| Abd paracentesis w/imaging (49083) |
$1,296 |
$2,160 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,197 |
$1,995 |
1.4× |
| Ablate inf turbinate submuc (30802) |
$1,935.60 |
$3,226 |
1.3× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,320 |
$7,200 |
0.3× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$7,048.80 |
$11,748 |
0.7× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
$336 |
$560 |
0.2× |
| Abrasion single lesion (15786) |
$118.20 |
$197 |
0.6× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$2,778.60 |
$4,631 |
0.9× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,890 |
$3,150 |
0.6× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,807.40 |
$4,679 |
1.5× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,667 |
$4,445 |
1.4× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$2,667 |
$4,445 |
1.4× |
| Amniocentesis diagnostic (59000) |
$203.10 |
$338.50 |
0.2× |
| Amputation Finger/Thumb (26951) |
$4,552.80 |
$7,588 |
1.5× |
| Amputation metatarsal with toe single (28810) |
$4,465.20 |
$7,442 |
1.5× |
| Amputation of finger/thumb (26952) |
$2,367 |
$3,945 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$2,295.60 |
$3,826 |
0.8× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$4,552.80 |
$7,588 |
1.5× |
| Anoscopy diagnostic (46600) |
$142.20 |
$237 |
1.1× |
| Anterior Tibial Tubercleplasty (27418) |
$3,732 |
$6,220 |
0.6× |
| Appl Interdental Fixation Device Non-Fx/Dislc (21110) |
$2,498.40 |
$4,164 |
1.7× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$123 |
$205 |
0.8× |
| Application cast elbow finger short arm (29075) |
$87.60 |
$146 |
0.3× |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
$60 |
$100 |
0.4× |
| Application cast shoulder hand long arm (29065) |
$94.20 |
$157 |
0.4× |
| Application Finger Splint Dynamic (29131) |
$52.80 |
$88 |
1.0× |
| Application finger splint static (29130) |
$68.40 |
$114 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$105 |
$175 |
0.7× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$90.60 |
$151 |
0.3× |
| Application long leg splint thigh ankle/toes (29505) |
$84.60 |
$141 |
0.6× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$15,117 |
$25,195 |
2.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$90.60 |
$151 |
0.3× |
| Application of long leg cast (29345) |
$90.60 |
$151 |
0.3× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$309.60 |
$516 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$87.60 |
$146 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$228 |
$380 |
1.8× |
| Application short leg splint calf foot (29515) |
$84.60 |
$141 |
0.6× |
| Apply short leg cast (29405) |
$91.80 |
$153 |
0.4× |
| Apply short leg cast (29425) |
$57.60 |
$96 |
0.2× |
| Aqueous shunt to extraocular reservoir (66180) |
$5,842.80 |
$9,738 |
1.2× |
| Arterial puncture (36600) |
$46.80 |
$78 |
0.4× |
| Arteriovenous Anastomosis Open Direct (36821) |
$5,362.20 |
$8,937 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$396 |
$660 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$680.40 |
$1,134 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,246.80 |
$2,078 |
4.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$317.40 |
$529 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,558.20 |
$2,597 |
5.5× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,367 |
$3,945 |
0.4× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$4,320 |
$7,200 |
0.6× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$5,249.40 |
$8,749 |
0.8× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$20,257.80 |
$33,763 |
1.7× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$2,295.60 |
$3,826 |
1.5× |
| Arthroscopy ankle; ext debridem (29898) |
$3,939.60 |
$6,566 |
1.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$4,599 |
$7,665 |
1.5× |
| Arthroscopy of joint (29999) |
$1,890 |
$3,150 |
8.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$4,751.40 |
$7,919 |
1.6× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$2,457 |
$4,095 |
0.8× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$3,939.60 |
$6,566 |
1.3× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$4,592.40 |
$7,654 |
1.5× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$4,594.20 |
$7,657 |
1.5× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$4,523.40 |
$7,539 |
1.5× |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
$10,384.20 |
$17,307 |
1.5× |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
$13,611 |
$22,685 |
1.1× |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
$5,804.40 |
$9,674 |
0.9× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$6,031.20 |
$10,052 |
2.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$4,523.40 |
$7,539 |
1.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$4,523.40 |
$7,539 |
1.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,523.40 |
$7,539 |
1.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$4,523.40 |
$7,539 |
0.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$4,808.40 |
$8,014 |
0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,062 |
$6,770 |
1.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,523.40 |
$7,539 |
1.5× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$4,523.40 |
$7,539 |
1.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$4,523.40 |
$7,539 |
0.7× |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
$4,030.80 |
$6,718 |
1.3× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$4,030.80 |
$6,718 |
0.6× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,150 |
$5,250 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$4,612.80 |
$7,688 |
0.7× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$2,367 |
$3,945 |
0.8× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$3,472.80 |
$5,788 |
1.1× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$5,379 |
$8,965 |
1.8× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$4,465.20 |
$7,442 |
1.5× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$2,079 |
$3,465 |
1.4× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$296.40 |
$494 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$1,306.80 |
$2,178 |
0.7× |
| Autochondrocyte implant knee (27412) |
$10,383 |
$17,305 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$142.80 |
$238 |
0.8× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,197 |
$1,995 |
1.1× |
| Biopsy Bone Open Deep (20245) |
$3,060 |
$5,100 |
1.1× |
| Biopsy bone open superficial (20240) |
$2,809.80 |
$4,683 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,319.40 |
$2,199 |
0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$780.60 |
$1,301 |
0.5× |
| Biopsy Breast Open Incisional (19101) |
$2,362.80 |
$3,938 |
0.6× |
| Biopsy intranasal (30100) |
$2,341.80 |
$3,903 |
1.6× |
| Biopsy muscle deep (20205) |
$3,953.40 |
$6,589 |
1.5× |
| Biopsy muscle percutaneous needle (20206) |
$717.60 |
$1,196 |
0.5× |
| Biopsy of cornea (65410) |
$2,424 |
$4,040 |
1.1× |
| Biopsy of eyelid lining (68100) |
$1,691.40 |
$2,819 |
0.8× |
| Biopsy of floor of mouth (41108) |
$2,311.80 |
$3,853 |
1.5× |
| Biopsy of tongue (41100) |
$766.80 |
$1,278 |
1.5× |
| Biopsy of uterus lining (58100) |
$179.40 |
$299 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,050.80 |
$3,418 |
0.6× |
| Biopsy Oropharynx (42800) |
$2,808.60 |
$4,681 |
1.9× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,010.70 |
$1,684.50 |
0.7× |
| Biopsy pleura percutaneous needle (32400) |
$1,050 |
$1,750 |
0.7× |
| Biopsy Salivary Gland Incisional (42405) |
$2,738.40 |
$4,564 |
1.9× |
| Biopsy Salivary Gland,Needle (42400) |
$1,018.50 |
$1,697.50 |
1.5× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$2,292.60 |
$3,821 |
1.5× |
| Biopsy soft tissue neck/thorax (21550) |
$2,202.90 |
$3,671.50 |
1.4× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$2,292 |
$3,820 |
1.5× |
| Biopsy soft tissue shoulder superficial (23065) |
$2,113.20 |
$3,522 |
1.4× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$1,701 |
$2,835 |
0.6× |
| Biopsy tongue posterior one-third (41105) |
$1,674.60 |
$2,791 |
0.5× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$2,351.40 |
$3,919 |
1.5× |
| Biopsy/removal lymph nodes (38525) |
$1,793.40 |
$2,989 |
0.5× |
| Biopsy/removal lymph nodes (38510) |
$3,704.40 |
$6,174 |
1.0× |
| Bladder Instillation Anticarcinogenic Agent (51720) |
$1,246.80 |
$2,078 |
1.9× |
| Bladder Irrigation Simple (51700) |
$187.80 |
$313 |
0.8× |
| Bladder Scan (51798) |
$77.40 |
$129 |
1.4× |
| Blood patch (62273) |
$325.80 |
$543 |
0.5× |
| Blood transfusion service (36430) |
$488.40 |
$814 |
1.2× |
| Blood/Lymph System Procedure (38999) |
$651.60 |
$1,086 |
1.6× |
| Bone graft, any donor area; major or large (20902) |
$12,269.40 |
$20,449 |
1.8× |
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
likely a partial charge, not the full procedure |
$1,638 |
$2,730 |
0.2× |
| Bone marrow aspiration only (38220) |
$398.40 |
$664 |
0.3× |
| Bone Marrow Biopsy (38221) |
$454.20 |
$757 |
0.3× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$2,084.40 |
$3,474 |
3.2× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,183.80 |
$1,973 |
0.7× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$996.60 |
$1,661 |
0.6× |
| Bx breast 1st lesion mr imag (19085) |
$1,079.40 |
$1,799 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$3,854.40 |
$6,424 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$2,106.60 |
$3,511 |
1.4× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$128.40 |
$214 |
0.1× |
| Bx vulva/perineum 1 lesion (56605) |
$1,108.20 |
$1,847 |
1.3× |
| Bx/exc lymph node needle superficial (38505) |
$934.80 |
$1,558 |
0.6× |
| Canthotomy Separate Procedure (67715) |
$2,525.40 |
$4,209 |
1.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$1,389.60 |
$2,316 |
0.5× |
| Capsulorrhaphy anterior w/labral repair (23455) |
$4,523.40 |
$7,539 |
0.7× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$10,078.20 |
$16,797 |
1.5× |
| Capsulotomy; interphalangeal joint, each joint (28272) |
$2,352.60 |
$3,921 |
1.6× |
| Cataract surgery complex (66982) |
$4,279.20 |
$7,132 |
2.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$68.10 |
$113.50 |
0.3× |
| Cautery Cervix Electro/Thermal (57510) |
$106.20 |
$177 |
0.0× |
| Cessj Therapy Cath Removal (37214) |
$2,579.40 |
$4,299 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$646.80 |
$1,078 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$198.60 |
$331 |
0.9× |
| Change g-tube to g-j perc (49446) |
$1,363.20 |
$2,272 |
0.8× |
| Change Ureter Stent, Percut (50382) |
$3,228 |
$5,380 |
1.7× |
| Chemical Cautery Tissue (17250) |
$142.80 |
$238 |
0.8× |
| Chest tube placement (32551) |
$758.10 |
$1,263.50 |
0.5× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$170.95 |
$284.91 |
1.4× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$684 |
$1,140 |
0.4× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$525.60 |
$876 |
0.2× |
| Chromotubation of oviduct, including materials (58350) |
$3,087 |
$5,145 |
0.7× |
| Circum 28 days or older (54161) |
$2,807.40 |
$4,679 |
1.4× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$451.80 |
$753 |
1.6× |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
$472.20 |
$787 |
1.7× |
| Claviculectomy; partial (23120) |
$4,279.20 |
$7,132 |
1.4× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$314.40 |
$524 |
0.2× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$331.80 |
$553 |
1.4× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$229.80 |
$383 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$229.80 |
$383 |
0.2× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$357 |
$595 |
1.6× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,935.60 |
$3,226 |
1.3× |
| Closed Rx Med Malleolus Fx (27760) |
$178.80 |
$298 |
0.8× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$170.40 |
$284 |
0.1× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,756.20 |
$2,927 |
1.2× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$595.80 |
$993 |
0.4× |
| Closed Rx Radial Shaft Fx (25500) |
$499.20 |
$832 |
2.2× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$354 |
$590 |
0.2× |
| Closed Rx Tibia Shaft Fx (27750) |
$176.40 |
$294 |
0.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$163.80 |
$273 |
0.7× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,758 |
$2,930 |
1.2× |
| Closed Rx Trimalleolar Fx (27816) |
$178.80 |
$298 |
0.8× |
| Closed Treat Vert Body Fract (22310) |
$412.80 |
$688 |
1.8× |
| Closed treat wrist dislocation (25660) |
$339.60 |
$566 |
1.5× |
| Closed Treatment Coccygeal Fracture (27200) |
$298.20 |
$497 |
1.3× |
| Closed treatment nasal fracture w/stabilization (21320) |
$1,792.80 |
$2,988 |
0.6× |
| Closed treatment of broken top of shin bone at knee (27538) |
$188.40 |
$314 |
0.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$339.60 |
