| Abd paracentesis (49082) |
$1,246.50 |
$1,246.50 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$2,532.50 |
$2,532.50 |
2.6× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$880 |
$880 |
0.5× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$1,517 |
$1,517 |
0.9× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$1,360 |
$1,360 |
0.4× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$1,255 |
$1,255 |
0.4× |
| Adenoidectomy, secondary; younger than age 12 Age Under 21 (42835) |
$1,656 |
$1,656 |
0.5× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$2,839 |
$2,839 |
1.3× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$2,622 |
$2,622 |
1.2× |
| Amniocentesis diagnostic (59000) |
$506 |
$506 |
0.5× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$1,048 |
$1,048 |
3.2× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$653 |
$653 |
0.2× |
| Anoscopy diagnostic (46600) |
$327 |
$327 |
2.3× |
| Application finger splint static (29130) |
$156 |
$156 |
1.1× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$416 |
$416 |
1.4× |
| Application of long leg cast (thigh to toes); (29345) |
$486 |
$486 |
1.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$293 |
$293 |
1.7× |
| Application of short arm splint (forearm to hand); static (29125) |
$276 |
$276 |
2.0× |
| Application of short leg cast (below knee to toes); (29405) |
$393 |
$393 |
1.3× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$444 |
$444 |
1.5× |
| Application of short leg splint (calf to foot) (29515) |
$291 |
$291 |
1.7× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$430 |
$430 |
1.5× |
| Application, cast; figure-of-eight Age Under 21 (29049) |
$437 |
$437 |
1.5× |
| Application, cast; shoulder to hand (long arm) (29065) |
$308.50 |
$308.50 |
1.0× |
| Apply hand/wrist cast (29085) |
$337.50 |
$337.50 |
2.0× |
| Apply long arm splint (29105) |
$296 |
$296 |
1.7× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21 (36640) |
$750 |
$750 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$394.50 |
$394.50 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$470 |
$470 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$411.50 |
$411.50 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$659 |
$659 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$335 |
$335 |
1.0× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$427 |
$427 |
1.3× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
unusually low — confirm this is the full procedure |
$11,592 |
$11,592 |
0.4× |
| Aspirate pleura w/o imaging (32554) |
$1,384 |
$1,384 |
2.1× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$555 |
$555 |
1.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$557 |
$557 |
0.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$763.50 |
$763.50 |
0.3× |
| Aspiration bladder needle (51100) |
$352.50 |
$352.50 |
1.3× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$331 |
$331 |
1.6× |
| Biopsy floor of mouth (41108) |
$614 |
$614 |
0.4× |
| Biopsy liver needle percutaneous (47000) |
$1,966 |
$1,966 |
1.1× |
| Biopsy lymph node (38505) |
$1,003 |
$1,003 |
0.6× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$737 |
$737 |
0.4× |
| Biopsy of eyelid (67810) |
$680 |
$680 |
2.0× |
| Biopsy of salivary gland (42405) |
$1,192 |
$1,192 |
0.7× |
| Biopsy of salivary gland; needle (42400) |
$1,768 |
$1,768 |
2.4× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$703 |
$703 |
1.2× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Age Under 21 (38520) |
$2,631 |
$2,631 |
0.6× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,684 |
$1,684 |
0.4× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$2,573 |
$2,573 |
0.6× |
| Biopsy roof of mouth (42100) |
$671 |
$671 |
0.4× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,597 |
$1,597 |
0.9× |
| Biopsy thyroid percutaneous core needle (60100) |
$592 |
$592 |
0.8× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$3,884 |
$3,884 |
2.2× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$4,134 |
$4,134 |
2.4× |
| Biopsy/removal lymph nodes (38510) |
$2,202 |
$2,202 |
0.5× |
| Bladder irrigation (51700) |
$300 |
$300 |
1.1× |
| Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE (15822) |
$2,869 |
$2,869 |
1.3× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Age Under 21 (15821) |
$2,338 |
$2,338 |
1.1× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$392 |
$392 |
1.2× |
| Bx breast 1st lesion strtctc (19081) |
$1,616 |
$1,616 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,669 |
$1,669 |
1.0× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$4,233 |
$4,233 |
1.0× |
| Canthoplasty (67950) |
$2,849 |
$2,849 |
1.1× |
| Cast short arm (29075) |
$275 |
$275 |
0.9× |
| Casting/strapping procedure (29799) |
$334.50 |
$334.50 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$853 |
$853 |
3.2× |
| Chemodenervation Internal Anal Sphincter (46505) |
$1,402 |
$1,402 |
1.1× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$757 |
$757 |
2.3× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$865 |
$865 |
2.7× |
| Chest tube placement (32551) |
$1,145 |
$1,145 |
0.7× |
| Circumcision, Newborn (54150) |
$560.50 |
$560.50 |
0.3× |
| Closed rx acetabular fx (27220) |
$1,284 |
$1,284 |
4.9× |
| Closed rx radial shaft fx w/dislocation (25520) |
$1,244 |
$1,244 |
0.7× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$514 |
$514 |
2.0× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$924 |
$924 |
3.6× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$869 |
$869 |
3.3× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$1,283.50 |
$1,283.50 |
4.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$772 |
$772 |
3.0× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$831.50 |
$831.50 |
3.2× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$1,338.50 |
$1,338.50 |
0.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$286 |
$286 |
1.1× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$545.50 |
$545.50 |
2.1× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$658 |
$658 |
2.5× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$846.50 |
$846.50 |
