| Acromiopl/Acromionect Partial (23130) |
$3,632.83 |
$18,678 |
1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,970.15 |
$12,575 |
1.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,106.31 |
$12,575 |
1.1× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,106.31 |
$19,875 |
1.1× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,106.31 |
$12,575 |
1.1× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$8,072.76 |
$8,925 |
1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,632.83 |
$23,525 |
1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,632.83 |
$12,575 |
1.2× |
| Amputation metatarsal with toe single (28810) |
$3,632.83 |
$12,575 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$3,632.83 |
$8,925 |
1.2× |
| Ankle Arthroscopy/Surgery (29892) |
$8,072.76 |
$8,925 |
1.2× |
| Anterior Tibial Tubercleplasty (27418) |
$8,072.76 |
$24,388.06 |
1.2× |
| Application finger splint static (29130) |
$141.71 |
$278 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$141.71 |
$278 |
1.1× |
| Application short leg splint calf foot (29515) |
$177.89 |
$278 |
1.2× |
| Application uniplane external fixation system (20690) |
$8,072.76 |
$8,925 |
1.2× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$15,924.41 |
$27,064.84 |
1.3× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$15,924.41 |
$26,033.92 |
1.3× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$15,924.41 |
$19,183.60 |
1.3× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$8,072.76 |
$15,650.60 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$331.84 |
$285 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$331.84 |
$5,850 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$331.84 |
$245 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$331.84 |
$250 |
1.2× |
| Arthrodesis ankle open (27870) |
$15,924.41 |
$22,282.19 |
1.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$8,072.76 |
$22,496.12 |
1.2× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$8,072.76 |
$22,516.89 |
1.2× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$3,632.83 |
$25,511.34 |
1.2× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$26,724.74 |
$33,936.44 |
1.6× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$26,724.74 |
$58,654.80 |
1.6× |
| Arthrodesis subtalar (28725) |
$15,924.41 |
$20,104.90 |
1.3× |
| Arthrodesis triple (28715) |
$15,924.41 |
$15,894.19 |
1.3× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$15,924.41 |
$38,298.59 |
1.3× |
| Arthroplasty interphalangeal joint each (26535) |
$3,632.83 |
$8,925 |
1.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,632.83 |
$20,060.59 |
1.2× |
| Arthroplasty Radial Head W/Implant (24366) |
$15,924.41 |
$37,463.27 |
1.3× |
| Arthroplasty, knee, tibial plateau; Facility (27440) |
$15,924.41 |
$27,773 |
1.3× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,632.83 |
$13,728.72 |
1.2× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,632.83 |
$8,925 |
1.2× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$3,632.83 |
$12,575 |
1.2× |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
$3,632.83 |
$12,575 |
1.2× |
| Arthroscopy hip w/femoroplasty (29914) |
$8,072.76 |
$34,636.14 |
1.2× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,632.83 |
$12,575 |
1.2× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,632.83 |
$12,575 |
1.2× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,632.83 |
$15,193 |
1.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,632.83 |
$8,925 |
1.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,632.83 |
$17,896.55 |
1.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$8,072.76 |
$21,014.70 |
1.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,632.83 |
$19,875 |
1.2× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$8,072.76 |
$8,925 |
1.2× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$8,072.76 |
$8,925 |
1.2× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$3,632.83 |
$21,262.33 |
1.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,632.83 |
$13,735.32 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,632.83 |
$8,925 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,632.83 |
$23,383.80 |
1.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$8,072.76 |
$18,123.29 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,632.83 |
$16,689 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,632.83 |
$18,905.50 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,072.76 |
$19,752 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,072.76 |
$21,486.85 |
