| Abd paracentesis w/imaging (49083) |
$1,220 |
$1,220 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$955 |
$955 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$4,330 |
$4,330 |
2.1× |
| Amputate metacarpal bone (26910) |
$2,139.50 |
$2,139.50 |
0.7× |
| Amputation Finger/Thumb (26951) |
$2,637 |
$2,637 |
0.8× |
| Amputation follow-up surgery (25929) |
$4,182 |
$4,182 |
2.0× |
| Amputation metatarsal with toe single (28810) |
$3,406 |
$3,406 |
1.0× |
| Amputation of finger/thumb (26952) |
$3,089 |
$3,089 |
0.9× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,310 |
$4,310 |
1.3× |
| Anoscopy diagnostic (46600) |
$820 |
$820 |
6.1× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$3,358 |
$3,358 |
0.7× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240)
unusually low: confirm this is the full procedure |
$2,127 |
$2,127 |
0.4× |
| Appendectomy (44950) |
$3,274 |
$3,274 |
0.5× |
| Application cast elbow finger short arm (29075) |
$365 |
$365 |
1.3× |
| Application Cast Finger (29086) |
$177 |
$177 |
1.1× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$155 |
$155 |
0.9× |
| Application cast shoulder hand long arm (29065) |
$420 |
$420 |
1.5× |
| Application Finger Splint Dynamic (29131) |
$171 |
$171 |
2.9× |
| Application finger splint static (29130) |
$258 |
$258 |
1.9× |
| Application long arm splint shoulder hand (29105) |
$217.50 |
$217.50 |
1.3× |
| Application long leg splint thigh ankle/toes (29505) |
$387 |
$387 |
2.4× |
| Application of long leg cast (29345) |
$274 |
$274 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$369 |
$369 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$234.50 |
$234.50 |
1.8× |
| Application short leg splint calf foot (29515) |
$318.50 |
$318.50 |
2.0× |
| Apply short leg cast (29405) |
$412 |
$412 |
1.5× |
| Arterial puncture (36600) |
$75 |
$75 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$529 |
$529 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$654 |
$654 |
2.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$466 |
$466 |
1.5× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$1,931 |
$1,931 |
0.6× |
| Aspir/inj thyroid cyst (60300) |
$354 |
$354 |
0.5× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,085 |
$3,085 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$247 |
$247 |
1.2× |
| Axillary lymphadenectomy superficial 38740 (38740) |
$3,626 |
$3,626 |
0.6× |
| Biopsy Breast Open Incisional (19101) |
$2,829 |
$2,829 |
0.7× |
| Biopsy muscle deep (20205) |
$2,310 |
$2,310 |
0.8× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,754 |
$3,754 |
1.0× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,584 |
$1,584 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$370 |
$370 |
0.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,262 |
$1,262 |
1.4× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$484 |
$484 |
0.3× |
| Biopsy/removal lymph nodes (38525) |
$3,291 |
$3,291 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$4,723 |
$4,723 |
1.2× |
| Bladder Irrigation Simple (51700) |
$1,230 |
$1,230 |
4.9× |
| Bladder Scan (51798) |
$410 |
$410 |
6.9× |
| Blepharoplasty upper eyelid (15822) |
$4,361 |
$4,361 |
2.1× |
| Blood patch (62273) |
$478 |
$478 |
0.7× |
| Blood transfusion service (36430) |
$677 |
$677 |
1.5× |
| Bone marrow aspiration only (38220) |
$456 |
$456 |
0.3× |
| Bx vulva/perineum 1 lesion (56605) |
$958 |
$958 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$159 |
$159 |
0.7× |
| Cervical lymphadenectomy (complete) (38720) |
$6,924 |
$6,924 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$4,997 |
$4,997 |
19.9× |
| Chemical Cautery Tissue (17250) |
$359 |
$359 |
1.8× |
| Chest tube placement (32551) |
$1,486 |
$1,486 |
0.9× |
| Circum 28 days or older (54161) |
$5,263 |
$5,263 |
2.5× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,325 |
$1,325 |
0.8× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$977 |
$977 |
3.9× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$1,333 |
$1,333 |
5.4× |
| Closed Rx Med Malleolus Fx (27760) |
$1,181 |
$1,181 |
4.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,783 |
$1,783 |
1.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,809 |
$1,809 |
1.1× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,904 |
$1,904 |
1.2× |
| Closed Rx Radial Shaft Fx (25500) |
$937 |
$937 |
3.8× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$672 |
$672 |
0.4× |
| Closed Rx Tibia Shaft Fx (27750) |
$1,232 |
$1,232 |
5.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,589 |
$1,589 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$1,409 |
