| Abd paracentesis w/imaging (49083) |
$1,384.82 |
$2,130.50 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,768 |
$2,720 |
1.7× |
| Ablate inf turbinate submuc (30802) |
$400.40 |
$616 |
0.2× |
Ablation renal tumor unilateral perq cryotherapy (50593) likely a partial charge, not the full procedure |
$1,873.95 |
$2,883 |
0.2× |
Abltj 1/> lvr tum prq rf (47382) likely a partial charge, not the full procedure |
$1,873.95 |
$2,883 |
0.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$309.40 |
$476 |
0.2× |
Acetabuloplasty resection femoral head (27122) unusually low: confirm this is the full procedure |
$2,835.95 |
$4,363 |
0.4× |
| Acne surgery (10040) |
$109.85 |
$169 |
0.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$1,539.85 |
$2,369 |
0.4× |
| Adding Walker Previously Applied Cast (29440) |
$77.35 |
$119 |
0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,175.85 |
$1,809 |
0.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,241.50 |
$1,910 |
0.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,677 |
$2,580 |
0.4× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,584.05 |
$2,437 |
0.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,355.90 |
$2,086 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,286.35 |
$1,979 |
0.6× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,480.05 |
$2,277 |
0.6× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,368.25 |
$2,105 |
0.6× |
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) likely a partial charge, not the full procedure |
$1,080.30 |
$1,662 |
0.1× |
| Amniocentesis diagnostic (59000) |
$366.60 |
$564 |
0.4× |
| Amniocentesis therapeutic (59001) |
$258.70 |
$398 |
0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,137.20 |
$3,288 |
0.6× |
| Amputate metacarpal bone (26910) |
$1,003.60 |
$1,544 |
0.3× |
| Amputation Finger/Thumb (26951) |
$1,689.35 |
$2,599 |
0.5× |
| Amputation Foot Midtarsal (28800) |
$1,552.85 |
$2,389 |
0.4× |
| Amputation foot transmetarsal (28805) |
$1,576.25 |
$2,425 |
0.4× |
| Amputation metatarsal with toe single (28810) |
$1,066 |
$1,640 |
0.3× |
| Amputation thigh through femur any level (27590) |
$1,870.05 |
$2,877 |
0.5× |
| Amputation toe interphalangeal joint (28825) |
$865.80 |
$1,332 |
0.2× |
| Amputation toe metatarsophalangeal joint (28820) |
$920.40 |
$1,416 |
0.3× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$1,300.65 |
$2,001 |
0.4× |
Amputation, forearm, through radius and ulna; Facility (25900) likely a partial charge, not the full procedure |
$1,426.75 |
$2,195 |
0.2× |
Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,864.20 |
$2,868 |
0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
$1,175.85 |
$1,809 |
0.3× |
| Amputation, leg, through tibia and fibula; re-amputation Facility (27886) |
$1,564.55 |
$2,407 |
0.4× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$1,042.60 |
$1,604 |
0.3× |
| Amputation, thigh, through femur, any level; re-amputation Facility (27596) |
$1,262.95 |
$1,943 |
0.3× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Facility (27594) |
$917.80 |
$1,412 |
0.3× |
| Analyze spine infus pump (62367) |
$105.95 |
$163 |
0.3× |
Ankle disarticulation Facility (27889) likely a partial charge, not the full procedure |
$1,250.60 |
$1,924 |
0.2× |
| Anoscopy diagnostic (46600) |
$254.80 |
$392 |
1.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$256.10 |
$394 |
0.2× |
| Anoscopy; with biopsy, single or multiple (46606) |
$317.85 |
$489 |
0.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$139.10 |
$214 |
0.1× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Facility (46610) |
$277.55 |
$427 |
0.1× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,331.25 |
$5,125 |
1.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) likely a partial charge, not the full procedure |
$1,281.80 |
$1,972 |
0.2× |
Anterior tibial tubercleplasty (27418) likely a partial charge, not the full procedure |
$1,296.75 |
$1,995 |
0.2× |
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple Facility (51840) unusually low: confirm this is the full procedure |
$1,950 |
$3,000 |
0.3× |
Appendectomy (44950) likely a partial charge, not the full procedure |
$1,407.25 |
$2,165 |
0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$134.55 |
$207 |
0.7× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,153.10 |
$1,774 |
0.6× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$55.25 |
$85 |
0.3× |
| Application cast elbow finger short arm (29075) |
$404.30 |
$622 |
1.3× |
| Application Cast Finger (29086) |
$85.80 |
$132 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$161.20 |
$248 |
0.5× |
| Application Finger Splint Dynamic (29131) |
$48.10 |
$74 |
0.7× |
| Application finger splint static (29130) |
$116.35 |
$179 |
0.8× |
| Application Halo Cranial Including Removal (20661) |
$1,073.80 |
$1,652 |
0.6× |
| Application Hip Spica Cast 1 Leg (29305) |
$675.35 |
$1,039 |
2.2× |
| Application long arm splint shoulder hand (29105) |
$361.40 |
$556 |
2.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$225.55 |
$347 |
0.7× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) likely a partial charge, not the full procedure |
$2,128.10 |
$3,274 |
0.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$228.80 |
$352 |
0.7× |
| Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) |
$522.60 |
$804 |
1.7× |
| Application of long leg cast (29345) |
$207.35 |
$319 |
0.7× |
| Application of rigid total contact leg cast (29445) |
$345.15 |
$531 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$131.30 |
$202 |
0.9× |
Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$989.95 |
$1,523 |
0.1× |
| Apply Hand/Wrist Cast (29085) |
$135.20 |
$208 |
0.7× |
| Apply long leg splint (29505) |
$360.42 |
$554.50 |
2.0× |
| Apply short leg cast (29405) |
$153.40 |
$236 |
0.5× |
| Apply short leg cast (29425) |
$179.40 |
$276 |
0.6× |
| Apply short leg splint (29515) |
$353.28 |
$543.50 |
2.0× |
| Arterial puncture (36600) |
$358.15 |
$551 |
2.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$1,300.65 |
$2,001 |
0.4× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) likely a partial charge, not the full procedure |
$1,439.75 |
$2,215 |
0.2× |
Artery-vein autograft (36825) likely a partial charge, not the full procedure |
$1,755.65 |
$2,701 |
0.3× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) unusually low: confirm this is the full procedure |
$4,340.05 |
$6,677 |
0.3× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$2,011.75 |
$3,095 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$681.20 |
$1,048 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$152.10 |
$234 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$330.85 |
$509 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$174.20 |
$268 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$411.78 |
$633.50 |
1.2× |
Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$2,648.75 |
$4,075 |
0.2× |
Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$975.65 |
$1,501 |
0.1× |
Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,656.20 |
$2,548 |
0.2× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,454.70 |
$2,238 |
0.4× |
Arthrodesis pantalar (28705) likely a partial charge, not the full procedure |
$1,985.10 |
$3,054 |
0.1× |
Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$3,033.55 |
$4,667 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) likely a partial charge, not the full procedure |
$4,663.75 |
$7,175 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) likely a partial charge, not the full procedure |
$5,589.35 |
$8,599 |
0.3× |
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) unusually low: confirm this is the full procedure |
$6,000.80 |
$9,232 |
0.4× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) unusually low: confirm this is the full procedure |
$6,123.65 |
$9,421 |
0.3× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) unusually low: confirm this is the full procedure |
$7,099.95 |
$10,923 |
0.4× |
Arthrodesis, knee, any technique Facility (27580) likely a partial charge, not the full procedure |
$1,701.05 |
$2,617 |
0.1× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) likely a partial charge, not the full procedure |
$4,018.95 |
$6,183 |
0.3× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) likely a partial charge, not the full procedure |
$3,940.30 |
$6,062 |
0.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) likely a partial charge, not the full procedure |
$4,192.50 |
$6,450 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Facility (22600) likely a partial charge, not the full procedure |
$4,114.50 |
$6,330 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) likely a partial charge, not the full procedure |
$4,245.80 |
$6,532 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610) likely a partial charge, not the full procedure |
$3,682.25 |
$5,665 |
0.2× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) unusually low: confirm this is the full procedure |
$4,795.05 |
$7,377 |
0.3× |
Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) unusually low: confirm this is the full procedure |
$5,034.25 |
$7,745 |
0.4× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) likely a partial charge, not the full procedure |
$4,277 |
$6,580 |
0.2× |
Arthrodesis, tibiofibular joint, proximal or distal Facility (27871) likely a partial charge, not the full procedure |
$2,094.30 |
$3,222 |
0.1× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Facility (25825) likely a partial charge, not the full procedure |
$2,074.80 |
$3,192 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$2,100.80 |
$3,232 |
0.1× |
Arthrodesis, wrist; with sliding graft Facility (25805) likely a partial charge, not the full procedure |
$1,555.45 |
$2,393 |
0.2× |
Arthrodesis; subtalar (28725) likely a partial charge, not the full procedure |
$2,084.55 |
$3,207 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$3,763.50 |
$5,790 |
0.2× |
| Arthroplasty interphalangeal joint each (26535) |
$677.30 |
$1,042 |
0.2× |
Arthroplasty patella w/prosthesis (27438) likely a partial charge, not the full procedure |
$1,463.15 |
$2,251 |
0.1× |
Arthroplasty radial head (24365) likely a partial charge, not the full procedure |
$1,579.50 |
$2,430 |
0.1× |
Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) likely a partial charge, not the full procedure |
$2,339.35 |
$3,599 |
0.1× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) likely a partial charge, not the full procedure |
$1,756.95 |
$2,703 |
0.1× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,566.50 |
$2,410 |
0.4× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Facility (27446) likely a partial charge, not the full procedure |
$2,509 |
$3,860 |
0.2× |
Arthroplasty, radial head; with implant Facility (24366) likely a partial charge, not the full procedure |
$1,900.60 |
$2,924 |
0.1× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Facility (29889) likely a partial charge, not the full procedure |
$2,734.55 |
$4,207 |
0.2× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,852.50 |
$2,850 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$739.05 |
$1,137 |
0.2× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,798.55 |
$2,767 |
0.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,475.50 |
$2,270 |
0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$1,359.15 |
$2,091 |
0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$1,030.90 |
$1,586 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Facility (29898) |
$1,544.40 |
$2,376 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) |
$1,394.25 |
$2,145 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) |
$978.90 |
$1,506 |
0.3× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) likely a partial charge, not the full procedure |
$1,371.50 |
$2,110 |
0.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,075.10 |
$1,654 |
0.3× |
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) likely a partial charge, not the full procedure |
$1,754.35 |
$2,699 |
0.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$891.80 |
$1,372 |
0.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$1,628.90 |
$2,506 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$2,180.10 |
$3,354 |
0.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$1,740.70 |
$2,678 |
0.5× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$1,994.85 |
$3,069 |
0.2× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,960.40 |
$3,016 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$943.15 |
$1,451 |
0.3× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,815.45 |
$2,793 |
0.2× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$1,423.50 |
$2,190 |
0.4× |
| Arthrotomy W/Biopsy Hip Joint (27052) |
$1,228.50 |
$1,890 |
0.7× |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
$743.60 |
$1,144 |
0.4× |
| Arthrotomy wrist joint with synovectomy (25105) |
$904.15 |
$1,391 |
0.2× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage… (23101) |
$952.90 |
$1,466 |
0.3× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$1,258.40 |
$1,936 |
0.3× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Facility (25107) |
$1,585.35 |
$2,439 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$904.80 |
$1,392 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$1,893.45 |
$2,913 |
0.5× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Facility (23107) likely a partial charge, not the full procedure |
$1,422.85 |
$2,189 |
0.2× |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) likely a partial charge, not the full procedure |
$1,014.65 |
$1,561 |
0.1× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
$1,374.10 |
$2,114 |
0.4× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) |
$1,547.65 |
$2,381 |
0.4× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Facility (27334) |
$1,634.10 |
$2,514 |
0.4× |
| Arthrotomy, wrist joint; with biopsy Facility (25100) |
$655.20 |
$1,008 |
0.2× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) unusually low: confirm this is the full procedure |
$3,104.40 |
$4,776 |
0.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,618.50 |
$2,490 |
0.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$497.25 |
$765 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,300 |
$2,000 |
0.7× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$452.40 |
$696 |
0.1× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$765.05 |
$1,177 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$1,294.15 |
$1,991 |
1.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$232.70 |
$358 |
0.7× |
| Aspiration and injection for treatment of bone cyst (20615) |
$542.42 |
$834.50 |
0.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$157.95 |
$243 |
0.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$443.30 |
$682 |
0.2× |
| Aspiration bladder needle (51100) |
$672.75 |
$1,035 |
2.4× |
Av fistula revision (36833) likely a partial charge, not the full procedure |
$1,459.90 |
$2,246 |
0.2× |
Av Fuse Uppr Arm Basilic (36819) likely a partial charge, not the full procedure |
$1,626.30 |
$2,502 |
0.3× |
Av fusion/forearm vein (36820) likely a partial charge, not the full procedure |
$1,524.90 |
$2,346 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$287.95 |
$443 |
1.3× |
Axillary lymphadenectomy; complete (38745) unusually low: confirm this is the full procedure |
$2,906.15 |
$4,471 |
0.4× |
Axillary lymphadenectomy; superficial Facility (38740) likely a partial charge, not the full procedure |
$1,318.20 |
$2,028 |
0.2× |
| Biliary endoscopy percut,dil strict (47555) |
$5,992.35 |
$9,219 |
0.8× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,674.95 |
$16,423 |
0.9× |
| Biopsy bone open deep (20245) |
$983.45 |
$1,513 |
0.3× |
| Biopsy bone open superficial (20240) |
$526.18 |
$809.50 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,895.08 |
$2,915.50 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$293.15 |
$451 |
0.2× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$875.55 |
$1,347 |
0.9× |
| Biopsy External Auditory Canal (69105) |
$233.35 |
$359 |
0.1× |
| Biopsy external ear (69100) |
$133.90 |
$206 |
0.5× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$510.25 |
$785 |
0.2× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$294.45 |
$453 |
0.2× |
| Biopsy intranasal (30100) |
$173.55 |
$267 |
0.1× |
| Biopsy muscle deep (20205) |
$527.80 |
$812 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$245.70 |
$378 |
0.1× |
| Biopsy Muscle Superficial (20200) |
$313.30 |
$482 |
0.2× |
| Biopsy Nerve (64795) |
$617.50 |
$950 |
0.3× |
| Biopsy of breast; open, incisional (19101) |
$4,733.30 |
$7,282 |
1.1× |
| Biopsy of lip (40490) |
$208 |
$320 |
0.8× |
| Biopsy of mouth lesion (40808) |
$279.50 |
$430 |
0.5× |
| Biopsy of tongue (41100) |
$233.35 |
$359 |
0.4× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
$892.45 |
$1,373 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$708.50 |
$1,090 |
0.2× |
| Biopsy Oropharynx (42800) |
$222.95 |
$343 |
0.1× |
| Biopsy Ovary Uni/Bi Separate Procedure (58900) |
$1,320.15 |
$2,031 |
0.4× |
| Biopsy soft tissue back,superf (21920) |
$208 |
$320 |
0.1× |
| Biopsy soft tissue back/flank deep (21925) |
$764.40 |
$1,176 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$271.70 |
$418 |
0.1× |
| Biopsy Soft Tissue Pelvis&Hip Deep/Subfscal/Im (27041) |
$1,895.40 |
$2,916 |
1.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$1,151.15 |
$1,771 |
0.4× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$362.05 |
$557 |
0.2× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$319.15 |
$491 |
0.2× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,266.20 |
$1,948 |
0.7× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$438.75 |
$675 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$215.15 |
$331 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$205.40 |
$316 |
0.2× |
| Biopsy/removal lymph nodes (38525) |
$705.90 |
$1,086 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$1,051.70 |
$1,618 |
0.2× |
| Bladder Irrigation Simple (51700) |
$419.90 |
$646 |
1.5× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$862.55 |
$1,327 |
0.4× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Facility (15821) |
$862.55 |
$1,327 |
0.4× |
| Blepharoplasty, Upper Eyelid (15822) |
$620.75 |
$955 |
0.3× |
| Blepharotomy drain absc eyelid (67700) |
$399.10 |
$614 |
1.1× |
| Blood patch (62273) |
$880.75 |
$1,355 |
1.1× |
| Blood transfusion service (36430) |
$1,188.20 |
$1,828 |
2.4× |
| Blood/Lymph System Procedure (38999) |
$800.80 |
$1,232 |
1.6× |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
$5,263.05 |
$8,097 |
0.7× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) likely a partial charge, not the full procedure |
$876.85 |
$1,349 |
0.1× |
| Bone marrow aspiration only (38220) |
$2,603.90 |
$4,006 |
1.4× |
| Bone Marrow Biopsy (38221) |
$772.20 |
$1,188 |
0.4× |
Breast augmentation with implant (19325) likely a partial charge, not the full procedure |
$896.35 |
$1,379 |
0.1× |
| Breast Reduction (19318) |
$5,513.30 |
$8,482 |
0.7× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$657.15 |
$1,011 |
0.3× |
| Bx anorectal wall anal approach (45100) |
$572 |
$880 |
0.2× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$778.70 |
$1,198 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,137.85 |
$3,289 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$2,928.90 |
$4,506 |
1.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$185.25 |
$285 |
0.1× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$689 |
$1,060 |
0.2× |
| Bx/exc lymph node needle superficial (38505) |
$375.70 |
$578 |
0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$691.60 |
$1,064 |
0.2× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$1,647.75 |
$2,535 |
0.5× |
Capsulorrhaphy, anterior, any type; with bone block Facility (23460) unusually low: confirm this is the full procedure |
$2,506.40 |
$3,856 |
0.3× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462) likely a partial charge, not the full procedure |