$566 |
1.5× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$229.80 |
$383 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$229.80 |
$383 |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$276 |
$460 |
1.2× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$276 |
$460 |
1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$499.20 |
$832 |
2.2× |
| Closed Treatment Sternum Fracture (21820) |
$233.40 |
$389 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$339.60 |
$566 |
1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$276 |
$460 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$170.40 |
$284 |
0.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$178.80 |
$298 |
0.8× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$197.40 |
$329 |
0.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$243 |
$405 |
1.1× |
| Closed tx knee dislocation w/anesthesia (27552) |
$693 |
$1,155 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$222 |
$370 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$339.60 |
$566 |
0.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$259.20 |
$432 |
0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$338.40 |
$564 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$229.80 |
$383 |
0.2× |
| Closed tx nasal fracture w/o stabilization (21315) |
$876 |
$1,460 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$693 |
$1,155 |
3.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$163.80 |
$273 |
0.7× |
| Closed tx patellar fracture w/o manipulation (27520) |
$163.80 |
$273 |
0.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,235.60 |
$3,726 |
1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$229.80 |
$383 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$499.20 |
$832 |
0.3× |
| Closed tx scapular fracture w/o manipulation (23570) |
$366.60 |
$611 |
1.6× |
| Closed tx septal&nose fx (21337) |
$2,170.80 |
$3,618 |
0.7× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$366.60 |
$611 |
1.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$276 |
$460 |
1.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$154.20 |
$257 |
0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$150.60 |
$251 |
0.7× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$229.80 |
$383 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$499.20 |
$832 |
2.2× |
| Closure of gastrostomy surgical (43870) |
$1,227.60 |
$2,046 |
0.3× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$358.80 |
$598 |
1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$242.40 |
$404 |
1.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$229.80 |
$383 |
1.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$366.60 |
$611 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$366.60 |
$611 |
1.6× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$561 |
$935 |
1.1× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$285 |
$475 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,288.40 |
$3,814 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$338.40 |
$564 |
1.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$229.80 |
$383 |
0.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$285 |
$475 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,177.20 |
$1,962 |
0.8× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$300 |
$500 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$211.20 |
$352 |
0.9× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$300 |
$500 |
0.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$170.40 |
$284 |
0.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$178.80 |
$298 |
0.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$222.60 |
$371 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$316.20 |
$527 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$357 |
$595 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,915.20 |
$3,192 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$2,235.60 |
$3,726 |
1.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$243 |
$405 |
1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$298.20 |
$497 |
1.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$232.20 |
$387 |
0.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$276 |
$460 |
1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$276 |
$460 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$270 |
$450 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$293.40 |
$489 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,023.90 |
$1,706.50 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$170.40 |
$284 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$298.20 |
$497 |
1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$298.20 |
$497 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$293.40 |
$489 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$249.60 |
$416 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$383.40 |
$639 |
1.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$300 |
$500 |
1.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$300 |
$500 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$222.60 |
$371 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$276 |
$460 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$331.80 |
$553 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$316.20 |
$527 |
1.4× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,782 |
$2,970 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$295.80 |
$493 |
1.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$178.80 |
$298 |
0.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$197.40 |
$329 |
0.9× |
| Cltx prox tibfib jt dislc req anes (27831) |
$178.80 |
$298 |
0.1× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$342 |
$570 |
1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$229.80 |
$383 |
1.0× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$237 |
$395 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$229.80 |
$383 |
0.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$232.20 |
$387 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$276 |
$460 |
1.2× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,246.80 |
$2,078 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$170.40 |
$284 |
0.1× |
| Colonoscopy flex w/rem forcep (45384) |
$1,455.60 |
$2,426 |
1.3× |
| Colonoscopy stoma w/biopsy (44389) |
$1,674.60 |
$2,791 |
1.5× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,743 |
$2,905 |
1.6× |
| Colonoscopy stoma w/snare (44394) |
$1,668 |
$2,780 |
1.5× |
| Colonoscopy thru stoma (44388) |
$1,674.60 |
$2,791 |
1.9× |
| Colonoscopy w/ablation (45388) |
$1,926 |
$3,210 |
1.7× |
| Colonoscopy w/band ligation (45398) |
$1,455.60 |
$2,426 |
1.3× |
| Colonoscopy w/fb removal (45379) |
$1,134 |
$1,890 |
1.0× |
| Colonoscopy w/resection (45390) |
$595.80 |
$993 |
0.2× |
| Colpocentesis (57020) |
$987.60 |
$1,646 |
0.2× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$3,864.60 |
$6,441 |
1.3× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,703.40 |
$2,839 |
1.5× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,455.60 |
$2,426 |
1.3× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,455.60 |
$2,426 |
1.3× |
| Complete replacement picc rs&i (36584) |
$1,006.80 |
$1,678 |
0.7× |
| Complex Cystometrogram (51726) |
$939 |
$1,565 |
4.0× |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
$939 |
$1,565 |
1.4× |
| Complex Drainage, Wound (10180) |
$1,674.60 |
$2,791 |
0.6× |
| Complex Uroflowmetry (51741) |
$217.20 |
$362 |
1.1× |
| Conization of cervix (57520) |
$2,807.40 |
$4,679 |
0.9× |
| Conization of cervix (57522) |
$2,807.40 |
$4,679 |
0.9× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$145.80 |
$243 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$1,246.80 |
$2,078 |
10.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$1,246.80 |
$2,078 |
10.1× |
| Control Oropharyngeal Hemorrhage Simple (42960) |
$943.80 |
$1,573 |
1.9× |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
$3,739.80 |
$6,233 |
1.2× |
| Conversion ext bil drg cath (47535) |
$3,771 |
$6,285 |
1.1× |
| Convert nephrostomy catheter (50434) |
$724.80 |
$1,208 |
0.4× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$4,523.40 |
$7,539 |
0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$659.40 |
$1,099 |
0.4× |
| Correct lid retraction (67911) |
$1,134 |
$1,890 |
0.5× |
| Correction eyelid w/implant (67912) |
$3,359.40 |
$5,599 |
1.5× |
| Correction hammertoe (28285) |
$3,223.20 |
$5,372 |
1.1× |
| Correction of bunion (28298) |
$7,432.80 |
$12,388 |
1.1× |
| Correction of bunion (28292) |
$3,471 |
$5,785 |
1.1× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,977.20 |
$4,962 |
0.4× |
| Correction of bunion (28297) |
$9,533.40 |
$15,889 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$2,807.40 |
$4,679 |
0.9× |
| Create eardrum opening (69436) |
$3,703.80 |
$6,173 |
2.6× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$9,251.40 |
$15,419 |
1.8× |
| Cryosurgical ablation prostate w/us & monitori (55873) |
$15,501 |
$25,835 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$121.20 |
$202 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$347.40 |
$579 |
1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,669 |
$6,115 |
1.9× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$1,674.60 |
$2,791 |
0.5× |
| Cysto w/destruction of lesions (52214) |
$1,674.60 |
$2,791 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$2,055 |
$3,425 |
0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,456.80 |
$2,428 |
0.7× |
| Cysto w/ureter stricture tx (52341) |
$1,720.20 |
$2,867 |
0.5× |
| Cystometrogram w/vp (51728) |
$939 |
$1,565 |
1.4× |
| Cystometrogram W/Vp&Up (51729) |
$939 |
$1,565 |
1.4× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
$15,403.80 |
$25,673 |
1.7× |
| Cystoscopy inject material (52327) |
$2,055 |
$3,425 |
0.4× |
| Cystoscopy w/biopsy (52204) |
$1,674.60 |
$2,791 |
0.9× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,043 |
$3,405 |
1.1× |
| Cystoscopy,insert ureteral stent (52332) |
$3,594 |
$5,990 |
1.1× |
| Cystostomy Cystotomy W/Drainage (51040) |
$3,075 |
$5,125 |
1.6× |
| Cystourethroscopy (52000) |
$1,674.60 |
$2,791 |
2.6× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$3,075 |
$5,125 |
1.6× |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
$2,677.20 |
$4,462 |
4.1× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$1,354.80 |
$2,258 |
0.7× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,669 |
$6,115 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$79.80 |
$133 |
0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,005 |
$1,675 |
0.4× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$5,551.20 |
$9,252 |
1.8× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$4,751.40 |
$7,919 |
1.6× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$527.40 |
$879 |
0.8× |
| Debride nail 1-5 (11720) |
$97.80 |
$163 |
1.8× |
| Debride nail 6 or more (11721) |
$97.80 |
$163 |
1.8× |
| Debride skin musc at fx site (11011) |
$527.40 |
$879 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$778.20 |
$1,297 |
2.1× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$457.80 |
$763 |
0.7× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,674.60 |
$2,791 |
1.1× |
| Declot vascular device (36593) |
$477.58 |
$795.96 |
1.6× |
| Decomp forearm,1 compart,w/o debride (25020) |
$2,288.40 |
$3,814 |
1.5× |
| Decompression of leg (27892) |
$4,752 |
$7,920 |
1.6× |
| Decompression of tibia nerve (28035) |
$2,672.40 |
$4,454 |
1.5× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$2,807.40 |
$4,679 |
1.5× |
| Delay flap/sctj flap eyelids nose ears/lips (15630) |
$2,759.40 |
$4,599 |
1.4× |
| Delivery placenta separate procedure (59414) |
$486.60 |
$811 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,776.80 |
$4,628 |
1.5× |
| Destroy lumb/sac facet jnt (64635) |
$2,776.80 |
$4,628 |
1.5× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$112.20 |
$187 |
0.3× |
| Destruction benign lesions 15 or more (17111) |
$232.20 |
$387 |
1.2× |
| Destruction Benign Lesions Up To 14 (17110) |
$300.60 |
$501 |
1.6× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,302 |
$2,170 |
1.6× |
| Destruction Lesions Vulva Extensive (56515) |
$2,807.40 |
$4,679 |
1.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$72.60 |
$121 |
0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$72.60 |
$121 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$78 |
$130 |
0.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$44.40 |
$74 |
0.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$72.60 |
$121 |
0.4× |
| Destruction of multiple growths of penis (54065) |
$2,762.40 |
$4,604 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$41.40 |
$69 |
0.2× |
| Destruction Vaginal Lesions Extensive (57065) |
