| Abd paracentesis w/imaging (49083) |
$793.48 |
$933.50 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$793.48 |
$933.50 |
0.9× |
| Amniocentesis diagnostic (59000) |
$681.28 |
$801.50 |
0.7× |
| Amputation Finger/Thumb (26951) |
$677.66 |
$797.25 |
0.2× |
| Amputation foot transmetarsal (28805) |
$1,846.63 |
$2,172.50 |
0.6× |
| Amputation metatarsal with toe single (28810) |
$904.83 |
$1,064.50 |
0.3× |
| Amputation toe interphalangeal joint (28825) |
$1,073.13 |
$1,262.50 |
0.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,137.30 |
$1,338 |
0.4× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$1,151.33 |
$1,354.50 |
0.2× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$234.18 |
$275.50 |
1.5× |
| Application cast elbow finger short arm (29075) |
$351.48 |
$413.50 |
1.3× |
| Application cast shoulder hand long arm (29065) |
$426.28 |
$501.50 |
1.5× |
| Application finger splint static (29130) |
$160.65 |
$189 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$314.72 |
$370.25 |
2.0× |
| Application of long leg cast (29345) |
$540.18 |
$635.50 |
2.0× |
| Application of rigid total contact leg cast (29445) |
$296.65 |
$349 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$217.60 |
$256 |
1.7× |
| Apply Hand/Wrist Cast (29085) |
$316.84 |
$372.75 |
2.0× |
| Apply long leg splint (29505) |
$267.12 |
$314.25 |
1.7× |
| Apply short leg cast (29405) |
$393.98 |
$463.50 |
1.4× |
| Apply short leg splint (29515) |
$272 |
$320 |
1.7× |
| Arterial puncture (36600) |
$28.06 |
$33 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$255.43 |
$300.50 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$285.18 |
$335.50 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$218.88 |
$257.50 |
0.7× |
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure |
$984.30 |
$1,158 |
0.1× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,178.10 |
$1,386 |
0.4× |
Arthrodesis triple (28715)
likely a partial charge, not the full procedure |
$1,516.26 |
$1,783.84 |
0.1× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure |
$1,840.68 |
$2,165.50 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure |
$4,668.20 |
$5,492 |
0.3× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$1,880.20 |
$2,212 |
0.6× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$1,444.15 |
$1,699 |
0.4× |
| Arthroscopy knee synovectomy limited spx (29875) |
$1,332.38 |
$1,567.50 |
0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$2,055.30 |
$2,418 |
0.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$1,080.35 |
$1,271 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$2,106.73 |
$2,478.50 |
0.7× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$2,821.15 |
$3,319 |
0.4× |
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806)
likely a partial charge, not the full procedure |
$2,048.50 |
$2,410 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$1,571.65 |
$1,849 |
0.5× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure |
$2,551.70 |
$3,002 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure |
$2,649.03 |
$3,116.50 |
0.4× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Facility (24000) |
$987.70 |
$1,162 |
0.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$1,887.43 |
$2,220.50 |
0.6× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$912.48 |
$1,073.50 |
0.3× |
| Aspirate pleura w/ imaging (32555) |
$545.70 |
$642 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$251.39 |
$295.75 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$757.35 |
$891 |
0.5× |
| Biopsy external ear (69100) |
$158.95 |
$187 |
0.7× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$322.58 |
$379.50 |
0.2× |
| Biopsy of breast; open, incisional (19101) |
$413.95 |
$487 |
0.1× |
| Biopsy of lip (40490) |
$322.58 |
$379.50 |
1.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$910.35 |
$1,071 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$852.55 |
$1,003 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$580.98 |
$683.50 |
0.8× |
| Blood patch (62273) |
$881.88 |
$1,037.50 |
1.3× |
| Blood transfusion service (36430) |
$991.10 |
$1,166 |
2.3× |
| Bone marrow aspiration only (38220) |
$207.40 |
$244 |
0.1× |
| Bx breast 1st lesion us imag (19083) |
$1,643.48 |
$1,933.50 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$772 |
$908.24 |
0.5× |
Capsulorrhaphy, anterior, any type; with bone block Facility (23460)
unusually low: confirm this is the full procedure |
$2,693.65 |
$3,169 |
0.4× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Facility (23462)
likely a partial charge, not the full procedure |
$2,053.60 |
$2,416 |
0.3× |
Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure) Facility (23455)
unusually low: confirm this is the full procedure |
$2,390.63 |
$2,812.50 |
0.3× |
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465)
unusually low: confirm this is the full procedure |
