| Abd paracentesis w/imaging (49083) |
$730.35 |
$811.50 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$422.10 |
$469 |
0.5× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Facility (23130) |
$3,923.10 |
$4,359 |
1.2× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$4,058.10 |
$4,509 |
1.2× |
| Amputation Finger/Thumb (26951) |
$848.70 |
$943 |
0.3× |
| Amputation foot transmetarsal (28805) |
$2,416.50 |
$2,685 |
0.7× |
| Amputation metatarsal with toe single (28810) |
$2,222.10 |
$2,469 |
0.7× |
| Amputation toe interphalangeal joint (28825) |
$2,340 |
$2,600 |
0.7× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,331 |
$2,590 |
0.7× |
| Anoscopy diagnostic (46600) |
$172.80 |
$192 |
1.3× |
Appendectomy (44950)
unusually low: confirm this is the full procedure |
$2,348.10 |
$2,609 |
0.4× |
| Application cast elbow finger short arm (29075) |
$150.30 |
$167 |
0.5× |
| Application cast shoulder hand long arm (29065) |
$192.60 |
$214 |
0.7× |
| Application finger splint static (29130) |
$135 |
$150 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$280.80 |
$312 |
1.7× |
| Application of long leg cast (29345) |
$214.20 |
$238 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$183.60 |
$204 |
1.4× |
| Apply long leg splint (29505) |
$106.20 |
$118 |
0.7× |
| Apply short leg cast (29405) |
$178.20 |
$198 |
0.6× |
| Apply short leg cast (29425) |
$140.40 |
$156 |
0.5× |
| Apply short leg splint (29515) |
$82.80 |
$92 |
0.5× |
| Arterial puncture (36600) |
$114.30 |
$127 |
0.9× |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure |
$3,005.10 |
$3,339 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$105.30 |
$117 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$181.35 |
$201.50 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$81 |
$90 |
0.3× |
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure |
$2,467.80 |
$2,742 |
0.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$4,247.10 |
$4,719 |
0.6× |
| Arthrodesis interphalangeal jt w/wo int fixj (26860) |
$1,144.80 |
$1,272 |
0.4× |
Arthrodesis; subtalar (28725)
unusually low: confirm this is the full procedure |
$4,664.70 |
$5,183 |
0.4× |
Arthroplasty glenohumeral joint total shoulder (23472)
unusually low: confirm this is the full procedure |
$7,370.10 |
$8,189 |
0.4× |
Arthroplasty patella w/prosthesis (27438)
likely a partial charge, not the full procedure |
$3,384.90 |
$3,761 |
0.3× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; Facility (27442) |
$8,243.10 |
$9,159 |
0.6× |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
$2,340 |
$2,600 |
0.7× |
| Arthroscopy knee synovectomy 2/>compartments (29876) |
$5,404.50 |
$6,005 |
1.7× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,263.40 |
$3,626 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,868.20 |
$4,298 |
1.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$2,836.80 |
$3,152 |
0.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$5,109.30 |
$5,677 |
1.6× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$5,489.10 |
$6,099 |
1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,532.40 |
$5,036 |
1.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$5,048.10 |
$5,609 |
0.7× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$5,748.30 |
$6,387 |
0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,895.90 |
$6,551 |
1.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$5,958 |
$6,620 |
0.8× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$4,268.70 |
$4,743 |
1.3× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$6,819.30 |
$7,577 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,871.80 |
$4,302 |
1.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,028.60 |
$2,254 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$491.85 |
$546.50 |
0.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$117 |
$130 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$123.30 |
$137 |
0.6× |
| Biopsy of breast; open, incisional (19101) |
$1,665 |
$1,850 |
0.4× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,642.50 |
$1,825 |
0.4× |
| Blepharotomy drain absc eyelid (67700) |
$259.20 |
$288 |
0.8× |
| Blood patch (62273) |
$1,035 |
$1,150 |
1.5× |
| Blood transfusion service (36430) |
$392.40 |
$436 |
0.9× |
Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900)
likely a partial charge, not the full procedure |
$1,383.30 |
$1,537 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$1,791 |
$1,990 |
1.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,671.10 |
$4,079 |
1.1× |
| Chemical cautery tissue (17250) |
$141.30 |
$157 |
0.7× |
| Claviculectomy partial (23120) |
$2,552.40 |
$2,836 |
0.8× |
| Closed Rx Tibia Shaft Fx (27750) |
$736.65 |
$818.50 |
3.0× |
| Closed treat wrist dislocation (25660) |
$652.50 |
$725 |
2.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$759.60 |
$844 |
0.5× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$158.40 |