$1,409 |
5.7× |
| Closed Treatment Coccygeal Fracture (27200) |
$1,186 |
$1,186 |
4.8× |
| Closed treatment nasal fracture w/stabilization (21320) |
$568 |
$568 |
0.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$765 |
$765 |
3.1× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$1,166 |
$1,166 |
4.7× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
$1,784 |
$1,784 |
0.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$788 |
$788 |
3.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,804 |
$1,804 |
7.3× |
| Closed Treatment Sternum Fracture (21820) |
$544 |
$544 |
2.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$906 |
$906 |
3.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$375 |
$375 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$907 |
$907 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,741 |
$1,741 |
7.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,665 |
$1,665 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,943 |
$1,943 |
7.8× |
| Closed tx knee dislocation w/anesthesia (27552) |
$2,550 |
$2,550 |
1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,858 |
$1,858 |
7.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$749 |
$749 |
3.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,246 |
$2,246 |
1.4× |
| Closed tx nasal fracture w/o stabilization (21315) |
$164 |
$164 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$320 |
$320 |
1.3× |
| Closed tx patellar fracture w/o manipulation (27520) |
$1,132 |
$1,132 |
4.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,835 |
$1,835 |
1.1× |
| Closed tx scapular fracture w/o manipulation (23570) |
$814 |
$814 |
3.3× |
| Closed tx septal&nose fx (21337) |
$1,187 |
$1,187 |
0.4× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$1,006 |
$1,006 |
4.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$891 |
$891 |
3.6× |
| Closure of gastrostomy surgical (43870) |
$1,851 |
$1,851 |
0.5× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$149 |
$149 |
0.6× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$207 |
$207 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$212 |
$212 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$769 |
$769 |
3.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$879 |
$879 |
0.5× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$657 |
$657 |
2.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$2,134 |
$2,134 |
8.6× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$1,330 |
$1,330 |
5.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,570 |
$1,570 |
6.3× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,620 |
$1,620 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,551 |
$1,551 |
6.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$288 |
$288 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,075 |
$1,075 |
4.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$170 |
$170 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$302 |
$302 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,080 |
$1,080 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,889 |
$1,889 |
7.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,269 |
$3,269 |
2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,594 |
$1,594 |
6.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$474 |
$474 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$664 |
$664 |
2.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$559 |
$559 |
2.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,594 |
$1,594 |
6.4× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,405 |
$1,405 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$933 |
$933 |
3.8× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,851 |
$1,851 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$603 |
$603 |
2.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$401 |
$401 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$245 |
$245 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,131 |
$1,131 |
4.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$396 |
$396 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,475 |
$1,475 |
0.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$1,172 |
$1,172 |
4.7× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$512 |
$512 |
2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,198 |
$1,198 |
4.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$363 |
$363 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,609 |
$1,609 |
6.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,059 |
$1,059 |