$1,960.20 |
$3,267 |
0.7× |
| Destruction vaginal lesions simple (57061) |
$3,564 |
$5,940 |
1.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$367.20 |
$612 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,246.80 |
$2,078 |
1.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$2,514 |
$4,190 |
0.8× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$1,196.44 |
$1,994.07 |
1.4× |
| Dilation Esophagus Guide Wire (43453) |
$749.40 |
$1,249 |
0.4× |
| Dilation of cervical canal (57800) |
$2,315.40 |
$3,859 |
0.8× |
Dissection, deep jugular node(s) (38542)
unusually low: confirm this is the full procedure |
$2,568 |
$4,280 |
0.5× |
| Division of fallopian tube (58600) |
$2,977.20 |
$4,962 |
1.0× |
| Drain bladder by trocar/cath (51101) |
$121.20 |
$202 |
0.2× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$630 |
$1,050 |
0.4× |
| Drain hand tendon sheath (26020) |
$1,918.80 |
$3,198 |
0.6× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$985.80 |
$1,643 |
1.5× |
| Drain outer ear canal lesion (69020) |
$985.80 |
$1,643 |
1.5× |
| Drain shoulder lesion (23030) |
$1,246.80 |
$2,078 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$381.30 |
$635.50 |
1.3× |
| Drainage abscess/hematoma nasal int approach (30000) |
$87.60 |
$146 |
0.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$87.60 |
$146 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$246 |
$410 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,246.80 |
$2,078 |
0.8× |
| Drainage Finger Abscess Simple (26010) |
$168.60 |
$281 |
0.9× |
| Drainage mouth roof lesion (42000) |
$397.20 |
$662 |
1.8× |
| Drainage of eyelid abscess (67700) |
$299.40 |
$499 |
1.0× |
| Drainage of gum lesion (41800) |
$374.40 |
$624 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$1,246.80 |
$2,078 |
0.8× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$2,281.80 |
$3,803 |
1.5× |
| Drainage of scrotal wall abscess (55100) |
$663 |
$1,105 |
0.4× |
| Drainage skenes gland abscess (53060) |
$2,884.20 |
$4,807 |
1.5× |
| Draw blood off venous device (36591) |
$170.95 |
$284.91 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$96 |
$160 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$109.20 |
$182 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$105 |
$175 |
0.6× |
| Dstrj lesion anus simple surg excision (46922) |
$2,283 |
$3,805 |
0.9× |
| Dstrj lesion penis simple surg excision (54060) |
$2,265.60 |
$3,776 |
1.2× |
| Dx bone marrow bx & aspir (38222) |
$2,292 |
$1,996 |
0.8× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$2,964 |
$4,940 |
1.7× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,587.60 |
$2,646 |
0.9× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,926 |
$3,210 |
1.1× |
| Egd Endo Mucosal Resection (43254) |
$3,263.40 |
$5,439 |
1.8× |
| Egd flexible foreign body removal (43247) |
$1,191 |
$1,985 |
1.4× |
| Egd guide wire insertion (43248) |
$1,455.60 |
$2,426 |
1.7× |
| Egd place gastrostomy tube (43246) |
$468 |
$780 |
0.3× |
| Egd rem tumr/polyp forcep (43250) |
$1,587.60 |
$2,646 |
0.9× |
| Egd remove lesion snare (43251) |
$1,926 |
$3,210 |
1.1× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,852.20 |
$3,087 |
1.0× |
| Egd Varices Ligation (43244) |
$1,587.60 |
$2,646 |
0.9× |
| Elbow arthroscopy (29830) |
$3,040.20 |
$5,067 |
1.0× |
| Elbow arthroscopy/surgery (29838) |
$3,472.80 |
$5,788 |
1.1× |
| Elbow arthroscopy/surgery (29837) |
$4,279.20 |
$7,132 |
1.4× |
| Elbow arthroscopy/surgery (29835) |
$4,030.80 |
$6,718 |
1.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$264.60 |
$441 |
0.9× |
Emblc/thrmbc femoral popliteal aorto-iliac art (34201)
unusually low: confirm this is the full procedure |
$2,178 |
$3,630 |
0.4× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$217.20 |
$362 |
1.8× |
| Endoscopic Injection/Implant (51715) |
$3,952.20 |
$6,587 |
1.2× |
| Endoscopic Plantar Fasciotomy (29893) |
$4,523.40 |
$7,539 |
1.5× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,674.60 |
$2,791 |
0.9× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$1,373.40 |
$2,289 |
0.7× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$2,169 |
$3,615 |
0.6× |
| Epididymectomy unilateral (54860) |
$2,961 |
$4,935 |
0.9× |
| Episiotomy or vaginal repair (59300) |
$5,361.60 |
$8,936 |
1.8× |
| Escharotomy initial incision (16035) |
$1,025.70 |
$1,709.50 |
2.7× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$819 |
$1,365 |
1.0× |
| Esophagoscopy flexible removal foreign body (43215) |
$554.40 |
$924 |
0.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$1,196.40 |
$1,994 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$208.80 |
$348 |
1.7× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$2,341.20 |
$3,902 |
1.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$3,175.20 |
$5,292 |
2.1× |
| Exc abd les sc 3 cm/> (22903) |
$1,984.80 |
$3,308 |
0.7× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,510.60 |
$5,851 |
1.3× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,323 |
$2,205 |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,674.60 |
$2,791 |
1.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,601 |
$4,335 |
1.7× |
| Exc back les sc < 3 cm (21930) |
$2,807.40 |
$4,679 |
1.8× |
| Exc back tum deep < 5 cm (21932) |
$2,677.20 |
$4,462 |
1.0× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$9,611.40 |
$16,019 |
1.7× |
| Exc face les sbq 2 cm/> (21012) |
$1,915.20 |
$3,192 |
1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$264.60 |
$441 |
0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,246.80 |
$2,078 |
0.8× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,246.80 |
$2,078 |
0.8× |
| Exc forearm les sc 3 cm/> (25071) |
$2,081.40 |
$3,469 |
1.4× |
| Exc forearm les sc < 3 cm (25075) |
$2,113.20 |
$3,522 |
1.4× |
| Exc frenum labial/buccal (40819) |
$1,915.20 |
$3,192 |
1.3× |
| Exc hand les sc < 1.5 cm (26115) |
$1,830.60 |
$3,051 |
1.2× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$2,394 |
$3,990 |
0.7× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$262.20 |
$437 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,582.40 |
$4,304 |
1.7× |
| Exc neck tum deep < 5 cm (21556) |
$2,646 |
$4,410 |
1.0× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$3,855 |
$6,425 |
0.7× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,628.60 |
$4,381 |
1.7× |
| Exc shoulder tum deep 5 cm/> (23073) |
$4,025.40 |
$6,709 |
1.5× |
| Exc skin abd (15830) |
$4,279.20 |
$7,132 |
0.7× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$1,246.80 |
$2,078 |
1.9× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$1,246.80 |
$2,078 |
3.3× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$1,915.20 |
$3,192 |
2.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$916.20 |
$1,527 |
1.4× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,246.80 |
$2,078 |
0.8× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,674.60 |
$2,791 |
1.1× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,175.20 |
$5,292 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,252.40 |
$3,754 |
0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,674.60 |
$2,791 |
1.1× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,246.80 |
$2,078 |
0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,341.20 |
$3,902 |
1.5× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,868.20 |
$6,447 |
1.4× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,672.60 |
$6,121 |
1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,668 |
$2,780 |
1.5× |
| Exc tongue lesion w cl; post 1/3 (41113) |
$1,533.47 |
$2,555.79 |
0.5× |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
$1,246.80 |
$2,078 |
1.9× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,760.40 |
$2,934 |
1.1× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,754 |
$4,590 |
1.0× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$2,341.20 |
$3,902 |
1.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,830.60 |
$3,051 |
0.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,812.40 |
$6,354 |
1.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,386 |
$2,310 |
0.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,812.40 |
$6,354 |
1.4× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,953.40 |
$6,589 |
1.5× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$2,050.80 |
$3,418 |
0.8× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,760.40 |
$2,934 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,964 |
$4,940 |
1.1× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,634.60 |
$4,391 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,807.40 |
$4,679 |
1.8× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$4,650 |
$7,750 |
1.7× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$1,830.60 |
$3,051 |
0.7× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,205 |
$3,675 |
0.8× |
| Exc urethral diverticulum spx female (53230) |
$3,150 |
$5,250 |
0.6× |
| Exc varicocele/ligation spermatic veins spx (55530) |
$2,881.20 |
$4,802 |
0.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,498.20 |
$7,497 |
1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,734 |
$2,890 |
1.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,771 |
$6,285 |
1.1× |
| Exchange intraocular lens (66986) |
$3,886.80 |
$6,478 |
1.8× |
| Exchange nephrostomy cath (50435) |
$942 |
$1,570 |
0.5× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,225.20 |
$2,042 |
0.7× |
| Excis Conjunc Lesn,=<1 Cm (68110) |
$3,085.20 |
$5,142 |
1.4× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,014.20 |
$3,357 |
1.3× |
| Excise excess skin & tissue (15839) |
$3,812.40 |
$6,354 |
1.4× |
| Excise Inferior Turbinate (30130) |
$3,715.20 |
$6,192 |
1.2× |
| Excise lesion testis (54512) |
$2,249.40 |
$3,749 |
0.7× |
| Excise parotid gland/lesion (42410) |
$10,043.40 |
$16,739 |
1.8× |
| Excise pharynx lesion (42808) |
$2,116.80 |
$3,528 |
0.7× |
| Excise/repair mouth lesion (40812) |
$3,739.80 |
$6,233 |
2.6× |
| Excision brach clft cyst,superficial (42810) |
$1,533.47 |
$2,555.79 |
0.5× |
| Excision Breast Lesion (19125) |
$859.20 |
$1,432 |
0.2× |
| Excision Chalazion Single (67800) |
$236.40 |
$394 |
0.8× |
| Excision Distal Ulna Partial/Complete (25240) |
$3,569.40 |
$5,949 |
1.2× |
| Excision external ear partial simple repair (69110) |
$3,673.80 |
$6,123 |
1.4× |
| Excision lesion mouth roof (42104) |
$1,539 |
$2,565 |
0.5× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,246.80 |
$2,078 |
0.9× |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
$768 |
$1,280 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$1,059 |
$1,765 |
1.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$416.40 |
$694 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$3,739.80 |
$6,233 |
5.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,008 |
$1,680 |
1.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$1,426.80 |
$2,378 |
2.2× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$1,246.80 |
$2,078 |
1.9× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$1,246.80 |
$2,078 |
1.9× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,674.60 |
$2,791 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,382.60 |
$3,971 |
1.6× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$630 |
$1,050 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$847.80 |
$1,413 |
1.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$850.80 |
$1,418 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,674.60 |
$2,791 |
1.1× |
| Excision of bartholin's gland or cyst (56740) |
$2,807.40 |
$4,679 |
0.9× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$583.20 |
$972 |
0.9× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$1,246.80 |
$2,078 |
1.9× |
| Excision of hydrocele; unilateral (55040) |
$4,030.80 |
$6,718 |
1.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$1,246.80 |
$2,078 |
1.3× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$2,082 |
$3,470 |
0.7× |
| Excision of lesion of tongue without closure (41110) |
$1,246.80 |
$2,078 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,440 |
$2,400 |
0.9× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,246.80 |
$2,078 |
0.8× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$4,211.40 |
$7,019 |
2.8× |
| Excision of local lesion of epididymis (54830) |
$5,979 |
$9,965 |
1.8× |
| Excision of mouth lesion (40816) |
$2,188.80 |
$3,648 |
0.7× |
| Excision of nail fold toe (11765) |
$117 |
$195 |
0.3× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$2,733 |
$4,555 |
1.5× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,673.80 |
$6,123 |
1.4× |
| Excision of single external papilla or tag, anus (46220) |
$2,597.40 |
$4,329 |
2.3× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$3,175.20 |
$5,292 |
1.2× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,556 |