$176 |
0.7× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$433.80 |
$482 |
0.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,688.40 |
$1,876 |
6.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$789.30 |
$877 |
3.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,638 |
$1,820 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$926.10 |
$1,029 |
3.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,062.80 |
$2,292 |
1.3× |
| Closed tx nasal fracture w/o stabilization (21315) |
$279.90 |
$311 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$761.40 |
$846 |
3.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$692.10 |
$769 |
2.8× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,066.50 |
$1,185 |
0.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$352.80 |
$392 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$406.80 |
$452 |
1.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$336.60 |
$374 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$927.90 |
$1,031 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,494.45 |
$1,660.50 |
6.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,396.80 |
$1,552 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,558.80 |
$1,732 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,118.70 |
$1,243 |
4.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$329.40 |
$366 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,252.25 |
$2,502.50 |
1.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$1,955.70 |
$2,173 |
8.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,197.70 |
$3,553 |
2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$201.60 |
$224 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$175.50 |
$195 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,810.80 |
$2,012 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$653.40 |
$726 |
2.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$112.50 |
$125 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$686.25 |
$762.50 |
2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,233 |
$1,370 |
5.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,428.30 |
$1,587 |
5.9× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$725.40 |
$806 |
3.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$203.40 |
$226 |
0.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$789.75 |
$877.50 |
3.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,723.95 |
$1,915.50 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,147.05 |
$1,274.50 |
4.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$473.40 |
$526 |
0.3× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,476 |
$1,640 |
0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$441 |
$490 |
1.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$442.80 |
$492 |
0.3× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$2,095.20 |
$2,328 |
1.3× |
| Colonoscopy flex w/blln dilat (45386) |
$1,838.70 |
$2,043 |
1.6× |
| Colonoscopy flex w/inj submuc (45381) |
$1,979.10 |
$2,199 |
1.7× |
| Colonoscopy flex w/rem forcep (45384) |
$1,478.70 |
$1,643 |
1.3× |
| Colonoscopy thru stoma (44388) |
$1,089.90 |
$1,211 |
1.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,453.50 |
$1,615 |
1.2× |
| Colonoscopy w/ablation (45388) |
$2,859.75 |
$3,177.50 |
2.4× |
| Colonoscopy w/band ligation (45398) |
$1,990.80 |
$2,212 |
1.7× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$446.40 |
$496 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$217.80 |
$242 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$117.90 |
$131 |
0.9× |
| Correction hammertoe (28285) |
$2,061.90 |
$2,291 |
0.6× |
Correction of bunion (28298)
unusually low: confirm this is the full procedure |
$2,931.30 |
$3,257 |
0.4× |
| Correction of bunion (28292) |
$3,096.90 |
$3,441 |
1.0× |
Correction of bunion (28299)
unusually low: confirm this is the full procedure |
$2,717.10 |
$3,019 |
0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,312.90 |
$3,681 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$449.10 |
$499 |
3.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$148.50 |
$165 |
0.4× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,405.80 |
$1,562 |
2.0× |
| Debride nail 1-5 (11720) |
$31.95 |
$35.50 |
0.5× |
| Debride nail 6 or more (11721) |
$45 |
$50 |
0.8× |
| Debride tissue/muscle (11043) |
$436.50 |
$485 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$163.80 |
$182 |
0.4× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$915.30 |
$1,017 |
0.6× |
| Decompression Of Tibia Nerve (28035) |
$4,251.60 |
$4,724 |
2.2× |
| Destruction Benign Lesions 15/> (17111) |
$322.20 |
$358 |
1.6× |
| Destruction Benign Lesions Up To 14 (17110) |
$234 |
$260 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,005.30 |
$1,117 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$182.70 |
$203 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$301.50 |