$2,228.85 |
$3,429 |
0.3× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Facility (23450) likely a partial charge, not the full procedure |
$2,276.95 |
$3,503 |
0.3× |
Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455) unusually low: confirm this is the full procedure |
$2,663.05 |
$4,097 |
0.3× |
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Facility (23466) unusually low: confirm this is the full procedure |
$2,695.55 |
$4,147 |
0.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$493.35 |
$759 |
0.3× |
| Capsulotomy, posterior capsular release, knee Facility (27435) |
$1,275.95 |
$1,963 |
0.3× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$436.80 |
$672 |
1.8× |
| Cauterization,cervix,electro/thermal (57510) |
$224.25 |
$345 |
0.1× |
| Cautery of cervix; cryocautery, initial or repeat (57511) |
$254.80 |
$392 |
0.8× |
| Cerclage cervix pregnancy vaginal (59320) |
$939.90 |
$1,446 |
0.3× |
Cervical lymphadenectomy (complete) (38720) likely a partial charge, not the full procedure |
$1,951.95 |
$3,003 |
0.3× |
| Cessj Therapy Cath Removal (37214) |
$2,684.18 |
$4,129.50 |
0.8× |
| Change of cystostomy tube simple (51705) |
$560.95 |
$863 |
2.0× |
| Chemical cautery tissue (17250) |
$170.30 |
$262 |
0.8× |
| Chemical exfoliation for acne (eg, acne paste, acid) Facility (17360) |
$68.90 |
$106 |
0.3× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$302.25 |
$465 |
0.4× |
| Chemodenerv Eccrine Glands (64650) |
$54.60 |
$84 |
0.2× |
| Chemodenerv musc migraine (64615) |
$270.40 |
$416 |
0.8× |
| Chemodenerv Musc Neck Dyston (64616) |
$196.95 |
$303 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$284.05 |
$437 |
0.4× |
| Chemodenerv trunk musc 6/> (64647) |
$328.90 |
$506 |
0.4× |
| Chemodenervation of one extremity; 1-4 muscle(s) (64642) |
$263.90 |
$406 |
0.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$242.45 |
$373 |
0.7× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$3,465.80 |
$5,332 |
1.5× |
| Chorionic villus sampling (59015) |
$467.35 |
$719 |
0.5× |
Chromotubation oviduct (58350) likely a partial charge, not the full procedure |
$157.95 |
$243 |
0.0× |
| Circum 28 days or older (54161) |
$740.35 |
$1,139 |
0.3× |
| Circumcision (54150) |
$222.30 |
$342 |
0.1× |
| Circumcision Neonate (54160) |
$278.20 |
$428 |
0.4× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$458.90 |
$706 |
1.3× |
| Claviculectomy partial (23120) |
$1,326 |
$2,040 |
0.4× |
| Close mastoid fistula (69700) |
$1,383.20 |
$2,128 |
0.8× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$432.58 |
$665.50 |
1.6× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$513.50 |
$790 |
1.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$441.68 |
$679.50 |
1.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$780.65 |
$1,201 |
0.5× |
| Closed Rx Radial Shaft Fx (25500) |
$460.52 |
$708.50 |
1.7× |
| Closed Rx Tibia Shaft Fx (27750) |
$655.52 |
$1,008.50 |
2.4× |
| Closed Rx Tibial Plateau Fx (27530) |
$596.05 |
$917 |
2.2× |
| Closed Treat Vert Body Fract (22310) |
$689 |
$1,060 |
2.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$515.45 |
$793 |
1.9× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$315.25 |
$485 |
0.1× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$513.50 |
$790 |
1.9× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,324.40 |
$3,576 |
1.3× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$513.50 |
$790 |
1.9× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) |
$894.40 |
$1,376 |
0.2× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$513.50 |
$790 |
1.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$503.42 |
$774.50 |
1.8× |
| Closed treatment of talus fracture; without manipulation (28430) |
$496.28 |
$763.50 |
1.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,967.88 |
$3,027.50 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$492.70 |
$758 |
1.8× |
| Closed Treatment Sternum Fracture (21820) |
$508.30 |
$782 |
1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$513.50 |
$790 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$750.10 |
$1,154 |
2.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$755.62 |
$1,162.50 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$464.42 |
$714.50 |
1.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$685.10 |
$1,054 |
0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$513.50 |
$790 |
1.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$974.35 |
$1,499 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$672.75 |
$1,035 |
2.4× |
| Closed tx lunate dislocation w/manipulation (25690) |
$912.60 |
$1,404 |
0.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$484.90 |
$746 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$450.78 |
$693.50 |
1.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$814.45 |
$1,253 |
0.5× |
| Closed tx nasal fracture w/o stabilization (21315) |
$377.65 |
$581 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$532.68 |
$819.50 |
1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$637.65 |
$981 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$475.80 |
$732 |
1.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$681.52 |
$1,048.50 |
0.4× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$835.25 |
$1,285 |
0.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$299 |
$460 |
1.1× |
| Closed tx septal&nose fx (21337) |
$1,362.08 |
$2,095.50 |
0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$513.50 |
$790 |
1.9× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$713.70 |
$1,098 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$408.20 |
$628 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$497.25 |
$765 |
1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$513.82 |
$790.50 |
1.9× |
| Closure of gastrostomy, surgical (43870) |
$1,334.45 |
$2,053 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$484.90 |
$746 |
1.8× |
Closure of vesicovaginal fistula; vaginal approach Facility (57320) likely a partial charge, not the full procedure |
$826.80 |
$1,272 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$443.95 |
$683 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$707.85 |
$1,089 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$551.52 |
$848.50 |
2.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$939.25 |
$1,445 |
0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$559.65 |
$861 |
0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$444.92 |
$684.50 |
1.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$659.75 |
$1,015 |
0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$508.30 |
$782 |
1.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$936.65 |
$1,441 |
0.5× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,457.30 |
$2,242 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$611.65 |
$941 |
2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$529.42 |
$814.50 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$435.82 |
$670.50 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$513.50 |
$790 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$509.28 |
$783.50 |
1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$674.05 |
$1,037 |
0.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$665.60 |
$1,024 |
2.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,094.92 |
$1,684.50 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$513.50 |
$790 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$386.75 |
$595 |
1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$415.68 |
$639.50 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$362.05 |
$557 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,241.50 |
$1,910 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$607.42 |
$934.50 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$515.45 |
$793 |
1.9× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$524.55 |
$807 |
1.9× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$513.50 |
$790 |
0.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$819.65 |
$1,261 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$331.18 |
$509.50 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$538.52 |
$828.50 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$515.45 |
$793 |
1.9× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$533.32 |
$820.50 |
1.9× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$2,138.18 |
$3,289.50 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$524.88 |
$807.50 |
1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$435.18 |
$669.50 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$629.20 |
$968 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$436.80 |
$672 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$484.90 |
$746 |
1.8× |
| Cltx post ankle fx w/mnpj (27768) |
$438.10 |
$674 |
0.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$925.60 |
$1,424 |
0.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$561.60 |
$864 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$506.68 |
$779.50 |
1.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$714.02 |
$1,098.50 |
0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$429.98 |
$661.50 |
1.6× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$3,749.85 |
$5,769 |
2.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$891.48 |
$1,371.50 |
0.5× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$810.22 |
$1,246.50 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$626.28 |
$963.50 |
2.3× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,365 |
$2,100 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$219.70 |
$338 |
1.5× |
| Colonoscopy flex w/blln dilat (45386) |
$1,526.20 |
$2,348 |
1.1× |
| Colonoscopy flex w/inj submuc (45381) |
$1,625.65 |
$2,501 |
1.2× |
| Colonoscopy flex w/rem forcep (45384) |
$504.40 |
$776 |
0.4× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,669.85 |
$2,569 |
1.3× |
| Colonoscopy Flx With Endoscopic Stent Placement (45389) |
$13,105.30 |
$20,162 |
1.9× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$2,556.45 |
$3,933 |
1.9× |
| Colonoscopy Stoma Control Bleeding (44391) |
$2,556.45 |
$3,933 |
1.9× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,739.40 |
$2,676 |
1.3× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,956.50 |
$3,010 |
1.5× |
| Colonoscopy stoma w/biopsy (44389) |
$1,522.30 |
$2,342 |
1.1× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$2,556.45 |
$3,933 |
1.9× |
| Colonoscopy thru stoma (44388) |
$1,304.88 |
$2,007.50 |
1.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,440.40 |
$2,216 |
1.1× |
| Colonoscopy w/ablation (45388) |
$1,544.08 |
$2,375.50 |
1.2× |
| Colonoscopy w/band ligation (45398) |
$2,613.65 |
$4,021 |
2.0× |
| Colonoscopy w/fb removal (45379) |
$648.05 |
$997 |
0.5× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,585.02 |
$2,438.50 |
1.2× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$6,463.60 |
$9,944 |
2.1× |
Colpocentesis (57020) likely a partial charge, not the full procedure |
$234.65 |
$361 |
0.0× |
| Colpoperineorrhaphy non ob (57210) |
$704.60 |
$1,084 |
0.2× |
Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,093.95 |
$1,683 |
0.1× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282) likely a partial charge, not the full procedure |
$561.60 |
$864 |
0.1× |
| Colporrhaphy Suture Injury Vagina (57200) |
$575.90 |
$886 |
0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$345.15 |
$531 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$237.25 |
$365 |
1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$209.30 |
$322 |
0.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$529.10 |
$814 |
0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$817.05 |
$1,257 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$223.60 |
$344 |
0.7× |
| Colposcopy vulva (56820) |
$249.60 |
$384 |
1.1× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$176.80 |
$272 |
0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$299 |
$460 |
0.3× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265) unusually low: confirm this is the full procedure |
$1,753.05 |
$2,697 |
0.3× |
Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$1,601.60 |
$2,464 |
0.3× |
| Conization of cervix (57520) |
$1,051.70 |
$1,618 |
0.3× |
| Conization of cervix (57522) |
$910 |
$1,400 |
0.3× |
| Contour of face bone lesion (21029) |
$1,074.45 |
$1,653 |
0.3× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$654.22 |
$1,006.50 |
2.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$378.62 |
$582.50 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$340.92 |
$524.50 |
2.3× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$484.90 |
$746 |
0.8× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$759.85 |
$1,169 |
0.2× |
| Conversion ext bil drg cath (47535) |
$998.40 |
$1,536 |
0.3× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft Facility (27132) likely a partial charge, not the full procedure |
$3,656.25 |
$5,625 |
0.3× |
| Convert nephrostomy catheter (50434) |
$910 |
$1,400 |
0.4× |
Coracoacromial ligament release, with or without acromioplasty Facility (23415) likely a partial charge, not the full procedure |
$1,435.20 |
$2,208 |
0.2× |
| Cordocentesis (59012) |
$527.15 |
$811 |
1.6× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,388.75 |
$3,675 |
1.3× |
| Correction hammertoe (28285) |
$949.65 |
$1,461 |
0.3× |
Correction of bunion (28298) likely a partial charge, not the full procedure |
$1,442.35 |
$2,219 |
0.2× |
| Correction of bunion (28292) |
$1,341.92 |
$2,064.50 |
0.4× |
Correction of bunion (28299) likely a partial charge, not the full procedure |
$1,825.85 |
$2,809 |
0.2× |
Correction of bunion (28297) likely a partial charge, not the full procedure |
$1,798.55 |
$2,767 |
0.1× |
| Correction of inverted nipples Facility (19355) |
$785.85 |
$1,209 |
0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,951.30 |
$3,002 |
0.5× |
| Costotransversectomy (separate procedure) Facility (21610) |
$1,928.55 |
$2,967 |
0.5× |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
$4,540.25 |
$6,985 |
0.6× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) likely a partial charge, not the full procedure |
$1,703 |
$2,620 |
0.3× |
Cricopharyngeal myotomy (43030) likely a partial charge, not the full procedure |
$1,004.25 |
$1,545 |
0.2× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
$92.95 |
$143 |
1.4× |
| Csf shunt reprogram (62252) |
$208 |
$320 |
0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$525.85 |
$809 |
3.5× |
| Curettage postpartum (59160) |
$740.35 |
$1,139 |
0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,437.18 |
$3,749.50 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$2,878.20 |
$4,428 |
0.7× |
Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$1,727.05 |
$2,657 |
0.3× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple Facility (51860) likely a partial charge, not the full procedure |
$737.75 |
$1,135 |
0.1× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$743.60 |
$1,144 |
0.3× |
| Cystourethroscopy (52000) |
$343.85 |
$529 |
0.4× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$1,261.65 |
$1,941 |
0.3× |
| Cystourethroscopy with biopsy (52204) |
$1,564.55 |
$2,407 |
0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$187.85 |
$289 |
0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,828.78 |
$2,813.50 |
0.6× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$1,227.85 |
$1,889 |
0.3× |
| Dcmprn fasct leg post compartment only (27601) |
$969.80 |
$1,492 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$653.90 |
$1,006 |
0.8× |
| Debride nail 1-5 (11720) |
$44.20 |
$68 |
0.7× |
| Debride nail 6 or more (11721) |
$72.48 |
$111.50 |
1.1× |
| Debride skin musc at fx site (11011) |
$1,006.20 |
$1,548 |
1.3× |
| Debride tissue/muscle (11043) |
$438.75 |
$675 |
0.5× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$200.20 |
$308 |
0.3× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$51.35 |
$79 |
0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$205.40 |
$316 |
0.5× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$657.80 |
$1,012 |
0.4× |
| Declot vascular device (36593) |
$544.05 |
$837 |
1.5× |
| Decomp forearm,1 compart,w/o debride (25020) |
$1,803.75 |
$2,775 |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$2,293.85 |
$3,529 |
1.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$1,468.35 |
$2,259 |
0.4× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$2,090.40 |
$3,216 |
0.6× |
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) likely a partial charge, not the full procedure |
$1,561.30 |
$2,402 |
0.2× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
$1,010.75 |
$1,555 |
0.3× |
| Decompression of lower leg (27600) |
$997.10 |
$1,534 |
0.3× |
| Decompression of orbit only, transcranial approach Facility (61330) |
$5,535.40 |
$8,516 |
1.5× |
| Decompression Of Tibia Nerve (28035) |
$831.35 |
$1,279 |
0.4× |
| Decompressive fasciotomy hand (26037) |
$882.05 |
$1,357 |
0.2× |
| Delivery placenta separate procedure (59414) |
$412.10 |
$634 |
0.1× |
| Derma-fat-fascia graft (15770) |
$1,540.50 |
$2,370 |
0.4× |
| Destroy cerv/thor facet jnt (64633) |
$758.55 |
$1,167 |
0.3× |
| Destroy lumb/sac facet jnt (64635) |
$744.90 |
$1,146 |
0.3× |
| Destruction anal lesion(s) (46924) |
$685.75 |
$1,055 |
0.2× |
| Destruction Benign Lesions 15/> (17111) |
$188.50 |
$290 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$458.25 |
$705 |
2.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$604.50 |
$930 |
0.6× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$621.40 |
$956 |
0.3× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$518.05 |
$797 |
0.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$271.70 |
$418 |
0.3× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$176.15 |
$271 |
0.5× |
| Destruction Lesions Vulva Simple (56501) |
$199.55 |
$307 |
0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$227.50 |
$350 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$282.10 |
$434 |
1.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$231.40 |
$356 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$295.10 |
$454 |
1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$198.90 |
$306 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$185.25 |
$285 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$267.15 |
$411 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$246.35 |
$379 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$280.80 |
$432 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$169 |
$260 |
0.8× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$510.90 |
$786 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$228.80 |
$352 |
0.1× |
| Destruction of skin lesions (17106) |
$456.95 |
$703 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$352.30 |
$542 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$124.80 |
$192 |
0.6× |
| Destruction Vaginal Lesions Extensive (57065) |
$490.75 |
$755 |
0.1× |
| Destruction Vaginal Lesions Simple (57061) |
$255.45 |
$393 |
0.1× |
| Diagnostic anoscopy (46601) |
$137.80 |
$212 |
0.3× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,060.80 |
$1,632 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$1,083.88 |
$1,667.50 |
1.0× |
| Dilation and curettage (58120) |
$809.90 |
$1,246 |
0.2× |
| Dilation and curettage of cervical stump Facility (57558) |
$205.40 |
$316 |
0.1× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$163.15 |
$251 |
0.2× |
| Dilation of anal sphincter (45905) |
$246.35 |
$379 |
0.2× |
| Dilation of cervical canal (57800) |
$87.75 |
$135 |
0.0× |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) unusually low: confirm this is the full procedure |
$1,890.20 |
$2,908 |
0.3× |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) likely a partial charge, not the full procedure |
$1,711.45 |
$2,633 |
0.3× |
| Disarticulation At Knee (27598) |
$1,857.05 |
$2,857 |
0.5× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$4,540.90 |
