| Abd paracentesis w/imaging (49083) |
$1,940 |
$1,940 |
2.0× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$2,627 |
$2,627 |
1.6× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$5,265 |
$5,265 |
1.5× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$5,265 |
$5,265 |
1.5× |
| Adenoidectomy, secondary; age 12 or over Age Under 21 (42836) |
$4,825 |
$4,825 |
1.4× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$6,005.75 |
$6,005.75 |
1.6× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$3,974 |
$3,974 |
1.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$3,911 |
$3,911 |
1.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$4,107 |
$4,107 |
1.9× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$3,775 |
$3,775 |
1.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$8,716 |
$8,716 |
4.0× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$3,912 |
$3,912 |
1.8× |
| Amniocentesis diagnostic (59000) |
$4,533 |
$4,533 |
4.7× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$9,309 |
$9,309 |
2.7× |
| Amputate metacarpal bone (26910) |
$4,485 |
$4,485 |
1.3× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$4,466.51 |
$4,466.51 |
1.3× |
| Amputation of finger/thumb (26952) |
$7,479 |
$7,479 |
2.2× |
| Amputation of toe (28820) |
$4,591.68 |
$4,591.68 |
1.3× |
| Amputation toe interphalangeal joint (28825) |
$8,599 |
$8,599 |
2.5× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$9,054.50 |
$9,054.50 |
2.6× |
| Anchoring of extending tendon of fingers to wrist bone (25301) |
$16,343 |
$16,343 |
4.7× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$5,711.50 |
$5,711.50 |
2.0× |
| Application Finger Splint Dynamic (29131) |
$245 |
$245 |
3.9× |
| Application finger splint static (29130) |
$433 |
$433 |
3.1× |
| Application of hip spica cast; 1 and one-half spica or both legs Age Under 21 (29325) |
$1,423 |
$1,423 |
4.8× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$609 |
$609 |
3.6× |
| Application of short arm splint (forearm to hand); static (29125) |
$455 |
$455 |
3.2× |
| Application of short leg splint (calf to foot) (29515) |
$517 |
$517 |
3.0× |
| Apply hand/wrist cast (29085) |
$587 |
$587 |
3.4× |
| Apply long arm splint (29105) |
$482 |
$482 |
2.8× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Age Under 21 (66180) |
$8,265 |
$8,265 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$486 |
$486 |
1.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$6,255 |
$6,255 |
8.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,304 |
$1,304 |
4.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$2,851 |
$2,851 |
8.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,670 |
$1,670 |
5.2× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$2,851 |
$2,851 |
8.8× |
| Arthrodesis, ankle, open Age Under 21 (27870) |
$12,173.50 |
$12,173.50 |
0.9× |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Age Under… (26844) |
$4,448 |
$4,448 |
0.6× |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
$7,294 |
$7,294 |
1.0× |
| Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755) |
$6,927.50 |
$6,927.50 |
0.9× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$11,475.01 |
$11,475.01 |
1.5× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$6,620.50 |
$6,620.50 |
1.9× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age… (26862) |
$6,380 |
$6,380 |
1.8× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850)
unusually low — confirm this is the full procedure |
$3,460 |
$3,460 |
0.5× |
| Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740) |
$11,475 |
$11,475 |
1.5× |
| Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820) |
$4,903 |
$4,903 |
0.6× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825) |
$8,535.50 |
$8,535.50 |
1.1× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810) |
$39,132 |
$39,132 |
2.9× |
| Arthrodesis; subtalar (28725) |
$17,071 |
$17,071 |
1.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$22,528 |
$22,528 |
1.2× |
| Arthroplasty or replacement of wrist bone, one wrist bone (lunate bone) (25444) |
$42,091 |
$42,091 |
3.1× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Age Under 21 (25446) |
$62,089 |
$62,089 |
3.4× |
| Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21 (26536) |
$19,526.50 |
$19,526.50 |
2.6× |
| Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446) |
$21,176 |
$21,176 |
1.6× |
| Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531) |
$20,263 |
$20,263 |
2.6× |
| Arthroplasty, patella; with prosthesis Age Under 21 (27438) |
$19,692 |
$19,692 |
1.5× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$18,793 |
$18,793 |
2.5× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$13,068.95 |
$13,068.95 |
3.8× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21 (29895) |
$9,841.42 |
$9,841.42 |
2.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$4,361 |
$4,361 |
1.3× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$4,423.19 |
$4,423.19 |
1.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$16,464 |
$16,464 |
4.8× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$7,706.25 |
$7,706.25 |
2.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$10,864.50 |
$10,864.50 |
3.1× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$8,019.62 |
$8,019.62 |
30.8× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$16,116.01 |
$16,116.01 |
4.7× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$14,709 |
$14,709 |
4.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$12,954 |
$12,954 |
3.8× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$31,323.75 |
$31,323.75 |
9.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$12,005.25 |
$12,005.25 |
3.5× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806) |
$21,531.50 |
$21,531.50 |
2.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$6,952.75 |
$6,952.75 |
2.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$5,250.70 |
$5,250.70 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807) |
$6,856.38 |
$6,856.38 |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827) |
$12,302.75 |
$12,302.75 |
1.6× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$6,302 |
$6,302 |
1.8× |
| Arthroscopy, wrist, surgical; synovectomy, partial Age Under 21 (29844) |
$6,240 |
$6,240 |
1.8× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21 (25107) |
$6,782 |
$6,782 |
2.0× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$6,076 |
$6,076 |
1.8× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$4,771.50 |
$4,771.50 |
1.4× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$6,618 |
$6,618 |
1.9× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$34,772 |
$34,772 |
2.6× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$6,398 |
$6,398 |
1.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$3,435 |
$3,435 |
2.0× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$3,114 |
$3,114 |
4.2× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$1,294 |
$1,294 |
4.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$7,641 |
$7,641 |
3.5× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$4,685 |
$4,685 |
5.0× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$502 |
$502 |
2.4× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$2,275.75 |
$2,275.75 |
0.6× |
| Biopsy bone open superficial (20240) |
$5,229.50 |
$5,229.50 |
1.7× |
| Biopsy liver needle percutaneous (47000) |
$5,971 |
$5,971 |
3.4× |
| Biopsy lymph node (38505) |
$13,398 |
$13,398 |
7.7× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$3,539.75 |
$3,539.75 |
6.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$5,579 |
$5,579 |
1.4× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$495 |
$495 |
0.1× |
| Biopsy thyroid percutaneous core needle (60100) |
$2,517 |
$2,517 |
3.4× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$4,466.50 |
$4,466.50 |
1.5× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$4,730.51 |
$4,730.51 |
2.7× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age Under 21 (25066) |
$4,629 |
$4,629 |
1.5× |
| Biopsy/removal lymph nodes (38510) |
$5,866.50 |
$5,866.50 |
1.4× |
| Bladder irrigation (51700) |
$4,132.50 |
$4,132.50 |
15.7× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Age Under 21 (15821) |
$5,717 |
$5,717 |
2.6× |
| Bone graft, any donor area; major or large Age Under 21 (20902) |
$9,562.50 |
$9,562.50 |
1.2× |
| Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900) |
$15,590.75 |
$15,590.75 |
2.0× |
| Bone marrow harvesting for transplantation; autologous Age Under 21 (38232) |
$9,744 |
$9,744 |
2.1× |
| Breast augmentation with implant Age Under 21 (19325) |
$12,508 |
$12,508 |
1.5× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$5,728 |
$5,728 |
1.4× |
| Breast Reduction|BILATERAL PROCEDURE (19318) |
$26,343.50 |
$26,343.50 |
3.8× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$6,303 |
$6,303 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$8,411 |
$8,411 |
4.8× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$2,919.43 |
$2,919.43 |
11.2× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$6,240 |