3.3× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$599 |
$599 |
2.3× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$754.50 |
$754.50 |
1.3× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$151 |
$151 |
0.6× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$904 |
$904 |
0.5× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$532.50 |
$532.50 |
2.0× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,645 |
$1,645 |
6.3× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,013 |
$1,013 |
0.6× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$491.50 |
$491.50 |
1.9× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$312.50 |
$312.50 |
1.2× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$410 |
$410 |
1.6× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$1,192 |
$1,192 |
4.6× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$433 |
$433 |
1.7× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$312 |
$312 |
1.2× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,457 |
$1,457 |
0.9× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$472 |
$472 |
1.8× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$3,923 |
$3,923 |
2.3× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$477 |
$477 |
1.8× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$1,349 |
$1,349 |
5.2× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$511 |
$511 |
2.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$481 |
$481 |
1.8× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$458.50 |
$458.50 |
1.8× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,281 |
$1,281 |
4.9× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$688 |
$688 |
0.4× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$738.50 |
$738.50 |
2.8× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$1,382.50 |
$1,382.50 |
5.3× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,326 |
$1,326 |
0.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$821 |
$821 |
3.2× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$1,103 |
$1,103 |
4.2× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$777.50 |
$777.50 |
3.0× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$1,361.50 |
$1,361.50 |
5.2× |
| Closed treatment of ulnar styloid fracture (25650) |
$1,781.50 |
$1,781.50 |
6.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,169.50 |
$1,169.50 |
4.5× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$1,088.50 |
$1,088.50 |
4.2× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$2,343.50 |
$2,343.50 |
9.0× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$6,198 |
$6,198 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$548 |
$548 |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$751 |
$751 |
2.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,158 |
$1,158 |
0.7× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,168 |
$1,168 |
0.7× |
| Closed tx scapular fracture w/o manipulation (23570) |
$378 |
$378 |
1.5× |
| Closed tx septal&nose fx (21337) |
$1,734 |
$1,734 |
0.5× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$850 |
$850 |
3.3× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$991 |
$991 |
3.8× |
| Closed tx vert fx w/o manj (22310) |
$1,481.50 |
$1,481.50 |
5.7× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$289 |
$289 |
1.2× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$1,647.50 |
$1,647.50 |
2.9× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$848 |
$848 |
0.5× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$1,543 |
$1,543 |
0.4× |
| Clsd tx pelvic ring fx (27197) |
$402 |
$402 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,050 |
$3,050 |
1.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,016.50 |
$1,016.50 |
0.6× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$389 |
$389 |
1.5× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$1,034 |
$1,034 |
4.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$596.50 |
$596.50 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,021 |
$1,021 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,758 |
$1,758 |
6.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$564.50 |
$564.50 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$712 |
$712 |
2.7× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$241 |
$241 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,448 |
$1,448 |
5.6× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$897 |
$897 |
3.4× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$712 |
$712 |
0.4× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$251.50 |
$251.50 |
1.0× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$995.50 |
$995.50 |
3.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$747 |
$747 |
2.9× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,220 |
$1,220 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$970.50 |
$970.50 |
3.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$732 |
$732 |
0.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$862 |
$862 |
3.3× |
| Collect blood from catheter venous nos (36592) |
$166.50 |
$166.50 |
1.2× |
| Collect blood from implant venous access device (36591) |
$164.50 |
$164.50 |
1.2× |
| Colonoscopy thru stoma spx (44388) |
$1,674 |
$1,674 |
1.7× |
| Colonoscopy w/control bleed (45382) |
$2,729 |
$2,729 |
2.2× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$2,598 |
$2,598 |
2.1× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$2,112 |
$2,112 |
1.7× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,125 |
$2,125 |
1.7× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$641 |
$641 |
4.6× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$405 |
$405 |
2.9× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$2,693 |
$2,693 |
0.8× |
| Control throat bleeding (42960) |
$510 |
$510 |
0.9× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,289 |
$2,289 |
1.3× |
| Correction of widely-opened upper eyelid|RIGHT SIDE (67911) |
$3,775 |
$3,775 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$972 |
$972 |
6.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$884 |
$884 |
3.5× |