1.2× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,632.83 |
$12,575 |
1.2× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$3,632.83 |
$8,925 |
1.2× |
| Arthrotomy wrist joint with synovectomy (25105) |
$3,632.83 |
$27,612.20 |
1.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$15,924.41 |
$48,131.64 |
1.3× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$15,924.41 |
$35,253.47 |
1.3× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$8,072.76 |
$32,074.72 |
1.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$8,072.76 |
$28,781.45 |
1.2× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$15,924.41 |
$34,372.39 |
1.3× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,632.83 |
$8,925 |
1.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,632.83 |
$11,235 |
1.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,632.83 |
$23,439.70 |
1.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,632.83 |
$18,315.40 |
1.2× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$3,632.83 |
$12,575 |
1.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,750.75 |
$8,950 |
1.2× |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
$3,632.83 |
$8,925 |
1.2× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
$3,632.83 |
$14,241 |
1.2× |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
$8,072.76 |
$26,074.67 |
1.2× |
| Autologous Chondrocyte Implantation Knee (27412) |
$81,196.12 |
$122,948.98 |
11.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$220.39 |
$8,925 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,830.12 |
$8,925 |
1.2× |
| Biopsy of breast; open, incisional (19101) |
$4,195.62 |
$8,925 |
1.1× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,152.71 |
$12,575 |
1.2× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$8,072.76 |
$8,925 |
1.2× |
| Breast Reduction (19318) |
$7,253.27 |
$30,825 |
1.2× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,195.62 |
$12,575 |
1.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,632.83 |
$8,925 |
1.2× |
| Capsular contracture release (23020) |
$3,632.83 |
$16,275 |
1.2× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,750.75 |
$8,925 |
1.2× |
| Capsulotomy Posterior Capsular Release Knee (27435) |
$3,632.83 |
$33,100 |
1.2× |
| Carpal Tunnel Surgery (64721) |
$2,193.78 |
$13,411.72 |
1.2× |
| Cerv artific diskectomy (22856) |
$26,724.74 |
$41,722.69 |
1.6× |
| Chemodenerv musc neck dyston (64616) |
$331.84 |
$750 |
1.2× |
| Claviculectomy partial (23120) |
$3,632.83 |
$18,302.78 |
1.2× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,632.83 |
$12,575 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,750.75 |
$116,028.05 |
1.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,750.75 |
$8,925 |
1.2× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,516.74 |
$8,925 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$252.65 |
$9,387 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,750.75 |
$8,925 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$252.65 |
$402 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$252.65 |
$8,925 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,750.75 |
$8,925 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$252.65 |
$8,925 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,750.75 |
$8,925 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$252.65 |
$8,925 |
1.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,750.75 |
$8,925 |
1.2× |
| Complex drainage wound (10180) |
$3,152.71 |
$12,600 |
1.2× |
| Correction hammertoe (28285) |
$3,632.83 |
$15,216.36 |
1.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,632.83 |
$10,545.07 |
1.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$8,072.76 |
$23,183.58 |
0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$8,072.76 |
$13,731.95 |
1.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,632.83 |
$8,925 |
1.2× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$8,072.76 |
$16,270.45 |
1.2× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,738.72 |
$2,500 |
1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,152.71 |
$8,925 |
1.2× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$3,632.83 |
$12,575 |
1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$709.02 |
$17,601.04 |
1.0× |
| Debride nail 1-5 (11720) |
$70.15 |
$8,925 |
1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,830.12 |
$44,874.48 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$455.30 |
$43,815 |
1.2× |
| Decompress Spinal Cord Lmbr (63056) |
$8,072.76 |
$16,531.68 |
1.2× |
| Decompression of tibia nerve (28035) |
$2,193.78 |
