |
| Chest tube placement (32551) |
$344 |
$344 |
0.2× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$386 |
$386 |
3.2× |
| Circum 28 days or older (54161) |
$3,758 |
$3,758 |
2.0× |
| Circumcision (54150) |
$525 |
$525 |
0.3× |
| Circumcision Neonate (54160) |
$453 |
$453 |
0.7× |
| Claviculectomy; partial (23120) |
$898.50 |
$898.50 |
0.3× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,283 |
$1,283 |
0.9× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$616 |
$616 |
2.7× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,871 |
$1,871 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$934 |
$934 |
4.1× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,096 |
$1,096 |
0.7× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,776 |
$1,776 |
1.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,352 |
$1,352 |
0.9× |
| Closed Rx Radial Shaft Fx (25500) |
$747 |
$747 |
3.3× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,388 |
$1,388 |
6.1× |
| Closed Rx Tibial Plateau Fx (27530) |
$1,568 |
$1,568 |
6.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$4,366 |
$4,366 |
3.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$714 |
$714 |
3.1× |
| Closed treatment nasal fracture w/stabilization (21320) |
$314 |
$314 |
0.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$383 |
$383 |
1.7× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$897.50 |
$897.50 |
4.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$919 |
$919 |
4.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,765 |
$1,765 |
7.8× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$459 |
$459 |
2.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$751 |
$751 |
3.3× |
| Closed Treatment Sternum Fracture (21820) |
$553 |
$553 |
2.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,214 |
$1,214 |
5.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$2,053 |
$2,053 |
9.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,704 |
$1,704 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$975 |
$975 |
4.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,458 |
$1,458 |
6.4× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$1,310 |
$1,310 |
5.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,637 |
$1,637 |
1.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$2,601 |
$2,601 |
11.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$2,227 |
$2,227 |
9.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,027 |
$3,027 |
2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$831.50 |
$831.50 |
3.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,381 |
$1,381 |
0.9× |
| Closed tx nasal fracture w/o stabilization (21315) |
$599 |
$599 |
0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,085 |
$1,085 |
4.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$2,048 |
$2,048 |
9.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$908 |
$908 |
4.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,546 |
$1,546 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$746.50 |
$746.50 |
3.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,802 |
$1,802 |
1.2× |
| Closed tx septal&nose fx (21337) |
$1,156 |
$1,156 |
0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,255 |
$1,255 |
5.5× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$651 |
$651 |
2.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$855 |
$855 |
3.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,638 |
$1,638 |
1.1× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$1,088 |
$1,088 |
4.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$953 |
$953 |
4.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$2,168 |
$2,168 |
4.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,120 |
$1,120 |
4.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$933 |
$933 |
4.1× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,286 |
$1,286 |
0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$620.50 |
$620.50 |
2.7× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$471 |
$471 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,222.50 |
$1,222.50 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,927 |
$1,927 |
8.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$929 |
$929 |
0.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$443 |
$443 |
2.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,491 |
$1,491 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$671.50 |
$671.50 |
3.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,387.50 |
$1,387.50 |
6.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,636 |
$1,636 |
7.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,217 |
$1,217 |
5.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$892.50 |
$892.50 |
3.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,472 |
$1,472 |
6.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$575.50 |
$575.50 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$711 |
$711 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,010.50 |
$1,010.50 |
0.7× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$3,647 |
$3,647 |
2.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$2,194 |
$2,194 |
9.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$2,280 |
$2,280 |
10.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,203 |
$3,203 |
2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$402 |
$402 |
1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$525.50 |
$525.50 |
2.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$566 |
$566 |
2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$629 |
$629 |
2.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,656 |
$2,656 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$600 |
$600 |
2.6× |
| Cltx greater trochanteric fx w/o manj (27246) |
$2,060 |
$2,060 |
9.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$2,584 |
$2,584 |
11.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,694.50 |
$1,694.50 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$342 |
$342 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$719 |
$719 |
3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,566 |
$1,566 |
6.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$596 |
$596 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$788.50 |
$788.50 |
3.5× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$757 |
$757 |
3.3× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$1,163 |
$1,163 |
5.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$601.50 |