$6,986 |
0.6× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$347.75 |
$535 |
0.2× |
Dissection, deep jugular node(s) Facility (38542) likely a partial charge, not the full procedure |
$982.80 |
$1,512 |
0.1× |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) unusually low: confirm this is the full procedure |
$2,406.95 |
$3,703 |
0.4× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) likely a partial charge, not the full procedure |
$1,520.35 |
$2,339 |
0.2× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) |
$1,050.40 |
$1,616 |
0.3× |
Division of scalenus anticus; without resection of cervical rib Facility (21700) likely a partial charge, not the full procedure |
$689 |
$1,060 |
0.1× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$300.30 |
$462 |
0.2× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$341.25 |
$525 |
0.4× |
| Drain shoulder bursa (23031) |
$581.75 |
$895 |
0.2× |
| Drain Spinal Cord Cyst (62268) |
$1,474.85 |
$2,269 |
1.5× |
| Drain/inj small joint/bursa w/us (20604) |
$137.15 |
$211 |
0.4× |
| Drainage abscess/hematoma nasal int approach (30000) |
$224.90 |
$346 |
0.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$397.15 |
$611 |
0.7× |
| Drainage external auditory canal abscess (69020) |
$407.55 |
$627 |
0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$345.48 |
$531.50 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,118 |
$1,720 |
0.6× |
| Drainage Finger Abscess Simple (26010) |
$303.55 |
$467 |
1.4× |
| Drainage of gum lesion (41800) |
$484.90 |
$746 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$1,034.80 |
$1,592 |
0.6× |
| Drainage of pelvic abscess (45000) |
$811.85 |
$1,249 |
0.6× |
| Drainage of salivary gland (42305) |
$703.95 |
$1,083 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$2,870.40 |
$4,416 |
1.6× |
| Drainage tendon sheath digit&/palm each (26020) |
$1,149.85 |
$1,769 |
0.3× |
| Draw blood off venous device (36591) |
$233.68 |
$359.50 |
1.6× |
| Dressing change under anesthesia (15852) |
$187.20 |
$288 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$330.85 |
$509 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$330.85 |
$509 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$238.55 |
$367 |
1.1× |
| Dstrj lesion anus simple chemical (46900) |
$235.95 |
$363 |
0.5× |
| Dstrj lesion anus simple cryosurgery (46916) |
$223.60 |
$344 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$371.80 |
$572 |
0.1× |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
$261.30 |
$402 |
0.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$151.45 |
$233 |
0.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$165.75 |
$255 |
0.7× |
| Dstrj lesion penis simple surg excision (54060) |
$349.70 |
$538 |
0.2× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$711.10 |
$1,094 |
0.7× |
| Dx bone marrow bx & aspir (38222) |
$1,186.25 |
$1,825 |
0.4× |
| Dx Laryngoscopy Excl Nb (31525) |
$207.35 |
$319 |
0.1× |
| Dx laryngoscopy w/oper scope (31526) |
$2,197.32 |
$3,380.50 |
1.1× |
Ear Cartilage Graft (21235) likely a partial charge, not the full procedure |
$813.15 |
$1,251 |
0.1× |
| Eardrum revision (69450) |
$763.10 |
$1,174 |
0.2× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$2,234.05 |
$3,437 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,225.92 |
$3,424.50 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$3,024.45 |
$4,653 |
1.4× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,251.60 |
$3,464 |
1.1× |
| Egd control bleeding any (43255) |
$2,203.50 |
$3,390 |
1.0× |
| Egd deliver thermal energy sphnctr/cardia gerd (43257) |
$462.15 |
$711 |
0.1× |
| Egd dilate stricture (43245) |
$2,598.38 |
$3,997.50 |
1.2× |
| Egd endo mucosal resection (43254) |
$536.90 |
$826 |
0.3× |
Egd endoscopic stent place (43266) likely a partial charge, not the full procedure |
$450.45 |
$693 |
0.1× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$338.65 |
$521 |
0.2× |
| Egd flexible foreign body removal (43247) |
$1,389.38 |
$2,137.50 |
1.4× |
| Egd guide wire insertion (43248) |
$1,395.55 |
$2,147 |
1.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$482.30 |
$742 |
0.2× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$520 |
$800 |
0.2× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$456.30 |
$702 |
0.2× |
| Egd place gastrostomy tube (43246) |
$2,205.45 |
$3,393 |
1.0× |
| Egd remove lesion snare (43251) |
$2,197 |
$3,380 |
1.0× |
| Egd tube/cath insertion (43241) |
$293.15 |
$451 |
0.1× |
| Egd us exam duodenum/jejunum (43259) |
$453.05 |
$697 |
0.2× |
| Egd us transmural injxn/mark (43253) |
$525.85 |
$809 |
0.2× |
Egd w/transmural drain cyst (43240) likely a partial charge, not the full procedure |
$794.30 |
$1,222 |
0.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$156.65 |
$241 |
0.5× |
Emblc/thrmbc femoral popliteal aorto-iliac art (34201) unusually low: confirm this is the full procedure |
$1,987.70 |
$3,058 |
0.3× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) likely a partial charge, not the full procedure |
$1,170 |
$1,800 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Facility (34203) likely a partial charge, not the full procedure |
$1,846 |
$2,840 |
0.3× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) likely a partial charge, not the full procedure |
$1,239.55 |
$1,907 |
0.2× |
| Endocervical Curettage (57505) |
$196.30 |
$302 |
0.2× |
| Endometrial Biopsy (58100) |
$211.25 |
$325 |
0.9× |
| Endoscopic us exam esoph (43237) |
$400.40 |
$616 |
0.2× |
| Endoscopy Upper Small Intestine (44360) |
$4,003.35 |
$6,159 |
1.9× |
Endoven ther chem adhes 1st (36482) likely a partial charge, not the full procedure |
$251.55 |
$387 |
0.0× |
| Endovenous laser, 1st vein (36478) |
$2,769 |
$4,260 |
0.8× |
| Enterorrhaphy single perforation (44602) |
$1,885 |
$2,900 |
0.4× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$845.65 |
$1,301 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$3,432.65 |
$5,281 |
1.0× |
| Ercp Duct Stent Placement (43274) |
$6,660.22 |
$10,246.50 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$640.90 |
$986 |
0.1× |
| Ercp ea duct/ampulla dilate (43277) |
$4,158.70 |
$6,398 |
1.0× |
Ercp lithotripsy calculi (43265) likely a partial charge, not the full procedure |
$854.75 |
$1,315 |
0.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,144.72 |
$6,376.50 |
1.0× |
| Ercp remove forgn body duct (43275) |
$4,156.42 |
$6,394.50 |
1.9× |
| Ercp sphincter pressure meas (43263) |
$709.15 |
$1,091 |
0.3× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,678.75 |
$10,275 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$854.10 |
$1,314 |
0.2× |
| Ercp W/Biopsy Single/Multiple (43261) |
$670.80 |
$1,032 |
0.2× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$4,138.22 |
$6,366.50 |
1.0× |
| Esc i p ulcer w ostect & flap (15946) |
$2,270.45 |
$3,493 |
1.0× |
| Escharotomy initial incision (16035) |
$728 |
$1,120 |
1.6× |
| Esoph optical endomicroscopy (43206) |
$640.90 |
$986 |
0.3× |
| Esoph Scope W/Submucous Inj (43201) |
$533 |
$820 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,139.78 |
$1,753.50 |
1.1× |
| Esophagoscopy control bleed (43227) |
$2,383.22 |
$3,666.50 |
1.1× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$378.30 |
$582 |
0.2× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$2,981.22 |
$4,586.50 |
1.4× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$1,407.90 |
$2,166 |
0.3× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$865.80 |
$1,332 |
0.4× |
| Esophagoscopy flexible guide wire dilation (43226) |
$2,370.88 |
$3,647.50 |
1.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$523.90 |
$806 |
0.5× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$470.60 |
$724 |
0.2× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$330.85 |
$509 |
0.2× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$393.25 |
$605 |
0.2× |
| Esophagoscopy Retro Balloon (43213) |
$3,198.65 |
$4,921 |
1.5× |
| Esophagoscopy rigid transoral with biopsy (43193) |
$245.05 |
$377 |
0.1× |
| Esophagoscopy rigid trnso dx (43191) |
$216.45 |
$333 |
0.1× |
Esophagoscopy transoral stent placement (43212) likely a partial charge, not the full procedure |
$369.20 |
$568 |
0.1× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,538.25 |
$3,905 |
1.2× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$280.15 |
$431 |
0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,394.60 |
$3,684 |
1.1× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$812.50 |
$1,250 |
0.4× |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
$956.15 |
$1,471 |
0.6× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,146.95 |
$3,303 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$114.40 |
$176 |
0.8× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,116.05 |
$1,717 |
0.6× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$855.40 |
$1,316 |
0.5× |
| Exc abdl tum deep 5 cm/> (22901) |
$1,241.50 |
$1,910 |
0.4× |
| Exc arm/elbow les sc < 3 cm (24075) |
$711.10 |
$1,094 |
0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$176.15 |
$271 |
0.2× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$631.48 |
$971.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$390 |
$600 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$477.10 |
$734 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$265.20 |
$408 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$780.65 |
$1,201 |
0.4× |
| Exc back tum deep < 5 cm (21932) |
$1,223.95 |
$1,883 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$584.02 |
$898.50 |
0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,077.38 |
$1,657.50 |
0.6× |
| Exc forearm les sc 3 cm/> (25071) |
$801.45 |
$1,233 |
0.4× |
| Exc ganglion wrist recurrent (25112) |
$966.55 |
$1,487 |
0.5× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$261.95 |
$403 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$984.10 |
$1,514 |
0.5× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$385.45 |
$593 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$958.10 |
$1,474 |
0.3× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$1,548.95 |
$2,383 |
0.7× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$714.35 |
$1,099 |
0.3× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$1,093.30 |
$1,682 |
0.5× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,344.85 |
$2,069 |
0.6× |
| Exc rect tum transanal part (45171) |
$1,079.65 |
$1,661 |
0.3× |
Exc skin abd (15830) likely a partial charge, not the full procedure |
$1,589.90 |
$2,446 |
0.2× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$240.50 |
$370 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$214.50 |
$330 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$339.95 |
$523 |
0.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$590.20 |
$908 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$733.85 |
$1,129 |
0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,712.80 |
$5,712 |
1.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$599.30 |
$922 |
0.3× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$722.15 |
$1,111 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$738.40 |
$1,136 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$622.05 |
$957 |
0.3× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$599.30 |
$922 |
0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$1,162.85 |
$1,789 |
0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$419.90 |
$646 |
0.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,424.15 |
$2,191 |
0.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,032.85 |
$1,589 |
0.6× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$924.95 |
$1,423 |
0.3× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,366.30 |
$2,102 |
0.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$975 |
$1,500 |
0.3× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$755.30 |
$1,162 |
0.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,166.75 |
$1,795 |
0.6× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$1,181.70 |
$1,818 |
0.4× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$1,311.70 |
$2,018 |
0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,036.75 |
$1,595 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$1,056.90 |
$1,626 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$614.90 |
$946 |
0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$779.35 |
$1,199 |
0.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$674.05 |
$1,037 |
0.4× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$1,109.55 |
$1,707 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$739.05 |
$1,137 |
0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$1,335.75 |
$2,055 |
0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$562.25 |
$865 |
0.3× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$1,511.90 |
$2,326 |
0.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$923.65 |
$1,421 |
0.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$752.05 |
$1,157 |
0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$1,071.85 |
$1,649 |
0.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$834.60 |
$1,284 |
0.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$641.55 |
$987 |
0.2× |
| Exchange nephrostomy cath (50435) |
$447.20 |
$688 |
0.2× |
| Excise cutaneous neurofibroma (64788) |
$659.10 |
$1,014 |
0.3× |
| Excise Inferior Turbinate (30130) |
$496.60 |
$764 |
0.1× |
| Excise mandible lesion (21040) |
$780 |
$1,200 |
0.2× |
| Excise tendon forearm/wrist (25109) |
$1,009.45 |
$1,553 |
0.3× |
| Excise Wrist Tendon Sheath (25118) |
$596.05 |
$917 |
0.3× |
| Excise/repair mouth lesion (40812) |
$337.35 |
$519 |
0.2× |
| Excision Aural Polyp (69540) |
$169.65 |
$261 |
0.1× |
Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Facility (42815) likely a partial charge, not the full procedure |
$720.20 |
$1,108 |
0.1× |
| Excision Breast Lesion (19125) |
$1,131.65 |
$1,741 |
0.3× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Facility (25240) |
$1,270.75 |
$1,955 |
0.3× |
| Excision external ear partial simple repair (69110) |
$640.25 |
$985 |
0.2× |
Excision first and/or cervical rib for outlet compression syndrome or other cause; (21615) likely a partial charge, not the full procedure |
$1,150.50 |
$1,770 |
0.1× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$620.75 |
$955 |
0.2× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$380.25 |
$585 |
0.1× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$606.45 |
$933 |
0.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$448.50 |
$690 |
0.1× |
| Excision interdigital morton neuroma single each (28080) |
$924.30 |
$1,422 |
0.5× |
| Excision lesion meniscus/capsule knee (27347) |
$737.10 |
$1,134 |
0.2× |
| Excision lesion mouth roof (42104) |
$260 |
$400 |
0.1× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$640.25 |
$985 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$212.55 |
$327 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$220.35 |
$339 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$209.95 |
$323 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$317.20 |
$488 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$379.60 |
$584 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$453.70 |
$698 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$309.40 |
$476 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$392.60 |
$604 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$456.95 |
$703 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$544.70 |
$838 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$497.90 |
$766 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$246.35 |
$379 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$312.65 |
$481 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$370.50 |
$570 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$452.40 |
$696 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$519.35 |
$799 |
0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$304.20 |
$468 |
0.1× |
| Excision nasal polyp extensive (30115) |
$605.80 |
$932 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$279.50 |
$430 |
0.4× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$347.75 |
$535 |
0.4× |
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) likely a partial charge, not the full procedure |
$1,005.55 |
$1,547 |
0.2× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$1,268.15 |
$1,951 |
0.3× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) likely a partial charge, not the full procedure |
$1,095.25 |
$1,685 |
0.1× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) likely a partial charge, not the full procedure |
$830.70 |
$1,278 |
0.1× |
| Excision of chest wall tumor including rib(s) Facility (21601) |
$2,715.05 |
$4,177 |
0.8× |
Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy Facility (21603) unusually low: confirm this is the full procedure |
$3,435.25 |
$5,285 |
0.4× |
Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy Facility (21602) unusually low: confirm this is the full procedure |
$3,140.80 |
$4,832 |
0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$801.45 |
$1,233 |
0.4× |
| Excision of hydrocele unilateral (55040) |
$587.60 |
$904 |
0.1× |
| Excision of infected graft; extremity Facility (35903) |
$1,853.15 |
$2,851 |
0.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$362.70 |
$558 |
0.3× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$839.80 |
$1,292 |
0.2× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$355.55 |
$547 |
0.1× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) likely a partial charge, not the full procedure |
$440.70 |
$678 |
0.1× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$614.25 |
$945 |
0.3× |
Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Facility (40527) likely a partial charge, not the full procedure |
$891.80 |
$1,372 |
0.1× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Facility (64792) |
$1,964.30 |
$3,022 |
0.5× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) likely a partial charge, not the full procedure |
$1,641.90 |
$2,526 |
0.2× |
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Facility (42410) likely a partial charge, not the full procedure |
$912.60 |
$1,404 |
0.1× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) likely a partial charge, not the full procedure |
$1,881.10 |
$2,894 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$529.10 |
$814 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$240.50 |
$370 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Facility (11451) |
$586.95 |
$903 |
0.2× |
Excision of sublingual gland (42450) likely a partial charge, not the full procedure |
$642.85 |
$989 |
0.1× |
| Excision of sublingual salivary cyst (ranula) Facility (42408) |
$640.90 |
$986 |
0.2× |
Excision of submandibular (submaxillary) gland Facility (42440) likely a partial charge, not the full procedure |
$612.30 |
$942 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$524.55 |
$807 |
0.4× |
Excision of thyroglossal duct cyst or sinus; recurrent Facility (60281) likely a partial charge, not the full procedure |
$586.95 |
$903 |
0.1× |
| Excision of tongue lesion (41112) |
$410.80 |
$632 |
0.1× |
| Excision of tonsil tags (42860) |
$313.95 |
$483 |
0.1× |
| Excision of vaginal cyst or tumor (57135) |
$590.85 |
$909 |
0.2× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Facility (55540) |
$949.65 |
$1,461 |
0.2× |
| Excision olecranon bursa (24105) |
$913.90 |
$1,406 |
0.3× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Facility (25135) likely a partial charge, not the full procedure |
$1,441.70 |
$2,218 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$1,179.75 |
$1,815 |
0.3× |
Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Facility (23156) likely a partial charge, not the full procedure |
$735.80 |
$1,132 |
0.1× |
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) likely a partial charge, not the full procedure |
$1,396.85 |
$2,149 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,472.90 |