$15,195 |
1.2× |
| Deep Muscle Biopsy (20205) |
$3,152.71 |
$12,575 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,193.78 |
$3,100 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,193.78 |
$3,100 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$548 |
— |
| Drain Cerebro Spinal Fluid (62272) |
$786.37 |
$1,111 |
1.2× |
| Drain Hand Tendon Sheath (26020) |
$3,632.83 |
$8,925 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,830.12 |
$15,655.81 |
1.2× |
| Drainage of palmar bursa single bursa (26025) |
$3,632.83 |
$8,925 |
1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,040.03 |
$2,626 |
1.3× |
| Elbow arthroscopy (29830) |
$3,632.83 |
$12,575 |
1.2× |
| Epidural Blood Patch (62273) |
$786.37 |
$1,569 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,830.12 |
$12,575 |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,830.12 |
$12,575 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,830.12 |
$8,925 |
1.2× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,830.12 |
$8,925 |
1.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,195.62 |
$8,925 |
1.1× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,830.12 |
$12,575 |
1.2× |
| Exc ganglion wrist recurrent (25112) |
$1,750.75 |
$12,575 |
1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,830.12 |
$8,925 |
1.2× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,830.12 |
$12,575 |
1.2× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,830.12 |
$12,575 |
1.2× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,750.75 |
$10,000 |
1.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,193.78 |
$23,856.32 |
1.2× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,193.78 |
$19,875 |
1.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,193.78 |
$19,875 |
1.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,152.71 |
$16,225 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,830.12 |
$8,925 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,152.71 |
$8,925 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,830.12 |
$16,225 |
1.2× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,632.83 |
$8,925 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,152.71 |
$8,925 |
1.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$455.30 |
$8,925 |
1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$792.04 |
$8,925 |
1.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,830.12 |
$8,925 |
1.2× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,152.71 |
$16,225 |
1.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,830.12 |
$8,925 |
1.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,152.71 |
$12,575 |
1.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,152.71 |
$8,925 |
1.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,152.71 |
$8,925 |
1.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,152.71 |
$16,225 |
1.2× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$8,072.76 |
$20,902 |
1.2× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$8,072.76 |
$22,125.92 |
1.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,632.83 |
$18,646.80 |
1.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,750.75 |
$8,925 |
1.2× |
| Excise intraspinl lesion crv (63265) |
$8,072.76 |
$4,000 |
1.2× |
| Excise Wrist Tendon Sheath (25118) |
$1,750.75 |
$12,709.40 |
1.2× |
| Excision lesion meniscus/capsule knee (27347) |
$3,632.83 |
$12,575 |
1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$455.30 |
$8,925 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,750.75 |
$2,500 |
1.2× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$2,193.78 |
$8,925 |
1.2× |
| Excision olecranon bursa (24105) |
$3,632.83 |
$22,715 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$3,632.83 |
$13,675 |
1.2× |
| Excision prepatellar bursa (27340) |
$3,632.83 |
$12,575 |
1.2× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$7,253.27 |
$8,500 |
1.2× |
| Excision synovial cyst popliteal space (27345) |
$3,632.83 |
$8,925 |
1.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,152.71 |
$8,925 |
1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,830.12 |
$8,925 |
1.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,830.12 |
$12,600 |
1.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,830.12 |
$8,925 |
1.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
$3,152.71 |
$8,925 |
1.2× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,750.75 |
$24,201.80 |
1.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,152.71 |
$8,925 |
1.2× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,632.83 |