$601.50 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$499.50 |
$499.50 |
2.2× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$3,770 |
$3,770 |
2.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,307 |
$1,307 |
5.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,526 |
$1,526 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$858.50 |
$858.50 |
3.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$796 |
$796 |
3.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$2,802 |
$2,802 |
12.4× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$3,674.50 |
$3,674.50 |
2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,770 |
$2,770 |
1.9× |
| Coccygectomy Primary (27080) |
$1,334 |
$1,334 |
0.4× |
| Colonoscopy flex w/rem forcep (45384) |
$860 |
$860 |
0.8× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$615 |
$615 |
0.6× |
| Colonoscopy stoma w/biopsy (44389) |
$723 |
$723 |
0.7× |
| Colonoscopy stoma w/snare (44394) |
$701 |
$701 |
0.6× |
| Colonoscopy thru stoma (44388) |
$688 |
$688 |
0.8× |
| Colonoscopy w/ablation (45388) |
$488 |
$488 |
0.4× |
| Colonoscopy w/fb removal (45379) |
$518 |
$518 |
0.5× |
| Colonoscopy w/resection (45390) |
$631 |
$631 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$402 |
$402 |
1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$216 |
$216 |
1.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$478 |
$478 |
0.2× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
$162 |
$162 |
0.6× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$165 |
$165 |
0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$338 |
$338 |
0.4× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,319 |
$1,319 |
1.2× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$451 |
$451 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$798 |
$798 |
0.7× |
| Complex Drainage, Wound (10180) |
$465 |
$465 |
0.2× |
| Conization of cervix (57520) |
$643 |
$643 |
0.2× |
| Conization of cervix (57522) |
$474 |
$474 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$564 |
$564 |
4.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$318 |
$318 |
2.6× |
| Correction of bunion (28292) |
$1,148 |
$1,148 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$1,566 |
$1,566 |
12.8× |
| Cystourethroscopy (52000) |
$1,256 |
$1,256 |
2.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$115 |
$115 |
0.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,023 |
$1,023 |
0.4× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$928.50 |
$928.50 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$595 |
$595 |
0.9× |
| Debride nail 1-5 (11720) |
$74 |
$74 |
1.4× |
| Debride skin musc at fx site (11011) |
$631 |
$631 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$232 |
$232 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$433 |
$433 |
0.6× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$596 |
$596 |
0.4× |
| Declot vascular device (36593) |
$268 |
$268 |
0.9× |
| Decompression of leg (27892) |
$1,652 |
$1,652 |
0.5× |
| Delivery placenta separate procedure (59414) |
$359 |
$359 |
0.1× |
| Destr penis lesn,simpl,laser surg (54057) |
$177 |
$177 |
0.1× |
| Destroy internal hemorrhoids (46930) |
$290 |
$290 |
0.3× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$256 |
$256 |
0.7× |
| Destruction anal lesion(s) (46924) |
$446 |
$446 |
0.2× |
| Destruction benign lesions 15 or more (17111) |
$233 |
$233 |
1.3× |
| Destruction Benign Lesions Up To 14 (17110) |
$344 |
$344 |
1.9× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$843 |
$843 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$523 |
$523 |
0.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$380 |
$380 |
2.1× |
| Destruction premalignant lesion 1st (17000) |
$147 |
$147 |
0.8× |
| Destruction vaginal lesions simple (57061) |
$258 |
$258 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$5,822 |
$5,822 |
9.0× |
| Diagnostic sigmoidoscopy (45330) |
$359 |
$359 |
0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$488 |
$488 |
0.2× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$316 |
$316 |
0.4× |
| Dilation of anal sphincter (45905) |
$311 |
$311 |
0.3× |
| Dilation of cervical canal (57800) |
$180 |
$180 |
0.1× |
| Dilation of urethra (53665) |
$86 |
$86 |
0.0× |
| Division of fallopian tube (58600) |
$659.50 |
$659.50 |
0.2× |
| Drain shoulder lesion (23030) |
$548 |
$548 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$138 |
$138 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$512 |
$512 |
0.8× |
| Drainage Finger Abscess Complicated (26011) |
$727 |
$727 |
0.5× |
| Drainage Finger Abscess Simple (26010) |
$366.50 |
$366.50 |
2.0× |
| Drainage of eyelid abscess (67700) |
$618 |
$618 |
2.1× |
| Drainage of gum lesion (41800) |
$274 |
$274 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$415.50 |
$415.50 |
0.3× |
| Draw blood off venous device (36591) |
$386 |
$386 |
3.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$397 |
$397 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$496 |
$496 |
2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.50 |
$195.50 |
1.1× |
| Dry Needling 3+ Muscles (20561) |
$30 |
$30 |
1.1× |
| Dstrj lesion anus simple surg excision (46922) |
$574 |
$574 |
0.2× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$253 |
$253 |
0.1× |
| Dx bone marrow bx & aspir (38222) |
$6,307 |
$6,307 |
2.4× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$283 |
$283 |
0.2× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$440 |
$440 |
0.2× |
| Egd flexible foreign body removal (43247) |
$631 |
$631 |
0.8× |
| Egd place gastrostomy tube (43246) |
$367 |
$367 |
0.2× |
| Egd rem tumr/polyp forcep (43250) |
$305 |
$305 |
0.2× |
| Egd remove lesion snare (43251) |
$917 |
$917 |
0.5× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$626 |
$626 |
0.4× |
| Egd Varices Ligation (43244) |
$488 |
$488 |
0.3× |
| Elbow arthroscopy/surgery (29838) |
$1,179 |
$1,179 |
0.4× |
| Endocervical Curettage (57505) |
$187.50 |
$187.50 |
0.2× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$590 |
$590 |
0.2× |
| Endoven ther chem adhes 1st (36482) |
$9,861 |
$9,861 |
1.9× |
| Endovenous rf 1st vein (36475) |
$9,861 |
$9,861 |
3.4× |
| Enterorrhaphy single perforation (44602) |
$3,446 |
$3,446 |
1.0× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$2,187 |
$2,187 |
0.6× |
| Escharotomy initial incision (16035) |
$876 |
$876 |
2.3× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$216 |
$216 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$100 |
$100 |
0.8× |