$335 |
1.5× |
| Destruction premalignant lesion 1st (17000) |
$80.55 |
$89.50 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$586.80 |
$652 |
0.6× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$567.90 |
$631 |
0.6× |
| Dilation Salivary Duct (42650) |
$84.60 |
$94 |
0.1× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$195.30 |
$217 |
0.3× |
| Drainage Finger Abscess Simple (26010) |
$544.05 |
$604.50 |
2.7× |
| Drainage of gum lesion (41800) |
$438.30 |
$487 |
3.3× |
| Drainage of hematoma/fluid (10140) |
$249.30 |
$277 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$224.10 |
$249 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$282.60 |
$314 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$206.10 |
$229 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,039.50 |
$1,155 |
0.5× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,762.20 |
$1,958 |
0.9× |
| Egd dilate stricture (43245) |
$1,082.70 |
$1,203 |
0.6× |
| Egd flexible foreign body removal (43247) |
$1,586.70 |
$1,763 |
1.8× |
| Egd guide wire insertion (43248) |
$1,175.40 |
$1,306 |
1.3× |
| Egd place gastrostomy tube (43246) |
$1,707.30 |
$1,897 |
0.9× |
| Egd remove lesion snare (43251) |
$1,359.90 |
$1,511 |
0.7× |
| Enterorrhaphy single perforation (44602) |
$4,421.70 |
$4,913 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$393.30 |
$437 |
0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$943.20 |
$1,048 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$152.10 |
$169 |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,643.40 |
$1,826 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$252.90 |
$281 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$224.10 |
$249 |
0.3× |
| Exc back les sc < 3 cm (21930) |
$1,579.50 |
$1,755 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$159.30 |
$177 |
0.2× |
| Exc ganglion wrist recurrent (25112) |
$3,417.30 |
$3,797 |
2.2× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$618.30 |
$687 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$2,985.30 |
$3,317 |
1.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$477 |
$530 |
0.3× |
| Exc neuroma cutan nrv surgly identifiable (64774) |
$810.90 |
$901 |
0.4× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$991.35 |
$1,101.50 |
0.5× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$206.10 |
$229 |
0.3× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$196.20 |
$218 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$450 |
$500 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$418.50 |
$465 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$575.10 |
$639 |
0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,090.80 |
$1,212 |
0.7× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,045.60 |
$3,384 |
1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$277.20 |
$308 |
0.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$3,887.10 |
$4,319 |
2.4× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$1,691.10 |
$1,879 |
0.6× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,146.40 |
$3,496 |
2.0× |
| Excision interdigital morton neuroma single each (28080) |
$3,521.70 |
$3,913 |
2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$230.40 |
$256 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$254.25 |
$282.50 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$299.25 |
$332.50 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$356.40 |
$396 |
0.5× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$309.15 |
$343.50 |
0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$270.90 |
$301 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$306.90 |
$341 |
0.2× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$243 |
$270 |
0.3× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$234 |
$260 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,923.20 |
$3,248 |
1.8× |
| Excision of hydrocele unilateral (55040) |
$1,494.90 |
$1,661 |
0.4× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
$723.60 |
$804 |
0.7× |
| Excision of lesion of spermatic cord (separate procedure) (55520) |
$1,495.80 |
$1,662 |
0.4× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$211.50 |
$235 |
0.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$960.30 |
$1,067 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$491.40 |
$546 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$480.15 |
$533.50 |
0.4× |
| Excision olecranon bursa (24105) |
$2,648.70 |
$2,943 |
0.8× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$103.50 |
$115 |
0.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,821.60 |
$2,024 |
1.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,554.30 |
$1,727 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$1,358.10 |
$1,509 |
0.7× |
| Explo/Drain Breast Abscess (19020) |
$803.70 |
$893 |
0.5× |
| Exploration of knee joint (27310) |