| Debride skin at fx site (11010) |
$2,633.50 |
$2,633.50 |
3.5× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$410 |
$410 |
1.0× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$247.50 |
$247.50 |
4.0× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$344 |
$344 |
5.5× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$88 |
$88 |
0.2× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$1,941 |
$1,941 |
1.1× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$1,435 |
$1,435 |
1.8× |
| Declot vascular device (36593) |
$623 |
$623 |
1.8× |
| Destroy nerve face muscle (64612) |
$784 |
$784 |
2.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,556 |
$1,556 |
0.8× |
| Diagnostic bone marrow biopsies (38221) |
$762 |
$762 |
0.4× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$2,425 |
$2,425 |
3.3× |
| Diagnostic sigmoidoscopy (45330) |
$710 |
$710 |
0.7× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$580 |
$580 |
0.8× |
| Drain neck/chest lesion (21501) |
$2,317 |
$2,317 |
0.8× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$309 |
$309 |
1.2× |
| Drainage external auditory canal, abscess (69020) |
$801 |
$801 |
1.1× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$347 |
$347 |
0.5× |
| Drainage finger abscess simple (26010) |
$506 |
$506 |
2.4× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$583.50 |
$583.50 |
0.8× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$2,178.50 |
$2,178.50 |
1.3× |
| Drainage of tonsil abscess (42700) |
$742.50 |
$742.50 |
3.0× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$4,798 |
$4,798 |
2.3× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$4,798 |
$4,798 |
2.3× |
| Dx bronchoscope/lavage (31624) |
$1,336 |
$1,336 |
0.7× |
| Dx laryngoscopy excl nb (31525) |
$1,187 |
$1,187 |
0.6× |
| Ed proc insert intraosseous IV (36680) |
$627 |
$627 |
1.3× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$418 |
$418 |
3.1× |
| Ed proc remve fb nasal- hospital (30300) |
$530.50 |
$530.50 |
3.8× |
| Ed prof arthrocentesis sm - hospital (20551) |
$804 |
$804 |
2.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$200 |
$200 |
1.4× |
| Ed prof burn - large - hospital (16030) |
$793 |
$793 |
1.8× |
| Ed prof burn medium - hospital (16025) |
$356 |
$356 |
1.7× |
| Ed prof burn small - hospital (16020) |
$219 |
$219 |
1.0× |
| Ed prof catheterization/straight (51701) |
$209 |
$209 |
1.5× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,438.50 |
$1,438.50 |
5.5× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$757 |
$757 |
0.4× |
| Ed prof drain dental abscess-hospital (41800) |
$373 |
$373 |
2.7× |
| Ed prof insert foley cath simple (51702) |
$188 |
$188 |
1.3× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$762 |
$762 |
0.2× |
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure |
$2,020.50 |
$2,020.50 |
0.2× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,055.50 |
$1,055.50 |
2.5× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$833.50 |
$833.50 |
1.9× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$363.50 |
$363.50 |
1.4× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$655 |
$655 |
1.4× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,607 |
$1,607 |
0.8× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,851 |
$1,851 |
0.9× |
| Egd tube/cath insertion (43241) |
$1,295 |
$1,295 |
0.6× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$534 |
$534 |
0.7× |
| Esoph egd dilation <30 mm (43249) |
$1,655 |
$1,655 |
0.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$1,558 |
$1,558 |
1.6× |
| Evac subungual hematoma (11740) |
$226.50 |
$226.50 |
1.6× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
unusually low — confirm this is the full procedure |
$3,077 |
$3,077 |
0.5× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$1,036 |
$1,036 |
1.4× |
| Exc face tum deep < 2 cm (21013) |
$2,080 |
$2,080 |
1.2× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$494 |
$494 |
0.7× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$698 |
$698 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$2,219 |
$2,219 |
0.7× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$400.50 |
$400.50 |
0.5× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$630 |
$630 |
0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,937 |
$2,937 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$3,346 |
$3,346 |
1.1× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$2,894 |
$2,894 |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,360 |
$2,360 |
1.4× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$4,207 |
$4,207 |
1.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,405 |
$3,405 |
1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,666 |
$2,666 |
0.9× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$2,037 |
$2,037 |
0.7× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$3,490 |
$3,490 |
1.4× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$2,700 |
$2,700 |
1.1× |
| Excision external ear partial simple repair (69110) |
$1,909 |
$1,909 |
0.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$1,690 |
$1,690 |
0.6× |
| Excision inferior turbinate, partial or complete, any method Age Under 21 (30130) |
$1,883 |
$1,883 |
0.5× |
| Excision lesion mouth roof (42104) |
$920 |
$920 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$809 |
$809 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$889 |
$889 |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,055 |
$1,055 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,207 |
$1,207 |
1.6× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$794 |
$794 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$865 |
$865 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$927 |
$927 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,097 |
$1,097 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,272 |
$1,272 |
0.7× |
| Excision multiple external papillae/tags anus (46230) |
$1,239 |
$1,239 |
0.4× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$2,792 |
$2,792 |
0.7× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$984 |
$984 |