$2,769.73 |
$3,258.50 |
0.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$176.38 |
$207.50 |
0.8× |
| Change of cystostomy tube simple (51705) |
$291.98 |
$343.50 |
1.2× |
| Chemical cautery tissue (17250) |
$201.03 |
$236.50 |
1.0× |
| Circum 28 days or older (54161) |
$322.15 |
$379 |
0.2× |
| Circumcision (54150) |
$109.23 |
$128.50 |
0.1× |
| Claviculectomy partial (23120) |
$1,481.98 |
$1,743.50 |
0.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$665.55 |
$783 |
2.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,326 |
$1,560 |
0.8× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,394.43 |
$1,640.50 |
0.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$418.20 |
$492 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$629 |
$740 |
2.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,314.95 |
$1,547 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$509.15 |
$599 |
2.1× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,049.12 |
$1,234.25 |
0.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,307.73 |
$1,538.50 |
5.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$492.15 |
$579 |
2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,396.40 |
$1,642.82 |
0.9× |
| Closed tx septal&nose fx (21337) |
$994.08 |
$1,169.50 |
0.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,187.03 |
$1,396.50 |
0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$308.98 |
$363.50 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$447.53 |
$526.50 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,127.95 |
$1,327 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$568.44 |
$668.75 |
2.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,349.16 |
$1,587.25 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$915.45 |
$1,077 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$872.74 |
$1,026.75 |
3.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,314.95 |
$1,547 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,314.95 |
$1,547 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$509.15 |
$599 |
2.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$563.55 |
$663 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$287.09 |
$337.75 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$888.25 |
$1,045 |
3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$625.60 |
$736 |
2.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,360.85 |
$1,601 |
0.9× |
| Cltx prox fibula/shft fx w/manj (27781) |
$833 |
$980 |
0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,347.25 |
$1,585 |
0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$462.40 |
$544 |
1.9× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,314.95 |
$1,547 |
0.8× |
| Colonoscopy flex w/inj submuc (45381) |
$412.25 |
$485 |
0.3× |
| Colonoscopy flex w/rem forcep (45384) |
$984.30 |
$1,158 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$833.43 |
$980.50 |
0.7× |
| Colpocleisis (le fort type) (57120) |
$990.68 |
$1,165.50 |
0.2× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) Facility (57282)
likely a partial charge, not the full procedure |
$1,190.43 |
$1,400.50 |
0.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$754.38 |
$887.50 |
2.5× |
| Combined anteroposterior colporrhaphy; (57260) |
$1,125.62 |
$1,324.25 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$417.78 |
$491.50 |
3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$258.40 |
$304 |
2.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$735 |
$864.70 |
0.5× |
| Correction hammertoe (28285) |
$1,123.70 |
$1,322 |
0.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$1,475.18 |
$1,735.50 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$324.70 |
$382 |
2.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$290.28 |
$341.50 |
0.1× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$506.18 |
$595.50 |
0.1× |
| Cysto w/insert ureteral stent (52332) |
$326.40 |
$384 |
0.1× |
| Cysto w/ureter stricture tx (52341) |
$478.13 |
$562.50 |
0.1× |
| Cystourethroscopy (52000) |
$420.75 |
$495 |
0.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$396.10 |
$466 |
0.2× |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
$462.40 |
$544 |
0.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$355.30 |
$418 |
0.2× |
| Cystourethroscopy with biopsy (52204) |
$446.89 |
$525.75 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$886.55 |
$1,043 |
0.3× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$886.55 |
$1,043 |
1.3× |
| Debride skin musc at fx site (11011) |
$748.43 |
$880.50 |
1.1× |
| Debride tissue/muscle (11043) |
$733.13 |
$862.50 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$107.95 |
$127 |
0.3× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$929.90 |
$1,094 |
0.6× |
| Destroy cerv/thor facet jnt (64633) |
$994.92 |
$1,170.50 |
0.5× |
| Destroy lumb/sac facet jnt (64635) |
$1,540.62 |