$4,260 |
1.3× |
| Excision of sublingual gland (42450) |
$3,871.80 |
$6,453 |
0.7× |
| Excision of submandibular (submaxillary) gland (42440) |
$3,871.80 |
$6,453 |
0.7× |
| Excision of thyroglossal duct cyst or sinus; recurrent (60281) |
$8,391 |
$13,985 |
1.5× |
| Excision of tongue lesion (41112) |
$1,819.80 |
$3,033 |
0.6× |
| Excision of vaginal cyst or tumor (57135) |
$1,984.80 |
$3,308 |
0.7× |
| Excision of vaginal septum (57130) |
$4,018.80 |
$6,698 |
1.3× |
| Excision olecranon bursa (24105) |
$2,995.80 |
$4,993 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$2,352.60 |
$3,921 |
1.6× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$2,339.40 |
$3,899 |
0.8× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,915.20 |
$3,192 |
0.7× |
| Excision Prepatellar Bursa (27340) |
$2,142 |
$3,570 |
0.7× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,385 |
$3,975 |
0.9× |
| Excision Synovial Cyst Popliteal Space (27345) |
$1,890 |
$3,150 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,510.60 |
$5,851 |
2.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,654.20 |
$2,757 |
1.1× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$4,211.40 |
$7,019 |
2.8× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$3,739.80 |
$6,233 |
1.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$1,417.80 |
$2,363 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,382.60 |
$3,971 |
1.6× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,802 |
$4,670 |
1.0× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$2,856 |
$4,760 |
1.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,016 |
$3,360 |
0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$4,025.40 |
$6,709 |
1.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,116.80 |
$3,528 |
0.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,521.60 |
$2,536 |
1.0× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,060.33 |
$5,100.55 |
1.1× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$4,498.20 |
$7,497 |
1.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,926 |
$3,210 |
0.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,239 |
$2,065 |
0.6× |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
$4,047.60 |
$6,746 |
0.8× |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
$4,168.80 |
$6,948 |
2.8× |
| Explo/Drain Breast Abscess (19020) |
$1,674.60 |
$2,791 |
1.1× |
| Exploration penetrating wound spx chest (20101) |
$1,480.80 |
$2,468 |
0.8× |
| Exploration penetrating wound spx extremity (20103) |
$630 |
$1,050 |
0.4× |
| Exploration Penetrating Wound Spx Neck (20100) |
$264.60 |
$441 |
0.5× |
| Explore parathyroid glands (60500) |
$4,926 |
$8,210 |
0.9× |
| Explore treat shoulder joint (23107) |
$10,078.20 |
$16,797 |
1.5× |
| Explore/biopsy eye socket (67400) |
$3,952.20 |
$6,587 |
1.1× |
| Explore/irrigate tear ducts (68840) |
$1,695.60 |
$2,826 |
5.7× |
| Explore/treat elbow joint (24101) |
$4,498.20 |
$7,497 |
1.5× |
| Explore/treat eye socket (67420) |
$4,399.80 |
$7,333 |
1.2× |
| Explr/decompress eye socket (67414) |
$3,949.80 |
$6,583 |
1.1× |
| External Cephalic Version (59412) |
$237 |
$395 |
0.1× |
| Eye surgery procedure (66999) |
$330 |
$550 |
0.2× |
| Face bone graft (21210) |
$3,150 |
$5,250 |
0.6× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$4,498.20 |
$7,497 |
1.5× |
| Fasciotomy foot and/or toe (28008) |
$4,652.40 |
$7,754 |
1.5× |
| Fasciotomy Hip Or Thigh Any Type (27025) |
$10,078.20 |
$16,797 |
3.3× |
| Fasciotomy Iliotibial Open (27305) |
$3,472.20 |
$5,787 |
1.1× |
| Fasciotomy palmar open partial (26045) |
$4,652.40 |
$7,754 |
1.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$2,367 |
$3,945 |
0.8× |
| Fetal Contraction Stress Test (59020) |
$217.20 |
$362 |
1.2× |
| Fetal non-stress test (59025) |
$127.20 |
$212 |
0.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$985.80 |
$1,643 |
1.5× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$985.80 |
$1,643 |
1.5× |
| Fix ectropion,entensv lid repair (67917) |
$4,678.80 |
$7,798 |
2.1× |
| Fixation of knee joint (27570) |
$1,246.80 |
$2,078 |
0.8× |
| Fixation of shoulder (23700) |
$1,618.80 |
$2,698 |
1.1× |
| Fluoro exam of g/colon tube (49465) |
$163.20 |
$272 |
0.7× |
| Fna bx w/fluor gdn 1st les (10007) |
$985.80 |
$1,643 |
1.5× |
| Follow-up surgery of eye (66250) |
$2,238 |
$3,730 |
1.0× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$5,521.80 |
$9,203 |
1.8× |
| Frenulotomy of penis (54164) |
$2,844.60 |
$4,741 |
1.5× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$1,260 |
$2,100 |
0.7× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,807.40 |
$4,679 |
1.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,850.10 |
$3,083.50 |
1.0× |
| Fuse hand bones with graft (25825) |
$10,384.20 |
$17,307 |
1.5× |
| Fusion Finger Joint (26860) |
$4,498.20 |
$7,497 |
1.5× |
| Fusion of foot bones (28730) |
$16,340.40 |
$27,234 |
1.4× |
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure |
$3,240 |
$5,400 |
0.5× |
| Fusion of knuckle (26850) |
$11,514.60 |
$19,191 |
1.7× |
| Fusion of toes (28280) |
$3,471 |
$5,785 |
1.1× |
| Fusion/graft of finger joint (26862) |
$4,552.80 |
$7,588 |
1.5× |
| Fusion/graft of wrist joint (25805) |
$7,901.40 |
$13,169 |
1.2× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$255 |
$425 |
1.3× |
Glossectomy; less than one-half tongue (41120)
unusually low: confirm this is the full procedure |
$2,188.80 |
$3,648 |
0.4× |
| Graft ear crtlg autogenous nose/ear (21235) |
$7,059.60 |
$11,766 |
1.3× |
| Guide Cathet Fluid Drainage (10030) |
$604.20 |
$1,007 |
0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,432.80 |
$12,388 |
1.1× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$4,167 |
$6,945 |
1.4× |
| Hemorrhoidectomy (46255) |
$2,375.40 |
$3,959 |
0.9× |
| Hysteroscopy ablation (58563) |
$4,030.80 |
$6,718 |
0.9× |
| Hysteroscopy biopsy (58558) |
$2,807.40 |
$4,679 |
0.9× |
| Hysteroscopy dx sep proc (58555) |
$4,018.80 |
$6,698 |
1.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$2,807.40 |
$4,679 |
0.9× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,150.40 |
$8,584 |
1.1× |
| I&D Abscess Peritonsillar (42700) |
$192 |
$320 |
0.9× |
| I&d abscess simple (10060) |
$1,246.80 |
$2,078 |
6.7× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,116.80 |
$3,528 |
0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,673.80 |
$6,123 |
1.4× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,291.60 |
$5,486 |
1.7× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$2,281.80 |
$3,803 |
0.7× |
| I&d perianal abscess superficial (46050) |
$619.80 |
$1,033 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$229.80 |
$383 |
0.3× |
| I&D Upper Arm/Elbow Bursa (23931) |
$992.40 |
$1,654 |
0.6× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,246.80 |
$2,078 |
0.5× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$1,486.20 |
$2,477 |
1.8× |
| Image Cath Fluid Colxn Visc (49405) |
$970.20 |
$1,617 |
0.6× |
| Image Cath Fluid Peri/Retro (49406) |
$1,674 |
$2,790 |
1.1× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$2,311.80 |
$3,853 |
1.5× |
| Implant neuroelectrodes (63650) |
$7,875 |
$13,125 |
1.3× |
| Incise finger tendon sheath (26055) |
$2,695.20 |
$4,492 |
1.8× |
| Incise inner eye adhesions (65865) |
$3,267 |
$5,445 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$417 |
$695 |
1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$786.60 |
$1,311 |
0.3× |
| Incision & drainage pilonidal cyst complicated (10081) |
$707.40 |
$1,179 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,830.60 |
$3,051 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$567.60 |
$946 |
1.5× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
$1,140.60 |
$1,901 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$120.60 |
$201 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$200.40 |
$334 |
0.7× |
| Incision bone cortex hand/finger (26034) |
$2,582.40 |
$4,304 |
1.7× |
| Incision extensor tendon sheath wrist (25000) |
$2,807.40 |
$4,679 |
1.9× |
| Incision labial frenum frenotomy (40806) |
$430.80 |
$718 |
0.9× |
| Incision of eardrum (69421) |
$4,377 |
$7,295 |
1.4× |
| Incision of eardrum (69420) |
$418.80 |
$698 |
1.9× |
| Incision of heel bone (28300) |
$4,320 |
$7,200 |
0.6× |
| Incision of lingual frenum (41010) |
$1,915.20 |
$3,192 |
1.3× |
| Incision of metatarsal (28308) |
$2,807.40 |
$4,679 |
0.9× |
| Incision of rectal abscess (46040) |
$989.40 |
$1,649 |
0.9× |
| Incision of urethra (53020) |
$1,197 |
$1,995 |
0.6× |
| Incision thrombosed hemorrhoid external (46083) |
$342 |
$570 |
1.5× |
| Incisional biopsy skin single lesion (11106) |
$318.90 |
$531.50 |
0.5× |
| Initial tx 1st degree burn local tx (16000) |
$57.60 |
$96 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,426.80 |
$2,378 |
1.7× |
| Inj tendon sheath/ligament (20550) |
$145.80 |
$243 |
0.5× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,296.60 |
$2,161 |
1.6× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,296.60 |
$2,161 |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,853 |
$4,755 |
3.5× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$252 |
$420 |
0.9× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$909.60 |
$1,516 |
1.1× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$832.80 |
$1,388 |
1.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$866.76 |
$1,444.60 |
1.3× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,426.80 |
$2,378 |
1.7× |
| Inject Rx Celiac Plexus Nerve (64680) |
$1,260 |
$2,100 |
1.5× |
| Inject Sinus Tract Theraputic (20500) |
$162.60 |
$271 |
0.1× |
| Inject Tendon Origin/Insert (20551) |
$1,133.40 |
$1,889 |
4.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,426.80 |
$2,378 |
2.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$451.80 |
$753 |
1.6× |
| Injection anes other peripheral nerve/branch (64450) |
$1,246.80 |
$2,078 |
1.9× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,352.40 |
$2,254 |
1.6× |
| Injection for identification of sentinel node (38792) |
$312.30 |
$520.50 |
0.8× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$378 |
$630 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$1,246.80 |
$2,078 |
4.4× |
| Injection therapeutic carpal tunnel (20526) |
$480 |
$800 |
1.7× |
| Injection(s) spider veins (36468) |
$567.60 |
$946 |
1.5× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$396 |
$660 |
1.4× |
| Ins cath ren art 1st bilat (36252) |
$1,425.60 |
$2,376 |
0.5× |
| Ins cath ren art 1st unilat (36251) |
$1,007.40 |
$1,679 |
0.3× |
| Ins cath ren art 2nd+ bilat (36254) |
$1,357.80 |
$2,263 |
0.5× |
Ins cath ren art 2nd+ unilat (36253)
likely a partial charge, not the full procedure |
$1,493.40 |
$2,489 |
0.3× |
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure |
$1,074.60 |
$1,791 |
0.2× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$13,392 |
$22,320 |
1.4× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$13,392 |
$22,320 |
1.4× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$7,442.40 |
$12,404 |
0.8× |
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213)
likely a partial charge, not the full procedure |
$2,454 |
$4,090 |
0.3× |
Ins Pm Pls Gen W/Exist Single Lead (33212)
unusually low: confirm this is the full procedure |
$3,403.20 |
$5,672 |
0.4× |
Insert 1 electrode pm-defib (33216)
unusually low: confirm this is the full procedure |
$2,765.40 |
$4,609 |
0.4× |
| Insert and remove bone pin (20650) |
$2,695.80 |
$4,493 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$124.20 |
$207 |
1.0× |
| Insert Drug Implant Device (11981) |
$181.20 |
$302 |
1.5× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$1,363.20 |
$2,272 |
0.8× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,363.20 |
$2,272 |
0.8× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$894 |
$1,490 |
0.1× |
| Insert non-tunnel cv cath (36556) |
$670.20 |
$1,117 |
0.2× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,066.20 |
$1,777 |
0.4× |
Insert pacing lead & connect (33224)
unusually low: confirm this is the full procedure |
$4,528.80 |
$7,548 |
0.5× |
| Insert picc cath (36569) |
$1,004.40 |
$1,674 |
0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,173 |
$1,955 |
0.8× |
| Insert picvad cath (36570) |
$1,006.80 |
$1,678 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$72.60 |
$121 |
0.6× |
| Insert tun ip cath perc (49418) |
$3,711 |
$6,185 |
1.1× |
| Insert tunneled cv cath (36561) |
$8,482.80 |
$14,138 |
2.9× |
Insert Tunneled Cv Cath With Pump (36563)
unusually low: confirm this is the full procedure |
$2,149.80 |
$3,583 |
0.4× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure |
$1,006.80 |
$1,678 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$71.40 |
$119 |
0.6× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,820.20 |