$2,266 |
0.4× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) likely a partial charge, not the full procedure |
$436.15 |
$671 |
0.1× |
| Excision or fulguration; Skene's glands Facility (53270) |
$328.90 |
$506 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,713.40 |
$2,636 |
0.5× |
| Excision prepatellar bursa (27340) |
$662.35 |
$1,019 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$354.25 |
$545 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$896.35 |
$1,379 |
0.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$351.65 |
$541 |
0.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$621.40 |
$956 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$673.40 |
$1,036 |
0.4× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$761.80 |
$1,172 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$477.10 |
$734 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area (15839) |
$1,075.75 |
$1,655 |
0.3× |
| Excision, nasal polyp(s), simple Facility (30110) |
$304.20 |
$468 |
0.2× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$1,465.75 |
$2,255 |
0.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$815.10 |
$1,254 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$633.10 |
$974 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$489.45 |
$753 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$1,181.05 |
$1,817 |
0.4× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,303.90 |
$2,006 |
0.7× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,501.50 |
$2,310 |
0.4× |
| Excision; trochanteric bursa or calcification (27062) |
$974.35 |
$1,499 |
0.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,118.65 |
$1,721 |
0.5× |
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) likely a partial charge, not the full procedure |
$1,292.85 |
$1,989 |
0.2× |
Expl retroperitoneum w/wo bx spx (49010) likely a partial charge, not the full procedure |
$1,695.20 |
$2,608 |
0.2× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$937.95 |
$1,443 |
0.5× |
| Explo/Drain Breast Abscess (19020) |
$2,157.35 |
$3,319 |
1.2× |
| Exploration of knee joint (27310) |
$1,233.05 |
$1,897 |
0.3× |
| Exploration of middle ear (69440) |
$1,000.35 |
$1,539 |
0.3× |
Exploration of spinal fusion (22830) unusually low: confirm this is the full procedure |
$3,113.50 |
$4,790 |
0.4× |
| Exploration penetrating wound spx chest (20101) |
$1,362.40 |
$2,096 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$704.92 |
$1,084.50 |
0.4× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,285.70 |
$1,978 |
2.1× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$815.75 |
$1,255 |
0.2× |
| Explore eye socket,drainage (67405) |
$934.70 |
$1,438 |
0.4× |
| Explore limb vessels (35860) |
$1,404 |
$2,160 |
0.4× |
| Explore/Treat Elbow Joint (24101) |
$1,714.05 |
$2,637 |
0.5× |
| Explore/treat hand joint (26070) |
$693.55 |
$1,067 |
0.4× |
| Explore/Treat Knee Joint (27331) |
$1,101.10 |
$1,694 |
0.3× |
| External cephalic version (59412) |
$2,800.20 |
$4,308 |
0.8× |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
$1,054.30 |
$1,622 |
0.5× |
| Fasciectomy Palm Only (26121) |
$1,138.15 |
$1,751 |
0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$809.90 |
$1,246 |
0.2× |
| Fasciotomy foot and/or toe (28008) |
$863.85 |
$1,329 |
0.2× |
| Fasciotomy Iliotibial Open (27305) |
$907.40 |
$1,396 |
0.2× |
| Fasciotomy palmar open partial (26045) |
$1,455.35 |
$2,239 |
0.4× |
| Fasciotomy, hip or thigh, any type (27025) |
$1,976.65 |
$3,041 |
0.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,668.90 |
$4,106 |
0.7× |
| Fetal contraction stress test (59020) |
$298.35 |
$459 |
1.3× |
| Fetal non-stress test (59025) |
$298.35 |
$459 |
1.3× |
| Filleted finger/toe flap (14350) |
$1,355.90 |
$2,086 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$288.92 |
$444.50 |
0.6× |
| Fit/Insert Intravag Support Device (57160) |
$106.60 |
$164 |
0.5× |
| Fitting of diaphragm/cap (57170) |
$106.60 |
$164 |
0.5× |
| Fixation of shoulder (23700) |
$491.40 |
$756 |
0.3× |
| Fluid pressure muscle (20950) |
$278.20 |
$428 |
0.4× |
| Fluoro exam of g/colon tube (49465) |
$230.75 |
$355 |
0.9× |
| Foreskin manipulation (54450) |
$210.60 |
$324 |
0.8× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$179.40 |
$276 |
0.0× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,741.35 |
$2,679 |
0.8× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$858 |
$1,320 |
0.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,185.60 |
$1,824 |
0.5× |
Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$1,557.40 |
$2,396 |
0.2× |
Fusion of knuckle (26850) likely a partial charge, not the full procedure |
$1,780.35 |
$2,739 |
0.2× |
Fusion of thumb (26841) likely a partial charge, not the full procedure |
$1,181.70 |
$1,818 |
0.1× |
Fusion of wrist joint (25800) likely a partial charge, not the full procedure |
$1,346.15 |
$2,071 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$336.05 |
$517 |
1.4× |
| Gastrocnemius recession (27687) |
$1,151.80 |
$1,772 |
0.3× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$2,560.35 |
$3,939 |
0.6× |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
$2,860.98 |
$4,401.50 |
1.3× |
Glossectomy; less than one-half tongue Facility (41120) likely a partial charge, not the full procedure |
$1,555.45 |
$2,393 |
0.2× |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
$5,426.20 |
$8,348 |
2.4× |
| Guide Cathet Fluid Drainage (10030) |
$4,148.30 |
$6,382 |
5.3× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,718.60 |
$2,644 |
0.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$1,266.85 |
$1,949 |
0.3× |
Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$2,317.90 |
$3,566 |
0.2× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$908.70 |
$1,398 |
0.2× |
| Hemorrhoidectomy (46255) |
$752.70 |
$1,158 |
0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$1,454.05 |
$2,237 |
0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
$1,615.25 |
$2,485 |
0.5× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$428.35 |
$659 |
0.1× |
| Hysteroscopy biopsy (58558) |
$512.20 |
$788 |
0.1× |
Hysteroscopy div/rescj intrauterine septum (58560) likely a partial charge, not the full procedure |
$744.90 |
$1,146 |
0.1× |
Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$657.80 |
$1,012 |
0.1× |
Hysteroscopy removal leiomyomata (58561) likely a partial charge, not the full procedure |
$1,059.50 |
$1,630 |
0.2× |
Hysteroscopy w endometrial ablation (58563) likely a partial charge, not the full procedure |
$659.10 |
$1,014 |
0.1× |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
$794.95 |
$1,223 |
0.2× |
Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) likely a partial charge, not the full procedure |
$833.95 |
$1,283 |
0.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$557.05 |
$857 |
0.2× |
| I&D Abscess Peritonsillar (42700) |
$377.65 |
$581 |
1.4× |
| I&d abscess simple (10060) |
$243.75 |
$375 |
1.1× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$698.75 |
$1,075 |
0.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$625.95 |
$963 |
0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$618.15 |
$951 |
0.2× |
| I&d epididymis tstis&/scrotal space (54700) |
$463.45 |
$713 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$771.55 |
$1,187 |
0.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,328.60 |
$2,044 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$336.38 |
$517.50 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$660.40 |
$1,016 |
0.2× |
| I&d submucosal abscess rectum (45005) |
$453.70 |
$698 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,522.95 |
$2,343 |
0.8× |
| I&D Vaginal Hematoma Obstetrical/Postpartum (57022) |
$529.10 |
$814 |
0.2× |
| I&d vulva/perineal abscess (56405) |
$486.85 |
$749 |
1.4× |
| Ileoscopy stoma w/balloon dilation (44381) |
$4,003.35 |
$6,159 |
1.9× |
| Ileoscopy thru stoma (44380) |
$1,994.20 |
$3,068 |
2.0× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$1,994.20 |
$3,068 |
2.0× |
| Image Cath Fluid Peri/Retro (49406) |
$3,278.60 |
$5,044 |
1.8× |
Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction (19340) likely a partial charge, not the full procedure |
$1,427.40 |
$2,196 |
0.2× |
Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$2,100.80 |
$3,232 |
0.3× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) unusually low: confirm this is the full procedure |
$2,487.55 |
$3,827 |
0.3× |
Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) likely a partial charge, not the full procedure |
$1,483.30 |
$2,282 |
0.2× |
| Incise external hemorrhoid (46083) |
$452.72 |
$696.50 |
1.6× |
| Incise finger tendon sheath (26055) |
$1,065.35 |
$1,639 |
0.6× |
| Incise wrist/forearm tendon (25290) |
$1,513.85 |
$2,329 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$355.55 |
$547 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$612.95 |
$943 |
0.2× |
| Incision & drainage pilonidal cyst complicated (10081) |
$459.88 |
$707.50 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,423.18 |
$2,189.50 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$475.15 |
$731 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$428.68 |
$659.50 |
1.9× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Facility (45020) |
$755.30 |
$1,162 |
0.2× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$1,303.90 |
$2,006 |
0.4× |
| Incision and drainage perianal abscess superficial (46050) |
$368.55 |
$567 |
0.4× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$393.25 |
$605 |
0.1× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) likely a partial charge, not the full procedure |
$2,038.40 |
$3,136 |
0.3× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) likely a partial charge, not the full procedure |
$2,020.20 |
$3,108 |
0.2× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,110.85 |
$1,709 |
0.6× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$510.25 |
$785 |
0.2× |
| Incision bone cortex foot (28005) |
$1,156.35 |
$1,779 |
0.3× |
| Incision bone cortex hand/finger (26034) |
$1,475.50 |
$2,270 |
0.8× |
| Incision extensor tendon sheath wrist (25000) |
$988 |
$1,520 |
0.6× |
| Incision of conjunctiva, drainage of cyst (68020) |
$153.40 |
$236 |
0.1× |
| Incision of eardrum (69421) |
$247.65 |
$381 |
0.1× |
| Incision of eardrum (69420) |
$238.55 |
$367 |
0.9× |
| Incision of fibula (27707) |
$1,052.35 |
$1,619 |
0.3× |
| Incision of labial frenum (frenotomy) (40806) |
$47.45 |
$73 |
0.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$231.40 |
$356 |
0.1× |
| Incision of rectal abscess (46045) |
$1,027.65 |
$1,581 |
0.3× |
| Incision of rectal abscess (46040) |
$1,733.22 |
$2,666.50 |
1.3× |
Incision of tibia (27705) likely a partial charge, not the full procedure |
$2,189.20 |
$3,368 |
0.3× |
| Incision of urethra (53000) |
$525.85 |
$809 |
0.2× |
| Incision of urethra (53020) |
$443.95 |
$683 |
0.2× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$1,249.95 |
$1,923 |
0.3× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$1,204.45 |
$1,853 |
0.3× |
| Induced abortion by d&c (59840) |
$356.85 |
$549 |
0.1× |
| Initial tx 1st degree burn local tx (16000) |
$177.12 |
$272.50 |
0.8× |
| Inj neurolytic subarachnoid (62280) |
$506.35 |
$779 |
0.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$422.82 |
$650.50 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$182.65 |
$281 |
0.5× |
| Inj therapeutic carpal tunnel (20526) |
$366.60 |
$564 |
1.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$416.65 |
$641 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$380.25 |
$585 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$898.95 |
$1,383 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$452.40 |
$696 |
0.5× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$2,085.85 |
$3,209 |
2.1× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$382.85 |
$589 |
0.4× |
| Inject Nerv Blck,Intercostal,One (64420) |
$252.85 |
$389 |
0.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$551.85 |
$849 |
0.6× |
| Inject Sinus Tract Theraputic (20500) |
$463.45 |
$713 |
0.3× |
| Inject Tendon Origin/Insert (20551) |
$120.25 |
$185 |
0.4× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$505.70 |
$778 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$636.35 |
$979 |
0.8× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$319.80 |
$492 |
0.4× |
| Injection aa&/strd pudendal nerve (64430) |
$284.05 |
$437 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$609.70 |
$938 |
1.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$692.90 |
$1,066 |
2.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$121.55 |
$187 |
0.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$231.40 |
$356 |
0.3× |
| Injection for identification of sentinel node (38792) |
$186.55 |
$287 |
0.4× |
| Injection into skin lesions (11900) |
$87.75 |
$135 |
0.4× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$370.18 |
$569.50 |
0.5× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$290.55 |
$447 |
0.6× |
| Injection sclerosing solution hemorrhoids (46500) |
$189.15 |
$291 |
0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$170.95 |
$263 |
0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$265.52 |
$408.50 |
0.8× |
| Injection Turbinate Therapeutic (30200) |
$177.45 |
$273 |
0.3× |
| Injection(s) spider veins (36468) |
$168.35 |
$259 |
0.4× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$86.45 |
$133 |
0.1× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$729.95 |
$1,123 |
0.7× |
| Ins cath ren art 1st bilat (36252) |
$5,064.15 |
$7,791 |
1.4× |
| Ins cath ren art 1st unilat (36251) |
$4,968.92 |
$7,644.50 |
1.4× |
| Ins cath ren art 2nd+ bilat (36254) |
$10,468.90 |
$16,106 |
3.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$10,468.90 |
$16,106 |
1.7× |
| Ins endovas vena cava filtr (37191) |
$4,748.90 |
$7,306 |
0.8× |
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) likely a partial charge, not the full procedure |
$1,692.60 |
$2,604 |
0.1× |
| Ins tun ip cath for dial opn (49421) |
$2,752.42 |
$4,234.50 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$189.15 |
$291 |
1.3× |
| Insert cath pleura w/ image (32557) |
$2,018.90 |
$3,106 |
1.2× |
| Insert cath pleura w/o image (32556) |
$4,096.30 |
$6,302 |
1.9× |
| Insert cervical dilator (59200) |
$188.50 |
$290 |
0.6× |
| Insert Drug Implant Device (11981) |
$291.20 |
$448 |
2.0× |
| Insert gastrostomy tube percutaneous (49440) |
$1,105.98 |
$1,701.50 |
0.5× |
Insert heart pm atrial (33206) likely a partial charge, not the full procedure |
$1,203.80 |
$1,852 |
0.1× |
Insert heart pm ventricular (33207) likely a partial charge, not the full procedure |
$1,687.72 |
$2,596.50 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$2,872.35 |
$4,419 |
0.8× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,265.60 |
$5,024 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$3,078.08 |
$4,735.50 |
1.8× |
Insert pulse gen dual leads (33213) likely a partial charge, not the full procedure |
$788.45 |
$1,213 |
0.1× |
Insert pulse gen mult leads (33221) likely a partial charge, not the full procedure |
$767.65 |
$1,181 |
0.0× |
Insert pulse gen sngl lead (33212) likely a partial charge, not the full procedure |
$742.95 |
$1,143 |
0.1× |
Insert spine infusion device (62360) likely a partial charge, not the full procedure |
$994.50 |
$1,530 |
0.0× |
| Insert Temp Bladder Cath (51702) |
$366.60 |
$564 |
2.5× |
| Insert tunneled cv cath (36561) |
$874.90 |
$1,346 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$116.35 |
$179 |
0.8× |
Insert/ replace infusn pump,programmable (62362) likely a partial charge, not the full procedure |
$1,463.80 |
$2,252 |
0.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,786.22 |
$4,286.50 |
0.7× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement Facility (53855) |
$120.25 |
$185 |
0.1× |
Insertion of cannula (36800) likely a partial charge, not the full procedure |
$334.10 |
$514 |
0.1× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) likely a partial charge, not the full procedure |
$356.85 |
$549 |
0.1× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) likely a partial charge, not the full procedure |
$2,562.30 |
$3,942 |
0.1× |
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) likely a partial charge, not the full procedure |
$1,463.15 |
$2,251 |
0.1× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) likely a partial charge, not the full procedure |
$1,571.05 |
$2,417 |
0.0× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) likely a partial charge, not the full procedure |
$2,009.15 |
$3,091 |
0.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,416.22 |
$14,486.50 |
1.0× |
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) likely a partial charge, not the full procedure |
$798.85 |
$1,229 |
0.1× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$6,296.22 |
$9,686.50 |
0.7× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$14,328.60 |
$22,044 |
1.2× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) likely a partial charge, not the full procedure |
$923 |
$1,420 |
0.0× |
| Insj picc rs&i 5 yr+ (36573) |
$2,018.90 |
$3,106 |
1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,422.58 |
$5,265.50 |
1.0× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$1,493.70 |
$2,298 |
0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,651.98 |
$2,541.50 |
0.5× |
Insj/rplcmt defib w/lead(s) (33249) likely a partial charge, not the full procedure |
$2,063.75 |
$3,175 |
0.1× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$544.05 |
$837 |
0.1× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$11,798.15 |
$9,348 |
1.3× |
Insrt pulse gen w/dual leads (33230) likely a partial charge, not the full procedure |
$956.15 |
$1,471 |
0.0× |
| Insrt pulse gen w/mult leads (33231) |
$120,289 |
$185,060 |
3.4× |
Insrt/redo spine n generator (63685) likely a partial charge, not the full procedure |
$1,878.50 |
$2,890 |
0.1× |
Install spinal shunt (63741) likely a partial charge, not the full procedure |
$1,893.45 |
$2,913 |
0.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$428.35 |
$659 |
0.1× |
| Intraoral i&d tongue/floor lingual (41000) |
$220.35 |
$339 |
0.4× |
| Intro cath dialysis circuit (36901) |
$2,300.35 |
$3,539 |
1.3× |
Intro cath dialysis circuit w/tcat plmt IV stent (36903) likely a partial charge, not the full procedure |
$1,975.68 |
$3,039.50 |
0.2× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$8,685.30 |
$13,362 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$744.58 |
$1,145.50 |
2.8× |
| Irrigation maxillary sinus (31000) |
$221 |
$340 |
0.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$481.65 |
$741 |
1.7× |
| Knee Arthroscopy/Surgery (29874) |
$1,344.85 |
$2,069 |
0.4× |
| Knee Arthroscopy/Surgery (29879) |
$1,801.80 |
$2,772 |
0.5× |
| Labyrinthotomy Transcanal (69801) |
$325 |
$500 |
0.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Facility (63265) |
$6,142.50 |
$9,450 |
0.8× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar Facility (63267) |
$4,879.55 |
$7,507 |
0.6× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
$4,398.55 |
$6,767 |
0.5× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$5,766.15 |
$8,871 |
0.7× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) likely a partial charge, not the full procedure |
$3,129.10 |
$4,814 |
0.1× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) unusually low: confirm this is the full procedure |
$3,328 |
$5,120 |
0.4× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) unusually low: confirm this is the full procedure |
$2,941.90 |
$4,526 |
0.4× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) unusually low: confirm this is the full procedure |
$3,695.25 |
$5,685 |
0.5× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$4,299.10 |
$6,614 |
0.5× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) unusually low: confirm this is the full procedure |
$3,262.35 |
$5,019 |
0.4× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$4,759.30 |