$6,240 |
1.8× |
| Capsulodesis, metacarpophalangeal joint; single digit Age Under 21 (26516) |
$6,782 |
$6,782 |
2.0× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$18,890 |
$18,890 |
2.5× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$873.95 |
$873.95 |
0.3× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$5,942 |
$5,942 |
1.7× |
| Change Cystostomy Tube Simple (51705) |
$1,242 |
$1,242 |
4.7× |
| Chest tube placement (32551) |
$2,011.50 |
$2,011.50 |
1.2× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$13,230 |
$13,230 |
3.5× |
| Ciliary body destruction; cyclophotocoagulation, transscleral Age Under 21 (66710) |
$8,679 |
$8,679 |
3.5× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$11,872.01 |
$11,872.01 |
5.4× |
| Claviculectomy; partial Age Under 21 (23120) |
$6,338.33 |
$6,338.33 |
1.8× |
| Closed rx humer epicondylr fx,manip (24565) |
$8,343 |
$8,343 |
4.9× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,088 |
$1,088 |
4.2× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$806 |
$806 |
3.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$752 |
$752 |
2.9× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$752 |
$752 |
2.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$752 |
$752 |
2.9× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$752 |
$752 |
2.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$763 |
$763 |
2.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$752 |
$752 |
2.9× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$716 |
$716 |
2.8× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$716 |
$716 |
2.8× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$752 |
$752 |
2.9× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$752 |
$752 |
2.9× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$6,095.50 |
$6,095.50 |
3.6× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$752 |
$752 |
2.9× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$752 |
$752 |
2.9× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$752 |
$752 |
2.9× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$3,271 |
$3,271 |
1.9× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,379 |
$1,379 |
0.8× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$716 |
$716 |
2.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$751 |
$751 |
2.9× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$2,446.90 |
$2,446.90 |
9.4× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$7,473 |
$7,473 |
4.4× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$5,990 |
$5,990 |
23.0× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$752 |
$752 |
2.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$622 |
$622 |
2.4× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$752 |
$752 |
2.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$569 |
$569 |
2.2× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$752 |
$752 |
2.9× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$2,169 |
$2,169 |
1.3× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$768 |
$768 |
3.0× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$752 |
$752 |
2.9× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$2,726 |
$2,726 |
1.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$752 |
$752 |
2.9× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$752 |
$752 |
2.9× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$737 |
$737 |
2.8× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$737 |
$737 |
2.8× |
| Closed treatment of ulnar styloid fracture (25650) |
$583 |
$583 |
2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$713 |
$713 |
2.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,817 |
$1,817 |
1.1× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$823 |
$823 |
3.2× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$2,169 |
$2,169 |
8.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$752 |
$752 |
2.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$3,384 |
$3,384 |
13.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,176 |
$1,176 |
4.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$7,473 |
$7,473 |
4.4× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,446 |
$1,446 |
0.9× |
| Closed tx scapular fracture w/o manipulation (23570) |
$752 |
$752 |
2.9× |
| Closed tx septal&nose fx (21337) |
$6,655 |
$6,655 |
1.9× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$752 |
$752 |
2.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$1,224 |
$1,224 |
4.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$2,264 |
$2,264 |
4.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$981 |
$981 |
3.8× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$7,753 |
$7,753 |
4.7× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$5,262.50 |
$5,262.50 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$6,456 |
$6,456 |
3.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,136 |
$1,136 |
0.7× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$1,299 |
$1,299 |
5.0× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$541.50 |
$541.50 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$752 |
$752 |
2.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,573.50 |
$1,573.50 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$866 |
$866 |
3.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$752 |
$752 |
2.9× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$752 |
$752 |
2.9× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$752 |
$752 |
2.9× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$752 |
$752 |
2.9× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$4,920 |
$4,920 |
2.9× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$1,071.35 |
$1,071.35 |
3.6× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$819 |
$819 |
3.1× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$737 |
$737 |
2.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,169 |
$2,169 |
1.3× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$8,068 |
$8,068 |
4.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$622 |
$622 |
2.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$811 |
$811 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$752 |
$752 |
2.9× |
| Collect blood from catheter venous nos (36592) |
$250 |
$250 |
1.8× |
| Collect blood from implant venous access device (36591) |
$302 |
$302 |
2.2× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$2,855.75 |
$2,855.75 |
0.8× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$611 |
$611 |
4.4× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$399 |
$399 |
2.8× |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
$21,577 |
$21,577 |
1.6× |
| Correction of bunion (28292) |
$5,690.34 |
$5,690.34 |
1.6× |
| Correction of widely-opened upper eyelid|RIGHT SIDE (67911) |
$4,980.01 |
$4,980.01 |
2.0× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299) |
$13,433 |
$13,433 |
1.8× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) |
$7,276.75 |
$7,276.75 |
1.0× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$4,822.78 |
$4,822.78 |
1.4× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$6,644.67 |
$6,644.67 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$399 |
$399 |
2.8× |
| Cysto/uretero w/lithotripsy (52356) |
$11,518.50 |
$11,518.50 |
2.0× |
| Cystoscopy w/biopsy(s) (52204) |
$4,722 |
$4,722 |
2.1× |
| Cystourethroscopy (52000) |
$2,288 |
$2,288 |
3.1× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$4,421 |
$4,421 |
2.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) |
$6,726 |
$6,726 |
3.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$4,722 |
$4,722 |
1.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$8,265 |
$8,265 |
2.2× |
| Cystourethroscopy, with internal urethrotomy; male Age Under 21 (52275) |
$4,132.50 |
$4,132.50 |
1.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) |
$2,755 |
$2,755 |
0.7× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$5,636.01 |
$5,636.01 |
1.5× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$1,491 |
$1,491 |
2.0× |
| Deb skin bone at fx site (11012) |
$3,643.80 |
$3,643.80 |
1.2× |
| Debride skin at fx site (11010) |
$1,835 |
$1,835 |
2.5× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$2,268 |
$2,268 |
5.3× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$374 |
$374 |
6.0× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$1,179 |
$1,179 |
2.7× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$5,151.50 |
$5,151.50 |
3.0× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,304 |
$1,304 |
1.7× |
| Declot vascular device (36593) |
$214 |
$214 |
0.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$6,076 |
$6,076 |
1.8× |
| Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to… (62287) |
$7,872 |
$7,872 |
3.8× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$3,784 |
$3,784 |
1.7× |
| Dermabrasion segmental face (15781) |
$1,491 |
$1,491 |
2.0× |
| Destruction benign lesions up to 14 (17110) |
$359 |
$359 |
1.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,438 |
$3,438 |