$12,575 |
1.2× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,750.75 |
$12,575 |
1.2× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$3,632.83 |
$12,575 |
1.2× |
| Excision; trochanteric bursa or calcification (27062) |
$3,632.83 |
$24,538.69 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$1,830.12 |
$2,500 |
1.2× |
| Exploration of hip joint (27033) |
$8,072.76 |
$8,925 |
1.2× |
| Exploration of knee joint (27310) |
$3,632.83 |
$15,300.67 |
1.2× |
| Explore treat shoulder joint (23107) |
$8,072.76 |
$8,925 |
1.2× |
| Explore/Treat Elbow Joint (24101) |
$3,632.83 |
$18,909 |
1.2× |
| Explore/Treat Knee Joint (27331) |
$3,632.83 |
$25,041.26 |
1.2× |
| Explore/Treat Wrist Joint (25040) |
$3,632.83 |
$8,925 |
1.2× |
| Fasciectomy Palm Only (26121) |
$3,632.83 |
$16,225 |
1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,632.83 |
$8,925 |
1.2× |
| Fasciotomy Iliotibial Open (27305) |
$3,632.83 |
$24,280 |
1.2× |
| Fasciotomy, foot and/or toe (28008) |
$3,632.83 |
$8,925 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,632.83 |
$19,875 |
1.2× |
| Fusion Finger Joint (26860) |
$3,632.83 |
$19,875 |
1.2× |
| Fusion of foot bones (28740) |
$8,072.76 |
$22,709.65 |
1.2× |
| Gastrocnemius recession (27687) |
$3,632.83 |
$31,263.80 |
1.2× |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
$3,472.19 |
$8,925 |
1.1× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
$6,516.74 |
$19,900 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$8,072.76 |
$19,276.88 |
1.2× |
| I&d abscess simple (10060) |
$220.39 |
$180 |
1.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,750.75 |
$8,925 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,152.71 |
$8,950 |
1.2× |
| Immediate breast prosthesis (19340) |
$7,253.27 |
$8,925 |
0.9× |
| Implant neuroelectrodes (63650) |
$8,059.61 |
$67,162.80 |
1.3× |
| Implant Spine Infusion Pump (62362) |
$20,672.38 |
$77,561 |
1.2× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$20,672.38 |
$8,925 |
1.2× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$7,540.67 |
$48,810.89 |
0.9× |
| Incise finger tendon sheath (26055) |
$1,750.75 |
$8,925 |
1.2× |
| Incise Wrist/Forearm Tendon (25290) |
$3,632.83 |
$16,225 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$455.30 |
$1,000 |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,750.75 |
$8,925 |
1.2× |
| Incision of Foot Tendon (28234) |
$1,750.75 |
$8,925 |
1.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,040.03 |
$2,263 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,040.03 |
$960 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,040.03 |
$1,487 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$331.84 |
$8,925 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$786.37 |
$1,200 |
1.2× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,040.03 |
$960 |
1.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$786.37 |
$470 |
1.2× |
| Injection single tendon origin/insertion (20551) |
$331.84 |
$609 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$331.84 |
$470 |
1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,040.03 |
$110 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$786.37 |
$1,395 |
1.2× |
| Insert and remove bone pin (20650) |
$3,632.83 |
$34,609.50 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$3,635.66 |
$2,779 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$141.71 |
$160 |
1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,815.83 |
$2,100 |
1.2× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$35,830.27 |
$85,972.94 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$253.64 |
$626 |
1.1× |
| Irrigation of corpora cavernosa for priapism (54220) |
$262.24 |
$8,925 |
1.1× |
| Knee arthroscopy/drainage (29871) |
$3,632.83 |
$12,600 |
1.2× |
| Knee Arthroscopy/Surgery (29874) |
$3,632.83 |
$12,575 |
1.2× |
| Knee Arthroscopy/Surgery (29850) |
$1,750.75 |
$21,815 |
1.2× |
| Lam facetec & foramot lumbar (63047) |
$8,072.76 |
$18,326.75 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$8,072.76 |
$20,535.83 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$8,072.76 |
$28,788.41 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$8,072.76 |
$23,550 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,072.76 |
$20,789.61 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$8,072.76 |
$8,925 |
1.2× |
| Laminotomy Single Lumbar (63042) |
$8,072.76 |
$30,688.37 |
1.2× |
| Late closure of wound (13160) |
$2,106.31 |
$12,575 |
0.6× |
| Lateral retinacular release open (27425) |
$3,632.83 |
$16,250 |