0.9× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Age Under 21 (40814) |
$1,709 |
$1,709 |
0.5× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$986 |
$986 |
0.6× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$840 |
$840 |
0.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415) |
$6,467 |
$6,467 |
1.0× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$1,279 |
$1,279 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$924 |
$924 |
0.7× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) |
$2,116 |
$2,116 |
0.7× |
| Excision of sublingual salivary cyst (ranula) Age Under 21 (42408) |
$1,837 |
$1,837 |
0.5× |
Excision of submandibular (submaxillary) gland Age Under 21 (42440)
unusually low — confirm this is the full procedure |
$2,780 |
$2,780 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,167.50 |
$1,167.50 |
0.9× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,043 |
$3,043 |
1.0× |
Excision Thyroglossal Duct Cyst/Sinus (60280)
unusually low — confirm this is the full procedure |
$2,948 |
$2,948 |
0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,399 |
$2,399 |
1.4× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$2,559 |
$2,559 |
1.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,130 |
$2,130 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$820 |
$820 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$1,293 |
$1,293 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$803 |
$803 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$535 |
$535 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$895 |
$895 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$673.50 |
$673.50 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,307 |
$1,307 |
0.8× |
| Excision, lesion of palate, uvula; with simple primary closure Age Under 21 (42106) |
$1,111 |
$1,111 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$737 |
$737 |
1.0× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$915 |
$915 |
1.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$1,234 |
$1,234 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$1,576 |
$1,576 |
0.9× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,384 |
$1,384 |
0.5× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$688 |
$688 |
0.9× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$1,751 |
$1,751 |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$721 |
$721 |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$660 |
$660 |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$1,168 |
$1,168 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$452 |
$452 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$935 |
$935 |
0.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$2,265 |
$2,265 |
0.7× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$2,702 |
$2,702 |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$2,167 |
$2,167 |
0.7× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$2,433 |
$2,433 |
0.8× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,632 |
$1,632 |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,689 |
$2,689 |
0.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$1,815 |
$1,815 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,030 |
$3,030 |
0.9× |
| Excision/Destruction Lesion Pharynx Any Method (42808) |
$1,096 |
$1,096 |
0.3× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$2,537 |
$2,537 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$2,168.50 |
$2,168.50 |
1.2× |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
$5,296 |
$5,296 |
0.8× |
| Explore wound abdomen (20102) |
$2,534.50 |
$2,534.50 |
1.2× |
| Explore wound chest (20101) |
$2,256 |
$2,256 |
1.0× |
| Explore wound neck (20100) |
$4,539.50 |
$4,539.50 |
8.0× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Age Under 21 (41015) |
$2,013 |
$2,013 |
3.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$1,641 |
$1,641 |
0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,484 |
$2,484 |
3.3× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$1,589 |
$1,589 |
2.1× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$659 |
$659 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$750 |
$750 |
1.0× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$753 |
$753 |
0.2× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$3,390 |
$3,390 |
1.6× |
| Gastric lavage (43753) |
$495.50 |
$495.50 |
2.2× |
| Gastric restrictive procedure, open; removal of subcutaneous port component only Age Under 21 (43887) |
$1,665 |
$1,665 |
0.8× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$6,733 |
$6,733 |
1.7× |
| Gene analysis of human immunodeficiency virus targeted sequence analysis for resistance to antiviral drugs (0219U) |
$530 |
$530 |
0.7× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235) |
$4,540 |
$4,540 |
0.7× |
| Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) Age Under 21 (21230) |
$5,046 |
$5,046 |
0.8× |
| Guide cathet fluid drainage (10030) |
$1,557 |
$1,557 |
2.1× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$1,199 |
$1,199 |
1.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,289 |
$2,289 |
0.8× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,732 |
$1,732 |
0.6× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$1,685 |
$1,685 |
0.5× |
| I&d abscess simple/single (10060) |
$374.50 |
$374.50 |
1.8× |
| I&d hematoma/seroma/fluid (10140) |
$647 |
$647 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$553 |
$553 |
0.7× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$4,051 |
$4,051 |
2.3× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$4,068 |
$4,068 |
2.3× |
| Incise external hemorrhoid (46083) |
$1,136.50 |
$1,136.50 |
4.3× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$508.50 |
$508.50 |
1.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$826.50 |
$826.50 |
3.9× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$1,949 |
$1,949 |
0.7× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$822.50 |
$822.50 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$903 |
$903 |
2.8× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$1,299 |
$1,299 |
0.4× |