$1,812.50 |
0.8× |
| Destruction Benign Lesions Up To 14 (17110) |
$334.90 |
$394 |
1.7× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$552.08 |
$649.50 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$534.23 |
$628.50 |
2.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$534.23 |
$628.50 |
2.7× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$534.23 |
$628.50 |
1.3× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$534.23 |
$628.50 |
0.7× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$534.23 |
$628.50 |
0.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$534.23 |
$628.50 |
2.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$534.23 |
$628.50 |
2.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$534.23 |
$628.50 |
2.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$534.23 |
$628.50 |
1.3× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$534.23 |
$628.50 |
1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$534.23 |
$628.50 |
2.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$534.23 |
$628.50 |
2.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$534.23 |
$628.50 |
2.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$534.23 |
$628.50 |
2.7× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$534.23 |
$628.50 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$534.23 |
$628.50 |
1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$534.23 |
$628.50 |
2.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,001.94 |
$1,178.75 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$334.90 |
$394 |
1.7× |
| Dilat female urethra general/cndj spinal anes (53665) |
$65.88 |
$77.50 |
0.0× |
| Drainage Finger Abscess Simple (26010) |
$628.15 |
$739 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$874.23 |
$1,028.50 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$379.53 |
$446.50 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$289 |
$340 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$184.45 |
$217 |
0.9× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$534.23 |
$628.50 |
1.3× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$563.76 |
$663.25 |
0.6× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$377.40 |
$444 |
0.2× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,352.64 |
$1,591.34 |
0.7× |
| Egd dilate stricture (43245) |
$971.98 |
$1,143.50 |
0.5× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$743.75 |
$875 |
0.4× |
| Egd flexible foreign body removal (43247) |
$718.68 |
$845.50 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$197.20 |
$232 |
1.5× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,284.38 |
$2,687.50 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$237.15 |
$279 |
0.3× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$313.23 |
$368.50 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$486.63 |
$572.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$451.78 |
$531.50 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$334.05 |
$393 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$383.35 |
$451 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$658.33 |
$774.50 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$1,136.45 |
$1,337 |
0.7× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$668.53 |
$786.50 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$669.80 |
$788 |
0.4× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$1,138.58 |
$1,339.50 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$395.68 |
$465.50 |
0.6× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$303.03 |
$356.50 |
0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$425 |
$500 |
0.6× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$424.15 |
$499 |
0.3× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$994.50 |
$1,170 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$936.70 |
$1,102 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$693.60 |
$816 |
0.4× |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
$434.56 |
$511.25 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$426.70 |
$502 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$755.65 |
$889 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$470.90 |
$554 |
0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$1,156.43 |
$1,360.50 |
0.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,284.38 |
$2,687.50 |
0.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$939.68 |
$1,105.50 |
0.6× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$922.68 |
$1,085.50 |
0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,022.55 |
$1,203 |
0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,485.83 |
$2,924.50 |
0.9× |
| Excise/repair mouth lesion (40812) |
$334.90 |
$394 |
0.2× |
| Excision external ear partial simple repair (69110) |
$544 |
$640 |
0.2× |
| Excision lesion meniscus/capsule knee (27347) |