| Exc abd les sc 3 cm/> (22903) |
$737.50 |
$737.50 |
0.3× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$751 |
$751 |
0.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$996 |
$996 |
0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$354 |
$354 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$411.50 |
$411.50 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$616.50 |
$616.50 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$628 |
$628 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$238.50 |
$238.50 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$393.50 |
$393.50 |
0.3× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$958 |
$958 |
0.6× |
| Exc forearm les sc 3 cm/> (25071) |
$772 |
$772 |
0.5× |
| Exc forearm les sc < 3 cm (25075) |
$688 |
$688 |
0.5× |
| Exc hand les sc < 1.5 cm (26115) |
$976 |
$976 |
0.6× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$200 |
$200 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$671 |
$671 |
0.5× |
| Exc neck tum deep < 5 cm (21556) |
$1,307 |
$1,307 |
0.5× |
| Exc Rect Tum Transanal Full (45172) |
$1,385 |
$1,385 |
0.5× |
| Exc shoulder les sc 3 cm/> (23071) |
$745.50 |
$745.50 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$349.50 |
$349.50 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$289 |
$289 |
0.8× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$346 |
$346 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$436.50 |
$436.50 |
0.7× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$413 |
$413 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$385 |
$385 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$585.50 |
$585.50 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$548.50 |
$548.50 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$560 |
$560 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$739 |
$739 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$699 |
$699 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$789 |
$789 |
0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$775 |
$775 |
0.3× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$237 |
$237 |
0.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,162 |
$1,162 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,021 |
$1,021 |
0.7× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$976 |
$976 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$861 |
$861 |
0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$570 |
$570 |
0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$771 |
$771 |
0.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$1,176 |
$1,176 |
0.4× |
| Excis jt lining,mc-p jt,each digit (26135) |
$1,198 |
$1,198 |
0.4× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,262 |
$1,262 |
0.9× |
| Excise/repair mouth lesion (40812) |
$312.50 |
$312.50 |
0.2× |
| Excision Breast Lesion (19125) |
$987 |
$987 |
0.3× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$532 |
$532 |
0.2× |
| Excision hydrocele bilateral (55041) |
$866 |
$866 |
0.3× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$339 |
$339 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$486 |
$486 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$454 |
$454 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$497 |
$497 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$554.50 |
$554.50 |
0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$354 |
$354 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$294 |
$294 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$497 |
$497 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$638 |
$638 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$325 |
$325 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$405 |
$405 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$448 |
$448 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$528.50 |
$528.50 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$597 |
$597 |
0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$572 |
$572 |
0.2× |
| Excision of bartholin's gland or cyst (56740) |
$976 |
$976 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$351.50 |
$351.50 |
0.5× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$331 |
$331 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$804 |
$804 |
0.5× |
| Excision of hydrocele; unilateral (55040) |
$757 |
$757 |
0.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,062 |
$1,062 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$305 |
$305 |
0.2× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$203 |
$203 |
0.1× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$989.50 |
$989.50 |
0.7× |
| Excision of nail fold toe (11765) |
$295 |
$295 |
0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$448 |
$448 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$431 |
$431 |
0.4× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$641 |
$641 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$3,048 |
$3,048 |
1.0× |
| Excision olecranon bursa (24105) |
$731.50 |
$731.50 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$1,146 |
$1,146 |
0.4× |
| Excision or fulguration; Skene's glands (53270) |
$346 |
$346 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,210.50 |
$1,210.50 |
0.5× |
| Excision Prepatellar Bursa (27340) |
$603 |
$603 |
0.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$966 |
$966 |
0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$826 |
$826 |
0.5× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$747 |
$747 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$1,109 |
$1,109 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$1,269 |
$1,269 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$913.50 |
$913.50 |
0.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,016 |
$1,016 |
0.7× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$970 |
$970 |
0.3× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$994.50 |
$994.50 |
0.3× |
| Excision/destruction intranasal lesion int appr (30117) |
$826 |
$826 |
0.3× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure |
$1,353 |
$1,353 |
0.3× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$788.50 |
$788.50 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$581 |
$581 |
0.4× |
| Exploration of knee joint (27310) |
$1,810 |
$1,810 |
0.6× |
| Exploration penetrating wound spx chest (20101) |
$1,889 |
$1,889 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$810 |
$810 |
0.5× |
| Explore/treat ankle joint (27610) |
$1,245 |
$1,245 |