$4,256.10 |
$4,729 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,159.55 |
$2,399.50 |
1.3× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$4,509 |
$5,010 |
1.4× |
| Fetal non-stress test (59025) |
$115.20 |
$128 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$855.90 |
$951 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$443.70 |
$493 |
0.6× |
| Fine needle aspiration without imaging guidance (10021) |
$414 |
$460 |
1.0× |
| Fixation of shoulder (23700) |
$882.90 |
$981 |
0.6× |
| Fna bx w/fluor gdn 1st les (10007) |
$523.80 |
$582 |
0.7× |
| Gastrocnemius recession (27687) |
$1,869.30 |
$2,077 |
0.6× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure |
$2,744.10 |
$3,049 |
0.4× |
Hemiarthroplasty hip partial (27125)
unusually low: confirm this is the full procedure |
$4,898.70 |
$5,443 |
0.4× |
| Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) |
$2,781.90 |
$3,091 |
0.9× |
| I&d abscess simple (10060) |
$331.20 |
$368 |
1.7× |
| I&d pilonidal cyst simple (10080) |
$185.40 |
$206 |
0.3× |
| I&d submucosal abscess rectum (45005) |
$727.20 |
$808 |
0.6× |
| I&d vulva/perineal abscess (56405) |
$481.50 |
$535 |
1.6× |
| Incise external hemorrhoid (46083) |
$524.70 |
$583 |
2.1× |
| Incise finger tendon sheath (26055) |
$2,479.50 |
$2,755 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$265.50 |
$295 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,674.90 |
$1,861 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$728.10 |
$809 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$404.55 |
$449.50 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$452.25 |
$502.50 |
2.3× |
| Incision and drainage perianal abscess superficial (46050) |
$276.30 |
$307 |
0.3× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$781.20 |
$868 |
0.3× |
| Incision extensor tendon sheath wrist (25000) |
$3,220.20 |
$3,578 |
2.0× |
| Incision of rectal abscess (46040) |
$1,482.75 |
$1,647.50 |
1.3× |
| Incisional biopsy skin single lesion (11106) |
$172.35 |
$191.50 |
0.2× |
| Initial tx 1st degree burn local tx (16000) |
$72 |
$80 |
0.4× |
| Inj tendon sheath/ligament (20550) |
$105.30 |
$117 |
0.3× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,492.20 |
$1,658 |
1.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,340.10 |
$1,489 |
1.5× |
| Inject Tendon Origin/Insert (20551) |
$94.05 |
$104.50 |
0.3× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$1,487.70 |
$1,653 |
1.7× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$229.50 |
$255 |
0.3× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$123.30 |
$137 |
0.4× |
| Injection anesthetic agent femoral nerve single (64447) |
$940.95 |
$1,045.50 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$111.15 |
$123.50 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$266.85 |
$296.50 |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,080.90 |
$1,201 |
1.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,332.90 |
$1,481 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$260.10 |
$289 |
2.0× |
| Insert cath pleura w/o image (32556) |
$2,249.10 |
$2,499 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$756 |
$840 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$129.60 |
$144 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,294.90 |
$3,661 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$199.80 |
$222 |
1.5× |
| Insj picc rs&i 5 yr+ (36573) |
$2,425.50 |
$2,695 |
1.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,535.20 |
$3,928 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,552.40 |
$2,836 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$513 |
$570 |
2.2× |
| Knee Arthroscopy/Surgery (29879) |
$4,913.10 |
$5,459 |
1.5× |
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure |
$930.60 |
$1,034 |
0.2× |
| Lap paraesophag hern repair (43281) |
$6,578.10 |
$7,309 |
0.6× |
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure |
$2,565.90 |
$2,851 |
0.4× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$4,174.20 |
$4,638 |
0.7× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure |
$2,541.60 |
$2,824 |
0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$3,800.70 |
$4,223 |
0.6× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure |
$3,492.90 |
$3,881 |
0.3× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670)
unusually low: confirm this is the full procedure |
$2,591.10 |
$2,879 |
0.4× |
| Late closure of wound (13160) |
$3,670.20 |
$4,078 |
1.0× |
| Ligation of hemorrhoid(s) (46221) |
$497.70 |
$553 |
0.5× |
| Manipulation knee joint under general anesthesia (27570) |
$1,118.70 |
$1,243 |
0.7× |
| Mast mod rad (19307) |
$6,300 |
$7,000 |
1.0× |
| Mastectomy simple complete (19303) |
$3,858.30 |
$4,287 |
0.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$352.80 |
$392 |
0.5× |
| N Block Inj, Plantar Digit (64455) |
$100.35 |
$111.50 |
0.3× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$391.50 |