4.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,701 |
$1,701 |
1.1× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,868 |
$1,868 |
0.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,355 |
$1,355 |
5.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$152 |
$152 |
0.6× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,459 |
$1,459 |
0.9× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$3,325 |
$3,325 |
2.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$2,023 |
$2,023 |
8.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,014 |
$2,014 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,089 |
$2,089 |
1.3× |
| Coccygectomy Primary (27080) |
$1,669 |
$1,669 |
0.5× |
| Colonoscopy flex w/rem forcep (45384) |
$2,709 |
$2,709 |
2.3× |
| Colonoscopy stoma w/snare (44394) |
$1,640 |
$1,640 |
1.4× |
| Colonoscopy thru stoma (44388) |
$1,681 |
$1,681 |
1.8× |
| Colonoscopy w/ablation (45388) |
$2,168 |
$2,168 |
1.8× |
| Colpotomy; with exploration (57000) |
$821 |
$821 |
0.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$3,496 |
$3,496 |
2.9× |
| Complex Drainage, Wound (10180) |
$2,055.50 |
$2,055.50 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$354 |
$354 |
2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$226 |
$226 |
1.7× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$716 |
$716 |
1.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$5,563 |
$5,563 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$452 |
$452 |
3.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$586 |
$586 |
2.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,771 |
$3,771 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$297 |
$297 |
0.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,239 |
$2,239 |
0.8× |
| Dcmprn fasct leg post compartment only (27601) |
$2,329 |
$2,329 |
0.7× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,173 |
$1,173 |
1.6× |
| Debride skin musc at fx site (11011) |
$425 |
$425 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,507.50 |
$1,507.50 |
3.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$989 |
$989 |
1.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,454 |
$2,454 |
1.5× |
| Delivery placenta separate procedure (59414) |
$401 |
$401 |
0.1× |
| Destroy internal hemorrhoids (46930) |
$2,024 |
$2,024 |
1.7× |
| Destruction anal lesion(s) (46924) |
$1,254 |
$1,254 |
0.4× |
| Destruction benign lesions 15 or more (17111) |
$343 |
$343 |
1.7× |
| Destruction Benign Lesions Up To 14 (17110) |
$179 |
$179 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$1,128 |
$1,128 |
5.6× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$150 |
$150 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$269 |
$269 |
1.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$5,233 |
$5,233 |
1.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$519 |
$519 |
0.7× |
| Drain outer ear canal lesion (69020) |
$585 |
$585 |
0.8× |
| Drainage abscess/hematoma nasal int approach (30000) |
$674 |
$674 |
2.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$487 |
$487 |
0.7× |
| Drainage of eyelid abscess (67700) |
$368 |
$368 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$3,331 |
$3,331 |
2.0× |
| Drainage of scrotal wall abscess (55100) |
$733 |
$733 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$554 |
$554 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$193 |
$193 |
1.0× |
| Dry Needling 3+ Muscles (20561) |
$95 |
$95 |
3.3× |
| Dstrj les/scar vestibule mouth physical meths (40820) |
$686 |
$686 |
0.2× |
| Dstrj lesion anus simple surg excision (46922) |
$3,541 |
$3,541 |
1.3× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,575.50 |
$2,575.50 |
1.3× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$2,332 |
$2,332 |
1.2× |
| Egd flexible foreign body removal (43247) |
$2,610.50 |
$2,610.50 |
2.9× |
| Egd guide wire insertion (43248) |
$2,286 |
$2,286 |
2.5× |
| Egd place gastrostomy tube (43246) |
$2,921 |
$2,921 |
1.5× |
| Egd rem tumr/polyp forcep (43250) |
$1,856 |
$1,856 |
1.0× |
| Egd remove lesion snare (43251) |
$1,932 |
$1,932 |
1.0× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,617 |
$1,617 |
0.8× |
| Enterorrhaphy single perforation (44602) |
$2,436 |
$2,436 |
0.6× |
| Episiotomy or vaginal repair (59300) |
$637 |
$637 |
0.2× |
| Esoph scope w/submucous inj (43201) |
$561 |
$561 |
0.3× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$1,748 |
$1,748 |
1.9× |
| Esophagoscopy flexible removal foreign body (43215) |
$674 |
$674 |
0.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,753 |
$1,753 |
1.9× |