0.4× |
| Explore/treat elbow joint (24101) |
$973 |
$973 |
0.3× |
| External Cephalic Version (59412) |
$6,021 |
$6,021 |
2.0× |
| Fasciotomy Iliotibial Open (27305) |
$955.50 |
$955.50 |
0.3× |
| Fasciotomy palmar open partial (26045) |
$1,274 |
$1,274 |
0.4× |
| Fasciotomy palmar percutaneous (26040) |
$981 |
$981 |
0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,835 |
$1,835 |
0.6× |
| Fetal non-stress test (59025) |
$582 |
$582 |
3.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$3,986 |
$3,986 |
6.1× |
| Fixation of knee joint (27570) |
$328 |
$328 |
0.2× |
| Fixation of shoulder (23700) |
$319 |
$319 |
0.2× |
| Fluid pressure muscle (20950) |
$459 |
$459 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$800 |
$800 |
3.6× |
| Frmj direct/tube pedicle w/wo tr scalp arms/legs (15572) |
$1,233 |
$1,233 |
0.4× |
| Fusion Finger Joint (26860) |
$1,205 |
$1,205 |
0.4× |
Fusion of knuckle (26850)
likely a partial charge, not the full procedure |
$52 |
$52 |
0.0× |
Fusion of knuckle with graft (26852)
likely a partial charge, not the full procedure |
$1,719 |
$1,719 |
0.3× |
Fusion of thumb (26841)
likely a partial charge, not the full procedure |
$1,549 |
$1,549 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$58 |
$58 |
0.3× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,639 |
$2,639 |
0.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,094 |
$1,094 |
1.7× |
Hemiarthroplasty Hip Partial (27125)
likely a partial charge, not the full procedure |
$2,093.50 |
$2,093.50 |
0.2× |
| Hemorrhoidectomy (46255) |
$958 |
$958 |
0.4× |
| Hemorrhoidectomy external complete (46250) |
$961 |
$961 |
0.4× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$861 |
$861 |
0.3× |
| Hysteroscopy ablation (58563) |
$546 |
$546 |
0.1× |
| Hysteroscopy biopsy (58558) |
$595 |
$595 |
0.2× |
| Hysteroscopy dx sep proc (58555) |
$517 |
$517 |
0.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$1,454 |
$1,454 |
0.5× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$928 |
$928 |
0.2× |
| I&d abscess simple (10060) |
$193 |
$193 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,292 |
$1,292 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$431 |
$431 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,257 |
$1,257 |
0.4× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$1,566 |
$1,566 |
0.5× |
| I&d perianal abscess superficial (46050) |
$386 |
$386 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$268.50 |
$268.50 |
0.4× |
| I&D Upper Arm/Elbow Bursa (23931) |
$545 |
$545 |
0.4× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$133 |
$133 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$1,360 |
$1,360 |
0.9× |
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure |
$1,352 |
$1,352 |
0.2× |
| Incis Deep Arm/Elbow Bone Lesion (23935) |
$1,104 |
$1,104 |
0.4× |
| Incise finger tendon sheath (26055) |
$1,133.50 |
$1,133.50 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$380 |
$380 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$888 |
$888 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$473 |
$473 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$512 |
$512 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$268 |
$268 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$259 |
$259 |
1.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$230 |
$230 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$844 |
$844 |
0.6× |
| Incision labial frenum frenotomy (40806) |
$236.50 |
$236.50 |
0.5× |
| Incision of lingual frenum (41010) |
$402 |
$402 |
0.3× |
| Incision of rectal abscess (46040) |
$1,241.50 |
$1,241.50 |
1.1× |
| Incision thrombosed hemorrhoid external (46083) |
$805 |
$805 |
3.5× |
| Incisional biopsy skin single lesion (11106) |
$233.50 |
$233.50 |
0.3× |
| Initial tx 1st degree burn local tx (16000) |
$111 |
$111 |
0.6× |
| Inj tendon sheath/ligament (20550) |
$228 |
$228 |
0.8× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$261.50 |
$261.50 |
0.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,039.50 |
$1,039.50 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$305 |
$305 |
0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$234 |
$234 |
0.3× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$130 |
$130 |
0.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$299.50 |
$299.50 |
0.4× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$145 |
$145 |
0.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$317 |
$317 |
0.5× |
| Inject Tendon Origin/Insert (20551) |
$138 |
$138 |
0.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$832 |
$832 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$510 |
$510 |
0.8× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$832 |
$832 |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$219 |
$219 |
0.3× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$832 |
$832 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$242 |
$242 |
0.9× |
| Injection anes other peripheral nerve/branch (64450) |
$201 |
$201 |
0.3× |
| Injection for identification of sentinel node (38792) |
$1,013 |
$1,013 |
2.8× |
| Injection of drug into cavity behind eye (67500) |
$237 |
$237 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$166 |
$166 |
0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$145 |
$145 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$127 |
$127 |
0.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$161 |
$161 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$139 |
$139 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$320 |
$320 |
2.7× |
| Insert cervical dilator (59200) |
$596 |
$596 |
2.1× |
| Insert Drug Implant Device (11981) |
$288 |
$288 |
2.4× |
| Insert non-tunnel cv cath (36556) |
$324 |
$324 |
0.1× |
| Insert picc cath (36569) |
$524.50 |
$524.50 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$242 |
$242 |
2.0× |
| Insert tunneled cv cath (36561) |
$2,064 |
$2,064 |
0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$341 |
$341 |
2.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$290 |
$290 |
0.2× |
| Insertion picc w/rs&i < 5 yr (36572) |
$242 |
$242 |
0.4× |
| Intro Gastrointestinal Tube (44500) |
$3,492 |
$3,492 |
4.2× |
| Intubation endotracheal emergency procedure (31500) |
$627 |
$627 |
2.9× |
| Irrigate corpora cavernosa for priapism (54220) |
$870 |
$870 |
3.8× |
| Knee arthroscopy/surgery (29876) |
$1,133 |
$1,133 |
0.4× |
| Knee arthroscopy/surgery (29886) |
$1,364 |
$1,364 |
0.5× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$614 |