1.2× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$8,072.76 |
$31,080.33 |
1.2× |
| Ligamentous reconstruction knee intra-articular (27428) |
$15,924.41 |
$31,697.80 |
1.3× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,911.66 |
$5,290 |
1.2× |
| Low Back Disk Surgery (63030) |
$8,072.76 |
$6,865.39 |
1.2× |
| Lumbar spine fusion combined (22633) |
$26,724.74 |
$49,898.38 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,750.75 |
$10,100.57 |
1.2× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,750.75 |
$8,925 |
1.2× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,750.75 |
$3,428 |
1.2× |
| Mast mod rad (19307) |
$7,253.27 |
$30,153.80 |
1.2× |
| Mastectomy partial (19301) |
$4,195.62 |
$8,925 |
1.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$7,253.27 |
$12,575 |
1.2× |
| Mastectomy simple complete (19303) |
$7,253.27 |
$38,109.85 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$786.37 |
$470 |
1.2× |
| N block inj intercost sng (64420) |
$786.37 |
$548 |
1.2× |
| N Block Lumbar/Thoracic (64520) |
$1,040.03 |
$1,217 |
1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,750.75 |
$8,925 |
1.2× |
| Neck spine disk surgery (63020) |
$8,072.76 |
$20,688.24 |
1.2× |
| Nerve repair w/conduit each nerve (64910) |
$7,540.67 |
$18,273.20 |
0.9× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$7,540.67 |
$15,000 |
0.9× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,193.78 |
$23,103.36 |
1.2× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,193.78 |
$16,225 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,040.03 |
$1,493 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,040.03 |
$2,263 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$786.37 |
$1,345 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$786.37 |
$1,292 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,040.03 |
$473 |
1.3× |
| Occipital Nerve Block (64405) |
$331.84 |
$270 |
1.2× |
| Open Repair of Rotator Cuff Acute (23410) |
$8,072.76 |
$25,451.54 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,072.76 |
$28,826.90 |
1.2× |
| Open treatment calcaneal fracture (28415) |
$8,072.76 |
$17,714.20 |
1.2× |
| Open treatment fracture distal tibia only (27827) |
$15,924.41 |
$36,014.17 |
1.3× |
| Open Treatment Lunate Dislocation (25695) |
$8,072.76 |
$26,357.19 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,072.76 |
$10,688 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$8,072.76 |
$16,729.88 |
1.2× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$8,072.76 |
$21,224.50 |
1.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$8,072.76 |
$26,236 |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,072.76 |
$27,512.32 |
1.2× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$8,072.76 |
$16,592.16 |
1.2× |
| Open treatment of ulnar styloid fracture (25652) |
$8,072.76 |
$8,925 |
1.2× |
| Open Treatment Proximal Humeral Fracture (23615) |
$15,924.41 |
$37,849.86 |
1.3× |
| Open tx carpal scaphoid navicular fracture (25628) |
$8,072.76 |
$15,164.84 |
1.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$8,072.76 |
$22,732.73 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,632.83 |
$16,225 |
1.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$8,072.76 |
$16,315 |
1.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$3,632.83 |
$12,625 |
1.2× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$15,924.41 |
$47,473.28 |
1.3× |
| Open tx interphalangeal joint dislocation (26785) |
$3,632.83 |
$12,600 |
1.2× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$6,516.74 |
$19,875 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,632.83 |
$17,650.31 |
1.2× |
| Open Tx Radial Head/Neck Fracture (24665) |
$8,072.76 |
$28,671.53 |
1.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$8,072.76 |
$27,841.88 |
1.2× |
| Open tx ulnar fx proximal end (24685) |
$8,072.76 |
$29,554.23 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$8,072.76 |
$53,007.43 |
1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$8,072.76 |
$22,222.31 |
1.2× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$15,924.41 |
$32,811.58 |
1.3× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,632.83 |
$8,925 |
1.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,632.83 |
$8,925 |
1.2× |
| Osteochondral allograft knee open (27415) |
$21,125.66 |
$65,280.52 |
1.8× |
| Osteochondral knee autograft (27416) |
$8,072.76 |
$15,186.28 |
1.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,632.83 |
$12,101.81 |
1.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$8,072.76 |
$15,321.66 |
1.2× |
| Osteotomy Tibia (27705) |