$7,322 |
0.6× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63016) unusually low: confirm this is the full procedure |
$3,772.60 |
$5,804 |
0.5× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$4,271.15 |
$6,571 |
0.5× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$4,553.25 |
$7,005 |
0.6× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$4,924.40 |
$7,576 |
0.6× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) unusually low: confirm this is the full procedure |
$3,833.05 |
$5,897 |
0.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$4,544.80 |
$6,992 |
0.6× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) unusually low: confirm this is the full procedure |
$4,009.85 |
$6,169 |
0.5× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$4,797.65 |
$7,381 |
0.6× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) unusually low: confirm this is the full procedure |
$3,186.30 |
$4,902 |
0.4× |
Lap ing hernia repair init (49650) likely a partial charge, not the full procedure |
$815.75 |
$1,255 |
0.1× |
Lap insert tunnel ip cath (49324) likely a partial charge, not the full procedure |
$746.20 |
$1,148 |
0.1× |
Lap paraesoph her rpr w/mesh (43282) likely a partial charge, not the full procedure |
$3,012.75 |
$4,635 |
0.3× |
Laparoscopic surgical splenectomy (38120) likely a partial charge, not the full procedure |
$1,972.10 |
$3,034 |
0.2× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) unusually low: confirm this is the full procedure |
$2,312.05 |
$3,557 |
0.3× |
Laparoscopy appendectomy (44970) likely a partial charge, not the full procedure |
$1,199.25 |
$1,845 |
0.2× |
Laparoscopy biopsy (49321) likely a partial charge, not the full procedure |
$638.95 |
$983 |
0.1× |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) likely a partial charge, not the full procedure |
$2,564.25 |
$3,945 |
0.2× |
Laparoscopy tubal block (58671) likely a partial charge, not the full procedure |
$579.80 |
$892 |
0.1× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$2,000.70 |
$3,078 |
0.2× |
Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,234.35 |
$1,899 |
0.2× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$1,861.60 |
$2,864 |
0.2× |
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) likely a partial charge, not the full procedure |
$1,140.75 |
$1,755 |
0.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,867.15 |
$4,411 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$1,215.50 |
$1,870 |
0.3× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541) likely a partial charge, not the full procedure |
$1,398.15 |
$2,151 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$1,786.85 |
$2,749 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572) likely a partial charge, not the full procedure |
$2,226.25 |
$3,425 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550) likely a partial charge, not the full procedure |
$1,697.80 |
$2,612 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) likely a partial charge, not the full procedure |
$1,886.95 |
$2,903 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Facility (58553) likely a partial charge, not the full procedure |
$2,182.05 |
$3,357 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) likely a partial charge, not the full procedure |
$2,534.35 |
$3,899 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,464.80 |
$3,792 |
0.4× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$2,763.80 |
$4,252 |
0.2× |
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) likely a partial charge, not the full procedure |
$802.75 |
$1,235 |
0.1× |
Laparoscopy, surgical; partial nephrectomy (50543) likely a partial charge, not the full procedure |
$3,108.95 |
$4,783 |
0.3× |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,044.55 |
$1,607 |
0.2× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) likely a partial charge, not the full procedure |
$1,199.90 |
$1,846 |
0.2× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) likely a partial charge, not the full procedure |
$1,222.65 |
$1,881 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Facility (58660) likely a partial charge, not the full procedure |
$1,605.50 |
$2,470 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,011.40 |
$1,556 |
0.2× |
Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,355.25 |
$2,085 |
0.2× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$1,422.20 |
$2,188 |
0.1× |
Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$950.30 |
$1,462 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) likely a partial charge, not the full procedure |
$648.70 |
$998 |
0.1× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) unusually low: confirm this is the full procedure |
$2,231.45 |
$3,433 |
0.3× |
| Laryngoscopy diagnostic (31505) |
$216.78 |
$333.50 |
1.0× |
| Laryngoscopy Direct Aspiration (31515) |
$371.80 |
$572 |
0.9× |
| Laryngoscopy flexible diagnostic (31575) |
$303.55 |
$467 |
1.4× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,047.80 |
$1,612 |
2.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$6,287.45 |
$9,673 |
14.4× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$160.55 |
$247 |
0.7× |
| Laryngoscopy w/biopsy (31535) |
$284.05 |
$437 |
0.1× |
| Laryngoscopy w/bx op scope (31536) |
$286 |
$440 |
0.1× |
| Laryngoscopy w/exc of tumor (31540) |
$364.65 |
$561 |
0.1× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
$1,827.80 |
$2,812 |
0.5× |
| Larynscop w/tumr exc + scope (31541) |
$397.80 |
$612 |
0.1× |
| Late closure of wound (13160) |
$1,106.30 |
$1,702 |
0.3× |
| Lateral retinacular release open (27425) |
$694.85 |
$1,069 |
0.2× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
$890.50 |
$1,370 |
0.2× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
$947.05 |
$1,457 |
0.3× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$757.90 |
$1,166 |
0.2× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) likely a partial charge, not the full procedure |
$1,702.35 |
$2,619 |
0.2× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) likely a partial charge, not the full procedure |
$2,371.85 |
$3,649 |
0.2× |
Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$2,426.45 |
$3,733 |
0.2× |
| Ligate leg veins open (37761) |
$1,216.80 |
$1,872 |
0.3× |
| Ligate leg veins radical (37760) |
$1,734.85 |
$2,669 |
0.5× |
| Ligate/strip long leg vein (37722) |
$1,106.95 |
$1,703 |
0.3× |
| Ligation Internal/Common Carotid Artery (37605) |
$1,527.50 |
$2,350 |
0.4× |
Ligation major artery abdomen (37617) unusually low: confirm this is the full procedure |
$2,535 |
$3,900 |
0.4× |
| Ligation of a-v fistula (37607) |
$896.35 |
$1,379 |
0.3× |
| Ligation of hemorrhoid(s) (46221) |
$232.05 |
$357 |
0.2× |
| Ligation or biopsy temporal artery (37609) |
$507.65 |
$781 |
0.3× |
| Ligation; external carotid artery Facility (37600) |
$1,363.70 |
$2,098 |
0.4× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) |
$1,092.65 |
$1,681 |
0.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$605.80 |
$932 |
0.2× |
| Lip shave (40500) |
$510.25 |
$785 |
0.1× |
| Liver Biopsy (47000) |
$2,587.98 |
$3,981.50 |
1.4× |
| Lysis of labial adhesions (56441) |
$234.65 |
$361 |
0.1× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$403 |
$620 |
0.2× |
| Manipulation knee joint under general anesthesia (27570) |
$508.95 |
$783 |
0.3× |
| Manipulation spine requiring anesthesia (22505) |
$320.45 |
$493 |
0.2× |
| Manipulation, elbow, under anesthesia (24300) |
$828.10 |
$1,274 |
0.5× |
| Manipulation, wrist, under anesthesia (25259) |
$790.40 |
$1,216 |
0.4× |
| Marsupialization Bartholins Gland Cyst (56440) |
$414.05 |
$637 |
0.1× |
Mast mod rad (19307) likely a partial charge, not the full procedure |
$2,106.65 |
$3,241 |
0.3× |
| Mastectomy for gynecomastia (19300) |
$404.30 |
$622 |
0.1× |
| Mastectomy partial (19301) |
$920.40 |
$1,416 |
0.2× |
Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$2,041 |
$3,140 |
0.3× |
Mastoidectomy; modified radical Facility (69505) likely a partial charge, not the full procedure |
$1,275.95 |
$1,963 |
0.2× |
Mastoidectomy; radical (69511) likely a partial charge, not the full procedure |
$1,758.90 |
$2,706 |
0.3× |
Mastopexy (19316) likely a partial charge, not the full procedure |
$1,096.55 |
$1,687 |
0.1× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$150.80 |
$232 |
0.1× |
| Mech remov tunneled cv cath (36595) |
$5,192.20 |
$7,988 |
1.5× |
| Metatarsectomy (28140) |
$1,168.05 |
$1,797 |
0.3× |
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Facility (24301) likely a partial charge, not the full procedure |
$1,844.05 |
$2,837 |
0.2× |
Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) likely a partial charge, not the full procedure |
$2,360.15 |
$3,631 |
0.3× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
$2,291.25 |
$3,525 |
0.6× |
| Muscle-skin graft trunk (15734) |
$2,506.40 |
$3,856 |
0.6× |
| Myelography Lumbar Injection (62305) |
$3,289 |
$5,060 |
3.8× |
| Myelography Lumbar Injection (62304) |
$3,315 |
$5,100 |
3.8× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$3,404.70 |
$5,238 |
3.9× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,705.30 |
$4,162 |
3.1× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$539.50 |
$830 |
0.1× |
| Myringoplasty (69620) |
$659.75 |
$1,015 |
0.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$296.40 |
$456 |
0.4× |
| Nasal endoscopy dx (31231) |
$239.20 |
$368 |
1.1× |
| Nasal surgery procedure (30999) |
$310.70 |
$478 |
1.2× |
Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) likely a partial charge, not the full procedure |
$408.20 |
$628 |
0.1× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$295.10 |
$454 |
0.1× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) likely a partial charge, not the full procedure |
$1,135.55 |
$1,747 |
0.1× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) likely a partial charge, not the full procedure |
$347.75 |
$535 |
0.0× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
$261.95 |
$403 |
0.1× |
Nasal/Sinus Endoscopy,Remv Tiss Sphenoid (31288) likely a partial charge, not the full procedure |
$1,458.60 |
$2,244 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$417.30 |
$642 |
0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$277.55 |
$427 |
0.1× |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) likely a partial charge, not the full procedure |
$600.60 |
$924 |
0.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$176.80 |
$272 |
0.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$945.10 |
$1,454 |
0.5× |
| Needle biopsy of pancreas (48102) |
$879.45 |
$1,353 |
0.5× |
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) likely a partial charge, not the full procedure |
$2,284.10 |
$3,514 |
0.2× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) likely a partial charge, not the full procedure |
$2,611.05 |
$4,017 |
0.3× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) likely a partial charge, not the full procedure |
$2,426.45 |
$3,733 |
0.2× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) likely a partial charge, not the full procedure |
$2,368.60 |
$3,644 |
0.2× |
Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Facility (64892) likely a partial charge, not the full procedure |
$1,925.30 |
$2,962 |
0.2× |
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) likely a partial charge, not the full procedure |
$2,056.60 |
$3,164 |
0.2× |
| Neurectomy Popliteal (27326) |
$995.15 |
$1,531 |
0.5× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$974.35 |
$1,499 |
0.4× |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
$856.05 |
$1,317 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$969.80 |
$1,492 |
0.4× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Facility (64713) |
$1,375.40 |
$2,116 |
0.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Facility (64712) |
$1,074.45 |
$1,653 |
0.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,281.15 |
$1,971 |
0.6× |
| Nipple/areola reconstruction (19350) |
$939.90 |
$1,446 |
0.2× |
| Njx aa&/strd sciatic nerve (64445) |
$806 |
$1,240 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$404.95 |
$623 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$433.55 |
$667 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$964.60 |
$1,484 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$368.55 |
$567 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$332.15 |
$511 |
0.4× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$295.10 |
$454 |
0.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$339.30 |
$522 |
0.7× |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) likely a partial charge, not the full procedure |
$475.80 |
$732 |
0.1× |
| Obstructive material removal from gi tube (49460) |
$1,441.05 |
$2,217 |
1.4× |
| Occipital Nerve Block (64405) |
$384.15 |
$591 |
1.1× |
| Occlude fallopian tube(s) (58615) |
$911.95 |
$1,403 |
0.3× |
Omntc epiploectomy rescj omentum spx (49255) likely a partial charge, not the full procedure |
$1,124.50 |
$1,730 |
0.2× |
| Onc thyr mut alys 10 gen&37 (0245U) |
$2,520.70 |
$3,878 |
2.0× |
Open bone biopsy (20251) likely a partial charge, not the full procedure |
$1,335.75 |
$2,055 |
0.2× |
| Open bone biopsy (20250) |
$1,284.40 |
$1,976 |
0.4× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$62,193.30 |
$95,682 |
1.8× |
Open rdl shaft fx closed rad/uln jt dislocate (25525) likely a partial charge, not the full procedure |
$2,107.95 |
$3,243 |
0.3× |
Open thrombect av fistula (36831) likely a partial charge, not the full procedure |
$1,091.35 |
$1,679 |
0.2× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) likely a partial charge, not the full procedure |
$2,951.65 |
$4,541 |
0.2× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) likely a partial charge, not the full procedure |
$3,316.30 |
$5,102 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) likely a partial charge, not the full procedure |
$2,941.90 |
$4,526 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) likely a partial charge, not the full procedure |
$2,614.30 |
$4,022 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) likely a partial charge, not the full procedure |
$2,755.35 |
$4,239 |
0.2× |
Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$2,072.85 |
$3,189 |
0.3× |
Open treatment calcaneal fracture (28415) unusually low: confirm this is the full procedure |
$2,701.40 |
$4,156 |
0.3× |
Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,946.45 |
$4,533 |
0.2× |
Open treatment greater trochanteric fracture (27248) likely a partial charge, not the full procedure |
$1,342.90 |
$2,066 |
0.2× |
Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,667.25 |
$2,565 |
0.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$895.70 |
$1,378 |
0.2× |
Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,296.10 |
$1,994 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550) likely a partial charge, not the full procedure |
$1,062.75 |
$1,635 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,223.30 |
$1,882 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) likely a partial charge, not the full procedure |
$1,549.60 |
$2,384 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) likely a partial charge, not the full procedure |
$1,391 |
$2,140 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,525.55 |
$2,347 |
0.2× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) likely a partial charge, not the full procedure |
$1,654.90 |
$2,546 |
0.3× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) likely a partial charge, not the full procedure |
$1,106.30 |
$1,702 |
0.2× |
| Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) |
$3,909.75 |
$6,015 |
0.6× |
Open treatment of depressed frontal sinus fracture Facility (21343) unusually low: confirm this is the full procedure |
$2,684.50 |
$4,130 |
0.4× |
Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Facility (21360) likely a partial charge, not the full procedure |
$678.60 |
$1,044 |
0.1× |
Open treatment of distal radioulnar dislocation, acute or chronic Facility (25676) likely a partial charge, not the full procedure |
$620.75 |
$955 |
0.1× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514) likely a partial charge, not the full procedure |
$2,865.20 |
$4,408 |
0.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) unusually low: confirm this is the full procedure |
$2,713.75 |
$4,175 |
0.3× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) unusually low: confirm this is the full procedure |
$3,653.65 |
$5,621 |
0.5× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) likely a partial charge, not the full procedure |
$3,029 |
$4,660 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) likely a partial charge, not the full procedure |
$2,575.95 |
$3,963 |
0.2× |
Open treatment of fracture of orbit, except blowout; with implant Facility (21407) likely a partial charge, not the full procedure |
$931.45 |
$1,433 |
0.1× |
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) likely a partial charge, not the full procedure |
$1,548.95 |
$2,383 |
0.2× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) likely a partial charge, not the full procedure |
$1,686.75 |
$2,595 |
0.2× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Facility (23630) likely a partial charge, not the full procedure |
$1,583.40 |
$2,436 |
0.2× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) likely a partial charge, not the full procedure |
$1,698.45 |
$2,613 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) likely a partial charge, not the full procedure |
$3,017.30 |
$4,642 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) unusually low: confirm this is the full procedure |
$2,705.30 |
$4,162 |
0.3× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
$1,049.10 |
$1,614 |
0.3× |
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) unusually low: confirm this is the full procedure |
$2,568.15 |
$3,951 |
0.4× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) likely a partial charge, not the full procedure |
$1,138.15 |
$1,751 |
0.2× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) likely a partial charge, not the full procedure |
$3,805.75 |
$5,855 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$1,651.65 |
$2,541 |
0.2× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) likely a partial charge, not the full procedure |
$1,831.05 |
$2,817 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) likely a partial charge, not the full procedure |
$1,624.35 |
$2,499 |
0.2× |
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) likely a partial charge, not the full procedure |
$971.75 |
$1,495 |
0.1× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Facility (25670) likely a partial charge, not the full procedure |
$1,207.70 |
$1,858 |
0.1× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) likely a partial charge, not the full procedure |
$1,424.15 |
$2,191 |
0.2× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) likely a partial charge, not the full procedure |
$1,669.20 |
$2,568 |
0.1× |
Open treatment of sternoclavicular dislocation, acute or chronic; Facility (23530) likely a partial charge, not the full procedure |
$1,212.90 |
$1,866 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) likely a partial charge, not the full procedure |
$2,613.65 |
$4,021 |
0.2× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) likely a partial charge, not the full procedure |
$1,556.75 |
$2,395 |
0.2× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) likely a partial charge, not the full procedure |
$1,483.30 |
$2,282 |
0.2× |
Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,054.30 |
$1,622 |
0.1× |
Open treatment posterior malleolus fracture (27769) likely a partial charge, not the full procedure |
$1,144.65 |
$1,761 |
0.1× |
Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$2,161.90 |
$3,326 |
0.2× |
Open treatment tarsometatarsal joint dislocation (28615) likely a partial charge, not the full procedure |