$6,367 |
1.1× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$2,161.80 |
$3,603 |
0.6× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$23,362.20 |
$38,937 |
2.3× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$26,286.14 |
$43,810.23 |
1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,861.20 |
$3,102 |
1.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$1,055.40 |
$1,759 |
1.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$20,760.60 |
$34,601 |
2.7× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$3,940.80 |
$6,568 |
0.8× |
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240)
likely a partial charge, not the full procedure |
$4,510.80 |
$7,518 |
0.2× |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
$6,436.20 |
$10,727 |
3.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,693.70 |
$4,489.50 |
0.9× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$107.40 |
$179 |
0.0× |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
$22,571.40 |
$37,619 |
1.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,149.80 |
$3,583 |
0.7× |
Insj tun vad req 2 cath 2 sits w/subq port (36566)
unusually low: confirm this is the full procedure |
$2,332.80 |
$3,888 |
0.5× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$2,247.60 |
$3,746 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,787 |
$4,645 |
0.9× |
Insj/rplcmt defib w/lead(s) (33249)
likely a partial charge, not the full procedure |
$6,013.80 |
$10,023 |
0.2× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$1,289.40 |
$2,149 |
0.2× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge, not the full procedure |
$4,510.80 |
$7,518 |
0.2× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge, not the full procedure |
$4,510.80 |
$7,518 |
0.2× |
| Insrt/redo spine n generator (63685) |
$23,310 |
$38,850 |
0.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$5,121 |
$8,535 |
1.7× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$973.80 |
$1,623 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$13,883.40 |
$23,139 |
1.3× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$6,868.80 |
$11,448 |
1.3× |
| Intro Gastrointestinal Tube (44500) |
$145.80 |
$243 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$449.40 |
$749 |
2.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$215.40 |
$359 |
0.9× |
| Knee arthroscopy/surgery (29887) |
$4,523.40 |
$7,539 |
0.7× |
| Knee arthroscopy/surgery (29883) |
$2,394 |
$3,990 |
0.8× |
| Knee arthroscopy/surgery (29876) |
$4,523.40 |
$7,539 |
1.5× |
| Knee arthroscopy/surgery (29886) |
$1,654.20 |
$2,757 |
0.5× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$14,198.40 |
$23,664 |
0.8× |
| Laparoscopy appendectomy (44970) |
$7,822.20 |
$13,037 |
1.4× |
| Laparoscopy biopsy (49321) |
$7,822.20 |
$13,037 |
1.4× |
| Laparoscopy Remove Adnexa (58661) |
$5,013 |
$8,355 |
0.9× |
| Laparoscopy Tubal Cautery (58670) |
$4,523.40 |
$7,539 |
0.8× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$7,822.20 |
$13,037 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$9,895.80 |
$16,493 |
1.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$3,024 |
$5,040 |
0.5× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$7,822.20 |
$13,037 |
1.4× |
| Laryngoscopy Direct Aspiration (31515) |
$1,279.20 |
$2,132 |
3.5× |
| Laryngoscopy Flexible Diagnostic (31575) |
$339.60 |
$566 |
1.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$403.20 |
$672 |
1.1× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$150.60 |
$251 |
0.8× |
| Laryngoscopy indirect w/removal foreign body (31511) |
$150.60 |
$251 |
0.8× |
| Laryngoscopy w/biopsy (31535) |
$2,807.40 |
$4,679 |
0.8× |
| Laryngoscopy w/bx op scope (31536) |
$2,661.60 |
$4,436 |
0.8× |
| Laryngoscopy w/exc of tumor (31540) |
$2,661.60 |
$4,436 |
0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,170.20 |
$3,617 |
1.3× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$2,330.40 |
$3,884 |
1.4× |
| Larynscop w/tumr exc + scope (31541) |
$2,844.60 |
$4,741 |
0.8× |
| Laser vaporization surgery prostate, complete (52648) |
$4,584.60 |
$7,641 |
0.9× |
| Late closure of wound (13160) |
$1,674.60 |
$2,791 |
0.5× |
| Lateral retinacular release open (27425) |
$4,498.20 |
$7,497 |
1.5× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$4,030.80 |
$6,718 |
0.6× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$18,235.20 |
$30,392 |
1.5× |
| Ligate/strip long leg vein (37722) |
$5,262.60 |
$8,771 |
1.8× |
| Ligate/strip short leg vein (37718) |
$5,262 |
$8,770 |
1.8× |
| Ligation of a-v fistula (37607) |
$5,466.60 |
$9,111 |
1.9× |
| Ligation of hemorrhoid(s) (46221) |
$1,246.80 |
$2,078 |
1.4× |
| Ligation Of Neck Artery (37615) |
$5,466.60 |
$9,111 |
1.9× |
| Ligation or biopsy temporal artery (37609) |
$2,032.20 |
$3,387 |
1.3× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
$5,262.60 |
$8,771 |
1.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$5,051.40 |
$8,419 |
1.5× |
| Lithotripsy (50590) |
$6,301.73 |
$10,502.88 |
1.9× |
| Liver Biopsy (47000) |
$714.30 |
$1,190.50 |
0.5× |
| Lyse Chest Fibrin Init Day (32561) |
$690 |
$1,150 |
1.2× |
| Lysis Intranasal Synechia (30560) |
$782.40 |
$1,304 |
1.6× |
Mast mod rad (19307)
unusually low: confirm this is the full procedure |
$2,198.40 |
$3,664 |
0.4× |
| Mastectomy gynecomastia (19300) |
$3,843 |
$6,405 |
1.1× |
| Mastectomy partial (19301) |
$3,345 |
$5,575 |
0.9× |
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure |
$1,689 |
$2,815 |
0.3× |
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure |
$1,782 |
$2,970 |
0.3× |
Mastopexy (19316)
likely a partial charge, not the full procedure |
$1,459.20 |
$2,432 |
0.2× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$452.40 |
$754 |
0.3× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$1,497.60 |
$2,496 |
0.5× |
| Muscle transfer shoulder/arm (23395) |
$9,533.40 |
$15,889 |
1.4× |
| Musculoskeletal surgery (20999) |
$4,359 |
$7,265 |
19.0× |
| Myelography Lumbar Injection (62305) |
$991.20 |
$1,652 |
1.4× |
| Myelography Lumbar Injection (62304) |
$991.20 |
$1,652 |
1.4× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$991.20 |
$1,652 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$991.20 |
$1,652 |
1.4× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$2,331 |
$3,885 |
0.8× |
| Myringoplasty (69620) |
$4,211.40 |
$7,019 |
1.4× |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
$279 |
$465 |
1.5× |
| Nasal surgery procedure (30999) |
$303.60 |
$506 |
1.4× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$617.40 |
$1,029 |
1.7× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$3,610.80 |
$6,018 |
2.2× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$5,614.80 |
$9,358 |
0.9× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$4,737.60 |
$7,896 |
0.7× |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
$6,990.08 |
$11,650.12 |
1.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
$4,377.60 |
$7,296 |
1.3× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
$7,457.40 |
$12,429 |
1.1× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$2,251.20 |
$3,752 |
1.4× |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
$8,761.20 |
$14,602 |
1.3× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$5,965.80 |
$9,943 |
0.9× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$8,271 |
$13,785 |
1.3× |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
$2,170.80 |
$3,618 |
1.3× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$10,043.40 |
$16,739 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$2,807.40 |
$4,679 |
1.7× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$8,271 |
$13,785 |
1.3× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$8,271 |
$13,785 |
1.3× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$8,271 |
$13,785 |
1.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$135.60 |
$226 |
0.3× |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
$7,059.60 |
$11,766 |
1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$3,939.60 |
$6,566 |
2.6× |
| Neuroplasty Brachial Plexus,Open (64713) |
$2,671.81 |
$4,453.02 |
1.5× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,985 |
$4,975 |
1.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$538.20 |
$897 |
1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,720.20 |
$2,867 |
2.1× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$396 |
$660 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,248.80 |
$3,748 |
0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,834.20 |
$3,057 |
2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$721.80 |
$1,203 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,186.20 |
$1,977 |
1.8× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$724.80 |
$1,208 |
1.1× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$724.80 |
$1,208 |
1.1× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$671.40 |
$1,119 |
1.8× |
| Nsl/sins ndsc surg frnt&sphn (31298) |
$8,761.20 |
$14,602 |
1.3× |
| Obstructive material removal from gi tube (49460) |
$716.40 |
$1,194 |
0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,792.80 |
$7,988 |
1.3× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$4,473 |
$7,455 |
0.7× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$8,923.80 |
$14,873 |
1.3× |
| Open thrombect av fistula (36831) |
$3,462 |
$5,770 |
0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,198.20 |
$6,997 |
0.6× |
| Open Treatment Humeral Condylar Fracture (24579) |
$20,658.60 |
$34,431 |
1.7× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,678 |
$6,130 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,538.40 |
$12,564 |
1.1× |
| Open treatment metatarsal fracture each (28485) |
$4,279.20 |
$7,132 |
0.6× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$9,533.40 |
$15,889 |
1.4× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$4,320 |
$7,200 |
0.6× |
Open treatment of depressed zygomatic arch fracture (eg, gilles approach) (21356)
unusually low: confirm this is the full procedure |
$2,205 |
$3,675 |
0.4× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$20,658.60 |
$34,431 |
1.7× |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
$7,823.40 |
$13,039 |
1.2× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$7,433.40 |
$12,389 |
1.1× |
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545)
unusually low: confirm this is the full procedure |
$3,175.20 |
$5,292 |
0.5× |
| Open treatment of ulnar styloid fracture (25652) |
$10,078.20 |
$16,797 |
1.5× |
| Open Treatment Radial Shaft Fracture (25515) |
$9,700.80 |
$16,168 |
1.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$2,205 |
$3,675 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,890 |
$3,150 |
0.6× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$8,923.80 |
$14,873 |
1.3× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$3,061.80 |
$5,103 |
1.0× |
Open Tx Humeral Epicondylar Fracture (24575)
unusually low: confirm this is the full procedure |
$4,662 |
$7,770 |
0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,274.80 |
$5,458 |
1.1× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$2,712 |
$4,520 |
0.9× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$7,436.21 |
$12,393.68 |
1.1× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$12,269.40 |
$20,449 |
1.8× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$2,055 |
$3,425 |
0.7× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$9,840 |
$16,400 |
0.8× |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
$20,658.60 |
$34,431 |
1.7× |
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure |
$1,770 |
$2,950 |
0.2× |
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure |
$1,770 |
$2,950 |
0.2× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$27,681 |
$46,135 |
2.3× |
| Optx post ankle fx (27769) |
$10,875.60 |
$18,126 |
1.6× |
| Orbitotomy w/o bone flap w/removal lesion (67412) |
$3,085.20 |
$5,142 |
1.4× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,690 |
$6,150 |
1.1× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$4,498.20 |
$7,497 |
1.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$4,498.20 |
$7,497 |
1.5× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$2,079 |
$3,465 |
0.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$1,984.80 |
$3,308 |
0.7× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,652.40 |
$7,754 |
1.5× |
| Osteochondral allograft, knee, open (27415) |
$17,213.40 |
$28,689 |
1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$10,078.20 |
$16,797 |
1.5× |
| Osteotomy Fibula (27707) |
$5,358 |
$8,930 |
1.8× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
$3,093.60 |
$5,156 |
0.6× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$4,752 |
$7,920 |
1.6× |
| Partial excision bone metacarpal (26230) |
$4,752 |
$7,920 |