1.7× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$4,267.75 |
$4,267.75 |
1.2× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$3,969.33 |
$3,969.33 |
1.2× |
| Dilation and catheterization of salivary duct, with or without injection Age Under 21 (42660) |
$102 |
$102 |
0.2× |
| Dilation of female urethra, general or conduction (spinal) anesthesia Age Under 21 (53665) |
$4,132.50 |
$4,132.50 |
1.9× |
| Dilation of lacrimal punctum, with or without irrigation (68801) |
$750 |
$750 |
1.6× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$5,711.50 |
$5,711.50 |
21.7× |
| Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision… (66820) |
$4,132.50 |
$4,132.50 |
1.7× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$3,341 |
$3,341 |
1.8× |
| Dissection, deep jugular node(s) Age Under 21 (38542) |
$10,935 |
$10,935 |
1.7× |
| Drain shoulder lesion (23030) |
$4,436.50 |
$4,436.50 |
1.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$1,887 |
$1,887 |
2.5× |
| Drainage finger abscess simple (26010) |
$516 |
$516 |
2.4× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$623 |
$623 |
0.8× |
| Drainage of eye (65800) |
$4,497.62 |
$4,497.62 |
1.8× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$5,699 |
$5,699 |
3.3× |
| Drainage of nose lesion (30020) |
$887 |
$887 |
1.6× |
| Drainage of scrotal wall abscess (55100) |
$2,811 |
$2,811 |
1.6× |
| Drainage of scrotum (54700) |
$9,860 |
$9,860 |
4.5× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$8,265 |
$8,265 |
2.4× |
| Drainage of tonsil abscess (42700) |
$1,204 |
$1,204 |
4.8× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$8,225 |
$8,225 |
4.0× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$11,368 |
$11,368 |
5.5× |
| Ed proc insert intraosseous IV (36680) |
$520 |
$520 |
1.1× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$381 |
$381 |
2.8× |
| Ed proc remve fb nasal- hospital (30300) |
$339 |
$339 |
2.4× |
| Ed prof arthrocentesis sm - hospital (20551) |
$1,670 |
$1,670 |
5.2× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$111.50 |
$111.50 |
0.8× |
| Ed prof burn medium - hospital (16025) |
$389 |
$389 |
1.8× |
| Ed prof burn small - hospital (16020) |
$737 |
$737 |
3.5× |
| Ed prof catheterization/straight (51701) |
$278 |
$278 |
2.0× |
| Ed prof closed tx post hip arthroplasty (27265) |
$752 |
$752 |
2.9× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$6,589 |
$6,589 |
3.9× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$2,365 |
$2,365 |
1.4× |
| Ed prof drain dental abscess-hospital (41800) |
$623 |
$623 |
4.4× |
| Ed prof insert foley cath simple (51702) |
$330.50 |
$330.50 |
2.4× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$3,712 |
$3,712 |
1.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$467.50 |
$467.50 |
1.1× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$479 |
$479 |
1.1× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$752 |
$752 |
2.9× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Age Under 21 (58356) |
$6,863.50 |
$6,863.50 |
1.3× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$6,352.75 |
$6,352.75 |
1.7× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$2,835 |
$2,835 |
3.8× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,897 |
$1,897 |
2.0× |
| Evac subungual hematoma (11740) |
$206 |
$206 |
1.5× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$3,036 |
$3,036 |
1.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,822 |
$2,822 |
1.6× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$6,171.50 |
$6,171.50 |
2.8× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$11,314 |
$11,314 |
1.8× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$788 |
$788 |
1.1× |
| Exc forearm les sc 3 cm/> (25071) |
$3,036 |
$3,036 |
1.7× |
| Exc frenum labial/buccal (40819) |
$763.89 |
$763.89 |
0.5× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$914 |
$914 |
0.5× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$3,442 |
$3,442 |
4.6× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$750 |
$750 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$7,237.50 |
$7,237.50 |
4.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$7,134.66 |
$7,134.66 |
4.2× |
| Exc neck tum deep < 5 cm (21556) |
$4,719 |
$4,719 |
1.5× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$4,013 |
$4,013 |
1.9× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$7,004.01 |
$7,004.01 |
3.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$3,027 |
$3,027 |
4.1× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,732 |
$2,732 |
1.6× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$2,901 |
$2,901 |
1.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$4,731 |
$4,731 |
1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$4,719 |
$4,719 |
1.5× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$4,861 |
$4,861 |
1.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$4,674.26 |
$4,674.26 |
1.5× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$2,811 |
$2,811 |
1.6× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$4,731 |
$4,731 |
1.5× |
| Exc. pentagonal wedge, csd/w deep and lash/grey line sutures (67999) |
$1,112 |
$1,112 |
3.3× |
| Exchange intraocular lens (66986) |
$4,527.25 |
$4,527.25 |
1.9× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$4,173.68 |
$4,173.68 |
1.7× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$8,624.01 |
$8,624.01 |
3.4× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Age Under 21 (42810) |
$5,067 |
$5,067 |
1.4× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Age Under 21 (30125) |
$10,775 |
$10,775 |
1.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$6,240 |
$6,240 |
1.8× |
| Excision exostosis(es), external auditory canal Age Under 21 (69140) |
$10,708 |
$10,708 |
1.7× |
| Excision external ear partial simple repair (69110) |
$4,731 |
$4,731 |
1.5× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$3,608 |
$3,608 |
2.1× |
| Excision lesion mouth roof (42104) |
$811 |
$811 |
0.2× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$3,435 |
$3,435 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,533 |
$1,533 |
2.1× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$4,731 |
$4,731 |
1.5× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$870 |
$870 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$750 |
$750 |
0.4× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$3,520 |
$3,520 |
2.1× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$801 |
$801 |
0.8× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Age Under 21 (40816) |
$5,540 |
$5,540 |
1.6× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$9,038.01 |
$9,038.01 |
2.6× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$3,436 |
$3,436 |
2.0× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$8,766.01 |
$8,766.01 |
2.5× |
| Excision of mouth lesion (41116) |
$5,134 |
$5,134 |
1.5× |
| Excision of neurofibroma or neurolemmoma; cutaneous nerve Age Under 21 (64788) |
$3,587 |
$3,587 |
1.7× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$4,013 |
$4,013 |
1.9× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415) |
$15,208 |
$15,208 |
2.4× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age Under 21 (42410) |
$12,189 |
$12,189 |
2.0× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21 (42420) |
$11,256 |
$11,256 |
1.8× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$5,711.50 |
$5,711.50 |
2.6× |
Excision of sublingual gland (42450)
likely a partial charge — not the full procedure |
$1,179 |
$1,179 |
0.2× |
| Excision of sublingual salivary cyst (ranula) Age Under 21 (42408) |
$628 |
$628 |
0.2× |
| Excision of submandibular (submaxillary) gland Age Under 21 (42440) |
$11,597 |
$11,597 |
1.9× |
| Excision of tendon, palm, flexor or extensor, single, each tendon Age Under 21 (26170) |
$3,435 |
$3,435 |
2.0× |
| Excision of thrombosed hemorrhoid, external (46320) |
$8,515 |
$8,515 |
6.7× |
| Excision of tongue fold (41115) |
$819.58 |
$819.58 |
0.5× |
| Excision of tongue lesion (41112) |
$5,777 |
$5,777 |
1.7× |
| Excision olecranon bursa (24105) |
$6,302 |
$6,302 |
1.8× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; Age Under 21 (25130) |
$6,782 |
$6,782 |
2.0× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Age Under 21 (24120) |
$6,618 |
$6,618 |
1.9× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$3,441 |
$3,441 |
2.0× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft… (26215) |
$5,942 |
$5,942 |
1.7× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$6,459 |
$6,459 |
1.9× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$9,038.01 |
$9,038.01 |
5.3× |
| Excision or transposition of pterygium; without graft Age Under 21 (65420) |
$4,364.50 |
$4,364.50 |
1.7× |
| Excision pilonidal cyst/sinus complicated (11772) |
$5,711.50 |
$5,711.50 |
1.9× |
| Excision pilonidal cyst/sinus extensive (11771) |
$4,505 |
$4,505 |
1.5× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$4,494 |
$4,494 |
1.5× |
| Excision tendon finger flexor/extensor each (26180) |
$7,180.50 |
$7,180.50 |