| Incision and drainage, perianal abscess, superficial (46050) |
$1,099.50 |
$1,099.50 |
1.1× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$688.50 |
$688.50 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$446.50 |
$446.50 |
1.0× |
| Incision of labial frenum (frenotomy) Age Under 21 (40806) |
$598 |
$598 |
1.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$709 |
$709 |
0.4× |
| Incision of rectal abscess (46040) |
$1,641 |
$1,641 |
1.3× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$73 |
$73 |
0.2× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$154 |
$154 |
1.1× |
| Incision of windpipe (31600) |
$2,166 |
$2,166 |
0.6× |
| Incision of windpipe (31603) |
$2,840 |
$2,840 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$539 |
$539 |
0.7× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$1,407 |
$1,407 |
3.4× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$4,006 |
$4,006 |
11.5× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$285.50 |
$285.50 |
1.3× |
| Inj epidural blood or clot patch (62273) |
$1,940 |
$1,940 |
2.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$3,106 |
$3,106 |
3.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$3,105 |
$3,105 |
3.3× |
| Inj tx nerve (64640) |
$2,672 |
$2,672 |
2.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$577.50 |
$577.50 |
0.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$738 |
$738 |
0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,038 |
$1,038 |
1.4× |
| Injection aa&/strd greater occipital nerve (64405) |
$754 |
$754 |
2.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$399 |
$399 |
0.4× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$799 |
$799 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$653 |
$653 |
0.9× |
| Injection aa&/strd pudendal nerve (64430) |
$738 |
$738 |
0.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$752 |
$752 |
1.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$738 |
$738 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$855.50 |
$855.50 |
2.6× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$2,153 |
$2,153 |
2.3× |
| Injection anes superior hypogastric plexus (64517) |
$781 |
$781 |
0.8× |
| Injection for identification of sentinel node (38792) |
$1,033.50 |
$1,033.50 |
2.5× |
| Injection treatment of nerve (64681) |
$3,892 |
$3,892 |
4.2× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$708 |
$708 |
0.8× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$781 |
$781 |
1.0× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$530 |
$530 |
1.6× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$815 |
$815 |
2.5× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$811 |
$811 |
2.5× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$2,170 |
$2,170 |
2.3× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$754 |
$754 |
2.3× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62281) |
$3,166 |
$3,166 |
3.4× |
| Insert gastrostomy tube percutaneous (49440) |
$2,770 |
$2,770 |
1.4× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$762 |
$762 |
0.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,640 |
$3,640 |
0.6× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$331 |
$331 |
1.4× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$4,633 |
$4,633 |
1.4× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$2,172 |
$2,172 |
0.7× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$2,174 |
$2,174 |
1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,272.50 |
$11,272.50 |
1.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,396 |
$3,396 |
1.0× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$4,928 |
$4,928 |
1.5× |
| Insj Tunneled Ctr Vad W/Subq Pump (36563) |
$4,167 |
$4,167 |
0.7× |
| Intubation endotracheal (31500) |
$1,149 |
$1,149 |
4.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$928 |
$928 |
3.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,334 |
$8,334 |
1.1× |
| Laparoscopic Surgical Splenectomy (38120) |
$6,574 |
$6,574 |
0.6× |
| Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150) |
$3,749 |
$3,749 |
0.6× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$5,157 |
$5,157 |
0.8× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low — confirm this is the full procedure |
$2,863 |
$2,863 |
0.4× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
unusually low — confirm this is the full procedure |
$2,338 |
$2,338 |
0.4× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$5,975 |
$5,975 |
1.5× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$10,301 |
$10,301 |
0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563) |
$4,843 |
$4,843 |
0.8× |
| Laparoscopy, surgical; transection of vagus nerves, selective or highly selective (43652) |
$4,812 |
$4,812 |
0.8× |
| Laparoscopy, surgical; transection of vagus nerves, truncal (43651) |
$4,272 |
$4,272 |
0.7× |
| Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281) |
$9,459 |
$9,459 |
0.8× |
| Laps Surg Esopg/Gstr Fundoplasty (43280) |
$6,683 |
$6,683 |
0.6× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$3,690 |
$3,690 |
0.6× |
| Laps Surg Rpr Recurrent Inguinal Hernia (49651) |
$3,507 |
$3,507 |
0.5× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
unusually low — confirm this is the full procedure |
$2,553 |
$2,553 |
0.4× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$844 |
$844 |
2.0× |
| Laryngoscopy flex diagnostic (31575) |
$614.50 |
$614.50 |
2.9× |
| Laryngoscopy indirect diagnostic (31505) |
$392.50 |
$392.50 |
1.9× |
| Laryngoscopy w/biopsy (31535) |
$1,538 |
$1,538 |
0.4× |
| Laryngoscopy w/foreign body removal (31530) |
$1,385 |
$1,385 |
0.7× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$1,797 |
$1,797 |
0.5× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age Under 21 (31540) |
$1,891 |
$1,891 |
0.5× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$2,317 |
$2,317 |
0.6× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$2,097 |
$2,097 |
0.5× |
| Lateral canthopexy (21282) |
$2,551 |
$2,551 |
0.7× |
| Ligation or biopsy, temporal artery (37609) |
$1,373 |
$1,373 |
0.8× |
| Long gi tube placement (44500) |
$397 |