$1,571.05 |
$2,417 |
0.2× |
| Open tx articular fracture mcp/ip joint ea (26746) |
$1,538.55 |
$2,367 |
0.4× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$1,312.35 |
$2,019 |
0.4× |
Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,119.95 |
$1,723 |
0.1× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,552.85 |
$2,389 |
0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,413.10 |
$2,174 |
0.4× |
Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,568.45 |
$2,413 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$947.05 |
$1,457 |
0.3× |
Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,742 |
$2,680 |
0.1× |
Open tx humeral supracondylar fracture w/o xtn (24545) likely a partial charge, not the full procedure |
$2,213.25 |
$3,405 |
0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$1,095.90 |
$1,686 |
0.3× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$1,027.65 |
$1,581 |
0.3× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,370.85 |
$2,109 |
0.4× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,428.05 |
$2,197 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$2,149.55 |
$3,307 |
0.3× |
Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,580.15 |
$2,431 |
0.2× |
| Open/Perq Place Stent Same (37238) |
$12,002.90 |
$18,466 |
0.9× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$12,134.85 |
$18,669 |
0.9× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$617.50 |
$950 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,794 |
$2,760 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,376.70 |
$2,118 |
0.2× |
Optx dstl radl x-artic fx/epiphysl sep (25607) likely a partial charge, not the full procedure |
$1,346.15 |
$2,071 |
0.2× |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$3,028.35 |
$4,659 |
0.4× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$1,731.60 |
$2,664 |
0.1× |
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) unusually low: confirm this is the full procedure |
$2,464.80 |
$3,792 |
0.3× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure |
$2,497.95 |
$3,843 |
0.3× |
| Orchiectomy radical tumor inguinal approach (54530) |
$1,477.45 |
$2,273 |
0.4× |
| Ostectomy complete 1st metatarsal head (28111) |
$1,042.60 |
$1,604 |
0.3× |
| Ostectomy complete 5th metatarsal head (28113) |
$1,038.05 |
$1,597 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,034.15 |
$1,591 |
0.3× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$985.40 |
$1,516 |
0.3× |
Osteochondral allograft, knee, open (27415) likely a partial charge, not the full procedure |
$2,610.40 |
$4,016 |
0.2× |
Osteoplasty, radius OR ulna; lengthening with autograft Facility (25391) likely a partial charge, not the full procedure |
$2,665.65 |
$4,101 |
0.2× |
Osteoplasty, radius OR ulna; shortening Facility (25390) likely a partial charge, not the full procedure |
$2,390.05 |
$3,677 |
0.3× |
Osteot shrt corrj prox phalanx 1st toe (28310) likely a partial charge, not the full procedure |
$849.55 |
$1,307 |
0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,781 |
$2,740 |
0.5× |
Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$1,711.45 |
$2,633 |
0.2× |
| Osteotomy Metacarpal Each (26565) |
$1,885 |
$2,900 |
0.5× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) unusually low: confirm this is the full procedure |
$3,203.85 |
$4,929 |
0.4× |
| Osteotomy Phalanx Finger Each (26567) |
$1,442.35 |
$2,219 |
0.4× |
Osteotomy radius distal third (25350) likely a partial charge, not the full procedure |
$1,998.75 |
$3,075 |
0.2× |
Osteotomy talus (28302) likely a partial charge, not the full procedure |
$1,613.30 |
$2,482 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) likely a partial charge, not the full procedure |
$1,808.30 |
$2,782 |
0.1× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455) likely a partial charge, not the full procedure |
$1,810.90 |
$2,786 |
0.2× |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) likely a partial charge, not the full procedure |
$1,781 |
$2,740 |
0.2× |
Ovarian cystectomy (58925) unusually low: confirm this is the full procedure |
$1,727.70 |
$2,658 |
0.3× |
P-mastectomy w/ln removal (19302) likely a partial charge, not the full procedure |
$2,210.65 |
$3,401 |
0.3× |
Palatopharyngoplasty (42145) likely a partial charge, not the full procedure |
$1,025.05 |
$1,577 |
0.2× |
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) unusually low: confirm this is the full procedure |
$2,486.25 |
$3,825 |
0.4× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$1,472.25 |
$2,265 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Facility (24147) |
$1,550.25 |
$2,385 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
$1,256.45 |
$1,933 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,378.65 |
$2,121 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,158.30 |
$1,782 |
0.3× |
| Partial excision bone tibia (27640) |
$2,005.25 |
$3,085 |
0.5× |
| Partial Excision Distal Phalanx Finger (26236) |
$676 |
$1,040 |
0.4× |
| Partial excision of lip (40520) |
$790.40 |
$1,216 |
0.2× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102) likely a partial charge, not the full procedure |
$1,411.80 |
$2,172 |
0.2× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) likely a partial charge, not the full procedure |
$1,414.40 |
$2,176 |
0.2× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22101) likely a partial charge, not the full procedure |
$1,433.25 |
$2,205 |
0.2× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) likely a partial charge, not the full procedure |
$1,801.80 |
$2,772 |
0.2× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110) likely a partial charge, not the full procedure |
$1,812.85 |
$2,789 |
0.2× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) likely a partial charge, not the full procedure |
$1,822.60 |
$2,804 |
0.2× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$961.35 |
$1,479 |
0.5× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
$1,845.35 |
$2,839 |
0.5× |
| Partial hymenectomy or revision (56700) |
$275.60 |
$424 |
0.1× |
Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,717.30 |
$2,642 |
0.3× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) likely a partial charge, not the full procedure |
$1,581.45 |
$2,433 |
0.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$796.90 |
$1,226 |
0.2× |
Patellectomy or hemipatellectomy (27350) likely a partial charge, not the full procedure |
$1,107.60 |
$1,704 |
0.1× |
| Pelvic examination under anesthesia (other than local) (57410) |
$273.65 |
$421 |
0.1× |
Percut Mech Thrombectomy, Venous (37187) unusually low: confirm this is the full procedure |
$5,456.42 |
$8,394.50 |
0.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$8,940.75 |
$13,755 |
2.5× |
| Percutaneous diskectomy (62287) |
$2,564.25 |
$3,945 |
1.2× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Facility (25671) |
$630.50 |
$970 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) unusually low: confirm this is the full procedure |
$2,538.25 |
$3,905 |
0.3× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$1,042.60 |
$1,604 |
0.3× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) likely a partial charge, not the full procedure |
$879.45 |
$1,353 |
0.1× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
$1,329.90 |
$2,046 |
0.7× |
| Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) |
$1,005.55 |
$1,547 |
0.3× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Facility (28606) |
$1,166.75 |
$1,795 |
0.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$859.95 |
$1,323 |
0.2× |
Pereyra procedure, including anterior colporrhaphy Facility (57289) likely a partial charge, not the full procedure |
$1,534.65 |
$2,361 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$809.58 |
$1,245.50 |
0.5× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$365.30 |
$562 |
0.1× |
| Peritoneal Lavage (49084) |
$1,028.30 |
$1,582 |
1.0× |
Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$4,084.60 |
$6,284 |
0.2× |
| Perq dev breast 1st strtctc (19283) |
$198.90 |
$306 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$511.88 |
$787.50 |
0.6× |
| Perq device breast 1st imag (19281) |
$2,221.70 |
$3,418 |
1.2× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$570.38 |
$877.50 |
2.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,376.70 |
$2,118 |
0.4× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) likely a partial charge, not the full procedure |
$4,948.78 |
$7,613.50 |
0.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,665.55 |
$17,947 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,857.48 |
$9,011.50 |
0.9× |
| Phalangectomy toe each toe (28150) |
$543.40 |
$836 |
0.1× |
| Phleb veins - extrem 20+ (37766) |
$1,085.50 |
$1,670 |
0.3× |
| Picc line placement (36569) |
$2,119.65 |
$3,261 |
1.2× |
| Place Cath Subclavian Art (36225) |
$6,090.18 |
$9,369.50 |
1.7× |
| Place Cath Thoracic Aorta (36221) |
$545.35 |
$839 |
0.2× |
| Place Cath Vertebral Art (36226) |
$6,222.45 |
$9,573 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$617.50 |
$950 |
1.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
$1,537.90 |
$2,366 |
0.7× |
Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Facility (40700) likely a partial charge, not the full procedure |
$1,448.20 |
$2,228 |
0.2× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Facility (40720) |
$1,427.40 |
$2,196 |
0.4× |
Plmt Bile Duct Stent Prq Existing Access (47538) likely a partial charge, not the full procedure |
$1,426.75 |
$2,195 |
0.2× |
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) likely a partial charge, not the full procedure |
$1,925.30 |
$2,962 |
0.3× |
Plmt bile duct stent prq new access w/sep cath (47540) unusually low: confirm this is the full procedure |
$2,297.75 |
$3,535 |
0.3× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$962.65 |
$1,481 |
0.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,184.30 |
$1,822 |
0.3× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$1,555.45 |
$2,393 |
0.4× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$951.60 |
$1,464 |
0.2× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$1,270.75 |
$1,955 |
0.3× |
| Post Tibial Neurostimulation,Perc Needle Electrode (64566) |
$284.05 |
$437 |
0.8× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,300 |
$2,000 |
0.2× |
Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$8,593 |
$13,220 |
0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$154.05 |
$237 |
0.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$353.60 |
$544 |
0.3× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$115.05 |
$177 |
0.0× |
| Proctosigmoid w/biopsy (45305) |
$206.70 |
$318 |
0.2× |
| Proctosigmoidoscopy dilate (45303) |
$143 |
$220 |
0.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$300.30 |
$462 |
0.1× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$436.80 |
$672 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$1,355.90 |
$2,086 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$1,737.45 |
$2,673 |
0.4× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$955.50 |
$1,470 |
0.3× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$316.55 |
$487 |
0.1× |
| Prq Skel Fixj Iphal Jt Dislc W/Manj (26776) |
$915.85 |
$1,409 |
0.3× |
| Prq skel fixj metar fx w/manj (28476) |
$571.35 |
$879 |
0.2× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,099.80 |
$1,692 |
0.3× |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) likely a partial charge, not the full procedure |
$1,992.90 |
$3,066 |
0.2× |
Prq Skeletal Fixj Femoral Fx Distal End (27509) likely a partial charge, not the full procedure |
$1,437.80 |
$2,212 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$340.60 |
$524 |
0.8× |
| Puncture Aspiration Cyst Breast (19000) |
$399.42 |
$614.50 |
0.5× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$187.85 |
$289 |
0.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$274.95 |
$423 |
0.3× |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) likely a partial charge, not the full procedure |
$1,257.10 |
$1,934 |
0.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$930.15 |
$1,431 |
0.3× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$2,934.10 |
$4,514 |
0.9× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) likely a partial charge, not the full procedure |
$1,421.55 |
$2,187 |
0.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm Facility (21935) |
$2,554.50 |
$3,930 |
0.8× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Facility (21016) |
$1,911 |
$2,940 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
$1,274 |
$1,960 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$2,417.35 |
$3,719 |
0.7× |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
$1,634.10 |
$2,514 |
0.4× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$867.75 |
$1,335 |
0.2× |
Rcnstj Dislocating Patella (27420) likely a partial charge, not the full procedure |
$1,469.65 |
$2,261 |
0.2× |
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) likely a partial charge, not the full procedure |
$1,495 |
$2,300 |
0.2× |
Re-explore parathyroids (60502) likely a partial charge, not the full procedure |
$1,777.75 |
$2,735 |
0.3× |
Reconstruct Shoulder Joint (23470) likely a partial charge, not the full procedure |
$2,685.15 |
$4,131 |
0.2× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,582.75 |
$2,435 |
0.2× |
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) likely a partial charge, not the full procedure |
$1,552.20 |
$2,388 |
0.2× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$4,479.80 |
$6,892 |
0.7× |
Reconstruction of throat (42950) likely a partial charge, not the full procedure |
$1,130.35 |
$1,739 |
0.2× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$3,679 |
$5,660 |
0.6× |
| Reconstruction Toe Polydactyly (28344) |
$679.90 |
$1,046 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) likely a partial charge, not the full procedure |
$2,089.10 |
$3,214 |
0.3× |
Reinsertion of spinal fixation device Facility (22849) likely a partial charge, not the full procedure |
$4,164.55 |
$6,407 |
0.3× |
| Release elbow joint (24006) |
$1,884.35 |
$2,899 |
0.5× |
| Release facial nerve (69720) |
$3,400.15 |
$5,231 |
0.5× |
| Release wrist/forearm tendon (25295) |
$1,432.60 |
$2,204 |
0.4× |
| Relieve pressure on nerve(s) (64722) |
$360.10 |
$554 |
0.2× |
| Relocation of skin pocket for pacemaker (33222) |
$2,454.40 |
$3,776 |
1.1× |
| Rem Endovas Vena Cava Filter (37193) |
$3,134.30 |
$4,822 |
0.9× |
| Removal Anal Seton Other Marker (46030) |
$274.30 |
$422 |
0.2× |
| Removal biliary drg cath (47537) |
$429 |
$660 |
0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$1,201.20 |
$1,848 |
0.4× |
| Removal Foreign Body Foot Complicated (28193) |
$835.25 |
$1,285 |
0.5× |
| Removal foreign body foot deep (28192) |
$1,380.60 |
$2,124 |
0.8× |
| Removal foreign body foot subcutaneous (28190) |
$624.32 |
$960.50 |
0.8× |
| Removal foreign body intranasal (30300) |
$316.22 |
$486.50 |
2.1× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$657.15 |
$1,011 |
0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$823.55 |
$1,267 |
0.2× |
| Removal foreign body pharynx (42809) |
$414.70 |
$638 |
0.8× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,095.25 |
$1,685 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$32.82 |
$50.50 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$107.90 |
$166 |
1.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$191.10 |
$294 |
0.1× |
| Removal implant deep (20680) |
$849.55 |
$1,307 |
0.3× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,346.80 |
$2,072 |
0.7× |
| Removal Implantable Contraceptive Capsules (11976) |
$268.45 |
$413 |
0.3× |
| Removal Intact Mammary Implant (19328) |
$703.95 |
$1,083 |
0.2× |
| Removal of adenoids (42831) |
$374.40 |
$576 |
0.1× |
| Removal of adenoids (42830) |
$301.60 |
$464 |
0.1× |
| Removal of anal fissure (46200) |
$841.10 |
$1,294 |
0.3× |
| Removal of ankle implant (27704) |
$827.45 |
$1,273 |
0.2× |
Removal of anterior instrumentation (eg, dwyer device) (22855) unusually low: confirm this is the full procedure |
$2,613 |
$4,020 |
0.3× |
| Removal of arm foreign body (24200) |
$553.80 |
$852 |
0.3× |
Removal of bone for graft (20902) likely a partial charge, not the full procedure |
$1,316.90 |
$2,026 |
0.2× |
| Removal of bone lesion (23140) |
$1,233.70 |
$1,898 |
0.3× |
| Removal of breast capsule (19371) |
$1,110.20 |
$1,708 |
0.3× |
| Removal of embedded foreign body, eyelid (67938) |
$617.50 |
$950 |
1.7× |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
$1,652.95 |
$2,543 |
0.8× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$432.25 |
$665 |
0.3× |
| Removal of fixation device (20665) |
$270.40 |
$416 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$198.25 |
$305 |
0.4× |
| Removal of heel spur (28119) |
$1,199.90 |
$1,846 |
0.3× |
Removal of hip prosthesis; (separate procedure) Facility (27090) likely a partial charge, not the full procedure |
$1,258.40 |
$1,936 |
0.2× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) likely a partial charge, not the full procedure |
$2,747.55 |
$4,227 |
0.2× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$12,048.40 |
$18,536 |
3.2× |
| Removal of implant material (19330) |
$883.35 |
$1,359 |
0.2× |
| Removal of intranasal lesion (30118) |
$1,254.50 |
$1,930 |
0.3× |
| Removal of iud (58301) |
$131.95 |
$203 |
0.4× |
Removal Of Knee Prosthesis (27488) likely a partial charge, not the full procedure |
$1,890.85 |
$2,909 |
0.1× |
| Removal of nail bed (11750) |
$1,153.10 |
$1,774 |
2.5× |
Removal of posterior nonsegmental instrumentation (eg, Harrington rod) Facility (22850) unusually low: confirm this is the full procedure |
$2,461.55 |
$3,787 |
0.3× |
Removal of posterior segmental instrumentation Facility (22852) likely a partial charge, not the full procedure |
$1,982.50 |
$3,050 |
0.2× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Facility (24164) |
$1,323.40 |
$2,036 |
0.4× |
| Removal of salivary stone (42330) |
$384.15 |
$591 |
0.1× |
| Removal of sesamoid bone (28315) |
$938.60 |
$1,444 |
0.3× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$1,071.85 |
$1,649 |
0.3× |
| Removal of tail bone (27080) |
$1,202.50 |
$1,850 |
0.3× |
| Removal Of Tendon Lesion (27630) |
$871.65 |
$1,341 |
0.2× |
Removal of thyroid (60271) unusually low: confirm this is the full procedure |
$2,299.05 |
$3,537 |
0.3× |
Removal of tonsils (42825) likely a partial charge, not the full procedure |
$382.20 |
$588 |
0.1× |
| Removal of tonsils (42826) |
$368.55 |
$567 |
0.1× |
| Removal of tunneled intraperitoneal catheter (49422) |
$974.35 |
$1,499 |
0.3× |
| Removal of vein clot (34421) |
$1,608.75 |
$2,475 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$150.15 |
$231 |
0.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$551.52 |
$848.50 |
0.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$4,165.20 |
$6,408 |
1.8× |
| Removal, under anesthesia, of external fixation system (20694) |
$828.10 |
$1,274 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$138.12 |
$212.50 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$67.60 |
$104 |
0.2× |
| Remove anal fist subq (46270) |
$743.60 |
$1,144 |
0.2× |
| Remove brain canal fluid (61050) |
$391.30 |
$602 |
1.1× |
| Remove cranial cavity fluid (61000) |
$391.30 |
$602 |
0.5× |
| Remove drug implant device (11982) |
$524.88 |
$807.50 |
1.1× |
| Remove Elbow Joint Lining (24102) |
$2,054.65 |
$3,161 |
0.6× |
| Remove elbow lesion (24120) |
$1,196.65 |
$1,841 |
0.3× |
| Remove ext hem groups 2+ (46250) |
$1,298.05 |
$1,997 |
0.4× |
| Remove humerus lesion (24110) |
$1,478.10 |
$2,274 |
0.4× |
| Remove intrvas foreign body (37197) |
$3,609.12 |
$5,552.50 |
1.0× |
| Remove Lower Leg Bone Lesion (27635) |
$1,545.05 |
$2,377 |
0.4× |
| Remove Peritoneal Foreign Body (49402) |
$1,384.50 |
$2,130 |
0.3× |
| Remove Pilonidal Cyst Exten (11771) |
$895.05 |
$1,377 |
0.3× |
| Remove pulse generator (33241) |
$3,204.50 |
$4,930 |
0.8× |