$8,072.76 |
$8,925 |
1.2× |
| Part exc bone femur prox tibia (27360) |
$3,632.83 |
$28,059 |
1.2× |
| Part remv talus or calcaneus (28120) |
$3,632.83 |
$15,373.40 |
1.2× |
| Partial excision bone metacarpal (26230) |
$3,632.83 |
$16,225 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,750.75 |
$12,575 |
1.2× |
| Partial removal of toe (28160) |
$3,632.83 |
$13,294.20 |
1.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,632.83 |
$13,294.20 |
1.2× |
| Patellectomy or hemipatellectomy (27350) |
$8,072.76 |
$22,064.12 |
1.2× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$3,632.83 |
$8,925 |
1.2× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$4,195.62 |
$16,225 |
1.1× |
| Perq Cervicothoracic Inject (22510) |
$3,632.83 |
$9,299.60 |
1.2× |
| Perq Lumbosacral Injection (22511) |
$3,632.83 |
$11,963.41 |
1.2× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,632.83 |
$14,370.73 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,072.76 |
$35,895 |
1.2× |
| Perq Vertebral Augmentation (22513) |
$8,072.76 |
$37,990.93 |
1.2× |
| Pin knuckle dislocation (26706) |
$3,632.83 |
$8,925 |
1.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$792.04 |
$1,280 |
1.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,632.83 |
$8,925 |
1.2× |
| Prq skel fixj femoral fx prox end neck (27235) |
$8,072.76 |
$15,333.32 |
1.2× |
| Prq skel fixj metar fx w/manj (28476) |
$3,632.83 |
$8,925 |
1.2× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$3,632.83 |
$8,925 |
1.2× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,632.83 |
$12,575 |
1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$455.30 |
$376.35 |
1.2× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
$8,072.76 |
$26,333.94 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,750.75 |
$12,575 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,632.83 |
$16,225 |
1.2× |
| Rad resect elbow caps/sr bone w rels (24149) |
$8,072.76 |
$19,875 |
1.2× |
| Radical styloidectomy separate procedure (25230) |
$3,632.83 |
$23,525 |
1.2× |
| Rcnstj Dislocating Patella (27420) |
$8,072.76 |
$16,225 |
1.2× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$8,072.76 |
$10,509 |
1.2× |
| Realignment extensor tendon hand each tendon (26437) |
$3,632.83 |
$16,225 |
1.2× |
| Reconst lwr jaw w/fixation (21196) |
— |
$23,525 |
— |
| Reconstruct ulna/radioulnar (25337) |
$8,072.76 |
$19,875 |
1.2× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$3,632.83 |
$8,925 |
1.2× |
| Release of shoulder ligament (23415) |
$8,072.76 |
$20,537 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,830.12 |
$8,925 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,830.12 |
$8,925 |
1.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,152.71 |
$8,925 |
1.2× |
| Removal Implant Deep (20680) |
$3,152.71 |
$9,238.15 |
1.2× |
| Removal intact breast implant (19328) |
$4,195.62 |
$16,225 |
1.1× |
| Removal of heel spur (28119) |
$3,632.83 |
$21,639.85 |
1.2× |
| Removal of implant from finger or hand (26320) |
$1,830.12 |
$12,575 |
1.2× |
| Removal of mammary implant material (19330) |
$4,195.62 |
$8,925 |
1.1× |
| Removal of nail bed (11750) |
$455.30 |
$8,925 |
1.2× |
| Removal of sesamoid bone (28315) |
$3,632.83 |
$8,925 |
1.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$292.80 |
$8,925 |
1.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,106.31 |
$8,925 |
1.1× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,750.75 |
$8,925 |
1.2× |
| Remove Elbow Joint Lining (24102) |
$3,632.83 |
$16,225 |
1.2× |
| Remove elbow lesion (24120) |
$3,632.83 |
$18,865 |
1.2× |
| Remove femur lesion/graft (27356) |
$15,924.41 |
$17,253.50 |
1.3× |
| Remove Hand Bone Lesion (26200) |
$1,750.75 |
$12,575 |
1.2× |
| Remove humerus lesion (24110) |
$3,632.83 |
$19,875 |
1.2× |
| Remove knee joint lining (27334) |
$3,632.83 |
$22,689.83 |
1.2× |
| Remove lamina/facets lumbar (63012) |
$8,072.76 |
$44,231.53 |
1.2× |
| Remove Lower Leg Bone Lesion (27635) |
$3,632.83 |
$20,517 |
1.2× |
| Remove part lumbar vertebra (22102) |
$8,072.76 |
$12,575 |
1.2× |
| Remove shoulder joint lining (23105) |
$8,072.76 |
$8,925 |
1.2× |
| Remove Skin Nerve Lesion (64774) |
$2,193.78 |
$27,175 |
1.2× |
| Remove spine eltrd plate (63662) |
$3,963.60 |
$14,006.50 |
1.2× |
| Remove spine lamina 1/2 lmbr (63005) |
$8,072.76 |
$16,935.49 |
1.2× |
| Remove spine lamina 1/2 thrc (63003) |
$8,072.76 |
$20,765.89 |
1.2× |
| Remove sympathetic nerves (64821) |
$3,632.83 |
$23,525 |
1.2× |
| Remove Tendon Sheath Lesion (26160) |
$1,750.75 |
$12,575 |
1.2× |
| Remove wrist joint cartilage (25107) |