$435 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$80.10 |
$89 |
2.8× |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
$2,704.50 |
$3,005 |
1.4× |
| Njx aa&/strd sciatic nerve (64445) |
$634.50 |
$705 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$762.30 |
$847 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,273.50 |
$1,415 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$804.60 |
$894 |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$4,824.90 |
$5,361 |
0.7× |
| Open treatment calcaneal fracture (28415) |
$4,143.60 |
$4,604 |
0.6× |
| Open treatment fracture distal tibia only (27827) |
$6,654.60 |
$7,394 |
0.5× |
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure |
$2,979 |
$3,310 |
0.4× |
Open treatment of acromioclavicular dislocation, acute or chronic; Facility (23550)
unusually low: confirm this is the full procedure |
$2,312.10 |
$2,569 |
0.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$3,661.20 |
$4,068 |
0.5× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure |
$6,291.90 |
$6,991 |
0.5× |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
$4,538.70 |
$5,043 |
0.6× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
$4,582.80 |
$5,092 |
0.6× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
$5,311.80 |
$5,902 |
0.7× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) |
$3,890.70 |
$4,323 |
0.5× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
unusually low: confirm this is the full procedure |
$3,868.20 |
$4,298 |
0.3× |
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure |
$3,301.20 |
$3,668 |
0.3× |
Open treatment tarsometatarsal joint dislocation (28615)
unusually low: confirm this is the full procedure |
$2,839.50 |
$3,155 |
0.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$4,058.10 |
$4,509 |
0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,028.60 |
$2,254 |
0.6× |
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure |
$2,714.40 |
$3,016 |
0.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$1,645.20 |
$1,828 |
0.5× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,454.20 |
$3,838 |
1.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$5,232.60 |
$5,814 |
0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$4,619.70 |
$5,133 |
0.6× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$5,272.20 |
$5,858 |
0.7× |
| Ostectomy calcaneus (28118) |
$1,674.90 |
$1,861 |
0.5× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,853.80 |
$4,282 |
1.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
$1,775.70 |
$1,973 |
0.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,282.30 |
$3,647 |
1.0× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$4,928.40 |
$5,476 |
1.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$2,172.60 |
$2,414 |
0.7× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$4,529.70 |
$5,033 |
1.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$4,078.80 |
$4,532 |
1.3× |
| Partial excision bone tibia (27640) |
$5,552.10 |
$6,169 |
1.7× |
| Partial Excision Distal Phalanx Finger (26236) |
$872.10 |
$969 |
0.5× |
| Partical Excision Bone Phalanx Toe (28124) |
$1,515.60 |
$1,684 |
0.5× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$4,622.40 |
$5,136 |
0.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$2,549.70 |
$2,833 |
0.8× |
| Picc line placement (36569) |
$716.40 |
$796 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$140.40 |
$156 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$147.15 |
$163.50 |
0.4× |
| Puncture Aspiration Cyst Breast (19000) |
$201.15 |
$223.50 |
0.3× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$210.60 |
$234 |
0.5× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$4,420.80 |
$4,912 |
1.4× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$5,962.50 |
$6,625 |
0.8× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
$4,913.10 |
$5,459 |
0.7× |
| Removal foreign body foot deep (28192) |
$1,519.20 |
$1,688 |
0.9× |
| Removal foreign body intranasal (30300) |
$391.05 |
$434.50 |
3.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$237.60 |
$264 |
0.1× |
| Removal foreign body pharynx (42809) |
$305.10 |
$339 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81 |
$90 |
1.4× |
| Removal implant deep (20680) |
$2,581.20 |
$2,868 |
0.9× |
| Removal Implantable Contraceptive Capsules (11976) |
$351.90 |
$391 |
0.5× |
Removal of bone for graft (20902)
likely a partial charge, not the full procedure |
$1,395.90 |
$1,551 |
0.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,048.50 |
$1,165 |
0.9× |
| Removal of finger lesion (26210) |
$3,694.50 |
$4,105 |
2.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$113.40 |
$126 |
0.3× |
| Removal of heel spur (28119) |
$2,025 |
$2,250 |
0.6× |
| Removal of implant material (19330) |
$3,195.90 |
$3,551 |
0.8× |
| Removal of iud (58301) |
$299.70 |
$333 |
1.0× |