$614 |
0.1× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$1,376 |
$1,376 |
0.2× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$752 |
$752 |
0.1× |
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure |
$958.50 |
$958.50 |
0.2× |
Laparoscopy Remove Adnexa (58661)
likely a partial charge, not the full procedure |
$1,073 |
$1,073 |
0.2× |
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure |
$1,643 |
$1,643 |
0.3× |
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure |
$1,579 |
$1,579 |
0.2× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure |
$2,112.50 |
$2,112.50 |
0.2× |
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure |
$884 |
$884 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure |
$711 |
$711 |
0.1× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
unusually low: confirm this is the full procedure |
$1,893 |
$1,893 |
0.3× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$1,495 |
$1,495 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
unusually low: confirm this is the full procedure |
$3,838 |
$3,838 |
0.4× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure |
$2,652.50 |
$2,652.50 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,391 |
$1,391 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure |
$1,213 |
$1,213 |
0.2× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure |
$1,465.50 |
$1,465.50 |
0.3× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,376 |
$1,376 |
0.2× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure |
$1,082.50 |
$1,082.50 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure |
$764 |
$764 |
0.1× |
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571)
likely a partial charge, not the full procedure |
$1,776 |
$1,776 |
0.2× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge, not the full procedure |
$1,867.50 |
$1,867.50 |
0.3× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428)
likely a partial charge, not the full procedure |
$2,186 |
$2,186 |
0.2× |
| Ligation of hemorrhoid(s) (46221) |
$574 |
$574 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$1,307 |
$1,307 |
0.9× |
| Liver Biopsy (47000) |
$7,586 |
$7,586 |
5.0× |
| Lysis of labial adhesions (56441) |
$334 |
$334 |
0.1× |
| Manipulation finger joint under anes each joint (26340) |
$770 |
$770 |
0.5× |
| Mastectomy partial (19301) |
$1,262 |
$1,262 |
0.4× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,559.50 |
$1,559.50 |
0.3× |
| Muscle-skin graft trunk (15734) |
$2,660.50 |
$2,660.50 |
0.8× |
| Myelography Lumbar Injection (62304) |
$5,249 |
$5,249 |
7.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$159 |
$159 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$30 |
$30 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$2,869 |
$2,869 |
6.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$294 |
$294 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$220 |
$220 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$301 |
$301 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$259 |
$259 |
0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$885 |
$885 |
1.1× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$9,861 |
$9,861 |
5.2× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$1,369 |
$1,369 |
0.4× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge, not the full procedure |
$1,578.50 |
$1,578.50 |
0.2× |
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure |
$1,287.50 |
$1,287.50 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure |
$1,262 |
$1,262 |
0.2× |
| Open treatment interphalangeal joint dislocation (28675) |
$890 |
$890 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$987 |
$987 |
0.1× |
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure |
$1,376 |
$1,376 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; (23550)
likely a partial charge, not the full procedure |
$1,056 |
$1,056 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure |
$967.50 |
$967.50 |
0.1× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge, not the full procedure |
$2,525 |
$2,525 |
0.2× |
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236)
likely a partial charge, not the full procedure |
$1,974.50 |
$1,974.50 |
0.3× |
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515)
likely a partial charge, not the full procedure |
$1,637 |
$1,637 |
0.1× |
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure |
$1,443 |
$1,443 |
0.2× |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
$3,643 |
$3,643 |
0.5× |
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535)
likely a partial charge, not the full procedure |
$1,856 |
$1,856 |
0.3× |
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823)
likely a partial charge, not the full procedure |
$1,807.50 |
$1,807.50 |
0.3× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
likely a partial charge, not the full procedure |
$1,376 |
$1,376 |
0.2× |
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure |
$1,491 |
$1,491 |
0.2× |
Open treatment talus fracture (28445)
unusually low: confirm this is the full procedure |
$2,118 |
$2,118 |
0.3× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$1,600 |
$1,600 |
0.5× |
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure |
$2,230 |
$2,230 |
0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,085 |
$1,085 |
0.4× |
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
unusually low: confirm this is the full procedure |
$2,755.50 |
$2,755.50 |
0.4× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$1,242 |
$1,242 |
0.4× |
| Open tx interphalangeal joint dislocation (26785) |
$1,694 |
$1,694 |
0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,606 |
$1,606 |
0.5× |
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829)
likely a partial charge, not the full procedure |
$1,520 |
$1,520 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,376 |
$1,376 |
0.5× |
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615)
likely a partial charge, not the full procedure |
$1,698 |
$1,698 |
0.1× |
Open Tx Radial Head/Neck Fracture Prosthetic (24666)
likely a partial charge, not the full procedure |
$2,260 |
$2,260 |
0.2× |
Optx hum fx w/ntrcndylr xtn (24546)
likely a partial charge, not the full procedure |
$2,193 |
$2,193 |
0.2× |
Optx post ankle fx (27769)
likely a partial charge, not the full procedure |
$1,331.50 |
$1,331.50 |
0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$1,325 |
$1,325 |
0.4× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$591 |