4.2× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$5,737.78 |
$5,737.78 |
1.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,677 |
$2,677 |
1.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$4,964.50 |
$4,964.50 |
1.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$2,732 |
$2,732 |
1.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$2,811 |
$2,811 |
1.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830) |
$10,624 |
$10,624 |
1.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm (15836) |
$4,731 |
$4,731 |
1.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand (15837) |
$4,494 |
$4,494 |
1.5× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$4,731 |
$4,731 |
1.5× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$9,844 |
$9,844 |
5.8× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$795 |
$795 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$2,677 |
$2,677 |
1.5× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$4,551.75 |
$4,551.75 |
1.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$2,869 |
$2,869 |
1.6× |
| Excision, nasal polyp(s), extensive Age Under 21 (30115) |
$4,825 |
$4,825 |
1.4× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$940 |
$940 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$870 |
$870 |
1.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$2,869 |
$2,869 |
1.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$2,649 |
$2,649 |
3.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$788 |
$788 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$4,731 |
$4,731 |
1.5× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$4,505 |
$4,505 |
1.5× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$2,811 |
$2,811 |
1.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$1,989.68 |
$1,989.68 |
0.6× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$2,959 |
$2,959 |
1.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,913.66 |
$3,913.66 |
1.1× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$5,960 |
$5,960 |
1.9× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
$3,969.33 |
$3,969.33 |
0.6× |
| Explore/treat hand joint (26070) |
$3,435 |
$3,435 |
2.0× |
| Fascia lata graft; by incision and area exposure, complex or sheet Age Under 21 (20922) |
$3,964 |
$3,964 |
1.8× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$6,782 |
$6,782 |
2.0× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$6,302 |
$6,302 |
1.8× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$6,782 |
$6,782 |
2.0× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$649 |
$649 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$3,489.50 |
$3,489.50 |
4.7× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Age Under 21 (66170) |
$4,613.50 |
$4,613.50 |
1.9× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$6,620.50 |
$6,620.50 |
1.9× |
| Fluid pressure muscle (20950) |
$3,499 |
$3,499 |
4.7× |
| Follow-up surgery of eye (66250) |
$10,525 |
$10,525 |
4.2× |
| Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Age Under 21 (15576) |
$3,974 |
$3,974 |
1.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$5,265 |
$5,265 |
1.5× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$3,911 |
$3,911 |
1.8× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$4,552.33 |
$4,552.33 |
2.1× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$4,286.25 |
$4,286.25 |
2.0× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$3,974 |
$3,974 |
1.8× |
| Fusion of 3 bones of ankle|RIGHT SIDE (28715) |
$12,966.34 |
$12,966.34 |
1.0× |
| Fusion of thumb (26841) |
$14,580 |
$14,580 |
1.9× |
| Fusion of wrist joint (25800) |
$8,080 |
$8,080 |
1.1× |
| Ganglion impar nerve block (64999) |
$5,369.50 |
$5,369.50 |
16.6× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$243 |
$243 |
1.1× |
| Gastrocnemius recession (27687) |
$3,533.14 |
$3,533.14 |
1.0× |
| Glossectomy; less than one-half tongue Age Under 21 (41120) |
$11,244 |
$11,244 |
1.8× |
| Graft derma-fat-fascia (15770) |
$8,872.50 |
$8,872.50 |
2.4× |
| Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Age Under 21 (15760) |
$3,775 |
$3,775 |
1.7× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235) |
$8,393.75 |
$8,393.75 |
1.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$4,596.20 |
$4,596.20 |
1.2× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$8,861 |
$8,861 |
2.4× |
| Guide cathet fluid drainage (10030) |
$3,367 |
$3,367 |
4.5× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$15,674.01 |
$15,674.01 |
4.5× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$5,926.10 |
$5,926.10 |
0.8× |
| Hysteroscopy biopsy (58558) |
$8,265 |
$8,265 |
2.4× |
| I&d abscess simple/single (10060) |
$639.50 |
$639.50 |
3.0× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$11,423 |
$11,423 |
3.7× |
| I&d hematoma/seroma/fluid (10140) |
$2,673.50 |
$2,673.50 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$1,529 |
$1,529 |
2.0× |
| Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous… (67027) |
$11,149 |
$11,149 |
0.8× |
| Incise external hemorrhoid (46083) |
$1,260 |
$1,260 |
4.8× |
| Incise finger tendon sheath (26055) |
$4,019.75 |
$4,019.75 |
2.4× |
| Incise inner eye adhesions (65865) |
$7,170.50 |
$7,170.50 |
2.9× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$516 |
$516 |
1.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$907 |
$907 |
4.3× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$5,434 |
$5,434 |
7.3× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$12,115.50 |
$12,115.50 |
4.0× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$16,393.50 |
$16,393.50 |
4.7× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$10,425.76 |
$10,425.76 |
3.0× |
| Incision and drainage, perianal abscess, superficial (46050) |
$2,051 |
$2,051 |
2.1× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$8,332 |
$8,332 |
4.8× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$6,986 |
$6,986 |
4.0× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$936 |
$936 |
2.2× |
| Incision extensor tendon sheath wrist (25000) |
$3,608 |
$3,608 |
2.1× |
| Incision of connective tissue of foot and/or toe (28008) |
$10,510.01 |
$10,510.01 |
3.0× |
| Incision of foot tendon(s) (28230) |
$2,744 |
$2,744 |
1.6× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,608 |
$2,608 |
1.6× |
| Incision of rectal abscess (46040) |
$8,515 |
$8,515 |
6.7× |
| Incisional biopsy skin single lesion (11106) |
$828 |
$828 |
1.1× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$313 |
$313 |
1.5× |
| Inj epidural blood or clot patch (62273) |
$3,062 |
$3,062 |
4.1× |
| Inj paravert f jnt c/t 1 lev (64490) |
$4,209 |
$4,209 |
4.5× |
| Inj paravert f jnt l/s 1 lev (64493) |
$6,570.50 |
$6,570.50 |
7.0× |
| Inj substitute pars plana/limbl w/wo aspir spx (67025) |
$10,700.01 |
$10,700.01 |
4.4× |
| Inj tx nerve (64640) |
$3,368 |
$3,368 |
3.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$3,437 |
$3,437 |
4.6× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$4,602.70 |
$4,602.70 |
4.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$3,438 |
$3,438 |
4.6× |
| Injection aa&/strd greater occipital nerve (64405) |
$1,871.50 |
$1,871.50 |
5.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$3,437 |
$3,437 |
4.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$3,864 |
$3,864 |
4.1× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$2,841 |
$2,841 |
3.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$3,438 |
$3,438 |
4.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$3,437 |
$3,437 |
4.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$2,841 |
$2,841 |
3.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$1,237.50 |
$1,237.50 |
3.8× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$3,826 |
$3,826 |
4.1× |
| Injection eye drug (67028) |
$8,025 |
$8,025 |
23.0× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$3,751 |
$3,751 |
4.0× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$3,624 |
$3,624 |
3.9× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$3,864 |
$3,864 |
4.1× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$4,336 |
$4,336 |
4.6× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$3,864 |
$3,864 |
4.1× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$1,048 |
$1,048 |
3.2× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$1,670 |
$1,670 |
5.2× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$1,087 |
$1,087 |
3.4× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Age Under 21 (66020) |
$9,444 |
$9,444 |
3.9× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62280) |
$2,593 |
$2,593 |
2.8× |
| Insert gastrostomy tube percutaneous (49440) |
$6,489 |
$6,489 |
3.2× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Age Under 21 (66183) |
$8,265 |
$8,265 |
1.9× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Age Under… (66985) |
$5,205 |
$5,205 |
2.1× |
| Insertion of probe to widen saliva gland duct (42650) |
$750 |
$750 |
0.5× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$7,184.50 |
$7,184.50 |
1.9× |