$3,632.83 |
$5,000 |
1.2× |
| Remove/Insert Drug Implant (11983) |
$460.80 |
$20,329 |
1.1× |
| Repair Achilles Tendon (27650) |
$8,072.76 |
$19,305.86 |
1.2× |
| Repair arm/leg nerve (64857) |
$7,540.67 |
$16,225 |
2.3× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$8,072.76 |
$22,287.84 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$709.02 |
$12,575 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$709.02 |
$12,575 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$709.02 |
$12,575 |
1.0× |
| Repair Elbow Perc (24357) |
$3,632.83 |
$12,575 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,750.75 |
$12,575 |
1.2× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$3,632.83 |
$7,500 |
1.2× |
| Repair Finger/Hand Tendon (26350) |
$3,632.83 |
$5,000 |
1.2× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,632.83 |
$9,734.60 |
1.2× |
| Repair Foot Dislocation (28615) |
$8,072.76 |
$10,380.55 |
1.2× |
| Repair Hallux Rigidus (28289) |
$3,632.83 |
$9,387 |
1.2× |
| Repair Hand Joint (26540) |
$3,632.83 |
$12,575 |
1.2× |
| Repair Hand Tendon (26410) |
$1,750.75 |
$5,000 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$455.30 |
$8,925 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$455.30 |
$12,575 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$455.30 |
$8,925 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$455.30 |
$12,575 |
1.2× |
| Repair Nonunion Hand (26546) |
$8,072.76 |
$16,225 |
1.2× |
| Repair of biceps tendon (24340) |
$8,072.76 |
$29,056.33 |
1.2× |
| Repair of metatarsals (28322) |
$8,072.76 |
$9,883.35 |
1.2× |
| Repair of nail bed (11760) |
$709.02 |
$8,925 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$8,072.76 |
$20,348.80 |
1.2× |
| Repair of shoulder (23420) |
$8,072.76 |
$18,507.12 |
1.2× |
| Repair Rotator Cuff Chronic (23412) |
$8,072.76 |
$21,859.41 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$8,072.76 |
$18,918.33 |
1.2× |
| Repair shoulder capsule (23462) |
$8,072.76 |
$24,119.66 |
1.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,632.83 |
$18,742.33 |
1.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$8,072.76 |
$20,456.62 |
1.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$8,072.76 |
$12,725.50 |
1.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$8,072.76 |
$32,875.60 |
1.2× |
| Repair/graft achilles tendon (27652) |
$8,072.76 |
$8,925 |
1.2× |
| Repair/Revise Wrist Joint (25320) |
$8,072.76 |
$27,175 |
1.2× |
| Replace/Revise Brain Shunt (62230) |
$7,540.67 |
$7,898.40 |
0.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,632.83 |
$10,245 |
1.2× |
| Resection/transplantation long tendon biceps (23440) |
$8,072.76 |
$11,000 |
1.2× |
| Revise finger joint each (26140) |
$1,750.75 |
$12,575 |
1.2× |
| Revise Hand/Foot Nerve (64704) |
$2,193.78 |
$8,925 |
1.2× |
| Revise Spine Eltrd Plate (63664) |
$14,587.42 |
$105,040 |
1.4× |
| Revise ulnar nerve at wrist (64719) |
$2,193.78 |
$12,575 |
1.2× |
| Revision of foot bones (28737) |
$15,924.41 |
$20,165.09 |
1.3× |
| Revision of knee joint (27442) |
$15,924.41 |
$34,952.70 |
1.3× |
| Revision of lower leg tendon (27685) |
$3,632.83 |
$8,950 |
1.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,963.60 |
$37,402 |
1.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$2,193.78 |
$12,600 |
1.2× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$7,540.67 |
$6,151.75 |
2.3× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$3,632.83 |
$15,259 |
1.2× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$8,072.76 |
$8,925 |
1.2× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,632.83 |
$10,917.57 |
1.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,632.83 |
$12,768.60 |
1.2× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,632.83 |
$8,925 |
1.2× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$8,072.76 |
$16,867 |
1.2× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$8,072.76 |
$5,000 |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,632.83 |
$1,335.50 |
1.2× |
| Shoulder arthroscopy (29820) |
$8,072.76 |
$12,600 |
1.2× |
| Shoulder arthroscopy diagnostic (29805) |
$3,632.83 |
$8,925 |
1.2× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,632.83 |
$12,575 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$220.39 |
$350 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$220.39 |
$275 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$220.39 |
$8,925 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$2,106.31 |
$22,485.80 |
3.0× |
| Skin sub graft trnk/arm/leg (15271) |
$2,106.31 |
$20,094.40 |