$591 |
0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$983 |
$983 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$938 |
$938 |
0.3× |
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure |
$1,836 |
$1,836 |
0.2× |
Paravaginal defect repair vaginal approach (57285)
likely a partial charge, not the full procedure |
$1,841 |
$1,841 |
0.3× |
| Partial excision bone metacarpal (26230) |
$1,081 |
$1,081 |
0.4× |
| Partial Excision Bone Tibia (27640) |
$1,753 |
$1,753 |
0.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$976 |
$976 |
0.7× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$809 |
$809 |
0.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$330 |
$330 |
0.1× |
| Pelvic exam under anesthesia (57410) |
$216 |
$216 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge, not the full procedure |
$1,491 |
$1,491 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,320 |
$1,320 |
0.4× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$934 |
$934 |
0.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,169 |
$1,169 |
0.8× |
| Peritoneal Lavage (49084) |
$230 |
$230 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$696.50 |
$696.50 |
1.1× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,581 |
$1,581 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$168.50 |
$168.50 |
0.7× |
| Pin finger fracture each (26756) |
$921 |
$921 |
0.3× |
| Pin hand dislocation (26676) |
$1,583 |
$1,583 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$312 |
$312 |
0.8× |
| Placement of seton (46020) |
$433 |
$433 |
0.2× |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
$1,316 |
$1,316 |
0.4× |
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$712.50 |
$712.50 |
0.1× |
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238)
unusually low: confirm this is the full procedure |
$2,523 |
$2,523 |
0.5× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$92 |
$92 |
0.1× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$534 |
$534 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$280 |
$280 |
0.7× |
| Puncture Aspiration (10160) |
$319 |
$319 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$648 |
$648 |
1.0× |
| Pvb thoracic cont infusion (64463) |
$672 |
$672 |
1.0× |
| Pvb thoracic single inj site (64461) |
$250 |
$250 |
0.4× |
Reconstr disloc patella w mscl adv (27422)
likely a partial charge, not the full procedure |
$1,468.50 |
$1,468.50 |
0.2× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$1,640.50 |
$1,640.50 |
0.5× |
Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344)
unusually low: confirm this is the full procedure |
$2,161.50 |
$2,161.50 |
0.3× |
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346)
likely a partial charge, not the full procedure |
$2,177 |
$2,177 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342)
likely a partial charge, not the full procedure |
$1,101 |
$1,101 |
0.2× |
| Release palm contracture (26121) |
$1,376 |
$1,376 |
0.5× |
| Release wrist/forearm tendon (25295) |
$1,052.50 |
$1,052.50 |
0.3× |
| Removal fb intranasal (30300) |
$1,325 |
$1,325 |
10.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$744 |
$744 |
0.3× |
| Removal Foreign Body Foot Complicated (28193) |
$1,635 |
$1,635 |
1.1× |
| Removal foreign body foot deep (28192) |
$1,369 |
$1,369 |
0.9× |
| Removal foreign body foot subcutaneous (28190) |
$630.50 |
$630.50 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$424.50 |
$424.50 |
0.3× |
| Removal foreign body pharynx (42809) |
$336 |
$336 |
0.8× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$1,142 |
$1,142 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$35 |
$35 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$104 |
$104 |
1.9× |
| Removal Implant Deep (20680) |
$960.50 |
$960.50 |
0.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$833 |
$833 |
0.5× |
| Removal of anal fissure (46200) |
$976 |
$976 |
0.4× |
| Removal of ankle implant (27704) |
$1,100.50 |
$1,100.50 |
0.4× |
| Removal of finger lesion (26210) |
$1,450 |
$1,450 |
1.0× |
| Removal of heel bone (28118) |
$907.50 |
$907.50 |
0.3× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$393 |
$393 |
0.7× |
| Removal of intrauterine device (iud) (58301) |
$230 |
$230 |
0.8× |
Removal of kneecap (27350)
likely a partial charge, not the full procedure |
$1,298.50 |
$1,298.50 |
0.2× |
| Removal of nail bed (11750) |
$273 |
$273 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$253 |
$253 |
1.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$115 |
$115 |
0.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$229 |
$229 |
0.9× |
| Remove anal fist subq (46270) |
$868 |
$868 |
0.3× |
| Remove by ligat int hem grps (46946) |
$380 |
$380 |
0.1× |
| Remove drug implant device (11982) |
$330 |
$330 |
0.8× |
| Remove elbow lesion (24120) |
$1,003 |
$1,003 |
0.3× |
| Remove eyelid lesion(s) (67808) |
$615 |
$615 |
0.3× |
| Remove femur lesion (27355) |
$1,116.50 |
$1,116.50 |
0.4× |
| Remove femur lesion/bursa (27062) |
$909.50 |
$909.50 |
0.3× |
| Remove foreign body from eye (65210) |
$312 |
$312 |
0.8× |
| Remove in/ex hem groups 2+ (46260) |
$1,011 |
$1,011 |
0.4× |
| Remove knee cyst (27347) |
$1,107 |
$1,107 |
0.4× |
| Remove Peritoneal Foreign Body (49402) |
$1,528 |
$1,528 |
0.5× |
| Remove Pilonidal Cyst Exten (11771) |
$1,007.50 |
$1,007.50 |
0.4× |
Remove wrist joint implant (25449)
likely a partial charge, not the full procedure |
$1,896.50 |
$1,896.50 |
0.3× |
| Remove wrist tendon lesion (25111) |
$674.50 |
$674.50 |
0.5× |
| Remv Ext Canal Foreign Body (69200) |
$182 |
$182 |
1.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$134 |
$134 |
1.1× |
| Renal biopsy (50200) |
$9,443.50 |
$9,443.50 |
6.2× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$1,664 |
$1,664 |
0.2× |
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure |
$1,604 |
$1,604 |
0.2× |
Repair collat ankle ligmnt,secondary (27698)
likely a partial charge, not the full procedure |
$1,260.50 |
$1,260.50 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,445 |
$1,445 |
2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,398 |
$1,398 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,156 |
$1,156 |
3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,757 |
$1,757 |
4.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$866.50 |
$866.50 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$830 |
$830 |
2.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$960 |
$960 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$960.50 |