| Insertion or replacement of breast implant on separate day from mastectomy Age Under 21 (19342) |
$10,159 |
$10,159 |
1.2× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$3,712 |
$3,712 |
2.2× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$94 |
$94 |
0.1× |
| Intubation endotracheal (31500) |
$840 |
$840 |
3.4× |
| Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber… (66762) |
$6,929 |
$6,929 |
11.9× |
| Iridotomy by stab incision (separate procedure); except transfixion Age Under 21 (66500) |
$4,922 |
$4,922 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$3,077 |
$3,077 |
11.7× |
| Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow without an implant (24365) |
$39,360 |
$39,360 |
2.9× |
| Keratoplasty (corneal transplant); endothelial Age Under 21 (65756) |
$7,083 |
$7,083 |
1.6× |
| Knee arthroscopy/surgery (29876) |
$8,935.51 |
$8,935.51 |
2.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,626 |
$7,626 |
1.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$22,528 |
$22,528 |
2.9× |
| Lap, ureteroneocystostomy; anastomosis of single ureter to bladder (50949) |
$10,354.50 |
$10,354.50 |
1.6× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,726.01 |
$6,726.01 |
1.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$4,267.75 |
$4,267.75 |
0.7× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$6,501 |
$6,501 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$4,267.75 |
$4,267.75 |
0.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550) |
$9,151.35 |
$9,151.35 |
1.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552) |
$9,566.50 |
$9,566.50 |
0.9× |
| Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979) |
$9,566.50 |
$9,566.50 |
1.5× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$4,424.88 |
$4,424.88 |
0.7× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661) |
$10,471.26 |
$10,471.26 |
1.6× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$3,280 |
$3,280 |
1.7× |
| Laryngoscopy flex diagnostic (31575) |
$914 |
$914 |
4.3× |
| Laryngoscopy w/biopsy (31535) |
$6,304 |
$6,304 |
1.6× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$6,116.76 |
$6,116.76 |
1.6× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$6,619 |
$6,619 |
1.7× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$7,061 |
$7,061 |
1.8× |
| Laser treatment of retina (67040) |
$8,265 |
$8,265 |
1.9× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$25,777.50 |
$25,777.50 |
4.6× |
| Lateral canthopexy (21282) |
$5,479 |
$5,479 |
1.6× |
| Lateral retinacular release open (27425) |
$525 |
$525 |
0.2× |
| Lengthening of tendon, extensor, hand or finger, each tendon Age Under 21 (26476) |
$6,302 |
$6,302 |
1.8× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$12,384.50 |
$12,384.50 |
3.6× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$12,427.67 |
$12,427.67 |
1.6× |
| Ligation or biopsy, temporal artery (37609) |
$2,433 |
$2,433 |
1.4× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$5,711.50 |
$5,711.50 |
1.5× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$23,332 |
$23,332 |
6.3× |
| Lumbar puncture (62270) |
$2,688 |
$2,688 |
3.6× |
| Lysis intranasal synechia (30560) |
$1,113.50 |
$1,113.50 |
2.0× |
| Lysis of labial adhesions (56441) |
$6,040 |
$6,040 |
1.8× |
| Manipulation finger joint under anes each joint (26340) |
$2,365 |
$2,365 |
1.4× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$4,260 |
$4,260 |
2.5× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$3,303 |
$3,303 |
1.9× |
| Mastoidectomy; complete Age Under 21 (69502) |
$11,880 |
$11,880 |
1.9× |
| Mastopexy (19316) |
$10,624 |
$10,624 |
1.5× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$280.50 |
$280.50 |
4.5× |
| Muscle transfer, any type, shoulder or upper arm; single Age Under 21 (23395) |
$9,934.66 |
$9,934.66 |
1.3× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$3,057 |
$3,057 |
3.7× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$3,057 |
$3,057 |
3.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,057 |
$3,057 |
3.7× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$3,057 |
$3,057 |
3.7× |
| Myringoplasty (69620) |
$5,391 |
$5,391 |
1.5× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$549 |
$549 |
2.2× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$5,540 |
$5,540 |
1.6× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$870 |
$870 |
4.1× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$890 |
$890 |
2.2× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$10,169 |
$10,169 |
1.4× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$3,045 |
$3,045 |
1.6× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255) |
$9,684 |
$9,684 |
1.3× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21 (31257) |
$9,926.50 |
$9,926.50 |
1.3× |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
$9,684 |
$9,684 |
1.3× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$4,833.25 |
$4,833.25 |
1.2× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267) |
$9,684 |
$9,684 |
1.3× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21 (31288) |
$6,628.40 |
$6,628.40 |
0.9× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$3,029 |
$3,029 |
1.6× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21 (31240) |
$3,045 |
$3,045 |
1.6× |
| Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253) |
$9,437 |
$9,437 |
1.3× |
| Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259) |
$9,222 |
$9,222 |
1.2× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$9,684 |
$9,684 |
1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,696 |
$3,696 |
2.2× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$1,007 |
$1,007 |
3.8× |
| Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21 (64910) |
$13,651 |
$13,651 |
1.5× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$5,506.50 |
$5,506.50 |
2.7× |
| Neuroplasty and/or transposition; cranial nerve (specify) Age Under 21 (64716) |
$6,362.25 |
$6,362.25 |
3.1× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$4,013 |
$4,013 |
1.9× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$4,408.50 |
$4,408.50 |
2.1× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$3,387.75 |
$3,387.75 |
1.6× |
| Nipple/areola reconstruction (19350) |
$5,728 |
$5,728 |
1.4× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$5,582 |
$5,582 |
6.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$4,130 |
$4,130 |
4.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$3,438 |
$3,438 |
4.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$2,838 |
$2,838 |
3.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$3,864 |
$3,864 |
4.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$3,438 |
$3,438 |
4.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$3,864 |
$3,864 |
4.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$3,932 |
$3,932 |
4.2× |
| Ocular reconst transplant (65780) |
$11,423 |
$11,423 |
2.8× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) (65782) |
$4,364.50 |
$4,364.50 |
1.1× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64568)
likely a partial charge — not the full procedure |
$11,095.35 |
$11,095.35 |
0.2× |
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
unusually low — confirm this is the full procedure |
$10,824.50 |
$10,824.50 |
0.3× |
| Open treatment bimalleolar ankle fracture (27814) |
$31,623 |
$31,623 |
4.1× |
| Open Treatment Distal Fracture (25608) |
$19,898 |
$19,898 |
2.6× |
| Open treatment fracture distal tibia only (27827) |
$23,484 |
$23,484 |
1.7× |
| Open treatment medial malleolus fracture (27766) |
$22,452.51 |
$22,452.51 |
2.9× |
| Open treatment metatarsal fracture each (28485) |
$9,844 |
$9,844 |
1.3× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550) |
$13,301.50 |
$13,301.50 |
1.7× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$6,240 |
$6,240 |
1.8× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$5,942 |
$5,942 |
1.7× |
| Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628) |
$13,351 |
$13,351 |
1.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515) |
$14,258 |
$14,258 |
1.9× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829) |
$10,335.33 |
$10,335.33 |
1.4× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) |
$44,941.01 |
$44,941.01 |
3.3× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630) |
$20,709 |
$20,709 |
2.7× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575) |
$38,366 |
$38,366 |
2.8× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) |
$17,541.75 |
$17,541.75 |
1.3× |
| Open treatment of lunate dislocation Age Under 21 (25695) |
$14,580 |
$14,580 |
1.9× |
| Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age Under 21 (28645) |
$2,804.66 |
$2,804.66 |
0.8× |
| Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Age Under 21 (21330) |
$12,189 |
$12,189 |
2.0× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Age Under 21 (21335) |
$5,529 |
$5,529 |
1.6× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Age Under 21 (21390) |
$11,880 |
$11,880 |
1.9× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$22,062.01 |
$22,062.01 |
2.9× |
| Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna… (24587) |
$38,312 |
$38,312 |
2.8× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575) |
$19,628.51 |
$19,628.51 |
2.6× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$43,689 |
$43,689 |
3.2× |
| Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585) |
$12,429.25 |
$12,429.25 |
1.6× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Age Under 21 (28585)
unusually low — confirm this is the full procedure |
$3,705.70 |
$3,705.70 |
0.5× |
| Open treatment of trans-scaphoperilunar type of fracture dislocation Age Under 21 (25685) |
$14,580 |
$14,580 |
1.9× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$18,371 |
$18,371 |
2.4× |
| Open treatment of ulnar shaft fracture (25545) |
$18,294 |
$18,294 |
2.4× |
| Open treatment posterior malleolus fracture (27769) |
$11,264 |
$11,264 |
1.5× |
| Open treatment radial shaft fracture (25515) |
$17,685 |
$17,685 |
2.3× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$5,204.01 |
$5,204.01 |
0.7× |
| Open tx distal fibular fracture lat malleolus (27792) |
$7,713.92 |
$7,713.92 |
1.0× |
| Open tx distal phalangeal fracture each (26765) |
$6,076 |
$6,076 |
1.8× |
| Open tx metacarpal fracture single ea bone (26615) |
$9,445 |
$9,445 |
2.7× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$6,459 |
$6,459 |
1.9× |
| Open tx prox humeral fx (23615) |
$10,354.50 |
$10,354.50 |
0.8× |
| Or placement of amniotic membrane on the ocular surface; single layer, sutured (65779) |
$4,980 |
$4,980 |
1.2× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Age Under… (67400) |
$5,950 |
$5,950 |
1.4× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Age Under 21 (67412) |
$4,364.51 |
$4,364.51 |
1.7× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$6,477 |
$6,477 |
1.9× |
| Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal… (28114) |
$2,686.60 |
$2,686.60 |
0.8× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$9,444 |
$9,444 |
2.7× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$11,051.50 |
$11,051.50 |
3.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$918.33 |
$918.33 |
0.3× |
| Ostectomy, excision of tarsal coalition Age Under 21 (28116) |
$9,038.01 |
$9,038.01 |
2.6× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$5,242.78 |
$5,242.78 |
1.5× |
| Osteoplasty, radius OR ulna; shortening Age Under 21 (25390) |
$18,867 |
$18,867 |
2.5× |
| Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21 (28310) |
$11,506.26 |
$11,506.26 |
1.5× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$3,981 |
$3,981 |
0.5× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21 (28306) |
$9,032 |
$9,032 |
1.2× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$5,503.75 |
$5,503.75 |
1.6× |
| Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300) |
$4,361 |
$4,361 |
0.6× |
| Osteotomy; metacarpal, each Age Under 21 (26565) |
$6,240 |
$6,240 |
1.8× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$8,231 |
$8,231 |
2.4× |
| Other procedure on fallopian tube or ovary using an endoscope (58679) |
$5,954 |
$5,954 |
0.9× |
| Other procedure on uterus using an endoscope (58578) |
$5,127 |
$5,127 |
0.8× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Age Under 21 (42145) |
$11,244 |
$11,244 |
1.8× |
| Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500) |
$27,583.01 |
$27,583.01 |
4.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$359 |
$359 |
1.7× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$6,076 |
$6,076 |
1.8× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$3,050.40 |
$3,050.40 |
0.9× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$2,903.50 |
$2,903.50 |
0.8× |
| Partial excision distal phalanx finger (26236) |
$6,589 |
$6,589 |
3.9× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$10,494 |
$10,494 |
1.6× |
| Partical excision bone phalanx toe (28124) |
$4,379.68 |
$4,379.68 |
1.3× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (except in aphakia or pseudophakia)|RIGHT SIDE (65730) |
$12,954 |
$12,954 |
3.0× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (in pseudophakia) (65755) |
$11,893.01 |
$11,893.01 |
2.7× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$5,942 |
$5,942 |
1.7× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$6,618 |
$6,618 |
1.9× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$8,864 |
$8,864 |
2.6× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$11,199 |
$11,199 |
3.2× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$7,951.50 |
$7,951.50 |
2.3× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$9,633 |
$9,633 |
2.3× |
| Perq dev breast 1st us imag (19285) |
$3,367 |
$3,367 |
4.5× |
| Pin finger fracture each (26756) |
$6,240 |
$6,240 |
1.8× |
| Placement of amniotic membrane on eye surface for wound healing|RIGHT SIDE (65778) |
$3,645.25 |
$3,645.25 |
3.5× |
| Placement of internal stabilizing device using an endoscope to treat broken or unstable wrist (29847) |
$14,251 |
$14,251 |
1.9× |
| Plastic repair of canaliculi (68700) |
$3,915 |
$3,915 |
1.6× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$4,139.42 |
$4,139.42 |
1.7× |
| Pr suction assisted lipectomy upper extremity (15878) |
$3,964 |
$3,964 |
1.8× |
| Preputial stretching (54450) |
$1,276.50 |
$1,276.50 |
4.8× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Age Under 21 (68811) |
$4,552.33 |
$4,552.33 |
1.8× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age… (67145) |
$4,132.50 |
$4,132.50 |
7.1× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$6,076 |
$6,076 |
1.8× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$1,278 |
$1,278 |
3.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$6,240 |
$6,240 |
1.8× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$4,505 |
$4,505 |
1.5× |
| Radial styloidectomy (separate procedure) Age Under 21 (25230) |
$8,535.50 |
$8,535.50 |
2.5× |
| Radical excision external auditory canal lesion; without neck dissection Age Under 21 (69150) |
$11,880 |
$11,880 |
1.9× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)… (24149) |
$13,838 |
$13,838 |
1.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Age Under 21 (21015) |
$4,731 |
$4,731 |
1.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$5,487 |
$5,487 |
2.7× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$9,611 |
$9,611 |
2.8× |
| Reconstr mcp jnt col ligam w graft (26541) |
$6,460 |
$6,460 |
1.9× |
| Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238) |
$4,361 |
$4,361 |
0.6× |
| Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue… (25337) |
$18,155 |
$18,155 |
2.4× |
| Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24346) |
$20,517 |
$20,517 |
1.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$10,864.50 |
$10,864.50 |
1.4× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$11,314 |
$11,314 |
1.8× |
| Reconstruction of polydactylous digit, soft tissue and bone Age Under 21 (26587) |
$6,240 |
$6,240 |
1.8× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$6,076 |
$6,076 |
1.8× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342) |
$13,328 |
$13,328 |
1.7× |
| Release i-p jt contracture (26525) |
$3,303 |
$3,303 |
1.9× |
| Release of eye fluid (67015) |
$3,645.25 |
$3,645.25 |
1.5× |
| Release of tendon connecting biceps muscle and shoulder using an endoscope (29828) |
$7,509.33 |
$7,509.33 |
1.0× |
| Release, intrinsic muscles of hand, each muscle Age Under 21 (26593) |
$6,240 |
$6,240 |
1.8× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$3,183.50 |
$3,183.50 |
1.5× |
| Relieve inner eye pressure (65820) |
$6,198.75 |
$6,198.75 |
1.4× |
| Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Age Under 21 (21029) |
$5,540 |
$5,540 |
1.6× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$2,730 |
$2,730 |
3.7× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$5,578 |
$5,578 |
3.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$870 |
$870 |
14.0× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$750 |
$750 |
12.1× |
| Removal implant deep (20680) |
$5,062 |
$5,062 |
1.7× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$1,481 |
$1,481 |
4.4× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$3,435 |
$3,435 |
2.0× |
| Removal of eye lesion (65400) |
$8,265 |
$8,265 |
7.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$5,701 |
$5,701 |
4.5× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$6,501 |
$6,501 |
1.7× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$14,361.01 |
$14,361.01 |
4.2× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,927 |
$1,927 |
1.1× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$1,976 |
$1,976 |
1.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$340 |
$340 |
2.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$410 |
$410 |
0.9× |
| Removal of foreign body, foot; deep (28192) |
$7,896 |
$7,896 |
4.5× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$6,996.25 |
$6,996.25 |
2.3× |
| Removal of growth of eyelid lining 1.0 cm or less|RIGHT SIDE (68110) |
$8,498.01 |
$8,498.01 |
3.4× |
| Removal of heel spur (28119) |
$7,171.25 |