| Removal of nail bed (11750) |
$337.50 |
$375 |
0.8× |
| Removal of sesamoid bone (28315) |
$1,292.40 |
$1,436 |
0.4× |
| Removal of subdeltoid calcareous deposits, open Facility (23000) |
$2,195.10 |
$2,439 |
0.8× |
| Removal Of Tendon Lesion (27630) |
$1,807.20 |
$2,008 |
0.6× |
| Removal of wrist bone (25210) |
$1,069.20 |
$1,188 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$99.90 |
$111 |
0.5× |
| Removal/bivalving full arm/full leg cast (29705) |
$132.30 |
$147 |
0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$126 |
$140 |
0.5× |
| Remove anal fist subq (46270) |
$1,493.10 |
$1,659 |
0.5× |
| Remove elbow lesion (24120) |
$2,763 |
$3,070 |
0.9× |
| Remove Lower Leg Bone Lesion (27635) |
$2,625.30 |
$2,917 |
0.8× |
| Remove Pilonidal Cyst Exten (11771) |
$1,663.20 |
$1,848 |
0.6× |
| Remove Tendon Sheath Lesion (26160) |
$4,318.20 |
$4,798 |
2.7× |
Remove thyroid duct lesion (60280)
unusually low: confirm this is the full procedure |
$2,082.60 |
$2,314 |
0.3× |
| Remv Ext Canal Foreign Body (69200) |
$317.70 |
$353 |
2.4× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$217.80 |
$242 |
1.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$412.20 |
$458 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$558.90 |
$621 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$356.40 |
$396 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$961.65 |
$1,068.50 |
2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$323.10 |
$359 |
0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$780.75 |
$867.50 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$418.50 |
$465 |
0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$453.15 |
$503.50 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,481.75 |
$2,757.50 |
1.6× |
| Repair forearm tendon/muscle (25260) |
$1,990.80 |
$2,212 |
0.6× |
| Repair hand tendon (26410) |
$1,714.50 |
$1,905 |
1.1× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,394.90 |
$2,661 |
0.7× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$2,345.40 |
$2,606 |
0.7× |
| Repair initial femoral hernia, any age; reducible (49550) |
$2,087.10 |
$2,319 |
0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,831.30 |
$4,257 |
1.1× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Facility (49500)
unusually low: confirm this is the full procedure |
$2,038.50 |
$2,265 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,171.80 |
$1,302 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$449.10 |
$499 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$489.60 |
$544 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$419.40 |
$466 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$430.20 |
$478 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$446.40 |
$496 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$282.60 |
$314 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$307.80 |
$342 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$377.10 |
$419 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$799.65 |
$888.50 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$321.30 |
$357 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$442.80 |
$492 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$890.10 |
$989 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$564.30 |
$627 |
1.4× |
| Repair intrinsic muscles hand each muscle (26591) |
$851.40 |
$946 |
0.3× |
| Repair Mouth Laceration (40831) |
$332.10 |
$369 |
0.6× |
| Repair of nail bed (11760) |
$513.90 |
$571 |
0.7× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
$4,512.60 |
$5,014 |
0.6× |
| Repair of shoulder (23420) |
$7,855.20 |
$8,728 |
1.1× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$2,378.70 |
$2,643 |
0.7× |
| Repair rotator cuff acute (23410) |
$7,092.90 |
$7,881 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$463.50 |
$515 |
0.1× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$5,421.60 |
$6,024 |
0.8× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322)
likely a partial charge, not the full procedure |
$1,638.90 |
$1,821 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure |
$3,323.70 |
$3,693 |
0.5× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) |
$4,218.30 |
$4,687 |
0.6× |
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure |
$702.90 |
$781 |
0.1× |
| Repeat control of nosebleed (30906) |
$321.30 |
$357 |
1.4× |
| Revis reconst shoulder joint (23473) |
$6,732.90 |
$7,481 |
0.5× |
Revise Lower Leg Tendon (27691)
unusually low: confirm this is the full procedure |
$3,025.80 |
$3,362 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$4,421.70 |
$4,913 |
2.3× |
| Revision of lower leg tendon (27685) |
$3,161.70 |
$3,513 |
1.0× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$6,728.40 |
$7,476 |
0.5× |
Revision of total knee arthroplasty, with or without allograft; 1 component Facility (27486)
unusually low: confirm this is the full procedure |