| Remove renal tube w/fluoro (50389) |
$233.35 |
$359 |
0.3× |
| Remove Tendon Sheath Lesion (26160) |
$1,000.35 |
$1,539 |
0.6× |
Remove thyroid duct lesion (60280) likely a partial charge, not the full procedure |
$638.30 |
$982 |
0.1× |
| Remove tissue expander (11971) |
$448.50 |
$690 |
0.1× |
| Remove vagina gland lesion (56740) |
$483.60 |
$744 |
0.1× |
| Remove&replace pm gen singl (33227) |
$16,877.58 |
$25,965.50 |
1.8× |
| Remove/Insert Drug Implant (11983) |
$503.75 |
$775 |
1.0× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$2,030.60 |
$3,124 |
1.1× |
| Remv Ext Canal Foreign Body (69200) |
$243.75 |
$375 |
1.6× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$197.92 |
$304.50 |
1.3× |
| Remv&replc cvd gen dual lead (33263) |
$32,360.25 |
$25,523 |
1.3× |
Remv&replc cvd gen mult lead (33264) likely a partial charge, not the full procedure |
$1,106.95 |
$1,703 |
0.0× |
| Remv&replc cvd gen sing lead (33262) |
$120,289 |
$93,135.50 |
4.9× |
Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$1,032.85 |
$1,589 |
0.1× |
| Remv&replc pm gen mult leads (33229) |
$36,392.20 |
$55,988 |
1.7× |
| Renal Biopsy Percutaneous (50200) |
$1,610.70 |
$2,478 |
0.9× |
Repair achilles tendon (27650) likely a partial charge, not the full procedure |
$1,749.80 |
$2,692 |
0.2× |
| Repair arm/leg nerve (64857) |
$1,981.20 |
$3,048 |
0.5× |
Repair blood vessel direct neck (35201) likely a partial charge, not the full procedure |
$1,785.55 |
$2,747 |
0.3× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,331.55 |
$3,587 |
0.7× |
Repair blood vessel lesion (35190) likely a partial charge, not the full procedure |
$1,784.25 |
$2,745 |
0.3× |
Repair blood vessel lesion (35236) unusually low: confirm this is the full procedure |
$2,018.25 |
$3,105 |
0.3× |
Repair blood vessel with graft other than vein; upper extremity Facility (35266) likely a partial charge, not the full procedure |
$1,822.60 |
$2,804 |
0.3× |
Repair blood vessel with vein graft; lower extremity Facility (35256) unusually low: confirm this is the full procedure |
$2,043.60 |
$3,144 |
0.3× |
| Repair blood vessel with vein graft; neck Facility (35231) |
$2,310.75 |
$3,555 |
0.7× |
| Repair brow defect (67900) |
$711.75 |
$1,095 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$742.95 |
$1,143 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$892.45 |
$1,373 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$698.42 |
$1,074.50 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$714.35 |
$1,099 |
1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$647.40 |
$996 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$723.12 |
$1,112.50 |
1.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$613.60 |
$944 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$675.68 |
$1,039.50 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,098.52 |
$3,228.50 |
1.2× |
| Repair eyelid defect (67904) |
$834.60 |
$1,284 |
0.3× |
Repair Fibula Nonunion (27726) likely a partial charge, not the full procedure |
$1,991.60 |
$3,064 |
0.2× |
| Repair Finger Tendon (26433) |
$864.50 |
$1,330 |
0.2× |
| Repair forearm tendon/muscle (25260) |
$1,330.55 |
$2,047 |
0.4× |
| Repair hand tendon (26410) |
$2,027.35 |
$3,119 |
1.1× |
| Repair incomplete circumcision (54163) |
$510.25 |
$785 |
0.2× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,274.65 |
$1,961 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$1,256.45 |
$1,933 |
0.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$1,160.25 |
$1,785 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,344.85 |
$2,069 |
0.3× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$1,324.70 |
$2,038 |
0.3× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500) likely a partial charge, not the full procedure |
$1,135.55 |
$1,747 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$503.10 |
$774 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$452.40 |
$696 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$458.25 |
$705 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$661.38 |
$1,017.50 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$523.25 |
$805 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$501.48 |
$771.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$686.40 |
$1,056 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$491.40 |
$756 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$428.35 |
$659 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$455 |
$700 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$496.60 |
$764 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,725.75 |
$2,655 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$552.50 |
$850 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$512.85 |
$789 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$463.78 |
$713.50 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$548.28 |
$843.50 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$468.65 |
$721 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,728.68 |
$2,659.50 |
0.8× |
| Repair lead pace-defib dual (33220) |
$6,222.12 |
$9,572.50 |
1.5× |
| Repair lead pace-defib one (33218) |
$5,335.20 |
$8,208 |
1.3× |
Repair lower leg tendons (27676) likely a partial charge, not the full procedure |
$1,446.90 |
$2,226 |
0.2× |
Repair lumbar hernia (49540) likely a partial charge, not the full procedure |
$1,537.25 |
$2,365 |
0.2× |
Repair Nasal Stenosis (30465) likely a partial charge, not the full procedure |
$1,396.85 |
$2,149 |
0.2× |
| Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Facility (67906) |
$710.45 |
$1,093 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) Facility (57268) likely a partial charge, not the full procedure |
$926.90 |
$1,426 |
0.2× |
| Repair of hammertoe (28286) |
$877.50 |
$1,350 |
0.2× |
Repair of humerus (24430) likely a partial charge, not the full procedure |
$2,705.95 |
$4,163 |
0.2× |
| Repair of hydrocele (55060) |
$721.50 |
$1,110 |
0.2× |
Repair of leg nerve (64840) unusually low: confirm this is the full procedure |
$2,986.75 |
$4,595 |
0.3× |
Repair of leg tendon each (27664) likely a partial charge, not the full procedure |
$987.35 |
$1,519 |
0.1× |
| Repair of leg tendon each (27658) |
$1,041.30 |
$1,602 |
0.3× |
| Repair of nail bed (11760) |
$426.72 |
$656.50 |
0.5× |
| Repair of nasal septum (30520) |
$868.40 |
$1,336 |
0.2× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Facility (24435) likely a partial charge, not the full procedure |
$2,276.30 |
$3,502 |
0.2× |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) unusually low: confirm this is the full procedure |
$3,437.85 |
$5,289 |
0.4× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) unusually low: confirm this is the full procedure |
$2,852.20 |
$4,388 |
0.4× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) likely a partial charge, not the full procedure |
$2,262 |
$3,480 |
0.3× |
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) unusually low: confirm this is the full procedure |
$3,394.95 |
$5,223 |
0.4× |
| Repair of rectocele (45560) |
$979.55 |
$1,507 |
0.3× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) likely a partial charge, not the full procedure |
$2,048.15 |
$3,151 |
0.3× |
Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$2,730.65 |
$4,201 |
0.3× |
| Repair of small omphalocele, with primary closure Facility (49600) |
$1,671.15 |
$2,571 |
0.4× |
Repair of tibia (27720) likely a partial charge, not the full procedure |
$2,322.45 |
$3,573 |
0.3× |
Repair of windpipe (31750) unusually low: confirm this is the full procedure |
$2,818.40 |
$4,336 |
0.4× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$850.85 |
$1,309 |
0.2× |
Repair paravag defect lap (57423) likely a partial charge, not the full procedure |
$1,762.15 |
$2,711 |
0.1× |
| Repair Profundus Tendon,Primary (26370) |
$1,231.10 |
$1,894 |
0.3× |
Repair radius & ulna (25415) unusually low: confirm this is the full procedure |
$2,642.90 |
$4,066 |
0.3× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
$1,636.05 |
$2,517 |
0.4× |
| Repair recurrent femoral hernia; reducible Facility (49555) |
$1,350.70 |
$2,078 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$1,435.85 |
$2,209 |
0.2× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$1,337.70 |
$2,058 |
0.3× |
Repair rotator cuff acute (23410) likely a partial charge, not the full procedure |
$2,173.60 |
$3,344 |
0.3× |
| Repair sciatic nerve (64858) |
$2,308.15 |
$3,551 |
1.1× |
Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$2,111.85 |
$3,249 |
0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$768.95 |
$1,183 |
0.2× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,610.05 |
$2,477 |
0.2× |
| Repair Tongue Laceration (41250) |
$384.15 |
$591 |
0.8× |
| Repair tympanic membrane (69610) |
$503.10 |
$774 |
0.3× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) likely a partial charge, not the full procedure |
$921.05 |
$1,417 |
0.1× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$1,353.30 |
$2,082 |
0.3× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49492) |
$2,070.25 |
$3,185 |
0.5× |
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) likely a partial charge, not the full procedure |
$1,654.25 |
$2,545 |
0.2× |
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) unusually low: confirm this is the full procedure |
$2,596.75 |
$3,995 |
0.3× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) likely a partial charge, not the full procedure |
$2,005.25 |
$3,085 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$1,437.80 |
$2,212 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,580.15 |
$2,431 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Facility (27409) likely a partial charge, not the full procedure |
$1,825.20 |
$2,808 |
0.2× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) likely a partial charge, not the full procedure |
$2,104.05 |
$3,237 |
0.3× |
Repair/graft wrist bone (25440) likely a partial charge, not the full procedure |
$1,243.45 |
$1,913 |
0.2× |
Repair/revise wrist joint (25320) likely a partial charge, not the full procedure |
$2,393.95 |
$3,683 |
0.3× |
Repair/transpose nerve (64856) likely a partial charge, not the full procedure |
$1,889.55 |
$2,907 |
0.2× |
| Repeat control of nosebleed (30906) |
$525.85 |
$809 |
2.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,844.05 |
$2,837 |
1.8× |
Replace elbow joint (24363) likely a partial charge, not the full procedure |
$4,430.40 |
$6,816 |
0.2× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$958.42 |
$1,474.50 |
0.9× |
Replace Tissue Expander (11970) likely a partial charge, not the full procedure |
$862.55 |
$1,327 |
0.1× |
| Replace tunneled cv cath (36578) |
$851.50 |
$1,310 |
0.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,756.95 |
$2,703 |
1.7× |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) |
$1,328.60 |
$2,044 |
0.6× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
$5,234.45 |
$8,053 |
2.9× |
| Reposition cv cath w/fluoro (36597) |
$226.52 |
$348.50 |
0.1× |
| Reposition gastric feeding tube thru duodenum (43761) |
$1,070.88 |
$1,647.50 |
3.8× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,039.40 |
$4,676 |
0.9× |
Resection or transplantation of long tendon of biceps (23440) likely a partial charge, not the full procedure |
$1,464.45 |
$2,253 |
0.2× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$798.85 |
$1,229 |
0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$296.40 |
$456 |
0.1× |
Revis reconst shoulder joint (23473) likely a partial charge, not the full procedure |
$4,191.20 |
$6,448 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$4,528.55 |
$6,967 |
0.3× |
| Revise finger/toe nerve (64702) |
$668.20 |
$1,028 |
0.3× |
| Revise graft w/vein (35884) |
$3,641.95 |
$5,603 |
0.6× |
| Revise Hand/Foot Nerve (64704) |
$616.85 |
$949 |
0.3× |
Revise Lower Leg Tendon (27691) likely a partial charge, not the full procedure |
$1,732.90 |
$2,666 |
0.2× |
| Revise Lower Leg Tendons (27686) |
$1,365 |
$2,100 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$1,276.60 |
$1,964 |
0.6× |
| Revise/Remove Neuroreceiver (63688) |
$1,619.15 |
$2,491 |
0.4× |
Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) likely a partial charge, not the full procedure |
$1,771.90 |
$2,726 |
0.3× |
| Revision of colostomy simple (44340) |
$1,161.55 |
$1,787 |
0.3× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
$1,947.40 |
$2,996 |
0.5× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
$2,189.20 |
$3,368 |
0.6× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
$1,904.50 |
$2,930 |
0.5× |
| Revision of leg vein (37780) |
$616.85 |
$949 |
0.2× |
| Revision of lower leg tendon (27685) |
$1,253.85 |
$1,929 |
0.3× |
Revision of nose (30462) likely a partial charge, not the full procedure |
$1,947.40 |
$2,996 |
0.3× |
Revision of nose (30460) likely a partial charge, not the full procedure |
$1,128.40 |
$1,736 |
0.2× |
Revision of nose (30450) unusually low: confirm this is the full procedure |
$2,066.35 |
$3,179 |
0.3× |
Revision of reconstructed breast (19380) likely a partial charge, not the full procedure |
$1,096.55 |
$1,687 |
0.1× |
| Revision of spinal shunt (63744) |
$2,346.50 |
$3,610 |
0.6× |
| Revision of tips (37183) |
$24,965.85 |
$38,409 |
3.9× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) likely a partial charge, not the full procedure |
$2,951 |
$4,540 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486) likely a partial charge, not the full procedure |
$2,802.80 |
$4,312 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component Facility (27487) likely a partial charge, not the full procedure |
$3,840.20 |
$5,908 |
0.2× |
Revision of ulna (25360) likely a partial charge, not the full procedure |
$1,799.20 |
$2,768 |
0.2× |
Revision of urethra (57220) likely a partial charge, not the full procedure |
$436.15 |
$671 |
0.1× |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
$23,067.20 |
$35,488 |
1.9× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$3,551.60 |
$5,464 |
0.6× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Facility (35881) unusually low: confirm this is the full procedure |
$3,005.60 |
$4,624 |
0.5× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) unusually low: confirm this is the full procedure |
$2,550.60 |
$3,924 |
0.4× |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
$1,116.05 |
$1,717 |
0.3× |
Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) likely a partial charge, not the full procedure |
$1,456.65 |
$2,241 |
0.2× |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) likely a partial charge, not the full procedure |
$4,282.85 |
$6,589 |
0.3× |
Revj tot hip arthrp fem only w/wo algrft (27138) likely a partial charge, not the full procedure |
$3,152.50 |
$4,850 |
0.2× |
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) unusually low: confirm this is the full procedure |
$2,097.55 |
$3,227 |
0.3× |
Rhinoplasty, primary; including major septal repair Facility (30420) likely a partial charge, not the full procedure |
$1,889.55 |
$2,907 |
0.3× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) likely a partial charge, not the full procedure |
$1,430.65 |
$2,201 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$221.65 |
$341 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$204.42 |
$314.50 |
1.4× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$205.40 |
$316 |
0.4× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$711.10 |
$1,094 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$492.05 |
$757 |
0.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$1,016.60 |
$1,564 |
0.5× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$985.40 |
$1,516 |
0.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$822.90 |
$1,266 |
0.2× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$994.50 |
$1,530 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$700.38 |
$1,077.50 |
0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$757.90 |
$1,166 |
1.1× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,024.48 |
$6,191.50 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$655.85 |
$1,009 |
2.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$163.15 |
$251 |
0.1× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$667.55 |
$1,027 |
0.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$1,194.70 |
$1,838 |
0.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,360.78 |
$2,093.50 |
0.4× |
| Rplcmt/Irrigation Ventricular Catheter (62225) |
$1,548.95 |
$2,383 |
0.4× |
Rplcmt/revj csf shunt valve/cath shunt sys (62230) unusually low: confirm this is the full procedure |
$3,158.35 |
$4,859 |
0.3× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$1,606.15 |
$2,471 |
2.0× |
Rpr blvsl w/grf other/than vein lower extremity (35286) likely a partial charge, not the full procedure |
$1,801.15 |
$2,771 |
0.3× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,311.40 |
$3,556 |
0.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,553.20 |
$3,928 |
1.5× |
Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$1,408.55 |
$2,167 |
0.2× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$1,243.45 |
$1,913 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$584.68 |
$899.50 |
0.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$778.05 |
$1,197 |
0.5× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,369.55 |
$2,107 |
0.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$2,539.55 |
$3,907 |
3.6× |
| Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) |
$2,220.40 |
$3,416 |
0.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,520.70 |
$3,878 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$1,331.85 |
$2,049 |
0.4× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,812.55 |
$4,327 |
0.8× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$2,417.02 |
$3,718.50 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$6,234.15 |
$9,591 |
3.4× |
| Sever cranial nerve (64771) |
$1,097.20 |
$1,688 |
0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,956.50 |
$3,010 |
1.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,555.80 |
$3,932 |
1.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$117.65 |
$181 |
0.3× |
| Shave skin lesion 0.5 cm/< (11305) |
$118.95 |
$183 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$142.35 |
$219 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$271.70 |
$418 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$159.25 |
$245 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$193.70 |
$298 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$256.10 |
$394 |
0.6× |
Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$1,318.85 |
$2,029 |
0.2× |
| Shoulder arthroscopy (29805) |
$648.05 |
$997 |
0.2× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,475.50 |
$2,270 |
0.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,539.20 |
$2,368 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$175.50 |
$270 |
0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$208 |
$320 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$148.20 |
$228 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$256.10 |
$394 |
0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$178.75 |
$275 |
0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$2,556.45 |
$3,933 |
1.9× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$2,556.45 |
$3,933 |
1.9× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$2,556.45 |
$3,933 |
1.9× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$429 |
$660 |
0.4× |
Sigmoidoscopy place stent (45347) unusually low: confirm this is the full procedure |
$2,556.45 |
$3,933 |
0.4× |
| Sigmoidoscopy w/biopsy (45331) |
$1,123.20 |
$1,728 |
1.1× |
| Simple Cystometrogram (51725) |
$286 |
$440 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$462.15 |
$711 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$352.95 |
$543 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$579.15 |
$891 |
2.6× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$575.90 |