1.6× |
| Partial Excision Bone Olecranon Process (24147) |
$4,498.20 |
$7,497 |
1.5× |
| Partial excision bone scapula (23182) |
$11,514.60 |
$19,191 |
1.7× |
| Partial excision bone talus/calcaneus (28120) |
$2,367 |
$3,945 |
0.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,295.60 |
$3,826 |
1.5× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$2,079 |
$3,465 |
0.7× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$2,235.60 |
$3,726 |
1.5× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$2,968.80 |
$4,948 |
1.0× |
| Partial Removal Foot Fascia (28060) |
$2,225.40 |
$3,709 |
0.7× |
| Partial removal of scapula (23190) |
$4,279.20 |
$7,132 |
1.4× |
| Partial removal of thyroid (60220) |
$4,030.80 |
$6,718 |
0.7× |
| Partical Excision Bone Phalanx Toe (28124) |
$718.20 |
$1,197 |
0.2× |
| Pelvic exam under anesthesia (57410) |
$1,054.20 |
$1,757 |
0.4× |
| Penile Plethysmography (54240) |
$410.40 |
$684 |
2.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$6,297 |
$10,495 |
0.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$338.40 |
$564 |
0.5× |
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure |
$2,158.80 |
$3,598 |
0.2× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,158.80 |
$3,598 |
0.7× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
$1,575 |
$2,625 |
0.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,984.80 |
$3,308 |
0.7× |
| Pericardiocentesis W/Imaging (33016) |
$453 |
$755 |
0.3× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$4,018.80 |
$6,698 |
1.3× |
| Peritoneal Lavage (49084) |
$1,195.90 |
$1,993.17 |
1.4× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$2,554.80 |
$4,258 |
0.1× |
| Perq dev breast 1st mr guide (19287) |
$910.80 |
$1,518 |
1.4× |
| Perq dev breast 1st strtctc (19283) |
$867 |
$1,445 |
1.3× |
| Perq dev breast 1st us imag (19285) |
$910.80 |
$1,518 |
1.4× |
| Perq device breast 1st imag (19281) |
$867 |
$1,445 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$2,961 |
$4,935 |
0.9× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$4,981.80 |
$8,303 |
1.5× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$607.20 |
$1,012 |
0.4× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$3,135 |
$5,225 |
1.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$393.60 |
$656 |
1.7× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$21,042.60 |
$35,071 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$13,883.40 |
$23,139 |
1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,868.80 |
$11,448 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$8,676.60 |
$14,461 |
1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,676.60 |
$14,461 |
1.3× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$2,034.60 |
$3,391 |
0.7× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$2,034.60 |
$3,391 |
0.7× |
| Pin finger fracture each (26756) |
$1,701 |
$2,835 |
0.6× |
| Place Cath Subclavian Art (36225) |
$4,423.20 |
$7,372 |
1.5× |
| Place Cath Thoracic Aorta (36221) |
$1,770 |
$2,950 |
0.6× |
| Place Cath Vertebral Art (36226) |
$6,939.30 |
$11,565.50 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$592.80 |
$988 |
1.4× |
| Plastic repair of canaliculi (68700) |
$1,228.80 |
$2,048 |
0.6× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,174 |
$10,290 |
1.1× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,174 |
$10,290 |
1.1× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$6,174 |
$10,290 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,074.50 |
$3,457.50 |
1.1× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,807.80 |
$3,013 |
0.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,276 |
$5,460 |
1.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,276 |
$5,460 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,276 |
$5,460 |
1.0× |
| PR Capsulotomy Posterior Capsular Release Knee|ASSISTANT AT SURGERY SERVICE (27435) |
$4,498.20 |
$7,497 |
1.5× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$8,299.80 |
$13,833 |
3.9× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$4,552.80 |
$7,588 |
1.5× |
| Preputial Stretching (54450) |
$156 |
$260 |
0.7× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$2,158.80 |
$3,598 |
0.1× |
| Probe nasolacrimal duct (68810) |
$455.40 |
$759 |
1.5× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$253.20 |
$422 |
0.1× |
| Proctosigmoidoscopy (45303) |
$254.40 |
$424 |
0.2× |
| Proctosigmoidoscopy w/bx (45305) |
$396 |
$660 |
0.4× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$254.40 |
$424 |
0.3× |
| Prostatectomy (turp) (52601) |
$4,584.60 |
$7,641 |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$585 |
$975 |
0.9× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$8,218.20 |
$13,697 |
1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,075.20 |
$6,792 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,075.20 |
$6,792 |
1.2× |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
$6,447 |
$10,745 |
1.1× |
| Punch biopsy skin single lesion (11104) |
$671.40 |
$1,119 |
1.8× |
| Puncture Aspiration (10160) |
$189 |
$315 |
0.5× |
| Puncture Aspiration Cyst Breast (19000) |
$352.20 |
$587 |
0.5× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,654.20 |
$2,757 |
1.1× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$9,533.40 |
$15,889 |
1.4× |
| Realignment of knee (27455) |
$10,290.60 |
$17,151 |
1.5× |
| Reattachment of part of cutoff finger (20822) |
$2,815.20 |
$4,692 |
1.9× |
| Rebuild outer ear canal (69310) |
$2,955 |
$4,925 |
0.5× |
| Reconstr disloc patella w mscl adv (27422) |
$3,465 |
$5,775 |
0.5× |
| Reconstruc Eyelid,<2/3,One Stage (67971) |
$2,908.80 |
$4,848 |
1.3× |
| Reconstruc Eyelid,Second Stage (67975) |
$2,422.20 |
$4,037 |
1.1× |
| Reconstruc toe deform,soft tissue (28313) |
$3,015.60 |
$5,026 |
1.0× |
| Reconstruct wrist joint (25445) |
$4,279.20 |
$7,132 |
0.6× |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
$10,384.20 |
$17,307 |
1.5× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$20,658.60 |
$34,431 |
1.7× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$5,040 |
$8,400 |
0.7× |
| Reconstruction of nail bed with graft (11762) |
$95.40 |
$159 |
0.0× |
Reconstruction, knee (27429)
unusually low: confirm this is the full procedure |
$4,951.80 |
$8,253 |
0.4× |
| Reduce testis torsion (54600) |
$1,770 |
$2,950 |
0.5× |
| Reduction of Large Breast (19318) |
$7,437.60 |
$12,396 |
1.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$4,279.20 |
$7,132 |
0.6× |
| Release elbow joint (24006) |
$4,752 |
$7,920 |
1.6× |
| Release palm contracture (26121) |
$2,268 |
$3,780 |
0.7× |
| Relieve inner eye pressure (65820) |
$5,842.80 |
$9,738 |
1.5× |
| Relocation of skin pocket for pacemaker (33222) |
$2,040 |
$3,400 |
1.1× |
| Rem endovas vena cava filter (37193) |
$3,276 |
$5,460 |
1.1× |
| Removal biliary drg cath (47537) |
$2,646 |
$4,410 |
3.1× |
| Removal fb intranasal (30300) |
$54.60 |
$91 |
0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,753 |
$6,255 |
1.4× |
| Removal foreign body foot deep (28192) |
$1,830.60 |
$3,051 |
1.2× |
| Removal foreign body foot subcutaneous (28190) |
$1,211.40 |
$2,019 |
1.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$449.40 |
$749 |
0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$1,719 |
$2,865 |
0.6× |
| Removal foreign body pharynx (42809) |
$220.80 |
$368 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,340 |
$3,900 |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$3,095.40 |
$5,159 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$85.20 |
$142 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$95.40 |
$159 |
1.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$4,310.40 |
$7,184 |
1.4× |
| Removal Implant Deep (20680) |
$2,985 |
$4,975 |
1.1× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,953 |
$3,255 |
1.3× |
| Removal Implantable Contraceptive Capsules (11976) |
$415.20 |
$692 |
0.6× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$2,169 |
$3,615 |
0.6× |
| Removal Intact Mammary Implant (19328) |
$1,021.80 |
$1,703 |
0.3× |
| Removal of adenoids (42835) |
$2,016 |
$3,360 |
0.7× |
| Removal of adenoids (42831) |
$2,807.40 |
$4,679 |
0.9× |
| Removal of adenoids (42830) |
$2,807.40 |
$4,679 |
0.9× |
| Removal of adenoids (42836) |
$3,739.80 |
$6,233 |
1.2× |
| Removal of arm foreign body (24200) |
$381 |
$635 |
0.2× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,827 |
$3,045 |
1.2× |
| Removal of eye (65101) |
$2,059.20 |
$3,432 |
0.6× |
| Removal of finger lesion (26210) |
$1,984.80 |
$3,308 |
1.3× |
| Removal of heel bone (28118) |
$4,498.20 |
$7,497 |
1.5× |
| Removal of heel spur (28119) |
$2,367 |
$3,945 |
0.8× |
| Removal of humerus lesion (23150) |
$4,752 |
$7,920 |
1.6× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$1,042.20 |
$1,737 |
1.8× |
| Removal of intrauterine device (iud) (58301) |
$144 |
$240 |
0.5× |
| Removal of knee cartilage (27332) |
$5,379 |
$8,965 |
1.8× |
| Removal of kneecap (27350) |
$4,167 |
$6,945 |
0.6× |
| Removal of lens material (66840) |
$3,758.40 |
$6,264 |
1.8× |
| Removal of lens material (66852) |
$8,299.80 |
$13,833 |
2.2× |
| Removal of nail bed (11750) |
$1,246.80 |
$2,078 |
3.3× |
| Removal of salivary stone (42330) |
$3,739.20 |
$6,232 |
1.2× |
| Removal of salivary stone (42335) |
$3,094.80 |
$5,158 |
1.0× |
| Removal of salivary stone (42340) |
$1,674.60 |
$2,791 |
0.5× |
| Removal of sesamoid bone (28315) |
$4,552.80 |
$7,588 |
1.5× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$1,246.80 |
$2,078 |
6.7× |
| Removal of sperm cord lesion (55520) |
$4,585.80 |
$7,643 |
1.4× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$2,037.60 |
$3,396 |
1.1× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$2,830.20 |
$4,717 |
0.9× |
| Removal of testis (54520) |
$3,043.20 |
$5,072 |
0.9× |
| Removal of tonsils (42825) |
$2,807.40 |
$4,679 |
0.5× |
| Removal of tonsils (42826) |
$2,807.40 |
$4,679 |
0.9× |
| Removal or relocation of corneal conjunctiva (65420) |
$2,142 |
$3,570 |
1.0× |
| Removal or relocation of corneal conjunctiva with graft (65426) |
$2,807.40 |
$4,679 |
1.3× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$2,169 |
$3,615 |
0.3× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,809.60 |
$3,016 |
0.7× |
| Removal subq cardiac rhythm monitor (33286) |
$722.40 |
$1,204 |
1.1× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$3,106.80 |
$5,178 |
1.6× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$2,475.60 |
$4,126 |
0.8× |
| Removal/bivalving full arm/full leg cast (29705) |
$166.20 |
$277 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$132 |
$220 |
0.5× |
| Remove & replace indwell ureteral stent trurthrl (50385) |
$2,807.40 |
$4,679 |
1.4× |
| Remove anal fist subq (46270) |
$3,704.40 |
$6,174 |
1.4× |
| Remove drug implant device (11982) |
$378 |
$630 |
0.9× |
| Remove elbow lesion (24120) |
$2,995.80 |
$4,993 |
1.0× |
| Remove Eyelid Foreign Body (67938) |
$482.40 |
$804 |
1.6× |
| Remove eyelid lesion(s) (67808) |
$5,614.80 |
$9,358 |
2.5× |
| Remove eyelid lining lesion (68115) |
$2,423.40 |
$4,039 |
1.1× |
| Remove femur lesion (27355) |
$2,268 |
$3,780 |
0.7× |
| Remove femur lesion/bursa (27062) |
$4,752 |
$7,920 |
1.6× |
| Remove foreign body from eye (65235) |
$4,434.60 |
$7,391 |
2.1× |
| Remove foreign body from eye (65210) |
$1,915.20 |
$3,192 |
4.6× |
| Remove in/ex hem groups 2+ (46260) |
$2,778.60 |
$4,631 |
1.1× |
| Remove intrvas foreign body (37197) |
$1,053 |
$1,755 |
0.4× |
| Remove knee cyst (27347) |
$2,904 |
$4,840 |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$3,953.40 |
$6,589 |
1.5× |
| Remove prostate regrowth (52630) |
$2,367 |
$3,945 |
0.5× |
| Remove renal tube w/fluoro (50389) |
$750 |
$1,250 |
1.2× |
| Remove shoulder foreign body (23330) |
$926.40 |
$1,544 |
0.6× |
| Remove spinal canal catheter (62355) |
$1,201.20 |
$2,002 |
0.7× |
| Remove stent via transureth (50386) |
$750 |
$1,250 |
0.4× |
| Remove thyroid duct lesion (60280) |
$4,030.80 |
$6,718 |
0.7× |
| Remove Ureter Stent, Percut (50384) |
$1,663.20 |
$2,772 |
0.9× |
| Remove vc lesion w/scope (31545) |
$4,449.60 |
$7,416 |
1.3× |
| Remove wrist joint implant (25449) |
$11,906.40 |
$19,844 |
1.8× |
| Remove wrist tendon lesion (25111) |
$3,311.40 |
$5,519 |
2.2× |
| Remove&replace pm gen singl (33227) |
$27,459.60 |
$45,766 |
3.6× |
| Remove/graft foot lesion (28103) |
$10,290.60 |
$17,151 |
1.5× |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
$3,208.80 |
$5,348 |
2.1× |
| Remv Ext Canal Foreign Body (69200) |
$66.60 |
$111 |
0.5× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$357 |
$595 |
2.9× |
| Remv for.body deep penile tiss (54115) |
$1,074 |
$1,790 |
0.4× |
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure |
$4,584.60 |
$7,641 |
0.2× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$4,584.60 |