| Esophagus Surg Procedure Unlisted (43499) |
$12,269 |
$12,269 |
13.5× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$754 |
$754 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$157 |
$157 |
1.2× |
| Exc abd les sc 3 cm/> (22903) |
$2,426 |
$2,426 |
0.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$829 |
$829 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,788 |
$2,788 |
1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,988 |
$2,988 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$835 |
$835 |
1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$724 |
$724 |
0.4× |
| Exc frenum labial/buccal (40819) |
$501 |
$501 |
0.3× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$1,561 |
$1,561 |
0.4× |
| Exc rect tum transanal part (45171) |
$1,475 |
$1,475 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,518 |
$1,518 |
2.1× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$928 |
$928 |
2.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,015 |
$1,015 |
1.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,352 |
$1,352 |
1.9× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,034 |
$1,034 |
0.6× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,784 |
$1,784 |
1.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$1,972 |
$1,972 |
0.7× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,148 |
$2,148 |
0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,718 |
$3,718 |
2.2× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,651 |
$1,651 |
1.0× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$2,306 |
$2,306 |
0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,326 |
$3,326 |
1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,625 |
$2,625 |
1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,841 |
$1,841 |
1.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$728 |
$728 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,221 |
$2,221 |
0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,204 |
$2,204 |
0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,896 |
$1,896 |
1.1× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$3,111 |
$3,111 |
1.9× |
| Excision hidradenitis axillary complex repair (11451) |
$2,716 |
$2,716 |
0.9× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$4,772 |
$4,772 |
6.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$858 |
$858 |
2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,445 |
$1,445 |
2.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,778 |
$1,778 |
2.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,081 |
$1,081 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,126 |
$1,126 |
1.6× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,119 |
$1,119 |
1.6× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$3,829 |
$3,829 |
2.3× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$779 |
$779 |
1.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$1,568 |
$1,568 |
2.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$2,542 |
$2,542 |
1.5× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$1,339 |
$1,339 |
0.5× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$731 |
$731 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,200 |
$1,200 |
1.7× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,994 |
$1,994 |
1.2× |
| Excision of hydrocele; unilateral (55040) |
$5,525 |
$5,525 |
1.5× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,742 |
$1,742 |
1.7× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$1,583 |
$1,583 |
0.5× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,465 |
$1,465 |
0.9× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,802 |
$1,802 |
1.1× |
| Excision of nail fold toe (11765) |
$274 |
$274 |
0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,435 |
$1,435 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$1,347 |
$1,347 |
1.1× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$1,808 |
$1,808 |
0.6× |
| Excision of tongue lesion (41112) |
$1,025 |
$1,025 |
0.3× |
| Excision olecranon bursa (24105) |
$3,723 |
$3,723 |
1.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,329 |
$2,329 |
0.8× |
| Excision soft tissue lesion, external auditory canal (69145) |
$1,616 |
$1,616 |
0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$2,255 |
$2,255 |
1.4× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$2,302 |
$2,302 |
1.4× |
| Explo/Drain Breast Abscess (19020) |
$2,020 |
$2,020 |
1.2× |
| Exploration of knee joint (27310) |
$225 |
$225 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$582 |
$582 |