$7,171.25 |
2.1× |
| Removal of implanted material, anterior segment of eye Age Under 21 (65920) |
$4,741.25 |
$4,741.25 |
1.9× |
| Removal of implanted material, posterior segment; intraocular Age Under 21 (67121) |
$5,510 |
$5,510 |
2.3× |
| Removal of intact breast implant Age Under 21 (19328) |
$5,728 |
$5,728 |
1.4× |
| Removal of iud (58301) |
$1,755.38 |
$1,755.38 |
5.5× |
| Removal of lens material; pars plana approach, with or without vitrectomy Age Under 21 (66852) |
$6,439.26 |
$6,439.26 |
1.5× |
| Removal of lower arm radial artery sympathetic nerve (64821) |
$6,076 |
$6,076 |
1.8× |
| Removal of nail bed (11750) |
$2,336.75 |
$2,336.75 |
5.4× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Age Under 21 (23334) |
$11,904.51 |
$11,904.51 |
1.6× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$5,728 |
$5,728 |
1.4× |
| Removal of scar tissue of multiple tendons at top of foot (28226) |
$5,204 |
$5,204 |
1.5× |
| Removal of scar tissue of tendon on bottom side of foot (28220) |
$2,018.68 |
$2,018.68 |
1.2× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$5,711.50 |
$5,711.50 |
2.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$375.50 |
$375.50 |
1.8× |
| Removal of skin wrinkles (15829) |
$7,114 |
$7,114 |
1.9× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$7,341.50 |
$7,341.50 |
2.1× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$750 |
$750 |
0.3× |
| Removal of wrist bone (25210) |
$6,459 |
$6,459 |
1.9× |
| Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) |
$7,777.75 |
$7,777.75 |
3.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,491 |
$1,491 |
2.0× |
| Removal, non-biodegradable drug delivery implant (11982) |
$4,922 |
$4,922 |
10.4× |
| Removal/revision of cast (29700) |
$357 |
$357 |
1.2× |
| Remove eyelid foreign body (67938) |
$747 |
$747 |
2.2× |
| Remove foreign body from eye (65210) |
$368 |
$368 |
0.8× |
| Repair achilles tendon (27650) |
$11,470.50 |
$11,470.50 |
1.5× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$1,819 |
$1,819 |
0.5× |
| Repair brow defect (67900) |
$6,753.01 |
$6,753.01 |
2.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,078 |
$1,078 |
2.5× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,460 |
$1,460 |
3.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,737.50 |
$1,737.50 |
4.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,621 |
$1,621 |
2.1× |
| Repair elbow deb/attch open (24359) |
$6,001 |
$6,001 |
1.7× |
| Repair entropion excision tarsal wedge (67923) |
$3,795 |
$3,795 |
1.5× |
| Repair extensor tendon hand w/o graft each (26410) |
$3,644 |
$3,644 |
2.1× |
| Repair eyelid defect (67924) |
$3,915 |
$3,915 |
1.6× |
| Repair eyelid defect (67904) |
$6,267.50 |
$6,267.50 |
2.5× |
| Repair finger tendon (26418) |
$5,564.50 |
$5,564.50 |
3.3× |
| Repair finger tendon (26433) |
$13,395 |
$13,395 |
3.9× |
| Repair finger/hand tendon (26350) |
$6,981.26 |
$6,981.26 |
2.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$649 |
$649 |
1.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$650.50 |
$650.50 |
1.5× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$576 |
$576 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,320 |
$1,320 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$479 |
$479 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$649 |
$649 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$649 |
$649 |
0.8× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$479 |
$479 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$1,055 |
$1,055 |
2.5× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$723 |
$723 |
1.7× |
| Repair intrinsic muscles hand each muscle (26591) |
$5,942 |
$5,942 |
1.7× |
| Repair nasal septal perforations Age Under 21 (30630) |
$3,913.66 |
$3,913.66 |
1.1× |
| Repair nasal vestibular stenosis (30465) |
$5,529 |
$5,529 |
0.9× |
| Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Age Under 21 (67901) |
$19,182.01 |
$19,182.01 |
7.6× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$8,265 |
$8,265 |
1.5× |
| Repair of digit nerve (64831) |
$3,888.80 |
$3,888.80 |
1.9× |
| Repair of ectropion; excision tarsal wedge Age Under 21 (67916) |
$3,915 |
$3,915 |
1.6× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$6,753 |
$6,753 |
2.7× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$3,768.14 |
$3,768.14 |
1.1× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$416 |
$416 |
0.9× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$723 |
$723 |
2.9× |
| Repair of leg tendon each (27658) |
$3,768.14 |
$3,768.14 |
1.1× |
| Repair of nail bed (11760) |
$937 |
$937 |
1.2× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Age Under 21 (30468) |
$3,859 |
$3,859 |
0.6× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435) |
$22,833.51 |
$22,833.51 |
1.7× |
| Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430) |
$10,354.50 |
$10,354.50 |
0.8× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405) |
$7,294 |
$7,294 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400) |
$19,257 |
$19,257 |
2.5× |
| Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440) |
$13,885 |
$13,885 |
1.8× |
| Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) |
$9,054.50 |
$9,054.50 |
2.1× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410) |
$15,217.50 |
$15,217.50 |
2.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412) |
$8,535.50 |
$8,535.50 |
1.1× |
| Repair of syndactyly (web finger) each web space; with skin flaps Age Under 21 (26560) |
$3,303 |
$3,303 |
1.9× |
| Repair of syndactyly (web finger) each web space; with skin flaps and grafts Age Under 21 (26561) |
$6,459 |
$6,459 |
1.9× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$5,240.80 |
$5,240.80 |
1.5× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free… (26358) |
$14,244 |
$14,244 |
1.9× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) |
$9,380.50 |
$9,380.50 |
2.7× |
| Repair tongue lacer,post 1/3 (41251) |
$2,806 |
$2,806 |
11.2× |
| Repair wrist joints (25447) |
$6,782 |
$6,782 |
2.0× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,355 |
$1,355 |
1.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,867 |
$1,867 |
2.4× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$1,328 |
$1,328 |
3.1× |
| Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Age Under… (26412) |
$12,152 |
$12,152 |
3.5× |
Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659)
unusually low — confirm this is the full procedure |
$3,018.71 |
$3,018.71 |
0.4× |
| Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695) |
$10,129.67 |
$10,129.67 |
1.3× |
Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654)
unusually low — confirm this is the full procedure |
$3,533.14 |
$3,533.14 |
0.5× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698) |
$16,779 |
$16,779 |
2.2× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25263) |
$13,179 |
$13,179 |
1.7× |
| Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341) |
$11,614 |
$11,614 |
1.5× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$6,240 |
$6,240 |
1.8× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$9,853 |
$9,853 |
2.9× |
| Repair/graft achilles tendon (27652) |
$6,716.50 |
$6,716.50 |
0.9× |
| Replacement of tissue expander with permanent implant|BILATERAL PROCEDURE (11970) |
$15,050.18 |
$15,050.18 |
2.0× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Age Under 21 (66825) |
$5,499.75 |
$5,499.75 |
2.3× |
| Repr elbow lat ligmnt w/tiss (24343) |
$14,361.01 |
$14,361.01 |
4.2× |
| Reset dislocated jaw (21480) |
$527 |
$527 |
2.0× |
| Reshaping of bony cartilage dividing nasal passages|BILATERAL PROCEDURE (30420) |
$10,775 |
$10,775 |
1.7× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$19,945.01 |
$19,945.01 |
1.5× |
| Revise ulnar nerve at elbow (64718) |
$12,313.50 |
$12,313.50 |
6.0× |
| Revise ulnar nerve at wrist (64719) |
$4,013 |
$4,013 |
1.9× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Age Under 21 (66185) |
$9,054.50 |
$9,054.50 |
3.7× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Age Under 21 (66184) |
$8,978.01 |
$8,978.01 |
3.7× |
| Revision of iris (66761) |
$2,870 |
$2,870 |
4.9× |
| Revision of reconstructed breast (19380) |
$11,467.66 |
$11,467.66 |
1.6× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$40,427 |
$40,427 |
3.0× |
| Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473) |
$14,702.01 |
$14,702.01 |
1.1× |
| Revision of upper eyelid (15823) |
$4,132.50 |
$4,132.50 |
1.9× |
| Revision peri-implant capsule breast (19370) |
$5,728 |
$5,728 |
1.4× |
| Rhinoplasty secondary intermediate revision (30435) |
$10,775 |
$10,775 |
1.7× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$24,054 |
$24,054 |
3.9× |
| Rhinoplasty, secondary; minor revision (small amount of nasal tip work) Age Under 21 (30430) |
$6,096 |
$6,096 |
1.0× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$266.50 |
$266.50 |
1.9× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$331.50 |
$331.50 |
2.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$4,955 |
$4,955 |