$5,981.40 |
$6,646 |
0.5× |
| Revj tot hip arthrp fem only w/wo algrft (27138) |
$8,398.80 |
$9,332 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$248.40 |
$276 |
1.9× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$113.40 |
$126 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,317.60 |
$1,464 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$672.30 |
$747 |
1.1× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$994.50 |
$1,105 |
0.3× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$2,025 |
$2,250 |
0.6× |
| Shave skin lesion 0.5 cm/< (11300) |
$99.90 |
$111 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$225.90 |
$251 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$235.80 |
$262 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$118.35 |
$131.50 |
0.6× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$984.60 |
$1,094 |
0.8× |
| Sigmoidoscopy w/biopsy (45331) |
$574.20 |
$638 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$414 |
$460 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$425.70 |
$473 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$467.10 |
$519 |
2.4× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$175.50 |
$195 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$265.50 |
$295 |
1.3× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$342 |
$380 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$399.15 |
$443.50 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$762.30 |
$847 |
3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$252 |
$280 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$438.30 |
$487 |
0.6× |
| Skin tissue rearrangement (14040) |
$2,334.60 |
$2,594 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$423 |
$470 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$387.90 |
$431 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$423 |
$470 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$562.50 |
$625 |
0.8× |
| Spinal Puncture Therapeutic (62272) |
$716.40 |
$796 |
1.0× |
| Strapping ankle (29540) |
$92.70 |
$103 |
0.6× |
| Strapping unna boot (29580) |
$97.20 |
$108 |
0.6× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$4,913.10 |
$5,459 |
1.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$1,842.30 |
$2,047 |
0.7× |
Suture of quadriceps or hamstring muscle rupture; primary (27385)
unusually low: confirm this is the full procedure |
$2,947.50 |
$3,275 |
0.4× |
| Suture pharynx for wound or injury Facility (42900) |
$750.60 |
$834 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$116.10 |
$129 |
0.3× |
| Tenodesis long tendon biceps (23430) |
$5,956.20 |
$6,618 |
0.8× |
| Tenotomy percutaneous single each digit (26060) |
$1,277.10 |
$1,419 |
0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$800.10 |
$889 |
0.5× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,305 |
$1,450 |
0.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,103.40 |
$1,226 |
0.7× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$981 |
$1,090 |
1.6× |
| Thyroid biopsy (60100) |
$531.90 |
$591 |
0.8× |
| Tnot elbow lateral/medial debride open (24358) |
$3,933 |
$4,370 |
1.2× |
| Total hip arthroplasty (27130) |
$8,490.60 |
$9,434 |
0.7× |
| Total Knee Arthroplasty (27447) |
$8,535.60 |
$9,484 |
0.7× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$527.40 |
$586 |
2.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$540 |
$600 |
0.4× |
| Transection or avulsion of other spinal nerve, extradural Facility (64772) |
$1,636.20 |
$1,818 |
0.8× |
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure |
$3,532.50 |
$3,925 |
0.5× |
Treat Knee Fracture (27535)
unusually low: confirm this is the full procedure |
$3,571.20 |
$3,968 |
0.5× |
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure |
$2,997 |
$3,330 |
0.4× |
| Treat Thigh Fracture (27245) |
$6,744.60 |
$7,494 |
0.9× |
| Treat Vaginal Bleeding (57180) |
$414.90 |
$461 |
2.1× |
| Treatment closed elbow dislocation req anes (24605) |
$1,107.90 |
$1,231 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$337.50 |
$375 |
1.4× |
Treatment of fibula fracture (27784)
unusually low: confirm this is the full procedure |
$2,527.20 |
$2,808 |
0.4× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
$4,455 |
$4,950 |
0.6× |
| Tube thoracostomy includes water seal (32551) |
$792.90 |
$881 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$811.80 |
$902 |
1.1× |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
unusually low: confirm this is the full procedure |
$4,171.50 |
$4,635 |
0.3× |
| Unlisted procedure nervous system (64999) |
$124.20 |
$138 |
0.4× |
| Vaginal delivery only (59409) |
$2,952.90 |
$3,281 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$711 |
$790 |
0.3× |
| Venipuncture (36415) |
$20.70 |
$23 |
2.2× |
| Wedge excision skin nail fold (11765) |
$190.80 |
$212 |
0.5× |
| Windowing of cast (29730) |
$119.70 |
$133 |
0.7× |