3.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$220.39 |
$350 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$786.37 |
$1,042 |
1.2× |
| Suction assisted lipectomy; head and neck (15876) |
$3,970.15 |
$8,925 |
1.2× |
| Surg Implnt Neuroelect,Epidural (63655) |
$26,258.21 |
$95,115.25 |
1.4× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$7,540.67 |
$8,925 |
2.3× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$7,540.67 |
$8,925 |
2.3× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,193.78 |
$16,225 |
1.2× |
| Suture infrapatellar tendon primary (27380) |
$8,072.76 |
$23,353.54 |
1.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$8,072.76 |
$19,765 |
1.2× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$8,072.76 |
$29,213.78 |
1.2× |
| Sympathectomy; digital arteries, each digit Facility (64820) |
$2,193.78 |
$23,525 |
1.2× |
| Sympathectomy; ulnar artery (64822) |
$3,632.83 |
$8,925 |
1.2× |
| Synovectomy carpometacarpal joint (26130) |
$3,632.83 |
$8,925 |
1.2× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$3,632.83 |
$8,925 |
1.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,750.75 |
$8,925 |
1.2× |
| Tendon shortening (26477) |
$3,632.83 |
$19,875 |
1.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,632.83 |
$8,925 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$8,072.76 |
$25,297.13 |
1.2× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$3,632.83 |
$23,525 |
1.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,750.75 |
$8,925 |
1.2× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$3,632.83 |
$8,925 |
1.2× |
| Tenotomy extensor hand/finger open each tendon (26460) |
$1,750.75 |
$8,925 |
1.2× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,750.75 |
$12,575 |
1.2× |
| Tenotomy shoulder area single tendon (23405) |
$8,072.76 |
$25,757.29 |
1.2× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$3,632.83 |
$8,925 |
1.2× |
| Tibial Arthroscopy/Surgery (29855) |
$8,072.76 |
$22,861.37 |
1.2× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$20,361.54 |
$8,925 |
1.6× |
| Tnot elbow lateral/medial debride open (24358) |
$3,632.83 |
$8,925 |
1.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,632.83 |
$15,117.57 |
1.2× |
| Tooth extraction (41899) |
$253.64 |
$8,925 |
1.1× |
| Total Knee Arthroplasty (27447) |
$15,924.41 |
$48,755.39 |
1.3× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
$3,632.83 |
$19,875 |
1.2× |
| Transfer/transplant tendon palmar w/o graft each (26485) |
$3,632.83 |
$16,225 |
1.2× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$8,072.76 |
$38,150 |
1.2× |
| Transplant hand tendon (26480) |
$3,632.83 |
$19,875 |
1.2× |
| Treat ankle fracture (28445) |
$8,072.76 |
$9,557.32 |
1.2× |
| Treat dislocation/fracture (23670) |
$8,072.76 |
$27,436.20 |
1.2× |
| Treat Finger Fracture Each (26727) |
$3,632.83 |
$9,070.23 |
1.2× |
| Treat fracture radius/ulna (25575) |
$8,072.76 |
$20,412.04 |
1.2× |
| Treat Fx Rad Extra-Articul (25607) |
$8,072.76 |
$19,797.55 |
1.2× |
| Treat Hand Bone Lesion (26034) |
$1,750.75 |
$16,225 |
1.2× |
| Treat kneecap dislocation (27566) |
$8,072.76 |
$12,600 |
1.2× |
| Treat Kneecap Fracture (27524) |
$8,072.76 |
$23,346.33 |
1.2× |
| Treat scapula fracture (23585) |
$8,072.76 |
$32,416.92 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$220.39 |
$8,925 |
1.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,750.75 |
$8,925 |
1.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,750.75 |
$8,925 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$709.02 |
$1,950 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$15,924.41 |
$39,485.03 |
1.3× |
| Unlisted procedure arthroscopy (29999) |
$252.65 |
$8,925 |
1.1× |
| Unlisted procedure femur or knee (27599) |
$252.65 |
$23,155.44 |
1.1× |
| Unlisted procedure foot or toes (28899) |
$252.65 |
$22,928 |
1.1× |
| Unlisted procedure forearm or wrist (25999) |
$252.65 |
$41,549.62 |
1.1× |
| Unlisted Procedure Hands/Fingers (26989) |
$252.65 |
$12,575 |
1.1× |
| Unlisted procedure humerus/elbow (24999) |
$252.65 |
$8,925 |
1.1× |
| Unlisted Procedure Leg/Ankle (27899) |
$252.65 |
$8,925 |
1.1× |
| Unlisted Procedure Muscskeletal System General (20999) |
$252.65 |
$8,925 |
1.1× |
| Unlisted procedure nervous system (64999) |
$331.84 |
$808 |
1.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$252.65 |
$24,938.75 |
1.1× |
| Unlisted procedure shoulder (23929) |
$252.65 |
$16,986 |
1.1× |
| Unlisted procedure spine (22899) |
$252.65 |
$8,925 |
1.1× |
| Xfer Single Deep Low Leg Tendon (27691) |
$8,072.76 |
$17,699 |
1.2× |