$1,292 |
$1,520 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$534.23 |
$628.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$534.23 |
$628.50 |
0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$302.18 |
$355.50 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$657.48 |
$773.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$691.48 |
$813.50 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$429.25 |
$505 |
0.6× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$648.98 |
$763.50 |
0.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$334.90 |
$394 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$794.33 |
$934.50 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$434.56 |
$511.25 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$503.20 |
$592 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$534.23 |
$628.50 |
0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$389.73 |
$458.50 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$534.23 |
$628.50 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$534.23 |
$628.50 |
0.3× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$334.90 |
$394 |
0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,051.45 |
$1,237 |
0.7× |
| Excision of lesion of tongue with closure; posterior one-third Facility (41113) |
$829.18 |
$975.50 |
0.3× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$567.38 |
$667.50 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,341.33 |
$2,754.50 |
0.8× |
| Excision of spermatocele, with or without epididymectomy Facility (54840) |
$551.65 |
$649 |
0.3× |
| Excision of tongue lesion (41112) |
$322.58 |
$379.50 |
0.1× |
| Excision olecranon bursa (24105) |
$987.70 |
$1,162 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$1,170.03 |
$1,376.50 |
0.4× |
| Excision prepatellar bursa (27340) |
$1,079.50 |
$1,270 |
0.3× |
| Excision tendon finger flexor/extensor each (26180) |
$1,188.73 |
$1,398.50 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,265.65 |
$1,489 |
0.8× |
| Excision tumor soft tissue shoulder subq <3cm (23075) |
$510 |
$600 |
0.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,250.78 |
$1,471.50 |
0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,454.38 |
$2,887.50 |
0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$956.25 |
$1,125 |
0.6× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,019.58 |
$1,199.50 |
0.6× |
| Excision; trochanteric bursa or calcification (27062) |
$1,217.63 |
$1,432.50 |
0.4× |
| Exploration penetrating wound spx extremity (20103) |
$637.72 |
$750.25 |
0.4× |
| External cephalic version (59412) |
$942.65 |
$1,109 |
0.3× |
| Fasciotomy, hip or thigh, any type (27025) |
$2,252.93 |
$2,650.50 |
0.7× |
| Fetal non-stress test (59025) |
$260.95 |
$307 |
1.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$688.93 |
$810.50 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$289 |
$340 |
0.7× |
| Fluid pressure muscle (20950) |
$643.03 |
$756.50 |
0.9× |
Fusion of knuckle (26850)
likely a partial charge, not the full procedure |
$1,572.93 |
$1,850.50 |
0.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$401.63 |
$472.50 |
1.9× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$1,610.75 |
$1,895 |
0.5× |
| Hemorrhoidectomy (46255) |
$2,069.33 |
$2,434.50 |
0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,190.45 |
$2,577 |
0.8× |
| Hysteroscopy biopsy (58558) |
$908.23 |
$1,068.50 |
0.3× |
| Hysteroscopy w endometrial ablation (58563) |
$901.43 |
$1,060.50 |
0.2× |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
$481.53 |
$566.50 |
0.2× |
| I&d abscess simple (10060) |
$368.05 |
$433 |
1.9× |
| Incise external hemorrhoid (46083) |
$436.90 |
$514 |
1.8× |
| Incise finger tendon sheath (26055) |
$1,005.98 |
$1,183.50 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$502.99 |
$591.75 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$349.78 |
$411.50 |
0.9× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$1,314.32 |
$1,546.25 |
0.5× |
| Incision of rectal abscess (46040) |
$988.55 |
$1,163 |
0.8× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$322.58 |
$379.50 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$334.90 |
$394 |
1.7× |
| Inj paravert f jnt c/t 1 lev (64490) |
$949.66 |
$1,117.25 |
1.1× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$458.58 |
$539.50 |
0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$759.26 |
$893.25 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$226.10 |
$266 |
0.3× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$681.28 |
$801.50 |
0.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$453.69 |
$533.75 |
0.5× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$226.10 |
$266 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,272.66 |
$1,497.25 |
1.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$395.46 |
$465.25 |