$960.50 |
1.4× |
| Repair elbow deb/attch open (24359) |
$1,434 |
$1,434 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,243 |
$1,243 |
0.8× |
| Repair forearm tendon/muscle (25260) |
$2,490 |
$2,490 |
0.8× |
| Repair hallux rigidus (28289) |
$1,217.50 |
$1,217.50 |
0.4× |
| Repair hand tendon (26410) |
$2,105 |
$2,105 |
1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$889.50 |
$889.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,597 |
$1,597 |
4.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$909 |
$909 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,075 |
$1,075 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$2,061 |
$2,061 |
5.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,158 |
$1,158 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,173 |
$1,173 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$2,259 |
$2,259 |
6.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,441 |
$1,441 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$294.50 |
$294.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,058 |
$1,058 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,147 |
$1,147 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,871 |
$1,871 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,292 |
$1,292 |
3.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$600 |
$600 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$306.50 |
$306.50 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,510 |
$1,510 |
2.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$415 |
$415 |
1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,751 |
$1,751 |
0.9× |
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure |
$976 |
$976 |
0.1× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge, not the full procedure |
$1,307 |
$1,307 |
0.2× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$1,456.50 |
$1,456.50 |
0.2× |
| Repair of leg tendon each (27658) |
$975 |
$975 |
0.3× |
| Repair of nail bed (11760) |
$276 |
$276 |
0.4× |
| Repair of rectocele (45560) |
$1,187.50 |
$1,187.50 |
0.5× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure |
$1,531.50 |
$1,531.50 |
0.2× |
Repair of thigh musc (27385)
likely a partial charge, not the full procedure |
$930 |
$930 |
0.1× |
| Repair rectum & vagina (57250) |
$1,207 |
$1,207 |
0.3× |
Repair rotator cuff acute (23410)
likely a partial charge, not the full procedure |
$1,603 |
$1,603 |
0.2× |
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure |
$1,640 |
$1,640 |
0.2× |
Repair shoulder capsule (23466)
unusually low: confirm this is the full procedure |
$2,931.50 |
$2,931.50 |
0.4× |
| Repair Tongue Laceration (41250) |
$872 |
$872 |
2.1× |
| Repair wrist joints (25447) |
$1,287.50 |
$1,287.50 |
0.4× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure |
$1,423.50 |
$1,423.50 |
0.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$981.50 |
$981.50 |
0.3× |
| Replace duod/jej tube perc (49451) |
$513 |
$513 |
0.6× |
| Rerepair ing hernia reduce (49520) |
$894.50 |
$894.50 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$2,782 |
$2,782 |
0.2× |
| Revise arm/leg nerve (64708) |
$994 |
$994 |
0.6× |
| Revise median n/carpal tunnel surg (64721) |
$1,033 |
$1,033 |
0.6× |
| Revise ulnar nerve at elbow (64718) |
$1,498 |
$1,498 |
0.8× |
| Revision of cervix (57720) |
$1,047 |
$1,047 |
0.4× |
Revision of collar bone (23480)
unusually low: confirm this is the full procedure |
$2,155.50 |
$2,155.50 |
0.3× |
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138)
likely a partial charge, not the full procedure |
$2,953.50 |
$2,953.50 |
0.3× |
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487)
likely a partial charge, not the full procedure |
$3,194.50 |
$3,194.50 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; one component (27486)
likely a partial charge, not the full procedure |
$2,560 |
$2,560 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$360 |
$360 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$327 |
$327 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$386 |
$386 |
3.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$660 |
$660 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,650.50 |
$1,650.50 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,265 |
$1,265 |
2.2× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$402 |
$402 |
1.0× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,328.50 |
$1,328.50 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure |
$972 |
$972 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure |
$921.50 |
$921.50 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$663 |
$663 |
0.2× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure |
$1,198 |
$1,198 |
0.2× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$1,007.50 |
$1,007.50 |
0.3× |
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure |
$869.50 |
$869.50 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,682 |
$1,682 |
2.5× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$1,007 |
$1,007 |
4.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$3,164 |
$3,164 |
6.4× |
Rpr non/malunion metarsal w/wo bone graft (28322)
unusually low: confirm this is the full procedure |
$2,064 |
$2,064 |
0.3× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure |
$1,075 |
$1,075 |
0.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$298 |
$298 |
0.3× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$496 |
$496 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$243 |
$243 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$328.50 |
$328.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$174.50 |
$174.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$214.50 |
$214.50 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$256 |
$256 |
1.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$211 |
$211 |
0.6× |
| Shldr arthroscop,lyse adhesns (29825) |
$955.50 |
$955.50 |
0.3× |
| Shoulder arthroscopy (29805) |
$1,491 |
$1,491 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$199.50 |
$199.50 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$334 |
$334 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$213 |
$213 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$273.50 |
$273.50 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$293 |
$293 |
1.6× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$531.50 |
$531.50 |
0.6× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,861 |
$1,861 |
2.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$692 |