$886 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$370.82 |
$570.50 |
1.7× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$462.15 |
$711 |
2.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$546.65 |
$841 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$436.15 |
$671 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$473.20 |
$728 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$363.35 |
$559 |
1.6× |
Sinusotomy frontal; external, simple (trephine operation) Facility (31070) likely a partial charge, not the full procedure |
$549.90 |
$846 |
0.1× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) likely a partial charge, not the full procedure |
$793.65 |
$1,221 |
0.1× |
| Skin pinch graft (15050) |
$463.45 |
$713 |
0.6× |
| Skin splt grft trnk/arm/leg (15100) |
$1,396.85 |
$2,149 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$319.15 |
$491 |
0.4× |
| Skin sub graft trnk/arm/leg (15271) |
$4,193.15 |
$6,451 |
5.1× |
| Skin sub grft t/arm/lg child (15273) |
$4,318.28 |
$6,643.50 |
1.9× |
| Skin Tissue Procedure (17999) |
$252.52 |
$388.50 |
1.1× |
| Skin tissue rearrangement (14040) |
$1,208.35 |
$1,859 |
0.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$2,200.25 |
$3,385 |
0.6× |
| Skn sub grft f/n/hf/g child (15277) |
$2,571.40 |
$3,956 |
1.1× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,089.85 |
$9,369 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,672.18 |
$5,649.50 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,221.80 |
$9,572 |
1.0× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$2,348.45 |
$3,613 |
0.4× |
| Slitting of prepuce (54001) |
$846.95 |
$1,303 |
0.4× |
| Small Bowel Endoscopy (44373) |
$2,365.35 |
$3,639 |
1.1× |
| Small bowel endoscopy (44366) |
$4,003.35 |
$6,159 |
1.9× |
| Small bowel endoscopy (44364) |
$4,003.35 |
$6,159 |
1.9× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$4,003.35 |
$6,159 |
1.9× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$4,003.35 |
$6,159 |
1.9× |
| Small bowel endoscopy/biopsy (44377) |
$4,003.35 |
$6,159 |
1.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$4,003.35 |
$6,159 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$354.25 |
$545 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$439.08 |
$675.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$452.72 |
$696.50 |
1.0× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
$1,075.75 |
$1,655 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,040 |
$1,600 |
1.3× |
| Spinal Puncture Therapeutic (62272) |
$661.38 |
$1,017.50 |
0.8× |
| Spine Surgery Procedure Unlisted (22899) |
$2,562.30 |
$3,942 |
9.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$848.90 |
$1,306 |
0.2× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) likely a partial charge, not the full procedure |
$1,302.60 |
$2,004 |
0.2× |
| Sternal Debridement (21627) |
$1,028.95 |
$1,583 |
0.3× |
| Strapping ankle (29540) |
$115.38 |
$177.50 |
0.6× |
| Strapping elbow or wrist (29260) |
$122.52 |
$188.50 |
1.9× |
| Strapping hand/finger (29280) |
$120.25 |
$185 |
1.8× |
| Strapping knee (29530) |
$123.82 |
$190.50 |
0.8× |
| Strapping shoulder (29240) |
$125.78 |
$193.50 |
0.8× |
| Strapping thorax (29200) |
$403 |
$620 |
2.2× |
| Strapping toes (29550) |
$118.62 |
$182.50 |
1.8× |
| Strapping unna boot (29580) |
$117 |
$180 |
0.6× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$195 |
$300 |
0.4× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
$66.95 |
$103 |
0.3× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
$258.05 |
$397 |
0.3× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$541.45 |
$833 |
0.1× |
| Suction Assisted Lipectomy Trunk (15877) |
$2,065.70 |
$3,178 |
0.5× |
| Suction assisted lipectomy; head and neck (15876) |
$310.70 |
$478 |
0.1× |
| Suction assisted lipectomy; upper extremity (15878) |
$534.30 |
$822 |
0.2× |
| Surgery of breast capsule (19370) |
$972.40 |
$1,496 |
0.2× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,475.50 |
$2,270 |
0.4× |
| Suspension of testis (54640) |
$923.65 |
$1,421 |
0.2× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$1,521.65 |
$2,341 |
0.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,347.45 |
$2,073 |
0.6× |
Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,095.25 |
$1,685 |
0.1× |
| Suture of 1 nerve ulnar motor (64836) |
$1,522.30 |
$2,342 |
0.4× |
| Suture of 1 nerve; hand or foot, common sensory nerve Facility (64834) |
$1,368.25 |
$2,105 |
0.4× |
Suture of facial nerve; extracranial Facility (64864) likely a partial charge, not the full procedure |
$2,341.30 |
$3,602 |
0.2× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) likely a partial charge, not the full procedure |
$1,427.40 |
$2,196 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385) likely a partial charge, not the full procedure |
$1,092.65 |
$1,681 |
0.1× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) likely a partial charge, not the full procedure |
$1,574.30 |
$2,422 |
0.2× |
| Sympathectomy cervical (64802) |
$1,285.05 |
$1,977 |
0.6× |
| Sympathectomy, cervicothoracic Facility (64804) |
$1,935.05 |
$2,977 |
0.9× |
| Synovectomy tendon sheath foot extensor (28088) |
$891.80 |
$1,372 |
0.2× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Facility (26140) |
$497.25 |
$765 |
0.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$802.10 |
$1,234 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$253.50 |
$390 |
0.6× |
| Tenodesis at wrist; extensors of fingers Facility (25301) |
$1,545.05 |
$2,377 |
0.4× |
Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,661.40 |
$2,556 |
0.2× |
| Tenolysis extensor foot single tendon (28225) |
$759.20 |
$1,168 |
0.2× |
| Tenolysis extensor tendon hand/finger each (26445) |
$1,301.95 |
$2,003 |
0.4× |
| Tenolysis flexor foot single tendon (28220) |
$772.85 |
$1,189 |
0.4× |
| Tenotomy flexor finger open each tendon (26455) |
$902.20 |
$1,388 |
0.5× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$813.15 |
$1,251 |
0.2× |
Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,297.40 |
$1,996 |
0.2× |
| Tenotomy, adductor of hip, open Facility (27001) |
$681.20 |
$1,048 |
0.2× |
| Tenotomy, extensor, hand or finger, open, each tendon Facility (26460) |
$551.85 |
$849 |
0.3× |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
$1,270.10 |
$1,954 |
0.3× |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
$898.95 |
$1,383 |
0.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,060.80 |
$1,632 |
1.3× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$1,145.30 |
$1,762 |
1.6× |
Thoracoscopy w/bx nodule (32608) likely a partial charge, not the full procedure |
$650.65 |
$1,001 |
0.1× |
Thoracoscopy w/bx pleura (32609) likely a partial charge, not the full procedure |
$451.10 |
$694 |
0.1× |
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) likely a partial charge, not the full procedure |
$530.40 |
$816 |
0.0× |
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) likely a partial charge, not the full procedure |
$1,446.25 |
$2,225 |
0.2× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) likely a partial charge, not the full procedure |
$1,501.50 |
$2,310 |
0.1× |
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) likely a partial charge, not the full procedure |
$1,086.80 |
$1,672 |
0.2× |
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) unusually low: confirm this is the full procedure |
$1,916.85 |
$2,949 |
0.3× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) unusually low: confirm this is the full procedure |
$2,565.55 |
$3,947 |
0.4× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
$2,001.35 |
$3,079 |
2.9× |
Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) likely a partial charge, not the full procedure |
$1,660.75 |
$2,555 |
0.3× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) likely a partial charge, not the full procedure |
$1,827.80 |
$2,812 |
0.3× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,792.72 |
$4,296.50 |
0.8× |
Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$1,060.80 |
$1,632 |
0.2× |
| Thrombolytic Therapy Stroke (37195) |
$136.50 |
$210 |
0.4× |
| Thrombolytic Venous Therapy (37212) |
$1,509.62 |
$2,322.50 |
0.4× |
| Thyroid biopsy (60100) |
$780.32 |
$1,200.50 |
1.0× |
Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$1,706.25 |
$2,625 |
0.3× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Facility (19357) likely a partial charge, not the full procedure |
$2,137.85 |
$3,289 |
0.1× |
| Tnot elbow lateral/medial debride open (24358) |
$1,101.10 |
$1,694 |
0.3× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$1,407.25 |
$2,165 |
0.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$443.95 |
$683 |
0.1× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$14,016.60 |
$21,564 |
0.7× |
Total hip arthroplasty (27130) unusually low: confirm this is the full procedure |
$4,544.15 |
$6,991 |
0.3× |
Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$3,290.30 |
$5,062 |
0.2× |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) likely a partial charge, not the full procedure |
$1,288.95 |
$1,983 |
0.2× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$632.45 |
$973 |
2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$988 |
$1,520 |
0.6× |
| Tracheostomy planned (31600) |
$955.50 |
$1,470 |
0.3× |
| Tracheotomy tube change (31502) |
$372.78 |
$573.50 |
1.4× |
Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$906.10 |
$1,394 |
0.1× |
| Transection or avulsion of; facial nerve, differential or complete Facility (64742) |
$1,059.50 |
$1,630 |
0.5× |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
$770.90 |
$1,186 |
0.4× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) |
$857.35 |
$1,319 |
0.4× |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
$753.35 |
$1,159 |
0.3× |
| Transection or avulsion of; lingual nerve Facility (64740) |
$1,019.85 |
$1,569 |
0.5× |
| Transection or avulsion of; mental nerve Facility (64736) |
$715.65 |
$1,101 |
0.3× |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
$669.50 |
$1,030 |
0.3× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) likely a partial charge, not the full procedure |
$1,382.55 |
$2,127 |
0.2× |
| Transmetacarpal amputation; re-amputation Facility (25931) |
$941.20 |
$1,448 |
0.3× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$4,262.05 |
$6,557 |
0.5× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$4,762.55 |
$7,327 |
0.6× |
| Transplant hand tendon (26480) |
$2,180.75 |
$3,355 |
0.6× |
| Transplant palm tendon (26485) |
$1,510.60 |
$2,324 |
0.4× |
| Treat Big Toe Fracture (28505) |
$926.90 |
$1,426 |
0.3× |
| Treat clavicle dislocation (23540) |
$508.30 |
$782 |
1.8× |
| Treat clavicle fracture (23505) |
$3,093.02 |
$4,758.50 |
1.7× |
Treat elbow fracture (24586) likely a partial charge, not the full procedure |
$2,633.80 |
$4,052 |
0.2× |
Treat Elbow Fracture (24635) unusually low: confirm this is the full procedure |
$2,646.15 |
$4,071 |
0.3× |
Treat elbow fracture (24587) likely a partial charge, not the full procedure |
$2,029.30 |
$3,122 |
0.1× |
Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$2,070.25 |
$3,185 |
0.3× |
| Treat Hand Dislocation (26685) |
$1,216.80 |
$1,872 |
0.3× |
| Treat humerus fracture (24500) |
$518.70 |
$798 |
1.9× |
| Treat humerus fracture (23600) |
$558.02 |
$858.50 |
2.0× |
Treat Knee Fracture (27535) unusually low: confirm this is the full procedure |
$2,441.40 |
$3,756 |
0.3× |
Treat Knee Fracture (27540) likely a partial charge, not the full procedure |
$2,218.45 |
$3,413 |
0.3× |
Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$2,089.10 |
$3,214 |
0.3× |
| Treat Lower Leg Bone Lesion (27607) |
$1,275.95 |
$1,963 |
0.3× |
Treat Lower Leg Fracture (27828) likely a partial charge, not the full procedure |
$2,944.50 |
$4,530 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$559.65 |
$861 |
2.0× |
| Treat pleurodesis w/agent (32560) |
$420.55 |
$647 |
0.6× |
Treat radius fracture (24665) likely a partial charge, not the full procedure |
$1,431.30 |
$2,202 |
0.2× |
Treat scapula fracture (23585) likely a partial charge, not the full procedure |
$1,870.70 |
$2,878 |
0.2× |
| Treat skull fracture (62000) |
$3,047.85 |
$4,689 |
0.8× |
| Treat Thigh Fracture (27246) |
$806.65 |
$1,241 |
2.9× |
Treat Thigh Fracture (27245) unusually low: confirm this is the full procedure |
$3,378.70 |
$5,198 |
0.4× |
| Treat Thumb Dislocation (26641) |
$543.08 |
$835.50 |
2.0× |
| Treat thumb fracture (26665) |
$1,604.85 |
$2,469 |
0.4× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$752.70 |
$1,158 |
0.4× |
| Treat vagina infection (57150) |
$71.50 |
$110 |
1.1× |
| Treat Vaginal Bleeding (57180) |
$220.35 |
$339 |
1.0× |
| Treat wrist bone fracture (25622) |
$509.28 |
$783.50 |
1.9× |
| Treat Wrist Bone Fracture (25630) |
$492.05 |
$757 |
1.8× |
Treat wrist fracture (25685) likely a partial charge, not the full procedure |
$1,472.90 |
$2,266 |
0.2× |
Treat/graft heel fracture (28420) likely a partial charge, not the full procedure |
$2,836.60 |
$4,364 |
0.2× |
| Treatment closed elbow dislocation req anes (24605) |
$809.25 |
$1,245 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$637.32 |
$980.50 |
2.3× |
Treatment of fibula fracture (27784) likely a partial charge, not the full procedure |
$1,513.85 |
$2,329 |
0.2× |
| Treatment of foot infection (28003) |
$1,204.45 |
$1,853 |
0.3× |
Treatment of heel fracture (28406) likely a partial charge, not the full procedure |
$829.40 |
$1,276 |
0.1× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) unusually low: confirm this is the full procedure |
$2,943.85 |
$4,529 |
0.4× |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
$887.25 |
$1,365 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$358.80 |
$552 |
0.1× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$513.50 |
$790 |
1.9× |
| Trim skin lesion (11055) |
$49.40 |
$76 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$64.02 |
$98.50 |
0.3× |
| Trim skin lesions over 4 (11057) |
$81.90 |
$126 |
0.4× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$48.10 |
$74 |
0.7× |
Trlml balo angiop open/perq img s&i 1st art (37246) likely a partial charge, not the full procedure |
$919.75 |
$1,415 |
0.1× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$10,096.12 |
$15,532.50 |
1.6× |
| Tubal ligation (58600) |
$1,184.95 |
$1,823 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$807.30 |
$1,242 |
0.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$928.85 |
$1,429 |
0.3× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) likely a partial charge, not the full procedure |
$2,049.45 |
$3,153 |
0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$917.48 |
$1,411.50 |
0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$716.30 |
$1,102 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$747.82 |
$1,150.50 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$216.45 |
$333 |
0.5× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,312.05 |
$3,557 |
0.2× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) likely a partial charge, not the full procedure |
$1,957.80 |
$3,012 |
0.3× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) likely a partial charge, not the full procedure |
$1,861.60 |
$2,864 |
0.3× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) unusually low: confirm this is the full procedure |
$2,206.75 |
$3,395 |
0.3× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) likely a partial charge, not the full procedure |
$1,708.20 |
$2,628 |
0.3× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) likely a partial charge, not the full procedure |
$1,499.55 |
$2,307 |
0.2× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) likely a partial charge, not the full procedure |
$1,492.40 |
$2,296 |
0.2× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) likely a partial charge, not the full procedure |
$1,262.30 |
$1,942 |
0.2× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) likely a partial charge, not the full procedure |
$1,450.15 |
$2,231 |
0.2× |
| Tympanostomy (69433) |
$278.20 |
$428 |
0.5× |
| Tympanostomy general anesthesia (69436) |
$234.65 |
$361 |
0.1× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,158.30 |
$1,782 |
0.3× |
Unlisted laparoscopic procedure liver (47379) unusually low: confirm this is the full procedure |
$2,304.25 |
$3,545 |
0.3× |
Unlisted laparoscopy procedure stomach (43659) unusually low: confirm this is the full procedure |
$2,409.55 |
$3,707 |
0.4× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$657.15 |
$1,011 |
0.1× |
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$720.20 |
$1,108 |
0.1× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238) likely a partial charge, not the full procedure |
$783.90 |
$1,206 |
0.1× |
Unlisted laparoscopy procedure, uterus (58578) likely a partial charge, not the full procedure |
$1,786.85 |
$2,749 |
0.3× |
| Unlisted Procedure Accessory Sinuses (31299) |
$1,027 |
$1,580 |
3.9× |
| Unlisted procedure anus (46999) |
$2,134.60 |
$3,284 |
2.1× |
| Unlisted procedure arthroscopy (29999) |
$1,103.70 |
$1,698 |
4.0× |
| Unlisted procedure colon (45399) |
$2,008.50 |
$3,090 |
1.9× |
| Unlisted procedure dentoalveolar structures (41899) |
$120.25 |
$185 |
0.5× |
| Unlisted procedure femur or knee (27599) |
$611 |
$940 |
2.2× |
| Unlisted procedure foot or toes (28899) |
$1,543.75 |
$2,375 |
5.6× |
| Unlisted procedure humerus/elbow (24999) |
$455 |
$700 |
1.7× |
| Unlisted procedure nervous system (64999) |
$274.95 |
$423 |
0.8× |
| Unlisted procedure shoulder (23929) |
$1,461.85 |
$2,249 |
5.3× |
| Unlisted Procedure Small Intestine (44799) |
$2,482.35 |
$3,819 |
2.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,730.30 |
$2,662 |
2.5× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,435.85 |
$2,209 |
1.4× |
| Unlisted procedure, maternity care and delivery (59899) |
$137.80 |
$212 |
0.6× |
Upgrade of pacemaker system (33214) likely a partial charge, not the full procedure |
$965.25 |
$1,485 |
0.1× |
| Uppr gi opticl endomicrscopy (43252) |
$338.65 |
$521 |
0.2× |
| Urology Surgery Procedure (53899) |
$751.40 |
$1,156 |
2.7× |
| Us urine capacity measure (51798) |
$95.88 |
$147.50 |
1.5× |
| Uterine Evacuation & Curettage Hydatidiform Mole (59870) |
$1,039.35 |
$1,599 |
0.3× |
| Uvulectomy excision of uvula (42140) |
$423.15 |
$651 |
0.1× |
| Vaginal delivery only (59409) |
$2,373.15 |
$3,651 |
0.7× |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
$2,119.65 |
$3,261 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; (58260) likely a partial charge, not the full procedure |
$1,355.25 |
$2,085 |
0.2× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$3,029 |
$4,660 |
0.5× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) likely a partial charge, not the full procedure |
$440.05 |
$677 |
0.1× |
Vasc embolize/occlude artery (37242) unusually low: confirm this is the full procedure |
$7,071.35 |
$10,879 |
0.3× |
Vasc Embolize/Occlude Bleed (37244) likely a partial charge, not the full procedure |
$1,307.80 |
$2,012 |
0.1× |
| Vasc embolize/occlude organ (37243) |
$11,999.65 |
$18,461 |
0.9× |
Vasc embolize/occlude venous (37241) unusually low: confirm this is the full procedure |
$4,659.52 |
$7,168.50 |
0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$587.60 |
$904 |
0.3× |
| Venipuncture (36415) |
$64.35 |
$99 |
6.9× |
| Venipuncture, cutdown; age 1 or over (36425) |
$63.70 |
$98 |
0.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$85.15 |
$131 |
0.0× |
| Ventricular puncture previous burr hole w/inj (61026) |
$432.90 |
$666 |
0.6× |
| Ventricular Puncture Previous Burr Hole W/O Njx (61020) |
$334.75 |
$515 |
0.3× |
| Vulvectomy Simple Partial (56620) |
$1,877.85 |
$2,889 |
0.5× |
| Wedge excision skin nail fold (11765) |
$292.50 |
$450 |
0.6× |
| Wound Prep F/N/Hf/G (15004) |
$518.05 |
$797 |
1.1× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$714.35 |
$1,099 |
0.9× |
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) likely a partial charge, not the full procedure |
$499.20 |
$768 |
0.1× |