0.4× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$940 |
$940 |
0.3× |
| Explore/treat hand joint (26070) |
$1,180.50 |
$1,180.50 |
0.7× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,004 |
$1,004 |
0.6× |
| Eye surgery procedure (66999) |
$1,506 |
$1,506 |
0.6× |
| Fasciotomy foot and/or toe (28008) |
$1,396.50 |
$1,396.50 |
0.4× |
| Fasciotomy palmar percutaneous (26040) |
$4,182 |
$4,182 |
2.6× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$3,588 |
$3,588 |
1.7× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,099 |
$3,099 |
1.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,471 |
$2,471 |
1.2× |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
$1,389 |
$1,389 |
0.7× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$215 |
$215 |
1.0× |
| Hemorrhoidectomy (46255) |
$4,218 |
$4,218 |
1.5× |
| Hemorrhoidectomy external complete (46250) |
$1,475 |
$1,475 |
0.5× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,063 |
$2,063 |
0.7× |
| I&d abscess simple (10060) |
$567 |
$567 |
2.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,527 |
$1,527 |
0.5× |
| I&d epididymis tstis&/scrotal space (54700) |
$1,561 |
$1,561 |
0.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,336 |
$2,336 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,150 |
$1,150 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$275.50 |
$275.50 |
0.4× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$1,903 |
$1,903 |
0.7× |
| I&D Upper Arm/Elbow Bursa (23931) |
$637 |
$637 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$896 |
$896 |
0.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$2,306 |
$2,306 |
2.5× |
| Incise finger tendon sheath (26055) |
$3,076 |
$3,076 |
1.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$666 |
$666 |
1.6× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,456 |
$1,456 |
0.5× |
| Incision & drainage pilonidal cyst complicated (10081) |
$720.50 |
$720.50 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$717.50 |
$717.50 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$935 |
$935 |
2.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,012 |
$1,012 |
5.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$297 |
$297 |
1.0× |
| Incision labial frenum frenotomy (40806) |
$272 |
$272 |
0.5× |
| Incision of lingual frenum (41010) |
$501 |
$501 |
0.3× |
| Incision of rectal abscess (46040) |
$1,557.50 |
$1,557.50 |
1.3× |
| Incision thrombosed hemorrhoid external (46083) |
$178 |
$178 |
0.7× |
| Initial tx 1st degree burn local tx (16000) |
$303 |
$303 |
1.5× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,127 |
$2,127 |
2.4× |
| Inj tendon sheath/ligament (20550) |
$442 |
$442 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,256 |
$1,256 |
1.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$666 |
$666 |
0.9× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,604 |
$1,604 |
1.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,178 |
$2,178 |
3.1× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$2,065 |
$2,065 |
2.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$554 |
$554 |
1.8× |
| Injection anes other peripheral nerve/branch (64450) |
$636 |
$636 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$563 |
$563 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$488 |
$488 |
1.6× |
| Injection therapeutic carpal tunnel (20526) |
$416 |
$416 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$518 |
$518 |
4.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,153 |
$2,153 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$1,907.50 |
$1,907.50 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$470 |
$470 |
0.1× |
| Insert picc cath (36569) |
$2,578 |
$2,578 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$33 |
$33 |
0.2× |
| Insert tunneled cv cath (36561) |
$5,750 |
$5,750 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$210 |
$210 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,603 |
$3,603 |
2.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$848 |
$848 |
0.1× |
| Intro Gastrointestinal Tube (44500) |
$1,071 |
$1,071 |
1.2× |
| Intro windpipe wire/tube (31730) |
$1,271 |
$1,271 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$683 |
$683 |
2.9× |
| Lap ing hernia repair init (49650) |
$10,429 |
$10,429 |
1.7× |
| Laparoscopy appendectomy (44970) |
$6,370 |
$6,370 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$4,305 |
$4,305 |
0.7× |
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure |
$2,680 |
$2,680 |
0.4× |
Laparoscopy w/lysis of adhesions (58660)
unusually low: confirm this is the full procedure |