$7,641 |
0.2× |
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure |
$4,584.60 |
$7,641 |
0.2× |
| Remv&replc pm gen dual lead (33228) |
$31,078.20 |
$51,797 |
3.2× |
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure |
$3,438.60 |
$5,731 |
0.2× |
| Renal biopsy (50200) |
$796.80 |
$1,328 |
0.5× |
| Repair achilles tendon (27650) |
$4,279.20 |
$7,132 |
0.6× |
| Repair arm tendon/muscle (24341) |
$3,804 |
$6,340 |
0.6× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$4,810.80 |
$8,018 |
1.6× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,810.80 |
$8,018 |
1.6× |
| Repair brow defect (67900) |
$5,268.60 |
$8,781 |
2.4× |
| Repair collat ankle ligmnt,secondary (27698) |
$9,533.40 |
$15,889 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$304.80 |
$508 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,915.20 |
$3,192 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,674.60 |
$2,791 |
4.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$472.80 |
$788 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$204 |
$340 |
0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,915.20 |
$3,192 |
5.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$304.80 |
$508 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$695.40 |
$1,159 |
1.0× |
| Repair ectropion suture (67914) |
$4,211.40 |
$7,019 |
1.9× |
| Repair elbow deb/attch open (24359) |
$4,279.20 |
$7,132 |
1.4× |
| Repair elbow perc (24357) |
$2,016 |
$3,360 |
0.7× |
| Repair entropion excision tarsal wedge (67923) |
$1,764 |
$2,940 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,951.80 |
$3,253 |
1.3× |
| Repair eyelid defect (67916) |
$4,678.80 |
$7,798 |
2.1× |
| Repair eyelid defect (67904) |
$4,891.80 |
$8,153 |
2.2× |
| Repair eyelid defect (67924) |
$2,807.40 |
$4,679 |
1.3× |
| Repair eyelid wound (67930) |
$2,525.40 |
$4,209 |
1.1× |
| Repair finger tendon (26432) |
$2,286 |
$3,810 |
1.5× |
| Repair finger tendon (26433) |
$4,652.40 |
$7,754 |
1.5× |
| Repair finger/hand tendon (26350) |
$1,000.20 |
$1,667 |
0.3× |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
$5,358 |
$8,930 |
1.8× |
| Repair forearm tendon/muscle (25270) |
$1,885.80 |
$3,143 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$4,707 |
$7,845 |
1.5× |
| Repair hallux rigidus (28289) |
$2,807.40 |
$4,679 |
0.9× |
| Repair hand tendon (26410) |
$1,614 |
$2,690 |
1.1× |
| Repair incomplete circumcision (54163) |
$1,701 |
$2,835 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,030.80 |
$6,718 |
1.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,367 |
$3,945 |
0.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,030.80 |
$6,718 |
1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,240.80 |
$7,068 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$204 |
$340 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,323 |
$2,205 |
3.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$331.20 |
$552 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$204 |
$340 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$671.40 |
$1,119 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$268.20 |
$447 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$204 |
$340 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$204 |
$340 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$189 |
$315 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,674.60 |
$2,791 |
4.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$196.20 |
$327 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$204 |
$340 |
0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$322.80 |
$538 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$283.80 |
$473 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,426.80 |
$2,378 |
3.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,915.20 |
$3,192 |
2.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$346.80 |
$578 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,667 |
$4,445 |
1.4× |
| Repair iris & ciliary body (66680) |
$3,267 |
$5,445 |
1.5× |
| Repair kneecap tendon (27380) |
$5,379 |
$8,965 |
0.8× |
| Repair Laceration Palate </2 Cm (42180) |
$397.20 |
$662 |
0.8× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$4,022.40 |
$6,704 |
0.7× |
| Repair lead pace-defib dual (33220) |
$2,169 |
$3,615 |
0.6× |
| Repair lead pace-defib one (33218) |
$2,169 |
$3,615 |
0.6× |
| Repair lower leg tendons (27676) |
$9,700.80 |
$16,168 |
1.4× |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
$10,875.60 |
$18,126 |
1.6× |
| Repair nasal vestibular stenosis (30465) |
$7,530 |
$12,550 |
1.4× |
| Repair of ankle ligament (27695) |
$10,290.60 |
$17,151 |
1.5× |
| Repair of eardrum structures (69631) |
$3,043.20 |
$5,072 |
0.6× |
| Repair of eye socket wound (65290) |
$3,559.20 |
$5,932 |
1.0× |
| Repair of eye wound (65286) |
$3,267 |
$5,445 |
1.5× |
| Repair of eye wound (65285) |
$6,139.80 |
$10,233 |
1.2× |
| Repair of eye wound (65272) |
$1,720.20 |
$2,867 |
0.8× |
| Repair Of Foot Tendon (28208) |
$1,521.60 |
$2,536 |
0.5× |
| Repair of hammertoe (28286) |
$2,295.60 |
$3,826 |
0.8× |
Repair of leg tendon each (27664)
unusually low: confirm this is the full procedure |
$2,367 |
$3,945 |
0.4× |
| Repair of leg tendon each (27658) |
$2,367 |
$3,945 |
0.8× |
| Repair of nail bed (11760) |
$95.40 |
$159 |
0.1× |
| Repair of nasal septum (30520) |
$2,822.40 |
$4,704 |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$8,923.45 |
$14,872.41 |
1.3× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$20,257.80 |
$33,763 |
3.0× |
| Repair of rectocele (45560) |
$1,775.40 |
$2,959 |
0.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$4,688.40 |
$7,814 |
0.7× |
| Repair of shoulder (23420) |
$4,523.40 |
$7,539 |
0.7× |
| Repair of thigh musc (27385) |
$5,379 |
$8,965 |
0.8× |
| Repair of tibia (27720) |
$10,290.60 |
$17,151 |
1.5× |
| Repair rotator cuff acute (23410) |
$4,688.40 |
$7,814 |
0.7× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,533.40 |
$15,889 |
1.4× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$5,623.20 |
$9,372 |
0.8× |
| Repair shoulder capsule (23466) |
$8,923.45 |
$14,872.41 |
1.3× |
| Repair Tongue Laceration (41250) |
$397.20 |
$662 |
1.0× |
| Repair tympanic membrane (69610) |
$4,211.40 |
$7,019 |
2.9× |
| Repair wrist joints (25447) |
$2,832.60 |
$4,721 |
0.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$6,913.20 |
$11,522 |
1.0× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,223.20 |
$5,372 |
1.1× |
| Repair/graft achilles tendon (27652) |
$3,591 |
$5,985 |
0.5× |
Repair/graft flex foot tendon (28202)
unusually low: confirm this is the full procedure |
$3,223.20 |
$5,372 |
0.5× |
| Repair/revise wrist joint (25320) |
$10,875.60 |
$18,126 |
1.6× |
| Replace duod/jej tube perc (49451) |
$646.80 |
$1,078 |
0.8× |
| Replace g/c tube perc (49450) |
$744.60 |
$1,241 |
0.9× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$379.80 |
$633 |
0.5× |
| Reposition gastrostomy tube (43761) |
$197.40 |
$329 |
0.8× |
| Reposition pacing-defib lead (33215) |
$2,097.60 |
$3,496 |
0.7× |
| Repositioning io lens prosthesis req inc spx (66825) |
$6,330 |
$10,550 |
2.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$4,752 |
$7,920 |
1.6× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,276 |
$5,460 |
1.1× |
| Rerepair ing hernia reduce (49520) |
$4,030.80 |
$6,718 |
1.2× |
| Resect Inferior Turbinate (30140) |
$5,052.60 |
$8,421 |
1.6× |
| Resection or transplantation of long tendon of biceps (23440) |
$4,523.40 |
$7,539 |
0.7× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$4,913.40 |
$8,189 |
1.6× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$4,752 |
$7,920 |
1.6× |
| Revise aqueous shunt eye (66185) |
$3,119.40 |
$5,199 |
1.5× |
| Revise arm/leg nerve (64708) |
$2,807.40 |
$4,679 |
1.5× |
| Revise Conjunc,Fix Cul-De-Sac+Grft (68326) |
$4,743 |
$7,905 |
1.3× |
| Revise eyelashes (67825) |
$455.40 |
$759 |
1.5× |
| Revise Eyelashes,Forceps (67820) |
$163.20 |
$272 |
1.3× |
| Revise eyelid defect (67909) |
$3,220.80 |
$5,368 |
1.5× |
| Revise eyelid lining (68360) |
$1,827 |
$3,045 |
0.5× |
| Revise leg vein (37700) |
$5,262.60 |
$8,771 |
1.8× |
| Revise median n/carpal tunnel surg (64721) |
$2,739 |
$4,565 |
1.5× |
| Revise ulnar nerve at elbow (64718) |
$2,807.40 |
$4,679 |
1.5× |
| Revise ulnar nerve at wrist (64719) |
$1,554 |
$2,590 |
0.9× |
| Revise/graft eyelid lining (68335) |
$4,742.06 |
$7,903.44 |
1.3× |
Revision of big toe (28310)
likely a partial charge, not the full procedure |
$1,389.60 |
$2,316 |
0.2× |
| Revision of cervix (57720) |
$4,018.80 |
$6,698 |
1.3× |
| Revision of eyelid (67950) |
$1,674.60 |
$2,791 |
0.8× |
| Revision of eyelid (67880) |
$2,422.20 |
$4,037 |
1.1× |
| Revision of eyelid (67882) |
$1,915.20 |
$3,192 |
0.9× |
| Revision of eyelid (67961) |
$1,915.20 |
$3,192 |
0.9× |
| Revision of eyelid,> 1/4 lid margin (67966) |
$1,915.20 |
$3,192 |
0.9× |
| Revision of foot (28116) |
$2,079 |
$3,465 |
0.7× |
| Revision of iris (66761) |
$1,246.80 |
$2,078 |
2.4× |
| Revision of leg vein (37780) |
$5,262.60 |
$8,771 |
1.8× |
| Revision of lower eyelid (15821) |
$2,667 |
$4,445 |
1.4× |
| Revision of lower leg tendon (27685) |
$4,552.80 |
$7,588 |
1.5× |
| Revision of tips (37183) |
$16,155.60 |
$26,926 |
3.1× |
| Revision of upper eyelid (15823) |
$6,019.80 |
$10,033 |
3.1× |
| Revision of urethra (53450) |
$2,961 |
$4,935 |
0.9× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,676.20 |
$6,127 |
1.1× |
| Revision peri-implant capsule breast (19370) |
$6,537 |
$10,895 |
1.8× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$11,729.40 |
$19,549 |
2.0× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$5,835.60 |
$9,726 |
1.8× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$9,251.40 |
$15,419 |
1.8× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$5,835.60 |
$9,726 |
1.8× |
| Rhytidectomy; glabellar frown lines Other Surgical Services (15826) |
$4,604.40 |
$7,674 |
1.4× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$170.40 |
$284 |
0.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$2,627.40 |
$4,379 |
1.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$141 |
$235 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$679.80 |
$1,133 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$149.40 |
$249 |
1.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,915.20 |
$3,192 |
0.7× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$496.20 |
$827 |
0.2× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$1,191.60 |
$1,986 |
0.3× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,169 |
$3,615 |
0.6× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$2,169 |
$3,615 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,674.60 |
$2,791 |
1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$690 |
$1,150 |
1.2× |
| Rmvl vitreous ant appr partial removal (67005) |
$1,587.60 |
$2,646 |
0.7× |
| Rmvl vitreous ant appr subtot rmvl mech vitrect (67010) |
$2,331 |
$3,885 |
1.1× |
| Rplc gtube revj gstrst trc (43763) |
$393.60 |
$656 |
1.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$426 |
$710 |
0.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,006.80 |
$1,678 |
0.7× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$1,006.80 |
$1,678 |
0.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,450.40 |
$4,084 |
0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,006.80 |
$1,678 |
0.3× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$5,397.60 |
$8,996 |
0.9× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,375.60 |
$10,626 |
1.1× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$9,381.60 |
$15,636 |
1.7× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$8,313 |
$13,855 |
2.5× |
| Rpr blood vessel direct lower extremity (35226) |
$526.20 |
$877 |
0.8× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$2,142 |
$3,570 |
0.7× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$426 |
$710 |
0.3× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$11,514.60 |
$19,191 |
1.7× |
| Rpr ing hernia init blocked (49501) |
$5,227.20 |
$8,712 |
1.6× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$204 |
$340 |
0.3× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
$1,575 |
$2,625 |
0.7× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$864.60 |
$1,441 |
3.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$628.80 |
$1,048 |
1.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$989.40 |
$1,649 |
0.7× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$10,384.20 |
$17,307 |
1.5× |
| Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) |
$7,436.21 |
$12,393.68 |
1.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$426 |
$710 |
0.7× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$2,367 |
$3,945 |
0.8× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$2,169 |