0.6× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$530.83 |
$624.50 |
0.8× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$550.80 |
$648 |
1.8× |
| Injection anesthetic agent femoral nerve single (64447) |
$651.53 |
$766.50 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$383.56 |
$451.25 |
1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$240.55 |
$283 |
0.8× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$746.30 |
$878 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$402.90 |
$474 |
3.2× |
| Insert cath pleura w/o image (32556) |
$1,503.65 |
$1,769 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$1,762.05 |
$2,073 |
0.6× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$641.75 |
$755 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$110.08 |
$129.50 |
0.8× |
| Insert tunneled cv cath (36561) |
$2,983.08 |
$3,509.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$175.95 |
$207 |
1.3× |
Insertion/rplcmt peripheral/gastric npgr (64590)
likely a partial charge, not the full procedure |
$499.80 |
$588 |
0.0× |
| Insj picc rs&i 5 yr+ (36573) |
$878.48 |
$1,033.50 |
0.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$688.50 |
$810 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$703.38 |
$827.50 |
3.0× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$830.03 |
$976.50 |
0.1× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,276.73 |
$2,678.50 |
0.4× |
Laparoscopy biopsy (49321)
likely a partial charge, not the full procedure |
$1,006.40 |
$1,184 |
0.2× |
Laparoscopy tubal block (58671)
likely a partial charge, not the full procedure |
$933.30 |
$1,098 |
0.2× |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure |
$2,533.43 |
$2,980.50 |
0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$4,609.55 |
$5,423 |
0.8× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure |
$1,584.83 |
$1,864.50 |
0.2× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
unusually low: confirm this is the full procedure |
$3,734.90 |
$4,394 |
0.4× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$2,376.18 |
$2,795.50 |
0.6× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Facility (58541)
likely a partial charge, not the full procedure |
$2,457.35 |
$2,891 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge, not the full procedure |
$3,018.78 |
$3,551.50 |
0.3× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$2,616.73 |
$3,078.50 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Facility (58572)
unusually low: confirm this is the full procedure |
$3,235.95 |
$3,807 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Facility (58550)
unusually low: confirm this is the full procedure |
$2,013.65 |
$2,369 |
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 |
$2,097.38 |
$2,467.50 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,777.83 |
$4,444.50 |
0.6× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure |
$1,540.20 |
$1,812 |
0.3× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Facility (58673)
likely a partial charge, not the full procedure |
$1,655.80 |
$1,948 |
0.2× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$773.50 |
$910 |
0.1× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure |
$2,408.90 |
$2,834 |
0.2× |
| Laryngoscopy flexible diagnostic (31575) |
$226.10 |
$266 |
1.1× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$443.28 |
$521.50 |
2.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$648.55 |
$763 |
0.4× |
| Late closure of wound (13160) |
$1,979.65 |
$2,329 |
0.6× |
| Ligation or biopsy temporal artery (37609) |
$858.93 |
$1,010.50 |
0.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$998.75 |
$1,175 |
0.3× |
| Lithotripsy (50590) |
$704.45 |
$828.77 |
0.2× |
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure |
$2,792.25 |
$3,285 |
0.3× |
| Manipulation knee joint under general anesthesia (27570) |
$578.85 |
$681 |
0.4× |
| Monocyte distribution width whole blood (0427U) |
$78.20 |
$92 |
17.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$791.78 |
$931.50 |
1.1× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$247.88 |
$291.63 |
0.6× |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
$2,931.62 |
$3,448.97 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$54.83 |
$64.50 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$78.63 |
$92.50 |
2.8× |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
$847.88 |
$997.50 |
0.4× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$1,349.80 |
$1,588 |
0.7× |
| Njx aa&/strd sciatic nerve (64445) |
$493.42 |
$580.50 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$650.68 |
$765.50 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$681.28 |
$801.50 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$681.28 |
$801.50 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$821.10 |
$966 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$666.83 |