$2,911 |
$2,911 |
0.5× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$4,531 |
$4,531 |
0.7× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$3,649 |
$3,649 |
0.6× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,685 |
$11,685 |
1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$10,185 |
$10,185 |
1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$4,459 |
$4,459 |
0.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$4,522 |
$4,522 |
0.7× |
| Laryngoscopy Flexible Diagnostic (31575) |
$420 |
$420 |
2.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$203 |
$203 |
1.0× |
| Late closure of wound (13160) |
$4,405 |
$4,405 |
1.2× |
| Ligate leg veins radical (37760) |
$2,998 |
$2,998 |
0.9× |
| Lip Surgery Procedure (40799) |
$74.50 |
$74.50 |
0.3× |
| Liver Biopsy (47000) |
$1,985 |
$1,985 |
1.2× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$976 |
$976 |
0.5× |
| Mast mod rad (19307) |
$7,543 |
$7,543 |
1.1× |
| Mastectomy partial (19301) |
$5,129 |
$5,129 |
1.3× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$9,309 |
$9,309 |
1.4× |
| Mastectomy simple complete (19303) |
$5,688 |
$5,688 |
0.9× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$354 |
$354 |
1.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$66 |
$66 |
2.3× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$4,149 |
$4,149 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,472 |
$2,472 |
0.8× |
| Osteotomy Metacarpal Each (26565) |
$3,643 |
$3,643 |
1.1× |
Ovarian cystectomy (58925)
unusually low: confirm this is the full procedure |
$1,838 |
$1,838 |
0.4× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$4,156 |
$4,156 |
1.3× |
| Peritoneal Lavage (49084) |
$697 |
$697 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$270 |
$270 |
0.6× |
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210)
unusually low: confirm this is the full procedure |
$4,039 |
$4,039 |
0.4× |
| Preputial Stretching (54450) |
$266 |
$266 |
1.1× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
$810 |
$810 |
0.7× |
| Proctosigmoidoscopy w/bx (45305) |
$910 |
$910 |
0.8× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$718 |
$718 |
0.8× |
| Puncture Aspiration (10160) |
$283.50 |
$283.50 |
0.7× |
| Puncture Aspiration Cyst Breast (19000) |
$782 |
$782 |
1.1× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$2,314 |
$2,314 |
1.4× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$2,004 |
$2,004 |
0.6× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$3,496 |
$3,496 |
1.2× |
| Reconstruction of mouth (40845) |
$5,242 |
$5,242 |
0.9× |
| Release palm contracture (26121) |
$4,529 |
$4,529 |
1.4× |
| Removal fb intranasal (30300) |
$126 |
$126 |
0.9× |
| Removal foreign body foot deep (28192) |
$1,649 |
$1,649 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$705 |
$705 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$424 |
$424 |
0.3× |
| Removal foreign body pharynx (42809) |
$123 |
$123 |
0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$825 |
$825 |
0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$110 |
$110 |
1.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$448 |
$448 |
0.3× |
| Removal of anal fissure (46200) |
$2,025 |
$2,025 |
0.7× |
| Removal of anorectal lesion (45108) |
$928 |
$928 |
0.3× |
| Removal of arm foreign body (24200) |
$464 |
$464 |
0.3× |
| Removal of intrauterine device (iud) (58301) |
$497 |
$497 |
1.6× |
Removal of kneecap (27350)
likely a partial charge, not the full procedure |
$1,453 |
$1,453 |
0.2× |
| Removal of nail bed (11750) |
$1,108 |
$1,108 |
2.7× |
| Removal of nose lesion (30124) |
$1,845 |
$1,845 |
1.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$268.50 |
$268.50 |
1.3× |
| Removal of sperm cord lesion (55520) |
$2,911 |
$2,911 |
0.8× |
Removal of tonsils (42825)
likely a partial charge, not the full procedure |
$1,470 |
$1,470 |
0.2× |
| Removal of tonsils (42826) |
$1,464 |
$1,464 |
0.4× |
| Removal of wrist bone (25210) |
$2,268 |
$2,268 |
0.7× |
| Removal/bivalving full arm/full leg cast (29705) |
$199 |
$199 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$76 |
$76 |
0.3× |
| Remove anal fist subq (46270) |
$3,672 |
$3,672 |
1.3× |
| Remove by ligat int hem grp (46945) |
$2,258 |
$2,258 |
0.8× |
| Remove by ligat int hem grps (46946) |
$6,365 |
$6,365 |
2.3× |
| Remove drug implant device (11982) |
$1,067 |
$1,067 |
2.4× |
| Remove Eyelid Foreign Body (67938) |
$158 |
$158 |
0.5× |
| Remove foreign body from eye (65210) |
$261 |
$261 |
0.6× |
| Remove in/ex hem groups 2+ (46260) |
$9,724 |
$9,724 |
3.5× |