$397 |
0.4× |
| Lumbar puncture (62270) |
$1,912 |
$1,912 |
2.6× |
| Lysis intranasal synechia (30560) |
$1,198 |
$1,198 |
2.1× |
| Mastectomy partial (19301) |
$3,496 |
$3,496 |
0.8× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$5,000 |
$5,000 |
0.7× |
| Mastotomy expl drg absc dp (19020) |
$2,191 |
$2,191 |
1.3× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$2,943 |
$2,943 |
0.8× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,942 |
$1,942 |
2.3× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$2,911 |
$2,911 |
3.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,942 |
$1,942 |
2.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,942 |
$1,942 |
2.3× |
| Myringoplasty (69620) |
$3,261 |
$3,261 |
0.9× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$718 |
$718 |
0.2× |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge — not the full procedure |
$2,020 |
$2,020 |
0.3× |
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255)
unusually low — confirm this is the full procedure |
$3,423 |
$3,423 |
0.5× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Age Under 21 (31298) |
$18,128 |
$18,128 |
2.4× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Age Under 21 (31296) |
$12,523 |
$12,523 |
1.7× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine… (31295) |
$9,772 |
$9,772 |
1.3× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$1,835 |
$1,835 |
0.5× |
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267)
unusually low — confirm this is the full procedure |
$2,997 |
$2,997 |
0.4× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$1,494 |
$1,494 |
0.8× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21 (31240) |
$1,375 |
$1,375 |
0.7× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$1,271 |
$1,271 |
0.7× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Age Under 21 (31239) |
$3,899 |
$3,899 |
1.0× |
Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253)
unusually low — confirm this is the full procedure |
$3,329 |
$3,329 |
0.4× |
Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259)
unusually low — confirm this is the full procedure |
$3,171 |
$3,171 |
0.4× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
unusually low — confirm this is the full procedure |
$2,316 |
$2,316 |
0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$115 |
$115 |
3.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$115 |
$115 |
3.8× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$2,911 |
$2,911 |
3.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,170 |
$2,170 |
2.3× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$1,054 |
$1,054 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,733 |
$1,733 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,728 |
$1,728 |
2.3× |
| Non stress test (59025) |
$624 |
$624 |
2.9× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$2,637 |
$2,637 |
0.6× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$6,250 |
$6,250 |
3.7× |
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
unusually low — confirm this is the full procedure |
$3,771 |
$3,771 |
0.5× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) |
$4,570 |
$4,570 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Age Under… (67400) |
$4,941 |
$4,941 |
1.2× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Age Under 21 (67412) |
$4,377 |
$4,377 |
1.7× |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar (22224) |
$11,081 |
$11,081 |
1.4× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Age Under 21 (42145) |
$4,339 |
$4,339 |
0.7× |
| Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500) |
$5,576 |
$5,576 |
0.9× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$215 |
$215 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$3,878 |
$3,878 |
0.6× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$2,871 |
$2,871 |
0.8× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$1,556 |
$1,556 |
2.1× |
| Perq dev breast 1st strtctc (19283) |
$1,215.50 |
$1,215.50 |
1.6× |
| Perq dev breast 1st us imag (19285) |
$1,267 |
$1,267 |
1.7× |
| Perq device breast 1st imag (19281) |
$1,241.50 |
$1,241.50 |
0.7× |
| Perq drainage pleura insert cath w/imaging (32557) |
$2,132 |
$2,132 |
1.3× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,546.50 |
$1,546.50 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$252 |
$252 |
1.0× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
unusually low — confirm this is the full procedure |
$3,490 |
$3,490 |
0.5× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low — confirm this is the full procedure |
$3,256 |
$3,256 |
0.4× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$2,761 |
$2,761 |
0.8× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$2,963 |
$2,963 |
0.9× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$2,146 |
$2,146 |
1.5× |
| Placement of seton (46020) |
$1,292 |
$1,292 |
0.4× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$2,510 |
$2,510 |
3.4× |
| Probe nasolacrimal duct (68815) |
$1,693 |
$1,693 |
0.7× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$29,982 |
$29,982 |
4.5× |
| Prq impltj nstim electrode array epidural (63650) |
$6,634 |
$6,634 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$644 |
$644 |
1.5× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$595 |
$595 |
1.4× |
| Puncture aspiration of cyst of breast (19000) |
$603 |
$603 |
0.8× |
| Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/> (22905) |
$7,344 |
$7,344 |
2.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Age Under 21 (22904) |
$4,155 |
$4,155 |
1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,754 |
$4,754 |
2.3× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$621 |
$621 |
0.3× |
| Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Age Under 21 (21029) |
$3,694 |
$3,694 |
1.1× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$641 |
$641 |
0.9× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$577 |
$577 |
0.3× |
| Removal foreign body mouth (40804) |
$780 |
$780 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$182.50 |
$182.50 |
2.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$219.50 |