$784.50 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$681.28 |
$801.50 |
0.8× |
| Occipital Nerve Block (64405) |
$501.08 |
$589.50 |
1.7× |
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure |
$2,372.35 |
$2,791 |
0.3× |
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure |
$1,290.73 |
$1,518.50 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure |
$1,609.90 |
$1,894 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557)
likely a partial charge, not the full procedure |
$987.87 |
$1,162.20 |
0.1× |
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 |
$2,734.88 |
$3,217.50 |
0.2× |
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure |
$1,585.68 |
$1,865.50 |
0.2× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$2,232.10 |
$2,626 |
0.2× |
Open treatment talus fracture (28445)
unusually low: confirm this is the full procedure |
$2,209.15 |
$2,599 |
0.3× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure |
$1,316.23 |
$1,548.50 |
0.2× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure |
$1,641.56 |
$1,931.25 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$915.45 |
$1,077 |
0.3× |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure |
$1,538.50 |
$1,810 |
0.2× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure |
$2,592.08 |
$3,049.50 |
0.4× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure |
$1,595.03 |
$1,876.50 |
0.2× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure |
$2,669.43 |
$3,140.50 |
0.4× |
Optx dstl radl x-artic fx/epiphysl sep (25607)
unusually low: confirm this is the full procedure |
$2,166.23 |
$2,548.50 |
0.3× |
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure |
$2,086.33 |
$2,454.50 |
0.2× |
| Ostectomy calcaneus (28118) |
$1,172.58 |
$1,379.50 |
0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$1,067.60 |
$1,256 |
0.3× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,479 |
$1,740 |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,562.30 |
$1,838 |
0.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,500.28 |
$2,941.50 |
0.8× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$765.85 |
$901 |
0.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,327.28 |
$1,561.50 |
0.9× |
| Peritoneal Lavage (49084) |
$793.48 |
$933.50 |
0.9× |
| Perq device breast 1st imag (19281) |
$210.84 |
$248.05 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$251.18 |
$295.50 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,329.83 |
$1,564.50 |
0.4× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$1,959.70 |
$2,305.54 |
0.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$1,881.75 |
$2,213.82 |
0.6× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$1,885.06 |
$2,217.72 |
0.6× |
| Picc line placement (36569) |
$1,327.28 |
$1,561.50 |
0.9× |
Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561)
likely a partial charge, not the full procedure |
$598.40 |
$704 |
0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$1,016.60 |
$1,196 |
0.3× |
| Prq skel fixj metar fx w/manj (28476) |
$1,119.03 |
$1,316.50 |
0.3× |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
$1,416.52 |
$1,666.50 |
0.4× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$327.25 |
$385 |
0.8× |
| Reconstruct Finger Joint (26548) |
$1,733.15 |
$2,039 |
0.5× |
| Removal foreign body foot subcutaneous (28190) |
$629 |
$740 |
0.9× |
| Removal foreign body intranasal (30300) |
$279.65 |
$329 |
2.1× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$733.98 |
$863.50 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$106.68 |
$125.50 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$107.32 |
$126.25 |
1.8× |
| Removal implant deep (20680) |
$1,357.88 |
$1,597.50 |
0.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$385.05 |
$453 |
0.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$376.55 |
$443 |
0.9× |
| Removal of iud (58301) |
$418.20 |
$492 |
1.4× |
| Removal of nail bed (11750) |
$597.34 |
$702.75 |
1.5× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,141.98 |
$1,343.50 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$224.40 |
$264 |
1.1× |
| Remove ext hem groups 2+ (46250) |
$684.25 |
$805 |
0.2× |
Remove Prostate Regrowth (52630)
likely a partial charge, not the full procedure |
$671.93 |
$790.50 |
0.1× |
| Remove Tendon Sheath Lesion (26160) |
$1,073.98 |
$1,263.50 |
0.7× |
| Remv Ext Canal Foreign Body (69200) |
$247.35 |
$291 |
1.9× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$213.56 |
$251.25 |
1.6× |
Repair achilles tendon (27650)
likely a partial charge, not the full procedure |
$2,064.23 |
$2,428.50 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$783.92 |
$922.25 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$839.38 |
$987.50 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$466.23 |
$548.50 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$705.08 |