$3,615 |
0.7× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,160.40 |
$1,934 |
0.8× |
| Sclerotx Fluid Collection (49185) |
$1,059 |
$1,765 |
0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$630 |
$1,050 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,455.60 |
$2,426 |
1.3× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$4,013.40 |
$6,689 |
1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$554.40 |
$924 |
1.5× |
| Shldr arthroscop,lyse adhesns (29825) |
$4,523.40 |
$7,539 |
1.5× |
| Shoulder arthroscopy (29805) |
$2,315.40 |
$3,859 |
0.8× |
Shoulder prosthesis removal (23334)
likely a partial charge, not the full procedure |
$2,016 |
$3,360 |
0.3× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,197 |
$1,995 |
1.1× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,667.40 |
$2,779 |
1.5× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$1,246.80 |
$2,078 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$196.20 |
$327 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$173.40 |
$289 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$196.20 |
$327 |
1.1× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$204 |
$340 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$204 |
$340 |
1.1× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$196.20 |
$327 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$204 |
$340 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$300.60 |
$501 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$204 |
$340 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$196.20 |
$327 |
1.1× |
| Sinus endo w/balloon dil (31296) |
$7,457.40 |
$12,429 |
1.1× |
Sinus endo w/balloon dil (31297)
unusually low: confirm this is the full procedure |
$2,485.80 |
$4,143 |
0.4× |
| Skin pinch graft (15050) |
$1,000.20 |
$1,667 |
1.5× |
| Skin splt grft trnk/arm/leg (15100) |
$2,439.99 |
$4,066.65 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$1,614.60 |
$2,691 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,614.60 |
$2,691 |
2.3× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,662.20 |
$4,437 |
1.4× |
| Skin Tissue Procedure (17999) |
$838.80 |
$1,398 |
4.5× |
| Skin tissue rearrangement (14040) |
$2,807.40 |
$4,679 |
1.5× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$956.40 |
$1,594 |
0.3× |
| Skn sub grft f/n/hf/g child (15277) |
$1,614.60 |
$2,691 |
0.8× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$4,423.20 |
$7,372 |
0.9× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,949.80 |
$6,583 |
1.3× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,672.60 |
$11,121 |
1.3× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,523.40 |
$7,539 |
1.0× |
| Slitting of prepuce (54001) |
$2,235 |
$3,725 |
1.1× |
| Small bowel endoscopy (44376) |
$898.20 |
$1,497 |
0.5× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$3,135 |
$5,225 |
1.8× |
| Small bowel endoscopy/biopsy (44377) |
$2,514 |
$4,190 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$245.70 |
$409.50 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$196.20 |
$327 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$204 |
$340 |
0.5× |
| Snip incision lacrimal punctum (68440) |
$1,191 |
$1,985 |
4.0× |
| Spinal puncture lumbar diagnostic (62270) |
$349.20 |
$582 |
0.5× |
| Spinal Puncture Therapeutic (62272) |
$750.30 |
$1,250.50 |
1.1× |
| Strapping ankle (29540) |
$47.40 |
$79 |
0.3× |
| Strapping elbow/wrist (29260) |
$59.40 |
$99 |
1.1× |
| Strapping hand/finger (29280) |
$51.60 |
$86 |
0.9× |
| Strapping Hip (29520) |
$132 |
$220 |
1.1× |
| Strapping knee (29530) |
$110.40 |
$184 |
0.9× |
| Strapping shoulder (29240) |
$87.60 |
$146 |
0.7× |
| Strapping thorax (29200) |
$60 |
$100 |
0.4× |
| Strapping toes (29550) |
$58.20 |
$97 |
1.1× |
| Strapping unna boot (29580) |
$157.20 |
$262 |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$13,243.80 |
$22,073 |
2.4× |
| Suspension of testis (54640) |
$4,734.60 |
$7,891 |
1.4× |
| Suspension of testis (54620) |
$1,770 |
$2,950 |
0.5× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$10,384.20 |
$17,307 |
1.5× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
$10,384.20 |
$17,307 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$527.40 |
$879 |
1.4× |
| Tendon excision palm/finger (26145) |
$2,014.20 |
$3,357 |
1.3× |
| Tendon graft, from a distance (20924) |
$4,707 |
$7,845 |
0.7× |
| Tenodesis long tendon biceps (23430) |
$4,523.40 |
$7,539 |
0.7× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$4,552.80 |
$7,588 |
1.5× |
| Tenotomy elbow lateral/medial debride open (24358) |
$4,279.20 |
$7,132 |
1.4× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,080.80 |
$3,468 |
1.4× |
Tenotomy shoulder area single tendon (23405)
unusually low: confirm this is the full procedure |
$2,339.40 |
$3,899 |
0.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$22,571.40 |
$37,619 |
1.9× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$840 |
$1,400 |
1.4× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$329.40 |
$549 |
0.6× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$3,493.20 |
$5,822 |
0.7× |
| Throat Surgery Procedure (42999) |
$303.60 |
$506 |
1.4× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$2,579.40 |
$4,299 |
0.9× |
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure |
$1,156.20 |
$1,927 |
0.2× |
| Thrombolytic Therapy, Stroke (37195) |
$508.20 |
$847 |
1.7× |
| Thrombolytic Venous Therapy (37212) |
$1,156.20 |
$1,927 |
0.4× |
| Thyroid biopsy (60100) |
$287.40 |
$479 |
0.4× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$7,378.20 |
$12,297 |
1.3× |
| Thyroidectomy, total or complete (60240) |
$7,176.60 |
$11,961 |
1.3× |
| Tibial arthroscopy/surgery (29855) |
$4,279.20 |
$7,132 |
0.6× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$1,575 |
$2,625 |
0.8× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,116.80 |
$3,528 |
1.1× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$2,807.40 |
$4,679 |
0.9× |
| Total knee arthroplasty (27447) |
$17,212.80 |
$28,688 |
1.4× |
| Total thyroid lobectomy unilateral (60225) |
$7,822.80 |
$13,038 |
1.4× |
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690)
unusually low: confirm this is the full procedure |
$3,158.40 |
$5,264 |
0.5× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$936 |
$1,560 |
4.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$607.20 |
$1,012 |
0.4× |
| Tracheostomy planned (31600) |
$1,960.20 |
$3,267 |
0.6× |
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure |
$321.60 |
$536 |
0.1× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$6,139.80 |
$10,233 |
1.6× |
| Transplant forearm tendon (25312) |
$4,752 |
$7,920 |
1.6× |
| Transplant forearm tendon (25310) |
$3,871.80 |
$6,453 |
1.3× |
| Transplant hand tendon (26480) |
$1,953 |
$3,255 |
0.6× |
| Transplant/graft hand tendon (26483) |
$1,852.20 |
$3,087 |
0.6× |
| Transurethral resection of bladder neck (52500) |
$2,315.40 |
$3,859 |
0.7× |
| Treat clavicle dislocation (23552) |
$4,961.40 |
$8,269 |
0.7× |
| Treat elbow fracture (24586) |
$20,658.60 |
$34,431 |
1.7× |
| Treat elbow fracture (24635) |
$10,384.20 |
$17,307 |
1.5× |
| Treat finger dislocation (26775) |
$1,280.40 |
$2,134 |
4.9× |
| Treat Finger Fracture Each (26727) |
$2,394 |
$3,990 |
0.8× |
| Treat Fracture Radius & Ulna (25560) |
$499.20 |
$832 |
2.2× |
| Treat fracture radius/ulna (25575) |
$8,067.60 |
$13,446 |
1.2× |
| Treat fx rad extra-articul (25607) |
$4,279.20 |
$7,132 |
0.6× |
| Treat hand dislocation (26685) |
$4,552.80 |
$7,588 |
1.5× |
| Treat humerus fracture (23630) |
$9,840 |
$16,400 |
1.5× |
| Treat humerus fracture (24500) |
$229.80 |
$383 |
1.0× |
| Treat humerus fracture (24577) |
$198 |
$330 |
0.1× |
| Treat humerus fracture (23600) |
$229.80 |
$383 |
1.0× |
| Treat knee fracture (27532) |
$4,552.80 |
$7,588 |
1.5× |
Treat Lower Leg Fracture (27827)
unusually low: confirm this is the full procedure |
$4,725 |
$7,875 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$276 |
$460 |
1.2× |
| Treat pleurodesis w/agent (32560) |
$294.60 |
$491 |
0.5× |
Treat scapula fracture (23585)
unusually low: confirm this is the full procedure |
$2,494.20 |
$4,157 |
0.4× |
| Treat thumb fracture (26665) |
$3,142.80 |
$5,238 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$300 |
$500 |
0.2× |
| Treat toe fracture (28525) |
$4,498.20 |
$7,497 |
1.5× |
| Treat ulnar fracture (24685) |
$3,780 |
$6,300 |
0.6× |
| Treat Vaginal Bleeding (57180) |
$341.40 |
$569 |
1.8× |
| Treat wrist bone fracture (25622) |
$372.60 |
$621 |
1.6× |
| Treat Wrist Bone Fracture (25630) |
$339.60 |
$566 |
1.5× |
| Treatment closed elbow dislocation req anes (24605) |
$972.60 |
$1,621 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$229.80 |
$383 |
1.0× |
| Treatment mouth roof lesion (42160) |
$4,494.60 |
$7,491 |
1.5× |
| Treatment of ankle fracture (27822) |
$9,700.80 |
$16,168 |
1.4× |
| Treatment of ankle fracture (27792) |
$7,436.21 |
$12,393.68 |
1.1× |
| Treatment of eyelid lesions (68040) |
$100.80 |
$168 |
0.3× |
| Treatment of fibula fracture (27784) |
$9,700.80 |
$16,168 |
1.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$276 |
$460 |
1.2× |
| Trim skin lesion (11055) |
$287.40 |
$479 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$287.40 |
$479 |
1.5× |
| Trim skin lesions over 4 (11057) |
$39 |
$65 |
0.2× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$36.60 |
$61 |
0.7× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$6,868.80 |
$11,448 |
1.3× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,871.80 |
$11,453 |
1.3× |
| Trurl rescj postop bladder neck contracture (52640) |
$2,205 |
$3,675 |
0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,018.80 |
$6,698 |
1.3× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$2,049.60 |
$3,416 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$223.80 |
$373 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$204 |
$340 |
0.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$267.60 |
$446 |
0.2× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$4,336.20 |
$7,227 |
23.1× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$8,784.60 |
$14,641 |
1.6× |
| Unlisted procedure accessory sinuses (31299) |
$303.60 |
$506 |
1.4× |
| Unlisted procedure anus (46999) |
$1,495.80 |
$2,493 |
1.7× |
| Unlisted Procedure Casting/Strapping (29799) |
$72 |
$120 |
0.5× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$303.60 |
$506 |
1.4× |
| Unlisted Procedure Endocrine System (60699) |
$5,476.80 |
$9,128 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$4,752 |
$7,920 |
20.7× |
| Unlisted procedure foot or toes (28899) |
$4,652.40 |
$7,754 |
20.3× |
| Unlisted procedure leg/ankle (27899) |
$2,203.80 |
$3,673 |
9.6× |
| Unlisted Procedure Nervous System (64999) |
$2,311.80 |
$3,853 |
8.1× |
| Unlisted Procedure Rectum (45999) |
$795.60 |
$1,326 |
0.9× |
| Unlisted procedure shoulder (23929) |
$1,984.80 |
$3,308 |
8.7× |
| Unlisted Procedure Small Intestine (44799) |
$747 |
$1,245 |
0.9× |
| Unlisted Procedure Trachea Bronchi (31899) |
$264.60 |
$441 |
1.4× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,169.40 |
$1,949 |
2.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$996.60 |
$1,661 |
1.2× |
| Unlisted px female genital system nonobstetrical (58999) |
$320.40 |
$534 |
1.7× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$5,515.80 |
$9,193 |
0.6× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$4,981.80 |
$8,303 |
1.5× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$7,248 |
$12,080 |
1.5× |
| Uvulectomy excision uvula (42140) |
$945 |
$1,575 |
0.3× |
| Vaginal delivery only (59409) |
$431.40 |
$719 |
0.1× |
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure |
$6,499.80 |
$10,833 |
0.4× |
| Vasc Embolize/Occlude Bleed (37244) |
$6,499.80 |
$10,833 |
0.6× |
| Vasc embolize/occlude organ (37243) |
$6,499.80 |
$10,833 |
0.6× |
| Vasc embolize/occlude venous (37241) |
$25,737 |
$42,895 |
2.4× |
| Vasectomy (55250) |
$2,807.40 |
$4,679 |
1.4× |
| Venipuncture (36415) |
$26.40 |
$44 |
2.8× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$21 |
$35 |
0.2× |
| Venipuncture, cutdown; age 1 or over (36425) |
$21 |
$35 |
0.1× |
| Ventilating tube removal requiring general anesthesia (69424) |
$1,560 |
$2,600 |
0.5× |
| Vulvectomy simple partial (56620) |
$4,611 |
$7,685 |
1.5× |
| Wedging of cast (29740) |
$132 |
$220 |
0.5× |
| Windowing of cast (29730) |
$132 |
$220 |
0.9× |
| Wound Prep F/N/Hf/G (15004) |
$641.40 |
$1,069 |
1.7× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$956.40 |
$1,594 |
1.4× |
| Wrist arthroscop,excis triang cart (29846) |
$3,939.60 |
$6,566 |
1.3× |
| Xfer single deep low leg tendon (27691) |
$10,875.60 |
$18,126 |
1.6× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$314.40 |
$524 |
0.2× |