$219.50 |
3.5× |
| Removal of appendix using an endoscope (44970) |
$3,594 |
$3,594 |
0.6× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,584 |
$1,584 |
1.3× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$892 |
$892 |
0.5× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$518 |
$518 |
2.5× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$733.50 |
$733.50 |
0.4× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$206.50 |
$206.50 |
1.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$432.50 |
$432.50 |
0.9× |
| Removal of iud (58301) |
$392 |
$392 |
1.2× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$2,620 |
$2,620 |
0.9× |
| Removal of nail bed (11750) |
$390 |
$390 |
0.9× |
Removal of recurrent cyst of thyroid or drainage of thyroid gland duct (60281)
unusually low — confirm this is the full procedure |
$3,038 |
$3,038 |
0.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$291 |
$291 |
1.4× |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar (22865) |
$13,501 |
$13,501 |
1.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$801 |
$801 |
1.1× |
| Removal tunneled cv cath (36590) |
$1,671 |
$1,671 |
1.0× |
| Removal/revision of cast (29700) |
$296.50 |
$296.50 |
1.0× |
| Remove foreign body from eye (65210) |
$269.50 |
$269.50 |
0.6× |
| Remove lung catheter (32552) |
$1,148 |
$1,148 |
1.7× |
| Remove pharynx foreign body (42809) |
$737 |
$737 |
1.6× |
| Remove vc lesion w/scope (31545) |
$2,890 |
$2,890 |
0.7× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$2,040 |
$2,040 |
1.2× |
| Repair brow defect (67900) |
$2,333 |
$2,333 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$552 |
$552 |
1.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,359 |
$1,359 |
3.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,058 |
$1,058 |
2.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$632 |
$632 |
0.8× |
| Repair ectropion suture (67914) |
$2,211 |
$2,211 |
0.9× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,399 |
$1,399 |
0.8× |
| Repair eyelid defect (67924) |
$2,651 |
$2,651 |
1.1× |
| Repair eyelid defect (67904) |
$2,482 |
$2,482 |
1.0× |
| Repair finger tendon (26418) |
$1,212 |
$1,212 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$5,178 |
$5,178 |
1.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$3,435 |
$3,435 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$552.50 |
$552.50 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$800 |
$800 |
1.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,220.50 |
$1,220.50 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,363 |
$1,363 |
3.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,096 |
$1,096 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$512 |
$512 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$504 |
$504 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$980 |
$980 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$669 |
$669 |
1.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$742 |
$742 |
1.7× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,357.50 |
$1,357.50 |
1.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$672.50 |
$672.50 |
1.6× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,488.50 |
$1,488.50 |
3.5× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$2,378.50 |
$2,378.50 |
5.5× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,280 |
$1,280 |
0.6× |
| Repair lac palate<2 cm (42180) |
$727.50 |
$727.50 |
1.3× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$2,217 |
$2,217 |
3.9× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$2,535.50 |
$2,535.50 |
4.5× |
| Repair nasal vestibular stenosis (30465) |
$4,977 |
$4,977 |
0.8× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$3,830 |
$3,830 |
0.6× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614)
unusually low — confirm this is the full procedure |
$2,841 |
$2,841 |
0.4× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$2,975 |
$2,975 |
1.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$662.50 |
$662.50 |
1.4× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$2,648 |
$2,648 |
10.6× |
| Repair of nail bed (11760) |
$521 |
$521 |
0.7× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Age Under 21 (30468) |
$4,977 |
$4,977 |
0.8× |
Repair palate (42182)
unusually low — confirm this is the full procedure |
$1,924.50 |
$1,924.50 |
0.3× |
| Repair tongue lacer,post 1/3 (41251) |
$827.50 |
$827.50 |
3.3× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$687.50 |
$687.50 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,309 |
$1,309 |
1.7× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$621 |
$621 |
1.4× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$493 |
$493 |
0.6× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,338.50 |
$1,338.50 |
0.6× |
| Reset dislocated jaw (21480) |
$1,019 |
$1,019 |
3.9× |
| Reshaping of bony cartilage dividing nasal passages|BILATERAL PROCEDURE (30420) |
$8,032 |
$8,032 |
1.3× |
| Revision of upper eyelid (15823) |
$2,487 |
$2,487 |
1.1× |
| Rhinoplasty secondary intermediate revision (30435) |
$7,042 |
$7,042 |
1.1× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$7,412 |
$7,412 |
1.2× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Age Under 21 (30400) |
$3,942 |
$3,942 |
0.6× |
| Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Age Under 21 (30450) |
$9,781 |
$9,781 |
1.6× |
| Rhinoplasty, secondary; minor revision (small amount of nasal tip work) Age Under 21 (30430) |
$3,317 |
$3,317 |
0.5× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$196 |
$196 |
1.4× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$695 |
$695 |
5.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,494 |
$1,494 |
0.5× |
| Rmvl of access device (36589) |
$1,192 |
$1,192 |
1.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$3,704 |
$3,704 |
0.6× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
unusually low — confirm this is the full procedure |
$2,849 |
$2,849 |
0.4× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low — confirm this is the full procedure |
$2,365 |
$2,365 |