$829.50 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$537.20 |
$632 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$797.94 |
$938.75 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$529.13 |
$622.50 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$775.63 |
$912.50 |
1.1× |
| Repair hand tendon (26410) |
$1,086.30 |
$1,278 |
0.7× |
| Repair inguinal hernia, sliding, any age (49525) |
$1,978.80 |
$2,328 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$1,738.68 |
$2,045.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$702.10 |
$826 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$393.98 |
$463.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$495.56 |
$583 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$730.58 |
$859.50 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$461.98 |
$543.50 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$666.19 |
$783.75 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$730.15 |
$859 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$626.88 |
$737.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$500.44 |
$588.75 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$504.48 |
$593.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$454.32 |
$534.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$1,585.25 |
$1,865 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$683.82 |
$804.50 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$497.68 |
$585.50 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$490.45 |
$577 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$637.93 |
$750.50 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$636.65 |
$749 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,585.25 |
$1,865 |
0.8× |
| Repair Mouth Laceration (40831) |
$521.90 |
$614 |
1.0× |
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure |
$1,538.93 |
$1,810.50 |
0.2× |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
$921.40 |
$1,084 |
0.2× |
Repair of humerus (24430)
likely a partial charge, not the full procedure |
$2,674.95 |
$3,147 |
0.2× |
| Repair of hydrocele (55060) |
$650.25 |
$765 |
0.2× |
| Repair of nail bed (11760) |
$209.95 |
$247 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
unusually low: confirm this is the full procedure |
$2,402.10 |
$2,826 |
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 |
$3,142.03 |
$3,696.50 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412)
likely a partial charge, not the full procedure |
$2,100.78 |
$2,471.50 |
0.3× |
Repair of shoulder (23420)
unusually low: confirm this is the full procedure |
$2,402.95 |
$2,827 |
0.3× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,074.43 |
$2,440.50 |
0.6× |
Repair rotator cuff acute (23410)
unusually low: confirm this is the full procedure |
$2,188.75 |
$2,575 |
0.3× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,900.60 |
$2,236 |
0.3× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,479 |
$1,740 |
0.2× |
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure |
$3,771.45 |
$4,437 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure |
$3,782.93 |
$4,450.50 |
0.3× |
Revise Lower Leg Tendon (27691)
likely a partial charge, not the full procedure |
$1,866.18 |
$2,195.50 |
0.3× |
| Revise ulnar nerve at elbow (64718) |
$1,548.28 |
$1,821.50 |
0.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$245.65 |
$289 |
0.1× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$106.68 |
$125.50 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$974.53 |
$1,146.50 |
0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$558.45 |
$657 |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$251.18 |
$295.50 |
1.0× |
| Rplj Dgt Excluding Thmb Sublimis Tdn Compl Amp (20822) |
$1,314.95 |
$1,547 |
0.8× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure |
$1,020 |
$1,200 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$813.03 |
$956.50 |
0.2× |
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure |
$943.08 |
$1,109.50 |
0.1× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure |
$762.88 |
$897.50 |
0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$226.10 |
$266 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$668.10 |
$786 |
0.9× |
| Shave skin lesion 0.5 cm/< (11300) |
$130.05 |
$153 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$247.78 |
$291.50 |
1.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$346.80 |
$408 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$174.68 |
$205.50 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$170.85 |
$201 |
0.9× |
| Shoulder Arthroscopy/Surgery (29819) |
$1,310.70 |
$1,542 |
0.4× |
| Shoulder Arthroscopy/Surgery (29825) |
$1,538.50 |
$1,810 |
0.5× |
Shoulder prosthesis removal (23334)
unusually low: confirm this is the full procedure |
$2,173.88 |
$2,557.50 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$174.68 |
$205.50 |