$692 |
1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$113 |
$113 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$204 |
$204 |
1.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$818 |
$818 |
2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$404 |
$404 |
2.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$510 |
$510 |
2.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$927 |
$927 |
5.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$90.50 |
$90.50 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$782 |
$782 |
4.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$393 |
$393 |
2.1× |
| Skin splt grft trnk/arm/leg (15100) |
$1,428.50 |
$1,428.50 |
0.8× |
| Skin sub graft face/nk/hf/g (15275) |
$277 |
$277 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$181 |
$181 |
0.3× |
| Skin Tissue Procedure (17999) |
$386 |
$386 |
2.1× |
| Skin tissue rearrangement (14040) |
$1,357.50 |
$1,357.50 |
0.7× |
| Small bowel endoscopy/biopsy (44377) |
$536 |
$536 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$119 |
$119 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$514 |
$514 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$628 |
$628 |
1.7× |
| Sphincterotomy (46080) |
$528 |
$528 |
0.2× |
| Spinal puncture lumbar diagnostic (62270) |
$1,777.50 |
$1,777.50 |
2.7× |
| Spinal Puncture Therapeutic (62272) |
$216 |
$216 |
0.3× |
| Strapping knee (29530) |
$181 |
$181 |
1.5× |
| Strapping shoulder (29240) |
$170 |
$170 |
1.4× |
| Strapping unna boot (29580) |
$490.50 |
$490.50 |
3.3× |
| Suspension of testis (54640) |
$745.50 |
$745.50 |
0.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$710 |
$710 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$304 |
$304 |
0.8× |
| Tendon excision palm/finger (26145) |
$1,601 |
$1,601 |
1.1× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,414.50 |
$1,414.50 |
0.2× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$1,215.50 |
$1,215.50 |
0.4× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$836.50 |
$836.50 |
0.3× |
| Tenotomy elbow lateral/medial debride open (24358) |
$820 |
$820 |
0.3× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$3,492 |
$3,492 |
6.1× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$475 |
$475 |
0.8× |
| Throat Surgery Procedure (42999) |
$745 |
$745 |
3.4× |
| Thyroid biopsy (60100) |
$910 |
$910 |
1.4× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$1,408.50 |
$1,408.50 |
0.7× |
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure |
$2,209 |
$2,209 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure |
$2,767 |
$2,767 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$992 |
$992 |
4.6× |
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure |
$932.50 |
$932.50 |
0.2× |
| Treat Finger Fracture Each (26727) |
$1,262 |
$1,262 |
0.4× |
| Treat Fracture Radius & Ulna (25560) |
$387 |
$387 |
1.7× |
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure |
$1,480.50 |
$1,480.50 |
0.2× |
| Treat fx distal radial (25606) |
$1,262 |
$1,262 |
0.4× |
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure |
$1,193 |
$1,193 |
0.2× |
| Treat hand dislocation (26685) |
$1,353 |
$1,353 |
0.4× |
Treat humerus fracture (23630)
unusually low: confirm this is the full procedure |
$2,051 |
$2,051 |
0.3× |
| Treat humerus fracture (24500) |
$697.50 |
$697.50 |
3.1× |
| Treat humerus fracture (24577) |
$3,008 |
$3,008 |
2.0× |
| Treat humerus fracture (23600) |
$674.50 |
$674.50 |
3.0× |
Treat kneecap dislocation (27566)
likely a partial charge, not the full procedure |
$1,627.50 |
$1,627.50 |
0.2× |
| Treat knuckle dislocation (26715) |
$1,778 |
$1,778 |
0.6× |
Treat lower leg fracture (27828)
likely a partial charge, not the full procedure |
$2,048 |
$2,048 |
0.2× |
Treat Lower Leg Fracture (27827)
likely a partial charge, not the full procedure |
$2,280 |
$2,280 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$957 |
$957 |
4.2× |
| Treat thumb fracture (26650) |
$1,043 |
$1,043 |
0.3× |
| Treat thumb fracture (26665) |
$1,556 |
$1,556 |
0.5× |
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure |
$1,693 |
$1,693 |
0.3× |
| Treat wrist bone fracture (25635) |
$1,539 |
$1,539 |
1.0× |
| Treat wrist bone fracture (25622) |
$800 |
$800 |
3.5× |
| Treat Wrist Bone Fracture (25630) |
$1,176 |
$1,176 |
5.2× |
| Treatment closed elbow dislocation req anes (24605) |
$1,187 |
$1,187 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$2,048 |
$2,048 |
9.0× |
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure |
$1,406 |
$1,406 |
0.2× |
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure |
$1,233.50 |
$1,233.50 |
0.2× |
Treatment of fibula fracture (27784)
likely a partial charge, not the full procedure |
$1,351.50 |
$1,351.50 |
0.2× |
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245)
unusually low: confirm this is the full procedure |
$2,007 |
$2,007 |
0.3× |
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure |
$2,007 |
$2,007 |
0.3× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$760.50 |
$760.50 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,132 |
$1,132 |
5.0× |
| Trim skin lesion (11055) |
$93 |
$93 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$141 |
$141 |
0.8× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$1,055 |
$1,055 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$631 |
$631 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$775.50 |
$775.50 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$382 |
$382 |
0.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,078 |
$1,078 |
0.7× |
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure |
$439.50 |
$439.50 |
0.1× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$2,187 |
$2,187 |
10.0× |
| Unlisted procedure femur or knee (27599) |
$1,408 |
$1,408 |
6.2× |
| Unlisted procedure liver (47399) |
$517 |
$517 |
0.8× |
| Unlisted procedure maternity care & delivery (59899) |
$409 |
$409 |
2.2× |
| Unlisted Procedure Nervous System (64999) |
$250 |
$250 |
0.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$210 |
$210 |
0.4× |
| Vaginal delivery only (59409) |
$1,950 |
$1,950 |
0.7× |
| Vaginal hysterectomy (58260) |
$1,555.50 |
$1,555.50 |
0.3× |
| Vasectomy (55250) |
$801 |
$801 |
0.4× |
| Venipuncture (36415) |
$30 |
$30 |
3.2× |
| Vulvectomy simple partial (56620) |
$1,012 |
$1,012 |
0.3× |
| Vulvectomy simple; complete (56625) |
$862.50 |
$862.50 |
0.3× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$611.50 |
$611.50 |
0.9× |