0.4× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$1,706 |
$1,706 |
0.5× |
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low — confirm this is the full procedure |
$3,175 |
$3,175 |
0.5× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$2,102 |
$2,102 |
0.6× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$3,165 |
$3,165 |
0.8× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,218 |
$1,218 |
1.6× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$2,536 |
$2,536 |
1.5× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$3,582 |
$3,582 |
0.9× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$3,979 |
$3,979 |
1.1× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$330 |
$330 |
0.8× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$413 |
$413 |
2.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$391 |
$391 |
1.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$609 |
$609 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$303 |
$303 |
1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$380 |
$380 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$329 |
$329 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$461 |
$461 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$443 |
$443 |
2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$505 |
$505 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$510 |
$510 |
1.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$452 |
$452 |
2.1× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347)
likely a partial charge — not the full procedure |
$1,050 |
$1,050 |
0.2× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$1,383 |
$1,383 |
1.1× |
| Simple complete removal of breast|BILATERAL PROCEDURE (19303) |
$5,332 |
$5,332 |
0.8× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$334 |
$334 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$411 |
$411 |
1.9× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$602.50 |
$602.50 |
2.8× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$702 |
$702 |
3.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,157.50 |
$1,157.50 |
5.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$425 |
$425 |
2.0× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,043.50 |
$1,043.50 |
4.9× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$1,062.50 |
$1,062.50 |
2.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$961.50 |
$961.50 |
2.2× |
| Simple revision of superficial scar tissue from surgically created opening of small bowel to skin (44312) |
$3,094 |
$3,094 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$521 |
$521 |
2.5× |
Sinusotomy, sphenoid, with or without biopsy; Age Under 21 (31050)
unusually low — confirm this is the full procedure |
$2,908 |
$2,908 |
0.5× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$575.50 |
$575.50 |
2.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$678 |
$678 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$947 |
$947 |
2.2× |
| Snip incision lacrimal punctum (68440) |
$620 |
$620 |
1.9× |
| Strapping ankle (29540) |
$277 |
$277 |
1.6× |
| Strapping elbow or wrist (29260) |
$277 |
$277 |
4.5× |
| Strapping hand/finger (29280) |
$278 |
$278 |
4.5× |
| Strapping of chest (29200) |
$227 |
$227 |
1.3× |
| Strapping of knee (29530) |
$300 |
$300 |
2.1× |
| Strapping of shoulder (29240) |
$240 |
$240 |
1.7× |
| Strapping of toes (29550) |
$277 |
$277 |
4.5× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$759 |
$759 |
1.0× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$2,370 |
$2,370 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$2,324 |
$2,324 |
0.8× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$6,438 |
$6,438 |
1.6× |
| Tangential biopsy skin single lesion (11102) |
$254 |
$254 |
0.6× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$2,152 |
$2,152 |
3.3× |
| Thyroidectomy, total or complete (60240) |
$5,574 |
$5,574 |
0.9× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$8,348 |
$8,348 |
1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$1,656 |
$1,656 |
0.5× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$1,565 |
$1,565 |
0.4× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
likely a partial charge — not the full procedure |
$1,542 |
$1,542 |
0.2× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$11,511 |
$11,511 |
0.6× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220) |
$4,326 |
$4,326 |
0.7× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$2,989.50 |
$2,989.50 |
12.0× |
| Transfusion, blood or blood components (36430) |
$754.50 |
$754.50 |
1.6× |
| Treat finger dislocation (26775) |
$361 |
$361 |
1.2× |
| Treat tail bone fracture (27200) |
$1,193 |
$1,193 |
4.6× |
| Treat toe dislocation (28630) |
$770.50 |
$770.50 |
3.0× |
| Treat ulnar fracture (24675) |
$1,272.50 |
$1,272.50 |
0.8× |
| Treat wrist dislocation (25690) |
$1,191 |
$1,191 |
0.7× |
| Treat wrist dislocation (25675) |
$1,168 |
$1,168 |
4.5× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,480 |
$1,480 |
0.9× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$459.50 |
$459.50 |
1.8× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$1,016.50 |
$1,016.50 |
3.9× |
| Tx superficial wound dehiscence simple closure (12020) |
$326.50 |
$326.50 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$750 |
$750 |
1.7× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) |
$1,479 |
$1,479 |
0.9× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$969 |
$969 |
0.6× |
| Unlisted procedure, dentoalveolar structures (41899) |
$1,010 |
$1,010 |
4.0× |
| Uvulectomy, excision of uvula (42140) |
$1,056 |
$1,056 |
0.3× |
| Vasectomy (55250) |
$1,918 |
$1,918 |
0.9× |
| Venipuncture (36415) |
$52 |
$52 |
5.6× |
| Ventilating tube removal requiring general anesthesia (69424) |
$587 |
$587 |
0.2× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$990 |
$990 |
1.1× |
| Version cephalic external (59412) |
$3,969 |
$3,969 |
1.2× |
| Wedge excision skin nail fold (11765) |
$210 |
$210 |
0.5× |
| Windowing of cast (29730) |
$287 |
$287 |
1.7× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$3,034 |
$3,034 |
1.2× |