0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$346.80 |
$408 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$242.25 |
$285 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$280.50 |
$330 |
0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$278.38 |
$327.50 |
1.4× |
| Sigmoidoscopy w/biopsy (45331) |
$825.35 |
$971 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$545.28 |
$641.50 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$365.93 |
$430.50 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$405.45 |
$477 |
2.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$566.10 |
$666 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$499.16 |
$587.25 |
2.5× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$511.28 |
$601.50 |
2.6× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$670.23 |
$788.50 |
3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$299.63 |
$352.50 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$970.70 |
$1,142 |
4.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$490.03 |
$576.50 |
2.5× |
| Skin sub graft face/nk/hf/g (15275) |
$1,564.43 |
$1,840.50 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,564.43 |
$1,840.50 |
2.1× |
| Skin sub grft t/arm/lg child (15273) |
$2,948.65 |
$3,469 |
1.4× |
| Skin tissue rearrangement (14040) |
$1,506.63 |
$1,772.50 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$1,564.43 |
$1,840.50 |
0.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$1,564.43 |
$1,840.50 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$365.93 |
$430.50 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$555.69 |
$653.75 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$702.10 |
$826 |
1.7× |
| Sphincterotomy anal division sphincter spx (46080) |
$986.43 |
$1,160.50 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$760.75 |
$895 |
1.1× |
| Spinal Puncture Therapeutic (62272) |
$391.43 |
$460.50 |
0.6× |
| Strapping thorax (29200) |
$198.05 |
$233 |
1.2× |
| Strapping unna boot (29580) |
$209.53 |
$246.50 |
1.3× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$1,749.73 |
$2,058.50 |
0.5× |
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure |
$1,243.55 |
$1,463 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
likely a partial charge, not the full procedure |
$1,789.68 |
$2,105.50 |
0.2× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Facility (20924)
likely a partial charge, not the full procedure |
$1,207 |
$1,420 |
0.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$1,457.75 |
$1,715 |
0.5× |
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure |
$1,828.78 |
$2,151.50 |
0.3× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$836.40 |
$984 |
0.5× |
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure |
$1,555.50 |
$1,830 |
0.2× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$428.19 |
$503.75 |
0.7× |
Total hip arthroplasty (27130)
unusually low: confirm this is the full procedure |
$4,490.13 |
$5,282.50 |
0.4× |
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure |
$4,493.10 |
$5,286 |
0.4× |
Transur electr resection of prostate (52601)
likely a partial charge, not the full procedure |
$839.22 |
$987.32 |
0.2× |
| Treat clavicle fracture (23505) |
$1,314.95 |
$1,547 |
0.8× |
Treat elbow fracture (24586)
likely a partial charge, not the full procedure |
$2,510.90 |
$2,954 |
0.2× |
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure |
$1,682.58 |
$1,979.50 |
0.2× |
Treat Knee Fracture (27535)
unusually low: confirm this is the full procedure |
$2,824.55 |
$3,323 |
0.4× |
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure |
$1,524.90 |
$1,794 |
0.2× |
| Treat Metatarsal Fracture (28475) |
$417.78 |
$491.50 |
1.7× |
Treat scapula fracture (23585)
likely a partial charge, not the full procedure |
$1,988.58 |
$2,339.50 |
0.3× |
| Treat Thigh Fracture (27245) |
$3,856.45 |
$4,537 |
0.5× |
| Treatment closed elbow dislocation req anes (24605) |
$1,229.95 |
$1,447 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$646.43 |
$760.50 |
2.7× |
| Trim skin lesion (11055) |
$181.05 |
$213 |
0.9× |
| Trim skin lesions 2 to 4 (11056) |
$197.63 |
$232.50 |
1.0× |
| Tubal ligation (58600) |
$903.98 |
$1,063.50 |
0.3× |
| Tube thoracostomy includes water seal (32551) |
$959.66 |
$1,129 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$702.10 |
$826 |
1.0× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure |
$3,095.70 |
$3,642 |
0.2× |
| Tympanostomy (69433) |
$456.03 |
$536.50 |
0.9× |
| Unlisted procedure nervous system (64999) |
$226.10 |
$266 |
0.7× |
| Us urine capacity measure (51798) |
$229.50 |
$270 |
3.9× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$1,526.18 |
$1,795.50 |
0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$669.80 |
$788 |
0.3× |
| Venipuncture (36415) |
$31.03 |
$36.50 |
3.3× |
| Wedge excision skin nail fold (11765) |
$348.93 |
$410.50 |
0.9× |