1.6× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$13,441.01 |
$13,441.01 |
2.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$11,423 |
$11,423 |
3.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$11,862.01 |
$11,862.01 |
3.1× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$16,160 |
$16,160 |
4.3× |
| Rpr non-union mtcrpl/phalanx (26546) |
$12,688 |
$12,688 |
1.7× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$15,002.50 |
$15,002.50 |
4.3× |
| Rpr xtnsr tdn ctr slip 2 tiss w/lat band ea fngr (26426) |
$8,090 |
$8,090 |
2.3× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$11,199 |
$11,199 |
3.0× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$5,620.25 |
$5,620.25 |
1.6× |
| Sesamoidectomy, thumb or finger (separate procedure) Age Under 21 (26185) |
$3,303 |
$3,303 |
1.9× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65875) |
$4,750.42 |
$4,750.42 |
2.0× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$4,051.67 |
$4,051.67 |
1.7× |
| Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)… (67031) |
$2,870 |
$2,870 |
4.9× |
| Sialolithotomy; submandibular (submaxillary), complicated, intraoral Age Under 21 (42335) |
$1,211 |
$1,211 |
0.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$618 |
$618 |
2.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$649 |
$649 |
3.1× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$772 |
$772 |
3.6× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$549.50 |
$549.50 |
2.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$554 |
$554 |
2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$633.50 |
$633.50 |
3.0× |
| Skin tissue procedure unlisted (17999) |
$828 |
$828 |
3.9× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$618 |
$618 |
2.9× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$649 |
$649 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$732 |
$732 |
1.7× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$6,178.51 |
$6,178.51 |
2.8× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; Age… (69660) |
$12,033.01 |
$12,033.01 |
1.9× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Age Under 21 (67312) |
$17,739 |
$17,739 |
4.3× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$5,620.25 |
$5,620.25 |
1.6× |
| Suction assisted lipectomy; lower extremity - 15879 (15879) |
$7,114 |
$7,114 |
1.9× |
| Suction assisted removal of fat of body (15877) |
$7,470 |
$7,470 |
2.0× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$6,178.50 |
$6,178.50 |
7.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$1,335 |
$1,335 |
3.1× |
| Suture 1 nerve ulnar motor (64836) |
$7,004 |
$7,004 |
1.9× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$11,053 |
$11,053 |
3.1× |
| Suture of infrapatellar tendon; primary Age Under 21 (27380) |
$47,994 |
$47,994 |
6.3× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$5,103.33 |
$5,103.33 |
2.1× |
| Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385) |
$23,394.50 |
$23,394.50 |
3.1× |
| Suture of tendon to joint of finger near top of finger (26474) |
$3,435 |
$3,435 |
2.0× |
| Synovectomy, carpometacarpal joint Age Under 21 (26130) |
$6,782 |
$6,782 |
2.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$3,277 |
$3,277 |
1.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$7,117 |
$7,117 |
4.2× |
| Temporary closure of eyelids by suture (eg, Frost suture) Age Under 21 (67875) |
$5,506.33 |
$5,506.33 |
5.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$6,380 |
$6,380 |
1.8× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$6,240 |
$6,240 |
1.8× |
| Tenodesis long tendon biceps (23430) |
$13,164 |
$13,164 |
1.7× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$6,305 |
$6,305 |
1.8× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$3,520 |
$3,520 |
2.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,050.40 |
$3,050.40 |
0.9× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Age Under 21 (26449) |
$6,302 |
$6,302 |
1.8× |
| Tenolysis, extensor, foot; single tendon Age Under 21 (28225) |
$3,176.12 |
$3,176.12 |
0.9× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$6,240 |
$6,240 |
1.8× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Age Under 21 (27681) |
$3,813 |
$3,813 |
1.1× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Age Under 21 (26442) |
$6,459 |
$6,459 |
1.9× |
| Tenolysis, flexor, foot; multiple tendons Age Under 21 (28222) |
$3,018.71 |
$3,018.71 |
0.9× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$6,240 |
$6,240 |
1.8× |
| Tenotomy percutaneous toe single tendon (28010) |
$3,197 |
$3,197 |
1.9× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$1,041.46 |
$1,041.46 |
0.6× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$1,790.79 |
$1,790.79 |
1.1× |
| Thyroidectomy, total or complete (60240) |
$10,935 |
$10,935 |
1.7× |
| Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age Under 21 (19357) |
$22,494 |
$22,494 |
1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$5,265 |
$5,265 |
1.5× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$5,529 |
$5,529 |
1.6× |
| Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825) |
$11,898.50 |
$11,898.50 |
1.9× |
| Total knee arthroplasty (27447) |
$21,143 |
$21,143 |
1.6× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220) |
$15,252 |
$15,252 |
2.4× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$4,110 |
$4,110 |
2.0× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691) |
$5,370.50 |
$5,370.50 |
0.7× |
| Transfusion, blood or blood components (36430) |
$1,670 |
$1,670 |
3.6× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent (66175) |
$4,132.50 |
$4,132.50 |
0.7× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent (66174) |
$6,407.75 |
$6,407.75 |
1.5× |
| Transplant hand tendon (26480) |
$6,782 |
$6,782 |
2.0× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$5,711.50 |
$5,711.50 |
1.0× |
| Treat big toe fracture (28495) |
$1,105 |
$1,105 |
4.2× |
| Treat elbow fracture (24586) |
$24,875.01 |
$24,875.01 |
1.8× |
| Treat fx distal radial (25606) |
$6,302 |
$6,302 |
1.8× |
| Treat fx rad extra-articul (25607) |
$19,938 |
$19,938 |
2.6× |
| Treat lower leg fracture (27825) |
$6,589 |
$6,589 |
3.9× |
| Treat radius fracture (24665) |
$13,838 |
$13,838 |
1.8× |
| Treat tail bone fracture (27200) |
$752 |
$752 |
2.9× |
| Treat thumb fracture (26665) |
$6,618 |
$6,618 |
1.9× |
| Treat toe dislocation (28630) |
$653 |
$653 |
2.5× |
| Treat wrist dislocation (25675) |
$1,320 |
$1,320 |
5.1× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$7,473 |
$7,473 |
4.4× |
| Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609) |
$18,528.50 |
$18,528.50 |
2.4× |
| Treatment of ankle fracture (27822) |
$32,049 |
$32,049 |
4.2× |
| Treatment of bladder lesion (51720) |
$4,692.75 |
$4,692.75 |
6.4× |
| Treatment of broken base of forearm bone on small finger side at wrist (25652) |
$14,086.75 |
$14,086.75 |
1.8× |
| Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515) |
$28,554.76 |
$28,554.76 |
2.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$583 |
$583 |
2.2× |
| Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21 (67228) |
$6,219.50 |
$6,219.50 |
10.7× |
| Treatment of heel fracture (28405) |
$914 |
$914 |
3.5× |
| Treatment of miscarriage (59812) |
$4,132.50 |
$4,132.50 |
1.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$2,960 |
$2,960 |
11.4× |
| Trurl dstrj prst8 tiss rf wv (53854) |
$8,665 |
$8,665 |
2.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$1,886 |
$1,886 |
2.4× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$11,314 |
$11,314 |
1.8× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$11,880 |
$11,880 |
1.9× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$11,608 |
$11,608 |
1.9× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$2,627 |
$2,627 |
1.6× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$9,823 |
$9,823 |
4.0× |
| Unlisted procedure leg/ankle (27899) |
$5,308.51 |
$5,308.51 |
20.4× |
| Unlisted procedure, dentoalveolar structures (41899) |
$5,711.50 |
$5,711.50 |
22.9× |
| Unlisted procedure, hands or fingers (26989) |
$3,435 |
$3,435 |
13.2× |
| Uvulectomy, excision of uvula (42140) |
$4,243.75 |
$4,243.75 |
1.2× |
| Vasectomy (55250) |
$8,265 |
$8,265 |
3.7× |
| Venipuncture (36415) |
$57 |
$57 |
6.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$914 |
$914 |
0.3× |
| Vitrectomy mechanical pars plana (67036) |
$4,527.25 |
$4,527.25 |
1.0× |
| Vitrectomy pars plana remove int memb retina (67042) |
$7,383 |
$7,383 |
1.7× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age Under 21 (67039) |
$4,527.25 |
$4,527.25 |
1.0× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Age… (67041) |
$8,265 |
$8,265 |
1.9× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$6,077.51 |
$6,077.51 |
1.4× |
| Wedge excision skin nail fold (11765) |
$374 |
$374 |
0.9× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$8,265 |
$8,265 |
3.4× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$8,265 |
$8,265 |
1.5× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$4,132.50 |
$4,132.50 |
0.7× |