| Remove knee cyst (27347) |
$1,679 |
$1,679 |
0.5× |
| Remove Peritoneal Foreign Body (49402) |
$2,450 |
$2,450 |
0.7× |
| Remove Pilonidal Cyst Exten (11771) |
$1,612 |
$1,612 |
0.6× |
| Remove shoulder foreign body (23330) |
$296 |
$296 |
0.2× |
| Remove tumor hip/pelvis (27049) |
$3,358 |
$3,358 |
1.2× |
| Remove vagina wall partial (57106) |
$4,997 |
$4,997 |
1.5× |
| Remove wrist tendon lesion (25111) |
$4,563 |
$4,563 |
2.8× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$418 |
$418 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$147 |
$147 |
1.1× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$190 |
$190 |
1.4× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,132 |
$3,132 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,432 |
$1,432 |
1.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,282 |
$1,282 |
1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$781 |
$781 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,077 |
$1,077 |
2.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,141 |
$1,141 |
2.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$967 |
$967 |
2.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,817 |
$1,817 |
2.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,126 |
$1,126 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,245 |
$2,245 |
1.4× |
| Repair finger/hand tendon (26370) |
$2,240 |
$2,240 |
0.7× |
| Repair forearm tendon/muscle (25270) |
$2,169 |
$2,169 |
0.7× |
| Repair forearm tendon/muscle (25260) |
$2,624.50 |
$2,624.50 |
0.8× |
| Repair hand tendon (26410) |
$2,227 |
$2,227 |
1.4× |
| Repair incomplete circumcision (54163) |
$1,322 |
$1,322 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$6,796 |
$6,796 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,162 |
$1,162 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$703 |
$703 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$654 |
$654 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$1,334 |
$1,334 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$485 |
$485 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$581 |
$581 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,575 |
$1,575 |
3.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,020 |
$1,020 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$521 |
$521 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$663 |
$663 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$642 |
$642 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,350 |
$1,350 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$468 |
$468 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$716.50 |
$716.50 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$921 |
$921 |
2.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$199 |
$199 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$548 |
$548 |
1.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,314 |
$1,314 |
0.6× |
| Repair of anal sphincter (46750) |
$1,918 |
$1,918 |
0.7× |
| Repair of nail bed (11760) |
$435 |
$435 |
0.6× |
| Repair of rectocele (45560) |
$1,600 |
$1,600 |
0.6× |
| Repair of rectum (45505) |
$2,483 |
$2,483 |
0.9× |
| Repair rectum & vagina (57250) |
$3,567 |
$3,567 |
0.7× |
| Repair Tongue Laceration (41250) |
$178 |
$178 |
0.4× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$1,735 |
$1,735 |
0.5× |
| Reposition gastrostomy tube (43761) |
$1,020 |
$1,020 |
4.1× |
| Rerepair ing hernia reduce (49520) |
$8,851 |
$8,851 |
2.5× |
| Revise hernia & sperm veins (55540) |
$2,441 |
$2,441 |
0.7× |
| Revise median n/carpal tunnel surg (64721) |
$4,572 |
$4,572 |
2.3× |
| Revision of upper eyelid (15823) |
$4,259 |
$4,259 |
2.1× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$933 |
$933 |
1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$527 |
$527 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$137 |
$137 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$240 |
$240 |
1.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$911 |
$911 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,255 |
$2,255 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,895 |
$1,895 |
3.0× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$3,637 |
$3,637 |
0.6× |
| Rpr blood vessel direct lower extremity (35226) |
$3,901 |
$3,901 |
5.5× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,230 |
$1,230 |
1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$686 |
$686 |
2.9× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$501 |
$501 |
2.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,458 |
$1,458 |
2.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,204 |
$1,204 |
2.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,768 |
$1,768 |
1.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,663 |
$2,663 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$246 |
$246 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$282 |
$282 |
1.4× |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
$197 |
$197 |
0.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,955 |
$1,955 |
2.1× |
| Simple destruction of growth of penis using electric current (54055) |
$4,160 |
$4,160 |
2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$426 |
$426 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$398 |
$398 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$390 |
$390 |
1.9× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$1,113 |
$1,113 |
2.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$441 |
$441 |
2.2× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$372 |
$372 |
1.8× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,346 |
$1,346 |
6.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$397 |
$397 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$272 |
$272 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$439 |
$439 |
2.2× |
| Skin pinch graft (15050) |
$546 |
$546 |
0.7× |
| Skin splt grft trnk/arm/leg (15100) |
$10,153 |
$10,153 |
4.9× |
| Skin sub graft face/nk/hf/g (15275) |
$2,074 |
$2,074 |
2.8× |
| Skin tissue rearrangement (14040) |
$3,302 |
$3,302 |
1.6× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,857.50 |
$3,857.50 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$371 |
$371 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$400 |
$400 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$420 |
$420 |
1.0× |
| Sphincterotomy (46080) |
$3,767 |
$3,767 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$939 |
$939 |
1.3× |
| Strapping ankle (29540) |
$220 |
$220 |
1.3× |
| Strapping elbow/wrist (29260) |
$212 |
$212 |
3.6× |
| Strapping hand/finger (29280) |
$139 |
$139 |
2.3× |
| Strapping Hip (29520) |
$642 |
$642 |
4.8× |
| Strapping knee (29530) |
$291 |
$291 |
2.2× |
| Strapping shoulder (29240) |
$369 |
$369 |
2.8× |
| Strapping thorax (29200) |
$783 |
$783 |
4.8× |
| Strapping toes (29550) |
$59 |
$59 |
1.0× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$897 |
$897 |
0.3× |
| Suspension of testis (54640) |
$2,955 |
$2,955 |
0.8× |
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Other Surgical Services (27003)
unusually low: confirm this is the full procedure |
$3,151 |
$3,151 |
0.4× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,278 |
$2,278 |
0.7× |
| Trach Tube Change (31502) |
$636 |
$636 |
2.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$810 |
$810 |
3.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$982 |
$982 |
0.6× |
| Treat finger dislocation (26775) |
$1,345 |
$1,345 |
4.8× |
| Treat Fracture Radius & Ulna (25560) |
$938 |
$938 |
3.8× |
| Treat fx rad extra-articul (25607) |
$8,268 |
$8,268 |
1.1× |
| Treat humerus fracture (24500) |
$1,244 |
$1,244 |
5.0× |
| Treat humerus fracture (23600) |
$1,165 |
$1,165 |
4.7× |
Treat lower leg fracture (27826)
unusually low: confirm this is the full procedure |
$3,425 |
$3,425 |
0.5× |
| Treat Metatarsal Fracture (28475) |
$1,053 |
$1,053 |
4.2× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,520 |
$1,520 |
0.9× |
| Treat wrist bone fracture (25635) |
$1,152 |
$1,152 |
0.7× |
| Treat wrist bone fracture (25622) |
$1,156 |
$1,156 |
4.7× |
| Treatment closed elbow dislocation req anes (24605) |
$1,863 |
$1,863 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$352 |
$352 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$750 |
$750 |
3.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,410 |
$1,410 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,136.50 |
$1,136.50 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$584 |
$584 |
1.4× |
| Unlisted procedure anus (46999) |
$1,857 |
$1,857 |
2.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$620 |
$620 |
1.0× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$6,224 |
$6,224 |
1.2× |
| Vaginal delivery only (59409) |
$2,745 |
$2,745 |
0.8× |
| Vasectomy (55250) |
$1,561 |
$1,561 |
0.7× |
| Venipuncture, cutdown; age 1 or over (36425) |
$46 |
$46 |
0.1× |
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
unusually low: confirm this is the full procedure |
$2,266 |
$2,266 |
0.3× |
| Wound Prep F/N/Hf/G (15004) |
$3,219 |
$3,219 |
7.9× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$2,907 |
$2,907 |
3.9× |